The anterior cruciate ligament is the most commonly injured ligament within the knee and its injury mostly occurs among young and active individuals. In the last few decades, the proper kind of graft choice that should be used for cruciate ligament reconstruction has been controversial. In addition to bone-patellar and tendon-bone autografts, many other choices have become popular, such as using hamstring tendons and allografts. The aim of this article is to evaluate the kinds of choices that are available for grafting and to assess their advantages, disadvantages, clinical outcome, donor site morbidity, and biomechanical criteria and healing factors. In conclusion, there are certain situations where one graft may be favored over another. However, a universally accepted ideal graft choice currently does not exist. Therefore, a good surgeon should be familiar with the different types of grafting choices.
The clinical outcome of revision surgery for the failed Bankart repair is not well known. The purpose of this case study is to report the success rates achieved in two cases using arthroscopic techniques to revise failed open Bankart repairs. Both patients showed significant improvements in terms of shoulder stability and function at post-arthroscopic revision with no recurrences on follow-up. Their overall function and stability were evidenced by the improvements in shoulder scores and subjective scoring. In conclusion, arthroscopic revision of failed open anterior shoulder stabilisation using suture anchors is a reliable procedure in relation to the recurrence rate, range of motion and shoulder function in carefully selected patients, and with a proper workup.
There are few well controlled studies with long-term follow-up that establish selection criteria concerning arthroscopy in the osteoarthritic patients in the current literature. Nevertheless, the use of arthroscopy for the treatment of osteoarthritis of the knee has increased over the last decade. In the mean time, it is important to analyze the current literature in an effort to determine which patients are most likely to benefit from arthroscopy.
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