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At final follow-up thirteen shoulders had achieved function range of movement. Mean CS was 83 (range 70-100), mean Quick DASH was 5.4 (range 0-18.2), and mean OSS was 46 (range 41-48). Shoulder ultrasound revealed an intact Graft Jacket® in these patients.One patient had lower functional movement and worse CS (34), QD (34.1) and OSS (25) and ultrasound assessment identified a re-rupture. Discussion This study indicates that augmentation of large rotator cuff repairs with a GraftJacket® scaffold is a viable option and has good functional results and sustained viability. Level of evidence Level 4.Background & purpose The recent advances in anaesthesia and analgesia have significantly improved the early recovery and effective post-operative pain control in day care surgery e.g. shoulder arthroscopic procedures. Adequate analgesia improves the early rehabilitation for a better outcome. We prospectively evaluated the post-operative pain relief following the two methods of analgesia i.e. regional Inter-scalene block (ISB) vs Intra-articular (IA) injection using 0.5% Chirocaine in various therapeutic arthroscopic shoulder procedures. Methods A prospective comparative study was performed on a group of 105 patients (ASA grade I or II) who underwent the following procedures at two different hospitals diagnostic arthroscopy, subacromial decompression (SAD) alone, SAD in combination with mini open cuff repairs or distal clavicle excision, anterior stabilization (Bankart's repair) and inferior capsular shift. A successful Inter-scalene block (0.5% Chirocaine-30mls) preceded the general anaesthesia (Group 1-52 paon required significantly higher analgesia in both groups compared to the soft tissue procedures. Conclusion Single dose ISB provided longer and effective postoperative analgesia. The bone shaving procedures required more analgesia in IA Group as compared to ISB Group.Objective to assess twenty two cases of isolated PCL avulsion fractures from tibial insertion, arthroscopically treated with suture pull technique, and to evaluate achieved clinical outcomes in terms of radiographic laxometry (objective) and Lysholm scale (subjective). Material and method Study includes 22 cases operated between April 2014 and March 2017. Patients less than 18 years old, presentation after 3 weeks of injury, concomitant injury in the same limb, with open wounds or with comminuted avulsed fragment were excluded from the study. All cases were MRI proven. All arthroscopic suture fixation technique was used in all cases. Follow up was done at 3 weeks, 6 weeks, 3 months, 6 months and 12 months. Mean follow up was one year. Subjective complaints, Knee flexion, Lysholm score and stress radiographs were noted. Results Average Lysholm score was 96.3. Seventeen patients had excellent results and Five had good results based on Lysholm scores. In two patients, grade 2 laxity (5-10 mm) was present on stress radiographs but there were no clinical complaints. All patients achieved osseous union and had no functional limitation. NIK SMI1 research buy Three Patients developed arthrofibrosis initially but gained functional range later. Conclusion Arthroscopic suture fixation method for PCL avulsion fracture from tibia is a good and safe method of choice for fixation.Background Posterior Cruciate Ligament (PCL) is one of the key ligaments of the knee. PubMed data has not been previously analyzed on this topic. This study aims to summarize data of 40 years from 1979 to 2018 in PubMed on this topic. Methods A search was conducted in PubMed on PCL for the last 40 years using a search strategy, and the output was analyzed for further details. Data was also sought from Scopus concerning top universities and countries publishing on PCL as this information was not extractable from PubMed. VOS Viewer was used to analyzing text occurrences in authors and titles visually. Results Total publications on PCL were 5087 from 1915 to 27 February 2019 when this search was done and 5025 in the last 40 years until 31 December 2018. The yearly average of publication numbers has seen a steady increase. Top journal and author on PCL publications were KSSTA and LaPrade RF respectively. Most papers published by a First author was by Fanelli GC. Time-based links of LaPrade RF to other authors were represented as a VOS output. The USA was the most published country, and 8 of 10 Universities which published were from the USA. Conclusions There has been a steady and significant increase in the number of articles published in PubMed since 1979. It is obvious that the topic of PCL has gained attention and importance in the recent past and has seen a steady increase over the last few years. This article summarises the increased interest and could act as a baseline for future studies. Level of evidence Level IV.Background & introduction A Single Bundle ACL Reconstruction aims at placing Tibial and Femoral attachment sites of graft from Centre of Native Tibial Foot-print to Centre of Native Femoral Footprint. In tibial tunnel independent Transportal Reconstruction, where the two points are chosen separately, the objective is easily achievable. In Tibial tunnel dependent Transtibial ACL reconstruction, Capture of Centre of femoral tunnel is dictated by Trajectory of Tibial Tunnel. Heming et al. remarked that a TT technique could produce tunnel centred in the both the tibial and femoral footprint but only if a starting point "prohibitively close" to the joint line with a correspondingly short tibial tunnel were used. A new technique wherein authors aim to place the mouths of Tibial & Femoral tunnel at off-centre location, taking care to contain these tunnels still within native footprints to achieve a tunnel which is of adequate length and does not come too close to the joint and saves MCL from violation. Objective To thin Footprints" may afford a more predictable and reliable capture of anatomical foot prints without any adverse effect on outcomes.Background Forces acting on the knee are different in contact and non-contact mode of injuries causing anterior cruciate ligament (ACL) tear. Purpose of this study was to determine the effect of mode of injury on the occurrence of meniscal tear and chondral damage in ACL tear. Method 72 athletes with acute ACL injury ( less then 3 months) were enrolled in the study. Depending on the mode of injury, athletes were divided into two groups - group A (non-contact mode of injury) and group B (contact mode of injury). 49/72 athletes had the non-contact mode of injury (group A), and 23/72 athletes had contact mode of injury (group B). Meniscal tear and chondral damage seen at the time of ACL reconstruction surgery was noted. All athletes were assessed at 12 months follow-up for return to sports, Lysholm score, and WOMAC score. Results In group A, 35/49 (71%) athletes and in group B, 9/23(39%) athletes had meniscal tear (p = 0.009). Medial meniscus was more commonly injured in group A [24/49] as compared to group B (5/23; p = 0.
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