发布求助
文献互助 智能选刊 最新文献

Instructional course lectures最新文献

筛选
英文 中文
Management of the Infected Endoprosthesis. 感染假体的处理。
Instructional course lectures Pub Date : 2025-01-01
Matthew T Houdek, Cory G Couch, Hiroyuki Tsuchiya, Lee Marcus Jeys
{"title":"Management of the Infected Endoprosthesis.","authors":"Matthew T Houdek, Cory G Couch, Hiroyuki Tsuchiya, Lee Marcus Jeys","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Limb salvage surgery has become the primary means of treatment for patients with malignant tumors of the extremities and pelvis. For these patients, endoprostheses have become the principal means to reconstruct the extremity following an oncologic resection because they offer an off-the-shelf-option that is modular, cost effective, and durable. As with other forms of arthroplasty, several modes of failure can occur, with infection being common. Management of an infected endoprosthesis is individualized based on numerous factors that the treating surgeon needs to consider. It is important to provide a framework for the workup and subsequent treatment of patients with an infected endoprosthesis.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"259-270"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916591","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
Social Media and Orthopaedics: Establishing Your Online Reputation. 社交媒体和骨科：建立你的在线声誉。
Instructional course lectures Pub Date : 2025-01-01
Kevin C Chang, David N Garras, Lance Michael Silverman, Adam D Bitterman
{"title":"Social Media and Orthopaedics: Establishing Your Online Reputation.","authors":"Kevin C Chang, David N Garras, Lance Michael Silverman, Adam D Bitterman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the rise of internet and social media usage in the 21st century, patients have increasingly been looking to online resources for information regarding their health care. It is imperative for physicians to recognize the trends and role of these tools in clinical orthopaedic practice, and to harness these tools to educate users, connect with other physicians, and interact with current and potential patients. It is important to review the current literature regarding social media in orthopaedics; some commonly used social media platforms and their individual characteristics; and general guidelines for creating content and managing an online reputation.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"357-364"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916619","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
Tendinitis Around the Wrist and Hand. 手腕和手的肌腱炎。
Instructional course lectures Pub Date : 2025-01-01
Niyathi Prasad, Dawn M LaPorte
{"title":"Tendinitis Around the Wrist and Hand.","authors":"Niyathi Prasad, Dawn M LaPorte","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tendinopathies around the hand and wrist are common. Most are diagnosed easily with a thorough history and clinical examination. Common conditions involving the hand and wrist include trigger finger, de Quervain tenosynovitis, intersection syndrome, third and fourth extensor compartment tenosynovitis, extensor carpi ulnaris tendinitis, and flexor carpi radialis tendinitis. Management strategies include nonsurgical treatments comprising immobilization, corticosteroid injections, or hand therapy, and surgical techniques including tendon release.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"143-154"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916622","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
Ulnar Collateral Ligament Tears: Evaluation and Nonsurgical Management. 尺侧副韧带撕裂：评估和非手术治疗。
Instructional course lectures Pub Date : 2025-01-01
Eric N Bowman, Matthew V Smith, Michael T Freehill, Peter N Chalmers
{"title":"Ulnar Collateral Ligament Tears: Evaluation and Nonsurgical Management.","authors":"Eric N Bowman, Matthew V Smith, Michael T Freehill, Peter N Chalmers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The medial ulnar collateral ligament of the elbow is the primary stabilizer against valgus load. It can tear acutely or through attritional damage as in repetitive overhead sports. Although baseball players, particularly pitchers, are the most vulnerable athletes, these injuries also occur in contact athletes, gymnasts, and javelin throwers. Presentation consists of acute medial elbow pain with associated loss of command, control, and throwing velocity in pitchers. Attention should be given to associated risk factors including workload. Ulnar neuritis is a commonly associated condition because of its close proximity to the posterior band of the ulnar collateral ligament. Physical examination focuses on the ulnar collateral ligament, but also identifies associated pathology and kinetic chain factors that may predispose a player to injury. Tears are classified by location (proximal, midsubstance, distal) and extent (partial versus full thickness). Nonsurgical treatment may be a viable option for partial-thickness tears and includes rest from activity, flexor-pronator strengthening, and possible platelet-rich plasma injections.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"43-50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916624","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
