Techniques in Orthopaedics最新文献_第10页

The Starfish Procedure 海星程序

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Techniques in Orthopaedics Pub Date : 2021-11-25 DOI: 10.1097/bto.0000000000000568

S. Niedermeier, R. Gaston, B. Loeffler

引用次数: 1

The Gigli Saw Osteotomy 吉利锯截骨术

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Techniques in Orthopaedics Pub Date : 2021-11-08 DOI: 10.1097/bto.0000000000000577

N. Bor, E. Dujovny, N. Rozen, G. Rubin

引用次数: 0

Advanced Amputation Techniques in Orthopedic Surgery 骨科手术中的高级截肢技术

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Techniques in Orthopaedics Pub Date : 2021-11-08 DOI: 10.1097/bto.0000000000000569

Breanna A. Polascik, Lily R. Mundy, L. Cendales

引用次数: 1

Delivery Technique for Fibular Strut Bone Grafting to Proximal Humerus Nonunion Fractures 肱骨近端骨不连骨折腓骨支撑骨移植的输送技术

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Techniques in Orthopaedics Pub Date : 2021-11-02 DOI: 10.1097/BTO.0000000000000489

S. Kane, S. Tanaka, Matt J. Smith

{"title":"Delivery Technique for Fibular Strut Bone Grafting to Proximal Humerus Nonunion Fractures","authors":"S. Kane, S. Tanaka, Matt J. Smith","doi":"10.1097/BTO.0000000000000489","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000489","url":null,"abstract":"Introduction: The prevalence of proximal humerus fractures will continue to increase as the population ages. Although the use of fibular strut grafts to treat these fractures is well established and has been used for many years, the authors present an alternative technique that aligns the graft within the intermedullary canal, and proximal segment, allowing for greater fragment and reduction control throughout the procedure. Materials and Methods: The technique involves intramedullary reaming and the usage of a #5 suture through the strut graft proximally that allows for easy placement of the graft across the fracture and into the humeral head after reduction. Results: The representative case described in this paper demonstrates a simplified technique for placement of a fibular allograft and fracture reduction with locking plate fixation for the treatment of proximal humerus nonunions. Discussion: The technique is an effective and simple method for the placement of a fibular strut allograft within the intramedullary canal of the distal and proximal segments of a proximal humeral fracture. The use of an endosteal fibular allograft strut addresses the need to re-establish the medial column of the humerus, provides local bone stock, and helps avoid varus angulation, and allows for improved fixation of the plate in poor quality bone.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85197095","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

Periosteal Rotation Flap Technique in Management of Tibialis Anterior Muscle Hernia: A Case Series 骨膜旋转皮瓣技术治疗胫骨前肌疝:一个病例系列

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Techniques in Orthopaedics Pub Date : 2021-11-02 DOI: 10.1097/BTO.0000000000000497

A. Moharram, Walid Reda, A. Farahat, M. Ibrahim, Mostafa Saladin

引用次数: 0

Advanced Adjunctive Techniques in Amputation and Limb Restoration 先进的辅助技术在截肢和肢体修复

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Techniques in Orthopaedics Pub Date : 2021-11-02 DOI: 10.1097/bto.0000000000000576

P. J. Tawney

引用次数: 0

Flexible Intramedullary Nail Fixation With Supplemental External Fixator for Unstable Pediatric Femur Fractures: A Case Series 弹性髓内钉内固定辅助外固定架治疗不稳定儿童股骨骨折:一个病例系列

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Techniques in Orthopaedics Pub Date : 2021-10-21 DOI: 10.1097/BTO.0000000000000573

Brooke Hayashi, J. Shahbazian, Kerry Loveland, J. Gerardi

{"title":"Flexible Intramedullary Nail Fixation With Supplemental External Fixator for Unstable Pediatric Femur Fractures: A Case Series","authors":"Brooke Hayashi, J. Shahbazian, Kerry Loveland, J. Gerardi","doi":"10.1097/BTO.0000000000000573","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000573","url":null,"abstract":"Introduction: Flexible intramedullary nail fixation (FIN) has become the preferred mode of treatment for femur fractures in elementary school aged children. One clear limitation of FIN is the inability to control length unstable femur fractures. This case series evaluates radiographic union rates, fracture alignment, and postoperative complications for a novel technique of FIN and adjunct external fixation in length unstable femur fractures. Materials and Methods: A retrospective chart review was performed using current procedural terminology coding to identify 10 pediatric femur fractures utilizing flexible nail fixation with supplemental external fixation in length unstable femur fractures. Electronic medical records were used to obtain demographic information and length of operative time. A picture archiving and communication system was utilized to review radiographs. Results: Combined FIN fixation and supplemental external fixation were used in ten pediatric patients with length unstable femur fractures. The average age at time of injury was 6.4 years (range: 3 to 8 years). The average duration of external fixation was 30 days with no pin site complications including infection or refracture. Average time to union was 54 days with no radiographic loss of reduction. There were no documented intraoperative or postoperative complications. Conclusions: The cases reviewed in this study support that in addition to FIN fixation for unstable pediatric femur fractures, a supplemental external fixator provides a viable option with all fractures obtaining union, acceptable alignment, no loss of reduction, and no postoperative complications. This technique may provide another tool in the orthopedist armamentarium and possibly as an alternative to submuscular plating.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77425613","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

Sensor-guided Knee Balancing in Posterior-stabilized Total Knee Arthroplasty: A Surgical Description and Report of Medium-term Patient Outcomes 后稳定全膝关节置换术中传感器引导的膝关节平衡:手术描述和中期患者结果报告

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Techniques in Orthopaedics Pub Date : 2021-10-21 DOI: 10.1097/BTO.0000000000000575

