Recent biomechanical studies have shown that an anatomic double-bundle posterior cruciate ligament (PCL) reconstruction is superior in restoring normal knee laxity compared with the conventional single-bundle isometric reconstruction. We describe a modification of an endoscopic PCL reconstruction technique using a double-bundle Y-shaped hamstring tendon graft. A double- or triple-bundle semiten...

reconstruction by means of bone-patellar-bone (BTB) autografting is an increasingly popular procedure for the stabillization of ACL-deficient knee (1, 2). The central one-third of the patellar tendon and bony plugs are excised together to increase strength, durability and elasticity (3, 4) and the donor site is allowed to heal by primary intensification. The outcome of ACL reconstruction, using...

BACKGROUND The popliteus tendon has important dynamic and static stabilizing functions at the knee. Evaluation of its static role as the "fifth ligament" of the knee and a subsequent analysis of a popliteus tendon reconstruction has not been performed. HYPOTHESIS In vitro knee stability can be restored to a popliteus tendon-deficient knee with an anatomic popliteus tendon reconstruction. ST...

Dallas, Texas Learning Objectives: After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of li...

BACKGROUND Anatomical reconstruction techniques that can restore normal joint kinematics without increasing surgical complications could potentially improve clinical outcomes and help manage anterior cruciate ligament injuries more efficiently. HYPOTHESIS Single-tunnel double-bundle anterior cruciate ligament reconstruction with anatomical placement of hamstring tendon graft can more closely ...

RELEVANCE The overall incidence of Achilles tendon rupture has been increasing in recent decades due to population aging, the growing prevalence obesity and increased participation sports. ruptures are common injuries musculoskeletal system, according various authors, they account for 47% all human tendons muscles, about 18 cases per 100 thousand people year. Despite abundance options suture su...

INTRODUCTION Deep infection after reconstruction of chronic Achilles tendon rupture is a major and intractable complication. CASE REPORT We report a case of late deep infection following a surgery for chronic Achilles tendon rupture, and its simple and successful treatment with negative pressure wound therapy (NPWT). Six months following the reconstruction of chronic Achilles tendon rupture, ...

The graft choice for anterior cruciate ligament (ACL) reconstruction continues to be controversial. There are several options available for the treating surgeon, including Bone Patellar Tendon Bone (BPTB) grafts, Hamstring tendon (HT) grafts, allografts and synthetic grafts. Within the last decade there have been several comparative trials and meta-analysis, which have failed to provide an answ...