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Patellar mobilization

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https://www.readbyqxmd.com/read/28164055/proximal-tibial-epiphysis-injury-flexion-type-salter-harris-type-1
#1
Pratik Israni, Mangesh Panat
INTRODUCTION: Fractures of the proximal tibial epiphysis rare. It has been estimated that fractures of the upper tibial epiphysis account for 0.5-3.1% of all epiphyseal injuries. Who had no neurovascular deficit, with fixed extension deformity at the left knee was treated early with closed reduction techniques. CASE REPORT: We present a case of a 16-year-old boy who while playing cricket on the road was hit by a car. The patient presented in emergency room with extremely swollen knee and soft tissue swelling (hemarthrosis), he was unable to lift his leg actively due to severe pain because of hamstrings spasm, and he had no wound over his left knee and had no other associated injuries...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28149738/frontal-tendon-lengthening-plasty-for-treatment-of-structural-patella-baja
#2
Valentino F Bruhin, Stefan Preiss, Gian M Salzmann, Laurent P Harder
Patella baja is a severe complication seen after trauma, prolonged immobilization and surgery. Several surgical methods have been described to proximalize the patella without a change in the patella tendon length. Yet, patella tendon shortening and thickening can be regarded as the hallmark pathology. As such, we describe a technique for the lengthening of the patellar tendon to pathoconformly address underlying patella baja. The technique is reproducible and gives the possibility of an early postoperative mobilization to prevent re-baja-a typical complication after patella baja surgery...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27957592/-lateral-unicompartmental-knee-arthroplasty-a-challenge
#3
T Walker, P R Aldinger, M R Streit, T Gotterbarm
OBJECTIVE: Joint surface replacement in the lateral compartment by unicondylar knee arthroplasty. INDICATIONS: Lateral unicompartmental osteoarthritis of the knee joint, avascular necrosis of the lateral femoral condyle. CONTRAINDICATIONS: Full thickness cartilage defect in the central part of the medial compartment or in the medial aspect of the patellofemoral joint. Instability/contracture of cruciate and collateral ligaments, valgus deformity >15°, valgus deformity not passively correctable, flexion deformity >15°, an intraoperative flexion <100°, failed upper tibial osteotomy, rheumatoid arthritis...
February 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27855678/augmentation-and-repair-of-tendons-using-demineralised-cortical-bone
#4
Sherif Elnikety, Catherine J Pendegrass, Roberta Ferro de Godoy, Charles Holden, Gordon W Blunn
BACKGROUND: In severe injuries with loss of tendon substance a tendon graft or a synthetic substitute is usually used to restore functional length. This is usually associated with donor site morbidity, host tissue reactions and lack of remodelling of the synthetic substitutes, which may result in suboptimal outcome. A biocompatible graft with mechanical and structural properties that replicate those of normal tendon and ligament has so far not been identified. The use of demineralised bone for tendon reattachment onto bone has been shown to be effective in promoting the regeneration of a normal enthesis...
November 17, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27709223/tibial-plateau-levelling-osteotomy-in-eleven-cats-with-cranial-cruciate-ligament-rupture
#5
Julia K Mindner, Malgorzata J Bielecki, Stefan Scharvogel, Diane Meiler
OBJECTIVE: To report the surgical procedure, intra- and postoperative complications, and short-term follow-up of tibial plateau levelling osteotomy (TPLO) in feline patients with cranial cruciate ligament (CrCL) rupture using a 2.0 or 2.4 mm Synthes(®) TPLO plate. STUDY DESIGN: Prospective study. MATERIAL AND METHODS: Eleven cats with a CrCL rupture were included in the study. Inspection of intra-articular structures was carried out via arthroscopy or arthrotomy...
November 23, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27696708/pedicled-medial-sural-perforator-flap-for-the-reconstruction-of-knee-defects
#6
I-Han Chiang, Chia-Chun Wu, Shyi-Gen Chen, Chih-Hsin Wang
Soft tissue defects exposing the patellar tendon or bone are common in patients who have experienced trauma or implant infection. The purpose of this article is to present our experience of six patients who underwent reconstruction of soft tissue defects of the knee using a pedicled medial sural perforator flap. Between November 2013 and November 2015, six patients who presented with a soft tissue defect overlying the knee were admitted to our hospital. After adequate debridement or wide excision of the tumour, these patients underwent pedicled medial sural perforator flap placement to resurface the complex soft tissue defects and to provide a gliding surface for the exposed patellar tendon...
