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Journal articles on the topic 'Elmslie'

Author: Grafiati

Published: 4 June 2021

Last updated: 6 February 2022

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1

Bastos, Ricardo, Daniel Wascher, Charles Fiquet, John P. Fulkerson, João Espregueira-Mendes, and Philippe Neyret. "Review of Trillat, Dejour and Couette on ‘Diagnosis and treatment of recurrent dislocations of the patella’." Journal of ISAKOS: Joint Disorders & Orthopaedic Sports Medicine 5, no. 6 (July 14, 2020): 389–96. http://dx.doi.org/10.1136/jisakos-2020-000446.

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‘Numerous operations have been described for correction of recurrent dislocation of the patella. The number in itself predicates that the problem has not been solved’.This classic discusses the original publication ‘Diagnosis and treatment of recurrent dislocations of the patella’ from Trillat A, Dejour H, Couette A. Published in 1964 at the Revue de Chirurgie Orthopedique et Reparatrice de L'appareil Moteur, where the authors described a surgical procedure modifying Elmslie’s original surgery for patients with objective patellar dislocations and also for patients with anterior knee pain who had the sign of the ‘baïonnette’. Medialisation of the anterior tibial tubercle (ATT) has been known worldwide as the Elmslie-Trillat procedure, but the history of procedure has its roots going back to 1888. The history of the publications of the Elmslie-Trillat technique is really something special. César Roux published in 1888 the original technique that is similar to Elmislie’s procedure. In 1944 in London, Trillat met Selddon and became aware about Elmslie’s procedure for the ATT medialisation. Back to France, Trillat published and named it as the Elmslie’s technique. Later, after the ‘Journées du Genou’, the technique was disseminated as ‘The Elmslie-Trillat’ procedure. Nowadays, isolated ATT medialisation, the ‘true’ Elmslie-Trillat operation, is still occasionally performed. Too few surgeons use these elegant operations largely because the details of the techniques are not taught routinely. This classic section has the objective to encourage young surgeons to learn tibial tubercle transfer operations and the benefits they bring to patients when performed for proper indications.

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2

Beavis, R. Cole, and F. Alan Barber. "Elmslie-Trillat Procedure." Techniques in Knee Surgery 8, no. 2 (June 2009): 98–103. http://dx.doi.org/10.1097/btk.0b013e3181a7bc33.

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3

Duncan, A. A. M. "Donald Elmslie Robertson Watt." Scottish Historical Review 83, no. 1 (April 2004): 1. http://dx.doi.org/10.3366/shr.2004.83.1.1.

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4

Andrish, Jack T. "The Elmslie–Trillat Procedure." Techniques in Orthopaedics 12, no. 3 (September 1997): 170–77. http://dx.doi.org/10.1097/00013611-199709000-00006.

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5

Krämer, Karl-Ludwig, and Lutz Jani. "The elmslie-trillat procedure." Orthopaedics and Traumatology 1, no. 1 (April 1992): 34–44. http://dx.doi.org/10.1007/bf02620425.

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6

Carney, Joseph R., Timothy S. Mologne, Michael Muldoon, and Jay S. Cox. "Long-Term Evaluation of the Roux-Elmslie-Trillat Procedure for Patellar Instability." American Journal of Sports Medicine 33, no. 8 (August 2005): 1220–23. http://dx.doi.org/10.1177/0363546504272686.

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Background Few published articles exist reporting the long-term evaluation of the Roux-Elmslie-Trillat procedure. Purpose To assess the long-term effect of the Roux-Elmslie-Trillat procedure in preventing recurrent subluxation and dislocation of the patella. Study Design Case series; Level of evidence, 4. Methods Eighteen patients who underwent the Roux-Elmslie-Trillat procedure for dislocation or subluxation of the patella were identified from a group previously evaluated at a mean follow-up of 3 years. The prevalence of recurrent subluxation or dislocation at a mean follow-up of 26 years was compared with the prevalence reported at the mean follow-up of 3 years. Although not the focus of this study, Cox functional scores were obtained from the smaller group and compared with the results at the 3-year follow-up. Results Seven percent (95% confidence interval, 0.00-0.32) of the patients had recurrent subluxation at 26 years compared with 7% (95% confidence interval, 0.03-0.13) of the study population reported at 3 years (P = 1.00). Fifty-four percent (95% confidence interval, 0.27-0.79) rated their affected knee as good or excellent at 26 years compared with 73% (95% confidence interval, 0.64-0.81) of the larger study population reported at 3 years (P = .14). Conclusion The prevalence of recurrent subluxation and dislocation in patients with patellofemoral malalignment who underwent the Roux-Elmslie-Trillat procedure for dislocation or subluxation of the patella is similar at 3 and 26 years after the procedure. The long-term functional status of the affected knee in patients who underwent the Roux-Elmslie-Trillat procedure declined.

