Minimally Invasive Knee Lateral Collateral Ligament Reconstruction Using Partial Biceps Femoris Tendon Autograft.

Lateral collateral ligament (LCL) is known as an important ligament to restrain varus force of the knee, especially in 30° knee flexion. From the anatomical study, the insertion of LCL at proximal fibula is intimately close to the insertion of biceps femoris (BF) tendon. Since LCL is infrequently injured in isolation, and with limitation in availability of autograft and allograft, this study proposes the partial anterior BF tendon as an alternative autograft source to reconstruct the LCL.

Hybrid Inside-Out-Outside-In Meniscal Repair Through a Small Skin Incision.

Although the updated generation of all-inside devices for meniscal repair is more convenient to deploy and can provide comparable clinical outcomes with those of the inside-out procedure, the latter is still a very useful technique, giving many advantages over the former. The critical drawback of the conventional inside-out technique is the need for preparation of the accessory incision to prevent the risk of soft-tissue entrapment and neurovascular injury while retrieving the exiting meniscal needles, especially at the posterior corner of the knee. To minimize the space volume of the incision, a small, bluntly dissected track guided by the first exiting meniscal needle is sufficient in our hybrid inside-out-outside-in technique.

A comparative study comparing area of extension of posterior knee capsule via posteromedial injection: a cadaveric study.

Background: Periarticular multimodal drug injection (PMDI) has gained popularity as common postoperative pain protocols in knee arthroplasty. PMDI sites can vary, but posterior capsule (PC) is a common injection site because of its abundance of pain nociceptors.

Purpose: To prove the hypothesis whether posteromedial drug injection alone is sufficient to provide enough effect covering the PC in order to reduce risks of neurovascular injury.

The Sliding, Interlocking "8-2-Alpha Knot" for Arthroscopic Surgery.

We describe a sliding knot that is ideally lockable by transforming the original simple figure-of-8 configuration into a true interlocking, low-profile knot with an α-α configuration that creates strong primary knot security when tying is finished. Reversed half-hitches on alternating posts for secondary knot security can be added, but to save surgical time, these are not obligatory. Three simple knot-tying methods are presented; the choice of which to use is based on the surgeon's preference.

Effects of Zingiber cassumunar (Plai cream) in the treatment of delayed onset muscle soreness.

Objective: To evaluate the effects of Zingiber cassumunar (Plai cream) in either 7% or 14% concentration on delayed onset muscle soreness (DOMS).

Methods: Seventy-five untrained healthy volunteers (28 males and 47 females), performed 4 sets of 25 eccentric repetitions of the dominant quadriceps muscle on an isokinetic dynamometry machine. Participants were then randomized into 3 groups: 14% Plai cream, 7% Plai cream and placebo cream.

Tibial inlay technique using hamstring graft for posterior cruciate ligament reconstruction and remnant revision.

The posterior tibial inlay technique is currently accepted as a standard operation for the posterior cruciate ligament-deficient knee. The classical technique requires a graft construct consisting of a bony part to be fitted into the posterior tibial socket. When an autogenous source is chosen, morbidity at the donor site generated by obtaining the graft with a bony part (e.

The relevant level to estimate girth difference between thighs after anterior cruciate ligament deficiency.

Background: Manual thigh girth measurement is a simple tool to roughly estimate capacity change of the thigh. Yet, there is no good evidence supporting the most relevant anatomical landmarks to detect girth difference from the normal limb.

Material And Method: The present study consecutively enrolled 30 patients sustaining unilateral anterior cruciate ligament deficiency and measured both thigh girths in series at 2-cm intervals from anteromedial joint line until 30 cm cephalad.

Meta-analysis comparing bioabsorbable versus metal interference screw for adverse and clinical outcomes in anterior cruciate ligament reconstruction.

Purpose: To compare bioabsorbable screw (BS) against metal screw (MS) primarily on adverse effects and secondarily on clinical outcomes after single-bundle primary anterior cruciate ligament reconstruction.

Methods: Electronic searches were performed using search strategies meeting the mentioned purposes. Retrieved articles were selected for randomised controlled trials (RCTs) reporting at least 1-year follow-up.

Properties and biocompatibility of chitosan and silk fibroin blend films for application in skin tissue engineering.

Chitosan/silk fibroin (CS/SF) blend films were prepared and evaluated for feasibility of using the films as biomaterial for skin tissue engineering application. Fourier transform infrared spectroscopy and differential scanning calorimetry analysis indicated chemical interaction between chitosan and fibroin. Chitosan enhanced β-sheet conformation of fibroin and resulted in shifting of thermal degradation of the films.

Combined effect of subchondral drilling and hyaluronic acid with/without diacerein in full-thickness articular cartilage lesion in rabbits.

The osteochondral healing potential of hyaluronic acid (HA) plus diacerein was evaluated in subchondral-drilling- (SCD-) induced fibrocartilage generation in rabbits. A full-thickness chondral defect was created along the patellar groove of both knees and then SCD was subsequently performed only in the left knee. A week later, the rabbits were allocated into 3 groups to receive weekly intra-articular (IA) injection for 5 weeks with normal saline solution (NSS) (group 1) or with HA (group 2 and group 3).

Efficacy of symptomatic control of knee osteoarthritis with 0.0125% of capsaicin versus placebo.

Background: Knee osteoarthritis (OA) is prevalent and associated with both pain and functional disability. Current treatments aim to alleviate mild to moderate symptoms by various methods. Topical capsaicin (0.

Neglected dislocation of the elbow.

We retrospectively review the intermediate-term to long-term results of 24 patients treated after late open reduction of neglected posterior elbow dislocation in terms of the elbow, particularly noting joint mobility. The mean interval from injury to operation was 7.9 months (range, 1-60 months).

Arthroscopic outside-in meniscal repair through a needle hole.

This article describes an alternative method for outside-in repair of a longitudinal meniscal tear through a needle hole, which will produce an almost negligible cutaneous scar. The procedure is performed under arthroscopic set-up using an 18-gauge needle preloaded with appropriate suture material. Insert the needle twice through the same cutaneous entry hole to form a mattress loop across the torn meniscal segments.