Publications by authors named "A Tecame"
Time to reconsider post arthroscopic osteonecrosis of the knee: a systematic review.
Musculoskelet Surg
September 2023
Article Synopsis
- The cause of post-arthroscopic osteonecrosis of the knee (PAONK) is not fully understood, and a systematic review was conducted to assess characteristics of patients who experienced it after knee arthroscopy for meniscal or ACL issues.* -
- The review included data from 13 studies with 125 patients, revealing that 55 were diagnosed with PAONK within a year post-surgery; among these, 29% received conservative treatment while 71% underwent repeat surgery.* -
- Findings indicate that persistent symptoms after arthroscopy should not be dismissed, and suggest that the distinction between subchondral insufficiency fractures and osteonecrosis should be clearer in terminology to enhance understanding.*
Clinical outcomes and overall alignment after total knee arthroplasty (TKA) depend on femoral component positioning in the sagittal and the coronal plane, making choice of the distal femoral cutting guide crucial. Currently, there is no consensus on the potential advantage of an extramedullary (EM) guide compared to an intramedullary (IM) guide in TKA. The IM guide is the most widely used system for making the distal femoral cut although evidence for its superiority over the EM guide is lacking.
View Article and Find Full Text PDFAim: To analyze two different femoral tunnel positions and to evaluate their correlation with clinical, functional outcomes and surgical revision rate in patients who underwent primary arthroscopic anterior cruciate ligament (ACL) reconstruction with anteromedial (AM) portal technique.
Methods: From January 2015 to October 2018, we recruited 244 patients that underwent primary single-bundle ACL reconstruction, using four strand-semitendinosus graft and AM portal technique for femoral tunnel placement. Patients were divided into two groups based on the different femoral tunnel positions: 117 patients of group A had ACL footprint center femoral tunnel position compared with 127 patients of group B, with femoral tunnel placement close to the AM bundle footprint.
Background: In patellofemoral replacement (PFR) coronal alignment is mostly influenced by local condylar anatomy. However, there is still a lack of consensus regarding references to follow intraoperatively for the optimal positioning of the trochlear component. The aim of this study was to assess whether aiming for the anatomical femoral axis on the coronal plane leads to improved clinical outcomes and whether coronal alignment correlates with clinical outcomes.
View Article and Find Full Text PDFArticle Synopsis
- ACL reconstruction is a highly successful orthopedic surgery, but revisions are common due to failures; this study focused on analyzing failed re-revisions and their clinical outcomes.
- Among 263 patients who had ACL revisions, 17 underwent re-revision with a mean age of 28.4 years, showing significant improvements in knee function and stability measures post-surgery.
- Despite the positive outcomes, only 4 out of 17 patients returned to their previous levels of sports activity, highlighting the challenges of achieving full recovery after multiple ACL surgeries.