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...

We report the early results of high tibial osteotomy (HTO) in medial compartment osteoarthritis (OA) and varus deformity using the Taylor spatial frame (TSF). Between October 2005 and April 2007, 9 patients with medial compartment OA and varus deformity underwent TSF application and medial opening wedge HTO. Pre- and post-operative Oxford knee scores, SF-12 and visual analogue pain scores were ...

BACKGROUND AND PURPOSE 10-year survival rates after unicompartmental knee replacement (UKR) have been up to 97% in single-center studies, but they have been as low as 80% in studies from arthroplasty registers. Few studies have evaluated short-term functional outcome and its improvement with time. We determined the time course of functional outcome as evaluated by the knee injury and osteoarthr...

BACKGROUND The purpose of the present study was to determine whether the modified Oxford bone score can be used as a predictor for the risk of developing contralateral slipped capital femoral epiphysis (SCFE) in children who present with a unilateral slip. METHODS We identified 260 patients treated for unilateral SCFE between 1980 and 2002 and followed them up to skeletal maturity or until de...

<p><strong>Background:</strong> To find out the cut off for position of joint line which will provide a good functional outcome.</p><p><strong>Methods:</strong> 58 patients underwent total knee arthroplasty using standard medial parapatellar approach were included in this study. Pre-operative and post-operative radiological assessed. assessment done oxf...

PURPOSE A pneumatic tourniquet is commonly used in total knee arthroplasty (TKA) to improve surgical field visualisation but may result in quadriceps muscle ischaemia. We performed this study to analyse the effect of the tourniquet on recovery following TKA. MATERIALS AND METHODS A prospective randomised single-blinded trial was undertaken to examine the effect of the tourniquet on post-opera...

OBJECTIVES To quantify the improvement in health outcomes in patients after total knee replacement (TKR). METHODS This was a two-year non-randomized prospective observational study in knee osteoarthritis (OA) patients undergone TKR. Patients were interviewed one week before, six months after, and two years after surgery using a standardized questionnaire including the SF-36, the Oxford Knee S...

Objective: To evaluate the short-term results and complications of unicondylar knee prosthesis in obese patients with medial compartment arthrosis.
 
 Method: Unicondylar was applied to 41 (36 females, 5 males; average age 56 years) BMI >35 for treatment arthrosis. Cementless Oxford phase 3 all patients. Joint range motion before after surgery, VAS, OKS, KSS part 1 2 scores were ex...

Abstract Aim Distal femoral fractures account for 3–6% of all fractures. Current management distal involve reducing bone fragments and placing a locking plate against it. In this study, the surgeon used ‘selective approach’, whereby only key in comminuted fracture were reduced fixed whilst rest either removed or left unreduced/unfixed. Method All patients underwent AxSOS plate/less invasive sta...

We reviewed the rate of revision of unicompartmental knee replacements (UKR) from the New Zealand Joint Registry between 1999 and 2008. There were 4284 UKRs, of which 236 required revision, 205 to a total knee replacement (U2T) and 31 to a further unicompartmental knee replacement (U2U). We used these data to establish whether the survival and functional outcome for revised UKRs were comparable...