Double compared with single-bundle open inlay posterior cruciate ligament reconstruction in a cadaver model.

Background: There is considerable controversy regarding whether a double-bundle reconstruction of the posterior cruciate ligament is superior to single-bundle techniques. The purpose of this study was to compare posterior tibial translation and external rotation following double and single-bundle tibial inlay reconstruction of the posterior cruciate ligament in both a posterolateral corner-deficient and a repaired cadaver model.

Methods: Posterior drawer testing, dial testing, and stress radiography were performed on nine cadaver knees.

Comparison of a double bundle arthroscopic inlay and open inlay posterior cruciate ligament reconstruction using clinically relevant tools: a cadaveric study.

Purpose: The ideal surgical management of isolated and combined posterior cruciate ligament (PCL) injuries is controversial. One active debate concerns the advantages of an open tibial inlay technique versus an arthroscopic transtibial tunnel technique. Therefore, the goal of this study is to biomechanically compare arthroscopic and open double-bundle PCL tibial inlay procedure with and without posterolateral corner (PLC) deficiency.

Establishing a new practice as a team physician.

The role of a team physician is an integral part of establishing a new practice. Regardless of the type of practice one enters, the team physician role provides an opportunity to establish an early referral base to build the foundation of a successful practice. Although this comes with great responsibility and significant time commitments, the joy of developing your practice doing what you enjoy most, sports medicine, makes these drawbacks less perceptible.

All-inside meniscal repair using a new flexible, tensionable device.

Background: A new generation of flexible all-inside meniscal repair devices is available, but clinical studies with these devices are lacking.

Hypothesis: The RapidLoc has an intermediate-term meniscal healing rate that is equivalent to literature reports of inside-out suture technique in patients undergoing concurrent anterior cruciate ligament reconstruction.

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

Disposal options and case-study pathway analyses.

This paper presents an overview of alternatives that currently are employed for the disposal of wastes containing enhanced concentrations of naturally occurring radioactive materials (NORM). The application of pathway assessment methodology to the derivation of acceptable cleanup criteria for residual NORM is described. A specific example is provided drawing on experience with a site containing above-background levels of natural uranium-series and thorium-series nuclides.