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7

Krämer, Karl-Ludwig, and Lutz Jani. "Die Operation nach Elmslie-Trillat." Operative Orthopädie und Traumatologie 3, no. 1 (February 1991): 38–48. http://dx.doi.org/10.1007/bf02512397.

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8

Iacobescu, Georgian, Cătălin Cîrstoiu, Adrian Cursaru, Dan Anghelescu, and Dumitru Stănculescu. "Functional outcome and prognostic implications in patellofemoral instability using Elmslie-Trillat and MPFL reconstruction procedures." Romanian Journal of Orthopaedic Surgery and Traumatology 2, no. 2 (December 1, 2019): 75–83. http://dx.doi.org/10.2478/rojost-2019-0016.

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AbstractIntroduction. Patellofemoral instability is a troublesome condition that results in significant morbidity, frequently associated with persistent anterior knee pain, long-term osteoarthritis and reduced quality of life.Purpose. The purpose of this study was to describe functional outcomes following surgical treatment of patients who underwent Elmslie-Trillat procedure and reconstruction of medial patellofemoral ligament (MPFL) correlated with Elmslie-Trillat in the treatment of recurrent patellar dislocation and subluxation.Methods. We prospectively followed 23 patients (24 knees) with patellofemoral instability who underwent realignment surgery procedures between 2015 and 2017, 14 knees by the Elmslie-Trillat procedure (Group 1) and 10 knees by Elmslie-Trillat combined with MPFL reconstruction (Group 2). The patients were evaluated pre and postoperatively by clinical examination, knee radiographs, CT scans and functional outcome Kujala score.Results. At a follow up period of 2 years, the apprehension sign remained positive in 6 knees in Group 1, and only one in Group 2. On the skyline radiographs and axial CT scans, stability was significantly better in group 2 than in group 1. The mean Kujala score was 65.2+/ -9.39 points in group 1, and 87.1+/ -6.43 points in group 2, at 2 years evaluation, significantly higher than before surgery. No patient developed osteoarthritis while being followed up.Conclusion. Based on these findings, we were able to conclude that the reconstruction of the MPFL combined with the osteotomy of distal tuberosity is a useful treatment of recurrent patellar dislocation and subluxation. However, further studies are needed to assess the impact of the realignment procedures in the prevention of joint degeneration.

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9

Reed, Thomas M. "Modified elmslie lateral ankle stabilization procedure." Journal of Foot and Ankle Surgery 35, no. 2 (March 1996): 162–65. http://dx.doi.org/10.1016/s1067-2516(96)80034-2.

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10

Hokkanen, Markku. "Scottish Missionaries and African Healers: Perceptions and Relations in The Livingstonia Mission, 1875-1930." Journal of Religion in Africa 34, no. 3 (2004): 320–47. http://dx.doi.org/10.1163/1570066041725394.

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AbstractThis paper examines Scottish missionary perceptions of African healers, and the relationships between the missionaries and local healers in what is now Northern Malawi during the late nineteenth and early twentieth centuries. Analysing the Livingstonia missionary writings from the missionary doctor Walter Elmslie to the popular missionary author Donald Fraser and the amateur anthropologist T. Cullen Young, it is argued that, despite major differences and changes in the missionaries' perceptions regarding African healers, there were also important continuities. The paper also examines in detail the relationships between Elmslie and the family of African healer Kalengo Tembo. It is argued that the careful study of missionary writings, even blatant missionary propaganda, can offer novel insights not only into missionary discourse, but also into the historical interaction between Africans and missionaries in the field of medicine and healing.

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11

Karataglis, D., M. A. Green, and D. J. A. Learmonth. "Functional outcome following modified Elmslie–Trillat procedure." Knee 13, no. 6 (December 2006): 464–68. http://dx.doi.org/10.1016/j.knee.2006.08.004.

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12

Giese, T., J. Bletzer, J. Huber, and S. Maibaum. "Rückkehr zum Leistungssport nach Elmslie-Trillat-Operation." Arthroskopie 27, no. 2 (March 23, 2014): 142–46. http://dx.doi.org/10.1007/s00142-014-0811-2.

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13

Keilani, Mohammad, Stefano Palma, Richard Crevenna, Camilla Gaudart, Timothy Hasenöhrl, Martin Reschl, Nadine Huto, Stefan Hajdu, and Harald K. Widhalm. "Functional outcome after recurrent patellar dislocation." Wiener klinische Wochenschrift 131, no. 23-24 (November 11, 2019): 614–19. http://dx.doi.org/10.1007/s00508-019-01570-3.

