Fixation Strategies for Periprosthetic Fractures With Stable Implants
Instr Course Lect. 2024;73:843-860.ABSTRACTThe fixation of periprosthetic fractures remains challenging and controversial. It is important to achieve consensus opinions regarding the management of stable periprosthetic fractures with internal fixation. Key strategies to optimize surgical decision making and fixation and manage complications following these difficult injuries are addressed.PMID:38090944 (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Aaron Nauth Andrew Schmidt Geoffrey W Schemitsch Jhase Sniderman Jeremy Alan Hall Ryan D Stancil Adam Sassoon Emil H Schemitsch Source Type: research
The Role of Revision Total Joint Arthroplasty for Periprosthetic Fractures With Unstable Implants
Instr Course Lect. 2024;73:861-878.ABSTRACTThe management of periprosthetic fractures with unstable prosthetic implants is a challenging and commonly encountered problem. It is important to address the many current issues and controversies regarding the treatment of periprosthetic fractures with revision total joint arthroplasty. Key strategies to optimize surgical decision making around the use of arthroplasty and management of complications following these complex injuries will be addressed.PMID:38090945 (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Adam Sassoon Andrew Schmidt Aaron Nauth Geoffrey W Schemitsch Rafi Husain Jeremy Alan Hall Emil H Schemitsch Source Type: research
Tibial Plateau Fractures: Addressing Commonly Encountered Challenges in Reduction and Fixation
Instr Course Lect. 2024;73:879-900.ABSTRACTTibial plateau fractures encompass a broad array of injuries. The mechanism of injury ranges from low to high energy. Devastating complications and associated injuries can occur in both low-energy and high-energy mechanisms; therefore, a careful and detailed physical examination and review of imaging must be performed. Furthermore, a mechanistic approach to fracture classification and morphology enhances the surgeon's understanding of the injury and the ability to predict associated injuries and develop effective strategies for management.PMID:38090946 (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: John Morellato Matthew Graves Allan Liew Matthew Hogue Christopher K Folau Source Type: research
Limb Rotation in Lower Extremity Fractures
Instr Course Lect. 2024;73:901-918.ABSTRACTFractures of the tibia and femur are common. Rotation of the limb can affect the outcome of the injury, both in the immediate term and the long term. Because plain radiographs are two dimensional, rotation is hard to assess radiographically. As a result, rotational malalignment is common. It is important to provide technical tips on the assessment of rotation preoperatively, intraoperatively, and postoperatively. The goal is to better assess rotation so that deformity can be minimized. This applies to fractures of the tibia and femur. Even after careful treatment, rotational defor...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Michael Blankstein Patrick Schottel Mark Brinker James Krieg Source Type: research
Current Trends in Orthopaedics and Trauma in
Germany
Instr Course Lect. 2024;73:919-928.ABSTRACTDuring the Guest Nation Symposium (cobranded with the Deutsche Gesellschaft für Orthopädie und Unfallchirurgie, Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie, and Deutsche Gesellschaft für Unfallchirurgie) at the 2023 American Academy of Orthopaedic Surgeons Congress in Las Vegas, the goal was to compile nationally important content from German orthopaedics and trauma surgery. This resulted in a mix of content on the latest developments in trauma care, knee arthroplasty, spinopelvic importance for hip arthroplasty, stemless shoulder endoprostheses, joint p...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Maximilian Rudert Steffen Ruchholtz Bertil Bouillon Andreas Halder Matthias Pumberger Markus Scheibel Christina Stukenborg-Colsman Matthias M ünzberg Benedikt Friemert Source Type: research
Ankle Malunion: When and How to Perform Supramalleolar Osteotomy
Instr Course Lect. 2024;73:209-219.ABSTRACTAnkle osteoarthritis is usually posttraumatic, creating asymmetric damage on the ankle joint in approximately 80% of cases. The talus is susceptible to tilt to the damaged cartilage area, producing a supramalleolar deformity with localized ankle arthritis. Supramalleolar osteotomy is joint-preserving surgical treatment for patients with localized ankle arthritis. This procedure's objectives include improving intra-articular load distribution by overcorrecting the axis, slowing down or stopping the degeneration of the tibiotalar joint, and improving function. Preoperative planning ...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Cristian Ortiz Mateluna Ximena Ahumada Pavez Source Type: research
Management of the Hindfoot and Ankle in
Charcot Arthropathy
Instr Course Lect. 2024;73:221-230.ABSTRACTNeuropathic destabilization of the hindfoot and/or ankle is a significant complication for the patient with diabetes/neuropathy. The loss of ligamentous integrity and bony destruction results in a limb that is not stable for weight bearing. This loss of independence adds significant health risks to the patient. Management of this disease process is both time consuming and technically demanding for both the practitioner and the patient. Attention to detail and aggressive decision making is often necessary to salvage the limb. The goal for treatment is to produce a stable, weight-be...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: John S Early Source Type: research
Midfoot Fusion Using Superconstructs for the Charcot Foot: Current Techniques and Complications
