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1.
J Orthop Case Rep ; 9(3): 84-86, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31559236

RESUMEN

INTRODUCTION: Brachymetatarsia can be treated by lengthening of the affected metatarsals or shortening of the normal neighboring metatarsals. Combination of the two methods may be more effective rather than using one skill due to less complications. CASE REPORT: A 56-year-old female patient with the bilateral first, fourth-ray brachymetatarsia underwent Weil osteotomy of the second, third, fifth metatarsals, and callotasis of the fourth metatarsal. Follow-up examination had been carried out since the surgery was done about 10 years ago. CONCLUSIONS: In the decade after observation, the patient was very satisfied with the shape and function of the feet, and no complications occurred.

2.
Clin Orthop Surg ; 10(4): 413-419, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30505408

RESUMEN

BACKGROUND: We aimed to examine the factors that influence synovialization of the grafted tendon after double-bundle anterior cruciate ligament (ACL) reconstruction based on second-look arthroscopic findings. METHODS: Out of 205 knees that were treated between August 2008 and May 2016 with double-bundle ACL reconstruction using bio-absorbable cross-pins and Endobuttons for femoral tunnel fixation, we enrolled 65 knees (64 patients) that underwent second-look arthroscopy with hardware removal at 1 year postoperatively. Measured clinical outcomes included the Lysholm score and Tegner activity score that were evaluated preoperatively and during the final follow-up. We analyzed the relationship between synovial coverage and patient age, length of the preserved remnant tissue on the tibial side, type of bundle (anteromedial or posterolateral), type of graft (autograft or allograft), and time from injury to surgery. RESULTS: The area of synovial coverage showed a significant statistical correlation with patient age and the length of the preserved remnant tissue on the tibial side. The average synovial coverage was significantly better for the anteromedial bundle than for the posterolateral bundle, better for the autograft than for the allograft reconstruction, and better when treated in the acute stage than in the chronic stage. However, synovialization of grafted tendon did not correlate to clinical outcomes. CONCLUSIONS: While we were able to identify several factors influencing synovialization of the grafted tendon after double-bundle ACL reconstruction, including patient age, length of preserved remnant tissue of the torn ACL, type of bundle, type of graft, and time from injury to surgery, we found no evidence that increased synovialization improves clinical outcomes at 1 year postoperatively.


Asunto(s)
Reconstrucción del Ligamento Cruzado Anterior , Artroscopía , Cápsula Articular/cirugía , Segunda Cirugía , Tendones/trasplante , Trasplantes , Adolescente , Adulto , Reconstrucción del Ligamento Cruzado Anterior/métodos , Reconstrucción del Ligamento Cruzado Anterior/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trasplantes/estadística & datos numéricos , Trasplantes/trasplante , Resultado del Tratamiento , Adulto Joven
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