Purpose High Outerbridge grade lesions of the articular cartilage have been associated with poor outcomes of high tibial osteotomy (HTO). However, there has been no report on the efficacy of HTO in the presence of kissing lesions. The purpose of this study was to compare clinical and radiographic outcomes of HTO between kissing lesion and non-kissing lesion groups. Materials and Methods Of th...

OBJECTIVE Opening-wedge osteotomy of the proximal tibia is a widely performed procedure for treating medial gonarthrosis in active patients and in the presence of varus malalignment of the lower limb. The fixation method is controversial, and the use of conventional implants has been abandoned in favor of implants with more modern locking screws. The aim of the present clinical study was to ass...

Treatment of tibial shaft fractures is still discussed controversial. In the present study current literature was reviewed with the objective to demonstrate current recommendations concerning tibial shaft fractures. Tibial shaft fractures are often caused by high-energy trauma with severe concomitant soft-tissue injuries. Solid bone union without hypertrophy, fast mobilization and full range of...

Background: Tibial diaphyseal fracture is the most common fracture of long bones. In Iran plating and undreamed tibial nailing (UTN) are the most commonly used methods and because of paucity of equipments such as c-arm and reaming sets, the reamed method is rarely used. This study compares these two methods. Methods: In a randomized clinical trial study including 100 patients (78 males, 22 fema...

INTRODUCTION We present a systematic review of the literature for the management of tibial eminence fractures in the paediatric population. Our aims were to assess modalities of injury, treatment options available and their associated complications. MATERIALS AND METHODS We found 740 relevant citations in the English literature up to 1 October 2012, of which 36 full text articles met our incl...

Knowledge of the extent to which tibial plateau cartilage displays non-uniform mechanical topography under physiologically relevant loading conditions is critical to evaluating the role of biomechanics in knee osteoarthritis. Cartilage explants from 21 tibial plateau sites of eight non-osteoarthritic female cadaveric knees (age: 41-54; BMI: 14-20) were tested in unconfined compression at 100% s...

This experiment was conducted to investigate the effects of supplemental phytase in a corn-wheatsoybean meal basal diet on phosphorus (P) digestibility and performance of broiler chicks. 378 one-day old broiler chicks (Ross 308) were allocated to 3×3 factorial arrangements with three levels of phytase enzyme (0, 500 and 1000 FTU/kg) and three levels of non-phytate P (100, 80 and 60% of NRC requ...

OBJECTIVE To determine whether the amount of joint cartilage in healthy postmenopausal women is stable or changes over time, and whether oestrogen replacement therapy (ERT) influences this. DESIGN A cohort study in healthy postmenopausal women without knee pain, initially selected on the basis of having either used ERT long term (more than five years) or never having used ERT. METHODS 81 wo...

N Ferreira BSc, MBChB, HDip Orth(SA), FC Orth(SA), MMed(Orth) Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, Grey’s Hospital, University of KwaZulu-Natal LC Marais MBChB, FCS Orth(SA), MMed(Ortho) Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, Grey’s Hospital, University of KwaZulu-Natal C Aldous BSc, BSc(Hons), MSc, PhD Medical Research Scientist, Scho...

conclusions we feel this rare, currently unclassified variant of a tibial tubercle avulsion fracture should be recognised and consideration taken to adding it to existing classification systems. introduction a sleeve fracture classically describes an avulsion of cartilage or periosteum with or without osseous fragments and usually occurs at the inferior margin of the patella. tibial tubercle sl...