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Incorporating Biologics Into Your Sports Medicine Practice: Who, What, When, Why, and How? 将生物制剂纳入您的运动医学实践:谁，什么，何时，为什么以及如何?
Instructional course lectures Pub Date : 2023-01-01
Hannah Bradsell, Brian Waterman, Drew Lansdown, Mario Hevesi, Kristofer Jones, Rachel M Frank
{"title":"Incorporating Biologics Into Your Sports Medicine Practice: Who, What, When, Why, and How?","authors":"Hannah Bradsell,&nbsp;Brian Waterman,&nbsp;Drew Lansdown,&nbsp;Mario Hevesi,&nbsp;Kristofer Jones,&nbsp;Rachel M Frank","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Orthobiologic techniques can be used in the treatment of a variety of sports medicine pathologies, using an evidence-based approach focused on the value of all available approaches. The orthopaedic surgeon should be aware of the indications for and any technical pearls and pitfalls related to the use of orthobiologic agents as treatment for, or as an adjunct to management of, common sports medicine injuries and pathologies. Expected outcomes, including return to sport/activity, as well as potential complications and how to avoid them, should be considered. Although promising results have been reported, significant lack of high-level studies, inconsistent findings, and variability among current research make it challenging to reach a definitive conclusion about application, target populations, and overall effectiveness.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"431-444"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10402024","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
Building Blocks of Wellness: Where Do We Start When Our Tasks Have No End? 健康的基石:当我们的任务没有结束时，我们从哪里开始?
Instructional course lectures Pub Date : 2023-01-01
Ghassan Farah, Elan Volchenko, Jennifer M Weiss, Jeffrey M Smith, Salma Mumuni, Mark H Gonzalez, Alfonso Mejia
{"title":"Building Blocks of Wellness: Where Do We Start When Our Tasks Have No End?","authors":"Ghassan Farah,&nbsp;Elan Volchenko,&nbsp;Jennifer M Weiss,&nbsp;Jeffrey M Smith,&nbsp;Salma Mumuni,&nbsp;Mark H Gonzalez,&nbsp;Alfonso Mejia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgeon wellness, and the means by which it may be realized, has recently come to the forefront as awareness of burnout among orthopaedic surgeons has increased. Individual surgeons face unique challenges toward finding their own path to thrive. It is important to incorporate varying perspectives regarding potential solutions to surgeons' stresses in both work and extracurricular life. Specifically, the goal is to initiate a discussion regarding wellness by providing insight into the challenges facing surgical residents, supplemented with the perspectives of women and minorities within the field. Peer coaching plays an essential role in optimizing mental health.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"17-28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10406517","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
Scope of the Problem: Ankle Arthroscopy. 问题范围:踝关节镜检查。
Instructional course lectures Pub Date : 2023-01-01
Gregory E Lausé, Jeremy T Smith, Eric M Bluman, Elizabeth A Martin, Eric Giza, Christopher P Chiodo
{"title":"Scope of the Problem: Ankle Arthroscopy.","authors":"Gregory E Lausé,&nbsp;Jeremy T Smith,&nbsp;Eric M Bluman,&nbsp;Elizabeth A Martin,&nbsp;Eric Giza,&nbsp;Christopher P Chiodo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ankle arthroscopy has seen increased utilization and application in recent years. Through the advent of improved instrumentation and techniques, indications have been expanded to include the management of traumatic, degenerative, inflammatory, and neoplastic conditions. It is important to review anterior and posterior ankle arthroscopies along with the history, pertinent anatomy, techniques, indications, and complications as well as gain insight into the future of ankle arthroscopy.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"477-489"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474049","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
Scope of the Problem: Tendoscopy and Small Joint Arthroscopy of the Foot and Ankle. 问题的范围:肌腱镜和小关节足和踝关节镜。
Instructional course lectures Pub Date : 2023-01-01
Lorraine A T Boakye, Elizabeth A Martin, Christopher P Chiodo, Eric Giza, Eric M Bluman, Jeremy T Smith
