Graft tissue is widely used in sports medicine for soft tissue reconstruction and augmentation of ligaments and tendons. Understanding the physiology of fixation and incorporation of tendon and/or bone within…
Biomechanics is an interdisciplinary field that uses the principles of mechanics to improve the human body through design, development, and analysis of equipment, systems, and therapies. This biomechanical knowledge can…
Tendon Structure Tendons and ligaments are both dense, regularly arranged connective tissues, but the collagen fibers in a tendon are more parallel to the longitudinal axis than is the case…
Hip resurfacing is an attractive option for younger patients with severe hip disease. Advantages of the procedure include easier revision, decreased risk of hip dislocation, more normal walking pattern, greater…
Arthroplasty ▪ Make the initial exposure using your preferred surgical approach (medial parapatellar, intermedius, midvastus, subvastus) to include release of the deep medial collateral ligament off the tibia at the…
Surgical Approach See alsoVideo 10-1 . The most commonly used skin incision for primary TKA is an anterior midline incision. Variations may be considered, but in general most incisions will…
Femoroacetabular impingement (FAI) occurs when anatomic variation of the hip causes impingement between the femoral-head junction and the acetabular rim during functional range of motion. Cam impingement occurs when a…
William M. Mihalko A technique used for soft tissue balancing in knees with valgus deformity is pie-crusting of the lateral soft tissue sleeve. This technique allows the surgeon to direct the…
Valgus Deformity Correction ▪ During exposure of a knee with a valgus deformity take care not to compromise the medial soft tissue sleeve, which may already be attenuated. ▪ Make…
This approach described by Clohisy et al., Laude et al., and others has been used for patients with cam impingement. After hip arthroscopy for intraarticular or central compartment labral débridement or repair,…