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Summary Background There is no final consensus regarding the ideal surgical technique for the treatment of patellar dislocation. The aim of this retrospective pilot study was to describe muscle strength, body composition, self-reported physical performance, and pain in male patients after patellar dislocation treatment with two different surgical techniques: medial patellofemoral ligament (MPFL) reconstruction vs. the Elmslie-Trillat procedure. Methods Isokinetic testing of knee extensor muscles was performed using a Biodex System 3 pro dynamometer at an angular velocity of 60°/s. Body composition was measured with bioelectrical impedance analysis (Nutribox). Self-reported physical performance and pain were assessed by the SF-36 subscales of physical functioning, role physical and bodily pain. The outcome variables of peak torque normalized to participant’s body mass (Nm/kg), lean body mass, phase angle, self-reported physical performance, and pain were compared between the study groups. Results Of the 12 included male patients, 6 had been treated with MPFL reconstruction (age: median = 33 years, range = 18–38 years; BMI: median = 26 kg/m2, range = 23–29) and 6 with the Elmslie-Trillat procedure (age: median = 26 years, range = 19–32 years; BMI: median = 23 kg/m2, range = 19–28). No statistically significant differences were found between the groups in any outcome parameter of muscle strength, body composition, self-reported physical performance, or pain. Conclusions The results of the present pilot study revealed that MPFL reconstruction shows equal results to the Elmslie-Trillat procedure, with respect to isokinetic knee muscle strength, body composition, self-reported physical performance and pain in male patients suffering from recurrent patellar dislocation.

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14

Lin, Renn-Chia, Ko-Huang Lue, and Ko-Hsiu Lu. "Arthroscopic Lateral Retinacular Release and Modified Elmslie–Trillat Operation Improve Severe Isolated Lateral Patello-Femoral Osteoarthritis." Journal of Knee Surgery 30, no. 06 (October 3, 2016): 514–22. http://dx.doi.org/10.1055/s-0036-1593365.

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AbstractTo evaluate whether arthroscopic lateral retinacular release and the modified Elmslie–Trillat operation improve osteoarthritis (OA) progression and clinical outcomes in patients with severe isolated lateral patello-femoral OA. Nine women (11 knees) and one man (one knee) with isolated late-stage lateral patello-femoral OA underwent surgery. The severity of patello-femoral OA was recorded using the Merchant method, while the level of pain and anterior knee function were scored using the visual analogue scale (VAS) and Kujala knee scores, respectively. The articular cartilage was graded under arthroscopy using the Outerbridge classification. All of the patients underwent the modified Elmslie–Trillat operation after arthroscopic surgery, including lateral retinacular release. Ten patients (12 knees) had a mean 6.45 ± 0.80 mm of medial transfer, 6.02 ± 0.80 mm of anterior transfer of the tibial tubercle, and follow-up of 67.0 months. The mean VAS and Kujala knee scores improved from 8 ± 0.17 preoperatively to 2.33 ± 0.33 on the last follow-up and from 43.08 ± 2.09 to 68.83 ± 2.59, respectively (both p < 0.001). Postoperatively, all had improved subchondral bone remodeling, including cyst resolution, density and trabeculae normalization, and subchondral smoothing in the patello-femoral compartment. The patello-femoral joint space and patellar thickness increased from 0.39 ± 0.16 mm to 1.77 ± 0.18 mm and from 18.28 ± 0.67 mm to 19.60 ± 0.69 mm, respectively (p < 0.001 and p = 0.005). Treatment of severe isolated lateral patello-femoral OA using arthroscopic lateral retinacular release and the modified Elmslie–Trillat operation can improve pain relief, functional outcomes, and subchondral bone remodeling, and also restore the patello-femoral joint space and patellar thickness. Prompt transfer of the tibial tubercle seems to reverse the progress of OA radiographically.

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15

Rillmann, Oswald, Holzach, and Ryf. "Fulkerson's Modified Elmslie-Trillat Procedure for Objective Patellar Instability and Patellofemoral Pain Syndrome." Swiss Surgery 6, no. 6 (December 1, 2000): 328–34. http://dx.doi.org/10.1024/1023-9332.6.6.328.

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Twenty two knees were either operated for objective patellar instability (Group A: 14 patients) or patellofemoral pain syndrome (Group B: 8 patients) using Fulkerson's modified Elmslie-Trillat procedure. The objective of this retrospective study was to evaluate the results of this method and to detect whether or not there were differences in the outcome comparing the two groups. Twenty knee joints (Group A: 13; group B: 7) were available for clinical and radiographic examination after an overall mean follow-up of 63 months. Duration of pre- and postoperative physical therapy was significantly longer for group B, the activity level increased significantly for these patients and the Q-angle could be corrected significantly in this group comparing pre- and postoperative values. The overall outcome (Turba score) detected no statistically significant difference between the groups, only good and excellent results were obtained. No signs of osteoarthritis were found radiologically. A pathological patellar congruence angle could be corrected significantly by this method. We conclude that Fulkerson's modified Elmslie-Trillat operation is an excellent treatment method with a very low morbidity for patients with patellofemoral malalignment after failed conservative treatment.

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16

Rillmann, P., A. Dutly, C. Kieser, and R. Berbig. "Modified Elmslie-Trillat procedure for instability of the patella." Knee Surgery, Sports Traumatology, Arthroscopy 6, no. 1 (January 28, 1998): 31–35. http://dx.doi.org/10.1007/s001670050069.

