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The medial collateral ligament is the most commonly injured knee ligament. Valgus stress radiographs are reported to be an effective way to quantify the medial compartment opening. However, most of the techniques require the presence of a physician in the radiograph room to apply a manual valgus stress force, and can only be performed in 1 knee at a time. These techniques, although extremely effective, increase radiation exposure to physicians, are time consuming, and require additional radiographs to compare the side-to-side difference. The purpose of this Technical Note is to describe our preferred valgus stress radiographic technique to evaluate medial side laxity, which offers several advantages compared with conventional manual techniques.
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http://dx.doi.org/10.1016/j.eats.2017.08.032 | DOI Listing |
J Orthop
July 2025
Department of Orthopaedic Surgery and Joint Surgery Centre, Takatsuki, General Hospital, 1-3-13, Kosobe-Cho, Takatsuki, Osaka, 561-1115, Japan.
Background: The presence of full-thickness cartilage in the lateral compartment on valgus stress radiography is a criterion for medial mobile-bearing unicompartmental knee arthroplasty (UKA). However, the appropriateness of medial UKA is uncertain when preoperative MRI shows extrusion of the lateral meniscus. We therefore assessed how preoperative MRI-detected lateral meniscus extrusion affects mid-term functional outcomes after mobile-bearing UKA.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
December 2024
Laboratoire ICube, Université de Strasbourg - CNRS, 4 rue de la Manufacture des Tabacs, 67000 Strasbourg, France; Service de Chirurgie Orthopédique et de Traumatologie, Hôpital de Hautepierre II, 1 Avenue Molière, 67098 Strasbourg Cedex, France. Electronic address:
Introduction: High tibial osteotomy (HTO) is indicated for managing isolated medial knee osteoarthritis in a young patient with a metaphyseal deformity of the proximal tibia. In a medial open-wedge HTO, maintaining the integrity of the hinge is crucial for consolidation and preservation of the correction. Based on a validated model and preliminary results, the objective of this work was to measure and monitor the distribution of mechanical load on a locking fixation plate and the lateral hinge of an HTO using a finite element (FE) model during different phases of consolidation evolution, simulating single leg weightbearing.
View Article and Find Full Text PDFArch Orthop Trauma Surg
December 2024
Sporthopaedicum Regensburg, Regensburg, Germany.
Purpose: Varus posteromedial rotatory instability (VPMRI) involves anteromedial coronoid fracture (AMCF), lateral ulnar collateral ligament (LUCL), and medial collateral ligament (MCL) injury. There is no general consensus regarding the surgical treatment, but most surgeons recommend internal fixation of the coronoid along with primary ligament repair. This methodology involves postoperative immobilization to allow ligament healing, occasionally associated with stiffness.
View Article and Find Full Text PDFZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
December 2024
Faculty of Mechanical and Electrical Engineering, Kunming University of Science and Technology, Kunming Yunnan, 650504, P. R. China.
Objective: To establish a finite element model of the knee joint based on coronal plane alignment of the knee (CPAK) typing method, and analyze the biomechanical characteristics of different types of knee joints.
Methods: The finite element models of the knee joint were established based on CT scan data of 6 healthy volunteers. There were 5 males and 1 female with an average age of 24.
J Exp Orthop
October 2024
Bone, Joint and Related Tissue Research Center Shahid Beheshti University of Medical Sciences Tehran Iran.
Purpose: Multiligament knee injuries (MLKIs) involve various ligaments in the knee. Current double-bundle anatomical reconstructions of the medial collateral ligament (MCL) increase the level of technical complexity, often resulting in the establishment of numerous bone tunnels and different fixation points with additional hardware. To overcome these limitations, we proposed a novel minimally invasive nonanatomical MCL reconstruction with one tibial tunnel in the metaphysis using Achilles allograft in the MLKI setting.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!