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Meniscal Surgeries

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https://www.readbyqxmd.com/read/28332046/ramp-lesions-in-acl-deficient-knees-in-children-and-adolescent-population-a-high-prevalence-confirmed-in-intercondylar-and-posteromedial-exploration
#1
Matthieu Malatray, Sebastien Raux, Adrien Peltier, Clemence Pfirrmann, Romain Seil, Franck Chotel
PURPOSE: Ramp lesions are common in ACL deficient knees. Their diagnosis is difficult and, therefore, they may be underestimated. So far, no study analyzed their prevalence in a pediatric population. The diagnosis of these Ramp lesions is of major clinical relevance because of a frequent misestimating and technic difficulties. Ramp lesions might be associated with residual knee pain and instability after ACL reconstruction. The aim of this study was to evaluate the prevalence of ramp lesions explored through a systematic intercondylar and posteromedial arthroscopic approach during an ACL reconstruction in a pediatric and adolescent population...
March 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28327481/exercise-or-surgery-for-meniscal-tears-do-we-have-an-answer
#2
Ravi Mittal
No abstract text is available yet for this article.
November 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/28299389/adolescents-and-female-patients-are-at-increased-risk-for-contralateral-anterior-cruciate-ligament-reconstruction-a-cohort-study-from-the-swedish-national-knee-ligament-register-based-on-17-682-patients
#3
Thorkell Snaebjörnsson, Eric Hamrin Senorski, David Sundemo, Eleonor Svantesson, Olof Westin, Volker Musahl, Eduard Alentorn-Geli, Kristian Samuelsson
PURPOSE: The impact of different surgical techniques in index ACL reconstruction for patients undergoing contralateral ACL reconstruction was investigated. METHODS: The study was based on data from the Swedish National Knee Ligament Register. Patients undergoing index ACL reconstruction and subsequent contralateral ACL reconstruction using hamstring graft under the study period were included. The following variables were evaluated: age at index surgery, gender, concomitant meniscal or cartilage injury registered at index injury, transportal femoral bone tunnel drilling and transtibial femoral bone tunnel drilling...
March 15, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28289822/combined-anterior-cruciate-ligament-reconstruction-and-lateral-extra-articular-tenodesis-does-not-result-in-an-increased-rate-of-osteoarthritis-a-systematic-review-and-best-evidence-synthesis
#4
REVIEW
Brian M Devitt, Nicolas Bouguennec, Kristoffer W Barfod, Tabitha Porter, Kate E Webster, Julian A Feller
PURPOSE: The role of lateral extra-articular tenodesis (LEAT) as an augment to primary anterior cruciate ligament reconstruction (ACLR) remains controversial. However, concerns exist regarding the risk of development of osteoarthritis due to over constraint of the knee. To systematically review the literature to analyse the long-term incidence of osteoarthritis in patients who had an LEAT performed in isolation or in combination with intra-articular ACLR for the treatment of ACL deficiency...
March 13, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28282214/clinical-and-radiographic-outcomes-of-meniscus-surgery-and-future-targets-for-biologic-intervention-a-review-of-data-from-the-moon-group
#5
Robert W Westermann, Morgan Jones, David Wasserstein, Kurt P Spindler
Meniscus injury and treatment occurred with the majority of anterior cruciate ligament reconstructions (ACLR) in the multicenter orthopaedic outcomes (MOON) cohort. We describe the patient reported outcomes, radiographic outcomes and predictors of pain from meniscus injuries and treatment in the setting of ACLR. Patient reported outcomes improve significantly following meniscus repair with ACLR, but differences exist based on the meniscus injury laterally (medial or lateral). Patients undergoing medial meniscus repair have worse patient-reported outcomes and more pain compared to those with uninjured menisci...
March 10, 2017: Connective Tissue Research
https://www.readbyqxmd.com/read/28280907/high-prevalence-of-knee-osteoarthritis-at-a-minimum-10-year-follow-up-after-knee-dislocation-surgery
#6
Gilbert Moatshe, Grant J Dornan, Tom Ludvigsen, Sverre Løken, Robert F LaPrade, Lars Engebretsen
PURPOSE: Long-term outcomes and the prevalence of osteoarthritis after surgical treatment of knee dislocations are lacking in the literature. The purpose of this study was to investigate the prevalence of knee osteoarthritis and knee function at a minimum of 10 years after knee dislocation surgery. METHODS: Sixty-five patients surgically treated for knee dislocations at a single level I trauma center between May 1996 and December 2004 were evaluated at a minimum of 10 years...
March 9, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28280904/complete-posterolateral-meniscal-root-tear-is-associated-with-high-grade-pivot-shift-phenomenon-in-noncontact-anterior-cruciate-ligament-injuries
#7
Guan-Yang Song, Hui Zhang, Xin Liu, Jin Zhang, Zhe Xue, Yi Qian, Hua Feng
PURPOSE: The purpose of this study was to investigate whether the complete posterolateral meniscal root tear (PLMRT) would be associated with high-grade pivot-shift phenomenon in noncontact anterior cruciate ligament (ACL) injuries. METHODS: From 2013 to 2015, a total of 1095 consecutive patients were diagnosed as having noncontact ACL injuries and underwent primary ACL reconstructions. Among them, 140 patients were arthroscopically verified to have concomitant PLMRTs...
