Search Our Scientific Publications & Authors

BMC Musculoskelet Disord 2020 May 22;21(1):322. Epub 2020 May 22.

Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan.

Background: The popliteus tendon (PT) or lateral collateral ligament (LCL) stabilizes the postero-lateral aspects of the knees. When surgeons perform total knee arthroplasty (TKA), PT and LCL iatrogenic injuries are a risk because the femoral attachments are relatively close to the femoral bone resection area. The purpose of this study was to evaluate the distance between the PT or LCL footprint and the TKA implant using a 3D template system and to evaluate any significant differences according to the implant model. Read More

Knee Surg Sports Traumatol Arthrosc 2020 May 15. Epub 2020 May 15.

Department of Orthopaedic Surgery, Azienda Ospedaliero Universitaria Di Modena, University of Modena and Reggio-Emilia, Via del Pozzo, 71, 41124, Modena, Italy.

Purpose: To investigate the femoral component alignment in patients undergoing soft tissue-guided, navigated total knee arthroplasty (TKA). It was hypothesized that with a mechanically aligned tibial component, the soft tissues tensioned and symmetric medial and lateral gaps in flexion/extension, the femoral component would be aligned to the preoperative distal femoral joint line, as measured on knee radiographs.

Methods: Between 2015 and 2017, 77 patients (78 knees) underwent navigated soft tissue-guided TKA at a single centre. Read More

Unfallchirurg 2020 May 12. Epub 2020 May 12.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Shaft fractures of the tibia and fibula mainly affect younger patients and are therefore of great socioeconomic importance. Due to the high proportion of high-energy direct trauma mechanisms and the thin soft tissue covering layer of the ventromedian tibia, open factures occur in up to 39%. A structured diagnostic and therapeutic approach is essential for successful treatment. Read More

Cureus 2020 Apr 4;12(4):e7533. Epub 2020 Apr 4.

Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, IND.

Distal femur fractures in younger age groups are associated with high-impact injury leading to severe comminution and soft tissue injuries. Most of the intra-articular distal femur fractures occur as a result of axial loading accompanied by a variable amount of flexion. An 18-year-old male patient who had met with a road traffic accident was brought to the trauma center. Read More

J Am Coll Radiol 2020 May;17(5S):S12-S25

Specialty Chair, Mayo Clinic, Phoenix, Arizona.

Acute trauma to the knee is a common presentation seen in the emergency department. After a routine clinical examination, imaging is frequently performed to facilitate the diagnosis and almost always starts with radiographs. If clinically indicated, advanced cross-sectional imaging may then be performed for further evaluation. Read More

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Feb 3.

Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.

Patellofemoral instability is a common problem affecting children and adolescents, with recurrent instability often requiring surgical intervention. Medial patellofemoral ligament (MPFL) reconstruction has become a mainstay for the treatment of patellofemoral instability because of the biomechanical importance of the MPFL against lateral dislocation as well as the high frequency of MPFL injury following traumatic patellar dislocation. The concern in managing skeletally immature patients is the potential for injury to the distal femoral physis. Read More

Chin J Traumatol 2020 Apr 2. Epub 2020 Apr 2.

Department of Orthopedics, All India Institute of Medical Sciences, Jodhpur 342005, India.

Purpose: Tibial plateau fracture (TPF) is a devastating injury as it shatters lower articular surface of the largest joint. Apart from bony injury, TPF can lead to great soft tissue envelope compromise which affects the treatment plan and outcome. In the present study, clinical results were assessed in cases of high energy TPFs treated in staged manner. Read More

Orthop Traumatol Surg Res 2020 Mar 31. Epub 2020 Mar 31.

