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Operative Techniques in Orthopaedics最新文献

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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
Introduction- Optimizing the Orthopaedic Trauma Patient 导言--优化创伤骨科患者
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101129
Ivan S. Tarkin
{"title":"Introduction- Optimizing the Orthopaedic Trauma Patient","authors":"Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101129","DOIUrl":"10.1016/j.oto.2024.101129","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101129"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417287","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
Optimizing the Geriatric Host for Fracture Surgery 优化骨折手术中的老年病人宿主
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101134
Naoko Onizuka MD, PhD , Rebekah Kleinsmith MD , Julie Switzer MD
{"title":"Optimizing the Geriatric Host for Fracture Surgery","authors":"Naoko Onizuka MD, PhD ,&nbsp;Rebekah Kleinsmith MD ,&nbsp;Julie Switzer MD","doi":"10.1016/j.oto.2024.101134","DOIUrl":"10.1016/j.oto.2024.101134","url":null,"abstract":"<div><div>Fractures represent a significant health concern among the elderly population, leading to functional decline, loss of independence, and increased morbidity and mortality. The management of geriatric patients undergoing fracture surgery requires a comprehensive approach that addresses their specific physiological, psychological, and social needs. This article aims to elucidate the various strategies for optimizing the geriatric host for fracture surgery by addressing preoperative assessment, intraoperative management, and postoperative care.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101134"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417293","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) 投稿人（接上期内容/更新）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00050-8
{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00050-8","DOIUrl":"10.1053/S1048-6666(24)00050-8","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101141"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417286","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
Optimizing the Orthopaedic Trauma Patient- Staged Management 优化骨科创伤患者--分阶段管理
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1016/j.oto.2024.101127
Ashley E. Creager, Justin C. Siebler
{"title":"Optimizing the Orthopaedic Trauma Patient- Staged Management","authors":"Ashley E. Creager,&nbsp;Justin C. Siebler","doi":"10.1016/j.oto.2024.101127","DOIUrl":"10.1016/j.oto.2024.101127","url":null,"abstract":"<div><div>Staged management of orthopedic trauma is employed to promote best outcomes and avoid known complications associated with acute definitive fracture reconstruction. Fracture in the setting of polytrauma is often initially managed with temporizing methods to allow for both optimization of the host and local soft tissue environment. Damage control orthopedics has promoted this strategy to delay definitive care of orthopaedic injuries based on the patient's level of resuscitation/inflammatory state. Further, staged care of peri-articular fracture respects the already traumatized soft tissue envelope in an effort to decrease the risk of infamous complications such as infection and fracture nonunion. Typically, external fixation is utilized in staged management and host optimization is performed in the “waiting period.”</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101127"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417288","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（接上一期/更新内容）
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-09-01 DOI: 10.1053/S1048-6666(24)00049-1
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(24)00049-1","DOIUrl":"10.1053/S1048-6666(24)00049-1","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 3","pages":"Article 101140"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417285","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
Operative Treatment of Chronic Pediatric Patellar Instability 小儿慢性髌骨不稳的手术治疗
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-06-01 DOI: 10.1016/j.oto.2024.101109
Peter Staunton , Alan Katz , Thierry Pauyo
{"title":"Operative Treatment of Chronic Pediatric Patellar Instability","authors":"Peter Staunton ,&nbsp;Alan Katz ,&nbsp;Thierry Pauyo","doi":"10.1016/j.oto.2024.101109","DOIUrl":"10.1016/j.oto.2024.101109","url":null,"abstract":"<div><p><span>Chronic patellar instability in the pediatric<span> population presents early in life and can present as a permanent irreducible dislocation or a habitual dislocation<span> with knee flexion. Congenital patellar dislocation<span> tends to present at birth, with a knee flexion contracture, </span></span></span></span>valgus<span> malalignment of the lower limb and external tibial torsion<span>. Habitual dislocation may present later. The pathoanatomy of congenital and habitual dislocation<span> differentiate. Accurate diagnosis of the underlying pathology is important as the operative management of these conditions is based on addressing these underlying pathologies and so a thorough history and clinical exam is vital. Plain radiographs generally provide the information required to make a diagnosis and plan operatively. Nonoperative management tends to lead to poor long-term outcomes but there is poor consensus in the literature regarding the operative treatment of these conditions. The evaluation and operative treatment of these conditions is described in detail here, addressing the extensor mechanism rotation or attachment abnormalities, the lateral position of the patellar tendon insertion and the laxity of the medial soft tissues.</span></span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 2","pages":"Article 101109"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714045","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
Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Tanner I, II, and III Children 经前交叉韧带重建：即使是青春期前的坦纳一期、二期和三期儿童，也是一种安全的选择
IF 0.2
Operative Techniques in Orthopaedics Pub Date : 2024-06-01 DOI: 10.1016/j.oto.2024.101111
François Vézina , Lucy J. Salmon , Justin P. Roe
{"title":"Transphyseal ACL Reconstruction: A Safe Option Even in Prepubescent Tanner I, II, and III Children","authors":"François Vézina ,&nbsp;Lucy J. Salmon ,&nbsp;Justin P. Roe","doi":"10.1016/j.oto.2024.101111","DOIUrl":"10.1016/j.oto.2024.101111","url":null,"abstract":"<div><p>Prepubescent anterior cruciate ligament reconstruction presents a technical challenge to the surgeon due to the presence of the growth plates. Regaining knee stability and functionality are the main goals of treatment, while avoiding growth disturbances in this young population. Transphyseal reconstructions allows for an anatomic graft placement and is a safe option, even in the youngest patients, as long as specific technical points are taken into consideration. This present article describes in detail the operative technique of a transphyseal anterior cruciate ligament reconstruction with special attention to the pearls and pitfalls. The senior author has used this technique in 123 Tanner stage I, II, and III patients and his experience will also be presented.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"34 2","pages":"Article 101111"},"PeriodicalIF":0.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S104866662400020X/pdfft?md5=84f89a5d982d4ce40532f224825b08f3&pid=1-s2.0-S104866662400020X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697953","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
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