OBJECTIVES Meniscal extrusion is often present in knees with OA, and has been associated with cartilage changes. It is unknown whether meniscal extrusion is related to subchondral bone. The aim of the study was to examine the relationship between meniscal extrusion and knee cartilage and subchondral bone, and also changes in these structures over 2 years in a cohort with mild to moderate knee O...

The frequency of unicompartmental knee arthroplasty (UKA) procedures has increased rapidly over the past decade. Some conflicting evidence exists concerning UKA revision. Some studies have found UKA revisions to be comparable with primary total knee arthroplasty, whereas others have found that UKA revisions require a higher need for tibial stems and augments and have more complications and wors...

ANATOMY: The medial collateral ligament (MCL) is one of four major ligaments that supports the knee and is the primary static stabilizer against valgus rotation of the joint. It consists of two components, the superficial (sMCL) and deep MCL (dMCL). The sMCL has one femoral and two tibial attachments. The femoral attachment is situated on the medial epicondyle. The proximal attachment blends in...

BACKGROUND Local reconstructive options for middle third of leg make good use of Soleus muscle flap. Soleus being the prime ankle planter flexor and stabiliser of the ankle in ambulation cannot be sacrificed without significant morbidity. Soleus is a bipennate muscle with independent blood supply of each half. Using one half retains its important function, increases arc of rotation, and makes i...

the objective of analyzing the localization of deformation infO narrow bands of inDe-Shin Liu tense straining. Two different loadings, namely, the top and bOllom surfaces :.'ubjected to a prescribed tangential velocity, and these two surfaces subjected {O a Department of Mechanical and Aerospace preassigned normal velocity, are considered. In each case a material defect, flaw, or Engineering an...

Implant positioning and knee alignment are two primary goals of successful unicompartmental knee arthroplasty. This prospective study outlines the radiographic results following 32 patient-specific unicompartmental medial resurfacing knee arthroplasties. By means of standardized pre- and postoperative radiographs of the knee in strictly AP and lateral view, AP weight bearing long leg images as ...

The purpose of this study was to evaluate the inter-hamstring position (medial to lateral intertendinous position) of the tibial nerve within the popliteal fossa. A descriptive cadaver model study was performed to permit controlled and direct measures of the tibial nerve. Fourteen embalmed lower extremities (8 left, 6 right) from nine cadavers (4 males, 5 females; 84.3 +/- 10.7 years of age) we...

The purpose of this study was to determine whether the vastus medialis oblique muscle (VMO) had greater electrical activity than the vastus lateralis muscle (VL) when hip adduction and medial (internal) tibial rotation exercises were performed. Electrical activity of the VMO and VL was measured on 25 healthy subjects during maximal-effort isometric contractions of hip adduction and medial tibia...

BACKGROUND Avascular necrosis after arthroscopic surgery of the knee has already been published. The purpose of this article is to report on the frequently misdiagnosed entity of osteonecrosis of the medial tibial plateau. CASE PRESENTATION Charts and radiographs of a consecutive series with isolated medial tibial plateau osteonecrosis were analyzed. The criterion for inclusion was the absenc...

The purpose is to identify whether the position of the tibial component in relation to the anatomical axis affects the postoperative mechanical axis in total knee arthroplasty for Korean patients. Preoperatively, 30 patients with varus deformity lesser than 10° were classified as group A, and 30 patients greater than 10° were classified as group B. Postoperatively, the distance between the midl...