Surgical Management of Scaphotrapeziotrapezoid Arthritis.
Surgical Management of Scaphotrapeziotrapezoid Arthritis. J Am Acad Orthop Surg. 2019 Nov 01;: Authors: Catalano LW, Ryan DJ, Barron OA, Glickel SZ Abstract Scaphotrapeziotrapezoid (STT) arthritis occurs commonly with basal joint arthritis, but can also occur in isolation or in conjunction with other patterns of wrist arthritis, such as scapholunate advanced collapse. Surgical options depend on the specific clinical scenario encountered. Isolated STT arthritis was classically managed with arthrodesis, but is now often addressed with distal scaphoid resection (open or arthroscopic), trapeziectomy (partial or complete) and partial trapezoid resection, or implant arthroplasty. Development of postoperative dorsal intercalary segment instability is a notable concern with any of these techniques. STT arthritis in conjunction with basal joint arthritis can be managed effectively with trapeziectomy and either partial trapezoid excision or distal scaphoid excision. STT arthritis with scapholunate advanced collapse is uncommon, but can be managed with proximal row carpectomy or scaphoidectomy and four-corner fusion. If basal joint arthritis is also present, trapeziectomy can additionally be performed, but grip strength is likely to be substantially diminished. PMID: 31688428 [PubMed - as supplied by publisher]
PMID: 31809288 [PubMed - as supplied by publisher]
ConclusionSoaking of the graft in vancomycin solution prior to implantation dramatically reduces the incidence of postoperative septic arthritis in R-ACLR.Level of evidenceIII.
The aim of this study was to compare the functional outcomes and recurrence rate of infection between patients who underwent arthroscopic surgery and two-stage total knee arthroplasty (TKA) for infected arthritic knees.
Meniscus allograft transplant (MAT) is traditionally not recommended for patients with moderate to severe osteoarthritis. We hypothesize that clinical and graft survival of MAT will not be impacted by the severity of cartilage damage assessed by Outerbridge (OB) grade at the time of surgery, if the damaged cartilage is also treated.
Publication date: Available online 27 November 2019Source: Journal of OrthopaedicsAuthor(s): Daniel J. Johnson, Bennet A. Butler, Matthew H. Hartwell, Claire E. Fernandez, Richard W. Nicolay, Ryan S. Selley, Michael A. Terry, Vehniah K. TjongAbstractPurposeTo compare complications following arthroscopy and arthrotomy for treatment of septic knee arthritis.MethodsPatients undergoing arthroscopy and arthrotomy for a diagnosis of septic knee arthritis were identified in National Surgical Quality Improvement Program and placed in a multivariate analysis to determine if type of surgery contributed to postoperative complications...
Publication date: Available online 26 November 2019Source: Journal of PhysiotherapyAuthor(s): Goris Nazari, Joy MacDermid
Publication date: January 2020Source: Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Volume 19Author(s): Takeshi Mochizuki, Koichiro Yano, Katsunori Ikari, Ken OkazakiAbstractObjectivesWe aimed to investigate the change in the center of pressure (COP) path and distribution with or without orthosis for hallux valgus (HV) in patients with rheumatoid arthritis (RA).MethodsIn total, 17 patients and 21 feet were enrolled. We measured the COP path using the COP path measurement device (F-Scan II system). The HV angle (HVA); the anteroposterior COP path length, which was measured as a percent...
To determine whether patients who reported a discrete traumatic event precipitating the onset of femoroacetabular impingement syndrome (FAIS) reported similar patient-reported outcomes for the modified Harris Hip Score (mHHS) and the Non-Arthritic Hip Score (NAHS) following hip arthroscopy as patients with atraumatic hip pain associated with FAIS alone.
CONCLUSION: Short interval two-stage approach for septic shoulder arthritis is an effective treatment option. It should nonetheless be reserved for selected patients with advanced disease in which lavage and debridement have failed. PMID: 31754606 [PubMed]
Meniscus allograft transplantation is an established surgical treatment indicated in symptomatic meniscus-deficient patients with minimal to no arthritis. Treatment decision making should be individualized after a thorough history and physical examination, with diagnostic imaging and arthroscopy to assess the status of the meniscus. The senior author prefers to use a bridge-in-slot technique, where osseous fixation of the allograft is completed through passage of a bone bridge to a tibial slot. Outcomes in meniscus allograft transplantation are favorable, with reported significant improvements in clinical outcome and low f...