Department of Orthopaedic Surgery, Louisiana State University Health Science Center, Shreveport, LA, United States. Electronic address:

Introduction: Temporary external fixation has been widely utilized in the stabilization of plateau fractures while waiting for an optimization of the soft tissue conditions before subsequent permanent internal fixation. Simultaneously, MRI is beneficial in the assessment of concomitant damage to ligaments and menisci so that these injuries could be promptly identified, and surgical planning executed at the time of definitive fixation of the bony injury. Increasing numbers of side-bars and pins have been previously suggested to increase frame rigidity, but at the same time, several studies have indicated the presence of MRI artifacts which may obscure key anatomical structures, even when MRI-compatible fixation devices are used. Read More

Plast Reconstr Surg 2020 Apr;145(4):1071-1076

New York, N.Y.; and Charlottesville, Va. From the Hansjörg Wyss Department of Plastic Surgery and the Department of Orthopaedic Surgery, New York University School of Medicine; and the Department of Plastic Surgery, University of Virginia Health System.

Osteocutaneous reconstruction can be challenging because of concomitant injuries and limited donor sites. There is a paucity of data on limb salvage outcomes following combined soft-tissue reconstruction and bone transport or Masquelet procedures. The authors reviewed a consecutive series of open tibia fracture patients undergoing soft-tissue reconstruction with either distraction osteogenesis or Masquelet technique. Read More

Injury 2020 Apr 12;51(4):1077-1085. Epub 2020 Feb 12.

Southmead Hospital, North Bristol NHS Trust Westbury-on-Trym, Bristol, BS10 5NB, United Kingdom. Electronic address:

Background: The medial sural artery perforator (MSAP) flap provides a thin, pliable and durable soft tissue reconstruction with adequate pedicle length and low donor morbidity. It is an ideal choice for small-to-moderate defects of the lower extremity, although it does have limitations. We report our experience of the flap in a three-pronged anatomical, clinical and patient reported outcome-based study. Read More

Am J Sports Med 2020 Apr 17;48(5):1069-1077. Epub 2020 Mar 17.

Canberra Hospital, Garran, Australian Capital Territory, Australia.

Background: The indications for the addition of anterolateral soft tissue augmentation to anterior cruciate ligament (ACL) reconstruction and its effectiveness remain uncertain.

Purpose: To determine if modified iliotibial band tenodesis (MITBT) can improve clinical outcomes and reduce the recurrence of ACL ruptures when added to ACL reconstruction in patients with a residual pivot shift.

Study Design: Randomized controlled trial; Level of evidence, 2. Read More

Orthop Surg 2020 Apr 16;12(2):378-387. Epub 2020 Mar 16.

Department of Orthopaedics, Warren Alpert Medical School of Brown University/Rhode Island Hospital, Providence, Rhode Island, USA.

To describe the outcomes of autografts and synthetics in anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstruction with respect to instrumented laxity measurements, patient-reported outcome scores, complications, and graft failure risk. We searched PubMed, Cochrane Library, and EMBASE for published randomized controlled trials (RCT) and case controlled trials (CCTs) to compare the outcomes of the autografts versus synthetics after cruciate ligament reconstruction. Data analyses were performed using Cochrane Collaboration RevMan 5. Read More

Hum Factors 2020 Mar 13:18720820908758. Epub 2020 Mar 13.

8808 University of Limerick, Ireland.

Objective: The aim was to develop a means of predicting interface pressure from cuff inflation pressure during circumferential compression at the lower limb, in order to inform the design of soft exoskeletons.

Background: Excessive mechanical loading of tissues can cause discomfort and soft tissue injury. Most ergonomic studies on exoskeletons are of interface pressure, but soft exoskeletons apply circumferential pressures similar to tourniquet cuffs by way of cuff inflation pressure. Read More

Injury 2020 Feb 21. Epub 2020 Feb 21.

"Bagdasar-Arseni" Emergency Hospital, Plastic and Reconstructive Department, University of Medicine and Pharmacy "Carol Davila", 10-12 Berceni Road, District 4, 41914 Bucharest, Romania.

Defects of the lower limb are generally difficult to correct, especially in patients with associated pathologies, and they represent a challenge for the reconstructive surgeon. The sural flap provides considerable versatility for lower limb reconstructions, successfully covering defects located between the knee and the ankle or the heel. Most frequently, this flap is used for defects located in the middle to distal third of the lower limb. Read More

BMJ Mil Health 2020 Mar 5. Epub 2020 Mar 5.

