Simultaneous Bilateral Anterior Cruciate Ligament (ACL) Reconstruction with use of Hamstring Tendon Autografts: a Case Report
Issue:
Volume 1, Issue 1, April 2013
Pages:
1-5
Abstract: Among patients presenting with ACL deficient knees, the incidence of bilaterality is reported to be between 2% and 4%. (1) We have presented an unusual problem of a patient with chronic bilateral ACL-deficient knees and constitutionally very thin patellar tendons. Author decided to perform one-stage bilateral ACL reconstructions using hamstring tendon autografts so as not to weaken his quadriceps muscles by compromising his extensor mechanism. At 7 years follow-up, the patient’s opinion was that both ACL reconstructed knees had normal function and he was still on his preinjury level of activity. Two-stage bilateral ACL reconstruction is much more time consuming for the patient and expensive for health insurance, so in such cases, we recommend performing one-stage, bilateral ACL reconstructions using hamstring tendon autografts as a method that is effective and reproducible for a timely return of motion, strength, and function.
Abstract: Among patients presenting with ACL deficient knees, the incidence of bilaterality is reported to be between 2% and 4%. (1) We have presented an unusual problem of a patient with chronic bilateral ACL-deficient knees and constitutionally very thin patellar tendons. Author decided to perform one-stage bilateral ACL reconstructions using hamstring ten...
Show More
Percutaneous Surgical Technique for Persistent Tennis Elbow: A Comparative Study
Balalis Konstantine,
Topalidou Anastasia,
Silignakis Panagiotis,
Ziogas Kleanthis,
Balali Catherine
Issue:
Volume 1, Issue 1, April 2013
Pages:
6-11
Abstract: “Tennis Elbow” or Lateral Epicondylitis is a painful syndrome of the elbow which affects a large portion of the adult population, such as heavy labour workers and athletes. The aim of this comparative study is the investigation of the results of the percutaneous technique as a surgical treatment method compared to the conservative treatment for people suffering from this syndrome. Fourty-six patients with 52 suffering elbows constituted the group that was treated surgically and 51 patients with 59 suffering elbows constituted the group that was treated conservatively. The Verhaar et al. scoring system was used for the evaluation of the treatment results both preoperatively or before the beginning of the conservative treatment and 15 days and one, two, four and six months postoperatively. The Verhaar et al. scoring system was also used for the evaluation of the pain, the local sensitivity, the hand grip with the use of a dynamometer and the elbow’s and forearm’s range of motion (ROM) with the use of a goniometer. It has been demonstrated that the percutaneous technique is superior to the conservative treatment because it provides better results. In addition, the patients who were treated with the percutaneous technique developed a greater range of motion (ROM) in the elbow extension, the supination and mainly in the pronation of the forearm in the reevaluations compared to the conservatively treated group. In conclusion, the percutaneous release of the extensor tendons in the elbow, in cases of the “Tennis Elbow” syndrome, provides very good results. At the same time it is an easier and safer procedure compared to other surgical techniques.
Abstract: “Tennis Elbow” or Lateral Epicondylitis is a painful syndrome of the elbow which affects a large portion of the adult population, such as heavy labour workers and athletes. The aim of this comparative study is the investigation of the results of the percutaneous technique as a surgical treatment method compared to the conservative treatment for peo...
Show More
