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Operative Techniques in Orthopaedics最新文献

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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 : 2024-12-01 DOI: 10.1053/S1048-6666(24)00069-7
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引用次数: 0
Reverse Shoulder Arthroplasty: History, Indications, Design, Outcomes, and Complications 反向肩关节置换术：历史、适应症、设计、结果和并发症
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-12-01 DOI: 10.1016/j.oto.2024.101149
J. Austin Stratton BS, Steve H. Bayer MD, Justin W. Arner MD
{"title":"Reverse Shoulder Arthroplasty: History, Indications, Design, Outcomes, and Complications","authors":"J. Austin Stratton BS,&nbsp;Steve H. Bayer MD,&nbsp;Justin W. Arner MD","doi":"10.1016/j.oto.2024.101149","DOIUrl":"10.1016/j.oto.2024.101149","url":null,"abstract":"<div><div>The reverse total shoulder arthroplasty (rTSA) has become an increasingly common procedure with rapidly expanding indications. The purpose of this review is to summarize the history of the rTSA, provide an overview of modern implant design, and discuss the expanding indications for primary rTSA, rTSA in the revision setting, and the associated outcomes. The Grammont rTSA was introduced in 1985 for the treatment of cuff tear arthroplasty (CTA). Due to complications including scapular notching, stress fracture of the acromion and scapular spine, and instability, subsequent iterations have included glenoid component lateralization, changes in glenoid baseplate positioning, variations in humeral neck shaft angle, and inlay vs onlay humeral component design. Modernization of the rTSA design has resulted in expanding indications beyond CTA, including irreparable cuff tear, primary osteoarthritis, and fracture. Modern rTSA designs have demonstrated improvement in patient reported outcomes and pain from preoperative baseline with high patient satisfaction. However, rates of scapular notching increase over time and functional outcomes remain limited by deficits in range of motion, especially with internal rotation. An ideal implant configuration has not been identified, but navigation and extended reality are emerging areas of study that may improve implant placement and patient outcomes.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101149"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743186","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}
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 : 2024-12-01 DOI: 10.1053/S1048-6666(24)00068-5
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引用次数: 0
Patient Specific Instrumentation in Shoulder Arthroplasty 肩关节置换术中患者专用内固定
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-12-01 DOI: 10.1016/j.oto.2024.101152
Cortez L. Brown , Stephen Marcaccio , Joseph P. Mullen , Ryan T. Lin , Sophia McMahon , Amin Karimi , Albert Lin
{"title":"Patient Specific Instrumentation in Shoulder Arthroplasty","authors":"Cortez L. Brown ,&nbsp;Stephen Marcaccio ,&nbsp;Joseph P. Mullen ,&nbsp;Ryan T. Lin ,&nbsp;Sophia McMahon ,&nbsp;Amin Karimi ,&nbsp;Albert Lin","doi":"10.1016/j.oto.2024.101152","DOIUrl":"10.1016/j.oto.2024.101152","url":null,"abstract":"<div><div>Originally developed for total knee arthroplasty (TKA), patient-specific instrumentation (PSI) is a validated computer-assisted technique in shoulder arthroplasty involving the use of customized three dimensional (3D)-printed drill guides derived from preoperative planning software to assist in accurate position of components, particularly of the glenoid component. PSI has been shown to improve glenoid component positioning, leading to less outliers by maintaining accuracy while reducing variability. As technology continues to evolve, integrating PSI with other innovations such as computer navigation, robotics, and mixed reality holds the promise of even greater advancements in shoulder arthroplasty. Here we detail the patient indications, surgical technique, and patient outcomes following the use of PSI for shoulder arthroplasty.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 4","pages":"Article 101152"},"PeriodicalIF":0.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743189","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}
引用次数: 0
Editorial Board (pick up from previous issue w/updates) 编辑委员会（接续上期内容并进行更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00048-X
{"title":"Editorial Board (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00048-X","DOIUrl":"10.1053/S1048-6666(24)00048-X","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101139"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417284","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
Nutritional Prehabilitation in the Orthopaedic Trauma Patient 骨科创伤患者的营养预康复治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101133
Katherine L. Shumate , Ivan S. Tarkin
{"title":"Nutritional Prehabilitation in the Orthopaedic Trauma Patient","authors":"Katherine L. Shumate ,&nbsp;Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101133","DOIUrl":"10.1016/j.oto.2024.101133","url":null,"abstract":"<div><div>Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101133"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417289","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
Hyperglycemia in Orthopaedic Trauma Patients: Implications, Management, and Future Directions 骨科创伤患者的高血糖症：影响、管理和未来方向
