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Displaced Intra-articular Calcaneus Fractures: Extensile Lateral and Less Invasive Approaches. 移位的跟骨关节内骨折:可伸展外侧和微创入路。
Instructional course lectures Pub Date : 2023-01-01
Brian M Weatherford, Jacob Matz, Utku Kandemir
{"title":"Displaced Intra-articular Calcaneus Fractures: Extensile Lateral and Less Invasive Approaches.","authors":"Brian M Weatherford,&nbsp;Jacob Matz,&nbsp;Utku Kandemir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Treatment of displaced intra-articular calcaneal fractures is controversial and must be individualized by patient and fracture type. With an extensile lateral approach, all components of the deformity in displaced intra-articular calcaneal fractures can be addressed. The extensile lateral approach is indicated in more complex fracture patterns and when delay of surgery is necessary because of severe soft-tissue injury beyond 2 to 3 weeks. Careful patient selection, proper surgical timing, incision placement, and soft-tissue handling minimize the high rate of wound healing complications associated with the extensile lateral approach. The goals of surgical treatment of displaced intra-articular calcaneal fractures may also be achieved using less invasive approaches, such as the sinus tarsi approach and closed reduction with percutaneous fixation, decreasing the risk of wound complications. Multiple factors influence determination of the specific approach.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"543-554"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10402026","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
Hot Topics and Current Controversies in Total Knee Arthroplasty. 全膝关节置换术的热点话题和当前争议。
Instructional course lectures Pub Date : 2023-01-01
William J Maloney, Robert L Barrack, Keith R Berend, Daniel J Berry, Craig J Della Valle, Antonia F Chen, David F Dalury, Fares S Haddad, Jay R Lieberman, David J Mayman, Charles L Nelson, Mark W Pagnano
{"title":"Hot Topics and Current Controversies in Total Knee Arthroplasty.","authors":"William J Maloney,&nbsp;Robert L Barrack,&nbsp;Keith R Berend,&nbsp;Daniel J Berry,&nbsp;Craig J Della Valle,&nbsp;Antonia F Chen,&nbsp;David F Dalury,&nbsp;Fares S Haddad,&nbsp;Jay R Lieberman,&nbsp;David J Mayman,&nbsp;Charles L Nelson,&nbsp;Mark W Pagnano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Total knee arthroplasty continues to evolve. It is important to review some of the current controversies and hot topics in arthroplasty. Optimal knee alignment strategy is now just a matter of debate. Mechanical, kinematic, and functional alignment and the role of robotics in achieving optimum alignment are important topics, along with fixation and outpatient knee arthroplasty.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"287-306"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474048","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
Orthopaedics in the Real World: The Business and Legal Aspects of Employment in 2022. 现实世界中的整形外科:2022年就业的商业和法律方面。
Instructional course lectures Pub Date : 2023-01-01
Michael P Ast, Sanjeev Bhatia, Cynthia L Emory
{"title":"Orthopaedics in the Real World: The Business and Legal Aspects of Employment in 2022.","authors":"Michael P Ast,&nbsp;Sanjeev Bhatia,&nbsp;Cynthia L Emory","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As more physicians enter hospital employment on completion of their training, the details and complexity associated with these arrangements are increasing. To better position surgeons to succeed in any employment model, it is important to describe several key topics associated with these business models. First, financial modeling can be used to make smarter choices when evaluating employment opportunities. This tool, applied often in the business world, allows surgeons to truly understand the midterm and long-term financial implications of employment decisions and can help surgeons thrive financially as they progress through their careers. There are both positive and negative intricate points associated with different employment models, including hospital-employed positions. Although each model may have its minor unique differences, a thorough understanding of the basics is critical for success. Contracts and some of the common issues of concern that surgeons should be keenly aware of when negotiating their hospital employment contract are important topics for discussion, along with the concept of ancillary revenue, specifically its unique implications as it applies to hospital-employed physicians; these relationships can be very different from traditional private practice models of ancillary income. Orthopaedic surgeons should be knowledgeable about Stark Law, the Anti-Kickback Statute, and Certificate of Need laws and the potential effect of these and other regulations on physicians.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"3-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400104","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
