Articles

A Rare Technical Complication Causing ACL Graft Failure

Aberrant Femoral Tunnel Trajectory and Posterolateral Corner Compromise

In order to reproduce normal joint kinematics of the knee following anteriorcruciateligament(ACL) injury, anatomic reconstruction has been advocated. This can be achieved best by recreating the native ACL footprints. Matching the location of the intra-articular apertures of the femoral and tibial tunnels to the anatomic footprints of the native ACL has been reported to be accomplished most accurately with techniques other than traditional transtibial drilling...

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Allograft Reconstruction of Peroneal Tendons

Operative Technique and Clinical Outcomes

Peroneal tendinopathy is a source of lateral ankle pain and dysfunction that is often overlooked and underappreciated. The symptoms of peroneal tendon disorders are often vague and can be misdiagnosed on initial presentation. Peroneal tendon dysfunction can be attributed to tendonitis, chronic tenosynovitis, subluxation, fraying, longitudinal fissures, partial tears, and complete tears...

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AOFAS Public Education Forum (FootCareMD)

Ankle Arthroscopy

Ankle arthroscopy is a minimally invasive surgical technique that utilizes the technology of fiberoptics, magnifying lenses, and digital video monitors to allow the surgeon to directly visualize the inside of an ankle through small incisions. Several incisions, approximately half a centimeter in length, are fashioned about the ankle to allow for the insertion of an arthroscope, or small fiberoptic video camera, and/or special arthroscopic instruments. Sterile fluid is also circulated through the ankle to distend the joint, creating more space for the arthroscope and instruments. This also allows for better visibility within the ankle, space to maneuver instruments, and clearance of debris...

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The Comprehensive Arthroscopic Management Procedure for Treatment of Glenohumeral Osteoarthritis

Total shoulder arthroplasty (TSA) offers a predictable solution for many patients who have endstage glenohumeral arthrosis. However, the outcomes of TSA have been reported to be less favorable in younger patients because of higher activity demands, heightened expectations, concerns for implant longevity, and the potential need for multiple revision operations over the course of the patients’ lifetimes. As a result, arthroscopic techniques have evolved in an attempt to postpone the need for joint replacement by improving pain and function...

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Multiple-Ligament Knee Injuries

A Systematic Review of the Timing of Operative Intervention and Postoperative Rehabilitation

Multiple-ligament knee injuries are rare1-3 and potentially limb-threatening traumatic events that require careful evaluation and thoughtful treatment. Numerous surgical protocols have been proposed for the treatment of these unusual injuries4-9. Evidence-based guidelines for operative and postoperative treatment are sparse because of the dearth of prospective, randomized, controlled studies in this population. In addition, the severity and classification of the injuries that have been examined, the surgical techniques that have been utilized, the timing of surgical intervention, the postoperative rehabilitation, and the reporting of surgical outcomes have varied greatly among existing case series in the literature...

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Nerve Injury Complicating Multiligament Knee Injury

Current Concepts and Treatment Algorithm

Multiligament knee injuries (MLKIs) associated with knee dislocations account for >0.02% of all orthopaedic injuries; however, this may be an underestimation because some knee dislocations may spontaneously reduce at the time of injury and go unrecognized. Common peroneal nerve (CPN) injury occurs in 16% to 40% of patients with knee dislocation. The prognosis for nerve recovery associated with MLKIs is generally poor and depends on the extent of disruption of the normal neural anatomy.

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Allograft Reconstruction of Irreparable Peroneal Tendon Tear

A Preliminary Report

Peroneal tendonopathy is a source of lateral ankle pain and dysfunction that is often overlooked and under-appreciated. The symtoms of peroneal tendon disorders are also often vague and misdiagnosed on initial presentation. Peroneal tendon dysfunction can be attributed to tendonitis, chronic tenosynovitis, subluxation, fraying, longitudinal fissuring, partial tears and complete tears. These abnormalities can be observed with concomitant chronic ankle instability, cavovarus foot deformities, low-lying peroneus brevis muscle bellies, superior peroneal retinacular insufficiency, fibular bone spurs, and following severe ankle sprains...

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