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Meniscus Extrusion, Radial Tears, and Root Tears. 半月板挤出、径向撕裂和根部撕裂。
Instructional course lectures Pub Date : 2024-01-01
Garrett R Jackson, Enzo S Mameri, Lika Dzidzishvili, Michael J Alaia, Scott A Rodeo, Jorge Chahla, J Lee Pace
{"title":"Meniscus Extrusion, Radial Tears, and Root Tears.","authors":"Garrett R Jackson, Enzo S Mameri, Lika Dzidzishvili, Michael J Alaia, Scott A Rodeo, Jorge Chahla, J Lee Pace","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Management of meniscal radial and root tears and extrusion is complex and has changed significantly over recent years. It is important to provide a comprehensive overview of the management of radial and root tears and meniscal extrusion and be aware of the currently available evidence on repair techniques, rehabilitation, and outcomes following radial and root repairs.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"779-793"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815176","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
Measure Twice, Cut Once: The Future of Digitally Planned Knee Osteotomies. 两次测量，一次切割：数字化计划膝关节截骨术的未来。
Instructional course lectures Pub Date : 2024-01-01
Michael Buldo-Licciardi, Ariana Lott, Ian Savage-Elliott, Andreas H Gomoll, Anil S Ranawat, Michael J Alaia, Laith M Jazrawi
{"title":"Measure Twice, Cut Once: The Future of Digitally Planned Knee Osteotomies.","authors":"Michael Buldo-Licciardi, Ariana Lott, Ian Savage-Elliott, Andreas H Gomoll, Anil S Ranawat, Michael J Alaia, Laith M Jazrawi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to highlight the use of patient-specific cutting guides for knee joint osteotomies. Rationale, pitfalls, and planning of conventional osteotomy techniques are examined. The benefits of using patient-specific guides focusing on the potential for improved accuracy, efficiency, and safety are reviewed. The versatility of guides to manipulate the slope in both the coronal and sagittal planes, as well as its ability to accommodate concomitant procedures, is discussed. The time and cost differentials between standard cutting guides and three-dimensional-guided templating are also discussed.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"73 ","pages":"749-763"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138815172","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
Proximal Humerus Fractures: Leave It Alone, Fix It, Replace It? 肱骨近端骨折:别管它，修复它，置换它?
Instructional course lectures Pub Date : 2023-01-01
Soheil Sabzevari, H Mike Kim, Conor Smith, Michael D McKee, Rafael Serrano-Riera, Daniel Porteny, Lewis Shi, Albert Lin
{"title":"Proximal Humerus Fractures: Leave It Alone, Fix It, Replace It?","authors":"Soheil Sabzevari,&nbsp;H Mike Kim,&nbsp;Conor Smith,&nbsp;Michael D McKee,&nbsp;Rafael Serrano-Riera,&nbsp;Daniel Porteny,&nbsp;Lewis Shi,&nbsp;Albert Lin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Proximal humerus fractures are common injuries that account for 10% of all fractures in the elderly. Several options are available for the management of proximal humerus fractures. Optimal treatment is based on the fracture pattern and the patient characteristics. Most of these fractures are minimally displaced and managed nonsurgically. Approximately 15% of proximal humerus fractures are comminuted, head-split, fracture-dislocation, or severely displaced, which make the best treatment option more challenging. Hemiarthroplasty is still a viable option in selected patients of these groups; however, advancements in locking plate designs and introduction of reverse total shoulder arthroplasty have led to better clinical outcome in meticulously selected patients. Nonetheless, the debate continues regarding the best management. It is important to discuss the best treatment options based on current literature.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"211-221"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393604","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
My Reverse Has Failed: Top Five Complications and How to Manage Them. 我的逆转失败了:五大并发症以及如何处理它们。
Instructional course lectures Pub Date : 2023-01-01
William N Levine, Oke Anakwenze, Mark A Frankle, Jay D Keener, Joaquin Sanchez-Sotelo, Robert Z Tashjian
{"title":"My Reverse Has Failed: Top Five Complications and How to Manage Them.","authors":"William N Levine,&nbsp;Oke Anakwenze,&nbsp;Mark A Frankle,&nbsp;Jay D Keener,&nbsp;Joaquin Sanchez-Sotelo,&nbsp;Robert Z Tashjian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reverse total shoulder arthroplasty implantation has increased dramatically over the past 4 decades since it was first introduced in France in 1985. It has greatly improved the ability to treat patients with cuff tear arthropathy, proximal humeral fractures, and osteoarthritis with severe bone loss. However, with the increased implementation of reverse total shoulder arthroplasty, there has been a corresponding rise in complications. Five of the most common complications following reverse total shoulder arthroplasty are instability, scapular fractures, periprosthetic humeral fractures, glenoid baseplate loosening, and infection.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"175-200"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393606","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
