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Twenty patients who underwent revision anterior cruciate reconstruction were retrospectively reviewed. Before revision surgery all patients reported functional instability with daily and or sporting activities. The causes of primary graft failure have been identified. Four different types of graft were used for the revision reconstruction. A comprehensive knee analysis was used to assess the graft...
We report a case of tibial cyst formation twelve months after anterior cruciate ligament reconstruction using hamstring graft. A composite bioabsorbable interference screw made of 'beta tricalcium phosphate and poly l-lactide' fixed the graft distally. The patient presented with acute symptoms of pain and swelling over the proximal tibia. Curettage of the cyst resulted in complete recovery within...
A series of 28 knees in 27 patients were evaluated at an average of 36 months following surgical treatment for patella dislocation, patello-femoral pain, or a combination of both. All cases were treated by the modified Elmslie-Trillat procedure, which involves a lateral retinacular release and medialisation of the tibial tubercle on a distal pedicle. The evaluation included subjective, objective (Fulkerson...
A review of the safety, practicality and cost effectiveness of day surgery anterior cruciate ligament reconstruction was studied in the British set-up. We evaluated 20 patients prospectively who underwent ACL reconstruction as a day surgery procedure for pain control, recovery time, post-operative complications and cost effectiveness. All patients on a verbal response score (VRS) for pain expressed...
Posterolateral reconstruction of the knee joint is a challenging task. There are different surgical techniques and various methods of graft fixation. We describe a tunnel technique for proximal fixation of autogenous semitendinosus and gracilis graft at the lateral epicondyle of the femur with a Bio-fix interference screw. It gives biological fixation and avoids the problem of hardware irritation.
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