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Biomedical subjects

R H Sandmeier

Publications and source records attributed to R H Sandmeier.

2 recordsLinked to original sources

Ankle arthroscopy.

Ankle arthroscopy is an increasingly useful technique for dealing with a wide range of ankle pathology. Improvements in technique and instrumentation are expanding the range of diagnostic and therapeutic indications for arthroscopy of the ankle. Indications include removal of loose bodies, debridement and drilling of osteochondral defects, relief of anterior tibiotalar impingement, lysis of adhesions and arthrodesis. Reconstruction of lateral ankle instability is currently investigational but may some day be a common procedure. A review of ankle arthroscopy, as well as the currently accepted indications, is presented with a brief review of the literature. The techniques for the most common indications are described. The complications and indications for referral are discussed.

Ankle Injuries↗

The effect of reconstruction of the medial patellofemoral ligament on patellar tracking.

We evaluated patellar tracking in six cadaveric knees with the medial restraints intact and then sectioned to determine their contribution to lateral translation of the patella with and without a lateral force on the patella. The medial patellofemoral ligament was then reconstructed with a gracilis tendon graft and patellar tracking was again evaluated. The knees were extended using a materials testing machine, and patellar tracking was measured with a position sensing system. With no lateral force applied to the patella, patellar tracking was unaffected by the presence or absence of the medial restraints or by reconstruction of the medial patellofemoral ligament. With a lateral force applied to the patella, patellar tracking was changed significantly by the loss of the medial restraints. Normal patellar tracking was substantially restored by reconstruction of the medial patellofemoral ligament.

Adult↗