Femoral cross-pin fixation in anterior cruciate ligament (ACL) reconstruction has a potential for neurovascular injury, thus a "safe zone" must be defined for safe pin passage with this technique. In this anatomic study, femoral-sided, arthroscopic-assisted ACL reconstruction using the TransFix system (Arthrex, Naples, Fla) was performed on five fresh extended thigh and lower leg cadavers. Using a goniometer, five cross-pin guidewires were sequentially drilled at 0 degrees, -20 degrees, -40 degrees, +20 degrees, and +40 degrees, using the parallel to floor line as 0 degrees.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
April 2007
Cadaveric shoulders underwent thermal capsulorrhaphy and subacromial decompression with 3 different commercially available radiofrequency (RF) devices to evaluate local and regional fluid temperatures while arthroscopic procedures were being performed. Fifteen completely thawed fresh-frozen shoulders underwent both thermal capsulorrhaphy and subacromial decompression. During thermal capsulorrhaphy, Fluoroptic mini-thermometer probes (Luxtron model 3000) were placed in the inflow bag; in the glenohumeral joint, near the inferior glenohumeral ligament; and on the RF wand.
View Article and Find Full Text PDFPurpose: The purpose of this study was to define the entire rotator cuff footprint and relate it to known, easily identifiable landmarks as a guide for both open and arthroscopic rotator cuff repair. Anatomic: Gross and microscopic.
Methods: The myotendinous units of the rotator cuff and their insertions onto the humerus were dissected in 20 fresh-frozen cadavers.
Background: Despite evidence that low-dose irradiation of 2 Mrad (20 kGy) is not virucidal for patellar tendon allografts and reduces tissue strength, many tissue bank protocols include low-dose irradiation.
Hypothesis: Maintaining tissue mechanical integrity may be particularly relevant toward accelerated rehabilitation of the injured knee, where the cyclic function of patellar tendon allografts is critical.
Study Design: Controlled laboratory study.
Posterior cruciate ligament (PCL) injuries can be associated with acute and chronic morbidity. Treatment of PCL disruption is typically either nonoperative or reconstructive, using a graft substitute. We describe a minimally invasive arthroscopic technique for repair of acute PCL tears of the femoral origin.
View Article and Find Full Text PDFBackground: Initial nonoperative treatment of pain at the Achilles tendon, often referred to as "tendinitis," is not always successful.
Hypothesis: Surgical treatment is effective for patients with insertional tendinitis unrelieved by nonoperative measures.
Study Design: Retrospective cohort study.