Combined posterior cruciate ligament and superficial medial collateral ligament reconstruction using hamstrings autograft: technical note with a case report

L’incidenza della lesioni di crociato posteriore (LCP) va dall’1% in persone dedite allo sport, fino al 44% nel caso di traumi non sportive. Inoltre è stato riportata una elevata quota di lesioni legamentose combinate alla lesione del LCP. Tra queste, le lesioni del Legamento Collaterale Mediale (LCM)sono relativamente rare ed impegnative da diagnosticare e trattare correttamente. In questo articolo descriviamo il caso di un uomo di mezza età con lassità posteromediale trattato con una ricostruzione chirurgica one-step utilizzando i tendini gracile e semitendinoso autologhi

ACL, PCL, Collaterals And Meniscus

Since the launch of this course format during the 10th EFORT Congress in Vienna in 2009, the EFORT Comprehensive Review Course (CRC) has been a huge success and sold out months ahead of time. Created during Pierre Hoffmeyer\u2019s time as President of EFORT, the CRC aims to provide the knowledge and skills required by every specialist, and to broaden the participant\u2019s orthopaedic horizon. This course provides up-to-date presentations in five major areas: Lower extremity Upper extremity Spine Pediatrics Basic science The CRC usually takes place parallel to the Annual Congress. Therefore, registration for this course comes in addition to the Congress\u2019 registration

Meniscal re generation by a new polyurethane scaffold. A 2-year minimum follow-up study.

Objectives: The possibility to reproduce the meniscus structure and function is highly attractive, aiming to restore knee biomechanics and to prevent the development of early osteoarthritis. Regenerative approaches have been advocated to improve the reparative processes of joint tissues, and good results have already been reported in the literature at long-term1. Recently, a new polyurethane scaffold (Actifit\u2122,Orteq Ltd, UK) has been introduced in clinical practice claiming better material properties to resist the high knee forces and therefore a better chondroprotection2. Methods: We performed a prospective clinical evaluation of 18 patients (11 males, 7 females, mean age 45 y) affected by a massive loss of meniscal substance either medial or lateral (13 and 5, respectively), associated with intra-articular or global knee pain and/or swelling, and treated with Actifit\u2122 implantation. Nine patients also underwent associated procedures involving cartilage treatment or osteotomies. Patients were evaluated clinically and with MRI up to 2 years of follow-up. Results: The evaluation of the patients who underwent Actifit\u2122 implantation showed good results at short term follow-up, both from the clinical and imaging point of view. One patient had a reinjury playing competitive soccer after the 12 months evaluation and was excluded from the subsequent analysis. IKDC subjective score improved from 47,3\ub117,5 to 72,9\ub113,9 (p< 0,0005) at 1 year and 74,6\ub115,3 (p< 0,0005) at 2 years of follow-up, but an even higher improvement (77,7\ub115,7, p< 0,0005) was documented when analyzing patients without associated treatment of chondral lesions or osteotomy. Conclusions: Our results documented a significant clinical improvement treating partial meniscal lesions with scaffold implantation. Short term results after Actifit\u2122 implantation are promising and similar to first generation scaffold, but long term randomized studies are needed to confirm if the better structural properties will lead also to better long-term clinical outcome and joint protectio

The Role of Meniscus Scaffolds in Meniscus Repair – Techiniques and Outcomes

This book covers the basics of meniscus anatomy, biomechanics and, importantly, techniques to address meniscal preservation. Sections of the book cover three distinct areas for consideration: pre-operative issues and decision-making, detailed and well-illustrated surgical techniques, and post-operative issues including outcome and rehabilitation. A thorough overview of the current concepts surrounding MAT by world-leading experts is provided. It will also serve as a template for current clinical paradigms, as well as provide guidance as to where future research could be directed. Members of the International Meniscus Reconstruction Experts Forum (IMREF) have combined to bring together this comprehensive review of MAT