{"title":"Scope of the Problem: Tendoscopy and Small Joint Arthroscopy of the Foot and Ankle.","authors":"Lorraine A T Boakye,&nbsp;Elizabeth A Martin,&nbsp;Christopher P Chiodo,&nbsp;Eric Giza,&nbsp;Eric M Bluman,&nbsp;Jeremy T Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to identify and describe practical applications of arthroscopy in the management of foot and ankle pathology. Utilization of the arthroscope provides a minimally invasive means of evaluating and addressing pathology. It obviates the need for a large open approach, which has additional value in the setting of a multiprocedure surgery. In addition to reducing surgical time, arthroscopy provides a potentially enhanced field of view and an adequate working space to address injury. As interest in minimally invasive options grows, the need for safe, effective tendoscopic and arthroscopic options in the foot and ankle increases. A clear and high-yield reference is needed with which to approach these procedures.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"491-504"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767684","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
Biologics in Spine Fusion. 脊柱融合中的生物制剂。
Instructional course lectures Pub Date : 2023-01-01
Elizabeth L Lord, Kyle Petersen, Michelle Zabat, Philipp Leucht, Addisu Mesfin, Charla Fischer
{"title":"Biologics in Spine Fusion.","authors":"Elizabeth L Lord,&nbsp;Kyle Petersen,&nbsp;Michelle Zabat,&nbsp;Philipp Leucht,&nbsp;Addisu Mesfin,&nbsp;Charla Fischer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Achieving fusion in spine surgery can be challenging because of patient factors such as smoking and diabetes. The consequences of pseudarthrosis can be severe, including pain, instability, and additional surgery. Autologous iliac crest bone graft is the historical standard for augmenting spine fusion, providing high rates of fusion throughout the cervical, thoracic, and lumbar spine. Harvest of autologous iliac crest bone can be associated with comorbidities and this has led to development of alternative biologic materials to enhance spine fusion. Substitutes include various forms of allograft products including decellularized allograft; demineralized bone matrix; synthetic materials including bioactive glass; and autologous and allograft mesenchymal stem cells. Bone morphogenetic proteins can be efficacious for fusion but have significant risks and are not suitable for all spine procedures. There is a wide variety of utilization of biologics for spine fusion that are influenced by spinal region, surgeon preference, surgical training, health system formulary, and cost.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"689-702"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767689","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
Dupuytren Disease: Surgical Tips, Optimizing Outcomes, and Cost Considerations. Dupuytren病:手术技巧，优化结果和成本考虑。
Instructional course lectures Pub Date : 2023-01-01
Eric R Wagner, Michael B Gottschalk, Anthony L Karzon, Alexander R Graf, Maureen A O'Shaughnessy, Nina Suh
{"title":"Dupuytren Disease: Surgical Tips, Optimizing Outcomes, and Cost Considerations.","authors":"Eric R Wagner,&nbsp;Michael B Gottschalk,&nbsp;Anthony L Karzon,&nbsp;Alexander R Graf,&nbsp;Maureen A O'Shaughnessy,&nbsp;Nina Suh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dupuytren disease is associated with benign fibroproliferative changes to the palmar fascia of the hand sometimes resulting in progressive contractures of the fingers. The earliest descriptions of these contractures date back to the 18th century. Much has been learned about the condition since the clawing condition was first described; however, optimal treatment still poses significant challenges to modern-day surgeons. It is important to examine the treatment options for Dupuytren disease and highlight the current evidence, techniques, and cost considerations of open fasciectomy, needle aponeurotomy, and recently described minimally invasive treatment.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"567-576"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10750811","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
Endoscopic Spine Surgery: Advertisement or Game Changer? 内窥镜脊柱手术:广告还是游戏规则改变者?
