Techniques in Orthopaedics最新文献_第7页

Excision of a Superior Ramus Osteochondroma Through the Modified Stoppa Approach 改良Stoppa入路切除上支骨软骨瘤

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Techniques in Orthopaedics Pub Date : 2022-09-19 DOI: 10.1097/bto.0000000000000604

Jessica A. McGraw-Heinrich, Omar H. Atassi, Paige N. Wheaton, Nicole I. Montgomery

引用次数: 0

A Method for Intraoperative Decompression of Large Soft Tissue Tumors to Facilitate En Bloc Resection 大软组织肿瘤术中减压促进整体切除的方法

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Techniques in Orthopaedics Pub Date : 2022-09-05 DOI: 10.1097/BTO.0000000000000602

Robby D. Turk, Landon R Bulloch, Joshua C. Patt, C. Anderson, Malcolm H Squires, J. Kneisl

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Cement Capping of Prominent Spinal Implants to Prevent Skin Breakdown 突出脊柱植入物的水泥盖防止皮肤破裂

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Techniques in Orthopaedics Pub Date : 2022-09-02 DOI: 10.1097/bto.0000000000000603

M. LaBarge, S. Braun, Jeffrey E. Martus

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PMMA Teeth-Pedicle Screw Spacers in Revision Spinal Surgery: A Technical Note PMMA牙-椎弓根螺钉垫片在脊柱翻修手术中的应用:技术说明

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Techniques in Orthopaedics Pub Date : 2022-09-02 DOI: 10.1097/bto.0000000000000601

M. Kelly, S. Khan, P. Kiely

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Lumbar Radiculopathy due to Iliacus Abscess: Diagnosis, Treatment, and Review of the Literature 髂肌脓肿引起的腰椎神经根病:诊断、治疗和文献回顾

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Techniques in Orthopaedics Pub Date : 2022-08-25 DOI: 10.1097/BTO.0000000000000600

D. Morrow, Connor R. Read, Charles Powell, B. Dunlap, F. Colon, Joseph Miller, Bryce A. Cunningham

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Pearls and Pitfalls of Arthroscopic Posteromedial Portal for Posterior Knee Chondromatosis Surgical Treatment 膝关节后内侧门静脉关节镜手术治疗后膝关节软骨瘤病的要点与缺陷

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Techniques in Orthopaedics Pub Date : 2022-08-09 DOI: 10.1097/bto.0000000000000599

Luigi Zanna, Gregorio Secci, R. Civinini, F. Matassi

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Treatment of Osteochondritis Dissecans of the Capitellum Using BioCartilage in Adolescent Athletes Results in Safe and Timely Return to Play 应用生物软骨治疗青少年运动员小头夹层性骨软骨炎可安全及时恢复比赛

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Techniques in Orthopaedics Pub Date : 2022-08-09 DOI: 10.1097/BTO.0000000000000596

Baylor Blickenstaff, LeeAnne Torres, C. Giangarra

{"title":"Treatment of Osteochondritis Dissecans of the Capitellum Using BioCartilage in Adolescent Athletes Results in Safe and Timely Return to Play","authors":"Baylor Blickenstaff, LeeAnne Torres, C. Giangarra","doi":"10.1097/BTO.0000000000000596","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000596","url":null,"abstract":"Objectives: Osteochondritis dissecans (OCD) is a condition affecting the capitellum in adolescent overhead athletes causing separation of articular cartilage from the subchondral bone. Multiple treatment strategies addressing these lesions have been described. The purpose of this study was to report a novel technique using BioCartilage® (Arthrex, Naples, FL) to augment microfracture of OCD lesions of the capitellum in adolescent athletes with the prediction that this would lead to favorable clinical outcomes. Methods: A retrospective review was performed of 5 patients with OCD lesions of the capitellum who underwent open surgical intervention with BioCartilage implantation through a lateral approach to the elbow. There were 4 female patients and 1 male patient. The mean age was 13 years. The average follow-up was 55.8 months. Results: Each patient returned to their original sport at 6 months with a painless range of motion and full strength. American Shoulder and Elbow Scores and Mayo Elbow Performance Scales postoperatively were 100, and Visual Analog Scales were 0/10 for each patient. There were no complications or reoperations. Radiographs obtained at 6 to 8 months postoperatively showed healing of the lesions with no further evidence of an osseous defect. Conclusion: Our technique shows promising mid-term results. A safe and timely return to play was achieved in each case. This technique offers advantages by providing an excellent range of motion and return to sport using a familiar open approach.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89536179","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

The Utilization of Osteoarticular Transfer System in the Treatment of Distal Femur Osteoid Osteoma: A Case Report 应用骨关节转移系统治疗股骨远端骨样骨瘤1例

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Techniques in Orthopaedics Pub Date : 2022-08-03 DOI: 10.1097/BTO.0000000000000598

