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The clinical effect of intra-articular viscosupplementation has been assessed in patients suffering tibiofemoral osteoarthritis and review of the data suggest pain relief extending to 12 months in such patients. There are no prospective trials of viscosupplementation targeting patients with patellofemoral osteoarthritis (POAK) of the knee, which is frequent, associated with anterior knee pain and...
A series of 80 patellae were randomly allocated to osteotomy by sawing or milling while implanting the medial pivot knee. Three landmarks were used to control the plane of the cut in the coronal plane. The lateral edge of the patellar tendon distally, and both medial and lateral edges of the quadriceps tendon proximally. A line drawn across the widest points if the patella (the patellar horizon) was...
Purpose: Qualitative analysis of the retropatellar contact characteristics after total knee arthroplasty. Material and Methods: Six cadaveric knees were investigated before and after implantation of a Genesis I knee prosthesis without and with patellar resurfacing in different positions. Joint contact characteristics were evaluated with Fuji Prescale film type 'Super Low' and analyzed qualitatively...
The aims of this study were to determine whether patellofemoral kinematics in the anteroposterior (AP), mediolateral (ML) and proximal-distal (PD) directions could be measured in real time with high repeatability using a three-dimensional magnetic tracking system, and to evaluate the symmetry between sides. Data was collected from both knees of 40 asymptomatic subjects while performing knee flexion...
The Anterior Cruciate Ligament (ACL) is regarded as critical to the normal functioning of the knee, its disruption causing functional impairment. In recent years central third of the patellar tendon (PT) and combined Semitendinosis and gracilis tendons (HT) have become the most frequently used graft types for anterior cruciate knee ligament reconstruction. For the past two decades, the gold standard...
Sagittal plane video fluoroscopy was used to analyse the bilateral knee kinematics of patients with unilateral ACL deficiency (ACLD) before, and 4 months after, hamstrings graft ACL reconstruction. Kinematics were studied during weight resisted knee extension, passive knee extension, and a step up. Thigh EMG records were also obtained from five subjects. In addition, six uninjured control subjects...
Aim of the study was to create an animal model for the investigation of the role of subchondral bone damage without initial cartilage lesion in the pathogenesis of osteoarthritis, the mechanical properties of the joints as well as its role in cartilage metabolism. Therefore, after cadaver studies an animal model was created to apply a transarticular load to the femoro-patellar joint under reproducible...
Aim: To assess the effect of different dressing types on the efficiency of cryotherapy. Methods: Eighteen normal volunteers were divided equally into group 1-no dressing, group 2-thin adhesive dressing (tegaderm(TM)), and group 3-bulky dressing (''wool and crepe''). Cryotherapy (cryocuff(R) and autochill(R)) was applied to one knee with the other knee serving as control. Skin temperature was measured...
Patella fractures are rare in children and the sleeve fracture is a particular form of fracture that only occurs in children where it is the most common patella fracture. It is caused by rapid muscle contraction. Diagnosis may be difficult both clinically and on the X-ray which may look normal if there is no bony fragment. Patella alta is the best sign and ultrasound is very helpful. Awareness of...
We retrospectively compared the arthroscopic findings of 75 patients at the time of diagnosis of ACL rupture and the findings at the time of ACL reconstruction. We found that in the ACL deficient knee the deterioration in meniscal tears and osteochondral lesions was statistically greater with increased interval between diagnosis of ACL rupture and reconstruction. This study implies that in those patients...
The purpose of this study was to determine whether the mechanical properties of the rat anterior cruciate ligament (ACL) vary when tested in vitro at different stages of the estrous cycle. Sixty female rats were allocated to four groups according to their stage of the estrous cycle: diestrus (n=16), proestrus (n=17), estrus (n=13) and metestrus (n=14). Right hindlimbs were harvested for mechanical...
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