[Ligamentun teres of the hip. Bibliographic revision].

The role and function of the ligamentum teres has drawn our attention in the last years due to the increasing and performance in hip arthroscopy, few is written in the literature, this is why we proposed to perform and assessed a review on the current literature of the anatomy, function, diagnose and rupture of the ligamentum teres of the hip.

Adult-onset asthma.

Background: Asthma is commonly overlooked or misdiagnosed in adults. Adult-onset asthma differs from asthma that first occurs in childhood as it is less well controlled, more likely to be non-atopic and associated with a faster decline in lung function. Risk factors include exposure to sensitising or irritant substances, obesity, pharmaceutical agents, rhinitis, environmental pollutants, respiratory tract infections and psychological stress.

Enrolled nurse trainees in acute care.

Enrolled nurses (ENs) play a pivotal role in the health workforce in Australia and the role is expanding in many practice settings. An EN traineeship was introduced in an acute medical/surgical setting at St Vincents & Mercy Private Hospital (STVMPH) a large metropolitan private hospital in Victoria, in 2005. Since then there has been a significant increase in the EN workforce across all clinical areas within the organisation.

Enhancing nursing practice potential: breast free flap reconstruction following mastectomy.

Background: Breast cancer is the most common cancer for women in both the developed and the developing world, comprising nearly one quarter of all female cancers. The most advanced forms of treatment, including mastectomy, may produce a five-year survival rate of 75% or more for certain types of cancer. For women experiencing breast cancer, breast reconstruction is often a positive option that can enhance quality of life and plays a significant role in a woman's recovery from breast cancer.

Arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement in patients over 60 years of age.

We reviewed the clinical outcome of arthroscopic femoral osteochondroplasty for cam femoroacetabular impingement performed between August 2005 and March 2009 in a series of 40 patients over 60 years of age. The group comprised 26 men and 14 women with a mean age of 65 years (60 to 82). The mean follow-up was 30 months (12 to 54).

Arthroscopic debridement of the isolated Ligamentum Teres rupture.

Purpose: Most tears of the Ligamentum Teres (LT) are diagnosed when treating other hip pathologies. The purpose of this study was to evaluate the outcome of arthroscopic surgery for a unique group of patients with symptomatic isolated Ligamentum Teres rupture of the hip.

Methods: The study included 29 patients who suffered from an isolated Ligamentum Teres rupture of the hip and were treated with an arthroscopic debridement from 2003 to 2008.

The incidence of total hip arthroplasty after hip arthroscopy in osteoarthritic patients.

Objective: To assess the incidence of total hip arthroplasty (THA) in osteoarthritic patients who were treated by arthroscopic debridement and to evaluate factors that might influence the time interval from the first hip arthroscopy to THA.

Design: Retrospective clinical series

Methods: Follow-up data and surgical reports were retrieved from 564 records of osteoarthritic patients that have had hip arthroscopy between the years 2002 to 2009 with a mean follow-up time of 3.2 years (range, 1-6.

Skin temperature and core-peripheral temperature gradient as markers of hemodynamic status in critically ill patients: a review.

Objective: To examine the evidential basis underpinning the monitoring of skin temperature and core-peripheral temperature gradient as elements of hemodynamic assessment in critically ill and adult cardiac surgical patients.

Methods: Twenty-six studies examining the efficacy of skin temperature or temperature gradient as markers of hemodynamic status were selected as part of an integrative review.

Results: Evidence pertaining to the efficacy of these parameters as markers of cardiac function is equivocal and has not been well appraised in the adult cardiac surgical population.

Skin temperature as a noninvasive marker of haemodynamic and perfusion status in adult cardiac surgical patients: an observational study.

Objective: Foot temperature has long been advocated as a reliable noninvasive measure of cardiac output despite equivocal evidence. The aim of this pilot study was to investigate the relationship between noninvasively measured skin temperature and the more invasive core-peripheral temperature gradients (CPTGs), against cardiac output, systemic vascular resistance, serum lactate, and base deficit.

Research Methodology: The study was of a prospective, observational and correlational design.

The epidemiology of knee injuries in English professional rugby union.

Background: Detailed injury epidemiology is an invaluable tool for reducing risks associated with sporting injuries. Very little accurate injury surveillance data exist regarding knee injuries in professional rugby.

Hypotheses: (1) Knee injuries have a greater impact on the game than injuries to other body locations.

Autologous chondrocyte implantation: natural history of postimplantation periosteal hypertrophy and effects of repair-site debridement on outcome.

