Walsall Manor Hospital, Moat Road, Walsall, WS2 9PS, UK
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Walsall Manor Hospital, Moat Road, Walsall, WS2 9PS, UK
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growth factors and so may be of benefit in the initial inflammatory phase. 30 Anterior cruciate ligament reconstruction Anterior cruciate ligament (ACL) reconstruction is a successful procedure with very good outcomes and patient satisfaction
Dworska Hospital, Kraków, Poland
Hospital in Proszowice, Poland
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and resides within the bicipital groove. The structure and accessibility of the biceps tendon (LHBT) during shoulder arthroscopic surgery make it an attractive option for augmentation in challenging rotator cuff reconstructions or in recurrent
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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a lever arm on the joint. To be efficient, such a system requires a stable fulcrum. The necessary stability is provided by static and dynamic factors such as bony contours, ligaments, labrum, capsule, etc. The specificity of biomechanically
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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% of their cohort needed a second stage procedure consisting of ligament reconstruction. Techniques Many PTO techniques have been developed and used in history, but today, opening- and closing-wedge osteotomy are the most commonly used (see
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-operative picture of a knee in a figure-of-four position. Double-tunnel posterolateral root repair and an anatomical single bundle anterior cruciate ligament reconstruction (ACL-R) were performed. Tibial tunnels for ACL-R and posterolateral root repair were created
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osteochondral injuries or loose bodies, are generally treated by arthroscopy prior to formal reconstruction of the ligament ( Fig. 5 ). 27 Fig. 5 Loose bodies and osteophytes are removed arthroscopically in a patient with chronic medial collateral
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. Moreover, for acute traumatic tears, playing soccer and rugby and waiting more than 12 months between anterior cruciate ligament (ACL) injury and reconstruction were found to be important risk factors with strong evidence. Clinical evaluation
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artificial ligament was additionally wrapped spirally around the proximal end of the prosthesis, resulting in a significantly lower hip dislocation rate as compared with conventional soft tissue reconstruction. 11 Moreover, the infection rates were
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Joint Surg [Am] 2016 ; 98-A : 417 - 27 . 12. Nelitz M Dreyhaupt J Lippacher S . Combined trochleoplasty and medial patellofemoral ligament reconstruction for recurrent patellar dislocations in severe trochlear
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joint with robust ligaments, and anteriorly by an amphiarthrosis joint with potent fibrocartilage together with strong ligaments ( Fig. 2 ). Thus, stability relies just upon the ligaments and the fibrocartilage, and not upon the joint shapes, as in
