The suture button device is an effective way to repair the syndesmosis. In our series, the reduction of the syndesmosis was maintained throughout the followup period. However, reoperation for device removal was more common than anticipated. Osteolysis of the bone near the implant and subsidence of the device may occur.

Pain and swelling improved after physical therapy. However, patients were not satisfied as limited range of knee motion persisted. APM was superior to physical therapy in treating symptomatic unstable meniscal tears, with high patient satisfaction and restored knee function.

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Focal dome osteotomy (FDO) allows deformity correction without secondary translational deformity. The purpose of this study was to evaluate the degree of correction and knee functional outcome after correction of frontal knee deformity using femoral supracondylar FDO fixed with plate and screws. A prospective study included 12 consecutive cases of femoral frontal plane deformity that underwent correction using supracondylar focal osteotomy fixed by plate and screws. Average age was 27 years, while mean follow-up was 2.1 years. Functional assessment was done using the Hospital for Special Surgery (HSS) knee score. The HSS knee score improved from 85 to 96.8 points. Desired correction was achieved in all cases. Postoperative mechanical axis analysis on long film and scanogram showed no secondary deformity. The overall postoperative mechanical axis was at 3.2 mm medially (range 2–5 mm). Autogenous bone graft was not used in any case, and uneventful osteotomy union was achieved at a mean of 13.8 weeks. Minor complications were encountered in two cases. There were no implant failures or reoperations. Supracondylar FDO of the femur with plate fixation is a reproducible technique that can produce full correction of distal femoral frontal plane deformity, while avoiding creating a secondary deformity. Knee function was improved with good patient satisfaction.

Background Conventional core decompression (CD) is a well-known procedure for treatment of avascular necrosis of the femoral head. Weight bearing is usually restricted in the early postoperative weeks to avoid the risk of fracture. Theoretically, a properly positioned implantation of the new tantalum rod after reaming of the necrotic area has the advantages of decompression, supports the remaining bone to avoid collapse, lowers the risk of subtrochanteric fracture, and allows for early weight bearing. The objective of this study was to evaluate the role of the tantalum rod in the management of early avascular necrosis. Patients and methods Twenty patients with a mean age of 30.4 years were treated with CD and implantation of a tantalum rod. The cases were evaluated radiologically by x-rays, CT, and MRI. Sixteen cases were idiopathic while four patients were corticosteroid induced. Using the Steinberg classification system, Fifteen hips were stage II and five hips stage III. Postoperative CT was done in all cases to ensure proper position of the cases. Results Clinical and radiographic evaluation was carried out preoperatively then at 3, 12, and 24 months postoperatively. The average preoperative Harris Hip Score (HHS) was 42.5 and improved to 80.7 at 3 months with two cases of persistent pain and unsatisfactory results with conversion to total hip arthroplasty (THA) in the first 6 months. At 1 year, the average HHS was deteriorated to 76.1 of the remaining 18 cases. At 2 years endpoint follow-up, five cases already converted to THA, another seven cases had a deterioration of the HHS score, and only 40 % of the cases had satisfactory results. Conclusion Implantation of a porous tantalum metal rod for early-stage osteonecrosis of the femoral head did not add a significant advantage to core decompression alone even with the proper position in relation to the necrotic area. We had to convert to total hip arthroplasty in 60 % of the cases.