How to achieve an optimal alignment in medial opening wedge high tibial osteotomy?

Medial opening wedge high tibial osteotomy (MOWHTO) is a widely used surgical treatment option for medial compartmental osteoarthritis with varus deformity. It is important that proper lower limb alignment is achieved. However, there has been no consensus about an optimal alignment in MOWHTO.

Can the possibility of transverse iliosacral screw fixation for first sacral segment be predicted preoperatively? Results of a computational cadaveric study.

Objectives: The purpose of this study was to predict the possibility of transverse iliosacral (TIS) screw fixation into the first sacral segment (S) and introduce practical anatomical variables using conventional computed tomography (CT) scans.

Materials And Methods: A total of 82 cadaveric sacra (42 males and 40 females) were used for continuous 1.0-mm slice CT scans, which were imported into Mimics software to produce a three-dimensional pelvis model.

Septic arthritis associated with systemic sepsis.

Purpose: Septic arthritis presents with good joint function, but sometimes leads to poor outcomes. Concurrent systemic sepsis has been regarded as the poor outcome, and the exact cause remains unclear. This paper was performed to identify factors associated with concurrent systemic sepsis and to research results to predict poor outcomes in patients with septic arthritis.

Calcaneal Insufficiency Fracture after Ipsilateral Total Knee Arthroplasty.

Insufficiency fracture of the calcaneus is a rare entity. In the absence of trauma, evaluating a painful ankle in an elderly patient can be difficult and also it might be overlook the insufficiency fracture. We experienced a case of insufficiency calcaneus fracture that occurred after ipsilateral total knee arthroplasty.