Techniques in Orthopaedics最新文献_第2页

Hybrid Integrated Approach: Beginner’s Guide to the Balancing in Knee Arthroplasty 混合综合方法:膝关节置换术中平衡初学者指南

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-07-05 DOI: 10.1097/bto.0000000000000641

S. Deshpande

{"title":"Hybrid Integrated Approach: Beginner’s Guide to the Balancing in Knee Arthroplasty","authors":"S. Deshpande","doi":"10.1097/bto.0000000000000641","DOIUrl":"https://doi.org/10.1097/bto.0000000000000641","url":null,"abstract":"Gap balancing and measured resection techniques form the basic guidance on soft tissue balancing in total knee arthroplasty teachings. The concepts around knee arthroplasty constantly evolving keeping the basics right. Surgeons across the globe are blending established known techniques with newer modifications. The anatomic, functional, and kinematic alignments of the prosthetic knee are frequently debated at conferences. Irrespective of the alignment principle one is following the aim is to achieve a balanced knee for better function. While balancing the knee arthroplasty the basic theme accepted worldwide is the combination of gap balancing and measured resection philosophy. The additional procedures that aid in are these soft tissue releases, lateralization of the prosthesis, reduction osteotomy, and downsizing of the implant which results into a modern current way of approaching the idea of balancing. The surgical workflow I have discussed here is actually the amalgamation of standard teachings and newer trends resulting into the Hybrid integrated technique (H) of balancing a prosthetic a total knee arthroplasty. From the orthopedic trainee point of view it is confusing to see the operating room execution is different than conventional books information. Hence, there is a need to create a beginner’s guide of the current workflow. The modern algorithm helps in balancing the soft tissue releases and bony releases to complement each other. The below-mentioned surgical workflow is not a novel approach but scientifically documenting the current practice implemented by many surgeons at various arthroplasty centers. Hence, it is not a presentation of a personal clinical case study series but an adaptation of various surgical steps to form a workflow.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"46 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80789915","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

Role of External Fixator Assistance in Tibial Rotation Osteotomy—Technique and Results 外固定架辅助胫骨旋转截骨术的作用及结果

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-06-26 DOI: 10.1097/bto.0000000000000638

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

引用次数: 0

Application of the Alvarado Knee Holder in Infrapatellar Tibial Nail Removal: A Technical Trick Alvarado膝关节支架在髌骨下胫钉拔除术中的应用:一个技术技巧

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-06-26 DOI: 10.1097/bto.0000000000000636

Arunlal Nadar, Shikha Sachdeva, C. M. Granade, D. Seligson

引用次数: 0

A Novel Patellar Tendon Reconstruction Technique Using Semitendinosus Allograft 利用同种异体半腱肌腱重建髌腱的新技术

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-06-22 DOI: 10.1097/bto.0000000000000639

Christopher M. Shaw, Joshua Locker, Bryan Perkins, M. Held

引用次数: 0

Two-pin Posterior Tuberosity to Medial Wall Reduction Technique in Calcaneal Fracture Using Sinus Tarsi Approach 跗窦入路两针后粗隆内侧壁复位技术治疗跟骨骨折

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-06-22 DOI: 10.1097/bto.0000000000000637

Navindravadhanam Sockalingam, Voon Chin Leow, T. Balakrishnan, Chun-Keat Eo, Tharumaraja Thiruselvam

引用次数: 0

Open Reduction Maneuver for Distal Radius Fracture Involving an Intra-articular Sagittal Split 桡骨远端骨折伴关节内矢状分裂的切开复位手法

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-05-26 DOI: 10.1097/bto.0000000000000633

Colin Pavano, Jake Silver, C. Rodner

引用次数: 0

Extensor Carpi Ulnaris “Turn Around” Ligamentoplasty For Distal Radioulnar Joint Instability 尺侧腕伸肌“回转”韧带成形术治疗远端尺桡关节不稳定

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-05-26 DOI: 10.1097/bto.0000000000000635

I. B. Ozcelik, Ali Cavit, Emre Agca

引用次数: 0

Masquelet Technique: Visualization of Cement Spacer Utilizing Methylene Blue 面具小波技术:利用亚甲基蓝可视化水泥隔层

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-05-15 DOI: 10.1097/bto.0000000000000634

Sandeep S. Bains, Daniel Hameed, Zhongming Chen, J. Herzenberg, Philip K. McClure

引用次数: 0

Anterior Total Hip Arthroplasty With Gluteus Medius Repair: A Novel Technique 前路全髋关节置换术联合臀中肌修复:一项新技术

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-04-27 DOI: 10.1097/bto.0000000000000631

G. Schwarzman, Reece I. Vesperman, Matthew C. Mai

引用次数: 0

Supplementary Fibular-guided Growth in Treatment of Late-onset Blount Disease 补充腓骨引导生长治疗迟发性布朗特病

IF 0.3

Techniques in Orthopaedics Pub Date : 2023-04-27 DOI: 10.1097/BTO.0000000000000630

K. Emara, R. Diab, A. Fathy, Mohamed N. Essa, M. Eisa, M. A. Elshobaky, Ahmed K. Emara, Kyrillos Rashid, Mostafa Gemeah

{"title":"Supplementary Fibular-guided Growth in Treatment of Late-onset Blount Disease","authors":"K. Emara, R. Diab, A. Fathy, Mohamed N. Essa, M. Eisa, M. A. Elshobaky, Ahmed K. Emara, Kyrillos Rashid, Mostafa Gemeah","doi":"10.1097/BTO.0000000000000630","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000630","url":null,"abstract":"Purpose: Blount disease is due to an idiopathic defect in the posteromedial proximal tibial physis resulting in increasing bowing of the leg in addition to lateral knee thrust with lateral collateral ligament laxity. Our rationale is that Blount disease has a bony and ligamentous laxity element of the lateral collateral ligament that can be corrected simultaneously through hemiepiphysiodesis of the tibia and epiphysiodesis of proximal fibula physis by cannulated screws. Patients and Methods: This is a retrospective study conducted on 23 limbs with tibia vara treated between 2010 and 2017 followed up for 2 to 6 years. Ages ranged from 9 to 13 years with a late-onset type of Blount disease. We used a percutaneous transphyseal fully threaded screws traversing the proximal tibial lateral hemiepiphysis, and another screw inserted traversing the proximal fibular epiphysis. Results: There was a statistically significant improvement of the radiographic parameters, especially in the form of joint line congruence angle in both supine and standing positions. All patients were clinically and radiographically completely corrected without complications, except 1 patient with a surgical site superficial infection, treated medically. Conclusion: Fibular-guided growth surgery with lateral proximal tibia epiphysiodesis is a minimally invasive technique that improves the corrective power of hemiepyphysiodesis of the posterolateral compartment of the knee. Level of Evidence: Level IV, retrospective case series.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"15 1","pages":"111 - 114"},"PeriodicalIF":0.3,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88546948","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