Arthroscopic removal of arch-shaped rotator cuff calcifying tendinitis without rotator cuff repair and acromioplasty is an excellent treatment regarding pain relief and function.

Purpose: The aim of this study is to evaluate clinical outcome for arthroscopic removal of calcium deposit without acromioplasty and rotator cuff repair for patients with ultrasound-diagnosed arch-shaped calcifying tendinitis of the rotator cuff (type I), homogenic (x-ray) with chronic pain.

Methods: We retrospectively reviewed 50 patients with homogenous, arch-shaped calcifying tendinitis, suffering from chronic pain and who underwent arthroscopic treatment and 50 patients with the same type of tendinitis treated conservatively. All patients had calcium deposit located in supraspinatus tendon, pre-operatively and post-operatively evaluated by ultrasound.

Reverse shoulder arthroplasty in acute fractures provides better results than in revision procedures for fracture sequelae.

Purpose: The purpose of this study was to evaluate functional outcomes of reverse shoulder arthroplasty (RSA) in patients with acute fracture and sequelae of the proximal humeral fractures.

Methods: Thirty-seven patients were treated with RSA for acute fracture and sequelae of a proximal humeral fracture. The average age was 73 years (range 50-87 years).

Functional results and patient satisfaction after arthroscopic capsular release of idiopathic and post-traumatic stiff shoulder.

Purpose: The purpose of this prospective study was to compare the functional results and patient satisfaction after arthroscopic shoulder capsular release in patients with idiopathic and posttraumatic stiff shoulder.

Methods: The study included 50 patients who underwent arthroscopic capsular release after failure of conservative treatment. The etiology of stiffness was either idiopathic (25 patients) or post-traumatic (25 patients).

[Bone bank at University Department of Orthopedics, Zagreb University Hospital Center, Zagreb, Croatia].

Aim: Bone bank has to supply patients of our Department as well as patients from other hospitals with necessary bone grafts, but only in a case of appropriate medical indication that is evaluated by the Board of Orthopedic Surgeons.

Methods: The paper describes in detail the modalities of donor selection, explantation technique, transportation and preservation of frozen bone grafts. Also, the harvesting models and expenses of the bone bank are described.

Arthroscopic transosseous suture anchor technique for rotator cuff repairs.

The skin is incised 1 to 2 cm distal to the lateral portal. A transosseous tunnel is created through the greater tuberosity by a sharp penetrator, entering 1.5 to 2 cm distal to the top of the greater tuberosity.

Arthroscopic extracapsular plication to treat multidirectional instability of the shoulder.

Successful arthroscopic treatment of multidirectional shoulder instability requires that the surgeon reduce the volume of the capsule. This goal can be achieved by using the extracapsular plication technique. There are several advantages to using pancapsular plication and an intra-articular knot.

Neglected rupture of the Achilles tendon treated with peroneus brevis transfer: a functional assessment of 5 cases.

The purpose of this study was to review the clinical results of 5 patients who underwent repair of a chronic Achilles tendon rupture using a combination of peroneus brevis transfer and plantaris tendon augmentation. The technique belongs to the group of local tendon transfer procedures making use of the transferred peroneus brevis tendon as strengthening material together with the plantaris tendon as suturing material. There were 4 males and 1 female with an average age of 49.

Acetabular roof reconstruction with pedicled iliac graft.

Reconstruction of the acetabular roof in patients with hip dysplasia shows disappointing mid-term results due to insufficient incorporation and collapse of the bone graft. We have developed a new reconstructive method using a pedicled iliac graft. We simulated surgical reconstruction of the acetabular roof in ten cadaver specimens.

[Overuse injury syndromes in the shoulder area].

The shoulder is the most movable and the most unstable joint in a human body. The glenohumeral joint is particularly vulnerable because overhead activities put tremendous stress on its static stabilizers (ligamentous labral complex) and the dynamic stabilizers (rotator cuff muscles). Overhead activities may stretch or injure the static stabilizers.

Fully arthroscopic stabilization of the patella.

The authors present a new fully arthroscopic technique for the treatment of patellofemoral instability consisting of plication of the medial patellar retinaculum and release of the lateral patellar retinaculum. The indication for this procedure is not only acute patellar luxation, but also recurrent patellar luxation and subluxation. The procedure has been performed on 17 patients, 6 male and 11 female, between the ages of 14 and 27 years.

Treatment of defect pseudoarthroses with bone segment transport.

Purpose Of The Study: The most severe injuries during defense war in Croatia were caused by projectiles of high kinetic energy. Shell fragments bone they break the bone, transferring bone segments into additional individual projectiles. During this process periostal and endomedullary circulation is cut off reducing to a minimum the possibility of healing, leading to defects in long bone diaphyses.

CMC external fixator.

Purpose Of The Study: Imobilisation of wounded extremity decreases pain and shock, diminishes the possibilities of soft tissue, vessels and nerves injury with bone fragments, that influences the volume and success of surgical debridement of the wound. Optimal external fixator for war purposes must be rigid in construction, have to be simple to master, allow simple approach to wound during the whole period of fixation, have to be in sterile package with all its necessary part and should not be too expensive.

Design Of The Study: Prof.

A secure locking knot for microsuturing.

Perfect balance between maximal suture strength and minimal foreign-body reactivity guarantees success, using microsurgical techniques. The proposed initial locking knot allows optimal edge approximation. It has strength, it is simple to master, and is not too bulky.

Arthroscopic Bankart repair with extracapsular and extra-articular knot using the Mitek suture anchor.

The recurrence of instability after arthroscopic stabilization has been significantly higher than after open repair. One of the reasons for the high failure rate is the inability of arthroscopic repairs to address the plastic deformity of the capsule that occurs in the glenohumeral ligament-labrum complex. The arthroscopic technique is used to repair the torn labrum to the glenoid, but without adequate tightening of the anterior capsule, which is successfully accomplished with an open technique.