PCRF HMS Drake, Ministry of Defence, Plymouth PL2 2BG, UK

Introduction: Musculoskeletal injury represents the leading cause of medical discharge from the UK Armed Forces. This study evaluates effectiveness of care provision within a large primary care rehabilitation facility (PCRF) against directed defence best practice guidelines (BPGs) METHODS: All new patient electronic records from January to July 16 were interrogated to identify demographics, causation, injury pathology, timelines and outcomes.

Results: 393 eligible records (81. Read More

Med Sci Monit 2020 Mar 3;26:e921540. Epub 2020 Mar 3.

Department of Orthopaedics, The Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan, Shanxi, China (mainland).

BACKGROUND Our objective was to establish and compare three-dimensional models of knee joints of mini-pigs and sheep, the 2 most commonly used animal models of osteoarthritis. MATERIAL AND METHODS Three-dimensional geometric models of knee joints were used to assess their biomechanical properties by analysis of the three-dimensional finite element stress load for flexion at 30° and 60°. RESULTS Analysis of multiple tissues indicated that the sheep knee had greater stress peaks than the mini-pig knee at 30° flexion (range: 12. Read More

Zhonghua Shao Shang Za Zhi 2020 Feb;36(2):97-105

Department of Burns, Beijing Jishuitan Hosptial, Beijing 100035, China.

To explore the excellent methods for aesthetic repair of the donor sites of flaps. From January 2013 to March 2018, 120 patients (94 males and 26 females, aged from 3 to 60 years) were admitted to the Department of Burns of Beijing Jishuitan Hospital. Wounds areas after debridement or removing scar were ranged from 8. Read More

Cartilage 2020 Feb 19:1947603520907664. Epub 2020 Feb 19.

Trauma and Orthopaedic Surgery, University Hospital Aintree Teaching Hospital Major Trauma Centre Foundation Trust, Longmoor Lane, Liverpool, UK.

Objective: The International Cartilage Regeneration and Joint Preservation Society's (ICRS's) global registry, aims to be the best source of information for patients and an unbiased resource of evidence-based medicine for scientists and clinicians working to help those unfortunate enough to suffer the pain and disability associated with articular cartilage lesions. This article constitutes the scientific summary of the reports' main findings.

Design: The article outlines the historical precedents in the development of orthopedic registries from the earliest tumor registries, then local arthroplasty databases that led ultimately to international collaborations between national arthroplasty and soft tissue registries. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Feb 18. Epub 2020 Feb 18.

Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, UPMC Rooney Sports Complex, 3200 South Water Street, Pittsburgh, PA, 15203, USA.

Quadriceps tendon is a promising alternative graft option for anterior cruciate ligament (ACL) reconstruction, which can be harvested with or without a bone block as well as a full or partial thickness graft. Therefore, quadriceps tendon graft could be used in primary and revision ACL reconstruction based on the requirements (tunnel size, tunnel position, etc.). Read More

Arthroscopy 2020 May 11;36(5):1365-1373. Epub 2020 Feb 11.

Departments of Orthopaedic Surgery and Bioengineering, Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, Pennsylvania, U.S.A.. Electronic address:

Purpose: To quantify the effects of lateral extra-articular tenodesis (LET) on tibiofemoral compartment contact area and pressures, knee kinematics, and forces.

Methods: Nine cadaveric knees were tested using a robotic testing system. Two loading conditions, (1) anterior tibial translational load coupled with axial compression and (2) internal tibial torque coupled with axial compression, were applied for each knee state at full extension and 30°, 60°, and 90° of knee flexion. Read More

Injury 2020 Mar 22;51(3):723-734. Epub 2020 Jan 22.

Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. Electronic address:

Aims: The articular congruity of tibial plateau has been stressed to be associated with the long-term function outcomes. Approach selection and fixation pattern to manipulate the posterolateral (PL)-depression of tibial plateau are both key issues which trauma surgeons should focus on. In order to provide a strong purchase of PL-depression, we developed a new modified Frosch approach and a "Barrel hoop plate" technique to provide bony reconstruction of PL-depression. Read More

Knee 2020 Mar 5;27(2):420-427. Epub 2020 Feb 5.

