Severe post-traumatic genu recurvatum is an uncommon condition in orthopedics. The typical symptoms are pain, weakness, and instability. For severe and symptomatic genu recurvatum patient, the surgical correction should be performed to relieve symptoms and prevent progression of deformity. Many procedures were proposed to treat this condition, but there are some complications such as patella baja, secondary deformity, skin complication, and inadequate correction. Most of the procedures need an additional procedure such as tibial tuberosity transfer to correct the patellar height. In this case, the authors report a new technique in which the osteotomy was performed near the center of rotation angulation. And, the correction did not influence the patellar height.
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http://dx.doi.org/10.1007/s00590-018-2300-1 | DOI Listing |
Arch Orthop Trauma Surg
December 2024
Department of Orthopaedic and Trauma Surgery, Raymond-Poincaré Hospital, APHP, Garches, France.
Purpose: Total knee arthroplasty (TKA) in patients with sequelae of poliomyelitis is a surgical challenge due to muscle weakness, bone deformities or post-polio syndrome (PPS). Few data exist to determine the factors contributing to poor functional results. This study aimed: (1) to describe a cohort of patients with poliomyelitis sequelae who underwent TKA; (2) to examine risk factors for poor functional outcome.
View Article and Find Full Text PDFDev Med Child Neurol
November 2024
Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
Aim: To identify the short-term effects of selective dorsal rhizotomy (SDR) on gait and clinical impairments in children with bilateral spastic cerebral palsy (CP) and subgroups based on baseline gait patterns.
Method: Eighty-nine children with bilateral spastic CP (55 males, mean age [SD] before SDR: 9 years 5 months [2 years 3 months]; Gross Motor Function Classification System level I: 18; II: 54; III: 17) received three-dimensional gait analyses at two time points (baseline and 1 year after SDR); their baseline gait patterns were classified. The analysis included the comparisons of (1) sagittal plane kinematic waveforms, the Gait Profile Score, and non-dimensional spatiotemporal parameters between the two time points, (2) the kinematic waveforms of both time points to those of typically developing children, and (3) composite impairment scores of spasticity, weakness, and selectivity between the two time points.
J Bodyw Mov Ther
October 2024
Community Memorial Health System, 147 N. Brent St, Ventura, CA, USA.
Background: In the realm of research, the single case study has been recognized as a valuable tool for sharing insights, demonstrating new concepts, discovering novel phenomena, consolidating hypotheses, and sparking original ideas. In this physician-guided narrative, phenomena previously unreported in the clinical context are explored. These case studies aim to offer insights that may inform an existing theoretical model that encapsulates a distinct therapeutic intervention.
View Article and Find Full Text PDFHSS J
September 2024
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Initial fixed-bearing hinge designs for primary total knee arthroplasty (TKA) had high rates of aseptic loosening. There are limited data on contemporary rotating-hinge implants. : We sought to determine survivorship and functional outcomes of contemporary rotating-hinge implants used in primary TKA.
View Article and Find Full Text PDFAm J Sports Med
November 2024
Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Background: Anterior cruciate ligament (ACL) injury is one of the most severe injuries for athletes. It is important to identify risk factors because a better understanding of injury causation can help inform athletes about risk and increase their understanding of and motivation for injury prevention.
Purpose: To investigate the relationship between anatomic factors and risk for future noncontact ACL injuries.
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