Operative Techniques in Orthopaedics最新文献_第7页

Optimizing Transhumeral Amputations 优化经肱骨截肢

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Operative Techniques in Orthopaedics Pub Date : 2023-09-01 DOI: 10.1016/j.oto.2023.101057

Christopher G. Larsen , Martin Griffis , Natalie Tanner , Liana J. Tedesco , Omri B. Ayalon

{"title":"Optimizing Transhumeral Amputations","authors":"Christopher G. Larsen , Martin Griffis , Natalie Tanner , Liana J. Tedesco , Omri B. Ayalon","doi":"10.1016/j.oto.2023.101057","DOIUrl":"https://doi.org/10.1016/j.oto.2023.101057","url":null,"abstract":"<div>Transhumeral amputations have historically been plagued by high rates of neuroma formation, neuropathic pain, poor prosthetic fitting, and low prosthesis use rates. Recent advances in adjunct surgical techniques are promising for excellent reconstructive and functional outcomes for these patients. A surgical approach addressing all aspects of the residual extremity, including bone, soft tissues, and nerves, will result in superior outcomes and fewer complications. Humeral osteotomy techniques shorten the residual extremity to create a lever arm, which improves prosthetic fit and functionality. Use of myodesis and myoplasty provides a stable soft tissue envelope around the residual bone ends to minimize tissue redundancy. Nerve interface procedures, such as targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI), reduce the likelihood of neuroma formation and rates of phantom limb pain while increasing the number of electromyographic signals that can be detected by a myoelectric prosthesis. Osseointegration, a promising new bone-anchored prosthesis technology, may further improve functional outcomes for transhumeral amputees. A multidisciplinary team, including orthopedic surgeons, mental health professionals, occupational therapists, and physical therapists, can improve patient quality of life and functional outcome postoperatively.</div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":"33 3","pages":"Article 101057"},"PeriodicalIF":0.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71769724","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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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 : 2023-09-01 DOI: 10.1053/S1048-6666(23)00053-8

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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)

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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":"33 2","pages":"Article 101043"},"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)

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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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