Surgical treatment of an unstable varus knee: one-stage or two-stage?

We present a case of a young female athlete with chronic knee instability and constitutional varus limb, in which the failure of an initial stabilising operation required multiple operations to correct the unstable varus knee: in particular valgus osteotomy and ligament reconstruction using contralateral patellar tendon were performed in two staged operations in order to minimise surgical aggression, optimise rehabilitation and prevent postop complications. The final result is evaluated according to the IKDC chart as normal category A

Patellar instability: combined treatment with Goldthwait technique and arthroscopic lateral release.

Patellar instability is a frequent cause of knee pain in childhood and adolescence. Treatment is usually conservative especially after a single episode of dislocation, although in cases of recurrence the surgical option needs to be evaluated. The techniques proposed involve only soft tissues in order to preserve the skeletal maturation. This study evaluates the long-term results on 20 knees in 19 adolescents affected by patellar instability treated with the distal realignment procedure involving medial transfer of the lateral hemi-patellar tendon according to Goldthwait technique, preceded by arthroscopy to perform lateral release. The results were analysed with the Cox grading system and showed 11 excellent cases, 6 good cases, 2 fair cases and 1 poor case. Similar findings were obtained with the Bray score

Arthroscopic treatment of symptomatic bipartite patella.

Successful arthroscopic treatment of symptomatic bipartite patella in a 23-year-old female professional volleyball player is reported

Now approaches to the treatment of articular cartilage lesions

Various approaches to the treatment of cartilage defects have been proposed in the literature; reparative and regenerative methods and, more recently, the Maioregen technique are currently available

Valutazione del sanguinamento nell\u2019intervento di artroprotesi d\u2019anca.

L\u2019intervento di artroprotesi d\u2019anca \ue8 una procedura chirurgica spesso associata a perdite ematiche intra- e post-operatorie significative (500-1.700 ml)

New approaches to the treatment of articular cartilage lesions

Various approaches to the treatment of cartilage defects have been proposed in the literature; reparative and regenerative methods and, more recently, the Maioregen technique are currently availabl

Fallimenti delle protesi legamentose di ginocchio: trattamento con plastica esterna secondo Lemaire.

La sostituzione protesica del legamento crociato anteriore (LCA) si \ue8 dimostrata nel tempo una metodica pressoch\ue9 fallimentare, da adottare soltanto in casi di emergenza. In pazienti ove sia necessaria la rimozione del legamento artificiale e sia sconsigliabile l\u2019impianto di materiale biologico, pu\uf2 trovare indicazione una plastica esterna secondo Lemaire, utile per limitare il sintomo del cedimento e che consente al soggetto un recupero accettabile

PROXIMAL TIBIOFIBULAR SYNOSTOSIS IN A PROFESSIONAL SOCCER PLAYER

A CASE REPORT. ISOLATED PROXIMAL TIBIOFIBULAR SYNOSTOSIS IS A RAE DEFORMITY. THIS CASE SUGGESTS THAT IN THE EVENT OF CONGENITAL ANOMALY THE ABSENCE OF SUBJECTIVE SYMPTOMS SHOULD BE REGARDED AS AN IMPORTANT PARAMETER