Matjazˆ Veselko

PURPOSE: Fractures of the tibial eminence can be treated arthroscopically. Fixation of the fracture is usually followed by temporary immobilization. The literature suggests that only anterograde fixation with cannulated screws and washer is considered stable enough to allow for immediate mobilization and weight bearing. The goal of this study was to evaluate the 5-year results of arthroscopic reductions and anterograde fixations of the tibial eminence fracture with cannulated ...

Avulsion of the tibial insertion of the anterior cruiciate ligament can be managed by arthroscopic reduction and fixation. Anterograde and retrograde fixation with screws has been reported. Anterograde fixation using cannulated screws is technically less demanding and allows for stable fixation even with thin fragments. Additional use of a washer affords safe fixation of comminuted avulsion fractures. Removal of the screw and washer is mandatory but sometimes problematic. A simple and ...

BACKGROUND: The ideal treatment for avulsion fractures of the inferior pole of the patella has not yet been identified. The options include (1) internal fixation of the pole fragment and (2) resection of the avulsed fragment and repair of the patellar ligament to the patella. We are not aware of any previous study in which the results of internal fixation have been compared with those of pole resection. The purpose of the present study was to compare the long-term results of internal ...

BACKGROUND: We describe the preliminary clinical results of a new operative technique for MPFL reconstruction using a strip of quadriceps tendon (QT).

METHODS:

PATIENTS: 17 patients (7 male, 10 female; mean age 21.5 years ± 3.9) have been operated on with this technique. All patients were evaluated clinically, radiologically and with subjective questionnaires (Tegner-, Lysholm-, Kujala Score) pre-operatively and post-operatively at 6 and 12 months (m).

SURGICAL TECHNIQUE: A 10 to 12 mm ...

CONTEXT: Volleyball players are reported to have shoulder strength imbalances. Previous authors have primarily investigated small samples of male players at a single skill level, without considering playing position, and with inconsistent findings.

OBJECTIVE: To evaluate shoulder strength asymmetry and a history of shoulder injury in a large sample of professional volleyball players of both sexes across different playing positions and skill levels.

DESIGN: Descriptive laboratory ...

Avulsion fracture of the posterior cruciate ligament (PCL) is a rare condition, and arthroscopically assisted reattachment of the surgical fixation of the fragment is not always an easy task. Only a few reports describe techniques for arthroscopic fixation of avulsion of the PCL.We report on a case treated arthroscopically with reduction and antegrade fixation of an avulsion fracture of the tibial attachment of the PCL with a cannulated screw and washer through an additional ...

Cyclops syndrome is one of the specific causes of loss of extension of the knee following anterior cruciate ligament (ACL) reconstruction. The syndrome is manifested by progressive loss of extension associated with pain and audible clunk at terminal extension caused by a pedunculated nodule of fibrovascular proliferative tissue usually arising from the graft. The entity has been described recently and has been reported exclusively as a complication of ACL reconstructions. We report the ...

Cyclops syndrome has been defined as a loss of knee extension due to impingement of a pedunculated proliferative tissue mass after anterior cruciate ligament reconstruction. We describe four patients who were operated on for progressive loss of knee extension after minor knee injury. During the arthroscopic procedure, the consistent finding was a fibrous pedunculated nodule adhering to the anterolateral aspect of the original anterior cruciate ligament, obstructing extension by ...

Reconstruction of the medial patellofemoral ligament (MPFL) for the treatment of patellar instability has received increased attention over the past few years. Most operative techniques use hamstring grafts fixed with bone tunnels and/or anchors on the patella. Despite good clinical results using these techniques, complications such as implant breakage, patellar fractures through bone tunnels, and loss of knee motion have occurred. We present a minimally invasive technique for MPFL ...

PurposeTo obtain in vivo data about intra- and extra-articular knee temperatures to assess the effectiveness of two cryotherapeutic methods—conventional cooling with gel-packs and computer controlled cryotherapy following anterior cruciate ligament (ACL) reconstructive surgery.MethodsTwenty patients were arbitrarily assigned for cryotherapy after ACL reconstruction: 8 patients with frozen gel-packs and 12 patients with computer controlled cryotherapy with constant temperatures of the ...

BACKGROUND: The ideal treatment for avulsion fractures of the inferior pole of the patella has not yet been identified. The options include (1) internal fixation of the pole fragment and (2) resection of the avulsed fragment and repair of the patellar ligament to the patella. We are not aware of any previous study in which the results of internal fixation have been compared with those of pole resection. The purpose of the present study was to compare the long-term results of internal ...