Changes in the ethnic identification of women’s soccer clubs in Adelaide: the case of Adelaide City Women’s Football Club.

The paper focuses on women’s soccer, one of the fastest growing sports in Australia, and in particular on the aspect of the ethnic background of Adelaide-based clubs. The paper aims to illustrate the shift in ethnic image that has occurred in recent years amongst Adelaide clubs, formerly associated with the Italian community, and to investigate the reason(s) behind this shift. Methods include interviews and correspondence with officials, sponsors, players and coaches of a local women’s soccer club (Adelaide City Women’s Football Club - ACWFC), officials of the South Australian Women’s Soccer Association (SAWSA) and a literature review. The outcome is an inside perspective on the phenomenon of the abandonment of the Italian background of Adelaide women’s soccer clubs. The project’s significance relates to the exploration of a field, ethnicity in women’s soccer in Adelaide, which links the important framework of ethnic community identity to a national fast-growing sport such as women’s soccer

Anterolateral Ligament of the Knee: Back to the Future in Anterior Cruciate Ligament Reconstruction

Although the importance of the anterolateral stabilizing structures of the knee in the setting of anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take into consideration the anterolateral structures when performing an ACL reconstruction. Anatomic single or double bundle ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have turned again towards the anterolateral aspect of the knee and specifically the anterolateral ligament. The goal of this review is to summarize the existing knowledge regarding the anterolateral ligament of the knee, including anatomy, histology, biomechanics and imaging. In addition, the most common anterolateral reconstruction/tenodesis techniques are described together with their respective clinical outcomes

Results of meniscectomy and meniscal repair in anterior cruciate ligament reconstruction

Meniscal tears are commonly associated with anterior cruciate ligament (ACL) injuries. A deficient medial meniscus results in knee instability and could lead to higher stress forces on the ACL reconstruction. Comparison of results in meniscectomy and meniscal repairs revealed worse clinical outcomes in meniscectomy, but higher re-operation rates in meniscal repairs. Our aim was to review the results of ACL reconstruction associated with meniscectomy or meniscal repair

Laparoscopic treatment of biliary peritonitis following nonoperative management of blunt liver trauma

<p>Abstract</p> <p>Introduction</p> <p>Nonoperative management (NOM) of hemodynamically stable patients with blunt hepatic injuries is considered the current standard of care. However, it is associated with several in-hospital complications. In selected cases laparoscopy could be proposed as diagnostic and therapeutic means.</p> <p>Case report</p> <p>A 28 years-old male was admitted in the Emergency Unit following a motor vehicle crash. CT-scan showed an isolated stade II hepatic injury at the level of the segment IV. Firstly a NOM was decided. Laparoscopic exploration was then performed at day 4 due to a biliary peritonitis. Intraoperative trans-cystic duct cholangiography showed a biliary leaks of left hepatic biliary tract, involving sectioral pedicle to segment III. Cholecystectomy, trans-cystic biliary drainage, application of surgical tissue sealing patch and abdominal drainage were performed. Postoperative outcome was uneventful, with fast patient recovery.</p> <p>Conclusion</p> <p>Laparoscopy has gained a role as diagnostic and therapeutic means in treatment of complications following NOM of blunt liver trauma. This approach seems feasible and safety, with satisfactory postoperative outcome.</p

Three-Dimensional Printed Models in Pre-Operative Planning of Complex Primary and Revision Total Knee Arthroplasty

Three-dimensional (3D) printing was introduced firstly for industrial use, but it gained popularity in different medical fields, including orthopedic surgeries. Particularly, 3D-printed models have been used in the pre-operative planning for spine surgery, oncology, acetabular fracture treatment and complex primary total hip arthroplasty (THA) or revision THA. In knee surgery, some authors described good accuracy with 3D-printed wedge for Opening Wedge High Tibial Osteotomy (OWHTO), but there are no studies describing its application in Total Knee Arthroplasty (TKA). In both primary and revision TKA, a 3D-printed model may be useful to better evaluate knee morphology and deformity, implants, bone losses and the compatibility between different components used. Furthermore, some companies provide a bone thickness evaluation, which may be useful to identify zones at risk of intra-operative fracture, especially in those cases in which a cone or sleeve must be used. The first aim of this manuscript was to evaluate possible application of 3D-printed model in pre-operative planning of both complex primary and revision TKA, compared to standard planning. Two clinical cases will also be described to show how these models can be used for planning purposes

Chronic knee extensor mechanism lesions in total knee arthroplasty: a literature review

Knee extensor mechanism rupture is a serious complication of total knee arthroplasty (TKA). Its prevalence ranges from 1 to 10% and it is commonly observed as a chronic multifactorial pathology with the patellar tendon as the most common site of rupture. Knee extensor mechanism reconstruction can be performed using allogenic or synthetic grafts. In the literature it is still not clear whether one of these techniques is superior to the other and the choice is usually tailored to the patient case by case. Allografts allow better restoration of the anatomical landmarks, whereas the mesh technique is more reproducible and the graft does not elongate over time. Allografts carry an increased risk of infection compared with synthetic reconstructions, while the mesh technique is cheaper and more readily available. In this paper, we review the etiology, diagnosis and treatment of this pathology, drawing on the most recent literature

Treatment of Bone Losses in Revision Total Hip and Knee Arthroplasty Using Trabecular Metal: Current Literature

Revision Total Knee or Hip Arthroplasty is challenging procedures for surgeons usually characterized by bone loss. There are different options available to treat those bone losses. However, there is still a concern on the stability of bone-implant interface, which is mandatory to achieve good long-term results in prosthetic implants. Recently, porous tantalum has been introduced, with the aim of improving the bone-implant interface fixation and implant primary stability. Different solutions for the treatment of bone defects in both revision Total Knee and Hip Arthroplasty have been proposed. In revision Total Hip Arthroplasty (THA) tantalum shells can be used to treat Paprosky type III defects also, because of their mechanical properties. Similarly, trabecular metal has been proposed in revision Total Knee Arthroplasty (TKA), being considered a viable option to treat severe type 2 or 3 defects. The aim of this paper is to review the mechanical properties and characteristics of tantalum. Furthermore, we will discuss its role in treating bone defects in both revision THA and TKA, as well as the outcome reported in literature