Background. Injury to the ACL is a significant problem and can cause further damage to the internal structures of the knee. ACL injury is associated with injuries to other structures in the knee such as the meniscus and chondral cartilage. Such intra articular injuries pre-dispose the knee to develop arthritis. This injury is usually seen in young and active people usually related to sporting injuries. There is a paucity of literature on the influence of
Purpose: The successful placement of elbow prostheses, external fixators and ligament reconstructions is dependent on the accurate identification of the elbow’s flexion-extension (FE) axis. In the case of periarticular bone loss, the FE axis must be visually estimated, as the necessary anatomical landmarks may not be available. Hence, referencing the uninjured elbow anatomy may prove beneficial in accurately defining this axis. However, this is contingent on the morphological features being similar between the two sides. Our objective was to compare distal humeral morphology between paired specimens. Our hypothesis was that
Comprehensive
This study was undertaken to assess the influence of
We aimed to obtain
A chart is presented to assist with the assessment and treatment of patients with growth-related deformities. It is based on
Introduction. Precise implant matching with a resected bony surface is a crucial issue to ensure a successful total knee arthroplasty (TKA). Extremely undersized or oversized components should be avoided. Therefore, we should measure the exact
Near 70% of failures of knee arthroplastys due to septic or aseptic mobilization are complicated because of massive loss of bone stock. In these cases surgeon have to perform a salvage procedure to restore legamentous balance, articular plane direction and axes of lower limb, finally to fill bone defects. Today intrinsic biomechanical stability of revision implant is entrust to sophisticated design and materials of custom made and modular implants. Endomedullary stem has to assolve specific functions: mechanical stability contrasting stress due to the boneloss, offering support for omoplastic or spongious bone innests in femoralor tibial defects. There are paucity of study in literature about dimension and morphology of endomedullary canal, probably because of variability between periostal andendostal anatomy in each patients, specially age related. This date has conditioned production of several number of revision stem size for all population. This
Background. There is paucity of data concerning the morphological dimensions of the distal part of the femur and the proximal part of the tibia in Indian population. The objective of this study was to analyse the exact anatomic data collected from patients undergoing total knee arthroplasty. Methods. Morphologic data from the distal part of the femur and proximal part of the tibia, from 50 knees, were obtained during total knee Arthroplasty, with a microcalliper. The study included 30 women and 20 men, who had a mean age of 65 years. A characterisation of the aspect ratio (the medial-lateral to anterior-posterior dimensions) was made for the proximal aspect of the tibia and distal part of the femur. Results. A significant difference was noticed in the dimensions of males and females. Females were found to have smaller dimensions, and the difference was statistically significant. From the morphologic data no significant difference was noted in the aspect ratio of both femur and tibia in males and females, and between larger and smaller knees. A comparison of the bone dimensions from the study data and the dimensions of the femoral component showed average medial-lateral overhang of +1.9 mm in women. Conclusion. The results of this study will allow manufacturers to make more appropriate determination of the sizes of components for total knee arthroplasty in Indian population having smaller
Aims: The topographical measurement and representation of the ACL insertion on the tibial plateau, based on a greek population sample. Methods: Fourty eight tibial plateaus were explanted during TKA surgery in 33 female and 15 male patients (average age of 71.2 yrs) suffering from osteoarthritis and rheumatoid arthritis. By means of a calliper, measurements were conducted in order to determine the dimensions shown. Data were used for a topographical representation. Conclusions: To the authors’ best knowledge, this is the first such
Aims: The topographical measurement and representation of the ACL insertion on the tibial plateau, based on a greek population sample. Methods: Fourty eight tibial plateaus were explanted during TKA surgery in 33 female and 15 male patients (average age of 71.2 yrs) suffering from osteoarthritis and rheumatoid arthritis. By means of a calliper, measurements were conducted in order to determine the dimensions shown. Data were used for a topographical representation. Conclusions: To the authors’ best knowledge, this is the first such
Introduction. For anatomical reconstruction in shoulder arthroplasty, it is important to understand normal glenohumeral geometry. Unfortunately, however, the details of the glenohumeral joint in Asian populations have not been sufficiently evaluated. There is a racial difference in body size, and this difference probably results in a difference in glenohumeral size. The purpose of this study was to evaluate three-dimensional geometry of the glenohumeral joint in the normal Asian population and to clarify its morphologic features. Methods.
Aims: To determine the
Aims: To determine the
Purpose: Osteochondral allograft transplantation for the treatment of osseous defects to the humeral head has recently grown in popularity. Because only a portion of the articulating surface of the humeral head is replaced, conformity of the allograft to the native surface is imperative to restore the natural geometry of the joint. To achieve proper conformity, it is essential that the curvature of the humeral head of the allograft tissue match that of the native tissue. Curvature determination is also important for shoulder replacement procedures. Curvature of the humeral head is difficult to directly measure in allograft specimens. As a result, predictive measurements, such as the maximum length of the humerus are used to predict this curvature. The purpose of this study was to investigate the value of various
Purpose. The majority (73%) of orthopaedic surgeons in Canada prefer using semitendinosus-gracilis (STG) autograft for ACL reconstruction. However, there is large variation in tendon size between individuals which makes pre-operative estimation of graft size unpredictable. Inadequate graft size may require an alternative source of graft tissue that should be planned prior to surgery. The purpose of this study is to determine if clinical
Purpose: There is no data concerning morphological dimensions of distal femur(DF), proximal tibia(PT) and thickness of patella(TP) in Indian population and our objective was to analyse the
There is no data concerning morphological dimensions of distal femur, proximal tibia and patella in Indian population. The objective was to analyse the
To compare the intrinsic foot function and pliability of the foot in shoe and non shoe wearing population, measurement on the right foot of 100 randomly selected non-shoe wearing (Indians) and 100 shoe-wearing (British) population was carried out. They had normal body-mass index, age between 25 to 35 years and no previous injury or disability to the lower extremities. Using a force gauge, force of extension and flexion at 1st metatarsophalyngeal joint, abduction at 5th meta-tarsophalyngeal joint and adduction between 1st and 2nd toe was measured. Pliability Ratio was calculated as follows: Maximum weight bearing foot length X maximum weight bearing foot length Maximum non-weight bearing foot length X maximum non-weight bearing foot length. Using the student test at 95% confidence interval, there was no statistically significant difference in the intrinsic foot function. Multivariate regression analysis showed that after adjustment for other variables like gender and ethnicity, the shoe condition is significant on the pliability ratio. This study shows that although shoe-wearing does not affect the intrinsic foot function it definitely results in stiffer feet. This difference is more marked in women (p=0.0171). Shoe-wearing can affect the transmission of forces during locomotion especially if the muscles acting across the foot are normal but the joints across which they act are stiff. Shoes have an inbuilt medial arch support and narrow toe boxes. This result in incomplete movement of the transverse and longitudinal arches of the foot leading to stiffer feet and can affect the biomechanics of shod feet.