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Fat pad excision in total knee arthroplasty does not affect functional outcome or anterior knee pain at 1 year follow-up
ConclusionAKP and functional outcome is not significantly affected by excision of IPFP. Fat pad can be sacrificed if exposure is compromised. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Acute Achilles tendon rupture treatment: Where are we now?
ConclusionsAcute Achilles tendon ruptures should either be managed in a functional rehabilitation regime or by percutaneous surgical repair. The decision depends upon both patient and clinician factors. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Midterm results of reconstruction of femoral defects with cementless femoral components in revision hip arthroplasty for aseptic loosening
ConclusionsBoth extensively porous-coated cylindrical stems and tapered, fluted long stems provide excellent outcomes and survival in reconstruction of femoral defects. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Isolated popliteal tendon avulsions: Current understanding and approach to management
Publication date: Available online 21 February 2018Source: Journal of Arthroscopy and Joint SurgeryAuthor(s): Peter Annear, Manit AroraAbstractIsolated popliteal tendon avulsions are rare injuries with less than 20 cases reported in the literature. Clinical suspicion of injury is aided by MRI findings. Due to the paucity of literature there is a lack of consensus as to the best management for such injuries. Both non-operative and operative treatment options have been reported to be successful. We proposed a treatment algorithm based on our findings of the literature with a trial of 3 months of non-operative treatment follo...
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Using google trends to assess for seasonal variation in knee injuries
ConclusionThe Google Trends search engine represents a method of data collection and analysis that may complement more traditional methods Our study shows that internet searches for symptoms related to knee injuries demonstrated a seasonal trend that has also been shown to be present for knee injuries in professional athletes. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

MPFL reconstruction using autologous semitendinosus tendon and transpatellar technique
ConclusionSemitendinosus autograft and transpatella tunnel technique are one of the good choices in MPFL reconstruction. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Role of drain in early clinical outcomes following primary total knee arthroplasty
ConclusionThe use of a short duration (six hours), low suction pressure drain following total knee replacement enabled earlier return of quadriceps power, and range of motion, without increasing infection and blood transfusion rate. It also resulted in less pain and reduction in analgesic requirement in early postoperative period. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Diagnosis and management of atraumatic shoulder instability
Publication date: May–August 2018Source: Journal of Arthroscopy and Joint Surgery, Volume 5, Issue 2Author(s): Marcus Bateman, Anuj Jaiswal, Amol A. TambeAbstractShoulder dislocation is usually as a result of trauma, although some individuals experience episodes of instability in the absence of injury. In this paper we highlight the classification of shoulder instability and describe clinical assessment before discussing the evidence behind managing this often complex problem both from a conservative and surgical perspective. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

The management of sternoclavicular instability
This article outlines the clinical presentations, investigations and the principles behind the available treatment options that can ensure a safe return to a normally functioning shoulder. Instability of the SCJ may happen after a traumatic event or atraumatically with or without joint laxity. The clinician should promptly differentiate the two pathomechanisms as management of them differs significantly. The Stanmore instability triangle is a useful tool when assessing patients with chronic SCJ instability as it enables the clinician to recognise the factors that drive the instability and treat each component separately an...
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Taming the unstable shoulder – Are we there yet?
Publication date: May–August 2018Source: Journal of Arthroscopy and Joint Surgery, Volume 5, Issue 2Author(s): Amol Tambe, Lalit Maini (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Diagnosing shoulder instability
This article focuses on the relevant points in each of these pillars to aid the practicing clinician in their diagnostic expertise. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Imaging in shoulder instability with focus on identifying and measuring bone loss: A narrative review
Publication date: May–August 2018Source: Journal of Arthroscopy and Joint Surgery, Volume 5, Issue 2Author(s): Raju Easwaran, Nafisa Shakir BattaAbstractBone loss is a key burning issue in shoulder instability, mainly because its presence or the lack of it can significantly swing the surgical pendulum from an open bony augmentation to a standard arthroscopic soft tissue repair, respectively. Each of these surgeries has its own separate technical challenges and a separate recovery protocol hence, it behoves upon the surgeon to be able to precisely calculate the amount of bone loss pre-operatively, to assist in clinical de...
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Evaluation and management after failed shoulder stabilisation surgery: A review
Publication date: May–August 2018Source: Journal of Arthroscopy and Joint Surgery, Volume 5, Issue 2Author(s): Kapil Kumar, Abhinandan Punit, Chirag Bhatia, Scott BarkerAbstractShoulder joint being the most mobile joint of the body is very much susceptible to dislocations accounting for half of the dislocations presenting to Emergency departments. Recurrence of instability is quite common owing to the structural defects created as a result of the traumatic event causing the first dislocation. Younger the patient higher is the chance of recurrence. Recurrence after stabilisation surgery is a complication that is indeed a ...
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

Management of first time shoulder dislocation
This article discusses the evidence in the literature and current guidelines for the management of first time shoulder dislocation, proposing surgical management for young active patients following a first-time dislocation, most often an arthroscopic labral repair. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research

A treatment algorithm for locked posterior dislocation of shoulder
ConclusionEarly diagnosis is desirable to avoid invasive non-anatomical procedures. Assessment of critical fragment and reverse Hill Sachs will achieve a more accurate osteotomy. A native cartilage transfer is much better than iliac crest grafting. The derotation osteotomy is reserved for malunited fracture dislocation patients presenting late and less than optimal results are likely. All the patients presenting late beyond a year inevitably required a hemiarthroplasty. (Source: Journal of Arthroscopy and Joint Surgery)
Source: Journal of Arthroscopy and Joint Surgery - July 10, 2018 Category: Orthopaedics Source Type: research