{"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":"33 1","pages":"Article 101024"},"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":"33 1","pages":"Article 101022"},"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}
{"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":"33 1","pages":"Article 101034"},"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 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":"33 1","pages":"Article 101027"},"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":"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":"33 1","pages":"Article 101021"},"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":"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":"32 4","pages":"Article 101005"},"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":"32 4","pages":"Article 101006"},"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":"32 4","pages":"Article 100996"},"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":"32 4","pages":"Article 101007"},"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}
{"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":"32 4","pages":"Article 100999"},"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}
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