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allografts and autografts, but surgical time, donor site complications and infections are more frequent with autograft. 37 Remnant-preserving of femoral and tibial attachments of the native ligament has been advocated as a way to improve healing and
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. References 1. Boyd AD Ewald FC Thomas WH Poss R & Sledge CB . Long-term complications after total knee arthroplasty with or without resurfacing of the patella . Journal of Bone and Joint Surgery. American Volume 1993 75 674 – 681 . ( https
Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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Avcilar Hospital, Istanbul, Turkey
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Ortoklinik & Cankaya Orthopedics, Ankara, Turkey
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the complications of metal cables or wires. Although satisfactory outcomes can be achieved in acute patellar tendon repairs without augmentation in younger athletes ( 21 ), biological augmentation with autologous tissues may improve the outcomes if
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radiological outcomes after arthroscopic menisectomy. Complications are rare (0.27% to 2.8%): Salzler et al 43 found a 2.8% complication rate after APM and concluded that knee arthroscopy is not a benign procedure: deep vein thrombosis, complex regional
Newcastle University, Newcastle upon Tyne, UK
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University of York, York, UK
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The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
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University of York, York, UK
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), differences in gait kinematics and kinetics ( 37 ), an increased risk of developing post-operative complications ( 38 , 39 ), and a greater need for revision surgery and PJI ( 40 ). Authors therefore suggest that perioperative supplementation should be
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are multifactorial. However, two key factors are evident: outside of specialist centres the procedure is associated with relatively poor survivorship, and there is a high rate of local complications. 5 , 6 This is unsurprising given that it is a
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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undergo TKA is also increasing. It is therefore highly likely that the rate of revision total knee arthroplasty (rTKA) will continue to increase in the future. 1 An rTKA is a highly complex surgical technique, with a high rate of complications and
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than adults ( 22 ). Graft choice and femoral fixation method had no effect on outcome or complications in this systematic review ( 22 ). Immature patients also have a higher rate of subsequent injury to the knee after MPFL reconstruction ( 23 ). The
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to rise in the future. 2 , 3 Although TKR surgery has a high satisfaction rate of 80–100%, 112 10–34% of patients develop adverse pain as a complication. 10 This highlights the importance of addressing pain expectations and managing
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, peri-prosthetic fractures, component failure and recurrent painful effusion. 13 It is imperative to monitor this process and intervene in a timely fashion to prevent more severe wear-related complications. Patients may be asymptomatic early in