Shoulder Arthroplasty Management in the Young Patient With Posterior Glenoid Erosion. 年轻后盂糜烂患者的肩关节置换术治疗。
Instructional course lectures Pub Date : 2023-01-01
Suleiman Y Sudah, Mariano E Menendez, Grant E Garrigues
{"title":"Shoulder Arthroplasty Management in the Young Patient With Posterior Glenoid Erosion.","authors":"Suleiman Y Sudah,&nbsp;Mariano E Menendez,&nbsp;Grant E Garrigues","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteoarthritic shoulders with posterior glenoid erosion present a unique challenge to shoulder arthroplasty surgeons. Although numerous treatment options and techniques have been described, a consensus regarding the optimal surgical management strategy has not been reached. It is important to summarize the best available evidence regarding these different treatment options, with a particular focus on the young patient.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"201-209"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400554","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
Increasing Diversity in Orthopaedics: The Problem, Strategies, and Solutions. 增加骨科的多样性:问题、策略和解决方案。
Instructional course lectures Pub Date : 2023-01-01
Rivka Ihejirika-Lomedico, Jaysson Brooks, Toni M McLaurin, Kenneth A Egol, MaCalus V Hogan, Dawn LaPorte, Christian Pean, Kola Jegede, Alysia K Kemp, Erica Taylor, Joseph D Zuckerman, George Dyer
{"title":"Increasing Diversity in Orthopaedics: The Problem, Strategies, and Solutions.","authors":"Rivka Ihejirika-Lomedico,&nbsp;Jaysson Brooks,&nbsp;Toni M McLaurin,&nbsp;Kenneth A Egol,&nbsp;MaCalus V Hogan,&nbsp;Dawn LaPorte,&nbsp;Christian Pean,&nbsp;Kola Jegede,&nbsp;Alysia K Kemp,&nbsp;Erica Taylor,&nbsp;Joseph D Zuckerman,&nbsp;George Dyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is important to educate and equip the orthopaedic community with tools to address health care disparities and improve orthopaedic specialty recruitment for racial minorities. How patients and providers are affected by systemic racism in healthcare and what that means in orthopaedic surgery, methods to identify bias and improve access to orthopaedic care for racial minorities, and how to structure a program and department environment to encourage and promote diversity are important topics of discussion.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"79-87"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400556","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
Leadership in Orthopaedic Surgery: Creating a Highly Effective Leader. 骨科的领导力:培养高效的领导者。
Instructional course lectures Pub Date : 2023-01-01
Karen Sutton, Julia Retzky, Asheesh Bedi, Capt Matthew T Provencher, Mary K Mulcahey
{"title":"Leadership in Orthopaedic Surgery: Creating a Highly Effective Leader.","authors":"Karen Sutton,&nbsp;Julia Retzky,&nbsp;Asheesh Bedi,&nbsp;Capt Matthew T Provencher,&nbsp;Mary K Mulcahey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Strong leadership is associated with improved outcomes in multiple domains, including orthopaedic surgery. There are multiple leadership styles, including transformational, transactional, and laissez-faire leadership. An effective leader understands the importance of verbal and nonverbal communication, emotional intelligence, preparation, and mindset on team performance. Orthopaedic surgeons serve as leaders in the operating room, in the outpatient setting, and on committees. Leadership skills can be developed through leadership-specific evaluations and training.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400558","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
Innovation for Orthopaedic Surgeons. 骨科医生的创新。
Instructional course lectures Pub Date : 2023-01-01
Morteza Meftah, Joseph C McGinley, Douglas Dew, Michael Havig, Arthur Kreitenberg, Ashvin Dewan, Vinod Dasa
{"title":"Innovation for Orthopaedic Surgeons.","authors":"Morteza Meftah,&nbsp;Joseph C McGinley,&nbsp;Douglas Dew,&nbsp;Michael Havig,&nbsp;Arthur Kreitenberg,&nbsp;Ashvin Dewan,&nbsp;Vinod Dasa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Entrepreneurship and innovation are cornerstones of the economy and move healthcare forward. Most physicians have little experience or knowledge in developing and commercializing novel concepts and ideas. It is important to focus on structured thinking concepts, fundraising, intellectual property, FDA regulations, and initial incorporation and teambuilding strategies. There are various aspects of creating ideas and moving them from notes scribbled on a napkin to a product or service, which can then be integrated into the economic fabric of the healthcare system. Surgeon founders and innovators can then share key aspects any surgeon should consider when becoming an entrepreneur.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"89-98"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400560","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? Hand Masses and Infections. 你真的需要手外科医生吗?手部肿块和感染。