Department of Orthopaedic Surgery, Aalborg University Hospital, Hobrovej 18, 9000 Aalborg, Denmark; Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Hobrovej 18, 9000 Aalborg, Denmark.

Background: Soft tissue injuries following lateral tibial plateau fracture affect more than half of patients. Regardless of the type of soft tissue injured, it is still unclear how different treatment strategies influence postoperative outcome. The aim of this study was to report the 12-month Knee Injury and Osteoarthritis Outcome Score (KOOS) of patients with surgically managed lateral tibial plateau fractures divided into groups with and without conservatively managed magnetic resonance imaging (MRI)-verified soft tissue injuries. Read More

Clin J Sport Med 2020 Feb 6. Epub 2020 Feb 6.

Departments of Physical Medicine and Rehabilitation.

Knee pain is among the most common problems in active patients, with common causes of medial knee pain including meniscal injury, osteoarthritis, medial collateral ligament (MCL) injury, and pes anserine bursopathy/distal hamstring tendinopathy. Some cases of medial knee pain are refractory to standard treatment options and may be caused by rare pathology. We present a case of medial knee pain secondary to medial tibial crest friction syndrome (MTCFS) in a 22-year-old male training for a sprint triathlon after rapidly increasing his training program. Read More

JBJS Essent Surg Tech 2019 Jul-Sep;9(3):e25. Epub 2019 Jul 24.

Department of Orthopedic Surgery (D.T.L., M.T.M) and Division of Trauma Surgery (K.A.E.), NYU Langone School of Medicine (L.J.G.), NYU Langone Orthopedic Hospital, New York, NY.

Tibial plateau fracture is an injury commonly seen by those who treat trauma around the knee and/or sports-related injuries. In this video article, we present our protocol for surgical treatment of a tibial plateau fracture, which includes definitive fixation with use of a plate-and-screw construct, addressing of all associated soft-tissue injuries at the time of the surgical procedure, filling of any residual voids with bone cement, and early rehabilitation with weight-bearing beginning at 10 to 12 weeks postoperatively. The major steps of the procedure are (1) preoperative planning with digitally templated plates and screws, (2) patient positioning and setup, (3) anterolateral approach toward the proximal aspect of the tibia, (4) submeniscal arthrotomy, (5) booking open of the proximal aspect of the tibia at the fracture site, (6) tagging of the meniscus, (7) fracture reduction and placement of the Kirschner wire, (8) confirmation of reduction with C-arm image intensification, (9) internal fixation with a plate-and-screw construct, and (10) closure. Read More

Instr Course Lect 2020 ;69:671-692

Patellar instability is a common problem seen by the orthopedic surgeon. Surgery is indicated in recurrent dislocation to improve patellar tracking and ligamentous restraint in order to decrease risk of recurrence, osteochondral injury, and eventual progression to arthritis. Preoperative imaging studies identify anatomic risk factors that increase risk of patellar dislocation to inform surgical decision making. Read More

Instr Course Lect 2020 ;69:273-288

The frequency of use of "biologics," including platelet-rich plasma (PRP), bone morphogenetic protein (BMP), and stem cell therapies in the treatment of orthopaedic conditions has significantly increased over the past few decades. The use of PRP and stem cells has been proposed for a wide variety of conditions including knee and hip osteoarthritis (OA), tendon strains and tendinopathies, muscle strains, and acute and chronic soft-tissue injuries. It has also been proposed for use in the enhancement of healing during surgical treatments. Read More

Bone Joint J 2020 Feb;102-B(2):239-245

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences; NIHR Biomedical Research Unit, Botnar Research Centre, Oxford, UK.

Aims: Anterior cruciate ligament (ACL) surgery in children and the adolescent population has increased steadily over recent years. We used a national database to look at trends in ACL reconstruction and rates of serious complications, growth disturbance, and revision surgery, over 20 years.

Methods: All hospital episodes for patients undergoing ACL reconstruction, under the age of 20 years, between 1 April 1997 and 31 March 2017, were extracted by procedure code from the national Hospital Episode Statistics (HES). Read More

Injury 2020 Mar 25;51(3):774-778. Epub 2020 Jan 25.