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17

Tomatsu, T., N. Imai, T. Hanada, and Y. Nakamura. "Simplification of the Elmslie-Trillat procedure for patellofemoral malalignment." International Orthopaedics 20, no. 4 (July 29, 1996): 211–15. http://dx.doi.org/10.1007/s002640050065.

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18

Dannawi, Zaher, Vikas Khanduja, Chris R. Palmer, and Mustafa El-Zebdeh. "Evaluation of the Modified Elmslie-Trillat Procedure for Patellofemoral Dysfunction." Orthopedics 33, no. 1 (January 1, 2010): 13–19. http://dx.doi.org/10.3928/01477447-20091124-07.

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19

Morrey, B. F. "Elmslie–Trillat Procedure for the Treatment of Recurrent Patellar Instability." Yearbook of Orthopedics 2009 (January 2009): 117–18. http://dx.doi.org/10.1016/s0276-1092(09)79430-1.

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20

Mitani, Genya, Takashi Maeda, Tomonori Takagaki, Kosuke Hamahashi, Kenji Serigano, Yutaka Nakamura, Joji Mochida, and Masato Sato. "Modified Elmslie–Trillat Procedure for Recurrent Dislocation of the Patella." Journal of Knee Surgery 30, no. 05 (October 3, 2016): 493–500. http://dx.doi.org/10.1055/s-0036-1593363.

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AbstractMany groups have reported good to excellent clinical outcomes of the Elmslie–Trillat (ET) procedure for recurrent dislocation of the patella. However, the mean follow-up period of these studies was no more than 5 years. We hypothesized that the long-term postoperative outcomes of the modified ET procedure for recurrent dislocation of the patella would be acceptable compared with those of other procedures. The long-term postoperative outcomes of patients treated with the modified ET procedure were examined. A total of 31 knees in 27 patients with recurrent dislocation of the patella who underwent a modified ET procedure (without medial capsular plication) were evaluated. The mean follow-up period was 13.0 years. Pre- and postoperative radiographs were examined to determine the Q-angle, tilting angle, lateral shift ratio, sulcus angle, congruence angle, and Insall–Salvati index. Clinical outcomes were evaluated based on the Fulkerson patellofemoral joint evaluation score, Kujala score, and the presence of the apprehension sign. Radiological evaluation revealed significant postoperative improvements in the Q-angle, tilting angle, lateral shift ratio, congruence angle, Kujala score, and Fulkerson score (p < 0.001). Sixty-eight percent of all patients had a “good” or “excellent” Fulkerson score. The apprehension sign continued to be shown for six knees. Progression of osteoarthritic changes was observed in three knees, and one knee was symptomatic. The modified ET procedure provided satisfactory outcomes based on radiological and clinical evaluations. These results show the long-term effectiveness and safety of the modified ET procedure for recurrent patellar dislocation.

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21

Filho, Ricardo Bastos, Alberto Monteiro, Renato Andrade, M. J. S. Fredrick Michael, Nuno Sevivas, Bruno Pereira, André Sarmento, and João Espregueira-Mendes. "Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon." Arthroscopy Techniques 6, no. 6 (December 2017): e2277-e2282. http://dx.doi.org/10.1016/j.eats.2017.08.037.

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22

Barber, F. Alan, and John E. McGarry. "Elmslie–Trillat Procedure for the Treatment of Recurrent Patellar Instability." Arthroscopy: The Journal of Arthroscopic & Related Surgery 24, no. 1 (January 2008): 77–81. http://dx.doi.org/10.1016/j.arthro.2007.07.028.

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23

Marcacci, M., S. Zaffagnini, M. Lo Presti, A. Vascellari, F. Iacono, and A. Russo. "Treatment of chronic patellar dislocation with a modified Elmslie-Trillat procedure." Archives of Orthopaedic and Trauma Surgery 124, no. 4 (May 15, 2003): 250–57. http://dx.doi.org/10.1007/s00402-003-0511-2.

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24

Kumar, A., S. Jones, D. R. Bickerstaff, and T. W. D. Smith. "Functional evaluation of the modified Elmslie–Trillat procedure for patello-femoral dysfunction." Knee 8, no. 4 (December 2001): 287–92. http://dx.doi.org/10.1016/s0968-0160(01)00105-3.

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25

Naranja, R. John, P. J. Reilly, Jeffrey R. Kuhlman, Elliott Haut, and Joseph S. Torg. "Long-Term Evaluation of the Elmslie-Trillat-Maquet Procedure for Patellofemoral Dysfunction." American Journal of Sports Medicine 24, no. 6 (November 1996): 779–84. http://dx.doi.org/10.1177/036354659602400613.

