The initial strength of the intact medial collateral ligament (MCL) of the elbow and the strength of 4 reconstruction techniques were compared. Twenty cadaveric upper extremities were mounted in a custom jig with the elbow at 90 degrees , and a pneumatic cyclic valgus loading protocol was used. The mean peak load to failure was 142.5+/-39.4 N for the intact ligaments and 53.0+/-9.5 N for the do...

BACKGROUND To obtain the correct coronal alignment and balancing in flexion and extension, we established a selective medial release technique and investigated the effectiveness and safety of the technique during primary total knee arthroplasty (TKA). METHODS Four hundred sixty-six primary TKAs with varus deformity were prospectively evaluated between June 2013 and June 2015. A knee joint pos...

©2003 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.85B7.14405 $2.00 e studied the stabilising effect of prosthetic replacement of the radial head and repair of the medial collateral ligament (MCL) after excision of the radial head and section of the MCL in five cadaver elbows. Division of the MCL increased valgus angulation (mean 3.9 ± 1.5 ̊) and internal rotatory la...

A 3-year-old Quarter Horse filly presented with an acute history of right hindlimb lameness. Examination the hind found moderate effusion in medial femorotibial joint and a consistent grade 4/5 Ultrasonographic evaluation revealed disruption synovial membrane recess capsule. Arthroscopy identified tear capsule at attachment to collateral ligament. Treatment autologous conditioned serum, rest fi...

We describe a unique, utilitarian reconstructive treatment option known as tibial "spackling" for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ...

Reverse Segond fracture is an uncommon avulsion fracture of the tibial attachment of the deep portion of the medial collateral ligament of the knee. We report a reverse Segond fracture associated with anterior cruciate ligament tibial avulsion fracture and anteromedial tibial rim fracture. Unlike previous reports, the combination of reverse Segond fracture, anteromedial tibial rim fracture, and...

BACKGROUND Anterior cruciate ligament (ACL) tear is the most frequent injury in alpine ski racing, and there is a high prevalence of ACL reinjury. Limited data exist on the concurrent pathology with primary ACL tears in elite alpine ski racers and the magnitude of injury progression after primary ACL reconstruction (ACLR). PURPOSE To evaluate (1) the involvement of intra-articular and multili...

INTRODUCTION: Glycosaminoglycans (GAGs) contribute to the hydration of articular cartilage, ligament, and tendon through osmotic and electrostatic interactions with polar water molecules [1]. This mechanism is a strong determinant of perceived viscoelastic behavior of some biological soft tissues under deformation [2-4]. The apparent permeability describes the freedom of fluid to flow through a...

PURPOSE Platelet-rich plasma (PRP) is derived from centrifuging whole blood to obtain a high platelet concentration containing numerous growth factors. Despite its widespread use, there is still a lack of high-level evidence regarding randomized clinical trials assessing the efficacy of PRP in treating ligament injuries. Although there is research showing an improvement in the early stages of h...