Studies

Anterior Closing Wedge Proximal Tibial Osteotomy for Slope Correction in Failed ACL Reconstructions


Abstract

Increased sagittal plane posterior tibial slope has been identified as a risk factor for primary anterior cruciate
ligament reconstruction (ACLR) failure. Although ACLR failure is multifactorial, correction of sagittal plane posterior tibial
slope should be evaluated in patients with an ACLR graft rupture. There are limited technical descriptions of proposed
decreasing tibial slope osteotomy procedures; therefore, the […]

Anterior Closing Wedge Proximal Tibial Osteotomy for Slope Correction in Failed ACL Reconstructions

Utilization of Transtibial Centralization Suture Best Minimizes Extrusion and Restores Tibiofemoral Contact Mechanics for Anatomic Medial Meniscal Root Repairs in A Cadaveric Model


Background:

Although posterior medial meniscal root (PMMR) repairs are often successful, postoperative meniscal extrusion after a root repair has been identified as a potential clinical problem.

Purpose/Hypothesis:

The purpose was to quantitatively evaluate the tibiofemoral contact mechanics and extent of meniscal extrusion after a PMMR repair. It was hypothesized that the addition of a centralization suture (into […]

Utilization of Transtibial Centralization Suture Best Minimizes Extrusion and Restores Tibiofemoral Contact Mechanics for Anatomic Medial Meniscal Root Repairs in A Cadaveric Model

Platelet-Rich Plasma for Patellar Tendinopathy: A Randomized Controlled Trial of Leukocyte-Rich PRP or Leukocyte-Poor PRP Versus Saline


Background:

A small number of randomized controlled trials have found ultrasound-guided injection of platelet-rich plasma (PRP) to be no more effective than saline for several tendinopathies; limited information exists for patellar tendinopathy. In addition, different PRP formulations that produce varying concentrations of leukocytes have not been directly compared for patellar tendinopathy.

Purpose/Hypothesis:

To determine if a single […]

Platelet-Rich Plasma for Patellar Tendinopathy: A Randomized Controlled Trial of Leukocyte-Rich PRP or Leukocyte-Poor PRP Versus Saline

Biomechanical Comparison of Vertical Mattress and Cross-stitch Suture Techniques and Single- and Double-Row Configurations for the Treatment of Bucket-Handle Medial Meniscal Tears


Background:

Given the variety of suturing techniques for bucket-handle meniscal repair, it is important to assess which suturing technique best restores native biomechanics.

Purpose/Hypothesis:

To biomechanically compare vertical mattress and cross-stitch suture techniques, in single- and double-row configurations, in their ability to restore native knee kinematics in a bucket-handle medial meniscal tear model. The hypothesis was that […]

Biomechanical Comparison of Vertical Mattress and Cross-stitch Suture Techniques and Single- and Double-Row Configurations for the Treatment of Bucket-Handle Medial Meniscal Tears

Tibial Slope and Its Effect on Graft Force in Posterior Cruciate Ligament Reconstructions


Background:

A flattened posterior tibial slope may cause excessive unwanted stress on the posterior cruciate ligament (PCL) reconstruction graft and place patients at risk for PCL reconstruction graft failure. To date, there is a paucity of biomechanical studies evaluating the effect of posterior tibial slope on the loading properties of single-bundle (SB) and double-bundle (DB) […]

Tibial Slope and Its Effect on Graft Force in Posterior Cruciate Ligament Reconstructions

Fibular Collateral Ligament Reconstruction in Adolescent Patients


2019 Arthroscopy Journal

Fibular collateral ligament (FCL) injuries can present as lateral-sided knee pain with feelings of side-to-side instability during activity. Patients with FCL injuries can have accompanying symptoms related to irritation of the common peroneal nerve. Preoperative diagnosis is imperative and should include a thorough physical examination complemented with varus stress radiographs before surgical […]

Fibular Collateral Ligament Reconstruction in Adolescent Patients

Percutaneous Lengthening of a Regenerated Semitendinosus Tendon for Medial Hamstring Snapping


2019 Arthroscopy Journal

Snapping syndromes are caused by 2 adjacent anatomic structures having a frictional catching, which may be associated with an audible pop. At the knee, they may have an intra- or extra-articular origin. It is imperative to understand the etiology of the snapping to avoid unnecessary surgery.

Snapping symptoms affect the lateral aspect of […]

Percutaneous Lengthening of a Regenerated Semitendinosus Tendon for Medial Hamstring Snapping

Current Trends Among US Surgeons in the Identification, Treatment, and Time of Repair for Medial Meniscal Ramp Lesions at the Time of ACL Surgery


2019 The Orthopaedic Journal of Sports Medicine

Meniscal ramp lesions are becoming increasingly recognized. Ramp lesions have been described as tears at the posterior meniscocapsular junction and/or tears of the posterior meniscotibial ligament, and they have a reported incidence of 16% to 40% of all anterior cruciate ligament (ACL) tears. Based on their location, these […]

Current Trends Among US Surgeons in the Identification, Treatment, and Time of Repair for Medial Meniscal Ramp Lesions at the Time of ACL Surgery

Tibial Slope and Its Effect on Force in Anterior Cruciate Ligament Grafts

Background

Previous work has reported that increased tibial slope is directly correlated with increased anterior tibial translation, possibly predisposing patients to higher rates of anterior cruciate ligament (ACL) tears and causing higher rates of ACL graft fail- ures over the long term. However, the effect of changes in sagittal plane […]

Tibial Slope and Its Effect on Force in Anterior Cruciate Ligament Grafts

Decreased Posterior Tibial Slope Does Not Affect Postoperative Posterior Knee Laxity After Double-Bundle Posterior Cruciate Ligament Reconstruction

Background

Recent clinical studies identified sagittal plane posterior tibial slope as a risk factor for increased postoperative lax- ity after single-bundle posterior cruciate ligament reconstruction (PCLR).

Purpose/Hypothesis

To retrospectively compare the degree of posterior tibial slope and its effect on posterior tibial translation (PTT) after double-bundle (DB) PCLR. Our null hypothesis was […]

Decreased Posterior Tibial Slope Does Not Affect Postoperative Posterior Knee Laxity After Double-Bundle Posterior Cruciate Ligament Reconstruction
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