October 3, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27685767/infrapatellar-fat-pad-excision-during-total-knee-arthroplasty-did-not-alter-the-patellar-tendon-length-a-5-year-follow-up-study
#7
Yunus İmren, Süleyman Semih Dedeoğlu, Murat Çakar, Haluk Çabuk, Tahsin Olgun Bayraktar, Hakan Gürbüz
Partial or total resection of the infrapatellar fat pad (IPFP) helps surgeon improve access to lateral tibial plateau for better placement of the knee prosthesis. We aimed to investigate the effect of IPFP excision on clinical and radiologic outcomes including patellar tendon length (PTL), range of motion, and functional scores after total knee arthroplasty (TKA) at 5-year follow-up. We retrospectively evaluated postoperative first X-rays (day 0) and postoperative final 5-year control views of 228 knees in patients with primary osteoarthritis who underwent TKA between September 2006 and December 2009 in our hospital...
September 29, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27570773/does-patellofemoral-congruence-following-total-knee-arthroplasty-correlate-with-pain-or-function-intraoperative-arthroscopic-assessment-of-30-cases
#8
Antoine Senioris, Mo Saffarini, Said Rahali, Louis Malekpour, Franck Dujardin, Olivier Courage
BACKGROUND: Anterior knee pain (AKP) is observed in total knee arthroplasty (TKA) both with and without patellar resurfacing, and neither patellar denervation nor secondary resurfacing are effective for treating the symptoms. The exact causes for pain remain unclear, though abnormal patellofemoral forces due to patellar malalignment or inadequate implant design can play an important role. The purpose of this study was to arthroscopically evaluate patellofemoral congruence after wound closure following TKA without patellar resurfacing and correlate it to patellar morphology and postoperative pain and function...
August 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27517459/patellar-tendon-length-during-knee-flexion-of-meniscal-bearing-and-rotating-total-knee-arthroplasty-implants
#9
Yoshinori Ishii, Hideo Noguchi, Junko Sato, Shota Watanuki, Shin-Ichi Toyabe
PURPOSE: The length of the patellar tendon after total knee arthroplasty (TKA) has most commonly been compared with preoperative measurements. However, there are no reports that discuss changes in the length of the patellar tendon during knee flexion after TKA. The purpose of this study was to evaluate changes in the length of the patellar tendon during knee flexion and to clarify the impact of changes in patellar tendon strain on the length of the patellar tendon and post-operative range of motion (ROM) after TKA...
August 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27441933/knee-extensor-mechanism-repairs-standard-suture-repair-and-novel-augmentation-technique
#10
Zachary Meyer, William M Ricci
Patellar and quadriceps tendon ruptures are relatively common injuries. Rupture of the knee extensor mechanism may occur because of a forceful eccentric contraction of the quadriceps against a resisted flexed knee, though atraumatic cases have also been described. Patients at higher than normal risk for knee extensor mechanism rupture include those with systemic co-morbidities, fluoroquinolone use, and chronic tendinopathy. Early operative treatment and mobilization of acute extensor mechanism ruptures has proven effective, and numerous techniques have been described...
August 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27299085/differential-diagnosis-of-bpop-arising-in-relation-to-patella
#11
Jitendra Nath Pal, Maitreyee Kar, Sunit Hazra, Anindya Basu
INTRODUCTION: Solitary exostosis is common at the metaphysis of long bones, and rarely may it develop in the lower pole of the patella. Usually it stops growing after skeletal maturity unless complicated. When the growth continues after skeletal maturity, other rare possibilities need to be considered such as bizarre parosteal osteochondromatous proliferation (BPOP). Though solitary exostosis is common at the metaphysis of long bones, very rarely it also develops in lower pole of the patella...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27292767/maximizing-functional-mobility-in-an-electrical-burn-patient-using-a-patellar-tendon-bearing-orthosis
#12
Rachelle Pretz, Cora Brown, William B Hughes, Eric L Altschuler
OBJECTIVE: Injury to the foot and ankle without involvement of the knee, requiring a patient to become non-weight-bearing or even needing amputation, is a common problem resulting from diverse causes, including diabetic foot ulcers and trauma. The patellar tendon bearing orthosis may be a good option for patients who would functionally deteriorate, attempting to live their lives without the use of a leg. This brace was introduced 58 years ago; however, it is under-utilized clinically and under-represented in the literature...
July 18, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27274430/tibiofemoral-joint-mobilization-in-the-successful-management-of-patellofemoral-pain-syndrome-a-case-report
#13
Justin M Lantz, Alicia J Emerson-Kavchak, John J Mischke, Carol A Courtney
BACKGROUND AND PURPOSE: Patellofemoral pain syndrome (PFPS) is a common source of anterior knee pain. Controversy exists over the exact clinical findings which define PFPS, thus, diagnosis and management can be challenging for clinicians. There is paucity in the literature concerning joint mobilization as treatment for PFPS, particularly at the tibiofemoral joint, as standard management is currently focused on therapeutic exercise, orthotics, bracing and taping. Therefore, the purpose of this case report is to describe the effects of tibiofemoral joint mobilization in the successful treatment of an individual with chronic PFPS as it relates to pain, function and central processing of pain...