Controversies in Timing of Surgery and Rehabilitation for Multiligamentous Knee Injuries. 膝关节多韧带损伤手术与康复时机的争议。
Instructional course lectures Pub Date : 2025-01-01
Jelle P van der List, Anthony P Fiegen, Michael J Alaia, Alan Getgood, Bruce A Levy, Volker Musahl, Dustin L Richter, Brian R Waterman
{"title":"Controversies in Timing of Surgery and Rehabilitation for Multiligamentous Knee Injuries.","authors":"Jelle P van der List, Anthony P Fiegen, Michael J Alaia, Alan Getgood, Bruce A Levy, Volker Musahl, Dustin L Richter, Brian R Waterman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With an estimated incidence of 0.02% to 0.2%, multiligamentous knee injuries are rare, often devastating injuries that can occur with concomitant vascular or neurologic involvement. Generally, outcomes of surgical treatment have been superior to those of nonsurgical treatment for active individuals and the general population. Surgical treatment options include primary repair, reconstruction, or augmentation. However, the ideal timing of treatment, both surgery and rehabilitation, is unclear. Options include acute (ie, within 3 weeks), subacute (3 to 8 weeks), and delayed treatment of all ligaments simultaneously, or alternatively managed in two stages. Primary repair can be considered in avulsion injuries of the posterior cruciate ligament and posteromedial corner and distal posterolateral corner avulsions; however, treatment paradigms are still evolving. Reconstruction is preferred in younger patients, for most midsubstance injuries and cruciate ligament injuries, and when presentation is delayed. Early surgery may be associated with better outcomes and a lower incidence of cartilage lesions compared with delayed surgery, although there may be an increased risk of arthrofibrosis. More traditional protocols often restrict weight bearing in the first weeks to protect ligament healing. Although early range-of-motion exercises decrease the risk of stiffness following surgery for multiligamentous knee injury, concern remains regarding attenuation or loosening of the surgically repaired or reconstructed ligaments. The Surgical Timing and Rehabilitation trial has been designed to assess the outcomes of early versus delayed surgery and early versus delayed rehabilitation.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"129-140"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916479","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
Patellofemoral Cartilage Injury and Treatment. 髌股软骨损伤及治疗。
Instructional course lectures Pub Date : 2025-01-01
Katherine Bach, Seth Lawrence Sherman, Austin V Stone, Adam B Yanke, Drew A Lansdown
{"title":"Patellofemoral Cartilage Injury and Treatment.","authors":"Katherine Bach, Seth Lawrence Sherman, Austin V Stone, Adam B Yanke, Drew A Lansdown","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteochondral and chondral injuries of the patellofemoral joint are common in active patients, and effective management requires a thorough physical and imaging evaluation, a detailed understanding of the unique anatomic and biomechanical joint properties contributing to these injuries, and an appropriate selection of treatment modality. Diagnosis of patellofemoral chondral injuries can be challenging, and differentiating between various causes of anterior knee pain is crucial to successful outcomes. Once identified, nonsurgical treatments including physical therapy, bracing, and injections are a mainstay of initial management. Surgical interventions for patellofemoral chondral injuries include palliative, restorative, and reconstructive techniques. It is important to consider overall limb alignment and patellar tracking in these patients to determine the appropriate role of realignment osteotomy procedures in addition to directly addressing the chondral lesion. An understanding of the array of multiple nonsurgical and surgical treatment modalities can allow for improvement in symptoms and function for this challenging clinical problem.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"79-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916613","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
Technical Tips and Tricks for Knee Osteotomy. 膝关节截骨术的技术提示和技巧。
Instructional course lectures Pub Date : 2025-01-01
Nicholas A Apseloff, Jonathan D Hughes, Michael J Alaia, Alan Getgood, Stefano Zaffagnini, David H Dejour, Volker Musahl
