Combined meniscal allograft transplantation and cartilage restoration offers a safe alternative for patients with persistent symptoms after meniscectomy and focal cartilage injury. Results of combined procedures were comparable to published reports of these procedures performed in isolation. Long-term follow-up is needed to define the survivorship of these procedures in a young patient population.
Functional outcome varied and was most dependent upon the development of complications. The incidence of secondary reconstructive surgery following talar neck fractures increased over time and was most commonly performed to treat subtalar arthritis or misalignment.
Rupture of the anterior cruciate ligament is a common injury. Correct diagnosis and patient selection, along with proper surgical technique, with careful attention to anatomic graft placement, followed by attention to proper rehabilitation, leads to predictably good to excellent results. This article reviews the recognition and avoidance of complications associated with bone-patellar tendon-bone constructs of anterior cruciate ligament reconstruction.
Posterior wall blowout is an important potential source of anterior cruciate ligament reconstruction failures that can be avoided if surgeons adhere to proper technique and are vigilant in confirming appropriate femoral tunnel placement. This article reviews techniques for avoidance, recognition, and salvage of posterior wall blowouts in anterior cruciate ligament reconstruction surgery. [J Knee Surg. 2008;21:235-240.]
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