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Multi-ligament reconstruction in adolescent patients affected by congenital femoral deficiency is an extremely rare and delicate surgical procedure. There are very few reported cases of complete anterior and posterior cruciate ligament agenesis in these patients. We present a complex case of a 16-year-old girl affected by congenital femoral deficiency and ipsilateral tibial hypoplasia who was treated successfully for a complete agenesis of the anterior (ACL) and posterior (PCL) cruciate ligament with single-sitting ACL and PCL reconstruction.

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Thoracolumbar fractures: Factors predicting failure of percutaneous short- and long-segment posterior fixation.

Brain Spine

December 2024

Orthopedic Surgery Department, Unidade Local de Saúde de Braga, Portugal - Sete Fontes, São Victor, 4710-243, Braga, Portugal.

Introduction: Thoracolumbar (TL) transition trauma is frequent and challenging. Although short- (SSPF) and long-segment posterior fixation (LSPF) are its mainstay treatment, little is known about their failure rates and reasons behind it.

Research Question: understand why TL instrumentations fail and what factors influence it.

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Introduction: Bony and ligamentous ankle injuries are some of the most commonly treated injuries by orthopedic surgeons. Open ligamentous ankle injuries without an associated fracture or dislocation are rare and to our knowledge have only sparsely been described in the literature. We present a case and successful treatment of an open lateral ankle injury with capsular rupture and ligamentous damage without fracture or dislocation in a 22-year-old female.

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Background: Thoracolumbar (TL) fractures are uncommon injuries in the pediatric population. Surgery is recommended for TL fractures with significant deformity, posterior ligamentous complex disruption, or neurological compromise. The Thoracolumbar Injury Classification and Severity Scale (TLICS) has been validated in pediatric populations and serves as a valuable tool for guiding treatment decisions.

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Article Synopsis
  • Knee pain often involves varus deformity and unicompartmental osteoarthritis, where high tibial valgus osteotomy (HTO) has emerged as an effective treatment option to delay joint replacement.
  • A case report highlighted two patients with bilateral knee arthritis who underwent medial opening-wedge high tibial osteotomy using Dr. Saigal's plate, both achieving good range of motion and minimal complications post-surgery.
  • Comprehensive evaluations, including radiological assessments and specific surgical techniques like the Miniaci Method, were employed to ensure successful outcomes, with both patients showing significant improvement after one year.
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