Background: The arthroscopic approach to acromioclavicular (AC) dislocation with methods such as AC TightRope fixation has reported radiographic failure rates between 18% and 50% with functional results graded as good or excellent. Our objective was to review the outcomes after arthroscopic fixation for acute AC joint dislocation using the TightRope device.
Methods: We reviewed the records of 52 patients, with a mean age of 31 years, who underwent arthroscopic fixation with the TightRope device for acute AC joint dislocation.
Introduction: Health economics studies play an important role in all healthcare systems. The purpose of the latter is to offer effective and low-cost treatments.
Objective: Analyze the costs and the economic impact of the comprehensive ACL treatment.
Introduction: Arthroscopic repair of the rotator cuff have shown have shown encouraging clinical results. However, few authors have assessed integrity of repair with ultrasound. The presence of re-rupture by ultrasonography in a rotator cuff repair may not relate to the patient's functional status.
View Article and Find Full Text PDFIntroduction: Knee osteoarthritis (OA) is a degenerative process that affects people over 50 years old and is an important cause of disability. Treatment options include non-operative and operative modalities. Arthroscopic lavage and debridement may be the first choice to consider in patients between 45 and 65 years with early OA.
View Article and Find Full Text PDFUnlabelled: Symptomatic Os trigonum requires an initial conservative treatment, if clinical improvement cannot be obtained, then surgical treatment is performed with a traditional open approach. We describe an endoscopic technique: with the patient on prone position two portals are made, the first is posterolateral just at the tip of the fibula just lateral to the Achilles tendon; the second portal is posteromedial and at the same level to the first one but medial to the Achilles tendon. With the use of this technique, a wide and safe working field is obtained for the resection of the Os trigonum.
View Article and Find Full Text PDFObjective: To analyze the subjective and objective outcome of arthroscopic meniscal repair in patients with chronic meniscal lesions.
Methods: A group of patients that underwent arthroscopic meniscal repair of chronic tears with a minimum follow-up of six months was retrospectively evaluated. Physical examination oriented at finding persistent meniscal lesions was performed.
It is necessary to slide the suture into the articulation in the arthroscopic techniques, this produce friction and abrasion of the suture, this is the principal cause of failure in the union of anchor-suture. We used a Fastak 2.4 anchor, Sawbones, No 2 Ethibond, No 2 Fiberwire and No 2 Herculine.
View Article and Find Full Text PDFQuadriceps tendon (QT) is becoming a popular graft for primary and revision ligament surgery. A subcutaneous technique for graft harvesting a QT is presented. Special closed tendon strippers were designed; these devices have 10- and 11-mm inner diameters and are stronger and sharper than regular hamstrings strippers.
View Article and Find Full Text PDFThis report describes the successful endoscopic treatment of an osteochondroma of the distal femur. We discuss the surgical technique and the case report of a distal femoral osteochondroma that was endoscopically resected without any complications. This technique allows performing a resection that involves minimum morbidity and a prompt functional recovery.
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