Techniques in Orthopaedics最新文献_第2页

Prevention of Complications During Fibular Osteotomy 预防腓骨截骨术中的并发症

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Techniques in Orthopaedics Pub Date : 2024-04-08 DOI: 10.1097/bto.0000000000000663

M. Eidelman, P. Kotlarsky

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External Fixator Stabilization Following Open Reduction and Combined Pelvic and Proximal Femur Osteotomy in Developmental Dysplasia Hip: A Surgical Note 发育畸形髋关节切开复位和骨盆与股骨近端联合截骨术后的外固定器稳定：手术说明

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Techniques in Orthopaedics Pub Date : 2024-03-21 DOI: 10.1097/bto.0000000000000662

Sujit-Kumar Tripathy, S. Khan, Paulson Varghese, Hrudeswar Behera, Raghavendra Balagod, Mantu Jain, Deepak Neradi

{"title":"External Fixator Stabilization Following Open Reduction and Combined Pelvic and Proximal Femur Osteotomy in Developmental Dysplasia Hip: A Surgical Note","authors":"Sujit-Kumar Tripathy, S. Khan, Paulson Varghese, Hrudeswar Behera, Raghavendra Balagod, Mantu Jain, Deepak Neradi","doi":"10.1097/bto.0000000000000662","DOIUrl":"https://doi.org/10.1097/bto.0000000000000662","url":null,"abstract":"\u0000 \u0000 Maintenance of hip joint reduction after combined pelvic and femoral osteotomy in developmental dysplasia of the hip (DDH) in children using a hip-spica cast has the potential to cause numerous cast-related complications. We proposed a modification of the surgical technique where the hip reduction is maintained with an external fixator to avoid cast-related complications.\u0000 \u0000 \u0000 \u0000 The surgical technique involved the placement of Scahnz pins along the iliac crest or lateral aspects of the ilium, in the supra-acetabular region below the pelvic osteotomy site, and the proximal femur. The pins were connected and stabilized with tubular/solid rods. Six children with 10 dysplastic hips [4 bilateral and 2 unilateral, International Hip Dysplasia Institute (IDHI) grade IV] were operated on with pelvic and femoral osteotomies and external fixator construct. The fixators were removed after 8 weeks and the children were followed up at 3, 6, 12, and 18 months.\u0000 \u0000 \u0000 \u0000 The average age of the children was 6.5 years (range: 4 to 11 y). After an average follow-up of 10 months, the hips were reduced with IDHI grade of I in 7 hips and IDHI grade of II in 3 hips. There were no wound complications. Superficial pin tract infections were seen in all patients but responded to topical antibiotic application. There was no unplanned visit by the parents and no one complained of perineal hygiene issues.\u0000 \u0000 \u0000 \u0000 The external fixator construct maintains the hip reduction in DDH and allows the osteotomy sites to heal without any wound-related complications.\u0000","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140222977","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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Provisional Reduction to Avoid the Wedge Effect and Control Rotational Deforming Force During Cephalomedullary Nail Insertion for Unstable Intertrochanteric and Basicervical Femoral Neck Fractures: A Novel Surgical Technique 在头髓内钉插入治疗不稳定转子间骨折和基底股骨颈骨折过程中避免楔形效应和控制旋转变形力的临时截骨术：一种新的手术技术

IF 0.3

Techniques in Orthopaedics Pub Date : 2024-03-07 DOI: 10.1097/bto.0000000000000661

Robert Wood, Todd Zeigler

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Thumb Carpometacarpal Hemi-trapeziectomy: Creating a Balanced Arthroplasty 拇指掌骨半截切除术：创建平衡的关节成形术

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Techniques in Orthopaedics Pub Date : 2024-02-19 DOI: 10.1097/bto.0000000000000660

S. A. Razavi, Mikhail Pakvasa, Connor Sullivan, Gregory H. Rafijah

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Fixation of Distal Femur Fractures With the Use of Periarticular Tibial Locking Plates 使用胫骨关节周围锁定钢板固定股骨远端骨折

