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repair of either of these variants of the anterosuperior labrum or attachment of the MGHL to the glenoid may result in significant loss of external rotation. Aetiology There are several controversies about the pathophysiology of SLAP tears. While
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. Controversy Some authors describe two (or three) fascicules of the ATFL, mainly a proximal and a distal one with a visible separation between the fascicules, the distal being apparently stronger than the proximal. The distal fascicule shares the fibular
Università degli Studi di Pavia, Pavia, Lombardy, Italy
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Patellar resurfacing during total knee arthroplasty remains a controversial topic.
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Some surgeons routinely resurface the patella to avoid the increased rates of postoperative anterior knee pain and reoperation for secondary resurfacing, whilst others selectively resurface based on the presence of preoperative anterior knee pain, damaged articular cartilage, inflammatory arthritis, isolated patellofemoral arthritis, and patellar subluxation and/or maltracking. A third group of surgeons never resurface the patella.
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The anatomy and biomechanics of the patellofemoral joint as well as the advances in surgical techniques and prosthetic design must be taken into account when making a decision about whether to resurface the patella. Accurate component implantation if the patella is resurfaced becomes crucial to avoid complications.
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In our institution before 2008 we were performing a selective resurfacing of the patella, but in the last decade we have decided to always resurface it, with good outcomes and low complication rate. A reproducible surgical technique may be helpful in reducing the risk of postoperative anterior knee pain and complications related to implants.
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In this article we analyse the current trend and controversial topics in dealing with the patella in total knee arthroplasty, and discuss the available literature in order to sustain our choice.
Cite this article: EFORT Open Rev 2020;5:785-792. DOI: 10.1302/2058-5241.5.190075
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Universitat Autónoma de Barcelona, Spain
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missed when CT scanning or plain radiographs are used alone, and we can therefore miss important information which affects treatment decisions. Today, there is controversy regarding when to perform an MRI scan and the value of the findings at the moment
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. Operative management Symptomatic patients with low-grade degenerative spondylolisthesis who are refractory to non-operative management may benefit from surgical intervention, but currently there is considerable controversy regarding the appropriate
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critical thinking approach on the most common areas of controversy regarding ACL reconstruction. Using information collected from systematic reviews and meta-analyses, this instructional review discusses operative versus conservative treatment, timing of
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(?) recurrence (related to a technical problem) 1 post-operative haematoma, 1 complete failure of the procedure (related to a technical problem) Controversies The published literature to date suggests that resection of more than 50% of the motor
Royal Perth Hospital, Perth, Australia
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Royal Perth Hospital, Perth, Australia
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, fracture, tumour, revision surgery and in the treatment of younger patients. It also looks at some of the evolutions in design from the classic Grammont prosthesis, new technologies for precise implantation, and some of the controversies including treatment
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results. 9 – 11 Moreover, the lack of a reliable uniform classification system with a prognostic value as well as the ongoing controversies about the optimal surgical approach and fixation treatment 8 , 12 make this injury even more challenging
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there is still some controversy about its use. Lastly, controversy still exists regarding VTE prophylaxis after knee arthroscopy, lower-leg injuries and upper extremity surgery. In this regard, more studies are necessary to draw important conclusions
