Patient-Reported Outcomes After Multiple-Revision ACL Reconstruction: Good but Not Great.

Purpose: To evaluate the patient-reported and objective functional outcomes of patients undergoing multiple-revision anterior cruciate ligament (ACL) reconstruction surgery. The secondary purpose was to determine failure rates and factors associated with failure, with a focus on posterior tibial slope.

Methods: All patients who underwent a repeat revision ACL reconstruction with a single surgeon over a 13-year period were identified.

Surgical Release of the Adductor Longus With or Without Sports Hernia Repair Is a Useful Treatment for Recalcitrant Groin Strains in the Elite Athlete.

Background: Chronic strain and/or tendinopathy of the adductor longus tendon can be a cause of long-standing groin pain in the elite athlete, resulting in significant time lost from competition. Accurate diagnosis and treatment can expedite return to play.

Purpose/hypothesis: To evaluate return to sport and performance in National Collegiate Athletic Association (NCAA) Division I football players and National Football League (NFL) players following adductor longus release with or without sports hernia repair.

Traditional Versus Congruent Arc Latarjet Technique: Effect on Surface Area for Union and Bone Width Surrounding Screws.

Purpose: To compare the surface area available for bony contact and the width of bone on each side of the Latarjet fixation screws in the traditional Latarjet technique versus the congruent arc modification of the Latarjet technique.

Methods: Computed tomographic scans of 24 shoulders in patients with glenohumeral instability who underwent multiplanar reconstruction measurements with multiple dimensions of the coracoid. The surface area of the coracoid available for bony contact with the anterior glenoid and width of bone on each side of a 3.

Patient Outcomes and Predictors of Success After Revision Anterior Cruciate Ligament Reconstruction.

Background: Patient outcomes and predictors of success after revision anterior cruciate ligament (ACL) reconstruction are currently limited in the literature. Existing studies either have a small study size or are difficult to interpret because of the multiple surgeons involved in the care of the study sample.

Purpose: To determine patient outcomes and predictors of success or failure after a single-stage revision ACL reconstruction by a single fellowship-trained senior surgeon at a single institution.

Technique of Open Reduction and Internal Fixation of Comminuted Proximal Humerus Fractures With Allograft Femoral Head Metaphyseal Reconstruction.

Proximal humerus fractures are common injuries that can require operative treatment. Different operative techniques are available, but the hallmark of fixation for 3- and 4-part fractures is a locking-plate-and-screw construct. Despite advances in this technology, obtaining anatomical reduction and fracture union can be difficult, and complications (eg, need for revision) are not uncommon.

Surgical technique for treatment of recalcitrant adductor longus tendinopathy.

Chronic groin pain in the athlete can be a difficult problem to manage. Adductor dysfunction is the most common cause of groin pain in athletes, with the adductor longus being the tendon most commonly involved. The most reproducible finding for adductor longus tendinopathy is tenderness along the tendon with passive abduction and resisted hip adduction in extension.

The role of the scapula in throwing disorders.

Shoulder injuries in the thrower can prove a challenge to diagnose and treat. Overhead throwing is an intricate motion that places considerable torque on the shoulder. The complex interplay of the scapula with the glenohumeral joint and its surrounding musculature allows elite pitchers to achieve speeds >95 miles per hour.

Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique.

Background: Surgical management of extra-articular distal humerus fractures results in predictable fracture alignment. Open reduction and internal fixation also decrease the soft tissue complications and frequent follow-up required with functional bracing. A triceps-reflecting posterior approach provides excellent exposure to the humerus and minimizes trauma to the triceps.

Unusual proximal dislocation without fracture: a case report.

Carpal instability includes a broad spectrum of osseous and ligamentous injuries which have been subclassified into greater and lesser arc injuries, in addition to combinations of both (Mayfield et al. J Hand Surg [Am] 5:226-241, 1980; Yaeger et al. Skeletal Radiol 13(2):120-30, 1985).

Outcomes of long tapered hydroxyapatite-coated stems in revision total hip arthroplasty.

The purpose of this study was to evaluate the outcome of femoral component revisions using a long tapered HA coated femoral revision stem. Between 2001 and 2008, 55 femoral component revisions were performed using this stem. Forty-one patients were available for follow up evaluation at average of 59 months.

All-epiphyseal anterior cruciate ligament reconstruction using fluoroscopic imaging.

Anterior cruciate ligament injuries in the pediatric population have been increasing in recent years. While reconstruction can often provide the best chance of restoring stability and preventing degenerative joint disease, the skeletally immature patient with open physes can represent a treatment challenge to the orthopaedic surgeon. Here, we present a technique developed by the senior author that uses two-dimensional fluoroscopy, obviating the need for computed tomography imaging.

Patient-reported activity levels after successful treatment of infected total knee arthroplasty.

Infections of total knee replacement can be a devastating complication resulting in significant costs to society and healthcare. However, the physical impact to patients after successful treatment of these periprosthetic infections remains unknown. We performed a retrospective review of 96 patients who had successful treatment of their infected total knee replacements with a static antibiotic impregnated spacer, and quantified their functional status using the University of California Los Angeles (UCLA) activity scale and the Knee Society Scores (KSS).

Does dual antibiotic prophylaxis better prevent surgical site infections in total joint arthroplasty?

Introduction: It is unclear which antibiotic regimen provides the best prophylaxis against surgical site infection (SSI) in patients undergoing hip and knee surgery.

Questions/purposes: Therefore, we determined whether dual antibiotic prophylaxis (1) reduced the rate of SSI compared to single antibiotic prophylaxis and (2) altered the microbiology of SSI.

Methods: We retrospectively reviewed 1828 primary THAs and TKAs performed between September 1, 2008 and December 31, 2010.

Rectus femoris to gracilis muscle transfer with fractional lengthening of the vastus muscles: a treatment for adults with stiff knee gait.

Background: Stiff knee gait, which may be seen in patients with upper motor neuron injury, describes a gait pattern with a relative loss of sagittal knee motion. It interferes with foot clearance during swing, often leading to inefficient compensatory mechanisms and ambulatory dysfunction. Distal rectus femoris muscle transfers and fractional lengthening of the vastus muscles have been performed in adult patients.