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A goal of total knee arthroplasty is to obtain symmetric and balanced flexion and extension gaps. Controversy exists regarding the best surgical technique to utilize to obtain gap balance. Some favor the use of a measured resection technique in which bone landmarks, such as the transepicondylar, the anterior-posterior, or the posterior condylar axes are(More)
Many treatment options are available to manage bone loss associated with revision total knee arthroplasty. Selection of the best treatment method is based on many factors, including defect size and location and the patient's age, health, and ability to participate in the necessary postoperative rehabilitation. Metaphyseal sleeves and cones appear to be a(More)
Human sexuality is an important part of the medical student undergraduate curriculum. A description of one of the most comprehensive and established training programmes in the UK is presented. A review of the students on the programme found a perceived improvement in the ability of knowledge in all of the objectives set within the training schedule. The(More)
BACKGROUND The Vertical Expandable Prosthetic Titanium Rib (VEPTR™; Synthes North America, West Chester, PA) reportedly controls spinal deformity associated with constrictive chest wall conditions. QUESTIONS/PURPOSES We asked whether spine-to-spine constructs using VEPTR™ instrumentation in combination with standard spinal instrumentation could be(More)
Correct acetabular cup position is critical to successful total hip replacement. Unfortunately, malposition of acetabular cups is common and leads to increased rates of dislocation, wear, and ion toxicity. Despite the popularity of Lewinnek's safe zone, the exact target of acetabular abduction and version remains elusive. Differences in functional pelvic(More)
Background Patellofemoral crepitus is a known complication of posterior stabilized (PS) total knee arthroplasty (TKA). This study compared the incidence of patellofemoral crepitus between two femoral components designs. Methods Between January 2005 and August 2010, 1,120 patients with complete 2-year follow-up had a PS TKA with two different prosthetic(More)