D. Cohen, Jil A. Wood, S. MacDessi

{"title":"Sensor-guided Knee Balancing in Posterior-stabilized Total Knee Arthroplasty: A Surgical Description and Report of Medium-term Patient Outcomes","authors":"D. Cohen, Jil A. Wood, S. MacDessi","doi":"10.1097/BTO.0000000000000575","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000575","url":null,"abstract":"Background: Intraoperative pressure sensors provide the ability to quantify soft tissue balance (STB) and guide balancing interventions in total knee arthroplasty (TKA). The purpose of this study was to validate a sensor-guided knee balancing algorithm for posterior-stabilized TKA and then report medium-term patient-reported outcome measures from a consecutive series of surgeries using this algorithm. Materials and Methods: An algorithm is described for sensor-guided soft tissue releases and bone recuts aiming for quantitative knee balance. The coprimary endpoints were the proportion of TKAs in which quantitative STB was achieved using the sensor-guided balancing algorithm and the number of balancing interventions required. Secondary outcomes included change in Knee injury and Osteoarthritis Outcome Score (KOOS) components, rates of manipulations for stiffness, and revision surgery. Results: In a consecutive series of 210 knees, quantitative STB was achieved in 91.9% of cases. Balancing procedures were required in 57.2% (n=120), with 84.3% (n=177) requiring up to 2 balancing interventions to achieve balance. Angular bone recuts were required in 22.9% (n=48) of TKAs. At a minimum of 2 years, there was a statistically significant, clinically meaningful increase in mean KOOS4 of 40.8 (SD=17.5). All ΔKOOS subscales improved. The incidence of manipulation for stiffness and revision surgery at up to 4 years were 3.3% (7/210) and 1.4% (3/210), respectively. Conclusions: Quantitative sensor-guided assessment allows precise attainment of STB using a balancing algorithm of both bone recuts and soft tissue releases. Excellent medium-term improvement in patient-reported outcome measures was achieved with posterior-stabilized TKA using intraoperative sensor-guided balancing interventions.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80672895","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

Cephalomedullary Nailing of Pertrochanteric Femur Fractures using a Large Distractor and Standard Radiolucent Table 使用大牵张器和标准放射表进行股骨大转子骨折头髓内钉治疗

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Techniques in Orthopaedics Pub Date : 2021-09-16 DOI: 10.1097/BTO.0000000000000571

B. L. Davison

{"title":"Cephalomedullary Nailing of Pertrochanteric Femur Fractures using a Large Distractor and Standard Radiolucent Table","authors":"B. L. Davison","doi":"10.1097/BTO.0000000000000571","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000571","url":null,"abstract":"Background: Cephalomedullary nailing is used to treat pertrochanteric fractures of the femur. A fracture or traction table is generally used to obtain and maintain fracture reduction. Some patients because of body habitus or ipsilateral foot or ankle pathology are not well suited for standard fracture table use. This study describes a technique and the results of using the large distractor on a standard radiolucent table to treat pertrochanteric femur fractures with a cephalomedullary implant. Methods: The described technique was used to reduce and stabilize pertrochanteric femur fractures with a cephalomedullary implant. All fractures were reduced on a radiolucent table using the large bone distractor with 5 or 6 mm threaded pin in supra-acetabular area of the pelvis and a 5 mm threaded pin in the distal femur. Results for the first 36 patients treated with this technique are reviewed. Results: All fractures were able to be reduced and stabilized using the technique. The average total operative time was 89 minutes and the average time from incision to wound closure was 53 minutes. Thirty patients were followed until fracture union and healed without further surgical intervention. One patient developed a nonunion with implant failure, 4 patients died, and 1 was lost to follow up. Conclusions: Pertrochanteric femur fractures can be reduced and stabilized using this technique if the surgeon feels the fracture table is not a good option.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84293369","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

Applied Anatomy of the Quadriceps Tendon Related to the Technique of Harvesting the Quadriceps Tendon Graft 股四头肌肌腱移植术的应用解剖学

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Techniques in Orthopaedics Pub Date : 2021-09-13 DOI: 10.1097/BTO.0000000000000572

Cao Thi, Nguyen Dang Ha

{"title":"Applied Anatomy of the Quadriceps Tendon Related to the Technique of Harvesting the Quadriceps Tendon Graft","authors":"Cao Thi, Nguyen Dang Ha","doi":"10.1097/BTO.0000000000000572","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000572","url":null,"abstract":"Introduction: The quadriceps tendon (QT) is a common autologous graft for anterior cruciate ligament reconstruction. However, the best way to harvest it is still undefined. This study aims to determine the QT’s anatomical structures as a graft for anterior cruciate ligament reconstruction and the ideal harvest site. Methods: Thirty fresh frozen knees from 15 cadavers were dissected, and the QT was analyzed. The length, depth, and width of the QT were measured in a standardized manner for each cadaver. Results: The QT superficial morphology showed 2 distinct peaks, with the maximum length correlating with the real lateral peak. The full length of the tendon was located at 64.3%±5.4% of the width from the medial border of the insertion. The maximum length of the QT was 79.4±4.5 mm. The mean width at its insertion onto the patella was 36.0±4.3 mm. The thickness at its maximum length on patella insertion was 7.2±0.4 mm. The mean diameter of the QT graft was 8.5±0.5 mm, with a mean cross-sectional area of 64.7±4.1 mm2. Conclusion: QT graft harvest should begin by locating the apex (maximum length) of the tendon (64.3% of the distance from the patella’s medial edge). The surgeon should then harvest a 10 mm wide graft medially to the maximum length, harvesting 70 mm long and full-thickness tendon.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86449021","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: 1