Instr Course Lect. 2024;73:231-245.ABSTRACTNeuroarthropathy of the foot and ankle presents a series of challenges. The treating physician faces a perfect storm of pathomechanics, deformity, and medical comorbidities. Successful treatment requires a systematic approach in diagnosis, nonsurgical management, surgical management, and long-term maintenance of the affected extremity. Nonsurgical care of the Charcot foot remains the mainstay of treatment and is successful in most cases. Surgery has become more accepted for patients with severe deformity. The concept of a superconstruct has been introduced to describe modern surgi...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Vincent James Sammarco Josika A Sammarco Mark E Baratz G James Sammarco Source Type: research
Managing the Severe Cavus Foot Deformity in Global Humanitarian Programs
Instr Course Lect. 2024;73:247-261.ABSTRACTThe cavus foot represents a complex spectrum of deformity ranging from the subtle idiopathic to the severe sensorimotor neuropathy and other neuromuscular deformities. The successful surgical treatment of the cavus foot depends on a fundamental understanding of the underlying multiplanar deformity, inherent muscle balance, and the rigidity of the hindfoot. The location of the deformity is described and understood according to its multiple apices. These deformities are addressed with osteotomies or arthrodesis directed at the apices of deformity. Simultaneously, correction of muscu...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Brady T Williams Shuyuan Li Mark S Myerson Source Type: research
Management of Infections and Osteomyelitis in
Patients With Charcot Foot Arthropathy
Instr Course Lect. 2024;73:263-267.ABSTRACTThere is growing interest in performing reconstruction of deformities associated with Charcot foot arthropathy. At least half of the patients undergoing this reconstruction will have chronic wounds and osteomyelitis overlying the deformity. It is important to provide orthopaedic surgeons with tools for making the diagnosis of osteomyelitis in this patient population and creating a strategy for treatment.PMID:38090903 (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Michael S Pinzur Source Type: research
Total Wrist Arthroplasty: An International Perspective
Instr Course Lect. 2024;73:271-284.ABSTRACTConcerns about implant durability and technical difficulty continue to make total wrist arthroplasties a specialized procedure with a narrow scope of indications. As a result, more routinely performed total or partial wrist arthrodesis continues to maintain popularity over arthroplasty. However, wrist motion preservation is undoubtedly preferable for patients and current literature is trending to more favorable outcomes for total wrist arthroplasties. In the setting of the evolving role of wrist arthroplasties in clinical practice, it is important to focus on providing hand surgeo...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Marco Rizzo Amitava Gupta Guillaume Herzberg Marion Burnier Michel E H Boeckstyns S øren Merser Robert Gvozdenovic Christine Schaeffer Timothy J Irwin A Lee Osterman Nina Suh Source Type: research
Hand Fractures-Management and the Complications That Inevitably Occur: Metacarpal Fractures
Instr Course Lect. 2024;73:285-304.ABSTRACTMetacarpal fractures are among the most common hand fractures. To properly manage these injuries, surgeons must understand the anatomy, biomechanics, clinical assessment, surgical and nonsurgical treatment options, and potential complications. Metacarpal head fractures often require surgical treatment to restore the joint surface by using a variety of techniques. Metacarpal neck fractures are usually stable injuries that do not require surgical intervention, but surgeons must know when surgical intervention is indicated. Fractures of the metacarpal shaft can be treated surgically ...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Tristan B Weir Joshua M Abzug R Glenn Gaston Meredith N Osterman A Lee Osterman Source Type: research
Phalangeal Fractures and Fingertip Injuries
Instr Course Lect. 2024;73:305-324.ABSTRACTA comprehensive analysis of the assessment, diagnosis, and management of phalangeal fractures and fingertip injuries should emphasize the importance of achieving the right balance between undertreatment and overtreatment. Phalangeal injuries are complex, requiring an in-depth understanding of hand anatomy, fracture patterns, and treatment options to optimize patient outcomes. A thorough examination of proximal and middle phalangeal fractures and fingertip injuries, including those to the nail bed and distal phalanx, is important. A systematic approach to addressing the most preval...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: James Tyler Frix Ryan Phillip Serbin R Glenn Gaston Source Type: research
Proximal Interphalangeal Joint Fractures
Instr Course Lect. 2024;73:325-346.ABSTRACTMultiple fracture patterns can occur around the proximal interphalangeal joint and require surgeons to have a thorough understanding of the anatomy, clinical and radiographic examination, common fracture patterns, surgical and nonsurgical treatment options, and potential complications. Proximal phalangeal condylar fractures are typically managed surgically, because even nondisplaced fractures have a propensity for displacement. Middle phalangeal base fractures most commonly present as a volar lip fracture with or without dorsal subluxation or dislocation. Treatment options include...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Tristan B Weir Joshua M Abzug R Glenn Gaston A Lee Osterman Meredith N Osterman Source Type: research
Top No-Nonsense Tips: The Dos and Don'ts of Managing Flexor Tendon Injuries
Instr Course Lect. 2024;73:347-355.ABSTRACTFlexor tendon injury surgical repairs can be challenging for surgeons, where the timing of surgery and precision of repair matter the most. The latest evidence and basic science discoveries in flexor tendon management are provided. It is important to review how wide-awake local anesthesia no tourniquet surgery has been a paradigm shift in surgical management and pearls learned from incorporating this into practice.PMID:38090908 (Source: Instructional Course Lectures)
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Maureen A O'Shaughnessy Marco Rizzo Nicholas Pulos Donald G Pitts Source Type: research
