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Bony Procedures for surgical patellar stabilization.

J ISAKOS

October 2024

Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA. Electronic address:

Surgery for patellofemoral instability is usually considered in patients with recurrent patellar dislocation and after a first-time patellar dislocation in the presence of either an associated osteochondral fracture or high risk of recurrence due to the presence of several risk factors. Risk factors include demographics such as age, contralateral dislocation, as well as anatomic risk factors (ARF) such as abnormal coronal and rotational alignment, trochlear dysplasia, lateral quadriceps vector, and patella alta. Surgery with soft tissue procedures includes restoring the medial patellar restraints and balancing the lateral side of the joint and can be successful in most patients.

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Article Synopsis
  • - The study investigates how different doses of photorefractive intrastromal corneal cross-linking (PiXL) treatment affect the biomechanics of the cornea and its curvature changes, utilizing a technique called acoustic radiation force optical coherence elastography (ARF-OCE).
  • - Five varying doses of ultraviolet-A (UVA) energy were administered to rabbit corneas, revealing that as the UVA dose increased, the Young's modulus of the cornea also increased, and this change was significantly correlated with alterations in corneal curvature.
  • - The findings suggest that the percentage change in Young's modulus (ΔE%) could serve as a new metric for understanding the effects of PiXL treatment, with potential implications for refining treatment approaches
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Laser corneal reshaping is a safe and effective technique utilized to treat common vision disorders. An advanced laser delivery system equipped with a pulsed UV laser with specific parameters is used to ablate parts of the cornea surface to correct the existing refractive error. The argon fluoride (ArF) excimer pulsed gas laser at 193 nm is the most employed type in the commercial devices for such treatments.

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