Instructional course lectures Pub Date : 2023-01-01
Steven Grindel, Brendon Bauer, Saurabh Mehta, Shaomin Shi
{"title":"Do You Really Need a Hand Surgeon? Hand Masses and Infections.","authors":"Steven Grindel,&nbsp;Brendon Bauer,&nbsp;Saurabh Mehta,&nbsp;Shaomin Shi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hand masses and infections are commonly encountered by the community orthopaedic specialist, and maintaining an understanding of these ailments is important for diagnosis, treatment, and possible referral to a hand specialist. Hand masses are common, and it is important to provide the community orthopaedic specialist the knowledge needed for appropriate diagnostic workup and treatment as well as an understanding of when to refer to a hand specialist. Hand masses arise from soft tissue or bone. Specific types include ganglion cysts, mucoid cysts, giant cell tumors of the tendon sheath, lipomas, epidermal inclusions cysts, glomus tumors, and malignancies. Hand infections are also common, and their level of acuity can vary. It is important to define which infections necessitate urgent management and are associated with a risk of significant morbidity and mortality. From superficial cellulitis to deep space infections, it is important to provide an understanding of hand anatomy needed for appropriate treatment.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"617-626"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10750810","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
Midfoot Trauma: Let's Get It Right the First Time. 足中部创伤:让我们第一次就把它做好。
Instructional course lectures Pub Date : 2023-01-01
Michael P Clare, Geoffrey I Phillips, Robert B Anderson, Andrew K Sands
{"title":"Midfoot Trauma: Let's Get It Right the First Time.","authors":"Michael P Clare,&nbsp;Geoffrey I Phillips,&nbsp;Robert B Anderson,&nbsp;Andrew K Sands","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lisfranc injuries represent a wide variety of injury patterns, from stable midfoot sprains to grossly displaced fractures and fracture-dislocations. Obtaining and maintaining an anatomic reduction is critical in the treatment of these injuries. Considerable controversy remains as to the optimal method of treatment. Beyond the type and severity of the injury pattern, treatment decisions may ultimately be defined by activity-specific criteria and patient demographics.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"507-515"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767687","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
Surgical Treatment of the Flexible, Progressive Collapsing Foot: Deformities, Definitions, and Decisions. 柔性进行性塌陷足的外科治疗:畸形、定义和决定。
Instructional course lectures Pub Date : 2023-01-01
Bonnie Y Chien, J Turner Vosseller, Alastair Younger, Justin Greisberg
{"title":"Surgical Treatment of the Flexible, Progressive Collapsing Foot: Deformities, Definitions, and Decisions.","authors":"Bonnie Y Chien,&nbsp;J Turner Vosseller,&nbsp;Alastair Younger,&nbsp;Justin Greisberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The complex adult acquired flatfoot deformity involves progressive collapse of the foot with attenuation of medial soft tissues such as the posterior tibialis tendon and spring ligament complex. Multiple deformities at different levels can coexist in the collapsed foot, including hindfoot valgus, midfoot abduction, forefoot varus, and valgus ankle instability. Definitions of flatfoot have evolved to encapsulate the peritalar basis of the deformity, with instability around the talus as the fulcrum. The goals of treatment are to minimize pain, dysfunction, and progressive deformity. Some treatment options directly address the pathologic areas, such as tendon transfer for posterior tibialis tendon dysfunction and spring ligament reconstruction. Others such as calcaneal osteotomies secondarily counteract the primary ligamentous dysfunction and realign the foot to neutralize deforming forces. Selective fusions of the hindfoot and medial column are also viable options to correct the deformity at the joint level when appropriate. The treatment selected depends on flexibility and locations of the deformity, and ultimately patient-specific factors.</p>","PeriodicalId":73392,"journal":{"name":"Instructional course lectures","volume":"72 ","pages":"555-563"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10767691","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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