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26

Nakajima, Arata, Hitoshi Watanabe, Tomoyuki Rokkaku, Masao Koda, Toshiyuki Yamada, and Masazumi Murakami. "The Elmslie-Trillat Procedure for Recurrent Patellar Subluxation After Total Knee Arthroplasty." Journal of Arthroplasty 25, no. 7 (October 2010): 1170.e1–1170.e5. http://dx.doi.org/10.1016/j.arth.2009.09.008.

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27

Kim, Jin Goo, Hyung Tae Moon, In Hwan Hwang, Deog Shin Choi, and Jeong Seok Moon. "Evaluation of the Elmslie-Trillat-Marquet Procedure for Recurrent Patellar Subluxation or Dislocation." Journal of the Korean Orthopaedic Association 37, no. 6 (2002): 723. http://dx.doi.org/10.4055/jkoa.2002.37.6.723.

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28

Shelbourne, K. Donald, David A. Porter, and William Rozzi. "Use of a Modified Elmslie-Trillat Procedure to Improve Abnormal Patellar Congruence Angle." American Journal of Sports Medicine 22, no. 3 (May 1994): 318–23. http://dx.doi.org/10.1177/036354659402200304.

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29

Iba, Kousuke, Hideji Kura, Yasuharu Yamada, Hiroyuki Morisue, Takuro Wada, and Toshihiko Yamashita. "Fracture of the proximal tibia following Elmslie–Trillat osteotomy: a report of two cases." Injury 35, no. 12 (December 2004): 1334–38. http://dx.doi.org/10.1016/j.injury.2004.02.010.

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30

Naveed, M. A., C. E. Ackroyd, and A. J. Porteous. "Long-term (ten- to 15-year) outcome of arthroscopically assisted Elmslie-Trillat tibial tubercle osteotomy." Bone & Joint Journal 95-B, no. 4 (April 2013): 478–85. http://dx.doi.org/10.1302/0301-620x.95b4.29681.

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31

Wolf, Jörn Henning. "Der späte Triumph einer stillschweigend eingeführten Operation bei Patellaluxation und ihr Urheber Reginald Cheyne Elmslie." Operative Orthopädie und Traumatologie 3, no. 1 (February 1991): 75–80. http://dx.doi.org/10.1007/bf02512402.

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32

Nakagawa, K., Y. Wada, M. Minamide, A. Tsuchiya, and H. Moriya. "Deterioration of long-term clinical results after the Elmslie-Trillat procedure for dislocation of the patella." Journal of Bone and Joint Surgery. British volume 84-B, no. 6 (August 2002): 861–64. http://dx.doi.org/10.1302/0301-620x.84b6.0840861.

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33

GRELSAMER, R. "Deterioration of long-term clinical results after the Elmslie-Trillat procedure for dislocation of the patella." Journal of Bone and Joint Surgery. British volume 85-B, no. 6 (August 2003): 933. http://dx.doi.org/10.1302/0301-620x.85b6.0850933.

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34

Krüger, T., A. Birke, T. Decker, T. Röder, and W. Hein. "Results of the Elmslie-Trillat procedure in cases of patella(sub)luxation related to chondral pathology." Der Unfallchirurg 102, no. 9 (August 1999): 700–707. http://dx.doi.org/10.1007/s001130050468.

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35

Farr, Sebastian, Dominique Huyer, Patrick Sadoghi, Martin Kaipel, Franz Grill, and Rudolf Ganger. "Prevalence of osteoarthritis and clinical results after the Elmslie-Trillat procedure: a retrospective long-term follow-up." International Orthopaedics 38, no. 1 (September 13, 2013): 61–66. http://dx.doi.org/10.1007/s00264-013-2083-2.

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36

Berruto, Massimo, Andrea Parente, Paolo Ferrua, Stefano Pasqualotto, Francesco Uboldi, and Eva Usellini. "Revision Surgery in Permanent Patellar Dislocation in DiGeorge Syndrome." Case Reports in Orthopedics 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/752736.

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A 29-year-old patient, suffering from DiGeorge syndrome, came to our attention with a history of persistent pain and patellar instability in the left knee after failure of arthroscopic lateral release and Elmslie-Trillat procedure. The patient was unable to walk without crutches and severely limited in daily living activities. Because of arthritic changes of the patellofemoral joint and the failure of previous surgeries it was decided to perform only an open lateral release and medial patellofemoral ligament (MPFL) reconstruction using a biosynthetic ligament in order to obtain patellofemoral stability. At one year post-op range of motion (ROM) was 0–120 with a firm end point at medial patellar mobilization; patella was stable throughout the entire ROM. All the scores improved and she could be able to perform daily activity without sensation of instability. Bilateral patellar subluxation and systemic hyperlaxity are characteristics of syndromic patients and according to literature can be also present in DiGeorge syndrome. MPFL reconstruction with lateral release was demonstrated to be the correct solution in the treatment of patellar instability in this complex case. The choice of an artificial ligament to reconstruct the MPFL was useful in this specific patient with important tissue laxity due to her congenital syndrome.

