A New Technique for Anterior Pelvic Ring Fixation Using a Minimally Invasive Approach
Conclusion: The results of this study showed the potential of our new method for fixation of various types of anterior pelvic ring injuries. Level of Evidence: Level IV. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - November 24, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Flexible Intramedullary Nail Fixation With Supplemental External Fixator for Unstable Pediatric Femur Fractures: A Case Series
Conclusions: The cases reviewed in this study support that in addition to FIN fixation for unstable pediatric femur fractures, a supplemental external fixator provides a viable option with all fractures obtaining union, acceptable alignment, no loss of reduction, and no postoperative complications. This technique may provide another tool in the orthopedist armamentarium and possibly as an alternative to submuscular plating. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - November 24, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

All-cementless Revision Total Knee Arthroplasty Using a Constrained Condylar Design With Porous Tantalum: Technique and Clinical Results
We report the surgical technique and clinical results of 28 patients who underwent revision TKA utilizing an all-cementless CCK design and review the complications, rerevisions, and survivorship free of aseptic loosening. All subjects were included in the survivorship analysis. Results: The mean age of patients was 62.8 years. The average length of follow-up was 3.6 years (range: 2 to 6 y). Seventeen patients underwent revision TKA for periprosthetic joint infection as the second stage of a 2-stage reconstruction, 7 for aseptic loosening, and 4 for instability. There were 6 failures defined as the removal of any c...
Source: Techniques in Orthopaedics - November 24, 2022 Category: Orthopaedics Tags: Novel Research Methods and Models Source Type: research

The Omega Plate Technique: A Method for Controlling Limb Length, Alignment, and Rotation During Intercalary Resection and Reconstruction
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Tips and Pearls Source Type: research

Modified Unipolar Latissimus Transfer to Restore Elbow Flexion in Musculocutaneous Nerve Palsy
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Tips and Pearls Source Type: research

Dual Syringe Technique for Aspiration in Percutaneous Transpedicular Biopsy of Spinal Lesions
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Tips and Pearls Source Type: research

Applied Anatomy of the Quadriceps Tendon Related to the Technique of Harvesting the Quadriceps Tendon Graft
Conclusion: QT graft harvest should begin by locating the apex (maximum length) of the tendon (64.3% of the distance from the patella’s medial edge). The surgeon should then harvest a 10 mm wide graft medially to the maximum length, harvesting 70 mm long and full-thickness tendon. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Individualized Functional Knee Alignment in Total Knee Arthroplasty: A Robotic-assisted Technique
We report on surgical technique, indications, considerations, and complications after our experience of performing 650 functionally aligned TKAs. We collected 2-year patient reported outcomes on 165 TKAs in this series (165 of 193 TKAs have reached 2 years follow-up in the series of 650 TKAs; 85% follow-up rate). Results: We found significant postoperative improvements with few infections and no revisions for mechanical reasons 2 years after surgery with this technique. Patients had improved knee range-of-motion (105 degrees° flexion preoperatively vs. 125 degrees flexion postoperatively; P (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Cephalomedullary Nailing of Pertrochanteric Femur Fractures using a Large Distractor and Standard Radiolucent Table
Conclusions: Pertrochanteric femur fractures can be reduced and stabilized using this technique if the surgeon feels the fracture table is not a good option. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Novel Posterior Anchoring Method Associated With Medial Meniscus Posterior Root Repair
Conclusions: Our posterior anchoring method, combined with conventional pullout repair with TCS, helped reduce posteromedial extrusion in patients with a MM posterior root tear. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

A Simple Versatile Technique to Retrieve Polyaxial Tulip-head Spinal Pedicle Screws Following Failed Pedicle Screw Removal: A Technical Note With Analysis of Efficacy and Outcomes
We describe a simple yet versatile technique to remove polyaxial tulip-head pedicle screws using commonly available instruments in the spinal instrumentation set. Materials and Methods: Polyaxial screws were removed after converting them into monoblock screws using the appropriate set-screw screwdriver, a 25-mm long 5.5 mm rod, and a counter torque wrench. Results: Using this technique we have successfully removed 167 screws in 53 revision surgeries [instrumented fusions for lumbar degenerative diseases (n=21), thoracolumbar fractures (n=15), and scoliosis (n=17)]. No failed retrievals or complications like...
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Clinical and Functional Outcomes Following Modified Intervastus Approach
Background: The modified intervastus (MIV) approach is a new muscle and tendon sparing approach to the knee that is easy to perform and compatible with more extensile approaches such as a quadriceps snip. The study reports the clinical and functional outcomes of patients undergoing total knee arthroplasty (TKA) using the MIV approach. These results will be compared with published results of TKA done utilizing the subvastus approach. Methods: A total of 84 patients underwent TKA using the MIV approach from 2017 to 2019. Clinical and functional outcomes were assessed by recording the knee injury and osteoarthritis...
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Radioscapholunate Arthrodesis and Distal Radioulnar Joint Arthroplasty for Rheumatoid Wrist Arthritis: A Surgical Technique
We describe the treatment of rheumatoid radiocarpal joint and distal radioulnar joint (DRUJ) arthritis with radioscapholunate (RSL) arthrodesis and DRUJ arthroplasty in 2 patients with 2 years follow-up. The RSL arthrodesis utilizes nitinol staples and local distal radius autograft to fuse the scaphoid and lunate to the distal radius. Materials and Methods: One patient was treated in their nondominant extremity, and the other patient had bilateral procedures. A constrained endoprosthesis was used for the DRUJ arthroplasty portion, using the same dorsal approach to the wrist as the RSL arthrodesis. Results: Be...
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

The Ilizarov Fixator: A Treatment for Relapsed Clubfoot, an Observational Study
Conclusion: The Ilizarov technique can be considered as an efficient and successful treatment for recurrent or neglected clubfoot deformities, since it has provided satisfactory results. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research

Bone Graft Volume by Reamer Head Size Using the RIA 2
Discussion: The RIA 2’s reamer head modularity allows multiple passes of the reamer, which gives surgeons the ability to upsize if more autograft is needed. Total autograft volume was similar between the femur and tibia; however, caution should be used in the tibia because of increased perforation risk. Level of Evidence: Level IV—therapeutic study. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - August 25, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research