Techniques in Orthopaedics最新文献_第9页

Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair 新型后锚定方法与内侧半月板后根修复相关

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Techniques in Orthopaedics Pub Date : 2022-03-29 DOI: 10.1097/BTO.0000000000000570

Y. Okazaki, T. Furumatsu, T. Hiranaka, Keisuke Kintaka, Ximing Zhang, Yuya Kodama, Yusuke Kamatsuki, Tadashi Yamawaki, Toshifumi Ozaki

{"title":"Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair","authors":"Y. Okazaki, T. Furumatsu, T. Hiranaka, Keisuke Kintaka, Ximing Zhang, Yuya Kodama, Yusuke Kamatsuki, Tadashi Yamawaki, Toshifumi Ozaki","doi":"10.1097/BTO.0000000000000570","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000570","url":null,"abstract":"Introduction: Transtibial pullout repair is the gold standard surgical treatment for medial meniscus (MM) posterior root tear. However, posteromedial extrusion of the MM during knee flexion may remain a problem postoperatively. Materials and Methods: We used a novel posterior anchoring technique to help reduce posteromedial extrusion, applying two cinch sutures (TCSs) to the MM posterior horn and creating a bone tunnel at the center of the posterior root attachment to pullout the suture. Another bone tunnel was created at the posterior corner of the medial tibial plateau in the externally rotated knee flexion. The first anchor of an all-inside meniscal repair device was inserted through the inferior surface of the MM posterior horn with tensioning TCS and the second anchor into the bone tunnel. Tibial fixation of pullout sutures was performed using a bioabsorbable screw in 30 degrees knee flexion. Conclusions: Our posterior anchoring method, combined with conventional pullout repair with TCS, helped reduce posteromedial extrusion in patients with a MM posterior root tear.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73316483","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

A New Technique for Anterior Pelvic Ring Fixation Using a Minimally Invasive Approach 微创入路骨盆前环固定新技术

IF 0.3

Techniques in Orthopaedics Pub Date : 2022-03-23 DOI: 10.1097/BTO.0000000000000583

Mohamad Qoreishy, A. Alamian, M. Movahedinia, S. Keyhani

引用次数: 0

A Big Structural Change for Techniques in Orthopaedics 骨科技术的重大结构变化

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Techniques in Orthopaedics Pub Date : 2022-02-18 DOI: 10.1097/bto.0000000000000582

B. Browner

引用次数: 0

Transosseous Suture With an All-FiberWire Technique in Patellar Fracture Fixation 全纤维丝经骨缝合在髌骨骨折固定中的应用

IF 0.3

Techniques in Orthopaedics Pub Date : 2022-02-09 DOI: 10.1097/BTO.0000000000000579

Ponrachai Wongthongsalee, Thanapon Chobpenthai

{"title":"Transosseous Suture With an All-FiberWire Technique in Patellar Fracture Fixation","authors":"Ponrachai Wongthongsalee, Thanapon Chobpenthai","doi":"10.1097/BTO.0000000000000579","DOIUrl":"https://doi.org/10.1097/BTO.0000000000000579","url":null,"abstract":"Background: Patellar fractures account for 0.5% to 1.5% of all bone fractures. Tension band wiring with heavy gauge steel wire and K-wires is traditionally procedure for treating patellar fractures. However, this method is associated with implant-related complications. Present study aimed to evaluate functional clinical outcomes of patellar fracture fixation with transosseous suture using an all-FiberWire technique. Methods: This was a retrospective study involving 16 patellar fractures patients were repaired by open reduction and internal fixation with FiberWire using a 3-transosseous tunnel technique. The functional outcomes were evaluated with Tegner-Lysholm and Bostman scoring. We also evaluated clinical and radiologic outcomes. Results: The mean time to bony union was 8.87±1.54 weeks (range, 7 to 12 wk). The mean Bostman score at final follow-up was 27.13±2.5 (range, 21 to 30), and mean Lysholm score at final follow-up was 90.69±5.75 (range, 83 to 100). Fractures healed in all patients, with no fixation failures. Minor loss of reduction (<2 mm) were observed in 3 patients (18.75%). No patient has reoperation. One patient developed knee stiffness, with an infected hematoma 10 weeks postoperatively. None of patients developed anterior knee pain postoperatively. Two patients (12.5%) developed mild localized pain from prominent suture knots. There were no significant implant-related complications and no repeat surgery was necessary. Conclusions: The use of nonmetallic sutures with an all-FiberWire technique in patellar fracture fixation avoids implant-associated complications and possibility of a second surgery to remove metal implants. Nonmetallic high-resistance FiberWire matches traditional metallic fixation, with a reduced risk of postoperative complications. Level of Evidence: Level IV (therapeutic).","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78486814","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

“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

IF 0.3

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

IF 0.3

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":null,"pages":null},"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

IF 0.3

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

IF 0.3

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":null,"pages":null},"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

The Agonist-antagonist Myoneural Interface. 激动剂-拮抗剂肌神经界面。

IF 0.3

Techniques in Orthopaedics Pub Date : 2021-12-01 DOI: 10.1097/bto.0000000000000552

Hugh Herr, Matthew J Carty

引用次数: 5

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

IF 0.3

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":null,"pages":null},"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