Instructional course lectures Pub Date : 2023-01-01
Philip Zakko, Matthew Lipphardt, Daniel K Park
{"title":"Endoscopic Spine Surgery: Advertisement or Game Changer?","authors":"Philip Zakko,&nbsp;Matthew Lipphardt,&nbsp;Daniel K Park","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endoscopic spine surgery is a rapidly developing technique. Initially used for diskectomies, endoscopic spine surgery is now considered for bony decompressions and fusions. Endoscopic spine surgery uses one or two small incisions so a camera can be inserted for visualization under high magnification while a working window is provided through the camera apparatus or through a separate incision. The suggested benefits of endoscopic spine surgery include less muscle trauma, decreased need for anesthesia, reduced blood loss, and faster recovery. The typical complications associated with spinal surgery such as bleeding, infection, nerve injury, and durotomy still exist. Although the disadvantages may have historical claims, recent literature suggests endoscopic spine surgery may outperform traditional techniques for certain pathologies. However, the learning curve of endoscopic spine surgery may present challenges with adoption by practicing spinal surgeons. The outcomes of appropriately applied endoscopic techniques provide support that endoscopic spine surgery has the potential to revolutionize spine surgery.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"675-687"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10750814","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
Unicondylar Knee Arthroplasty Made Simple. 单髁膝关节置换术变得简单。
Instructional course lectures Pub Date : 2023-01-01
Kevin D Plancher, Keith R Berend, David F Dalury, Adolph V Lombardi
{"title":"Unicondylar Knee Arthroplasty Made Simple.","authors":"Kevin D Plancher,&nbsp;Keith R Berend,&nbsp;David F Dalury,&nbsp;Adolph V Lombardi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Unicompartmental knee arthroplasty (UKA) has become an increasingly used procedure for patients with unicompartmental knee osteoarthritis. The success of UKA relies on appropriate patient selection and patient optimization before surgery is performed. Improved prosthesis design and surgical techniques for medial and lateral and fixed and mobile bearing UKA have also contributed to improved knee biomechanics, faster recovery, and improved outcomes. Indications, factors affecting patient selection, the role of limb alignment, and the surgical pearls for fixed and mobile bearing and medial and lateral UKA are important topics for discussion.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"261-272"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393607","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
Common Pediatric Fractures for Community Orthopaedic Specialists: Fix Them or Ship Them? 社区骨科专家治疗常见儿童骨折:修复还是转移?
Instructional course lectures Pub Date : 2023-01-01
Rasesh R Desai, Viral V Jain, Rajul Gupta, Eric W Edmonds, Shital N Parikh
{"title":"Common Pediatric Fractures for Community Orthopaedic Specialists: Fix Them or Ship Them?","authors":"Rasesh R Desai,&nbsp;Viral V Jain,&nbsp;Rajul Gupta,&nbsp;Eric W Edmonds,&nbsp;Shital N Parikh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to focus on common pediatric fractures seen in community emergency rooms, including supracondylar humerus, elbow, forearm, distal radius, and femoral shaft fractures, along with periarticular fractures around the knee and ankle in children. The principles of surgical and nonsurgical management of these fractures are based on the fracture type and age of the patient. The orthopaedic surgeon should be aware of important tips and tricks to help manage these injuries and be familiar with common complications that may occur when these injuries are encountered during trauma call.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"639-657"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10410615","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
Practical Artificial Intelligence: Realistic Ways It Can Help Orthopaedic Surgeons and the Challenges It Will Face. 实用人工智能:帮助骨科医生的现实方式及其将面临的挑战。
Instructional course lectures Pub Date : 2023-01-01
Romil Shah, Prakash Jayakumar, Zoe Trutner, Stefano Bini
{"title":"Practical Artificial Intelligence: Realistic Ways It Can Help Orthopaedic Surgeons and the Challenges It Will Face.","authors":"Romil Shah,&nbsp;Prakash Jayakumar,&nbsp;Zoe Trutner,&nbsp;Stefano Bini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Artificial intelligence can improve various orthopaedic subspecialties in the next 5 to 10 years. There are several image recognition applications particularly in orthopedic trauma and orthopedic spine. Specifically, convolutional neural networks have been shown to work well for making diagnoses and recreating more advanced imaging form radiographs. There are many applications of artificial intelligence with predictive in total joint arthroplasty, particularly with shared decision making. And there are many day-to-day applications that can be improved with natural language processing, particularly administrative tasks. This includes several applications in billing and charting. When investigating the landscape of artificial intelligence in healthcare, there are many barriers to their adoption. This includes overcoming bias, incorporating new applications into clinical workflow, regulatory approval, and billing.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400559","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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