Despite concerted intraoperative attempts to establish equal limb alignment, leg length discrepancy (LLD) remains a frequent complication following elective total hip arthroplasty (THA) [1]. A number of effective intraoperative imaging and clinical limb length techniques have been recommended to minimize this complication; however, all of these assessment modalities have their reported limitati...

Definitive treatment of open fractures of the tibial diaphysis is challenging. The high-energy nature of these fractures, as well as the contamination of the fracture site and devitalization of the soft-tissue envelope, greatly increases the risk of infection, nonunion, and wound complications. The goals of definitive treatment include wound coverage or closure; prevention of infection; restora...

We have compared a new technique of computer-assisted knee arthroplasty with the current conventional jig-based technique in 70 patients randomly allocated to receive either of the methods. Post-operative CT was performed according to the Perth CT Knee Arthroplasty protocol and pre- and post-operative Maquet views of the limb were taken. Intra-operative and peri-operative morbidity data were co...

The patella, with or without resurfacing, plays a fundamental role in the success of a total knee arthroplasty (TKA). Patellofemoral joint complications are due to problems related to the patient, to the surgical technique, or to the design of the components. Patellar tracking is influenced by several factors: a severe preoperative valgus, the presence of pre-existing patellofemoral dysplasia, ...

Knee osteoarthritis (OA) is a leading cause of disability among adults. Within the affected population, there exists a group of patients who have exhausted conservative treatment options and yet are not ideal candidates for current surgical treatments due to young age, early disease severity, or neutral mechanical knee alignment. For these patients, a new potential treatment option may be consi...

INTRODUCTION Achondroplasia is the most common form of dwarfism in humans and is orthopedically characterized by shortened extremities and an exaggerated lumbar lordosis. The surgical challenges are maintenance of axial alignment during limb lengthening as well as joint preservation and alignment restoration. CASE REPORT We present a 46-year-old female suffering from achondroplasia with sever...

BACKGROUND The alignment of the lower extremity has important implications in the development of knee arthritis. The effect of incremental rotations of the limb on common parameters of alignment has not been studied. The purpose of the study was to (1) determine the standardized neutral position measurements of alignment and (2) determine the effect of rotation on commonly used measurements of ...

Background: Correction of deformities around the knee joint may prevent or delay the onset of osteoarthritis or mitigate its effects. Accurate correction of such deformities without production of secondary deformities depends on precise localization and quantification of the deformities. Methods: We corrected deformities around the knee using acute correction with focal dome osteotomy in 21 seg...

Total knee arthroplasty (TKA) often deal with bone defect localized in areas corresponding to tibial and femoral articular surfaces, a condition that is often observed in revision knee prosthetic surgery but occasionally in primary arthroplasty of the knee too. Such intraoperative situation, could create a main problem in maintaining proper alignment of the implant components and in establishin...

Total knee arthroplasty (TKA) is a satisfactory procedure regarding functional outcome and pain relief. The ever increasing number of total knee arthroplasties and expanding indications have led to a high number of revisions. The principles of revision arthroplasty are to understand the cause of failure, adequate surgical exposure, restoration of limb alignment, achieving appropriate soft tissu...