Intramedullary nailing is treatment of choice for diaphyseal fractures tibia in adults. Infrapatellar medullary usually done tibial but metaphyseal reduction become a challenge due to anterior deformity pull patellar tendon. Suprapatellar becoming popular and route because it semiextended position which helps good fixation. But the major disadvantage this approach specific instrument sets impla...

OBJECTIVE To describe a cohort of dogs with medial patellar luxation managed with a distal femoral lateral closing wedge ostectomy (DFO) as a component of comprehensive treatment, and to report radiographic and long-term clinical outcome of this technique. METHODS Medical records of dogs that had a lateral closing wedge DFO as part of management of medial patellar luxation at three veterinary...

PURPOSE The purpose of this study was to analyze the influence of rotational alignment of the femoral and patellar components on patellar tilt after total knee arthroplasty (TKA). MATERIALS AND METHODS A total of 56 patients (76 knees) who underwent TKA using Advance Medial Pivot Knee system between May 2009 and April 2011 and were available for minimum 1-year follow-up were enrolled in this ...

<p><strong>Background:</strong> Tibia shaft fractures are most common lower limb long bone fractures. In approximately 80% of patients, tibia fracture occurs in diaphysis region. The procedure intramedullary interlocking nailing is done by positioning the injured extremity at minimum 90 degree flexion knee joint to achieve optimal exposure correct entry point. tension quadrice...

BACKGROUND Conventional computed tomography (CT) images are routinely used for diagnosing patellofemoral instability and are obtained with the patient in a supine position, nonweightbearing, with the knee in full extension, and with leg muscles relaxed. A new portable extremity cone beam CT (CBCT) scanner has been developed that may allow for more accurate diagnosis, as imaging can be performed...

introduction iatrogenic patellar fracture is reported as a complication of patella procedures, such as medial patellofemoral ligament reconstruction, reconstruction of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and resurfacing the patella in total knee arthroplasty. case presentation a 65-year-old lady with right patella fracture was treated with open ...

BACKGROUND Evaluation of medio-lateral position of patella is necessary for diagnosis and treatment of patellofemoral diseases. OBJECTIVE In the present study, we aimed to evaluate medio-lateral patellar position differences and to define a new practical measuring tool which enables us to analyze relationships of the points at the knee. MATERIALS AND METHODS Total of 120 healthy volunteers ...

Pre-operatively, lateral radiographs of both knees were performed in order to estimate the Insall– Salvati ratio and use the measurement from the uninjured side as a guide during the reconstruction. The Insall–Salvati ratio measured 1.0. The patient was consented for a patellar tendon reconstruction using hamstring graft and possible Z lengthening of the quadriceps tendon. The patient was place...

This article presents a case of a large inferior patellar osteophyte, which developed after patellar tendon autograft anterior cruciate ligament (ACL) reconstruction. This extensive osteophyte formed a neo-articulation with the tibial plateau and contributed to arthrofibrosis, patellar baja, and patellar pain. This is an extremely unusual complication following patellar tendon harvesting for AC...