Lateral meniscus tears are commonly encountered by orthopaedic surgeons. Despite efforts to repair and preserve the meniscus, meniscectomy is occasionally required to treat irreparable tears. The resulting lateral meniscus deficiency leads to increased tibiofemoral contact pressures and ultimately early osteoarthritic changes in the knee. Lateral meniscal allograft transplant (LMAT) has been pr...

The integrity of the meniscal root insertions is fundamental to preserve correct knee kinematics and avoid degenerative changes of the knee. Injuries to the meniscal attachments can lead to meniscal extrusion, decreased contact surface, increased cartilage stress, and ultimately articular degeneration. Recent and well designed studies have clarified the anatomy and biomechanics of the medial an...

“Spare parts surgery” is well-described in the plastic surgery literature. In the setting of trauma, otherwise discarded parts can be utilized for reconstruction resulting in a superior functional and aesthetic outcome for the patient. We describe the use of spare part surgery in order to preserve a functional knee articulation in a patient undergoing amputation for compartment.

Discoid lateral meniscus of the knee causes a high morbidity in China. Since the traditional treatment to open the capsule and resect the meniscus often results in arthritis, it is now believed that a discoid lateral meniscus should be treated with arthroscopy to preserve part of the meniscus. The current study aimed to investigate the short-term clinical outcomes of arthroscopic meniscectomy f...

This article portrays the authors’ experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis pathological fracture, which was managed by multidisciplinary orthoplastic team. The decision for functional amputation versus salvage deemed necessary, enhanced principles of “spare parts” in reconstructive microsurgery. case describes successful use osteocutaneo...

Background: Severe degloving injury of the lower extremities is uncommon but challenging. The study aimed to present our experience of skin grafts for the salvage of severe degloved above-knee amputation stump. Methods: From September 2007 to January 2014, five patients with severe degloving injury of lower extremities were treated with immediate full-thickness skin graft following a protocol o...

background osteoarthritis (oa) is a multifactorial, disabling and degenerative disease that worsens with age and affects patient’s health-related quality of life (hrqol). objectives the current study aimed to assess if age and comorbidities have an influence on knee oa and knee replacement outcome before and after the surgery. methods a quasi-experimental intervention study was conducted on a s...

Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the ...