{"title":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(23)00014-9","DOIUrl":"https://doi.org/10.1053/S1048-6666(23)00014-9","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":"49720045","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":"Management of Bicondylar Distal Humerus Fractures","authors":"Bilal Mahmood , Natalie Tanner , Omri Ayalon","doi":"10.1016/j.oto.2023.101021","DOIUrl":"10.1016/j.oto.2023.101021","url":null,"abstract":"<div><p><span><span>Bicondylar distal humerus<span> fractures are difficult injuries requiring a comprehensive treatment<span> strategy. Nonoperative treatment is generally reserved for elderly, low demand patients and those whose medical co-morbidities preclude surgery. Considerations for surgery include fracture morphology, osteoporotic bone quality, and degree of articular comminution. Surgical treatment with plate fixation is a reliable solution to facilitate early mobilization for a functional recovery. In fractures not amenable to operative fixation, implant </span></span></span>arthroplasty may provide improved functional results. Satisfactory outcomes following such injuries can be achieved through surgical fixation and arthroplasty, allowing for early rehabilitation and elbow motion to facilitate a functional recovery. </span>Postoperative complications remain a concern in managing these fractures. In this review, we share our recommendations for management of bicondylar fractures of the distal humerus.</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":"43654862","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":"Management of Post-traumatic Elbow Stiffness","authors":"Bilal Mahmood","doi":"10.1016/j.oto.2023.101027","DOIUrl":"10.1016/j.oto.2023.101027","url":null,"abstract":"<div><p>Post-traumatic elbow stiffness is a challenging problem and can be a debilitating condition for patients. Causes of elbow stiffness can be multifactorial and include post-traumatic conditions, fractures, dislocations, and soft tissue/burn injuries. The contracture may be a result of intra-articular, extra-articular, or mixed causes. In cases where the primary pathology has been adequately addressed and the post-traumatic stiffness remains an issue, nonoperative and operative options are available to the treating surgeon. These include physical therapy, splinting, arthroscopic contracture release, and open contracture release. The treatment plan needs to be tailored specifically for each patient.</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":"45672470","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(22)00064-7","DOIUrl":"https://doi.org/10.1053/S1048-6666(22)00064-7","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666622000647/pdfft?md5=dad4f04cbcfd435cbe952c3fa1331c30&pid=1-s2.0-S1048666622000647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137243172","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}
{"title":"Table of Contents (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(22)00065-9","DOIUrl":"https://doi.org/10.1053/S1048-6666(22)00065-9","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1048666622000659/pdfft?md5=513eda741d244377096d82a4ec97fbda&pid=1-s2.0-S1048666622000659-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137243173","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}
{"title":"Waste Mitigation: A Marriage of Cost Savings and Sustainability","authors":"Sumail Bhogal , Don Lalonde , Mark Baratz","doi":"10.1016/j.oto.2022.100996","DOIUrl":"10.1016/j.oto.2022.100996","url":null,"abstract":"<div><p>Waste in medicine can be defined narrowly by including only physical waste. It can be defined widely by including the concept of wasting time, energy, money and waste of materials. We will provide an overview of waste mitigation and how it can be a union between saving money and protecting the environment.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42071404","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":"Contributors (pick up from previous issue w/updates)","authors":"","doi":"10.1053/S1048-6666(22)00066-0","DOIUrl":"https://doi.org/10.1053/S1048-6666(22)00066-0","url":null,"abstract":"","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137243174","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}
Bella Pollice , Cassandra L. Thiel , Mark E. Baratz
{"title":"Life Cycle Assessment in Orthopedics","authors":"Bella Pollice , Cassandra L. Thiel , Mark E. Baratz","doi":"10.1016/j.oto.2022.100998","DOIUrl":"10.1016/j.oto.2022.100998","url":null,"abstract":"<div><p>Covid-19 has led to an increase in the use of PPE, gowns, masks, sanitizers, air circulators, and much more, all contributing to an increase in medical waste. Waste generation is one issue. Emissions are another. The two are linked because waste and emissions are both indicators of consumption. However, waste is not the biggest driver of environmental emissions for healthcare. It is the production of medical equipment, particularly disposables that have a bigger impact. Energy use during care, including heating and cooling our facilities, is another. Environmental emissions like greenhouse gases may not correlate with waste generation, especially if the waste is plastic. Carbon is stored in plastic. Unless you're burning plastic, you're not emitting carbon. Healthcare has a waste issue and healthcare has an emissions issue. They are not necessarily the same thing, however, the strategies to mitigate each overlap. Life cycle assessment quantifies emissions from the creation to disposal of medical supplies. This allows the medical community to make informed choices with respect to the methods and materials that are used in providing care. As other specialties take the lead in reducing their environmental footprint, so too, must orthopedic surgery.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9492394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40376543","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}
{"title":"Travel in Orthopaedics: Getting Where We Need To Be For the Planet","authors":"Jason R. Saleh , Natasha Mehta , Allison Mitchell","doi":"10.1016/j.oto.2022.100999","DOIUrl":"10.1016/j.oto.2022.100999","url":null,"abstract":"<div><p><span>Effects of the climate crisis are becoming evident for citizens around the world. Decades of climate science have concluded that the crisis is a direct result of increased atmospheric greenhouse gases (GHGs) directly attributable to human activity. GHGs come from all walks of society, and healthcare is no exception. There are several well-documented sources of GHGs originating from the delivery of healthcare, but transportation has seen relatively little attention. In this chapter, we outline the potential contributors to GHGs from transportation in orthopaedics. These include travel of the patient, surgeon and staff for direct care. We also discuss potential effects of satellite clinics and </span>telehealth. Finally, we review patient travel for physical therapy as well as surgeon travel for educational courses and conferences. It is our hope that the reader will gain a deeper understanding of some of these lesser appreciated sources of GHG emissions stemming from our delivery of care and adopt strategies to mitigate these emissions.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43221547","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":"Environmental Sustainability in Orthopaedic Surgery – Where We Are and Where We Are Going","authors":"Ian D. Engler , Andrew J. Curley","doi":"10.1016/j.oto.2022.100995","DOIUrl":"10.1016/j.oto.2022.100995","url":null,"abstract":"<div><p>“The triple bottom line” is an approach to mitigate the environmental consequences of any business endeavor by considering three important stakeholders - Profit, People, and Planet. While medicine is making appreciable progress on its environmental impact, the field of orthopaedic surgery is only beginning to research and prioritize environmental sustainability. Research, including Quality Improvement projects, is the avenue to understanding how to expand environmentally-conscious orthopaedic care. Research that identifies effective strategies for change cannot be effective without buy-in from medical staff, administrators, insurers, and governing bodies.</p></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47895480","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}