Ligamentoplasty using the peroneus brevis in the treatment of chronic instabilities of the ankle. Long-term review.

Sixteen cases in which a ligamentoplasty using the peroneus brevis were followed up for more than 8 years. In half of the cases, dorsiflexion of the ankle was diminished and the subtalar joint was stiff. There was no anterior drawer sign of the talus.

Gracilis tendon transfer associated with distal alignment for patella alta with recurrent dislocations: an original surgical technique.

Many surgical techniques for the medial patellofemoral ligament have recently been suggested, all of which included problems identifying the femoral anchorage point and determining the proper extent of knee flexion for the transplant. P. Burdin proposed a different and original approach consisting in performing a gracilis muscle transfer to the medial edge of the patella, thus obtaining progressive tension of the transfer during knee flexion by means of the myotatic reflex.

Total knee arthroplasty in valgus knee.

Total knee arthroplasty (TKA) in valgus knee has the reputation of being more difficult than in well aligned or varus knee, and there is no management consensus. Results on a continuous series of 100 TKAs on valgus knee were compared to the literature data, to define surgical strategy adapted to the various types of valgus knee.

Total knee arthroplasty in patients with greater than 20 degrees flexion contracture.

Unlabelled: Does total knee arthroplasty (TKA) correct the flexion contracture in knee stiffness associated with osteoarthritis, inflammatory disease, hemophilia or post-traumatic sequelae? The results of 107 TKAs from five specialized centers were retrospectively reviewed. Only knees with greater than or equal to 20 degrees flexion contracture on extension were included, 46 of which also had less than 90 degrees flexion. As a result of the arthroplasty, extension increased by 20+/-6 degrees in group 1 (flexion contracture only, n=61), and by 22+/-11 degrees in group 2 (combined stiffness, n=46), in which the total range of motion increased of 39+/-21 degrees.

Total knee arthroplasty with limitations of flexion.

Unlabelled: Does total knee arthroplasty (TKA) increase mobility in stiff knees, where flexion is restricted due to degenerative changes associated with osteoarthritis, inflammatory disease, hemophilia, or post-traumatic sequelae also affecting soft tissue? The results of one hundred twenty eight TKA from five specialized centers were retrospectively reviewed. Only knees with pre-operative flexion less than 90 degrees were included. Forty six of these also had severe flexion contracture (>20 degrees).