Tenodesis of the long head of biceps is an established technique for management of biceps pathology including tears, instability, and chronic tendinosis intractable to non-operative management. Very few studies have reported on clinical outcomes of all-arthroscopic, non-interference, biceps tenodesis techniques. The purpose of this study is to evaluate the functional and quality of life outcomes of patients treated with an all-arthroscopic biceps tenodesis with a suture anchor. Case Series Level 4 Evidence Fifty-eight (58) patients with a mean age of 58.5 years were treated with an arthroscopic biceps tenodesis in a single surgeons practice. A single suture anchor was used with a non-interference technique, either in isolation or in association with an arthroscopic rotator cuff repair. A retrospective analysis was performed on prospectively collected outcome measures on patients with a minimum one-year follow-up. Patients were evaluated with an ASES, Constant, and WORC scores pre-operatively and at 6 and 12 months post-operatively. In addition, patients were questioned post-operatively as to whether they experienced any biceps cramping, fatigue, or cosmetic deformity (popeye sign).Purpose
Method
An open superior capsular shift is a well-established technique for the management of patients with multidirectional shoulder laxity and the absence of a Bankart lesion. Few studies have reported on functional and quality of life outcomes using arthroscopic technique for shoulder stabilization using superior capsular shift in patients with no Bankart lesion. The purpose of this study was to assess the functional and quality of life outcome scores following shoulder stabilization with a selective arthroscopic superior capsular shift with suture anchors, for treatment of multidirectional laxity and the absence of a Bankart lesion. Case Series Level 4 Evidence Thirty-six (36) patients with a mean age of 30.8 years, with a diagnosis of recurrent anterior atraumatic shoulder instability, and no Bankart lesion, were identified in a single surgeons practice. These patients underwent an arthroscopic shoulder stabilization with an anterior inferior to superior capsular shift. The labrum was arthroscopically released from the anterior/inferior glenoid and was shifted superiorly in conjunction with a capsular plication. A retrospective analysis was performed on prospectively collected outcome scores of patients who had with a minimum of 1 year of follow-up. The ASES and WOSI scores were administered pre-operatively and at 6 and 12 month follow-up. The presence of a positive post-operative apprehension sign was also recorded on follow-up.Purpose
Method
locking plate fixation alone and locking plate fixation with intramedullary allograft fibular bone peg augmentation.
To compare posterior cruciate ligament substituting (PCS) total knee arthroplasty (TKA) and posterior cruciate ligament retaining (PCR) total knee arthroplasty (TKA) to determine if greater overall flexion is obtained with the PCS TKA versus the PCR TKA at two year postoperative follow up. Secondarily, to determine whether there is a difference in the recovery of range of motion over time between the two groups from initial presentation, to discharge, and to follow up visits at three months, one year, and two years. Prospective, randomised double-blind clinical trial consisting of one hundred male and female patients scheduled for primary TKA. Sample size allows detection of a difference of six degrees of knee range of motion using two-tailed tests, =0.05, and 0.20 (80% power). SCORPIO PCL substituting total knee system and the SCORPIO PCL retaining total knee system were implanted for evaluation in this study. Patients were assessed at initial presentation, at postoperative discharge from hospital, and at follow up visits at three months, one year and two years for flexion knee range of motion. Additional data were collected utilizing the WOMAC Osteoarthritis Index, the Knee Society Clinical Rating Scale, the SF-36, and the Knee Society Radiographic Evaluation as well as data on length of stay and surgical time. Subjects were similar in demographic characteristics and all measurements at the baseline initial assessment. No differences were seen in knee flexion at two year follow up as measured using an independent t-test (p>
0.05). Recovery of knee range of motion over time was not different as measured using a two way repeated measures ANOVA (p=0.88 for group effect). Postoperative flexion and recovery of kneww range of motion was not altered following TKA by using PCS or PCR prostheses.