Tianjin First Center Hospital, Fukang Road No. 24, Nankai District, Tianjin, 300192, China.

Objective: To investigate effect of double button plate fixation in the treatment of inferior patella fracture METHODS: Patients with inferior pole of patella fracture were treated with double button plate fixation. The perioperative and postoperative outcomes of MPIF with those of KWIF patients with metacarpal and phalangeal fractures were included.

Results: The average operation and hospital stay time was 55 min and 8 days respectively. Read More

J Biomech 2020 Mar 16;101:109636. Epub 2020 Jan 16.

Joint Department of Biomedical Engineering, North Carolina State University and the University of North Carolina - Chapel Hill, Raleigh, NC 27695, United States; Comparative Medicine Institute, North Carolina State University, Raleigh, NC 27695, United States; Department of Orthopaedics, University of North Carolina - Chapel Hill, Chapel Hill, NC 27599, United States. Electronic address:

Anterior cruciate ligament (ACL) injuries are increasingly common in the skeletally immature population. As such there is a need to increase our understanding of the biomechanical function of the joint following partial and complete ACL injury during skeletal growth. In this work, we aimed to assess changes in knee kinematics and loading of the remaining soft tissues following both partial and complete ACL injury in a porcine model. Read More

Oper Orthop Traumatol 2020 Jan 29. Epub 2020 Jan 29.

Department for Trauma Surgery, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.

Objective: Intramedullary nailing of tibia fractures via a suprapatellar, transarticular approach with the knee joint in 20-30° of flexion and the use of specific protection tubes to preserve intra-articular structures.

Indications: Extra-articular fractures of the proximal tibia; simple and comminuted fractures of the tibia diaphysis; segmental diaphyseal fractures of the tibia; extra-articular fractures of the distal tibia and fractures with simple intra-articular distal extension; floating knee injuries.

Contraindications: Gustilo grade 3C open fractures of the tibia; severe soft tissue laceration, contamination or infection in the suprapatellar area; ipsilateral knee joint prosthesis; knee arthrodesis; implants blocking the nail entry point. Read More

Skeletal Radiol 2020 Jun 28;49(6):823-836. Epub 2020 Jan 28.

Department of Radiology, Royal National Orthopaedic Hospital, Stanmore, UK.

The knee is a complex joint with its function dependent on a combination of osseous and soft tissue structures. Alteration in the relationship of these tissues, due to either acute or chronic repetitive injury with possible underlying congenital predisposing factors, can result in impingement between the structures resulting in pain, particularly on activity. The purpose of this article is to provide a comprehensive review of the MRI features of various impingement syndromes around the knee. Read More

J Can Chiropr Assoc 2019 Dec;63(3):178-186

Private practice, Toronto ON.

Objective: To illustrate the conservative clinical management of Morel-Lavallée lesion.

Clinical Features: A 34 year-old male presented with a forced flexion induced right knee injury that was diagnosed as a Morel-Lavallée lesion by way of Magnetic Resonance Imaging (MRI).

Intervention And Outcome: The patient was co-managed by a sports medicine physician and a chiropractor with a combination of percutaneous aspiration, dry needling, soft tissue therapy, extracorporeal shockwave therapy (ESWT), and corrective exercise. Read More

Medicine (Baltimore) 2020 Jan;99(4):e18807

Department of Bone and Joint, The First Hospital of Jilin.

Rationale: Primary lymphoma of the bones (PLB) is a rare extranodal non-Hodgkin lymphoma (NHL) that is particularly rare in children. The clinical presentation and radiological features of PLB are often nonspecific, making clinical diagnosis challenging and misdiagnosis frequent. Here, we report 2 children with PLB focusing on clinical presentation, differential diagnosis, and treatment outcomes. Read More

Orthopade 2020 Feb;49(2):114-122

Zentrum für Muskuloskeletale Tumormedizin - Vivantes Sarkomzentrum im Department für Bewegungschirurgie, Vivantes Klinikum Spandau, Neue Bergstraße 6, 13585, Berlin, Deutschland.