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37

Frings, Jannik, Tobias C. Drenck, Ralph Akoto, Arno Schmeling, and Karl-Heinz Frosch. "Clinical results after distal femoral osteotomies in patients with patellar maltracking." Orthopaedic Journal of Sports Medicine 5, no. 4_suppl4 (April 1, 2017): 2325967117S0014. http://dx.doi.org/10.1177/2325967117s00143.

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Aims and Objectives: Few clinical trials analyze the results after distal femoral osteotomies (torsional and axial adjustment) for patellar maltracking with or without patellar instability. The purpose of the presented study is to capture the clinical results as well as the reluxation rate after torsional osteotomy or axial adjustment (Types 3d, 3e and 5 according to Frosch et al.). Materials and Methods: Between 2010 and 2015 294 cases of patellar instability and/or maltracking were treated in our hospital, 277 surgically. All patients were classified according to Frosch et al. and treated by the corresponding algorithm. 49 patients received a distal femoral osteotomy. Torsional angle and leg axis were radiologically measured in all patients. We used the common scoring systems and determined the redislocation rate. Results: Type 3e and 5 27 cases (18 patients, average 22y) torsional osteotomies were performed. 21 of 27 cases were classified as type 3e (7%), 6 as type 5 (2%). 22 other cases (19 patients) with an average age of 27 years (14-46 years) were classified as type 3d (7,5% of all cases). 17 axial adjustments were performed, 4 isolated MPFL reconstructions and 1 osteotomy of the tibial tubercle. Average femoral antetorsion was 38,6° (±9,3°), die tibial torsion was 35,1° (±11,7°). The average deviation of the leg axis in the frontal plane was 5° (±2,4°) varus (n=9) and 2,8° (±2,9°) valgus (n=14). The mean TT-TG distance was 19,9 mm (±4,9 mm). Torsional osteotomy was combined with MPFL-reconstruction (n=19), tibial tubercle transfer (Ø12,6 mm, n=13) or axial correction (Ø4° varus, Ø6° valgus, n=13), 5 double osteotomies. Torsion was corrected by 13° femoral and 11° tibial on average. After 19 months VAS was 1.2, Kujala 78.8, a Lysholm 79.1, Tegner 4. Only one patient experienced a subluxation after a fall. No redislocation. 3d 7,5% (n=22) showed a mean axial deviation of 6,5° (±2,2°) valgus. Average TT-TG distance was 18,3 mm (±5,8 mm). We performed 15 closed-wedge varus distal femoral osteotomies (Ø6,8°±2,3°), combined with an Elmslie-Trillat (n=14) or Fulkerson procedure (n=1), MPFL reconstruction (n=15) or lateral release (n=1). 4 isolated MPFL reconstructions. One case of a pathological lateral slope with patellar instability was treated by double osteotomy (8° femoral to varus, 4° tibial to valgus). One tibial varisation (5,5°) with MPFL reconstruction and Elmslie-Trillat procedure. Tibial tubercle was medialized by 11 mm ±6,7 mm on average. 22 MPFL reconstructions were done. After average 33 months VAS was 2.3, Kujala 72, Lysholm 79, Tegner 4. No redislocation. Conclusion: Torsional and axis correcting osteotomies are suitable techniques to treat patellar instability or maltracking. Clinically the patients’ benefit is substantial. Consideration of additional procedures is crucial to success, a thorough analysis of all causal pathologies is mandatory. The results approve our individual therapy algorithm in the treatment of patellar instability and maltracking caused by torsional deformities or axis deviations.

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Sammarco, G. James, and Hiram A. Carrasquillo. "Surgical Revision after Failed Lateral Ankle Reconstruction." Foot & Ankle International 16, no. 12 (December 1995): 748–53. http://dx.doi.org/10.1177/107110079501601202.

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Ten patients were treated with revision ankle ligament reconstruction from 1989 through 1994 for recurrent symptomatic instability of the ankle after failure of a primary reconstruction. There were seven female and three male patients with an average age of 28 years. In four patients, symptoms developed shortly after the first reconstruction and in six patients, symptoms developed 56.2 months (average) after the initial reconstruction surgery. The average follow-up was 14 months after revision surgery. All patients had significant functional impairment before surgery and all failed to respond to conservative treatment, which included physical therapy and bracing. Seven revision ligament reconstructions included the use of a tendon graft, including the pero-neus brevis, accessory peroneus, plantaris, and peroneus tertius. All revision procedures were modifications of the Elmslie procedure, (Sammarco-DiRaimondo). In addition, three Brostrom-Gould procedures were performed. The average follow-up was 31 months. All patients had clinical stability of the ankle following revision reconstruction. Nine patients (90%) returned to their previous functional level. After surgery, two patients had minimal pain and mononeuritis multiplex developed in one patient. The outcome of revision ankle ligament reconstruction compares favorably with reports for primary ankle reconstruction. Revision ankle reconstruction is a good procedure for selected patients. It is an appropriate option when conservative therapy fails to relieve recurrent symptoms of ankle instability following primary reconstruction.

