Percutaneous Osteotomy of the Tibial Tubercle: A Minimally Invasive Technique Assisted by Arthroscopy and Fluoroscopy.

The tibial tubercle osteotomy (TTO) is a versatile technique that has historically been utilized to treat several disorders of the patellofemoral joint, including patellar instability, focal chondral defects, patellofemoral dysfunction, and arthritic conditions. Traditionally, TTO has been performed in an open fashion, with variable rates of bone and wound-healing complications reported in the literature. The purpose of this article is to describe an arthroscopy-assisted minimally invasive TTO that aims to reduce the bone and soft tissue healing complications of open surgery.

Steadiness training improves the quadriceps strength and self-reported outcomes in persistent quadriceps weakness following nine months of anterior cruciate ligament reconstruction and failed conventional physiotherapy.

Background Persistent quadriceps weakness may occur after anterior cruciate ligament reconstruction, limiting the strength gain. However, steadiness strengthening might change the inability to gain strength. Hence, we determined whether strength training with force steadiness and visual biofeedback can improve knee quadriceps torque, self-reported pain and knee stability in patients with persistent quadriceps weakness after knee anterior cruciate ligament reconstruction.

Lateral Extra-articular Tenodesis: A Technique With an Iliotibial Band Strand Without Implants.

The main goal in anterior cruciate ligament reconstruction (ACLR) should be to restore normal knee biomechanics so the chances of failure decrease. The persistence of knee instability after ACLR goes from 0.7% to 20%.