Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2021
Predictors for an unsuccessful conservative treatment of patients with medial patellar plica syndrome.
In several cases persistent medial knee pain remains after conservative treatment in patients with medial patellar plica syndrome. In recent literature accepted criteria for surgical indication are lacking. In this retrospective study patients after conservative treatment were evaluated to identify predictors for an unsuccessful outcome. ⋯ The diameter of a medial patellar plica and contact of the plica to the retropatellar cartilage as well as clinical signs like persistent medial knee pain from flexion to extension with snapping symptoms might be predictors for an unsuccessful conservative treatment and the need for surgical intervention in patients with painful medial patellar plica syndrome.
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Arch Orthop Trauma Surg · Jan 2021
Complications after surface replacing and silicone PIP arthroplasty: an analysis of 703 implants.
The aim was to analyse complications after surface replacing and silicone proximal interphalangeal (PIP) joint arthroplasty. ⋯ We recommend using a surface replacing implant in fingers with preoperative axis deviations and correctable anatomical situation, bearing in mind the higher risk of a second surgery. However, treatment outcomes also need to be considered before choosing one implant over another.