March 9, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28272930/risk-factors-associated-with-knee-joint-degeneration-after-arthroscopic-reshaping-for-juvenile-discoid-lateral-meniscus
#8
Shinya Yamasaki, Yusuke Hashimoto, Junsei Takigami, Shozaburo Terai, Shinji Takahashi, Hiroaki Nakamura
BACKGROUND: Although arthroscopic meniscal reshaping for discoid lateral meniscus (DLM) has better outcomes than total or subtotal meniscectomy, degenerative changes on radiographs are still seen in some patients with meniscal reshaping. PURPOSE: To assess the risk factors associated with knee joint degeneration after reshaping surgery for juvenile DLM. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Forty patients (45 knees) with a mean age of 12...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28272928/prospective-clinical-and-radiographic-outcomes-after-concomitant-anterior-cruciate-ligament-reconstruction-and-meniscal-allograft-transplantation-at-a-mean-5-year-follow-up
#9
Bryan M Saltzman, Maximilian A Meyer, Alexander E Weber, Sarah G Poland, Adam B Yanke, Brian J Cole
BACKGROUND: Concomitant anterior cruciate ligament reconstruction and meniscal allograft transplantation (ACLR/MAT) has demonstrated short-term success in small, retrospective cohort studies. Patient- and disease-specific predictors of success after ACLR/MAT are largely unknown. PURPOSE: To (1) prospectively evaluate the subjective and objective clinical and radiographic outcomes after ACLR/MAT and (2) conduct a subgroup analysis to identify patient- or disease-related factors that correlate with failure...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28263119/surgical-management-of-pivot-shift-phenomenon-in-a-dog
#10
Rebekah C Knight, David G Thomson, Alan Danielski
CASE DESCRIPTION A 6.8-year-old neutered male Labrador Retriever-Poodle mix was evaluated because of continued left pelvic limb lameness unresponsive to conservative management 1 year after undergoing tibial plateau leveling osteotomy (TPLO). CLINICAL FINDINGS A jerking lateral movement of the left stifle joint was detected during walking. Orthopedic examination revealed a pivot-shift phenomenon (PSP). Palpation elicited no signs of discomfort over the TPLO plate or caudomedial aspect of the stifle joint. Radiography revealed complete bone fusion at the osteotomy site and only mild joint effusion...
March 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28258328/arthroscopic-meniscus-repair-for-recurrent-subluxation-of-the-lateral-meniscus
#11
Jin Hwan Ahn, Sang Hak Lee, Kang Il Kim, Juhyun Nam
PURPOSE: This study was undertaken to diagnose and to document the clinical results and technical aspects of arthroscopic meniscus repair for recurrent subluxation with peripheral tears around the popliteal hiatus of the lateral meniscus. METHODS: Twenty-three patients (24 knees) with symptomatic recurrent subluxation of the lateral meniscus treated by arthroscopic meniscus repair were included. The inclusion criteria were: (1) patients with knee pain, locking or snapping symptoms despite 3 months of conservative treatment; (2) non-discoid lateral meniscus; (3) stable knee, and (4) tears involving the red-white or red-red zone...
March 3, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28258326/meniscus-surgery-is-still-widely-performed-in-the-treatment-of-degenerative-meniscus-tears-in-the-netherlands
#12
Jan J Rongen, Tony G van Tienen, Pieter Buma, Gerjon Hannink
PURPOSE: Studies have demonstrated rising incidences of meniscus procedures for degenerative meniscus tears in several countries, despite accumulating evidence that questions the efficacy of the treatment. It is not clear if this rise in incidences also applies to the practice of arthroscopic surgery in the Netherlands. The objective of this study was, therefore, to evaluate the number of meniscal surgeries performed in the Netherlands between 2005 and 2014. METHODS: We used registry-based data on meniscal surgeries that originated from Dutch national hospital basic care registrations from 2005 to 2014...
March 3, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28247999/tibial-tuberosity-advancement-in-small-breed-dogs-using-tta-rapid-implants-complications-and-outcome
#13
B Dyall, H Schmökel
OBJECTIVE: To assess the perioperative complications and the outcome when treating small-breed dogs with cranial cruciate ligament insufficiency with tibial tuberosity advancement using the TTA Rapid implant. MATERIALS AND METHODS: 40 dogs (48 stifles) with cranial cruciate ligament insufficiency and body weight of 15 kg or less. Diagnosis was confirmed by arthroscopy or arthrotomy, followed by tibial tuberosity advancement surgery. Six weeks after surgery, the dogs were re-evaluated with clinical examination and radiography...
