INTRODUCTION Disengagement of polyethylene insert used in total knee arthroplasty is a rare but serious complication. Still rarer is disengagement because of failure of tibial insert locking mechanism. We report a previously unpublished complication of polyethylene insert locking mechanism failure in a 10-months-old posterior stabilized total knee arthroplasty in a 70-year-old woman with osteoa...

BACKGROUND Failure rates of knee ligament surgery may be high, and the impact of osseous alignment on surgical outcome remains controversial. Basic science studies have demonstrated that osseous malalignment can negatively affect ligament strain and that realignment procedures may improve knee joint stability. HYPOTHESIS/PURPOSE The purpose of this review was to summarize the clinical evidenc...

objectives: patients suffering from mild to moderate knee osteoarthritis may be treated with unloader knee orthoses or laterally wedged insoles. the aim of this study was to identify and compare the effects of two orthoses in these patients. methods: 56 patients with medial compartment knee oa were evaluated when wearing an unloader knee orthosis and insoles with a 6° lateral wedge which were r...

tuberculosis (tb), once a disease confined to undeveloped or developing nations is currently in resurgence, which is attributable to pandemic human immunodeficiency virus (hiv) infection and immigration from endemic areas. tuberculous arthritis is difficult to diagnose early because of its atypical insidious clinical manifestations and nonspecific imaging findings. tb is also known as the ‘grea...

background : biomechanical factors are known to be important in knee osteoarthritis (oa) development and progression. this study was designed to determine changes of hamstrings muscle activation, knee adduction moment and ankle rotation angle in two knee osteoarthritis (mild and moderate) and a healthy control group.   methods: 16 females (10 with mild and 6 with moderate medial knee osteoarthr...

The goal of arthroscopic partial meniscectomy is to preserve a stable rim of meniscal cartilage, removing only unstable, diseased tissue. As one of the most common orthopedic procedures performed in the United States, arthroscopic partial meniscectomy developed as an alternative to open total meniscectomy that leads to degenerative changes in the knee over time. The short-term results of this m...

this paper addresses the validity of two hypotheses concerning changes of vowel quality in persian. the theory of centralization claims that there is a strong correlation between vowel duration and vowel quality. as vowel duration is shortened in unstressed contexts, the size of the vowel inventory reduces toward the center, leading to considerable overlap between different categories and a red...

OBJECTIVE Anterior cruciate ligament (ACL) injuries are the most common ligament injury in the United States. These injuries can be career ending for athletes and severely disabling for all individuals. Our objectives are to review the epidemiology of these injuries, as well as ACL biomechanics, anatomy, and nonsurgical and surgical management so that generalists as well as sports medicine phys...

Constrained implants are frequently used for primary total knee arthroplasty (TKA) in patients with moderate and severe genu-valgum (>10˚). This deformity presents corrective challenges for ligament release. The lateral-parapatellar approach has been advocated as an alternative to the traditional medial-parapatellar approach. Claimed advantages include better access for release of tight ligamen...

BACKGROUND It is unknown whether unstable chondral lesions observed during arthroscopic partial meniscectomy (APM) require treatment. We examined differences at 1 year with respect to knee pain and other outcomes between patients who had debridement (CL-Deb) and those who had observation (CL-noDeb) of unstable chondral lesions encountered during APM. METHODS Patients who were ≥30 years old an...