Introduction: Fungal periprosthetic joint infection (PJI) is a disruptive and complex complication of joint arthroplasty. We present a case of a fungal PJI with Candida parapsilosis after a total hip arthroplasty (THA).
Presentation Of Case: A 73-year-old woman with a history of ovarian cancer with peritoneal metastases, was treated with a THA, due to symptomatic arthritis of the right hip.
Background: This study investigated the feasibility and safety of all-suture anchors in arthroscopic rotator cuff repair.
Methods: All patients were diagnosed with a rotator cuff tear by ultrasound or magnetic resonance imaging (MRI). Patients with partial tears, massive tears, subscapularis tears, or previous shoulder surgery, were excluded.
Unfortunately, one of the co-author's name was missed in the original online publication of this article. The name should be included as sixth author in the author group.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
February 2018
Purpose: To investigate the effect of tibial tunnel orientation on graft-bending angle and stress distribution in the ACL graft.
Methods: Eight cadaveric knees were scanned in extension, 45°, 90°, and full flexion. 3D reconstructions with anatomically placed anterior cruciate ligament (ACL) grafts were constructed with Mimics 14.
Knee Surg Sports Traumatol Arthrosc
January 2017
Purpose: The purpose of this study is twofold: first, to visualize both the tibial and femoral bony insertion surfaces and second, to describe the anterior cruciate ligament (ACL) geometrically, using novel 3D CT imaging. In addition, new concepts of best-fit cylinder and central axis are introduced and evaluated.
Methods: Eight unpaired knees of embalmed cadavers were used in this study.
Introduction. Bicompartmental knee arthroplasty (BKA) addresses combined medial and patellofemoral compartment osteoarthritis, which is relatively common, and has been proposed as a bridge between unicompartmental and total knee arthroplasty (TKA). Case Presentation.
View Article and Find Full Text PDFBackground: Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons.
Methods: A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society.
We report the case of a 32-year-old male patient involved in a road traffic accident in which he sustained a grade II open supra- and intercondylar fracture of the left distal femur with substantial bone loss of the lateral femoral condyle and trochlea (AO classification type 33 C3). Normal knee function was no longer possible, as the patella was trapped within the bony defect. Existing reconstructive options such as unicondylar osteoarticular allograft, arthrodesis, and arthroplasty were considered.
View Article and Find Full Text PDFThe purpose of the study was to investigate the biomechanical differences between single bundle (SB), single tunnel-twisted hamstring graft (ST-TG) and double bundle (DB) reconstruction of the anterior cruciate ligament (ACL), using computer navigation for data acquisition. Anterior translation in the medial compartment was corrected to near normal levels at 30 degrees and 90 degrees with all techniques. Anterior translation in the lateral compartment was corrected to near normal levels at 30 degrees and 90 degrees.
View Article and Find Full Text PDFUnlabelled: The purpose of this cadaver study about the ACL graft was to compare a "Lateral Tibial Tunnel" (LTT) and a "classic, anteroMedial Tibial Tunnel" (MTT), as to fixation strength and mode of failure. Ten pairs of fresh frozen human proximal tibias were used. In one of both tibias a classic anteromedial tunnel was used, versus a lateral tibial tunnel in the contralateral knee.
View Article and Find Full Text PDFIsolated revision of the femoral component of hip resurfacings to metal-on-metal (MoM) total hip arthroplasties has shown inferior results. We present a case series of well-fixed, painful MoM hips with elevated chromium and cobalt levels. An isolated femoral revision using a noncemented femoral component and a double-mobility head was performed.
View Article and Find Full Text PDFPurpose: To evaluate the cortical entry point and the length of a revision lateral tibial tunnel (LTT) in a human cadaveric study and to investigate knee stability after a revision anterior cruciate ligament (ACL) reconstruction with an LTT.
Methods: Ten human cadaveric knee specimens were used to perform a preliminary investigation. Twenty-two human proximal tibias were used to compare the length of a revision LTT with a classical medial tibial tunnel (MTT).
The Birmingham hip resurfacing (BHR) arthroplasty has shown good medium-term results in the centres that have been involved in its development. A retrospective cohort study analyzing the clinical and functional outcome of 297 metal-on-metal BHR arthroplasties at an independent hospital was performed. At medium-term follow-up, 4 patients had died, 8 patients were lost to follow-up (2.
View Article and Find Full Text PDFClin Orthop Relat Res
September 2011
Background: Normal function of the upper limb is seldom restored after limb-sparing surgery for tumors of the proximal humerus. The literature suggests superior shoulder function is achieved in the short term with reverse total shoulder arthroplasty compared to other techniques when performed for conditions with rotator cuff deficiency. It is unclear whether this superiority is maintained when reverse total shoulder arthroplasty is performed for tumors.
View Article and Find Full Text PDFPatellar tendon ruptures are rare but very invalidating lesions. We describe a case of re-rupture of a sutured patellar tendon. An autologous semitendinosus graft was used for tendon augmentation in the reconstruction procedure.
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