Purpose: Our purposes were to report the clinical outcome of autologous chondrocyte implantation (ACI) patients with graft hypertrophy compared with that of unoperated ACI patients and to longitudinally assess the effects of graft hypertrophy debridement.

Methods: We divided 170 knee ACI patients with a minimum of 2 years' follow-up into groups according to the need for reoperation after ACI and the findings at surgery. Group A (n = 73) comprised patients who did not undergo reoperation, group B (n = 61) comprised patients who underwent reoperation and had findings unrelated to the repair, and group C (n = 36) comprised patients who underwent reoperation and had isolated graft hypertrophy.

Autologous chondrocyte implantation: superior biologic properties of hyaline cartilage repairs.

Information regarding the quality of autologous chondrocyte implantation repair is needed to determine whether the current autologous chondrocyte implantation surgical technology and the subsequent biologic repair processes are capable of reliably forming durable hyaline or hyaline-like cartilage in vivo. We report and analyze the properties and qualities of autologous chondrocyte implantation repairs. We evaluated 66 autologous chondrocyte implantation repairs in 57 patients, 55 of whom had histology, indentometry, and International Cartilage Repair Society repair scoring at reoperation for mechanical symptoms or pain.

Periosteal autologous chondrocyte implantation for patellar chondral defect in patients with normal and abnormal patellar tracking.

Reported results for patellar ACI include a mixed population of patients having or not a concomitant correction of the extensor mechanism. No study has reported separate outcome for those two patellar ACI subgroups. Forty four patients were included in this study designed to compare the outcome of patellar ACI with extensor realignment (group A) to patellar ACI with normal patellofemoral tracking (group B).

Arthroscopically treated intraarticular osteoid osteoma in the ankle--a report of 3 cases.

We present 3 cases of arthroscopically treated intraarticular osteoid osteoma of the ankle. Emphasis is on the high index of suspicion for this lesion, the appropriate imaging modality and the efficacy of arthroscopic excision of these tumors with superficial location in the talus and tibial plafond.

Subchondral bone overgrowth in the presence of full-thickness cartilage defects in the knee.

Between October 2000 and December 2003, 252 autologous chondrocyte implants were performed in 183 patients. Eighty lesions showed overgrowth of the subchondral bone plate under the chondral lesion, this was termed a "bone boss." Thirty-seven were on the medial femoral condyle (MFC), 18 on the lateral femoral condyle (LFC), 21 in the trochlea and 4 on the patella.

High tibial osteotomy: long term survival analysis and patients' perspective.

High tibial osteotomy has been generally accepted as a useful treatment for unicompartment osteoarthritis of the knee to improve a patient's quality of life. Few studies have examined the outcome from the patient's perspective. A survival analysis of one to twenty-one years was conducted on 67 knees including analysis of the patients' satisfaction level with this procedure.

Treatment outcome of extensor realignment for patellofemoral dysfunction.

Patellofemoral pain remains one of the most common musculoskeletal disorders encountered in orthopaedic practice. In this retrospective clinical study, 108 knees in 98 patients with patellofemoral pain due to malalignment were treated using a combined proximal and distal realignment technique. The results were evaluated at an average of 29.

Autologous chondrocyte implantation for treatment of focal chondral defects of the knee--a clinical, arthroscopic, MRI and histologic evaluation at 2 years.

To determine the efficacy of autologous chondrocyte implantation (ACI) in treating focal chondral defects of the knee, we reviewed the 2-year treatment outcome of ACI in 53 patients (72 lesions) through clinical evaluation, MRI, second-look arthroscopy and biopsies obtained. Improvement in mean subjective score from preoperative (37.6) to 12 months (56.

Ankle impingement: combined anterior and posterior impingement syndrome of the ankle.

Background: Simultaneous anterior and posterior ankle impingement has not been previously reported. We identified 62 patients with both anterior and posterior impingement and report the results of anterior arthroscopic and posterior open treatment.

Methods: Between January, 1990, and December, 2003, 62 consecutive patients with symptoms and signs of both anterior and posterior impingement of the ankle were identified.

Reoperation after autologous chondrocyte implantation. Indications and findings.

We have reviewed 22 patients from a total of 135 treated by autologous chondrocyte implantation (ACI) who had undergone further surgery for pain in the knee and mechanical symptoms after a mean of 10.5 months. There were 31 grafted lesions.

Prospective clinical study of autologous chondrocyte implantation and correlation with MRI at three and 12 months.

In order to determine the usefulness of MRI in assessing autologous chondrocyte implantation (ACI) the first 57 patients (81 chondral lesions) with a 12-month review were evaluated clinically and with specialised MRI at three and 12 months. Improvement 12 months after operation was found subjectively (37.6 to 51.