Repair of the Anterior Horn of the Lateral and Medial Meniscus With Knotless Suture Anchor.

The anterior horn lateral meniscus tear often is accompanied by perimeniscal cysts, which are treated with arthroscopic cyst excision with outside-in repair of the anterior horn. After cyst excision, there is a large gap between the thin anterior capsule and the anterior horn, which sometimes does not allow a stable repair. The suture knots may be palpable below the skin postoperation and cause irritation.

Anterior Cruciate Ligament Ganglion and Decompression of Mucoid Degeneration Using a "Figure-of-4 Position".

Anterior cruciate ligament (ACL) ganglion cysts and mucoid degeneration of the ACL are 2 distinct nontraumatic lesions of the ACL that occur discretely but can coexist. The exact etiopathogenesis still needs to be clarified. Mucoid degeneration presents as pain mainly on the posterior or posterolateral aspect of the knee and loss of terminal flexion and extension range of motion of the knee.

Technique for Medial Meniscus Ramp Repair: An Anatomic Approach.

Medial meniscus ramp lesions are commonly associated with anterior cruciate ligament injury. They are one of the causes of positive pivot shift and can lead to failure to obtain rotary stability if missed during the surgical procedure. Several repair methods use a suture lasso from 2 posteromedial portals to attach the posteromedial capsule to the meniscus.

Fish Mouth Closure of Horizontal Cleavage Tear of the Meniscus using Self-locking Modified Racking Hitch Knot (HitPat knot). - A Technical Note.

Introduction: Horizontal cleavage tears (HCT) of the meniscus are treated with fish-mouth closure with sutures using different methods. Using a no. 0 fiber wire and taking bites through both the flaps using a suture passing device and tying multiple knots is a cost-effective technique.

Nontuberculous mycobacterial infection of the musculoskeletal system in immunocompetent hosts.

Background: Nontuberculous mycobacteria (NTM) were considered saprophytic organisms for many years but now are recognized as human pathogens. Although humans are routinely exposed to NTM, the rate of clinical infection is low. Such infections usually occur in the elderly and in patients who are immunocompromised.

Morbidity index: A score to assess immediate postoperative recovery in TKR patients.

Background: Every surgical procedure involves certain amount of postoperative morbidity which varies among different surgeries and the same surgery done by different techniques. Minimally invasive surgeries have evolved in all surgical branches and are believed to have a lesser morbidity than the traditional procedures; however there is no score or index to assess the immediate recovery after any surgical procedure in the literature. We tried to devise an immediate postoperative assessment method that takes into account the early recovery phase of patient post total knee arthroplasty (TKA) from day1 to day3.

Total knee arthroplasty using subvastus approach in stiff knee: A retrospective analysis of 110 cases.

Background: Subvastus approach used in total knee arthroplasty (TKA) is known to produce an earlier recovery but is not commonly utilized for TKA when the preoperative range of motion (ROM) of the knee is limited. Subvastus approach is known for its ability to give earlier recovery due to less postoperative pain and early mobilization (due to rapid quadriceps recovery). Subvastus approach is considered as a relative contraindication for TKA in knees with limited ROM due to difficulty in exposure which can increase risk of complications such as patellar tendon avulsion or medial collateral injury.

Musculoskeletal melioidosis: An under-diagnosed entity in developing countries.

Background: Melioidosis is a saprophytic infectious disease caused by Gram-negative soil-dwelling bacillus Burkholderia pseudomallei.

Materials & Methods: We report three cases of musculoskeletal melioidosis that are presented to our department from 2011 to 2013.

Results: One of the patients died due to post-septicemic ARDS.

Intramedullary Tuberculoma of Dorsal Spinal Cord: A Case Report with Review of Literature.

Introduction: Intramedullary tuberculoma (IMT)are extremely rare lesions should be distinguished from other space occupying lesions like neoplasms. Although it is a treatable condition delaying diagnosis leads to significant morbidity.

Case Report: We report a case of intramedullary thoracic tuberculoma with paraparesis showing deterioration of neurological status during medical treatment.

Limited femoral navigation versus conventional intramedullary femoral jig based instrumentation for achieving optimal restoration of mechanical axis post total knee arthroplasty: a prospective comparative study of 200 knees.

A prospective comparative study was conducted to compare the mechanical axis post total knee arthroplasty (TKA) between two groups: In the first group of 100 knees (ASM group) Articular Surface Mounted navigation system was used to guide the distal femoral cut. In the second group of 100 knees (JIG group) conventional intramedullary femoral jig was used. The postoperative mechanical axis of the leg was within 3° of neutral alignment in 90% of the TKA in the ASM group (mean 178.