Surgeons must rely on cost and charge data to inform a patient outcome–optimized value-based approach arthroscopic rotator cuff repairs. Using biologic regenerative procedures augment repairs only when necessary optimizing anchor number are 2 obvious ways surgeons can help control of these procedures. Addition biologics, such as patches tissue augmentation, nearly doubled the charges for proced...

BACKGROUND Secondary surgical repair of ankle ligaments is often indicated in cases of chronic lateral ankle instability. Recently, arthroscopic Broström techniques have been described, but biomechanical information is limited. The purpose of the present study was to analyze the biomechanical properties of an arthroscopic Broström repair and augmented repair with a proximally placed suture anch...

In region-based image segmentation, two models dominate the field: the Mumford-Shah functional and statistical approaches based on Bayesian inference. Whereas the latter allow for numerous ways to describe the statistics of intensities in regions, the first includes spatially smooth approximations. In this paper, we show that the piecewise smooth Mumford-Shah functional is a first order approxi...

A controversial article was recently published in the New England Journal of Medicine titled "Arthroscopic Partial Meniscectomy Versus Sham Surgery for a Degenerative Meniscal Tear" by Sihvonen et al. We believe that readers of this article should be careful about making sweeping generalizations regarding the study findings given several methodologic flaws inherent in the population studied. Th...

BACKGROUND Uncertainty exists regarding the best management of patients with degenerative tears of the rotator cuff. OBJECTIVE To evaluate the clinical effectiveness and cost-effectiveness of arthroscopic and open rotator cuff repair in patients aged ≥ 50 years with degenerative rotator cuff tendon tears. DESIGN Two parallel-group randomised controlled trial. SETTING Nineteen teaching and...

Microfracture is the standard of care for the treatment of small cartilage defects in the hip. Autologous matrix-induced chondrogenesis (AMIC) is a novel, 1-step approach that combines microfracture with a type I/III collagen matrix (Chondro-Gide; Geistlich Pharma AG, Wolhusen, Switzerland) to cover the microfractured defect area. The AMIC procedure has been successfully established for treatin...

BACKGROUND Gluteal muscle contracture (GMC), a debilitating disease, usually starts in early childhood after variable dose of injections around the buttock, if left untreated it worsens gradually and persists throughout the life. Because the disease mostly affects adolescents and adults, there is always an aesthetic concerns. Purposeof the study was to introduce the arthroscopic F and C method ...

Purpose To evaluate the radiologic and functional outcomes of medial open wedge high tibial osteotomy (HTO) combined with arthroscopic procedure in patients with medial osteoarthritis. Materials and Methods From June 1996 to March 2010, 26 patients (32 knees) who underwent medial open wedge osteotomy and arthroscopic operation for medial osteoarthritis were retrospectively reviewed. Measureme...

BACKGROUND Anterolateral soft tissue impingement of the ankle joint is a common consequence of ankle sprain due to excessive supination and adduction of the foot, injuries to the tibiofibular syndesmosis and lateral malleolus fractures. MATERIAL AND METHODS Twenty-two arthroscopic procedures to treat anterolateral soft tissue impingement of the ankle joint were performed at the Independent Pu...

BACKGROUND The current "gold standard'' for treatment of chronic lateral ankle instability is the Broström-Gould procedure. Most authors recommend this type of operation even after an arthroscopic inspection of the joint. We review our results with an arthroscopic method of lateral ankle ligament repair. MATERIALS AND METHODS A method of arthroscopic lateral ligament repair with an anchor pla...