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Techniques in Orthopaedics Pub Date : 2023-12-13 DOI: 10.1097/bto.0000000000000654

Lisa G.M. Friedman, H. Maniar, Daniel S. Horwitz

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Perfect Circle Technique With C-arm Laser Augmentation C 型臂激光隆胸完美圆环技术

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Techniques in Orthopaedics Pub Date : 2023-12-13 DOI: 10.1097/bto.0000000000000653

Nathaniel Deak, Hunter Ross, James Mueller, Rahul Vaidya

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Single Incision Broström-Gould Surgery With Peroneal Debridement and Calcaneal Osteotomy 带腓肠肌清创和腓骨截骨术的单切口 Broström-Gould 外科手术

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-12-12 DOI: 10.1097/bto.0000000000000652

Mila Scheinberg, Matthew McCrosson, Travis Fortin, Swapnil Singh, Ashish Shah

{"title":"Single Incision Broström-Gould Surgery With Peroneal Debridement and Calcaneal Osteotomy","authors":"Mila Scheinberg, Matthew McCrosson, Travis Fortin, Swapnil Singh, Ashish Shah","doi":"10.1097/bto.0000000000000652","DOIUrl":"https://doi.org/10.1097/bto.0000000000000652","url":null,"abstract":"\u0000 \u0000 Chronic lateral ankle instability (CLAI) with hindfoot varus is a common condition that can be treated with various surgical approaches. The Broström-Gould procedure is the gold-standard surgery for CLAI, and a sliding lateralizing calcaneal osteotomy (SLCO) is a common procedure for CLAI with hindfoot varus. The purpose of this paper is to describe a single-incision approach for the Broström-Gould repair with concomitant peroneal tendon debridement and an SLCO.\u0000 \u0000 \u0000 \u0000 The study retrospectively reviewed 189 cases of lateral ankle ligamentous repair with peroneal tendon debridement and an SLCO between 2011 and 2020. Of these, 53 patients had a single-incision approach, meeting the major inclusion criteria. The remaining patients had 2 incisions. Inclusion criteria for this study required patients to be at least 18 years of age, have a preoperative diagnosis of CLAI with hindfoot varus, and receive an isolated one-incision approach for a Broström-Gould procedure with concomitant peroneal tendon debridement and an SLCO.\u0000 \u0000 \u0000 \u0000 The single-incision technique has shown to be equally effective with potential for decreased wound and neurovascular complications in comparison to a traditional multi-incisional approach.\u0000 \u0000 \u0000 \u0000 The single-incision technique for the Broström-Gould repair with concomitant peroneal tendon debridement and an SLCO is a safe and effective approach for treating CLAI with hindfoot varus. This technique offers adequate visualization of the lateral ankle ligaments, peroneal tendons, and lateral calcaneus while still achieving excellent postoperative cosmesis.\u0000","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138977158","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

Extensive Posteromedial Soft Tissue Release for Skeletally Mature Patients With Rigid Pes Cavus Deformity 广泛后内侧软组织松解术治疗骨成熟患者的刚性足弓畸形

Techniques in Orthopaedics Pub Date : 2023-11-01 DOI: 10.1097/bto.0000000000000651

Khaled Mohamed Emara, Ramy Ahmed Diab, Khaled Abdeghaffar, Mohamed N. Essa, Ahmed K. Emara, Kyrillos Rashid, Mostafa Gemeah