Nikki A. Doerr, A. Kellish, M. Kleiner, C. Gutowski

{"title":"The Utilization of Osteoarticular Transfer System in the Treatment of Distal Femur Osteoid Osteoma: A Case Report","authors":"Nikki A. Doerr, A. Kellish, M. Kleiner, C. Gutowski","doi":"10.1097/BTO.0000000000000598","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000598","url":null,"abstract":"Introduction: Tumor excision of the subchondral bone of the distal femur epiphysis is technically challenging particularly in skeletally immature patients due to the open physis above and articular surface below. Preservation of the physis, maintenance of structural support to, and integrity of, the cartilage, and conservation of joint kinematics must all be considered and are often threatened by current percutaneous or open surgical treatment options. Materials and Methods: We present a case of a 16-year-old male athlete with a distal femur epiphyseal bone lesion. He underwent transarticular en bloc excision and autograft reconstruction using osteoarticular transfer system (OATS) technique. Results: Final pathology revealed complete excision of an osteoid osteoma. The patient had regained full strength and range of motion at 3 months postoperatively, and at 22 months postoperatively was free of disease and back to full level of athletic participation. Conclusions: This article describes a technique for excision of subchondral epiphyseal bone lesions in the distal femur in skeletally immature patients which mitigates the risk of complications associated with physeal injury, incomplete tumor resection, and iatrogenic injury to the overlying cartilage.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88071094","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

Length Unstable Pediatric Tibial Shaft Fracture Treated With Cerclage Augmented Elastic Intramedullary Nails: A Novel Technique 环扎增强弹性髓内钉治疗小儿胫骨轴长度不稳定骨折:一种新技术

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Techniques in Orthopaedics Pub Date : 2022-07-15 DOI: 10.1097/BTO.0000000000000597

Daniel T. Miles, Mila Scheinberg, Robert S. Quigley

{"title":"Length Unstable Pediatric Tibial Shaft Fracture Treated With Cerclage Augmented Elastic Intramedullary Nails: A Novel Technique","authors":"Daniel T. Miles, Mila Scheinberg, Robert S. Quigley","doi":"10.1097/BTO.0000000000000597","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000597","url":null,"abstract":"Introduction: Tibial shaft fractures are common injuries in the pediatric population that can reliably be treated with conservative treatment. However, unstable tibial shaft fractures in the pediatric population have limited operative treatment options because the skeletal immaturity of these patients makes rigid intramedullary devices contraindicated in this population, and external fixation strategies are associated with a high complication rates. Elastic nailing with cerclage is a minimally invasive, and relatively soft tissue sparing technique that can decrease wide dissection and periosteal stripping associated with plating. However, treating long oblique length unstable femur fractures with elastic nails has been shown yield good result; EIN in length unstable tibia shaft fractures with elastic nails has not been explored. Materials and Methods: Review of 2 patients receiving novel cerclage augmented elastic nailing technique. Results: Patients included had complete follow-up to fracture union, had no surgical complications postoperatively, and no failure of fixation. Patients achieved full range of motion and strength compared with the contralateral uninjured limb. Both patients returned to preinjury activity levels with no limitations. Discussion: We present a novel technique using elastic nails in unstable long oblique tibia fractures with a cerclage augment. This can expand EIN indications to provide a load-sharing construct with relative stability to length unstable tibia fractures that EIN use would typically be contraindicated. This in turn affords the benefits of EIN such as reliable fracture healing, excellent functional and cosmetic results with a safe and reproducible surgical technique.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90149690","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

Distal Clavicle Autograft in Fractures of the Proximal Humerus: Surgical Technique 肱骨近端骨折的自体锁骨远端移植:外科技术

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Techniques in Orthopaedics Pub Date : 2022-06-30 DOI: 10.1097/BTO.0000000000000587

Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa de Oliveira Campos, Leandro Albuquerque Lemgruber Kropf

{"title":"Distal Clavicle Autograft in Fractures of the Proximal Humerus: Surgical Technique","authors":"Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa de Oliveira Campos, Leandro Albuquerque Lemgruber Kropf","doi":"10.1097/BTO.0000000000000587","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000587","url":null,"abstract":"Introduction: The surgical treatment of the proximal humerus fractures is challenging because of various presentations, especially in osteoporotic bones. The use of fixed-angle locked plates combined with grafts increases the fixation stability and healing rate. This study aims to describe a novel option of autogenous bone graft from the distal clavicle in the treatment of the proximal humerus fracture. Materials and Methods: This is a descriptive study of a novel technique including patients undergoing surgical treatment of the proximal humerus fracture with locked plates and autograft from the distal clavicle. Results: A total of 3 female patients underwent treatment in the last year, and there are no complications reported. All fractures remained stable without varus collapse of the humeral head. Conclusion: We are the first to describe the use of the distal clavicle as an option of autograft for the treatment of the proximal humerus fractures. This technique has low morbidity and complexity, easy reproduction and low cost and can be harvested in the same donor region as the operative site.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87569709","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