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Operative Techniques in Orthopaedics最新文献

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Nerve Healing and Future Directions 神经愈合和未来方向
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-28 DOI: 10.1016/j.oto.2025.101178
Christopher Jou , Anisha Sonti , Austin Kennemer , Rafael Ramos , Megan M. Jack , Grzegorz Kwiecien , Dennis Kao
{"title":"Nerve Healing and Future Directions","authors":"Christopher Jou ,&nbsp;Anisha Sonti ,&nbsp;Austin Kennemer ,&nbsp;Rafael Ramos ,&nbsp;Megan M. Jack ,&nbsp;Grzegorz Kwiecien ,&nbsp;Dennis Kao","doi":"10.1016/j.oto.2025.101178","DOIUrl":"10.1016/j.oto.2025.101178","url":null,"abstract":"<div><div>Peripheral nerve injuries are potentially devastating injuries that can lead to profound functional deficits and pain. As peripheral nerves retain the ability to regenerate, understanding the mechanism and physiology of nerve regeneration is critical to improving patient outcomes. Here, we review the physiology of nerve regeneration, as well as review surgical management and new treatment modalities for these injuries.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101178"},"PeriodicalIF":0.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nerve Transfers for Brachial Plexus and Upper Extremity Nerve Injuries 臂丛神经及上肢神经损伤的神经转移治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101175
Paul J. Hannon, Joseph F. Styron
{"title":"Nerve Transfers for Brachial Plexus and Upper Extremity Nerve Injuries","authors":"Paul J. Hannon,&nbsp;Joseph F. Styron","doi":"10.1016/j.oto.2025.101175","DOIUrl":"10.1016/j.oto.2025.101175","url":null,"abstract":"<div><div>Nerve transfer in the setting of both brachial plexus injury (BPI) and peripheral nerve injury (PNI) has become a valuable tool in the armamentarium of the hand and upper extremity surgeon. Depending on the level of injury, numerous donor nerves exist which can be utilized to re-animate deficient motor functions and/or restore sensation. Commonly after BPI, the patient is left with deficiencies in shoulder abduction, external rotation and/or elbow flexion/extension for which there are a host of available nerve transfer options. Unfortunately, we do not yet have many successful techniques to restore intrinsic hand function after complete BPI, however there are numerous techniques to improve hand function in the setting of PNI. Multiple donors are often available, and the decision for which to harvest is at the discretion of the surgeon, taking into consideration the presence of concomitant injury, regenerative distance and deficits which may result from donor harvest. For the best chance at an optimal outcome after nerve transfer, progressive rehabilitation programs for both motor and sensory re-education are critical. Multiple techniques for restoration of motor and sensory function after BPI and PNI are described below, as well as a description of typical rehabilitation protocol after nerve transfer.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101175"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Upper Extremity Targeted Muscle Reinnervation 上肢定向肌肉再神经支配
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101174
Khusboo Desai, Erin Weber
{"title":"Upper Extremity Targeted Muscle Reinnervation","authors":"Khusboo Desai,&nbsp;Erin Weber","doi":"10.1016/j.oto.2025.101174","DOIUrl":"10.1016/j.oto.2025.101174","url":null,"abstract":"<div><div>Residual limb and phantom limb pain can affect as many as 80% of individuals after amputation and can drastically affect a patient's quality of life and ability to wear a prosthetic device. Targeted muscle reinnervation (TMR) is a novel nerve transfer technique developed to increase the number of available electromyography (EMG) signals available for myoelectric prosthetic control. This initial indication has been expanded as later studies have also shown a reduction in opioid usage and increased prosthetic wear, even in highly comorbid patients, secondary to reduced phantom and residual limb pain. In this article we review the relevant anatomy and discuss TMR nerve transfer options available for patients with amputations at varying levels including partial hand, trans-radial, trans-humeral and shoulder disarticulation.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101174"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors (pick up from previous issue w/updates) 贡献者（从以前的问题和更新中挑选）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1053/S1048-6666(25)00028-X
{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(25)00028-X","DOIUrl":"10.1053/S1048-6666(25)00028-X","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101194"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nerve Transfers for Tetraplegia 神经移植治疗四肢瘫痪
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101177
