{"title":"The Role of Suture Tape Augmentation in Lateral Ankle Ligament Reconstruction","authors":"Johannes Christiaan Coetzee","doi":"10.1016/j.oto.2022.100981","DOIUrl":"10.1016/j.oto.2022.100981","url":null,"abstract":"<div><p>The Broström lateral ankle ligament<span><span> repair is the gold standard for treatment of ankle instability, but there is always the concern that without augmentation the repair might fail over time. There is growing evidence, both from cadaver studies and </span>clinical research, that augmentation with a suture tape construct significantly add to the strength and durability of a standard repair. Not only does it increase the time zero strength, but it also allows for a more aggressive rehabilitation program and earlier return to sports without compromising the primary repair. This chapter will highlight the technique and pointers to improve results while avoiding pitfalls.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42694976","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}
{"title":"Lateral Ankle Ligament Allograft Reconstruction Technique","authors":"Kamran S. Hamid MD, MPH, Adam P. Schiff MD","doi":"10.1016/j.oto.2022.100983","DOIUrl":"10.1016/j.oto.2022.100983","url":null,"abstract":"<div><p>Ankle inversion sprains represents the most common musculoskeletal injury<span> in the United States. Most of these injuries recover uneventfully with appropriate conservative management. A subset of patients do not heal adequately and develop chronic lateral ankle instability that requires surgical stabilization. Within this group of patients are those that will benefit from allograft<span> reconstruction to augment the lateral ligamentous repair in cases of poor native tissue or high force demands on the ankle. The authors present their technique for lateral ankle ligament allograft reconstruction with semitendinosus allograft.</span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47713616","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}
{"title":"Surgical treatment for chronic lateral ankle instability","authors":"David M. Walton","doi":"10.1016/j.oto.2022.100979","DOIUrl":"https://doi.org/10.1016/j.oto.2022.100979","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138208311","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}
{"title":"Conflict of Interest","authors":"Andrew J. Sheean , SA Darren de","doi":"10.1016/j.oto.2022.100966","DOIUrl":"10.1016/j.oto.2022.100966","url":null,"abstract":"<div><p>“Conflict of interest” refers to a situation in which one's professional judgment related to a primary consideration may be unduly influenced by a secondary consideration. Not uncommonly, these secondary considerations tend to be financial in nature. This fact, in itself, is not unethical, and, given the close involvement of orthopedic surgeons with many industry-driven innovations, conflicts of interest are omnipresent. Early acknowledgment and candid disclosure of this fact by the involved parties ensures transparency and enriches the audience's perspective of the products of collaborations. Comfort with this dictum minimizes the likelihood of one failing, either intentionally or unintentionally, to adequately report conflicts of interest and avoids the untoward consequences of public scrutiny of actions taken in the presence of competing considerations.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45816592","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}
{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(22)00031-3","DOIUrl":"https://doi.org/10.1053/S1048-6666(22)00031-3","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666622000313/pdfft?md5=1e3f86c3373ce85ee8d421a0ab224631&pid=1-s2.0-S1048666622000313-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138306791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Articular Cartilage: Injury, Restoration, and Preservation","authors":"Constance R. Chu","doi":"10.1016/j.oto.2022.100964","DOIUrl":"10.1016/j.oto.2022.100964","url":null,"abstract":"<div><p><span><span><span><span>Freddie H. Fu, MD was a transformational advocate and leader in orthopedic<span> surgery, sports medicine, and musculoskeletal research. He also respected, nurtured, and participated in </span></span>articular cartilage research. A lot of what we know about articular cartilage stems from studies led by orthopedic faculty at the University of Pittsburgh. These contributions include pioneering work on articular cartilage metabolism and the effects of corticosteroids, the chondrotoxicity of </span>local anesthetics, and </span>chondrocyte<span> transplantation for articular cartilage repair. As department chair, Freddie Fu's tremendous leadership created conditions where new concepts and approaches advanced by orthopedic faculty such as advanced </span></span>tissue engineering<span> to create osteochondral tissues for space and drug<span> development, localized gene therapy, novel cartilage imaging, as well as the definition and demonstration of pre-osteoarthritis to prevent or delay the onset of osteoarthritis<span> are now poised to transform the future of joint preservation and musculoskeletal health.</span></span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43347890","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}
{"title":"Diversity in Orthopaedic Surgery Operative Techniques in Orthopaedic Surgery","authors":"Robin Vereeke West MD","doi":"10.1016/j.oto.2022.100967","DOIUrl":"10.1016/j.oto.2022.100967","url":null,"abstract":"<div><p>Diversity can be defined as differences in people based on race, sex, culture, spoken language, perspectives, and experiences. While diversity in the medical field has continued to increase, the gains have not been shared equally across all medical specialties. It is well established that diversity in orthopaedic surgery is far behind other specialties.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41974992","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}
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(22)00032-5","DOIUrl":"https://doi.org/10.1053/S1048-6666(22)00032-5","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666622000325/pdfft?md5=01407ebf899e0d61e0511627902165a8&pid=1-s2.0-S1048666622000325-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138306792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Orthopaedic Innovation and the Balance With Conflicts of Interest","authors":"Grace X. Xiong , James D. Kang","doi":"10.1016/j.oto.2022.100962","DOIUrl":"10.1016/j.oto.2022.100962","url":null,"abstract":"<div><p><span>The concept of “innovation” is lauded as a key instrument for improving the human condition. The paradigm of innovation encompasses flexibility of thought and perspective, the capacity for exploration and testing of new ideas, and the tenacity to execute changes and reflect on improvements. Orthopaedics is well suited to the practice of innovation, and indeed many innovative practices have changed the landscape of musculoskeletal care, from the first intramedullary nails to </span>anterior cruciate ligament reconstruction<span>. As with all innovations in health care, however, the link with economic incentives and conflicts of interest must be carefully considered.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46612312","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}
{"title":"Anatomical ACL Reconstruction","authors":"Benjamin B. Rothrauff, Bryson P. Lesniak","doi":"10.1016/j.oto.2022.100965","DOIUrl":"10.1016/j.oto.2022.100965","url":null,"abstract":"<div><p><span>Dr Freddie Fu was a pioneer of sports medicine, making numerous scientific contributions that ultimately improved patient care. He was perhaps best known as a world expert on the </span>anterior cruciate ligament<span><span> (ACL). Herein we review the seminal studies of Dr Fu guiding the evolution and adoption of anatomical ACL reconstruction. From these studies, Dr Fu defined the ACL as a dynamic structure, rich in neurovascular supply and comprised of distinct bundles, which function synergistically to facilitate normal knee kinematics in concert with bony morphology. Characterized by individual uniqueness, the ACL is inherently subject to both anatomical and morphological variations as well as physiologic aging. Accordingly, anatomical ACL reconstruction entails the functional restoration of the ACL to its native dimensions, collagen orientation, and insertion sites according to individual </span>anatomy<span>. Anatomical ACL reconstruction has been consistently demonstrated to be superior to traditional (Ie, non-anatomical) ACL reconstruction in restoring knee stability, but graft failure<span> and an inability to return to pre-injury sporting levels remain a challenge. In embracing the past discoveries and lessons afforded us by Dr Fu, we may embrace future efforts to improve outcomes for patients with an ACL injury.</span></span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42571990","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}