Comparison of knee flexion isokinetic deficits between seated and prone positions after ACL reconstruction with hamstrings graft: Implications for rehabilitation and return to sports decisions.

Objectives: Hamstrings grafts are commonly used in ACL reconstruction, however, the effect of graft harvesting on knee flexion strength has not been longitudinally evaluated in functional positions. We hypothesized that greater deficits in knee flexion strength exist in the prone compared to the seated position and these deficits remain as rehabilitation progresses.

Design: Case series.

Short-term functional and clinical outcomes after ACL reconstruction with hamstrings autograft: transtibial versus anteromedial portal technique.

Purpose: Several studies have suggested that drilling the femoral tunnel through an anteromedial arthroscopic portal during anterior cruciate ligament reconstruction allows more anatomic placement of the graft. However, no studies have investigated whether the anteromedial approach results in better outcomes compared to the traditional transtibial drilling approach when a hamstring autograft is used. The purpose of the present study is to investigate short-term functional and clinical outcome differences between male patients recovering from anterior cruciate ligament reconstruction with a hamstring autograft using the transtibial femoral tunnel drilling approach versus the anteromedial approach.

Rotaglide total knee arthroplasty: a long-term follow-up study.

Background: Mobile-bearing knee designs represent an alternative to conventional fixed-bearing implants in total knee arthroplasty. The purpose of this study was to determine the clinical results of a mobile-bearing knee implant.

Methods: From 1990 to 1998, 326 primary consecutive mobile-bearing total knee prostheses were implanted in 260 patients who had a mean age and standard deviation of 66.

Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation.

Background: There has been great interest in the literature regarding meniscal tears in unstable knees, but there is not as much information available on stable knees.

Purpose: To report the characteristics of isolated meniscal tears (type and location) in athletes with intact cruciate ligaments.

Study Design: Case series; Level of evidence, 4.

Spleen rupture after surgery in Marfan syndrome scoliosis.

Spleen rupture occurred in a 14-year-old girl with Marfan syndrome after posterior spinal instrumented fusion and thoracoplasty for scoliosis. Splenectomy successfully treated this unusual complication of spinal surgery. The etiology, diagnosis, and management of spleen rupture following pediatric spinal surgery are discussed.

The role of timing of tourniquet release and cementing on perioperative blood loss in total knee replacement.

The purpose of our study is to estimate the effect of tourniquet release and cementing in perioperative blood loss associated with total knee arthroplasty. Eighty patients were randomly allocated into two equal groups concerning the timing of tourniquet release. Group A: patients with tourniquet release and haemostasis before wound closure and group B: patients with tourniquet release after skin closure and compressive bandaging.