OBJECTIVE To determine the association of postural control with muscle strength, proprioception, self-reported knee instability and activity limitations in patients with knee osteoarthritis. METHODS A total of 284 patients with knee osteoarthritis from the Amsterdam Osteoarthritis cohort were included. Postural control was assessed using the One-Leg Stand Test (OLST), in which the patients we...

BACKGROUND Constrained implants are frequently required in revision total knee arthroplasty (TKA) and are associated with an increase in aseptic component loosening and damage or wear to the constraining mechanisms, compared with primary TKA. The purpose of the following study was to evaluate the midterm clinical and radiographic results including the incidence of bearing complications in a gro...

AIM OF THE STUDY Ultrasound examination is widely used in orthopedic diagnostics, however sonographic evaluation of traumatic anterior cruciate ligament insufficiency is still inadequate. Aim of this study is to evaluate diagnostic capability of a new sonographically-guided test for diagnosing complete anterior cruciate ligament insufficiency. MATERIAL AND METHODS In 47 patients, with suspici...

bone-patellar tendon auto graft is probably the most widely used graft for acl reconstruction. several methods for graft fixation have been described. to avoid intra-articular hardware we adopt biological fixation with a femoral trapezoidal press-fit fixation. a prospective study was performed on 30 consecutive active people who underwent acl reconstruction with this technique by two surgeons b...

This prospective randomized study compares the long term results between total knee arthroplasty with a mobile bearing high flex and a fixed bearing posterior stabilized knee (LPS) in 39 patients. The Hospital for Special Surgery score (HSS) was calculated and radiographs in AP and lateral view were analyzed after a minimum follow-up of 10 years. No significant differences between the two group...

BACKGROUND Conventional computed tomography (CT) images are routinely used for diagnosing patellofemoral instability and are obtained with the patient in a supine position, nonweightbearing, with the knee in full extension, and with leg muscles relaxed. A new portable extremity cone beam CT (CBCT) scanner has been developed that may allow for more accurate diagnosis, as imaging can be performed...

Instability is one of the most common causes of failure of total knee arthroplasty (TKA). The presentation can vary from pain to frank dislocation with the etiologies just as varied. Instability after TKA can be classified by where the instability occurs in the knee's arc of motion as well as the chronicity of the problem. Acute instability is related to intraoperative injuries or excessive rel...

BACKGROUND Patellar instability can cause significant disability in both pediatric and adult patients, and it is associated with several factors including genu valgum. In this study, we describe the role of a lateral opening wedge distal femoral osteotomy (DFO) combined with lateral retinacular release in addressing genu valgum with associated patellar instability. The rationale for this approa...

both vitamin d deficiency and quadriceps muscle weakness are associated with knee osteoarthritis (koa) and pain. the aim of this study was to determine the restorative effect of vitamin d deficiency on pain and quadriceps muscle strength in knee osteoarthritis. patients with koa aged≥30 years, the presence of knee pain for at least one month or longer and serum 25-hydroxyvitamin (25-ohd) defici...