Emerging Treatment Options for Massive Rotator Cuff Tears: Biologic Tuberoplasty, Balloon Arthroplasty, Anterior Cable Reconstruction, Lower Trapezius Transfer. 大量肩袖撕裂的新治疗选择:生物结节成形术，球囊关节成形术，前索重建，下斜方肌转移。
Instructional course lectures Pub Date : 2023-01-01
Raffy Mirzayan, Joseph A Abboud, Paul M Sethi, Adam Z Khan, Ryan Lohre, Michael Talamo, Julio Ojea Quintana, Bassem Elhassan
{"title":"Emerging Treatment Options for Massive Rotator Cuff Tears: Biologic Tuberoplasty, Balloon Arthroplasty, Anterior Cable Reconstruction, Lower Trapezius Transfer.","authors":"Raffy Mirzayan,&nbsp;Joseph A Abboud,&nbsp;Paul M Sethi,&nbsp;Adam Z Khan,&nbsp;Ryan Lohre,&nbsp;Michael Talamo,&nbsp;Julio Ojea Quintana,&nbsp;Bassem Elhassan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are several emerging treatments for patients with massive rotator cuff tears. Biologic tuberoplasty is still in its infancy but holds promise for improving pain and function by biologically covering a bare tuberosity with a dermal allograft to prevent bone-to-bone contact between the tuberosity and the undersurface of the acromion. Balloon arthroplasty is a technique of widespread interest, with the device recently gaining FDA approval. Anterior cable reconstruction uses the autologous long head of the biceps tendon to reconstruct the anterior cable of the rotator cuff. Tendon transfers, specifically lower trapezius tendon transfer, have now been established as a viable option especially in patients who want to regain active external rotation.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"223-238"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400106","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
Leading an Organization in the 21st Century: The Importance of Environmental Sustainability, Social Responsibility, and Good Governance. 在21世纪领导一个组织:环境可持续性、社会责任和良好治理的重要性。
Instructional course lectures Pub Date : 2023-01-01
Kristy Weber, M Bradford Henley, James Balaschak, Stuart L Weinstein
{"title":"Leading an Organization in the 21st Century: The Importance of Environmental Sustainability, Social Responsibility, and Good Governance.","authors":"Kristy Weber,&nbsp;M Bradford Henley,&nbsp;James Balaschak,&nbsp;Stuart L Weinstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concept of environmental sustainability, social responsibility, and good governance (ESG) is now well established in the corporate world and in for-profit organizations. However, it is not a concept that has reached medical and surgical association boardrooms in a meaningful way. It is important to define the concept of physician and corporate author expertise and objectives of ESG, provide a rationale for using ESG within orthopaedic organizations, and identify specific areas (primarily the \"S\" and the \"G\") where the American Academy of Orthopaedic Surgeons and other groups can align with this strategy.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400557","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
Do You Really Need a Hand Surgeon? Common Tendinopathies of the Upper Extremity. 你真的需要手外科医生吗?上肢常见肌腱病。
Instructional course lectures Pub Date : 2023-01-01
Gautam Malhotra
{"title":"Do You Really Need a Hand Surgeon? Common Tendinopathies of the Upper Extremity.","authors":"Gautam Malhotra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lateral epicondylitis, de Quervain tenosynovitis, and trigger finger are among the most common tendinopathies of the upper extremity. Lateral epicondylitis is a common condition with a prolonged course that can be frustrating for patients. Nonetheless, most patients improve with a simple wait-and-see approach. Therapy has been shown to be helpful and surgical management is usually successful in recalcitrant cases. Cortisone, although commonly used in the past, has been shown to have worse results than placebo in the medium and long term. de Quervain tenosynovitis responds well to nonsurgical measures including bracing treatment, therapy, and cortisone. Surgery is effective, although neuritis of the radial sensory nerve is a notable complication. Trigger finger is strongly associated with diabetes and is typically treated with cortisone or surgery. With a thoughtful and well-researched approach, any of these conditions can be successfully managed by a community orthopaedic specialist.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"611-616"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10750812","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
Integrating Mental and Social Health in Orthopaedic Practice: The Time Is Now. 在骨科实践中整合心理健康和社会健康:现在就是时候。
