Efficacy of Two Techniques in Anterior Cruciate Ligament Reconstruction.

The purpose of this study is to compare failure rate and functional outcome in young, active patients (< 25 years) with two-incision (rear-entry) versus transtibial (all-endoscopic) anterior cruciate ligament (ACL) reconstructions.Utilizing a computerized relational database (Access 2007, Microsoft Inc., Redmond, WA), 480 patients were identified that underwent ACL reconstruction, using a bone-patellar-tendon-bone autograft, by a single surgeon between January 2000 and December 2010 via a transtibial or two-incision technique.

The subscapularis-sparing approach in humeral head replacement.

Background: This report represents a prospective case series evaluating an open deltopectoral approach, both radiologically and clinically, without tenotomy or complete takedown of the subscapularis tendon insertion. We hypothesized that this novel technical approach would allow preservation of the upper tendon border, thus decreasing subscapularis repair failures and fatty infiltration while simultaneously allowing accelerated rehabilitation.

Methods: Fifty patients underwent humeral head replacement surgery through a subscapularis-sparing approach.

Surface Replacement Arthroplasty of the Humeral Head in Young, Active Patients: Midterm Results.

Background: The treatment of glenohumeral arthritis in young, active patients remains controversial. Standard total shoulder arthroplasty in this patient group has not obtained the same satisfaction rate as in older patients. One surgical option that has emerged is humeral resurfacing.

Surgical Technique: Medial Ulnar Collateral Ligament Reconstruction Using Hamstring Allograft.

Introduction: In the overhead throwing athlete, medial ulnar collateral ligament reconstruction utilizing a hamstring allograft as an alternative to an autograft provides similar results without the donor site morbidity or potential complications of autograft harvest.

Step 1 Mri Or Mra And Preoperative Planning: Obtain an MRI or MRA to determine the location and importance of the tear in the ligament.

Step 2 Medial Elbow Dissection And Identification Of The Medial Ulnar Collateral Ligament: Position the elbow to allow access to the medial side, and expose the medial ulnar collateral ligament via a flexor-pronator split approach.