We randomised 31 patients with acute tears of the anterior cruciate ligament (ACL) to receive either early (within 2 weeks) or delayed (8 to 12 weeks) reconstruction using a quadruple hamstring graft in order to determine if there was any functional advantage to early reconstruction. Outcome measures included return of knee movement, muscle dynamometry, International Knee Documentation Committe...

background: daily increased rate of anterior cruciate ligament (acl) injuries in athletes calls for more investigation in these patients to differentiate copers from noncoper acl-deficient (acld) knees as soon as possible. objectives: the current study aims to introduce a new electromyographic protocol, named voluntary response index (vri), that might help to categorize and differentiate patien...

Background Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challenging cases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA) in this patient population. Methods PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of age with osteoporosis or ...

The contraindications for unicompartmental knee replacement (UKR) remain controversial. The views of many surgeons are based on Kozinn and Scott's 1989 publication which stated that patients who weighed more than 82 kg, were younger than 60 years, undertook heavy labour, had exposed bone in the patellofemoral joint or chondrocalcinosis, were not ideal candidates for UKR. Our aim was to determin...

<p class="abstract"><strong>Background: </strong>The objective of the study was to assess clinical outcome and donor site morbidity ACL reconstruction with peroneus longus tendon autografts in patients injury.</p><p class="abstract"><strong>Methods:</strong> 60 Patients who underwent using autograft after fulfilling inclusion criteria obtaining informed...

We have undertaken a randomised clinical trial comparing two methods of reconstruction of the anterior cruciate ligament in patients with chronic instability. We used an ipsilateral bone-patellar-tendon-bone autograft in 27 patients and the Ligament Advancement Reinforcement System (LARS) artificial ligament in 26. Assessment before and at two, six, 12 and 24 months after surgery, included the ...

PURPOSE To investigate tibial tunnel widening and knee instability after ACL reconstruction with hamstring autograft or irradiated soft tissue allograft. METHODS Eight-two patients were divided into two groups: autograft group and allograft group. Radiographic and clinical evaluations were performed. RESULTS Seventy patients were followed up with median of 36.3 months (range 36-38 months). ...

Treatment of osteochondral defects in weight-bearing areas of the knee, especially when they are sizeable and involve considerable subchondral bone loss, is a challenging problem. We report our experience on the use of osteochondral allografts with the MEGA-OATS technique in the management of large osteochondral defects of the knee in young patients. Five patients (3 male and 2 female) were inc...

To evaluate clinical and functional results of isolated repairs meniscal tears with intact cruciate ligaments. The hypothesis was that medial were associated higher failure rate than lateral meniscus repairs. A retrospective analysis prospectively collected data performed on patients who underwent primary repair in a stable knee between 2008 2018 minimum follow-up 2 years. At the final follow-u...

Anterior cruciate ligament reconstruction with patellar tendon allograft tissue is a common orthopedic procedure. It is unknown what effect, if any, the donor age has on clinical outcomes. Biomechanical studies have shown the strength of cadaveric patellar tendon to be independent of age, but no clinical studies have evaluated patient outcomes related to this variable. The purpose of this study...