Relatively High Complication and Revision Rates of the Mayo Metaphysical Conservative Femoral Stem in Young Patients.

The Mayo metaphysical conservative femoral stem (Zimmer, Warsaw, Indiana) is a wedge-shaped implant designed to transfer loads proximally, reduce femoral destruction, and enable the preservation of bone stock in the proximal femur. Thus, it is a potentially preferred prosthesis for active, non-elderly patients who may require additional future surgeries. This retrospective case study analyzed the outcomes of consecutive patients who underwent total hip replacements with this stem between May 2001 and February 2013.

New approach for the rehabilitation of patients following total knee arthroplasty.

Purpose: To investigate the effect of a biomechanical therapy on gait, function and clinical condition in patients following total knee arthroplasty (TKA).

Methods: Seventeen TKA patients participated in the study. Patients received a biomechanical therapy AposTherapy).

Clinical and radiographic outcomes of 139 hips with articular surface replacement total hip arthroplasty*.

Background: The articular surface replacement (ASR) total hip arthroplasty (THA) was recently recalled from the market due to high failure rates. This modality was used frequently by surgeons at our medical center.

Objectives: To assess the clinical and radiographic outcomes in patients following the surgery and determine the revision rate in our cohort.

Early results of retrograde expandable nail fixation of 29 distal femoral fractures.

The authors retrospectively reviewed 27 consecutive patients with 29 fractures of the distal femur treated with the new retrograde expandable nail. One 10-mm diameter nail that expands to 16 mm was used with the possibility of locking in the condylar area only. Retrieved data included single versus multiple injuries, fracture type, operation time, reaming or nonreaming, hospitalization and healing times, and intra- and postoperative complications.

Preoperative planning of total hip replacement using the TraumaCad™ system.

Introduction: Templating is now the standard approach for preoperative planning of total joint replacement and fracture fixation. The aim of this study was to assess the accuracy of new software, TraumaCad™, for preoperative planning for total hip replacement.

Methods: This software enables the import and export of all picture archiving communication system (PACS) files from local working stations.

Digital versus conventional templating techniques in preoperative planning for total hip arthroplasty.

Background: The purpose of our investigation was to compare a digital templating system to conventional templating techniques when preoperatively planning for total hip arthroplasty.

Methods: We included 18 consecutive patients with primary osteoarthritis undergoing uncemented total hip arthroplasty in our study. At separate sittings, we independently conducted preoperative templating.

Tailored tibial tubercle transfer for patellofemoral malalignment: analysis of clinical outcomes.

The purpose of this study was to describe the surgical technique, and evaluate and analyze the clinical outcomes of patients who underwent tibial tubercle realignment in our institution. Reported results of tibial tubercle transfer for patellofemoral malalignment vary considerably. Most authors rely mainly on the passive intraoperative patellar tracking test in determining the new location of the tibial tubercle.

The femoral head expandable peg: improved periimplant bone properties following expansion in a cadaveric model.

Purpose: The femoral head expandable peg offers a new concept of bone-device purchase treating proximal femur fractures. We describe the expansion influence on both the periimplant bone properties and the intraosseous pressure.

Methods: A 10 x 8 mm cannulated peg consisting of a stainless steel oval-shaped transversely sectioned rod was tested on 13 femoral heads retrieved from patients with subcapital fracture treated by hemiarthroplasty.

Intramedullary fixation of tibial shaft fractures using an expandable nail: early results of 54 acute tibial shaft fractures.

Objective: To evaluate and present our experience using the expandable nail system for the treatment of acute tibial shaft fractures.

Design: Retrospective study.

Setting: Two level-1 trauma centers-University teaching hospitals.

Total knee replacement in previous recipients of fresh osteochondral allograft transplants.

Background: Fresh osteochondral allograft transplantation is a treatment option for young patients with osteochondral lesions of the knee. The present study evaluated the surgical complexity of, and the prevalence of complications related to, total knee arthroplasty in patients who had had a previous osteochondral graft transplantation.

Methods: A retrospective analysis was performed on thirty-three consecutive patients (thirty-five knees) who underwent total knee arthroplasty from 1974 to 2000 after having had a previous transplantation of a fresh osteochondral allograft into the same knee.

Long-term followup of the use of fresh osteochondral allografts for posttraumatic knee defects.

Unlabelled: Posttraumatic osteochondral defects of the distal femur or proximal tibia pose a reconstructive challenge for the young active patient. Fresh osteochondral allografts have been used to reconstruct these defects and this report deals with the long-term clinical and radiographic follow-up in this patient population. This is a prospective nonrandomized study.

Long-term clinical experience with fresh osteochondral allografts for articular knee defects in high demand patients.

Fresh osteochondral allografts are used to repair osteoarticular defects of the knee. For post-traumatic defects recent advances in other techniques for cartilage repair and resurfacing have reduced the role of allograft tissue transplantation to defects larger than 3 cm in diameter and 1 cm in depth.A fresh osteochondral allograft that has been harvested from a donor within 24 h from death and preserved in 4 degrees C for up to 4 days shows 100% viability of the cartilage.

Complications of ilioischial reconstruction rings in revision total hip arthroplasty.

The complications, management, and outcome of a consecutive series of 61 ilioischial reconstruction rings performed by 1 surgeon over a 15-year period are reported. Structural corticocancellous allografts were used in 48 cases. Twenty-seven cases had no complications, 9 had medical complications, and 5 had complications related to femoral revision.

Long-term follow-up of fresh tibial osteochondral allografts for failed tibial plateau fractures.

Background: The management of large posttraumatic full-thickness osteochondral defects in the proximal part of the tibia remains a challenge. The goal of treatment is a pain-free range of motion of the knee that provides enduring function and enables a young patient to participate in a wide range of activities. The use of fresh osteochondral allograft transplantation for tibial plateau lesions has been well documented.