June 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27247740/analysis-of-impingement-between-patella-bone-and-bearing-post-in-cruciate-substituting-high-flexion-total-knee-arthroplasty
#14
Jegyun Chon, Bongju Lee, Sangyeop Shin, Gunil Jang, Taehyeon Jeon
BACKGROUND: We investigated the causes of impingement between the patella bone and the bearing post during high flexion in cruciate-substituting total knee arthroplasty and proposed a treatment strategy. METHODS: This prospective cohort study included 218 cases that had undergone cruciate-substituting total knee arthroplasty from February 2014 to January 2015; a single surgeon performed the operation using the same method without patellar resurfacing in all patients...
June 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27190914/study-of-imaging-pattern-in-bone-marrow-oedema-in-mri-in-recent-knee-injuries-and-its-correlation-with-type-of-knee-injury
#15
Kulamani Sahoo, Ashish Garg, Pramod Saha, Jainesh Valjibhai Dodia, Vinay Rajappa Raj, Shweta Jagadish Bhairagond
INTRODUCTION: The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. AIM: To identify imaging pattern in bone marrow oedema and to correlate the pattern of bone marrow oedema retrospectively with type of knee injury from clinical history...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27163899/evaluation-of-strength-muscle-recovery-with-isokinetic-squat-jump-and-stiffness-tests-in-athletes-with-acl-reconstruction-a-case-control-study
#16
Marco Jacopetti, Andrea Pasquini, Cosimo Costantino
BackgroundThe anterior cruciate ligament (ACL) rupture accounting for about 50% of all knee ligament injuries. The rehabilitation program requires a long time to rebuild muscle strength and to reestablish joint mobility and neuromuscular control. The purpose of the study is to evaluate the muscle strength recovery in athletes with ACL reconstruction. MethodsWe enrolled soccer atlethes, with isolated anterior cruciate ligament rupture treated with bone-patellar tendon-bone autograft artroscopic reconstruction...
2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27056692/functional-outcomes-after-patellar-autologous-osteochondral-transplantation
#17
Diego Costa Astur, Adilio Bernardes, Saulo Castro, Gustavo Gonçalves Arliani, Camila Cohen Kaleka, Nelson Astur, Moisés Cohen
PURPOSE: The aim of the present study was to assess clinical evaluation of patients who underwent autologous osteochondral transplantation of the patella. METHODS: This prospective study assessed outcomes of 20 patients who underwent patellar autologous osteochondral transplantation at four time-points: preoperatively, 3 days, 6 months, and 2 years after surgery. The following outcomes were assessed at each time-point: pain (VAS), gait, swelling, trophic status, muscle strength, patellar mobility, and range of motion...
April 7, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27056689/does-computer-assisted-surgery-influence-survivorship-of-cementless-total-knee-arthroplasty-in-patients-with-primary-osteoarthritis-a-10-year-follow-up-study
#18
Hervé Ouanezar, Florent Franck, Alexandre Jacquel, Vincent Pibarot, Julien Wegrzyn
PURPOSE: Computer-assisted surgery (CAS) has been proposed to improve the performance of total knee arthroplasty (TKA) by reducing implant mal-position and mechanical axis mal-alignment. However, no clinical study has been performed to evaluate whether CAS improves survivorship of cementless TKA at long-term follow-up. This prospective and comparative study evaluated the outcome and survivorship of a cementless rotating mobile-bearing TKA performed with or without CAS at a minimum 10-year follow-up...
November 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27053806/total-knee-arthroplasty-using-subvastus-approach-in-stiff-knee-a-retrospective-analysis-of-110-cases
#19
Nilen A Shah, Hitendra Gulabrao Patil, Vinod O Vaishnav, Abhijit Savale
BACKGROUND: Subvastus approach used in total knee arthroplasty (TKA) is known to produce an earlier recovery but is not commonly utilized for TKA when the preoperative range of motion (ROM) of the knee is limited. Subvastus approach is known for its ability to give earlier recovery due to less postoperative pain and early mobilization (due to rapid quadriceps recovery). Subvastus approach is considered as a relative contraindication for TKA in knees with limited ROM due to difficulty in exposure which can increase risk of complications such as patellar tendon avulsion or medial collateral injury...
March 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27020783/total-knee-replacement-with-tibial-tubercle-osteotomy-in-rheumatoid-patients-with-stiff-knee
#20
Ahmed Salem Eid, Wael Ahmed Mohamed Nassar, Tamer Abdelmeguid Mohamed Fayyad
PURPOSE: Total knee arthroplasty (TKA) is a well-proven modality that can provide pain relief and restore mobility for rheumatoid arthritis (RA) patients with advanced joint destruction. Patellar ligament avulsion, especially in presence of poor bone quality and knee stiffness, is one of the special considerations that must be addressed in this unique population of patients. This study aimed to determine the functional results in a series of rheumatoid patients with stiff knee and end-stage joint destruction who underwent tibial tubercle osteotomy during TKA...
November 2016: International Orthopaedics
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