ABSTRACT
Knee flexion contracture is a clinically important complication that can be observed after trauma, after knee surgery, or as a result of osteoarthritis. When it is left untreated, knee shearing forces increase not only in the affected joint but also in the contralateral knee, leading to mechanical overload in both limbs. Conservative management is a first-line treatment option for extension deficits, but when it fails, surgical treatment is necessary. Open as well as arthroscopic techniques focus mainly on an anterior arthrolysis and a posterior capsular release. Until now, posterior capsulotomy involved either a medial posterior capsular release or medial and lateral posterior capsular releases. Our aim is to present the technique of arthroscopic complete posterior capsulotomy for knee flexion contractures.
ABSTRACT
In this paper different operational techniques and results of hallux valgus treatment, using Kramer's and Keller's methods, are presented. The study was performed in 36 patients (35 women and 1 man, average age 43) in which 66 feet were operated by Kramer's method and 16 women (average age 53) with 28 feet were operated based on Keller's method. Radiological examination (intermetatarsal angle and valgity angle HVA before and after surgery) and Visual Analog Scale (VAS) were used to evaluate both methods. Better radiological results were achieved in case of patients treated with Kramer's method. After surgery treatment the patient's average HVA angle was 18,1 degrees and average intermetatarsal angle was 11.9 degrees. After surgery treatment with Keller's method, the average HVA angle was 24.0 degrees and average intermetatarsal angle was 13.4 degrees. Radiological results correlates with VAS scale evaluation. The patients rated Kramer's method treatment on 9.4 out of 10 and Keller's method treatment - 8.1 out of 10.
