The diagnosis and treatment of chondral lesions of the hip remain a challenge for orthopedic surgeons. Acetabular cartilage lesions are frequently found during hip arthroscopy. The acetabulum is the most common location of chondral lesions in the hip, with one study reporting that 88% of chondral defects are found in the anterior superior acetabulum.
In most cases, a partial meniscectomy is performed after a meniscus injury. In the years that follow, a post-meniscectomy syndrome develops with secondary arthrosis. This situation then leads to a corresponding prosthetic treatment. arious techniques for cartilage regeneration are described in the literature. These include autologous cartilage transplantation and cartilage induction with a cell-free matrix...
Unicompartmental knee arthroplasty is a bone preserving solution for patients with localized knee osteoarthritis. Contrary to the total knee arthroplasty, this procedure allows to replace the single compromised compartment and preserve the rest of the cartilage and ligaments, allowing proper restoration of the knee biomechanics with a cinematic alignment method. There is conflicting evidence published in the literature regarding the...
Irreparable rupture of the insertion of the gluteus medius and/or minimus or injury to the inferior gluteal nerve that provides motor innervation to these muscles, affects hip stability and negatively impacts gait. In cases of massive ruptures, as well as in complete denervation of the muscle, reinsertion into the greater trochanter (GT) is not an optimal treatment option. This article proposes the partial transfer of the upper...
La torsión tibial externa es una deformidad ósea definida como cualquier rotación de la tibia sobre su eje longitudinal y que produce cambios en los planos de movimiento de las articulaciones proximales y distales...
Isolated Posterior Cruciate Ligament (PCL) injury has traditionally been treated with non-operative management, with good results even in athletes involved in contact sports 1,2,3, however, some patients may develop symptomatic posterior instability that does not improve with non-surgical treatment and end up being operated on.4. Ligament reconstruction using tendon autografts or allografts is the treatment indicated...
Patellofemoral instability is a multifactorial disease that mainly affects young people at the end of their growth period and is manifested by recurrent dislocations of the patella(s) in sports practices or even in activities of daily living. Unlike acute traumatic dislocation, this disease may not be preceded by an acute high-energy traumatic event and always has factors that predispose to recurrence. The most frequent found are in order of prevalence...
Anterior shoulder instability has been a controversial topic due to the high recurrency and failure rate after Bankart repair. The Latarjet Procedure, despite excellent clinical results in case of bone loss, the complication rates are reported between 15 and 30%. Most of them related to coracoid graft and screws such as nonunion, osteolysis, anterior pain and arthritis.