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Simultaneous patellar tendon and anterior cruciate ligament rupture: a systematic review, meta-analysis and algorithmic approach.
Arch Orthop Trauma Surg
December 2024
Faculty of Medicine, University of Basel, 4031, Basel, Switzerland.
Introduction: Isolated patellar tendon (PT) or anterior cruciate ligament (ACL) ruptures are common injuries, yet the co-occurrence of both presents a rare challenge for clinicians. The objectives of the study are to document diagnostic and therapeutic approaches, outcomes, and complications of combined PT and ACL injuries and to develop an algorithm to guide clinicians in decision-making.
Methods: The systematic review und metanalysis was conducted according to the PRISMA guidelines.
Predictors of Increased Complication Rate Following Tibial Tubercle Osteotomy (TTO).
Knee
December 2024
NYU Langone Health, Department of Orthopedics, Division of Sports Medicine, 333 E 38th St, New York, NY 10016, United States.
Purpose: The purpose of the current study was to define the incidence of minor and major complications following TTO at a tertiary-care institution, with determination of predictive factors related to the occurrence of a major complication.
Study Design: Retrospective case series.
Methods: Patients who underwent TTO from 2011 to 2023 were retrospectively identified.
Purpose: This retrospective comparative study aimed to compare the native patellar alignment and clinical outcomes of the Rotating Concave-Convex (ROCC) knee, which features a saddle-shaped rotating platform (RP) insert and a deep trochlea, versus the low contact stress (LCS) knee, which has favourable long-term outcomes and features an anatomically shaped trochlea and a cruciate-sacrificing RP insert. We hypothesized that the deeper trochlea of the ROCC would further stabilize the native patella, resulting in superior clinical outcomes compared to LCS-RP.
Methods: Consecutive patients who underwent patellar-nonresurfacing primary total knee arthroplasty (TKA) using ROCC or LCS-RP were retrospectively reviewed.
Bone-Patellar Tendon-Bone Versus Quadriceps Tendon-Bone Autografts in Anatomic Rectangular Tunnel Anterior Cruciate Ligament Reconstruction.
Orthop J Sports Med
November 2024
Department of Sports Orthopaedics, Hoshigaoka Medical Center, Osaka, Japan.
Background: Anatomic rectangular tunnel anterior cruciate ligament reconstruction (ART-ACLR) can mimic the fiber arrangement of the native ACL and restore normal knee biomechanics, compared with the conventional round tunnel ACLR. ART-ACLR using a bone-patellar tendon-bone (BPTB) graft can provide satisfactory clinical outcomes; however, some issues such as secondary ACL injury and donor-site morbidity, including postoperative anterior knee pain (AKP), remain to be solved. Due to these issues, quadriceps tendon-bone (QTB) grafts have recently become more popular.
View Article and Find Full Text PDFMPFL Reconstruction in Skeletally Immature Patients: Comparison Between Anatomic and Non-Anatomic Femoral Fixation-Systematic Review.
Children (Basel)
October 2024
School of Physical Education and Sport Science, National and Kapodistrian University of Athens, 17237 Athens, Greece.
Background: MPFL reconstruction in children with open physis may be challenging, as a major concern during the surgery is to preserve the distal femoral physis. The purpose of this study was to compare the complication rate and the patient-reported outcomes in skeletally immature patients who underwent MPFL reconstruction using an anatomic (A) or non- anatomic (NA) surgical technique.
Methods: For this systematic review, the authors adhered to the PRISMA guidelines.
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