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Ramachandra, Renuka, Bassil Hassan, Stephanie G. McGrew, James Dompor, Mohamed Farrag, Victor Ruiz-Velasco, and Keith S. Elmslie. "Identification of CaV channel types expressed in muscle afferent neurons." Journal of Neurophysiology 110, no. 7 (October 1, 2013): 1535–43. http://dx.doi.org/10.1152/jn.00069.2013.

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Cardiovascular adjustments to exercise are partially mediated by group III/IV (small to medium) muscle afferents comprising the exercise pressor reflex (EPR). However, this reflex can be inappropriately activated in disease states (e.g., peripheral vascular disease), leading to increased risk of myocardial infarction. Here we investigate the voltage-dependent calcium (CaV) channels expressed in small to medium muscle afferent neurons as a first step toward determining their potential role in controlling the EPR. Using specific blockers and 5 mM Ba2+ as the charge carrier, we found the major calcium channel types to be CaV2.2 (N-type) > CaV2.1 (P/Q-type) > CaV1.2 (L-type). Surprisingly, the CaV2.3 channel (R-type) blocker SNX482 was without effect. However, R-type currents are more prominent when recorded in Ca2+ ( Liang and Elmslie 2001 ). We reexamined the channel types using 10 mM Ca2+ as the charge carrier, but results were similar to those in Ba2+. SNX482 was without effect even though ∼27% of the current was blocker insensitive. Using multiple methods, we demonstrate that CaV2.3 channels are functionally expressed in muscle afferent neurons. Finally, ATP is an important modulator of the EPR, and we examined the effect on CaV currents. ATP reduced CaV current primarily via G protein βγ-mediated inhibition of CaV2.2 channels. We conclude that small to medium muscle afferent neurons primarily express CaV2.2 > CaV2.1 ≥ CaV2.3 > CaV1.2 channels. As with chronic pain, CaV2.2 channel blockers may be useful in controlling inappropriate activation of the EPR.

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Abid, Hatim, Mohammed El Idrissi, Abdelhalim El Ibrahimi, and Abdelmajid Elmrini. "Tibial Tubercle Osteotomy in Patello-Femoral Instability: Results of a Series of 12 Cases Treated by the Elmslie-Trillat Procedure with Literature Review." OALib 07, no. 09 (2020): 1–11. http://dx.doi.org/10.4236/oalib.1106593.

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Longo, Umile Giuseppe, Giacomo Rizzello, Mauro Ciuffreda, Mattia Loppini, Angelo Baldari, Nicola Maffulli, and Vincenzo Denaro. "Elmslie-Trillat, Maquet, Fulkerson, Roux Goldthwait, and Other Distal Realignment Procedures for the Management of Patellar Dislocation: Systematic Review and Quantitative Synthesis of the Literature." Arthroscopy: The Journal of Arthroscopic & Related Surgery 32, no. 5 (May 2016): 929–43. http://dx.doi.org/10.1016/j.arthro.2015.10.019.

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Berruto, Massimo, Francesco Uboldi, Paolo Ferrua, Giovanni Vergottini, and Andrea Manunta. "Surgical Treatment of Objective Patellar Instability: Long-Term Results." Joints 06, no. 01 (March 2018): 033–36. http://dx.doi.org/10.1055/s-0038-1636949.

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Purpose To evaluate the long-term results of classical “à la carte” surgical treatment of objective patellar instability as proposed by Dejour in 1987. Methods A multicentric retrospective study was conducted evaluating patients that underwent surgical procedure with a 10-year minimum follow-up (mean 12.7; range, 10–15). Surgical procedures were medial transfer of the tibial tubercle transfer according to Elmslie and Trillat et al in 38 cases, plasty of the vastus medialis obliquus according to Insall in 15 cases, open lateral retinacular release in 13 cases, capsuloplasty in 3 cases, and trochleoplasty in 1 case. Different combinations of surgical procedures were adopted according to the pathological features. Subjective outcome was assessed with the visual analog scale (VAS), Kujala score, subjective International Knee Documentation Committee (IKDC) score, Tegner score, and Crosby and Insall scale. Radiographic exams were used to assess the patellar tilt by the Laurin's angle and patellofemoral osteoarthritis (OA) according to the Iwano radiological OA scale. Results Forty patients were evaluated. Subjectively, 60% of patients achieved a result judged good, 34% sufficient, and 6% poor. There were only two cases of recurrence of instability. Mean score results were Kujala score 73.4 ± 9.9 (range, 55–95), VAS 4.5 ± 1.2 (range, 1–6), IKDC 64.8 ± 7.9 (range, 51–88), and Tegner score 4. Only nine patients returned to sports activities). Ten patients developed a grade I patellofemoral OA, 8 patients a grade II, and 22 patients a grade III. Average patellar tilt was 10° ± 3.9°. Conclusion This retrospective study showed that the traditional surgical procedure was successful for the treatment of patellar instability, but it did not prevent symptomatic patellofemoral OA. Level of Evidence Level IV, retrospective case series.

