A displaced tibial tuberosity avulsion fracture associated with an open extra-articular proximal tibial diaphyseal fracture is an uncommon fracture pattern. This case report describes the successful management of such a fracture pattern in a 45-year old male using an open reduction and lag screw fixation of the tuberosity with a minimally invasive reduction and plate fixation of the proximal ti...

PURPOSE The purpose of this study was to evaluate the effect of the anatomic double-bundle reconstruction (ADBR) of the posterior cruciate ligament (PCL) with 2 femoral tunnels and 2 tibial tunnels. METHODS Eight fresh-frozen human knees were used. Bone tunnels were created based on the PCL anatomic footprints. A 9-mm looped semitendinosus and gracilis tendon for anterolateral bundle reconstr...

objective: diabetes mellitus is one of the most common endocrine diseases with micro-vascular complications and is a common cause of polyneuropathy. we studied the effect of enalapril on electrophysiologic criteria and clinical symptoms of patients with type ii diabetes and sensory neuropathy. materials and methods: a double blind study was conducted on 45 patients with type ii diabetes and neu...

Background The tibial cut referenced to the center of the intercondylar eminence often leads to varus malalignment in the presence of preexisting proximal tibia vara. The purpose of this study was to investigate the effect of lateralization of the lateral tibial plateau reference point (based on the amount of proximal tibia vara) on the postoperative coronal plane alignment. Methods In this p...

The effects of age vs. diet, potassium level, tetramethylthiuram disulfide (thiuram), and ionophores in the diet on the development of tibial dyschondroplasia in broilers was investigated. Changing broiler chicks from a diet that induced tibial dyschondroplasia to one that reduced the disease or vice versa caused a change in the incidence in the direction of the last-fed diet; however, in most ...

Posterior tibial tendon dysfunction is considered one of the most common causes of progressive adult acquired flatfoot deformity. The etiology leading to the dysfunction of posterior tibial tendon remains controversial. The purpose of this study was to quantify strain on the posterior tibial tendon in cadaver feet exhibiting hyperpronation caused by flexible instability of the talotarsal joint ...

PURPOSE To compare the extent of tibial bone covered by the tibial tray in 6 most commonly used total knee arthroplasty designs in order to strike a balance between mediolateral cortical fit and optimal tibial component rotation. METHODS In 74 men and 27 women aged 17 to 60 (mean, 32) years with suspected soft-tissue injuries, their magnetic resonance images of the knee in full extension were...

Rotational tibiofemoral congruency and centralized patellar tracking are critical technical factors that affect the postoperative success of total knee arthroplasty (TKA). Several techniques are used to position the femoral component, but there is no validated method for achieving the ideal rotational position of the tibial component. It has been suggested that referencing the midmedial third o...

The authors report three cases of unicompartmental knee arthroplasty (UKA), complicated with peri-operative periprosthetic fracture of the tibial plateau. The surgical technique was held responsible in all cases. The initial treatment was different in every case; all patients ultimately underwent revision total knee arthroplasty with a good functional outcome. The authors emphasise the importan...

A case is presented of a twenty-eight-year-old male with bilateral closed tibial fractures presenting with no right posterior tibial pulse, who was treated with bilateral reamed intramedullary nails. A post-operative arteriogram, to assess injury to the posterior tibial artery due to the initial insult, revealed impingement of the right anterior tibial artery by the most distal screw of the dis...