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4,170 results
  • Management of valgus knee with irreducible patellar dislocation and MCL rupture: A case series. [Journal Article]
  • IJInt J Surg Case Rep 2019 Jun 16; 60:175-182
  • Rhatomy S, Purnama H, … Utomo DN
  • CONCLUSIONS: After knowing the cause of the patellar dislocation from history taking, physical and supporting examination, we performed lateral open wedge distal femoral osteotomy also MPFL and MCL reconstruction, and tibial tuberosity medialization osteotomy. There is improvement mean score in Tegner Lysholm Knee Scoring system and IKDC Scoring at 6 months after surgery.Lateral open wedge distal femur osteotomy combine with MPFL and MCL reconstruction and tibial tuberosity medialization realignment procedure can be successfully done for improve irreducible patellar dislocation in valgus knee, from clinical and radiological evaluation have good outcome after surgery.
  • A Re-Evaluation of the Gritti-Stokes (Above-Knee) Amputation for the Non-Ambulatory Patient. [Journal Article]
  • AVAnn Vasc Surg 2019 Jun 11
  • Theriot J, Bhattarai P, Finlay DJ
  • CONCLUSIONS: A reevaluation of the Gritti - Stokes amputation is warranted in the United States as an alternative to the traditional above knee amputation whenever possible. Our experience with a small series of Gritti-Stokes amputations has yielded promising advantages including potential for decreased blood loss, and fewer complications in the postoperative period when compared to the standard above knee amputation (AKA). Retained muscle attachments facilitate increased limb function, and allows use of slide joint prosthetics, which are gaining popularity for ambulatory patients. The thickened skin and subcutaneous tissues overlying the patella, and the posterior incision, have the potential benefit of protection against trauma and osteomyelitis seen with traditional AKA were the open ended medullary bone is deep to the incision. We believe that for these same reasons the GSA should be considered in the non-ambulatory patient as well.
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