Utilizing 2.0 mm Plates as a Supplemental Fixation Aid: A Technique For Complex Fractures
Direct reduction and rigid fixation of periarticular fractures such as those about the distal humerus present unique challenges to the orthopedic surgeon. Obtaining reduction of fracture fragments with conventional methods such as reduction forceps and Kirschner wires may obscure visualization, impede further reduction, and compromise placement of rigid implants. The use of the 2.0 mm mini-fragment nonlocking plate, a commonly available implant produced by several manufacturers, is presented as a method to address these challenges. Early clinical results from our series demonstrate the clinical utility of this technique....
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Reconstruction of the Tibial Collateral Ligament With Bone Tunnels and Double Strand of the Semitendinosus Tendon
We describe a surgical technique of anatomical reconstruction with a double band of the superficial MCL through a minimally invasive approach using semitendinosus autograft. This technique has the advantage of restoring valgus and rotational stability of the knee with low surgical morbidity. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Biplanar Fluoroscopy in Pediatric Orthopaedics
Biplanar fluoroscopy allows for the simultaneous acquisition of x-ray images in 2 planes without needing to move the extremity or C-arm. It is advantageous in cases such as pinning supracondylar humerus fractures or slipped capital femoral epiphyses where frequently alternating between 2 planes under fluoroscopic imaging is required. However, literature describing the technique is lacking. Therefore, the purpose of our article is to discuss room setup, advantages, and disadvantages of using biplanar fluoroscopy in cases involving the elbow, shoulder, hip, and knee. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Clinical Outcomes Following Tongue Type Calcaneus Fractures
Conclusions:
The literature is limited regarding outcomes of pure tongue type calcaneus fractures. We found these fractures had similar or even higher rates of wound complications compared with other studies investigating intra-articular calcaneus fractures. This is one of the first studies to report on the complication rates associated specifically with these fractures.
Level of Evidence:
Level IV. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Superior Stability and Compression Across Complex Peripheral Meniscal Tears: An Inside Out Technique
Meniscal tear is the most common knee pathology. There are benefits to repairing and preserving the meniscus with regards to function and chondroprotection. Historically, reported failure rates have been unclear and are potentially due to technical aspects of the repair. Providing even compression across a meniscal tear provides the best stability. This, along with a good blood supply leads to the successful healing of the meniscus. Our technique utilizes an inside-out approach, achieving circumferential compression across the meniscal tear, thus providing better stability and low failure rates. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Planning a Proximal Femoral Varus Osteotomy in Pediatric Orthopedics
A proximal femoral osteotomy used typically to correct increased femoral anteversion and/or a valgus/varus neck-shaft angle, is one of the most commonly performed operations in pediatric orthopedics. Surgeons with limited experience with the procedure often find conceptualization of the technique to establish the angles of correction and the decision regarding plate angle, difficult. This short article seeks to clear that confusion and describe the technique in 4 simple steps. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Intramedullary Nailing of a Periprosthetic Intertrochanteric Fracture in the Setting of Prior Hip Resurfacing: A New Technique for Fracture Fixation
We report the case of a 61-year-old male individual with a history of left hip resurfacing arthroplasty who sustained a left intertrochanteric fracture after a mechanical fall. While prior reports have described internal fixation with a femoral reconstruction nail or small frag locking compression plate for periprosthetic intertrochanteric fractures sustained around a Birmingham resurfacing prosthesis, our case is unusual in that the fracture extended into the lesser trochanter as well as the basicervical femoral neck. We present our technique for fracture fixation with a lateral entry femoral reconstruction nail and a der...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Simple Syndactyly Release With Dental Roll Dressing
The goal of surgical intervention to repair syndactyly is to improve cosmesis and allow for a fully functional hand with independent finger motion while preventing web creep, angular deformity of the involved digits, soft tissue contracture, or neurovascular injury. Because web creep is one of the most common complications of commissure reconstruction, it is important to create a good dorsal flap with a broad insertion proximal to the commissure. The authors describe a technique in which the placement of a “dental roll” between the newly separated digits helps not only with graft take and to seat the dorsal flap well i...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Novel Arthroscopic-assisted Repair of Palmer 1B Triangular Fibrocartilage Complex Tears: Early Results
Discussion:
Our arthroscopic-assisted ulnar tunnel repair offers a novel technique for foveal TFCC repairs that avoids some of the traditional complications of an open repair or knotted suture repair, is reproducible and offers the added strength of modern suture anchors with ligament to bone healing. The lack of significant improvement in postoperative outcomes was limited by the small population and short postoperative follow-up. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Comparative Study Between the Stryker EZout Powered Acetabular Revision System and the Zimmer Explant Acetabular Cup Removal Systems
The objective of this study was to evaluate and compare the performance of the Explant Acetabular Cup Removal System and the EZout Powered Acetabular Revision System in an in vitro model. Acetabular components were implanted into instrumented composite hemipelvises and divided into 2 groups, EZout System and Explant System. One experienced orthopedic surgeon and 1 orthopedic resident physician performed the removal procedures. The strains at various points in the periacetabular bone, the temperature at the implant-bone interface, the total time to removal, the torque applied to the implant and the amount of acetabular foam...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Medial Quadriceps Tendon-Femoral Ligament Reconstruction: A Technique Description and Short-Term Outcomes
Conclusion:
Modified MQTFL reconstruction is a safe and effective procedure for the treatment of patellar instability. This procedure is a valuable technique for avoiding potential patellar fracture associated with transosseous medial patellofemoral ligament fixation.
Level of Evidence:
Level IV—case series. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Direct Drop-Down Anterior Approach to Subaxial Cervical Spine
Discussion:
Perceived advantages include—smaller skin incision, less chances to damage carotid sheath and its contents, safe, easy and less time-consuming technique, cosmetically better due to smaller incision size along Langer’s lines. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
The West Point View: An Intra-Articular 50-Yard Line View With Dynamic Arthroscopic Load Shift
Traumatic anterior shoulder instability may present as a transient instability event (subluxation) or complete glenohumeral disassociation (dislocation). History and physical examination can determine the degree and direction of instability, and associated laxity. Silliman and Hawkins described a load shift test to determine the direction and degree the humeral head translation relative to glenoid in the anterior and posterior directions. The purpose of this article is to describe an intraoperative arthroscopic technique for direct visualization of the load and shift test from an intra-articular 50-yard line view. This tec...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Novel Technique for Single-stage Correction of Severe Shepherd Crook Deformity of a Femur With the Large Cystic Lesion and Pathologic Fracture
We report a technique to address the deformity and fracture simultaneously in these scenarios. A 32-year-old man, a case of polyostotic fibrous dysplasia with severe shepherd crook deformity and the pathologic fracture was managed by curettage, multilevel osteotomy, tibial strut allograft, extramedullary fixed-angle implant, and augmentation with cortico-cancellous bone grafting in a single stage. The mechanical axis of the femur was corrected, with an increase in the neck-shaft angle from 70.6 to 121 degrees. Union was achieved with good outcomes in cosmetic and functional status without recurrence at 18 months follow-up....
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Juvenile Osteochondritis Dissecans (JOCD) Retroarticular Drilling: Position Assessment Technique
We describe a new location assessment system that can, therefore, allow surgeons to more accurately identify the JOCD lesion during retroarticular drilling using radiographic landmarks. This technique may help avoid excessive intraoperative radiation and expedite intervention during the retroarticular drilling of osteochondritis dissecans lesions. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