{"title":"Extensive Posteromedial Soft Tissue Release for Skeletally Mature Patients With Rigid Pes Cavus Deformity","authors":"Khaled Mohamed Emara, Ramy Ahmed Diab, Khaled Abdeghaffar, Mohamed N. Essa, Ahmed K. Emara, Kyrillos Rashid, Mostafa Gemeah","doi":"10.1097/bto.0000000000000651","DOIUrl":"https://doi.org/10.1097/bto.0000000000000651","url":null,"abstract":"Introduction: Adult-onset cavovarus foot deformity is a highly disabling condition that can seriously interfere with daily activities. Charcot-Marie-Tooth is the most common etiology associated with cavus foot. Patients and Methods: We reviewed 30 feet in skeletally mature patients with rigid cavovarus deformities who were treated with extensive posteromedial soft tissue release without performing osteotomies or internal fixation. Clinical evaluation was done using the Foot Function Index for the pain, disability, and limitation of movement. The radiologic assessment was done by measurement of the lateral talo-first metatarsal angle, the lateral calcaneal-first metatarsal angle, and the lateral tibio-calcaneal angle in standing lateral foot radiographs. All patients were followed up for a mean of 36 months postoperatively. Results: Throughout the course of the study, the Foot Function Index for pain, disability, and limitation improved from an average of 51.46 points, 47.06 points, and 22.6 points preoperatively to postoperative averages of 23.65 points, 21.88 points, and 10.2 points, respectively. Radiologically, the talo-first metatarsal angle, the calcaneo-first metatarsal angle, and the tibio-calcaneal angles had preoperative values of 28.9 degrees, 132.4 degrees, and 62.35 degrees which improved postoperatively to 7.55 degrees, 117.65 degrees and 50.35 degrees, respectively. Conclusion: The outcomes of this study shed light on the use of pure soft tissue release without associated osteotomies as a simple, safe, and effective technique in treating rigid cavovarus deformities in skeletally mature patients. This could carry some advantages regarding preserving foot function as it preserves the integrity of foot joints. Level of Evidence: Level IV.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221616","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

Kickstand Technique for Treatment of Valgus-Impacted Proximal Humerus Fractures 支架技术治疗外翻冲击型肱骨近端骨折

Techniques in Orthopaedics Pub Date : 2023-10-30 DOI: 10.1097/bto.0000000000000650

Logan Wright, Aimee Struk, Thomas Wright

{"title":"Kickstand Technique for Treatment of Valgus-Impacted Proximal Humerus Fractures","authors":"Logan Wright, Aimee Struk, Thomas Wright","doi":"10.1097/bto.0000000000000650","DOIUrl":"https://doi.org/10.1097/bto.0000000000000650","url":null,"abstract":"Purpose: Describe a new technique using a minimally invasive surgical intervention for the treatment of valgus-impacted proximal humerus fractures. The Kickstand technique is a novel approach that offers reliable fixation and union without the need for additional hardware. Materials and Methods: A retrospective case series of 3 patients with valgus-impacted proximal humerus fractures was treated with this Kickstand technique using an intramedullary fibular allograft. Postoperative x-rays and outcomes are presented. Results: The Kickstand technique was used to address valgus-impacted fractures in 3 patients. Postoperative range of motion and shoulder outcome scores were reported at 2 years for patients A and B, and at 1 year for patient C (Active range of motion external rotation: 28 degrees; Active range of motion elevation: 140 degrees; Simple Shoulder Test-12: 11; American Shoulder and Elbow Standardized Shoulder Assessment: 78). Postoperative Grashey and lateral x-rays for each patient show union of the valgus-impacted humerus. Conclusions: The Kickstand technique using intramedullary fibular allograft is an alternative fixation technique for displaced valgus proximal humerus fracture. It has the advantage of avoiding additional metallic hardware and allowing early motion but requires the use of intramedullary fibular allograft which can interfere with future use of stemmed humeral prosthesis.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068391","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

Atypical Cleft Hand: Surgical Technique for Grasping Improvement 非典型手裂:改善抓握的外科技术

Techniques in Orthopaedics Pub Date : 2023-10-09 DOI: 10.1097/bto.0000000000000646

Edgard de Novaes França Bisneto, Laura Filippini Lorimier Fernandes, Emygdio José Leomil de Paula, Rames Mattar Júnior

引用次数: 0