Techniques in Orthopaedics最新文献_第8页

“In-house” Design and Use of 3-dimensional Printed Patient-specific Bone Tumor Resection Guides for Geometric Osteotomies in Sarcoma Surgery “内部”设计和使用三维打印的患者特异性骨肿瘤切除指南，用于肉瘤手术中的几何截骨

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Techniques in Orthopaedics Pub Date : 2022-02-08 DOI: 10.1097/BTO.0000000000000581

Joseph K. Kendal, M. Wong, S. Montgomery, Brent Benavides, M. Monument, S. Puloski

引用次数: 0

Bone Graft Volume by Reamer Head Size Using the RIA 2 用RIA测定铰刀头大小的植骨体积

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Techniques in Orthopaedics Pub Date : 2022-02-08 DOI: 10.1097/BTO.0000000000000574

John W. Robison, Emilio E Grau-Cruz, J. Bruggers, Stephen Becher

{"title":"Bone Graft Volume by Reamer Head Size Using the RIA 2","authors":"John W. Robison, Emilio E Grau-Cruz, J. Bruggers, Stephen Becher","doi":"10.1097/BTO.0000000000000574","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000574","url":null,"abstract":"Introduction: The purpose of the study was to quantify the volume of graft that is obtained using sequential upsizing of reamers using the modularity of the second generation Reamer-Irrigator-Aspirator (RIA 2) system and determine any fracture or perforation risk with upsizing. We hypothesize that graft volume may be predicted using radiographic variables that can be measured before reaming. Materials and Methods: Eleven cadaveric specimens were used to evaluate the sequential amount of graft taken using the RIA 2 modular system. Each cadaveric specimen had bone graft harvested from the tibia and femur. Using a radiographic ruler, estimations of the canal size for both the femur and tibia were performed. Average graft volume with SD per incremental increase of reamer was calculated for both the femur and the tibia. Results: There were no perforations of the femur during any reaming. There were 5 perforations or fractures of the tibias during progressive reaming including 3 during the second pass and 2 during the third pass, with a significant increase in perforation in the tibial specimens (P=0.03). There was no significant difference in graft volume after 3 passes from either tibia or femoral harvesting. However, there was a significant decrease in graft volume on the second pass of the femur that was not seen in tibial harvesting (P=0.0013). Discussion: The RIA 2’s reamer head modularity allows multiple passes of the reamer, which gives surgeons the ability to upsize if more autograft is needed. Total autograft volume was similar between the femur and tibia; however, caution should be used in the tibia because of increased perforation risk. Level of Evidence: Level IV—therapeutic study.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"34 1","pages":"149 - 153"},"PeriodicalIF":0.3,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74200782","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

Fibular Strut Autograft as an Augmented Biological Plate 自体腓骨支撑移植作为增强型生物钢板

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Techniques in Orthopaedics Pub Date : 2022-01-26 DOI: 10.1097/bto.0000000000000580

A. Sabaghzadeh, F. Biglari, M. Jafari Kafiabadi, A. Ebrahimpour

引用次数: 0

Ultrasound-guided Tenotomy and Osteectomy for the Treatment of Iliopsoas Impingement Post-total Hip Replacement 超声引导下肌腱切开术和截骨术治疗全髋关节置换术后髂腰肌撞击

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Techniques in Orthopaedics Pub Date : 2021-12-21 DOI: 10.1097/BTO.0000000000000578

