Publications by authors named "Jie-wei Shen"

Purpose: To investigate the prevalence of lateral meniscal extrusion for patients with posterior lateral meniscal root lesions (PLMRLs) and for those with concomitant midbody radial tears (MRTs) in anterior cruciate ligament (ACL) injuries.

Methods: A database of consecutive patients undergoing primary ACL reconstruction between 2011 and 2013 was retrospectively reviewed to identify patients with isolated ACL injuries and those with associated PLMRLs. Patients with (1) unavailable preoperative magnetic resonance imaging scans, (2) other concomitant ligamentous injuries, (3) severe degeneration or malalignment, (4) infection or tumor, or (5) history of surgery on the injured side were excluded.

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Background: Although the validity of the "lateral gutter drive-through" (LGDT) test has been proved to offer high sensitivity and specificity in diagnosing the posterolateral rotational instability of knee joints, the real mechanism on how the injury pattern of individual posterolateral knee structure triggers the positive LGDT sign still remains unknown.

Hypothesis: A certain amount of popliteus tendon (POP-T) laxity resulted from specific injury patterns of individual posterolateral knee structure or some degree of medial structural injury will lead to positive LGDT sign.

Study Design: Controlled laboratory study.

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Objective: To assess the validity of the lateral gutter drive-through (LGDT) test in diagnosing posterolateral rotational instability (PLRI) of the knee joint.

Methods: Between October 2009 and February 2012, 115 consecutive patients were enrolled into this prospective diagnostic study. The tibia external rotation dial test was used as the gold standard for diagnostic reference.

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Background: In posterolateral corner (PLC) injuries in which the lateral collateral ligament (LCL) is intact, there is controversy about whether reconstructing the popliteus tendon (POP), the popliteofibular ligament (PFL), or both structures (POP + PFL) is required to restore normal external tibial rotation.

Hypothesis: Three reconstruction techniques, POP, PFL, and POP + PFL, are able to restore external tibial rotation to normal.

Study Design: Controlled laboratory study.

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Background: Symptomatic medial collateral ligament (MCL) instability is rare, and it is frequently associated with multiligament injuries. Most clinical investigations have failed to clearly define the specific objective outcome measures assessing the stability of the MCL quantitatively before and after the reconstruction procedure.

Purpose: To quantitatively evaluate the early clinical outcomes of patients with valgus instability of knee joints who had undergone superficial MCL reconstruction using Achilles tendon allografts.

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Background: Efforts still need to be made to improve the technique for surgical anterior cruciate ligament reconstruction (ACLR). Several reports have claimed that ACLR with the remnant preservation technique can obtain satisfactory clinical results.

Purpose: To compare the short-term clinical outcome of remnant-preserving ACLR with standard ACLR.

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Background: Engaging Hill-Sachs lesions are known to be a risk factor for recurrence dislocation after arthroscopic repair in patients with anterior shoulder instability. For a large engaging Hill-Sachs lesion, arthroscopic remplissage is a solution.

Hypothesis: Arthroscopic Bankart repair combined with the Hill-Sachs remplissage technique can achieve good results without significant impairment of shoulder function.

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