Christopher Jou , Kyle J. Chepla
{"title":"Nerve Transfers for Tetraplegia","authors":"Christopher Jou ,&nbsp;Kyle J. Chepla","doi":"10.1016/j.oto.2025.101177","DOIUrl":"10.1016/j.oto.2025.101177","url":null,"abstract":"<div><div>Cervical spinal cord injury can result in loss of upper extremity function including elbow extension, hand opening and closing. Together, these losses can severely limit independence, negatively impact quality of life, and the ability to perform activities of daily living without assistance from family or caregivers. Thus, restoration of hand and upper extremity function is critical and often a top priority for patients with tetraplegia. While reconstructive surgical techniques such as tendon transfer, tenodesis and arthrodesis have been long used to accomplish this, nerve transfers have recently demonstrated excellent outcomes and are now being incorporated into treatment algorithms for these patients either alone or in conjunction with tendon transfer. Here, we review the pathophysiology of spinal cord injury, commonly performed nerve transfers, complications and expected outcomes.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101177"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Table of Contents (pick up from previous issue w/updates) 目录（选自上一期的内容和更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1053/S1048-6666(25)00027-8
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(25)00027-8","DOIUrl":"10.1053/S1048-6666(25)00027-8","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101193"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation and Grading of Peripheral Nerve Injuries 周围神经损伤的评价与分级
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101170
Austin Kennemer , Anisha Sonti , Eric Z. Herring , Grzegorz Kwiecien , Dennis Kao , Megan M. Jack
{"title":"Evaluation and Grading of Peripheral Nerve Injuries","authors":"Austin Kennemer ,&nbsp;Anisha Sonti ,&nbsp;Eric Z. Herring ,&nbsp;Grzegorz Kwiecien ,&nbsp;Dennis Kao ,&nbsp;Megan M. Jack","doi":"10.1016/j.oto.2025.101170","DOIUrl":"10.1016/j.oto.2025.101170","url":null,"abstract":"<div><div>Peripheral nerve injury can be caused by many etiologies including ischemic, mechanical, chemical, thermal and inflammatory insults and affects sensory, motor and autonomic function. In this article we will review the classification of nerve injury, examination of a patient with a suspected nerve injury and useful supplementary diagnostic tools including electromyography, ultrasound and magnetic resonance neurography. The aforementioned are all critical parts in determining whether spontaneous recovery is possible or if, and when, surgical intervention including neurolysis, direct repair, grafting or nerve transfer should be considered.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101170"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nerve Transfers: Patient Evaluation, Clinical Applications and Future Directions 神经转移：患者评估、临床应用和未来方向
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101169
Kyle J. Chepla MD
{"title":"Nerve Transfers: Patient Evaluation, Clinical Applications and Future Directions","authors":"Kyle J. Chepla MD","doi":"10.1016/j.oto.2025.101169","DOIUrl":"10.1016/j.oto.2025.101169","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101169"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial Board (pick up from previous issue w/updates) 编辑委员会（选自上一期，并有更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1053/S1048-6666(25)00026-6
{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(25)00026-6","DOIUrl":"10.1053/S1048-6666(25)00026-6","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101192"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nerve Transfers for Median Nerve Injury 正中神经损伤的神经转移治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2025-03-01 DOI: 10.1016/j.oto.2025.101171
Samantha Maasarani , Corinne Wee
{"title":"Nerve Transfers for Median Nerve Injury","authors":"Samantha Maasarani ,&nbsp;Corinne Wee","doi":"10.1016/j.oto.2025.101171","DOIUrl":"10.1016/j.oto.2025.101171","url":null,"abstract":"<div><div>Due to its role in hand function, median nerve injuries can have a significant impact on patients’ lives. Nerve transfers can be performed alone or in conjunction with tendon transfers to restore critical functions supplied by the median nerve, with a particular emphasis on restoring grasp, pinch, and sensation. Continued study into possible nerve transfers for median nerve injury has led to multiple options that can be tailored to the patient's demands, deficits, and injury pattern.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"35 1","pages":"Article 101171"},"PeriodicalIF":0.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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