{"title":"Technical Tips and Tricks for Knee Osteotomy.","authors":"Nicholas A Apseloff, Jonathan D Hughes, Michael J Alaia, Alan Getgood, Stefano Zaffagnini, David H Dejour, Volker Musahl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteotomies around the knee have a variety of indications, including pain reduction, functional improvement, knee joint stabilization, and articular cartilage preservation. Thorough preoperative planning is essential, including a determination of the precise location of any deformity (proximal tibia, distal femur, or both). High tibial osteotomies and distal femoral osteotomies can be performed in isolation, or jointly in the form of a double-level osteotomy, for correction of coronal and/or sagittal deformity of the knee. There are many technical tips and tricks to simplify these cases for safe and effective execution, including selection of the proper procedure for a given deformity, selection of optimal osteotomy hinge points, and soft-tissue handling for different surgical approaches.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"117-128"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916620","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
Disaster-Plasty: A Guide to Leveraging Trauma and Arthroplasty Skills for Extreme Challenges. 灾难整形：利用创伤和关节成形术技能应对极端挑战指南》。
Instructional course lectures Pub Date : 2025-01-01
Colin C Neitzke, Nicholas A Bedard, Brian P Gladnick, Richard S Yoon, Frank A Liporace, Elizabeth B Gausden
{"title":"Disaster-Plasty: A Guide to Leveraging Trauma and Arthroplasty Skills for Extreme Challenges.","authors":"Colin C Neitzke, Nicholas A Bedard, Brian P Gladnick, Richard S Yoon, Frank A Liporace, Elizabeth B Gausden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Periprosthetic fractures and their associated complications present significant challenges for orthopaedic surgeons. It is important to provide an overview of the current management of periprosthetic fractures, including techniques for osteosynthesis and revision total hip and knee arthroplasty, as well as special considerations for periprosthetic acetabular fractures, periprosthetic tibial fractures, and interprosthetic femur fractures. In addition, the guiding principles for the management of potential subsequent complications including infection, nonunion, and instability are discussed.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"243-258"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916489","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
Management of Acute and Subacute Fracture-Related Infection. 急性和亚急性骨折相关感染的处理。
Instructional course lectures Pub Date : 2025-01-01
Benjamin Charles Schaffler, Utku Kandemir, Sanjit R Konda
{"title":"Management of Acute and Subacute Fracture-Related Infection.","authors":"Benjamin Charles Schaffler, Utku Kandemir, Sanjit R Konda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fracture-related infection (FRI) is a serious complication that occurs primarily in surgically treated fractures. FRIs occur when bacteria enter the site of bony injury and alter the healing inflammatory response within the bone. This can prevent bone regeneration and can lead to long-lasting complications such as chronic infection, pain, nonunion, and amputation. FRIs can span a wide range of severity, and only recently has the international community come to a consensus on specific definitions and guidelines for treatment. Principles of FRI management include identification of at-risk injuries with correction of modifiable risk factors, the achievement of adequate bony union and fracture healing, thorough eradication of the offending microorganism, and restoration of function. Treatment strategies involving implant retention versus removal depend on several factors, including the acuity of the infection, host physiology, initial reduction quality and fracture stability, and implant stability. Antibiotic treatment of FRI has historically been intravenous; however, emerging data suggest oral antibiotics may be just as efficacious.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"413-420"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916567","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
Neurovascular Compromise in Upper Extremity Surgery: How to Proceed Safely and What to Do If Something Goes Wrong. 上肢手术中的神经血管损伤：如何安全进行，如果出现问题该怎么办。
Instructional course lectures Pub Date : 2025-01-01
Omri Ayalon, Louis Christopher Grandizio, Abhishek Ganta, Nicole A Zelenski, Janos Barrera
{"title":"Neurovascular Compromise in Upper Extremity Surgery: How to Proceed Safely and What to Do If Something Goes Wrong.","authors":"Omri Ayalon, Louis Christopher Grandizio, Abhishek Ganta, Nicole A Zelenski, Janos Barrera","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Insights into the identification, prevention, and treatment of neurovascular compromise in upper extremity surgery are provided in this chapter, focusing on commonly encountered injuries susceptible to intraoperative or postoperative issues. The authors highlight the importance of knowledge of anatomy, meticulous dissection, and preparation to navigate complex surgical scenarios effectively. Furthermore, proactive approaches to managing difficult situations encountered during surgery are outlined, emphasizing timely recognition and decisive action. Patient outcomes can be optimized by preventing neurovascular compromise in upper extremity surgery.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"74 ","pages":"187-206"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916607","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
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：481959085
Book学术官方微信