Orthopedic Clinics of North America 
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FREDERICK M. AZAR, MD (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 18, 2022 Category: Orthopaedics Source Type: research
Contents
Frederick M. Azar (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 18, 2022 Category: Orthopaedics Source Type: research
Forthcoming Issues
October 2022 (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - June 18, 2022 Category: Orthopaedics Source Type: research
Soft Tissue Management in Shoulder Arthroplasty
Total shoulder arthroplasty is a rapidly growing field, with more procedures performed each year. An important aspect of shoulder arthroplasty surgery is the management of soft tissues. Good functional outcomes in shoulder arthroplasty are significantly dependent on the repair of the rotator cuff tendons and proper release of the shoulder capsule. The success of any shoulder arthroplasty is predicated upon the meticulous handling of these tissues. The surgeon ’s ability to execute appropriate soft tissue techniques will facilitate easier surgery by increasing exposure and lead to better outcomes for the patient. (Source:...
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Brandon Anthony Romero, John Gabriel Horneff Source Type: research
Plantar Plate Repair for Metatarsophalangeal Joint Instability of the Lesser Toes
The plantar plate is a known stabilizer of the lesser toe metatarsophalangeal (MTP) joint. MTP instability is a known common cause of metatarsalgia, most commonly in the second toe. In the last decade, clinical staging and anatomic grading mechanisms have been published to guide the surgeons on the treatment of MTP instability; this has also led to an understanding of how plantar plate tears relate to MTP joint instability. Direct surgical repair of the plantar plate has been described, short-term outcomes have been published, and the results are not perfect, but promising with respect to patient satisfaction and pain reli...
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: James R. Jastifer Source Type: research
Management of Extensor Mechanism Disruption After Total Knee Arthroplasty
Extensor mechanism disruptions following total knee arthroplasty are devastating injuries with complication rates following surgical intervention ranging from 25% to 45%. Primary repair with and without augmentation is appropriate in certain limited clinical settings. Allograft reconstruction has been a popular option; however, synthetic grafts are showing promise and good results. In this article the authors discuss an algorithm for treating these difficult injuries as well as detail the surgical techniques for each approach. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Michael R. Bisogno, Giles R. Scuderi Source Type: research
Sagittal Band Injury and Extensor Tendon Realignment
The sagittal bands are structurally important, aiding in the central alignment of the extensor tendons over the heads of each metacarpal. They resist the deviation of the tendon with flexion of the metacarpophalangeal (MCP) joint. Injury to the sagittal band can cause the extensor tendon to lose its alignment leading to pain, tendon subluxation, or dislocation. Generally, if these injuries are recognized and treated within 3 weeks of injury, they will not require surgery. The goal of surgery is to restore the anatomic alignment of the extensor tendon by either direct repair of the sagittal band or reconstruction. (Source...
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Nicholas James, Nolan Farrell, Benjamin Mauck, James Calandruccio Source Type: research
Remplissage for Anterior Shoulder Instability
Remplissage is a nonanatomic capsulotenodesis of the infraspinatus tendon used to fill engaging or “off-track” Hill-Sachs lesions in patients at high risk of recurrent instability with isolated Bankart repair. Indications for remplissage are expanding, as the importance of subcritical bone loss and the glenoid track on patient outcomes and recurrence rates continues to be investigated. Rempli ssage is also suggested in patients at high risk of recurrent instability following isolated anterior labral repair, such as collision and contact athletes with Hill-Sachs lesions that have not reached the threshold of “off trac...
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: William Polio, Tyler J. Brolin Source Type: research
Diagnosis and Treatment Options of Abductor Insufficiency After Total Hip Replacement
This article reviews the pearls and pitfalls of surgical reconstruction options for abductor insufficiency following THA. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Alexa N. Pearce, Jeffrey B. Stambough, Simon C. Mears, C. Lowry Barnes, Benjamin M. Stronach Source Type: research
Posttraumatic Soft Tissue Coverage of the Lower Leg for the Orthopedic Surgeon
This article seeks to inform orthopedic surgeons about useful techniques for skin closure, secondary wound closure techniques, and rotational flaps of the lower leg. Split thickness skin grafting, piecrusting, and the use of negative pressure wound therapy for skin closure, as well as rotational gastrocnemius, soleus, and reverse sural artery flaps are discussed with emphasis on techniques for the nonvascular and nonmicrovascular orthopedic surgeon. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: James A. Blair, George A. Puneky, Thomas E. Dickerson, Hayden D. Faith, Jana M. Davis Source Type: research
Lower Extremity Soft Tissue Reconstruction Review Article
Reconstruction plays a valuable role in the management of lower extremity wounds for limb salvage. The goals of reconstruction are to improve function and quality of life, return to work, and pain reduction while providing a long-lasting durable reconstruction. The plastics and reconstructive surgical approach in conjunction with the orthopedic or trauma team, referred often as the “orthoplastic” approach, can yield the best outcomes for patients. The following sections discuss reconstruction principles and techniques that can be applied broadly for lower extremity wounds secondary to trauma, infection, and tumor resec...
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Ahmed M. Mansour, Aaron Jacobs, Mamtha S. Raj, Frank G. Lee, Weston Terrasse, Sean J. Wallace, Nathan F. Miller Source Type: research
Foot Drop, Hindfoot Varus, and Tibialis Posterior Tendon Transfer in Cerebral Palsy
The transfer of the tibialis posterior tendon has been used to correct hindfoot varus and dorsiflexion weakness in cerebral palsy. It is expendable, has a favorable direction for dorsiflexion and eversion posterior to the tibia, and is the source of hindfoot varus in most cases. However, the foot and ankle must be flexible without skeletal deformity. The electromyography of the tibialis posterior should be present in the swing phase for the tendon transfer to function correctly. Techniques and pitfalls are described to plan and execute a successful tibialis posterior tendon transfer. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - May 26, 2022 Category: Orthopaedics Authors: Lydia J. McKeithan, Amanda T. Whitaker Source Type: research
Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 30, 2022 Category: Orthopaedics Authors: Frederick M. Azar Source Type: research
Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 30, 2022 Category: Orthopaedics Source Type: research
Editorial Board
Professor, Department of Orthopaedic Surgery& Biomedical Engineering, University of Tennessee-Campbell Clinic; Chief-of-Staff, Campbell Clinic, Inc, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - March 30, 2022 Category: Orthopaedics Source Type: research
