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surgical techniques have been described in the surgical treatment of MDI. Reconstructive techniques include glenoid osteotomy, labral augmentation and capsuloligamentous reconstruction procedures. Currently, the most commonly used techniques are open
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Karachalios T Malizos KN . Arthroscopic meniscal repair: a comparative study between three different surgical techniques . Knee Surg Sports Traumatol Arthrosc 2006 ; 14 : 1232 – 1237 . 73. Vinyard TR Wolf BR
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Revision total knee arthroplasty (rTKA) is a challenging, complex procedure. A comprehensive understanding of the anatomy, challenges and pitfalls is essential to achieve a good outcome for the patient.
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This review discusses the determinants of good outcomes of rTKA. These include, among other factors, the choice of the surgical approach, removal of the components, adequate reconstruction of the joint line and posterior condylar offset and the use of offset stems, as well as choosing the appropriate level of constraint.
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The modularity of many modern knee revision systems can help to address such issues as anatomical mismatch, gap balancing and malalignment.
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A well-planned surgical approach must be used in rTKA. A thorough understanding of related knee anatomy is essential.
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The incidence of joint-line elevation after rTKA is high. Contralateral radiographs, as well as algorithms based on the relationship between bony landmarks and the joint line, can help to reconstruct a physiological joint line during rTKA.
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Modularity added to systems, such as offset stems, are useful enhancements that may further improve the reconstruction of the anatomy.
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There are several options for managing the patella, with the best choice depending on the status of the patellar component and residual bone stock.
Cite this article: Thienpont E. Revision knee surgery techniques. EFORT Open Rev 2016;1: 233-238. DOI: 10.1302/2058-5241.1.000024.
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Revision total knee arthroplasty (rTKA) is a challenging procedure with often unreproducible results. A step-by-step approach is fundamental to achieving good outcomes.
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Successful surgery requires a correct diagnosis of the original cause of failure. Only with an accurate and detailed plan can surgeons overcome difficulties presented in this scenario.
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Any bone loss should be prevented during prosthetic component removal. Efficient tools must be chosen to avoid time-consuming manoeuvres.
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Joint reconstruction based on a ‘dual-zone’ fixation is essential to provide a long-term survivorship of the implant. The use of relatively short fully cemented stems combined with a biological metaphyseal fixation is highly recommended by authors.
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Flexion and extension gaps are accurately balanced after the establishment of the tibial platform.
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Varus-valgus laxity is commonly managed with a condylar constrained prosthesis. If hinged implants are required, a stronger implant fixation is needed to counteract constraints forces.
Cite this article: EFORT Open Rev 2021;6:495-500. DOI: 10.1302/2058-5241.6.210018
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recurrence for the selected surgical technique (arthroscopic versus open) ( Fig. 1 ). In the final selection we included eight articles, presented in Table 1 : two prospective and six retrospective studies. Fig. 1 Flowchart illustrating the search
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Division of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland
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–7° The purpose of this review article is to describe the main osteotomies around the knee and how to optimize their indications and surgical techniques in light of the most recent literature and authors’ experience. Proximal tibial osteotomies
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Ankle sprains fall into two main categories: acute ankle sprains and chronic ankle instability, which are among the most common recurrent injuries during occupational activities, athletic events, training and army service.
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Acute ankle sprain is usually managed conservatively and functional rehabilitation failure by conservative treatment leads to development of chronic ankle instability, which most often requires surgical intervention.
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Enhancing the in-depth knowledge of the ankle anatomy, biomechanics and pathology helps greatly in deciding the management options.
Cite this article: Al-Mohrej OA, Al-Kenani NS. Acute ankle sprain: conservative or surgical approach? EFORT Open Rev 2016;1:34-44. DOI: 10.1302/2058-5241.1.000010.
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Introduction In 2017 there are two most commonly-used elbow arthroplasties: distal humeral replacement or hemi-arthroplasty and total elbow arthroplasty (TEA). Each type of prosthesis has ever-evolving indications and surgical techniques. The
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Introduction Hip arthroscopy has increased in popularity tremendously in the last five to ten years. In a recent cross-sectional study, an increase of 250% was observed with this surgical technique in the United States between 2007 and 2011
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patella, stump pain, and difficulties in adapting the prosthesis ( 2 , 3 ). In recent years, the surgical technique and prosthesis fitting was improved. The newer and modified Gritti–Stokes amputation proposes better stabilization of the patella by
