Arthroscopic repair of knee cartilage defects with minced cartilage autograft: a 6-month follow-up case report study.

Knee cartilage defects can cause significant pain and disability, leading to progressive degenerative changes if left untreated. Arthroscopic repair of these defects with minced cartilage autograft has emerged as a promising alternative to traditional surgical techniques. Articular cartilage was harvested from the edge of the osteochondral defect and from the edge of the supracondylar notch with a shaver. After that, the mixed cartilage was combined with prp in thrombinator were aplicated on the defect covered with fibrin glue. Postoperatively, the patient reported significant improvement in pain and function.

Treatment of talus osteochondral defects with arthroscopy debridement and bone marrow concentrate: a 6-month follow-up case report study.

Talus osteochondral defects are a common cause of ankle pain and disability, and require prompt and effective treatment to prevent further damage and improve function. While surgical interventions, such as arthroscopy debridement and bone marrow concentrate therapy, have been used separately to treat these injuries, their combination may offer synergistic benefits. A 28-year-old male patient presented with a history of ankle pain and difficulty with weight-bearing activities. Post-operatively, the patient reported significant improvement in pain and function.

Intra-articular Platelet-Rich Plasma Injections for Treating Knee Pain Associated with Articular Cartilage and Degenerative Meniscal Lesions.

BACKGROUND: Platelet-rich plasma (PRP) is an autologous concentration of platelets that contain a large number of growth factors. These growth factors play a role in the regeneration, repair, and acceleration of the biochemical process, thereby reducing the pain associated with injuries of the articular cartilage and meniscus. AIM: The purpose of this study is to evaluate the effect of the PRP method in the treatment of knee joint cartilage injuries and degenerative meniscus lesions as well as pain relief. MATERIAL AND METHODS: The process of obtaining PRP begins by taking 15 ml of blood from the patient with a special system called Arthrex Double Syringe system. The test tube is centrifuged at 4000 rpm for 5 minutes. From the separated plasma, 5-6 ml PRP is taken and prepared for application. PRP is administered intra-articularly. RESULTS: At the Jan Mitrev Clinic in Skopje in 2018, PRP procedures were performed on 126 patients, 56 (44.4%) of whom were male, and 70 (55.6%) were female. The patients were evaluated by the Tegner Lysholm Knee Scoring Scale (TLKSS) before applying 3 doses of PRP for 7 days as well as 3 and 6 months after the application of PRP. The results showed considerable improvement 3 months after the PRP application, and 6 months after the application the results remained approximately identical. CONCLUSION: The application of PRP in the field of medicine is widely applied, and it will continue to be because the understanding of PRP therapy is increasingly refined. This therapy represents a potential and latest method in short-term pain reduction, but additional studies are needed to prove its long-term effectiveness.

Surgical Outcomes After Fixation of Acromioclavicular Joint Dislocation with Hook Plate and Coracoacromial Ligament Transfer Technique.

BACKGROUND: Treatment of acute and chronic acromioclavicular joint dislocations is still controversial. We aimed evaluation of surgical outcomes after using the combined technique with a hook plate and transposition of the coracoacromial ligament in the treatment of acromioclavicular dislocation. CASE PRESENTATION: During two years 4 patients (2 acute and 2 chronic cases) were operated with this technique. Three male and one female with an average 37 (26-43) years old were: three on the right and one of the left side. Rockwood classification was used. The evaluation was done according to Constant score - preoperatively, 3 months after the operation and 3 months after the titanium plate was removed. CONCLUSION: Evaluation of the effectiveness using this combined technique show excellent result in all four patients. No surgical site infection and the favourable cosmetic result were present.

Arthroscopic Reduction and Percutaneous Osteosynthesis of Tibial Plateau Fractures.

BACKGROUND: Tibial plateau fractures are complex lesions capable of causing severe consequences if not appropriately treated. They are often the result of high-energy trauma and, not rarely, are associated with significant soft-tissue and intra-articular injuries. Different therapeutic options can be managed in the treatment of these lesions. Minimally invasive surgery percutaneous technique-offers several advantages compared to other surgical techniques and allows, with less additional soft tissue damages, good reduction and stable fixation of the fracture. CASE PRESENTATION: In this study, we assessed the results of the combined arthroscopic and radioscopic assisted reduction and internal fixation of tibial plateau fractures in 7 patients with Schatzker type II and III. CONCLUSION: According to Hohl's and Rasmussen's grading system, all of the patients scored excellent and good results at 1 year follow up. We experienced no complications due to arthroscopy.

Surgical plate fixation of multiple rib fractures: a case report.

BACKGROUND: The healthcare system in developing countries is limited; particularly, medical specialties such as emergency and trauma medicine are underdeveloped. Consequently, trauma injuries sustained in traffic accidents result in chronic morbidity more often than similar cases in developed countries. Multiple rib fractures induce significant patient morbidity. Current international guidelines recommend a multidisciplinary, surgery-based treatment approach to achieve optimal clinical benefit. CASE PRESENTATION: We admitted a 41-year-old Albanian man to our emergency department following a pedestrian-vehicle accident 5 days earlier. He presented with severe upper thoracic pain, chest deformity, dyspnea, tachycardia, subcutaneous emphysema, and hematoma. Chest radiography pointed to hypoventilated lung fields and a minor pleural effusion. Computed tomographic scans indicated displaced fractures of right lateral ribs 5 -11, hyperdensity regions from bone fragments, and pulmonary contusion. The treatment consisted of surgical fixation of ribs 7-10 using titanium reconstruction plates and cortical locking screws. The patient's clinical condition rapidly improved postoperatively. Follow-up at 6 weeks confirmed a full return to preoperative daily activities and a high quality of life. CONCLUSIONS: In this case report, we present a novel and promising development in the field of trauma medicine in the Republic of Macedonia. Trauma injuries can be treated via advanced multidisciplinary medical care according to international standards, allowing optimal health recovery.

Posttraumatic soft tissue impingement of the ankle: arthroscopic findings and surgical outcomes.

UNLABELLED: Painful conditions and limited dorsal flexion of the ankle, which are the result of the friction of joint tissues and also the cause and the effect of altered joint biomechanics, are called ankle impingement syndromes. Post-traumatic ankle injures, like an ankle sprains or ankle fractures, are the main causes of impingement lesions, which result in chronic ankle pain. PURPOSE: To evaluate the results for patients treated arthroscopically for anterolateral soft tissue impingement after ankle injury. METHODS: Twelve patients underwent operative arthroscopy for anterolateral impingement between 2010 and 2012, A retrospective study with a mean follow up of 1 year. There were 7 females and 5 males, average age 44.1 years. RESULTS: Preoperative American ankle and foot score was average, 68 (63-71) points and after the operation 92 (87-95) points. CONCLUSION: Soft tissue impingement of the talocrural joint shows painful and limited dorsal flexion and plantar extension, effusion and joint line tenderness especially in the anterolateral gutter. Arthrofibrosis following ankle fractures causes an unfavorable surgical outcome, and arthroscopic debridement of fibrous tissue is an effective means of improving articular function.