Background: The good functional outcomes of endoprosthetic knee reconstructions combined with modern oncosurgical concepts have resulted in a decreased rate of primary amputations following tumor resection in the region of the knee, thereby improving the quality of life of affected patients.

Objective: This study aimed to reappraise complications which are more common than in conventional arthroplasties performed for arthritis or trauma due to the complexity of the surgical procedures, the size of the endoprosthetic reconstructions, and neo-/adjuvant therapies.

Material And Methods: Possible intra- and postoperative complications and treatment options are presented. Read More

Pol J Radiol 2019 6;84:e340-e346. Epub 2019 Sep 6.

University Institute for Diagnostic, Interventional and Pediatric Radiology, University Hospital Bern, Switzerland.

Purpose: The purpose of this study was to assess the suitability of susceptibility-weighted imaging (SWI) sequences using the 3T MRI-unit for assessment of potential intraarticular pathologies in patients with acute and chronic torsion trauma of the knee joint.

Material And Methods: Sixty-three patients with subacute and chronic rotary knee joint trauma of either the left or right knee were studied using an Achieva MRI 3T device (Philips, Amsterdam, Netherlands). Ground truth was set by two expert radiologists with seven and 10 years of experience in musculoskeletal imaging. Read More

Plast Reconstr Surg 2020 Jan 9. Epub 2020 Jan 9.

Osteocutaneous reconstruction can be challenging due to concomitant injuries and limited donor sites. There is a paucity of data on limb salvage outcomes following combined soft tissue reconstruction and bone transport or Masquelet procedures. We reviewed a consecutive series of open tibia fracture patients undergoing soft tissue reconstruction with either distraction osteogenesis or Masquelet technique. Read More

J Pediatr Orthop 2020 Feb;40(2):71-77

Boston Childrens Hospital, Harvard Medical School, Boston, MA.

Background: The majority of research on medial (MCL) and lateral (LCL) collateral ligament injuries has focused on adults and combined collateral/cruciate injuries. The purpose of this study was to determine characteristics associated with isolated collateral ligament injuries in adolescents, and assess timing for return to sports.

Methods: Electronic medical records were queried to identify patients aged below 17 years who sustained a magnetic resonance imaging-confirmed isolated MCL or LCL injury over an 8-year period. Read More

J Orthop Res 2020 Jan 10. Epub 2020 Jan 10.

Division of Exercise Science and Sports Medicine (ESSM), University of Cape Town, Cape Town, South Africa.

Variants within genes encoding structural and regulatory elements of ligaments have been associated with musculoskeletal soft tissue injury risk. The role of intron 4-exon 5 variants within the α1 chain of type V collagen (COL5A1) gene and genes of the transforming growth factor-β (TGF-β) family, TGFBR3 and TGFBI, was investigated on the risk of anterior cruciate ligament (ACL) ruptures. A case-control genetic association study was performed on 210 control (CON) and 249 participants with surgically diagnosed ruptures (ACL), of which 147 reported a noncontact mechanism of injury (NON). Read More

Med Sci Monit 2020 Jan 9;26:e920104. Epub 2020 Jan 9.

Department of Oncology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, Shanxi, China (mainland).

BACKGROUND Although osteoarthritis (OA) is a degenerative disease that is increasingly common with age, the pathogenesis of post-traumatic OA (PTOA) is poorly understood. This study aimed to undertake proteomics and bioinformatics analysis of cartilage in PTOA in a mini-pig model of anterior cruciate ligament repair (ACLR). MATERIAL AND METHODS The mini-pig model of PTOA involved autologous orthotopic ACLR. Read More

Microsurgery 2020 May 8;40(4):473-478. Epub 2020 Jan 8.

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York.

Background: Free flap reconstruction after lower extremity trauma remains challenging with various factors affecting overall success. Increasing defect and flap size have been demonstrated to be a surrogate for overall injury severity and correlated with complications. In addition, larger free flaps that encompass more tissue theoretically possess high metabolic demand, and may be more susceptible to ischemic insult. Read More

Eur J Orthop Surg Traumatol 2020 May 7;30(4):695-699. Epub 2020 Jan 7.