March 1, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28229984/anatomical-knee-variants-in-discoid-lateral-meniscal-tears
#14
Xu-Xu Chen, Jian Li, Tao Wang, Yang Zhao, Hui Kang
BACKGROUND: Discoid lateral meniscus was a common meniscal dysplasia and was predisposed to tear. There were some anatomical knee variants in patients with discoid lateral meniscus. The aim of this study was to analyze the relationship between anatomical knee variants and discoid lateral meniscal tears. METHODS: There were totally 125 cases of discoid lateral meniscus enrolled in this study from February 2008 to December 2013. Eighty-seven patients who underwent arthroscopic surgery for right torn discoid lateral meniscus were enrolled in the torn group...
March 5, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28210945/mr-imaging-evaluation-of-the-postoperative-meniscus
#15
REVIEW
A Russo, R Capasso, C Varelli, A Laporta, M Carbone, G D'Agosto, S Giovine, M Zappia, A Reginelli
MR imaging has been widely evaluated in the assessment of patients with recurrent or residual symptoms following meniscal surgery. Importantly, the causes of such symptoms may relate to failure or complication of the surgical procedure, a possible recurrent or residual meniscal tear, or may be related to other causes of joint symptoms, including tears of the contralateral meniscus, or local hyaline cartilage, or marrow abnormalities subjacent to or distant to the meniscal surgical site. The complex diagnostic issues involved in the MR imaging evaluation of the postoperative meniscus were identified in early MR imaging studies...
February 16, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28169595/tissue-derived-extracellular-matrix-bioscaffolds-emerging-applications-in-cartilage-and-meniscus-repair
#16
Farrah A Monibi, James L Cook
Musculoskeletal injuries are a common problem in orthopedic practice. Given the long-term consequences of unaddressed cartilage and meniscal pathology, a number of treatments have been attempted to stimulate repair or to replace the injured tissue. Despite advances in orthopedic surgery, effective treatments for cartilage and meniscus injuries remain a significant clinical challenge. Tissue engineering is a developing field that aims to regenerate injured tissues with a combination of cells, scaffolds, and signals...
March 7, 2017: Tissue Engineering. Part B, Reviews
https://www.readbyqxmd.com/read/28169099/the-role-of-medial-meniscus-posterior-root-tear-and-proximal-tibial-morphology-in-the-development-of-spontaneous-osteonecrosis-and-osteoarthritis-of-the-knee
#17
Ryota Yamagami, Shuji Taketomi, Hiroshi Inui, Keitaro Tahara, Sakae Tanaka
BACKGROUND: Medial meniscus posterior root tear (MMPRT) has been reported to play a key role in the development of spontaneous osteonecrosis of the knee (SONK) and osteoarthritis (OA) of the knee. However, little is known about the differences in the development of SONK and OA after MMPRT. The purpose of this study was to investigate the factors contributing to the development of these conditions. METHODS: We evaluated the existence of MMPRT and the extent of medial meniscal extrusion in preoperative magnetic resonance images and proximal tibial morphology in radiographs of 45 patients with SONK and 104 patients with OA who underwent knee surgery...
February 3, 2017: Knee
https://www.readbyqxmd.com/read/28162881/midterm-results-of-osteochondral-allograft-transplantation-to-the-humeral-head
#18
Andrew J Riff, Adam B Yanke, Jason J Shin, Anthony A Romeo, Brian J Cole
BACKGROUND: This study evaluated clinical outcomes of osteochondral allograft (OCA) transplantation for humeral head osteochondral defects. We hypothesized that patients with isolated humeral head disease would achieve favorable results and that patients with bipolar disease would experience inferior outcomes. METHODS: We identified patients who underwent humeral head OCA transplantation. Subjective questionnaire data were obtained preoperatively and at a minimum of 2 years postoperatively...
February 2, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28153861/patient-reported-outcomes-in-patients-undergoing-arthroscopic-partial-meniscectomy-for-traumatic-or-degenerative-meniscal-tears-comparative-prospective-cohort-study
#19
Jonas Bloch Thorlund, Martin Englund, Robin Christensen, Nis Nissen, Kenneth Pihl, Uffe Jørgensen, Jeppe Schjerning, L Stefan Lohmander
OBJECTIVES:  To compare patient reported outcomes from before surgery to 52 weeks after surgery between individuals undergoing arthroscopic partial meniscectomy for traumatic meniscal tears and those for degenerative meniscal tears. DESIGN:  Comparative prospective cohort study. SETTING:  Four public orthopaedic departments in the Region of Southern Denmark. Participants were recruited between 1 February 2013 and 31 January 2014, and at one of the original four hospitals from 1 February 2014 to 31 January 2015...
February 2, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28144580/-meniscal-scar-as-a-landmark-for-the-joint-line-in-revision-total-knee-replacement
#20
Wasim Sardar Khan, Jagmeet Bhamra, Rhodri Williams, Rhidian Morgan-Jones
AIM: To determine whether tissue identified at the joint line was actually remnant "meniscal" scar tissue or not. METHODS: Nine patients undergoing revision knee surgery following informed consent had meniscal scar tissue sent to the histology department for analyses. All revisions were performed where joint line had been raised or lowered at earlier surgery. Although preoperative radiographic evaluations suggested that the joint line had been altered, intraoperatively there was scar tissue at the level of the recreated joint line...
January 18, 2017: World Journal of Orthopedics
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