Roland Z. White, Anitha L Thalluri, J. Cabot, M. Sampson

{"title":"Ultrasound-guided Tenotomy and Osteectomy for the Treatment of Iliopsoas Impingement Post-total Hip Replacement","authors":"Roland Z. White, Anitha L Thalluri, J. Cabot, M. Sampson","doi":"10.1097/BTO.0000000000000578","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000578","url":null,"abstract":"I liopsoas impingement is a common cause of groin pain posttotal hip replacement (THR) and has a reported incidence as high as 8.3%.1 Iliopsoas impingement causes ill-defined groin pain which is worsened by active hip flexion. Pain exacerbated by activities such as walking up stairs and lifting the leg in and out of a motor vehicle can be helpful diagnostic clues. The most common site of impingement is at the acetabular cup where there is friction with the deep aspect of the iliopsoas tendon. The iliopsoas tendon is positioned immediately anterior to the hip, separated from the capsule only by the iliopsoas bursa. Causes of impingement include bony excrescence, cement extrusion, a Rouviere’s sulcus, inadequate implant anteversion, or projecting studs or screws, excessive size of reinforcement ring, or by an increase in hip offset or hip length ≥ 1 cm.1 We describe iliopsoas tendon impingement secondary to bony excrescence. Conservative management of iliopsoas tendon impingement includes ultrasound (US)-guided anesthetic/corticosteroid injections, activity modification and nonsteroidal anti-inflammatory medications are often initially trialed. After conservative management options fail, surgical alternatives such as open or arthroscopic psoas tenotomy and revision hip arthroplasty can reliably improve the patient’s symptoms. Open surgical procedures however carry a higher risk of infection, accrue longer hospital and recovery periods,2 and arthroscopic procedures have increased risk of neurovascular damage. The use of US is gaining traction in orthopedic procedures, with some utilizing its benefits for placement of portal placement in hip arthroscopies.3 We propose US-guided tenotomy and ostectomy for management of ilipsoas impingement post-THR as it provides a less invasive option with reduced hospital stay and recovery time. TECHNIQUE","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"57 1","pages":"264 - 266"},"PeriodicalIF":0.3,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91305114","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

Individualized Functional Knee Alignment in Total Knee Arthroplasty: A Robotic-assisted Technique 全膝关节置换术中个性化功能性膝关节对齐:机器人辅助技术

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Techniques in Orthopaedics Pub Date : 2021-11-25 DOI: 10.1097/BTO.0000000000000567

G. Clark, C. Esposito, D. Wood

{"title":"Individualized Functional Knee Alignment in Total Knee Arthroplasty: A Robotic-assisted Technique","authors":"G. Clark, C. Esposito, D. Wood","doi":"10.1097/BTO.0000000000000567","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000567","url":null,"abstract":"Introduction: The use of robotic technology is becoming a well-recognized alternative to conventional total knee arthroplasty (TKA). The quantitative soft tissue information generated in robotic surgery can be used to balance the knee and achieve functional alignment (FA) of the components. This paper describes a novel FA technique using an individualized preoperative plan that is then adjusted to achieve soft tissue balance. Materials and Methods: We report on surgical technique, indications, considerations, and complications after our experience of performing 650 functionally aligned TKAs. We collected 2-year patient reported outcomes on 165 TKAs in this series (165 of 193 TKAs have reached 2 years follow-up in the series of 650 TKAs; 85% follow-up rate). Results: We found significant postoperative improvements with few infections and no revisions for mechanical reasons 2 years after surgery with this technique. Patients had improved knee range-of-motion (105 degrees° flexion preoperatively vs. 125 degrees flexion postoperatively; P<0.001), higher Forgotten Joint Scores (17 preoperatively vs. 77 postoperatively; P<0.001), improved Oxford Knee Scores (22 preoperatively vs. 43 postoperatively; P<0.001), higher KOOS Jr scores (48 preoperatively vs. 88 postoperatively; P<0.001) and lower visual analogue score pain scores (70 preoperatively vs. 12 postoperatively; P<0.001) 2 years postoperatively. Discussion: The described surgical technique is a promising method for conducting a robotic TKA. Benefits of FA include improved efficiency with preresection balancing, reduced soft tissue releases compared with a mechanical alignment technique, and accurate bony cuts with robotic assistance. Further studies are required to compare this technique with established methods to determine any differences in outcomes.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":"42 1","pages":"185 - 191"},"PeriodicalIF":0.3,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88125227","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: 12

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":"53 1","pages":"464 - 468"},"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