St George's Hospital, Blackshaw Road, London, SW17 0QT, England.

Background: It is well known that tibial plateau fractures have an association with soft tissue injuries. However, as far as the authors are aware, there has been no literature specifically on the incidence of bucket handle meniscal tears in patients with tibial plateau fractures. Bucket handle tears are often symptomatic and amenable to repair if detected early. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Jan 7. Epub 2020 Jan 7.

Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, 55905, USA.

Purpose: Posterolateral corner (PLC) injuries commonly occur in the setting of a dislocated knee and often require multiple procedures due to concomitant vascular, nerve, and soft tissue involvement. Debate persists regarding single vs staged surgery. The purpose of this study was to compare knee function after single and staged surgery for PLC injury. Read More

Orthop J Sports Med 2019 Dec 17;7(12):2325967119887674. Epub 2019 Dec 17.

University of Miami Sports Medicine Institute, Coral Gables, Florida, USA.

Background: Soft tissue quadriceps tendon (QT) autografts are increasingly popular as a primary graft choice for anterior cruciate ligament reconstruction (ACLR), but no study has compared superficial quadriceps activity levels and leg extension strength for QT versus bone-patellar tendon-bone (BTB) autografts.

Hypothesis: Harvesting the central portion of the QT will alter rectus femoris (RF) firing patterns during maximum voluntary isometric contraction.

Study Design: Cohort study; Level of evidence, 3. Read More

Arthrosc Tech 2019 Dec 20;8(12):e1561-e1568. Epub 2019 Dec 20.

Orthopaedic Arthroscopic Surgery International (OASI) Bioresearch Foundation, Milan, Italy.

It is well known that the anterior cruciate ligament (ACL) is the main stabilizer to the anterior tibial translation in the knee. The current gold standard of treatment for such lesions is ACL reconstruction. However, there are notable disadvantages to ACL reconstruction that include loss of proprioception, donor site morbidity, incomplete return to high-demand sports, and the inability to restore normal kinematics of the knee joint. Read More

Med Leg J 2020 Mar 20;88(1):31-36. Epub 2019 Dec 20.

Pilgrim Hospital, Boston, UK.

Whiplash is the most common injury reported in low-velocity impact road traffic accidents, but claimants report a range of other soft tissue injuries and we looked at the prevalence of these and any patterns. We retrospectively reviewed reports from the medico-legal practice of an orthopaedic surgeon. We collected data on 609 claimants. Read More

Injury 2020 Feb 9;51(2):570-573. Epub 2019 Dec 9.

Department of Orthopaedic Trauma, Binzhou Medical University Hospital, Binzhou 256603, China. Electronic address:

Morel-Lavallée lesions (MLLs) are shearing injuries resulting in separation of the skin and subcutaneous tissue from the underlying fascia. They are closed internal degloving injuries. Classical sites of the lesions are around the greater trochanter, pelvis, thigh, knee joint, and on the head, in decreasing order of frequency. Read More

JBJS Case Connect 2019 Dec;9(4):e0476

Department of Orthopaedics & Rehabilitation, The University of New Mexico Health Sciences Center, Albuquerque, New Mexico.

Case: A 43-year-old man suffered an irreducible posterolateral knee dislocation while snowboarding with associated tears of the anterior cruciate, posterior cruciate, medial collateral, and posterolateral corner ligaments. Two closed reduction attempts failed, and magnetic resonance imaging revealed incarcerated soft tissue from a tertiary gastrocnemius muscle head. The patient underwent open reduction and repair/reconstruction of his multiligamentous knee injury. Read More

World J Surg Oncol 2019 Dec 12;17(1):218. Epub 2019 Dec 12.

Department of Orthopedics, People's Hospital of Deyang City, Taishan North Road 173#, Deyang, 618000, Sichuan Province, People's Republic of China.

Background: Chondroblastoma is a rare primary bone tumor of young people that generally occurs in the epiphyseal plate of long bones. To date, only 13 cases of patella with pathological fracture in chondroblastoma have been previously published.

Case Presentation: A 15-year-old male patient presented with acute pain in the left knee after an injury occurred while playing basketball. Read More