Instructional course lectures Pub Date : 2023-01-01
Prakash Jayakumar, Gloria Zhang, Marc Swiontkowski, Julie E Adams, Richard Charles Mather, David Ring, Seth Leopold
{"title":"Integrating Mental and Social Health in Orthopaedic Practice: The Time Is Now.","authors":"Prakash Jayakumar,&nbsp;Gloria Zhang,&nbsp;Marc Swiontkowski,&nbsp;Julie E Adams,&nbsp;Richard Charles Mather,&nbsp;David Ring,&nbsp;Seth Leopold","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tremendous advances have been made in understanding the intimate relationships between physical, emotional, and social health. There is now a substantial body of evidence demonstrating that mental health and social health may have as much influence on patients' symptom intensity and level of capability-the key metrics of success in orthopaedic care-as pathophysiology. But as a specialty the focus remains mostly on biomedical management (which focuses on structural damage and technical solutions), rather than taking a biopsychosocial approach, which involves screening, measurement, and decision making that prioritizes mental and social health concerns. Failure to do so means orthopaedic surgeons fall short in delivering whole-person care. It is important to highlight the biopsychosocial model of health and healthcare; describe the evidence for mental and social health in orthopaedic practice; outline strategies to identify, measure, and manage psychological and social concerns; and provide frameworks to implement comprehensive models of orthopaedic care that promise to benefit patients, populations, and health systems.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"47-69"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393145","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 Aging Surgeon. 老年外科医生。
Instructional course lectures Pub Date : 2023-01-01
R Dale Blasier, Ralph B Blasier
{"title":"The Aging Surgeon.","authors":"R Dale Blasier,&nbsp;Ralph B Blasier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Everyone ages-some more gracefully than others. The changes associated with aging are well known but not often discussed. Age-related changes in surgeons may eventually lead to a need for the surgeon to stop operating or even retire. It may be difficult for the surgeon to recognize these changes, but there may be some telltale signs. If the surgeon is not able to interpret that it is time to retire, others may need to step in. Physician assessment of surgeons may be requested or required by employers or hospital credentialing committees. Although not widespread, such practices are becoming more popular. There are modern means of assessment, which include written screening examinations and actual personal professional assessment by a qualified physician evaluator. If retirement or career change is necessary, it must be carefully planned and executed for the surgeon to bow out gracefully.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393147","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
Dual-Mobility Articulations in Total Hip Arthroplasty: A Durable Game Changer or the Next Cause for Concern? 全髋关节置换术中的双活动关节:一个持久的游戏规则改变者还是下一个值得关注的原因?
Instructional course lectures Pub Date : 2023-01-01
Sebastien Lustig, Atul F Kamath, P Maxwell Courtney, Gwo-Chin Lee
{"title":"Dual-Mobility Articulations in Total Hip Arthroplasty: A Durable Game Changer or the Next Cause for Concern?","authors":"Sebastien Lustig,&nbsp;Atul F Kamath,&nbsp;P Maxwell Courtney,&nbsp;Gwo-Chin Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of dual-mobility articulations in total hip arthroplasty (THA) is increasing. The appeal of dual-mobility implants rests in their ability to increase the effective ball head size for a given THA construct compared with conventional bearings, thereby reducing the risk of postoperative instability. Although the concept of dual-mobility articulation in THA is not new and early clinical experience dates back to the 1970s, its widespread use is a relatively recent phenomenon. Furthermore, unlike European surgeons who routinely use monoblock dual-mobility acetabular components in THA, the most common dual-mobility implants used in North America and worldwide are of a modular nature in which a metallic liner is coupled to a multibearing acetabular component and thus creating a metal-on-metal interface. It is important to review the evidence for the indications for dual-mobility implants in both primary and revision THA; present basic science data on the risk of corrosion in modular dual-mobility implants; and highlight the possible ongoing questions and concerns with dual-mobility implants. The goal is to provide a balanced critical review of this technology and define its current place in the hip surgeon's armamentarium.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"307-317"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10401570","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
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