Operative Techniques in Orthopaedics最新文献_第5页

Editorial Board (pick up from previous issue w/updates) 编辑委员会(选自上一期，并有更新)

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1053/S1048-6666(23)00052-6

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Application of Blade Plates in Geriatric Femur Fracture Nonunions 钢板在老年股骨骨折不愈合中的应用

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101040

Sarah R. Blumenthal , David S. Wellman

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Geriatric Femur Fractures: Implant Choice in Pertrochanteric Hip Fractures 老年股骨骨折：髋关节转子前骨折植入物的选择

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101043

Stephen R. Chen MD , Tyler D. Petersen MD , Blake R. Turvey MD

{"title":"Geriatric Femur Fractures: Implant Choice in Pertrochanteric Hip Fractures","authors":"Stephen R. Chen MD , Tyler D. Petersen MD , Blake R. Turvey MD","doi":"10.1016/j.oto.2023.101043","DOIUrl":"10.1016/j.oto.2023.101043","url":null,"abstract":"<div>Geriatric hip fractures are a common problem facing orthopedic surgeons on call in the community. This review discusses pertrochanteric fractures and the surgeon-controlled variables related to their operative treatment. The reduction of these fractures relies on the restoration of the calcar. Implants most often used for pertrochanteric fractures consist of either intramedullary versus extramedullary constructs. The lateral wall integrity and intact thickness is used to determine fixation strategies. Intramedullary devices have been shown to be biomechanically superior, and able to be used across a larger spectrum of fractures. However, their versatility comes with increasing cost. The length of the nail remains controversial, but the chance of a peri-implant fracture or complication appears to be similar amongst all lengths, including the “intermediate” length devices. Different types of fixation into the head have also been studied with helical blades versus screws both demonstrating unique failure types. Several head fixation augmentations and strategies have been described as well, each with their own advantages and disadvantages. Regardless of implant choice, tip-to-apex remains one of the more important factors in limiting failure.</div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42280318","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}

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Editorial Board (pick up from previous issue w/updates) 编辑委员会(选自上一期，并有更新)

IF 0.1

Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1053/S1048-6666(23)00029-0

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Management and Surgical Optimization of Failed Distal Femur Fractures 股骨远端骨折失败的处理和手术优化

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101045

Anthony O. Kamson , Peter A. Siska

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Optimizing Proximal Fixation in Vancouver B1 Periprosthetic Femur Fractures 温哥华B1股骨假体周围骨折近端固定的优化

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101044

Alexander Yevtukh , Aaron Taylor

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Table of Contents (pick up from previous issue w/updates) 目录(选自上一期的内容和更新)

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1053/S1048-6666(23)00030-7

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Revision Internal Fixation of Failed Intertrochanteric Hip Fractures 髋关节转子间骨折的翻修内固定

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101042

Humza Shaikh, Ivan Tarkin

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Dual Implant Constructs in Geriatric Distal Femur Fractures 老年股骨远端骨折的双植入结构

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101041

Edward R. Westrick MD, Kevin T. Monahan MD, Athan G. Zavras MD, Gene W. Kim MD

{"title":"Dual Implant Constructs in Geriatric Distal Femur Fractures","authors":"Edward R. Westrick MD, Kevin T. Monahan MD, Athan G. Zavras MD, Gene W. Kim MD","doi":"10.1016/j.oto.2023.101041","DOIUrl":"10.1016/j.oto.2023.101041","url":null,"abstract":"<div>Distal femur fractures in the elderly continue to rise in incidence and there is significant morbidity and mortality associated with these injuries. Geriatric distal femur fractures pose unique problems due to poor bone quality that often can lead to failed fixation and negative outcomes. Nonoperative management has been shown to be inferior to surgical treatment. Multiple treatment options exist including external fixation, open, and minimally invasive locked plate fixation, intramedullary nailing, nail-plate combination constructs, and arthroplasty. Dual implant constructs provide rigid fixation and have been shown to prevent varus collapse and nonunion. The addition of a medial plate has been shown to be biomechanically superior in distal femoral fractures, especially in those in which significant distal fixation is difficult. Indications for dual plate or nail-plate constructs include geriatric femur fractures with osteoporotic bone, low periprosthetic fractures around the knee, and distal femur fractures with extensive metaphyseal loss. Different approaches can be used to accomplish dual plating including both single and double incision techniques. Outcome studies on patients undergoing dual plate fixation demonstrate successful results with similar rates of failure and complication to other operative fixation strategies.</div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42092644","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}

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Special Considerations in Management of Atypical Femur Fractures 非典型股骨骨折处理的特殊考虑

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Operative Techniques in Orthopaedics Pub Date : 2023-06-01 DOI: 10.1016/j.oto.2023.101039

Patricia R. Melvin , Paul Perdue

{"title":"Special Considerations in Management of Atypical Femur Fractures","authors":"Patricia R. Melvin , Paul Perdue","doi":"10.1016/j.oto.2023.101039","DOIUrl":"10.1016/j.oto.2023.101039","url":null,"abstract":"<div>Atypical femur fractures (AFFs) are problematic due to the high incidence of osteoporosis in the growing aging population. There are several factors that lead to increased risk of AFFs including bisphosphonate use, increasing age, female sex, and certain femoral morphologies. The pathogenesis of AFFs involves the combination of altered bone remodeling and unfavorable mechanical environment. AFFs are associated with low energy mechanisms and are diagnosed with clinical history and standard femur radiographs. While the complete management of AFFs always involves medical and endocrinological work-up, most commonly it is also associated with surgical intervention. Evaluation of the contralateral femur is also paramount to optimizing outcomes in patients with incomplete or complete AFFs. The surgeon managing AFFs must be aware of certain fracture-specific issues when treating these fractures, including the risk of nonunion, varus collapse, excessive anterolateral bowing, endosteal thickening at the level of the fracture leading to fracture malreduction with nail passage, and possibility for cortical perforation. This review will outline various surgical techniques helpful in the surgical management of AFFs. Patient should be adequately counseled regarding the high rates of complications including delayed and nonunion.</div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42132196","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