Surgery (St Vincent's) - Research Publications

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Author: Babazadeh, Sina × Author: Choong, Peter × End date: 2009 × Start date: 2009 ×

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    The relevance of ligament balancing in total knee arthroplasty: how important is it? A systematic review of the literature
    Babazadeh, S ; Stoney, JD ; Lim, K ; Choong, PFM (PAGEPRESS PUBL, 2009)
    Ligament balancing affects many of the postoperative criteria for a successful knee replacement. A balanced knee contributes to improved alignment and stability. Ligament balancing helps reduce wear and loosening of the joint. A patient with a balanced knee is more likely to have increased range of motion and proprioception, and decreased pain. All these factors help minimize the need for revision surgery. Complications associated with ligament balancing can include instability caused by over-balancing and the possibility of neurovascular damage during or as a result of ligament balancing. This article attempts to summarize the literature, to define a balanced knee, and outline the benefits and possible complications of ligament balancing. Different techniques, sequences, and tools used in ligament balancing, and their relevance in correcting various deformities are reviewed.
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    An interesting diagnosis for a presacral mass: case report.
    Babazadeh, S ; Broadhead, ML ; Slavin, JL ; Choong, PF (Springer Science and Business Media LLC, 2009-11-08)
    A presacral mass can present a diagnostic dilemma for the surgical oncologist. Differential diagnoses include congenital causes such as teratoma or chordoma, neurological causes such as neurilemoma or neurofibroma or other malignancies such as lymphoma or sarcoma. Diagnosis usually requires imaging such as CT and MRI and tissue biopsy. We present an unusual cause of a presacral mass being extramedullary haematopoiesis, found incidentally in a 71 year old female. Extramedullary haematopoiesis is defined as the production of myeloid and erythroid elements outside of the bone-marrow. This diagnosis is extremely rare in the presacral area especially in a patient with no haematological abnormalities. A review of the literature is presented.