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control post-operative pain, inflammation and swelling during the first weeks of rehabilitation. Calming the knee down initially, starting slowly, will allow the rehabilitation to accelerate faster in the long run. Post-operative rehabilitation begins with
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arthroscope in the posterior portal and the arm in a neutral position, the arm is then externally rotated to assess the stability of the repair. If the forearm externally rotates past 50 degrees, this is noted for the post-operative rehabilitation limits. The
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to make strong statements about prefered management strategies, we would need to perform studies which directly compare interventions; ideally, RCTs would be used. There is also poor consistency in post-operative rehabilitation protocols, and no
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK
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Graft selection for anterior cruciate ligament reconstruction (ACLR) is important for optimizing post-operative rehabilitation, facilitating return to full sporting function and reducing the risk of complications.
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The most commonly used grafts for ACLR include hamstring tendon autografts, bone–patellar tendon–bone autografts, quadriceps tendon autografts, allografts and synthetic grafts.
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This instructional review explores the existing literature on clinical outcomes with these different graft types for ACLR and provides an evidence-based approach for graft selection in ACLR.
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The existing evidence on the use of extra-articular tenodesis to provide additional rotational stability during ACLR is also revisited.
Cite this article: EFORT Open Rev 2021;6:808-815. DOI: 10.1302/2058-5241.6.210023
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Department Of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden
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This review article presents a comprehensive literature review regarding extended trochanteric osteotomy (ETO).
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The history, rationale, biomechanical considerations as well as indications are discussed.
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The outcomes and complications as reported in the literature are presented, discussed and compared with our own practice.
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Based on the available evidence, we present our preferred technique for performing ETO, its fixation, as well as post-operative rehabilitation.
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The ETO aids implant removal and enhanced access. Reported union rate of ETO is high. The complications related to ETO are much less frequent than in cases when accidental intra-operative femoral fracture occurred that required fixation.
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Based on the literature and our own experience we recommend ETO as a useful adjunct in the arsenal of the revision hip specialist.
Cite this article: EFORT Open Rev 2020;5:104-112. DOI: 10.1302/2058-5241.5.190005
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Finger joints are of the most common site of osteoarthritis and include the DIP, PIP and the thumb saddle joint.
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Joint arthroplasty provides the best functional outcome for painful destroyed PIP joints, including the index finger.
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Adequate bone stock and functional tendons are required for a successful PIP joint replacement
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Fixed swan-neck and boutonnière deformity are better served with PIP arthrodesis rather than arthroplasty.
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Silicone implants are the gold standard in terms of implant choice. Newer two-component joints may have potential to correct lateral deformities and improve lateral stability.
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Different surgical approaches are used for PIP joint implant arthroplasty according to the needs and the experience of the surgeon.
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Post-operative rehabilitation is as critical as the surgical procedure. Early protected motion is a treatment goal.
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Revision and exchange PIP arthroplasty may successfully be used to treat chronic pain, but will not correct deformity.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180042
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variable and differently evaluated. The main points of debate are related to the surgical technique, radiological analysis, post-operative rehabilitation and assessment of clinical results. Surgical technique PIP joint surgery may be performed by a
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performed without using a tourniquet. Post-operative rehabilitation Partial weight-bearing and early functional rehabilitation are recommended for at least six weeks in most cases after successful reduction and fixation with LCP have been performed
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% with this technique ( 59 ). Postoperative rehabilitation The post-operative rehabilitation approach applied after MDI surgery is similar between open and closed techniques. The main factor that determines the approach to be applied is the
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St George’s, University of London, London, UK
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St George’s, University of London, London, UK
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; MEPS, Mayo Elbow Performance Score. Tension band wiring (TBW) Thirty-seven non-OI fractures were treated with TBW across five studies. Post-operative rehabilitation involved the use of either a cast or a brace for between 1–6 weeks. Hardware
