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bony congruence. The anterior bundle of the MCL is mostly isometric throughout the full ROM while the posterior bundle of the MCL becomes taut in flexion. The average valgus load at which the MCL fails is 260 N and it seldom fails acutely. 3 , 9 , 23
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comes the risk that the implant manufacturer will not take responsibility if the device fails and the responsibility could rest with the surgeon, which could result in major consequences. Mix & match According to different dictionaries, a
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vertical peripheral longitudinal meniscus tears, were recently counted as ramp lesions ( 41 ). The biomechanical studies are controversial ( 42 ), and the clinical studies failed so far to show an advantage of repairing ramp lesions compared to arthroscopic
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University Hospital Odense, Dep. Of Orthopedic Surgery, Sdr. Boulevard 29, 5000 Odense C, Denmark
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, and mirrors our meta-analysis’ results. However, Whittle et al failed to confirm such findings in their study. 16 Concerns about fibular fixation include the risk of infection and irritating implants requiring removal. Our study reveals an
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include distal humeral non-union after a failed attempted ORIF. Relatively preserved cartilage on the radial head and proximal ulna is a pre-requisite for the use of elbow HA. Surgeons should be aware that elbow HA for any indication is an off-label use of
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transfer in the setting of complete CPN palsy associated with traumatic knee dislocation. A small series showed mixed results but surgery was typically undertaken late after failed grafting, or in isolation as a late salvage technique when recovery through
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joint arthroplasty. We therefore prefer MTP joint fusion as the treatment of end-stage arthritic hallux joints using the ball-on-socket preparation technique, and fixation with two crossed screws for primary fusions. In cases of failed fusion or
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3 cm in diameter or when prior non-surgical management has failed, curettage with bone-graft packing and factor replacement therapy may be required. 16 , 28 Indications for surgical excision include failure of conservative therapy, extensive
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
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National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK
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National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital, Oxford, UK
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.g. comprehensive and collaborative pre-market assessment, 24 full-cycle failure analyses, and systematic integration of imaging in early clinical implant surveillance. Studying the causes of why and how implants succeed or fail – in a cross-disciplinary way
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280,671,477 Inappropriate treatment 763 114,743,251 Operator error 413 50,871,568 Failed follow-up arrangements 95 6,460,554 Performed operation not indicated 88 15,368,005 Delay in referring to
