Knee sports injury is associated with an increased prevalence of unilateral knee replacement: a case-controlled study.

Injury to the knee during athletics is common and may limit future sports participation, but its long-term effects on patients are less well characterized. Examining the development of end-stage osteoarthritis (OA) in these patients may help better clarify this relationship. We hypothesize that sports-related knee injuries are associated with subsequent unilateral knee OA and need for total knee arthroplasty (TKA) relative to bilateral knee replacement.

Return to high-level throwing after combination infraspinatus repair, SLAP repair, and release of glenohumeral internal rotation deficit.

Background: The overhead-throwing athlete is a unique patient, requiring an elite, precise functional ability. Superior labral tears are quite common, and the percentage of athletes who return to play after superior labrum anterior-posterior (SLAP) repair has been variable. A tear of the infraspinatus caused by either internal impingement or tension overload may compromise this return.

Irrigation and débridement and prosthesis retention for treating acute periprosthetic infections.

Background: Infections following hip and knee replacements can compromise the function and durability of arthroplasty. When these infections occur during the immediate postoperative period, irrigation and débridement can be attempted to salvage the implant. Prior studies have reported varying results likely due to lack of consistent inclusion criteria, variations in surgical technique, and lack of uniform treatment protocols.

Acetabular revisions using trabecular metal cups and augments.

The purpose of this study is to evaluate the efficacy of trabecular metal (TM) shells and augments in acetabular revisions with significant pelvic bone loss. We retrospectively reviewed 97 cases of consecutive loose total hip arthroplasty with a minimum of Paprosky grade IIA pelvic bone loss treated with a TM revision acetabular component with or without modular augments. The average Harris hip score improved from 55 preoperatively to 76 postoperatively.

Effect of interleukin-10 overexpression on the properties of healing tendon in a murine patellar tendon model.

Purpose: Interleukin-10 (IL-10) is a potent anti-inflammatory cytokine shown to inhibit scar formation in fetal wound healing. The role of IL-10 in adult tendon healing and scar formation, however, remains unknown. The objective of this study is to investigate the effect of IL-10 overexpression on the properties of adult healing tendon using a well-established murine model of tendon injury and a lentiviral-mediated method of IL-10 overexpression.

Use of small intestine submucosa in a rat model of acute and chronic rotator cuff tear.

Augmentation materials for rotator cuff tears, such as small intestine submucosa (SIS), have been used with the goal of improving outcome. Knowledge is limited on the use of SIS in animal models of acute and chronic rotator cuff tears. We hypothesized that the use of SIS in the surgical management of full thickness supraspinatus tears would improve histologic and biomechanical properties.

Impaction allografting for massive femoral defects in revision hip arthroplasty using collared textured stems.

We present a prospective study of impaction grafting using collared textured stems in femurs with massive defects (defined as requiring >150 cm(3) of cancellous allograft). Eighteen hips were followed for a minimum of 2 years. Average Harris hip scores increased from 50 preoperatively to 83 at most recent follow-up.

The role of repair tension on tendon to bone healing in an animal model of chronic rotator cuff tears.

Rotator cuff tendon tears are one of the most common shoulder injuries. Although surgical repair is typically beneficial, re-tearing of the tendons frequently occurs. It is generally accepted that healing is worse for chronic tears than acute tears, but the reasons for this are unknown.

The tension required at repair to reappose the supraspinatus tendon to bone rapidly increases after injury.

Rotator cuff tears occur frequently and can cause significant pain and reduced shoulder function. A high percentage of patients are satisfied after surgical repair of rotator cuff tears, but a smaller percentage of patients with chronic tears continue to have pain and poor shoulder function. This may be partly attributable to an increase in the repair tension, the force required at repair to reappose the tendon to its original insertion site on the humerus.

Supraspinatus tendon organizational and mechanical properties in a chronic rotator cuff tear animal model.

Rotator cuff tears of the shoulder are a common cause of pain and disability. The successful repair of rotator cuff tendon tears depends on the time from onset of injury to the time of surgical repair. However, the effect of time from injury to repair remains poorly understood.

Spontaneous rupture of the gluteus medius and minimus tendons.

Tears and tendinopathy of the gluteus medius and minimus are potentially underrecognized clinical sources of hip pain. Magnetic resonance imaging is useful in diagnosing gluteal tears. This entity is frequently a result of predisposing conditions but may arise spontaneously.