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Stray, Christopher. "The rise and fall of Porsoniasm." Cambridge Classical Journal 53 (2007): 40–71. http://dx.doi.org/10.1017/s175027050000004x.

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In 1903, in the preface to the first volume of his edition of Manilius, Housman wrote:… we now witness in Germany pretty much what happened in England after 1825, when our own great age of scholarship, begun in 1691 by Bentley's Epistola ad Millium, was ended by the successive strokes of doom which consigned Dobree and Elmsley to the grave and Blomfield to the bishopric of Chester. England disappeared from the fellowship of nations for the next forty years.(Housman (1903) xlii)The name which lurks unspoken behind this paragraph is that of Richard Porson, and Dobree, Elmsley and Blomfield, whose names are spoken, were all in different ways his disciples. Although Porson had no pupils and gave no lectures, in the generation just after his death he had a number of followers who cultivated his memory and emulated his style, at least before they were removed to higher spheres by death or preferment to bishoprics. If the cultivation of his scholarly style can be called Porsonianism, it was the cult of Porson himself after his death in 1808, centred on Trinity College, Cambridge, for which three years later the Oxford scholar Peter Elmsley coined the name ‘Porsoniasm’. As one might expect, the name-giver was an outsider. Yet as his inclusion in Housman's sketch indicates, Elmsley could be called a Porsonian, and indeed in 1911, in his inaugural lecture as Professor of Latin at Cambridge, Housman remarked that ‘scholarship meant to Elmsley what it meant to Dobree’ (Housman (1969) 25). But though Elmsley was a Porsonian, he was not (if I may venture a hapax of my own) a Porsoniast.

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Neuburg, Matt. "Whose Laughter does Pentheus Fear? (Eur. Ba. 842)." Classical Quarterly 37, no. 1 (May 1987): 227–30. http://dx.doi.org/10.1017/s0009838800031827.

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The Aldine editor, no doubt put off in part by the expressionhad the text printed as given by P (the sole witness for this part of the play), but punctuated with commas after and , so that could go withAccording to Elmsley, it was Musgrave who removed the comma after, adducing T. 276 to show taking a dative. But, continues Elmsley, the simple in this and other examples is taking a dative of the thing, never of the person. Accordingly he prints Pierson′s easy emendationproposed independently by Reiske and printed almost simultaneously with Elmsley by Matthiae. The resulting reading has sufficiently satisfied all editors from then until the present day; there is not one, as far as I am aware, who does not print it. In our century the line has not been the object of any controversy.

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Kostyleva, Tatiana V. "Misunderstanding Peter Elmsley (Eur. Medea 151–154)." Philologia Classica 13, no. 2 (2018): 312–16. http://dx.doi.org/10.21638/11701/spbu20.2018.212.

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FINGLASS, P. J. "UNPUBLISHED EMENDATIONS BY PETER ELMSLEY ON EURIPIDES AND ARISTOPHANES." Classical Quarterly 57, no. 2 (November 7, 2007): 742–46. http://dx.doi.org/10.1017/s0009838807000663.

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Faraj, Adnan A. "Review of elmslie's triple arthrodesis for post-polio pes calcaneovalgus deformity." Journal of Foot and Ankle Surgery 34, no. 3 (May 1995): 319–21. http://dx.doi.org/10.1016/s1067-2516(09)80067-7.

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Yang, Ruizi. "Research on Settlement Prediction of Small Water Conservancy Project based on ELM Model Optimized by Genetic Algorithm." E3S Web of Conferences 248 (2021): 03065. http://dx.doi.org/10.1051/e3sconf/202124803065.

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To find suitable for small water conservancy engineering standard method for prediction of subsidence. This paper based on the genetic algorithm GA optimization extreme learning machine, three different ELM model activation function. From this, six computational models are obtained. According to the input of groundwater dynamic changes, precipitation, temperature and soil four indicators of the two kinds of input combinations, a total of 12 kinds of model input. It’s concluded that the optimal settlement prediction model, the results showed that: Ga-ELMsin model shows high accuracy, and genetic algorithm can improve the calculation accuracy of ELM model. Groundwater dynamics is the main factor affecting settlement.

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Wu, Xiaosheng, Teng Deng, Wenyuan Chen, and Weiping Zhang. "Electromagnetic levitation micromotor with stator embedded (ELMSE): levitation and lateral stability characteristics analysis." Microsystem Technologies 17, no. 1 (November 19, 2010): 59–69. http://dx.doi.org/10.1007/s00542-010-1166-x.

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ramdane, boukhors. "Relation of the administrative leadership with administrative creativity level of the employees in youth and sports directorate, Elmsila state, Algiers." Assiut Journal of Sport Science and Arts 215, no. 2 (July 1, 2015): 29–45. http://dx.doi.org/10.21608/ajssa.2015.70786.

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