{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(23)00031-9","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00031-9","url":null,"abstract":"","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":"49723586","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}
Jad El Koussaify, Brian K. Foster, Louis C Grandizio
{"title":"Modern Treatment Protocols in the Management of Terrible Triad Elbow Injuries","authors":"Jad El Koussaify, Brian K. Foster, Louis C Grandizio","doi":"10.1016/j.oto.2023.101023","DOIUrl":"10.1016/j.oto.2023.101023","url":null,"abstract":"<div><p><span>The ‘terrible triad' (TT) elbow fracture-dislocation is a form of complex elbow instability which includes an elbow dislocation with concomitant </span>radial head<span> and coronoid process fractures. As the name suggests, early attempts at managing this injury complex often resulted in high rates of unsatisfactory outcomes and complications. As our understanding of this injury has grown, modern approaches and surgical treatment protocols have yielded more reliable results. Today, goals of treatment are to obtain a concentric reduction with restoration of joint stability to allow for early-motion rehabilitation. However, many controversies still exist concerning the treatment of this complex injury.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46445668","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}
Jeyvikram Thirumavalavan, Ian R. Penvose, Vanessa Prokuski-Lund
{"title":"Adult Monteggia Fracture-Dislocations","authors":"Jeyvikram Thirumavalavan, Ian R. Penvose, Vanessa Prokuski-Lund","doi":"10.1016/j.oto.2023.101026","DOIUrl":"10.1016/j.oto.2023.101026","url":null,"abstract":"<div><p>Adult Monteggia fracture-dislocations are a rare occurrence in the adult population. The extent of the injury can vary from a simple proximal ulnar shaft<span><span><span> fracture with a radial head<span> dislocation to a complex comminuted fracture with associated injuries. Major factors that contribute to the complexity of the injury include coronoid fracture, radial head comminution, and ulnohumeral instability. Appropriate fixation of the </span></span>ulna<span><span> in anatomical alignment is crucial in achieving radial head reduction and limiting complications. While most Monteggia fracture-dislocations have favorable outcomes, it is important to recognize potential poor prognostic factors that can alter the functional outcomes of patients and increase </span>reoperation rates. Knowledge of the relevant </span></span>anatomy, evaluation, imaging, and management are imperative to improve outcomes and decrease complications for patients with these injuries.</span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47892061","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":"Transolecranon Fracture-Dislocations","authors":"James D. Dieterich, Jeffrey G. Stepan","doi":"10.1016/j.oto.2023.101025","DOIUrl":"10.1016/j.oto.2023.101025","url":null,"abstract":"<div><p>Transolecranon fracture-dislocations are a rare type of olecranon<span> fracture-dislocation of the elbow involving an olecranon fracture<span> with an anterior radiocapitellar dislocation. In these fractures, the relationship between the proximal radioulnar joint is maintained. Principles of surgical fixation involve anatomical articular reduction of the olecranon, reduction of the radiocapitellar joint, and restoring elbow stability to allow early range of motion. With proper recognition of this fracture pattern and application of fixation principles, good outcomes can be expected for the majority of patients after this high-energy injury.</span></span></p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46186113","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(23)00012-5","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00012-5","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49719729","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":"Elbow Soft Tissue Coverage after Trauma","authors":"Christine V. Schaeffer, Nicole A. Zelenski","doi":"10.1016/j.oto.2023.101028","DOIUrl":"10.1016/j.oto.2023.101028","url":null,"abstract":"<div><p>Traumatic injuries involving the elbow can result in soft tissue defects with exposed critical structures including bone, joint, nerve, tendons or implants. Additionally, wounds about the elbow are subject to significant motion and tension, limiting the success of local wound care. In these clinical settings, soft tissue reconstruction is often indicated. The goal of reconstruction is elbow wound coverage with pliable, thin, and durable tissue that allows for repetitive motion without limiting range of motion. In the post-traumatic setting, optimal function is achieved if the soft tissue reconstruction allows for early return to active motion of the elbow joint.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41619069","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(23)00013-7","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00013-7","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49720043","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":"An Introduction to the Management of Periarticular Elbow Trauma","authors":"Jad El Koussaify, Louis C. Grandizio","doi":"10.1016/j.oto.2023.101029","DOIUrl":"10.1016/j.oto.2023.101029","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47028470","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":"Coronoid Fractures and Varus Posteromedial Rotatory Instability","authors":"David W Zeltser , Joanne Y Zhou , Lauren P Joseph","doi":"10.1016/j.oto.2023.101024","DOIUrl":"10.1016/j.oto.2023.101024","url":null,"abstract":"<div><p><span>Coronoid fractures are associated with elbow fracture-dislocations. Fractures involving the anteromedial facet of the coronoid often are associated with a posteromedial rotational instability pattern which requires careful management to avoid persistent and often subtle instability. Although some anteromedial coronoid fractures may be treated nonoperatively, internal fixation through a medial approach is indicated in most cases. Without a universally accepted treatment algorithm, surgeons should consider the risk of persistent instability when approaching this injury pattern. Fracture morphology, fragment size, and joint congruity, as determined by </span>computed tomography imaging and physical examination, inform clinical decision making.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47970463","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":"Fractures of the Capitellum and Trochlea","authors":"Greg Schmidt , Richard Hillesheim , Reed Hoyer","doi":"10.1016/j.oto.2023.101022","DOIUrl":"10.1016/j.oto.2023.101022","url":null,"abstract":"<div><p><span>Capitellar and trochlear fractures are articular injuries of the distal humerus<span> without involvement of the humeral columns. These fractures occur in a bimodal distribution, most commonly after high-energy trauma in young males or ground level falls in elderly females. Open reduction<span> and internal fixation with a variety of implants and exposure techniques is a mainstay of treatment<span> for displaced fractures, while non- or minimally- displaced fractures may be treated nonoperatively. Operative management has expanded to include novel arthroscopic and open approaches, such as surgical dislocation of the elbow. Rarely, in elderly patients with severe comminution, total elbow arthroplasty may be the best option. In general, if the capitellar and trochlear injury is appropriately classified, the articular fragments are adequately secured, associated </span></span></span></span>soft tissue injuries are identified and repaired, and a quality therapy program is instituted, patients who sustain these injuries are likely to have a good result with a well-functioning elbow, although complications will occur than 30% of the time.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48188174","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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