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Background: Elbow stiffness poses a significant challenge for surgeons as well as physiotherapists during and after surgery. To date, there is no consensus regarding the subsequent rehabilitation after surgical release of the stiff elbow.

Objective: The aim is to evaluate the most important therapeutic strategies following open or arthroscopic release of the stiff elbow based on a comprehensive literature review, and to develop a consensus for or against specific therapeutic methods with the help of a survey among elbow experts of the D-A-CH Association for Shoulder and Elbow Surgery (DVSE).

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Article Synopsis
  • This study evaluated the effectiveness of two ACL restoration techniques—repair with internal bracing (ACLIB) and reconstruction with autograft (ACLR)—in treating acute knee dislocations, highlighting ACLR as offering better stability, especially at 12 months post-surgery.
  • A total of 20 patients were included, and outcomes were assessed through patient-reported measurements and stress tests, showing ACLR had significantly lower tibial translation compared to ACLIB at the 24-month follow-up.
  • Both techniques produced good patient satisfaction scores, but knee stiffness was a common complication, which was effectively treated with early arthroscopic procedures.
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Purpose: To evaluate ≥2-year patient outcomes after primary all-soft tissue quadriceps tendon autograft (ASTQ) anterior cruciate ligament reconstruction (ACLR) with suture tape augmentation (STA) in skeletally mature high school and collegiate athletes.

Methods: All high school and collegiate athletes who underwent primary ASTQ ACLR with STA with a minimum of 2-year follow-up were analyzed retrospectively. Patients were administered validated patient-reported outcome measures (PROMs) pre- and postoperatively.

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Can Pyrocarbon be used as a functional spacer for the treatment of recalcitrant shoulder infections?

JSES Int

January 2024

ICR-Institut de Chirurgie Réparatrice, Groupe Kantys, Nice, France.

Background: The most common treatment approach in periprosthetic joint infection (PJI) and chronic shoulder joint infection (SJI) is a two-stage revision involving interval placement of an antibiotic cement spacer or a resection arthroplasty. Knowing that Pyrocarbon has a smooth surface that prevents pathogen adhesion, the question arises whether it could be used as a temporary or permanent functional spacer?

Purpose: The primary objective of the present study was to assess the rate of infection eradication after temporary or definitive implantation of Pyrocarbon Interposition Shoulder Arthroplasty (PISA) in patients with recalcitrant PJI or SJI. Our secondary objective was to assess mid-term clinical and radiographic outcomes.

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Background: Radial head prostheses are used in comminuted radial head fractures for elbow stabilisation when reduction and internal fixation is not possible. Several implant designs exist, but no large series exist about a short-cemented and bipolar implant.

Hypothesis: The hypothesis was that this prosthesis design shows good clinical, functional, and radiological results, with acceptable rate of complications.

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