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101132
Anthony Belmonte, Logan Roebke, Humza S. Shaikh
{"title":"Hyperglycemia in Orthopaedic Trauma Patients: Implications, Management, and Future Directions","authors":"Anthony Belmonte,&nbsp;Logan Roebke,&nbsp;Humza S. Shaikh","doi":"10.1016/j.oto.2024.101132","DOIUrl":"10.1016/j.oto.2024.101132","url":null,"abstract":"<div><div>Physiologic stress-induced hyperglycemia (SIH) significantly impacts patient outcomes in both nondiabetic and diabetic individuals following orthopaedic trauma. This review synthesizes current literature on SIH's effects, highlighting its association with increased surgical site infections (SSI), extended hospital stays, wound complications, nonunion, need for revision surgery, and mortality. Nondiabetic patients with SIH face worse outcomes compared to euglycemic patients, including a higher risk of deep infections and systemic complications. Diabetic patients experience exacerbated hyperglycemia during trauma, leading to poor wound healing and heightened infection risk. Effective glycemic control, through preoperative optimization, intraoperative monitoring, and postoperative management, is crucial for improving outcomes. Special considerations are discussed for the geriatric population, who are particularly vulnerable to SIH-induced morbidity and mortality. Future directions emphasize developing tailored glycemia management algorithms, utilizing continuous monitoring systems, and fostering multidisciplinary collaboration to optimize care for orthopaedic trauma patients.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101132"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417291","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
Special Considerations in the Orthopaedic Trauma Patient: Curbing Negative Social Behaviors 骨科创伤患者的特殊考虑因素：遏制负面社交行为
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101130
Kasey-Jean Bramlett, Andrew J. Marcantonio
{"title":"Special Considerations in the Orthopaedic Trauma Patient: Curbing Negative Social Behaviors","authors":"Kasey-Jean Bramlett,&nbsp;Andrew J. Marcantonio","doi":"10.1016/j.oto.2024.101130","DOIUrl":"10.1016/j.oto.2024.101130","url":null,"abstract":"<div><div>Optimizing the orthopaedic trauma patient for surgical intervention presents unique challenges. Due to the acute nature of musculoskeletal injuries and time constraints for treatment, there is a limited window for overall patient comorbidity optimization prior to surgical fracture repair. Certain social behaviors including tobacco use, excessive alcohol consumption, and inappropriate opioid medication usage can have a negative impact on wound and fracture healing. Curbing such negative social behaviors can have a positive outcome on patients who are affected by musculoskeletal trauma. Addressing these challenging issues, via available resources, can have a significant impact on recovery after sustaining orthopaedic trauma. A tactical approach focused on relationship building with patients and their families as well as highlighting strategies to curb negative social behaviors is presented involving a patient with an infected tibial nonunion.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101130"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417292","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
Perioperative Blood Glucose Optimization in Orthopaedic Trauma Patients 骨科创伤患者围手术期血糖优化
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101128
Segal K , Okewunmi J , Mujahid N , Tong I , Fernandes A , Evans AR
{"title":"Perioperative Blood Glucose Optimization in Orthopaedic Trauma Patients","authors":"Segal K ,&nbsp;Okewunmi J ,&nbsp;Mujahid N ,&nbsp;Tong I ,&nbsp;Fernandes A ,&nbsp;Evans AR","doi":"10.1016/j.oto.2024.101128","DOIUrl":"10.1016/j.oto.2024.101128","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101128"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417290","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
Endocrine Abnormalities and Optimization in Patients with a Fracture Nonunion 骨折未愈合患者的内分泌异常与优化治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101131
Tyler L. McGee, Peter N. Mittwede
{"title":"Endocrine Abnormalities and Optimization in Patients with a Fracture Nonunion","authors":"Tyler L. McGee,&nbsp;Peter N. Mittwede","doi":"10.1016/j.oto.2024.101131","DOIUrl":"10.1016/j.oto.2024.101131","url":null,"abstract":"<div><div>Significant advancements have been made in the management and understanding of fracture nonunions. Recently, there has been an interest in identifying modifiable risk factors in patients with nonunions. Endocrine and metabolic abnormalities have been studied for their association with the development of nonunion. Identifying these abnormalities and correcting them requires a multidisciplinary approach involving the orthopaedic surgeon, primary care provider, and endocrinologist. This article discusses the various endocrine abnormalities and their association with fracture nonunion, and highlights studies that have focused on methods of endocrine optimization of patients with a nonunion.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101131"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417294","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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