MRI has been suggested as an objective method of assessing anterior crucate ligament (ACL) graft “ligamentization” after reconstruction. It has been proposed that the MRI appearances could be used as an indicator of graft maturity and used as part of a return-to-sport assessment. The aim of this study was to evaluate the correlation between MRI graft signal and postoperative functional scores, anterior knee laxity, and patient age at operation. A consecutive cohort of 149 patients who had undergone semitendinosus autograft ACL reconstruction, using femoral and tibial adjustable loop fixations, were evaluated retrospectively postoperatively at two years. All underwent MRI analysis of the ACL graft, performed using signal-to-noise quotient (SNQ) and the Howell score. Functional outcome scores (Lysholm, Tegner, International Knee Documentation Committee (IKDC) subjective, and IKDC objective) were obtained and all patients underwent instrumented side-to-side anterior laxity differential laxity testing.Aims
Methods
Aims. The effects of remnant preservation on the
Aims. The aim of this study was to report the pooled prevalence of post-traumatic osteoarthritis (PTOA) and examine whether the risk of developing PTOA after
Aims. The aim of this study was to estimate the incremental use of resources, costs, and quality of life outcomes associated with surgical reconstruction compared to rehabilitation for long-standing
Aims. The
Aims. Post-traumatic osteoarthritis (PTOA) is a subset of osteoarthritis (OA). The gut microbiome is shown to be involved in OA. However, the effect of exercise on gut microbiome in PTOA remains elusive. Methods. A total of 18 eight-week Sprague-Dawley rats were assigned into three groups: Sham/sedentary (Sham/Sed), PTOA/sedentary (PTOA/Sed), and PTOA/treadmill-walking (PTOA/TW). PTOA model was induced by transection of the
The
Aims. The aim of this study was to screen the entire genome for genetic markers associated with risk for
The
Aims. The objectives of this study were to assess the effect of
External validation of machine learning predictive models is achieved through evaluation of model performance on different groups of patients than were used for algorithm development. This important step is uncommonly performed, inhibiting clinical translation of newly developed models. Recently, machine learning was used to develop a tool that can quantify revision risk for a patient undergoing primary
Aims. This study aims to determine the proportion of patients with end-stage knee osteoarthritis (OA) possibly suitable for partial (PKA) or combined partial knee arthroplasty (CPKA) according to patterns of full-thickness cartilage loss and
Aims. The aim of this prospective study was to assess the long-term clinical, radiological, functional, and quality of life (QoL)-related outcome of patients treated with the synthetic Ligament Advanced Reinforcement System (LARS) device for
Successful
Aim. Quadrupled hamstring
Objectives. In this study, we compared the pain behaviour and osteoarthritis (OA) progression between
Increasing expectations from arthroscopic
We sought to determine whether smoking affected the outcome of reconstruction of the
We reviewed 183 patients who had undergone reconstruction of the
There is a trend towards the use of double-bundle techniques for the reconstruction of the
Aims.
Abnormal knee kinematics following reconstruction
of the
Due to unsatisfactory results and reported drawbacks of
We report the effects of local administration of osteogenic protein-1 on the biomechanical properties of the overstretched
Reconstruction of the
Aims. Proliferation, migration, and differentiation of
While injury to the posterolateral corner is accepted as a relatively common occurrence associated with rupture of the
We present the results of 17 children of Tanner stage 1 or 2 who underwent reconstruction of the
Aims. Different methods of
The records of patients aged 50 years or over who underwent primary reconstruction of the
The aim of the this study was to determine the effect of the knee flexion angle (KFA) during tibial
Delayed rather than early reconstruction of the
Recent findings have identified the importance of previously undiagnosed or neglected meniscus lesions in association with
Ten patients are reported who had sustained a partial rupture of the
We report the clinical outcome and findings at
second-look arthroscopy of 216 patients (mean age 25 years (11 to 58))
who underwent
We carried out a prospective study of 71 patients who had undergone reconstruction of the
The concept of decellularised xenografts as a basis for
Machine-learning (ML) prediction models in orthopaedic trauma hold great promise in assisting clinicians in various tasks, such as personalized risk stratification. However, an overview of current applications and critical appraisal to peer-reviewed guidelines is lacking. The objectives of this study are to 1) provide an overview of current ML prediction models in orthopaedic trauma; 2) evaluate the completeness of reporting following the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) statement; and 3) assess the risk of bias following the Prediction model Risk Of Bias Assessment Tool (PROBAST) tool. A systematic search screening 3,252 studies identified 45 ML-based prediction models in orthopaedic trauma up to January 2023. The TRIPOD statement assessed transparent reporting and the PROBAST tool the risk of bias.Aims
Methods
This study evaluated the results of a physeal-sparing technique of intra-articular
In the UK, the agricultural, military, and construction sectors have stringent rules about the use of hearing protection due to the risk of noise-induced hearing loss. Orthopaedic staff may also be at risk due to the use of power tools. The UK Health and Safety Executive (HSE) have clear standards as to what are deemed acceptable occupational levels of noise on A-weighted and C-weighted scales. The aims of this review were to assess the current evidence on the testing of exposure to noise in orthopaedic operating theatres to see if it exceeds these regulations. A search of PubMed and EMBASE databases was conducted using PRISMA guidelines. The review was registered prospectively in PROSPERO. Studies which assessed the exposure to noise for orthopaedic staff in operating theatres were included. Data about the exposure to noise were extracted from these studies and compared with the A-weighted and C-weighted acceptable levels described in the HSE regulations.Aims
Methods
More than 250,000 people are suffering from
The medial meniscus is crescent shaped and it is wider posteriorly than anteriorly. It covers up to 60 % of the articular surface of medial tibial condyle and helps with the loading distribution in the medial compartment. Meniscal lesions occur in association with ACL tears in 60 % of the time. The posterior aspect of the menisco-capsular junction is known as the meniscal rampzone. If not addressed during surgery, it could lead to unfavourable results. Incidence of ramp lesion following ACL injuries.Abstract
Introduction
Objective
We reviewed a single-surgeon series of 300 athletic patients who had undergone reconstruction of the
To report the long term outcome of patients with a partial tear of the
We used single-photon emission computed tomography (SPECT) to determine the long-term risk of degenerative change after reconstruction of the
Introduction: Clinical presentation of mucoid degeneration of the
We have investigated the changes in anterior laxity of the knee in response to direct electrical stimulation of eight normal and 45 reconstructed
Introduction.
Introduction. A common problem for patients receiving total knee arthroplasty (TKA) is postoperative functional impairment of the joint. This is minimized in bicruciate-retaining (ACL preserving) knee replacements, due to the important role of the