It was nearly a centenary ago that severe ankle sprain was recognized as an injury of the ankle ligament(s). With the recent technological advances and tools in imaging and surgical procedures, the management of ankle sprains - including subtalar injuries - has drastically improved. The repair or reconstruction of ankle ligaments is getting more anatomical and less invasive than previously. Mor...

January 2009 E25 U se of allografts for cruciate ligament reconstruction in the knee is increasing in popularity, but graft selection remains controversial. There is a dearth of information on long-term outcomes of allografts for cruciate reconstruction. Allografts are particularly useful in posterior cruciate ligament (PCL) reconstructive surgery because this procedure is often performed with ...

BACKGROUND Lateral clavicle fractures have been reported after coracoclavicular (CC) ligament reconstructions with bone tunnels through the clavicle. PURPOSE To biomechanically compare clavicle strength following 2 common CC reconstruction techniques with different bone tunnel diameters. STUDY DESIGN Controlled laboratory study. METHODS Testing was performed on 2 groups of matched-pair ca...

The medial patellofemoral ligament has been recognized as the structure primarily responsible for preventing patellar subluxation or dislocation.1-3 Anatomic dissection studies identified the medial patellofemoral ligament as a band of tissue connecting the femoral medial epicondyle to the proximal part of the medial edge of the patella (Figure 1).1-6 Imaging studies7-11 and surgical exploratio...

The purpose of this study was to assess the outcomes of posterior cruciate ligament (PCL) reconstruction using the Ligament Augmentation and Reconstruction System (LARS) (JK Orthomedic Ltd, Dollard-des-Ormeaux, Quebec, Canada) artificial ligament. Compared with older artificial ligaments, the LARS, which has been used in Europe for 15 years, is more resistant to wear and tear, has satisfactory ...

Medial patellofemoral instability is a rare, disabling condition that is often associated with the wrong indication for lateral retinacular release or overcorrection with medializing tibial tubercle osteotomy. It is an even less common complication after total knee arthroplasty (TKA). The lateral patellofemoral ligament is an important lateral stabilizer of the patella against medial subluxatio...

During daily training, shot putters are prone to acute complete anterior cruciate ligament injury, which is mainly treated with early reconstruction under knee arthroscopy to restore stability of injured athletes’ knee as soon as possible, help them towards early recovery and resume normal work and training. During knee arthroscopic treatment, extrusion screws are mainly used for acute complete...

Objective This study aims to describe the surgical approach to such injuries and to present the clinical and functional outcomes obtained in a cohort of patients. Methods This is an observational retrospective study that included 153 patients with acute acromioclavicular joint dislocation, operated between 1999 and 2015. Clinical evaluation included the following outcomes: Constant functional...

The treatment of the sports related dislocation of the acromioclavicular joint remains controversial. This study was carried out to determine whether or not a combined surgical procedure consisting of repair and polydioxanone (PDS)-cord augmentation of the coracoclavicular ligaments, fixation of the acromioclavicular joint with a single Kirschner wire as well as the repair of the acromioclavicu...

Background Untreated scapholunate ligament disruption may lead to progressive wrist arthritis. Current techniques used to treat the disruption may not prevent arthritis because of attenuation of a reconstructive ligament substitute or failure to re-establish normal wrist kinematics. Questions/Purposes This study evaluates a combined synthetic-autologous technique for the treatment of scapholuna...