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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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knees with multiple ligament injuries, and in patients with failed cruciate ligament surgery. After osteotomy as a first stage, we should assess whether ligament reconstruction is necessary in a second stage. 9 Table 3 summarizes the grafts and
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common surgical indications were patients with chronic instability who had failed non-surgical treatment or who had multi-ligament knee injuries. 11 Operative treatment The operative treatment of isolated medial knee injuries should consider
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controversies exist as to whether performing a partial meniscectomy is better in the context of chronic tears in the avascular zone or in cases of failed repair. Meniscal repair indications In chronic tears in the avascular zone, poor biological support
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rate, but it failed to show significance (2.5% vs 3.3%, RR 0.78, 95% CI 0.41 to 1.50) for PT and HT, respectively, 28 while other analyses demonstrated no significance between the groups regarding failure rate. 28 , 51 , 52 This led to the
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toe injuries or those who have failed conservative management. However, it was felt that there was insufficient evidence to determine whether operative intervention is superior to conservative management. Athletes with reduced dorsiflexion of the
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418 failed UKAs Revision : 19% at one year, 48.5% at five years Etiology : loosening 45% ; arthrosis 15% ; wear 12% ; technical failure 11.5% In terms of return to physical activities, Fisher et al 18 report a 93% rate
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option for stiff knees after TKA that fails after at least three months of non-operative treatment. Tjoumakaris et al 26 2014 These authors stated that patients can reliably expect an improvement; however, patients achieved approximately
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Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal
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Dom Henrique Research Centre, Porto, Portugal
ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal
School of Medicine, Minho University, Braga, Portugal
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. Nielsen DM Twyman R . Arthroscopic visualization of the posterior horn of the medial meniscus . Arthroscopy 2005 ; 21 : e1271 – 1272 . 4. Spahn G . Arthroscopic revisions in failed meniscal surgery . Int Orthop
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cases where there has been a previous failed cartilage repair procedure. 26 , 27 The advantage of this technique is that it avoids donor-site morbidity and may be used to treat Osteochondral defects (OCDs) that are too large for an autograft to be
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the medial side fails to heal adequately. Indications for acute medial surgery Although the majority of the MCL injuries will heal with conservative treatment, several indications exist for acute medial surgery. These are: Bony avulsion
