A Unified Platelet-rich Plasma Preparation Protocol Using a Customizable Concentration System for Knee Osteoarthritis
Introduction:
Platelet-rich plasma (PRP) is an autologous solution of platelets, concentrated over baseline, that delivers a high dose of anti-inflammatory and anabolic proteins. High-quality data support its use for pathology like knee osteoarthritis (OA), but vast heterogeneity among PRP processing methods and product content make synthesizing clinical data very challenging. Most processing techniques rely upon centrifugation and often involve manual processing steps, such as resuspension or extraction of platelets, which can introduce further heterogeneity in the final product. The Angel cPRP device is a fully autom...
Source: Techniques in Orthopaedics - May 26, 2022 Category: Orthopaedics Tags: Special Technical Article Source Type: research
Extensor Apparatus Reconstruction Using Prolene Mesh Tube and Medial Gastrocnemius Flap Following Proximal Tibial Endoprosthetic Reconstruction
This article describes our unique surgical technique of extensor mechanism reconstruction in which we are using a cylindrical tube of prolene mesh attached to the patellar tendon and medial patellar retinaculum. This tube is then passed through a slot in the prosthesis and reattached to itself under adequate tension. We believe that our operative technique provides a secure fixation as the area of interface between the mesh and extensor apparatus (medial patellar retinaculum and patellar tendon) is larger compared with other techniques. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Trapeziectomy and All-Suture Anchor Suspensionplasty for Basal Joint Arthritis
This article illustrates a technique for the treatment of thumb carpometacarpal arthritis via trapeziectomy with suture anchor suspensionplasty. The benefits of decreased operative time, simplicity, and decreased morbidity of the procedure are the highlights of this presentation of surgical technique and example case. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Nail Plate Fixation Technique to Optimize Indirect Reduction and Fixation of Proximal Tibia Fractures
Conclusion:
This technique for fixation of proximal tibia fractures can reliably achieve and maintain alignment and provide optimal fixation in these challenging fractures with good outcomes. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Cost-effective 3D Printed Antibiotic Spacer for Management of Periprosthetic Joint Infection of the Knee: A Case Report
Conclusions:
The CAD-articulating spacer helps to reduce the complexity of the surgical procedure. 3D printing provides a cost-effective measure to tackle such complex surgeries. The CAD-articulating spacer gives a futuristic guiding tool using 3D printing to make the surgery easier and more effective. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Simple Corrective Strategy for Adolescent Hallux Valgus by Ilizarov Method
Conclusion:
The authors recommend this technique in adolescent hallux valgus and propose that this technique will work equally well in adults. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Three-Dimensional Correction of Hallux Valgus Deformity: A Novel Technique
Background:
Minimally invasive techniques for forefoot surgery are increasingly used nowadays with short operative time and smaller incisions allowing early rehabilitation. Consequently, the purpose of this study was to evaluate a novel technique for 3-dimensional correction of hallux valgus deformity using small incisions.
Materials and methods:
A single-center, prospective study was conducted from February 2016 to February 2019. The study included a total of 36 feet in 34 patients with hallux valgus deformity treated with soft tissue release combined with osteotomy of the first metatarsal base with correction ...
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Clinical and Radiographic Outcomes Following Management of Benign Bone Lesions of the Hand With Calcium Phosphate Bone Cement
Conclusions:
This study reports good long-term radiographic and functional outcomes, without recurrences, in a series of patients with symptomatic benign bone lesions of the hand when treated with excision and CPC by a single surgeon. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Posterolateral Tibial Plateau Depression Fracture Reduction and Fixation: A Novel Approach
Conclusions:
This article presents a technique for reduction and stabilization of posterolateral articular impaction fractures while minimizing potential neurovascular and soft tissue complications. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Tibia Tubercle Distalization Osteotomy: A Surgical Technique
We describe a tibial tubercle distalization procedure for the management of patella alta in the setting of recurrent patellar instability. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Awake Regional Anesthesia for Upper Limb Orthopedic Surgery During the COVID-19 Pandemic: Tips, Tricks, and Results
Conclusion:
We demonstrate the efficacy of awake RA for upper limb orthopedic procedures. We share our tips and tricks for implementing this into clinical practice and discuss the specific advantages of RA in the context of the COVID-19 global pandemic. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
The Proximal Placement of the Knee Joint in the 1-Stage Treatment of Infected Knee Revisions With Large Anterior Soft Tissue Defects
Discussion:
This novel proximal placement of the knee joint in patients with PJI-K who have large anterior soft tissue defects lessens the need for free flaps. The proximal placement also allows for reconstruction of what is left of the quadriceps mechanism into the tibial component and usually provides enough extensor power to lock the hinge joint. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Novel Research Methods and Models Source Type: research
Three-dimensional Printing in Orthopedic Surgery: Current Applications and Future Developments
Three-dimensional (3D) printing technology has revolutionized how the authors examine, diagnose, and treat various medical conditions across a wide range of specialties. Synonymous with additive manufacturing, 3D printing fuses materials together layer by layer in 2-dimensional cross-sections to build the finished 3D product. This technology has proven superior to other manufacturing methods in certain instances because of its flexibility in the design process to create personalized products on demand. Within the field of orthopedics, 3D printing’s popularity has been driven in part by its capacity to address difficult c...
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Symposium Source Type: research
A Big Structural Change for Techniques in Orthopaedics
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - February 18, 2022 Category: Orthopaedics Tags: Editorial Source Type: research
Intramedullary Delivery of Local Antibiotics Via Calcium Sulfate Beads for Chronic Osteomyelitis With a Simple, Novel Surgical Technique
Aim:
The aim of this manuscript was to describe a novel surgical technique that can be used intraoperatively to aid in the management of chronic diaphyseal osteomyelitis through the delivery of antibiotics into the medullary canal.
Technique:
Following standard intramedullary and reamer irrigator aspirator preparation of the femoral canal, a negative-pressure gradient is created through the canal. A 32-Fr chest tube is placed antegrade down the femur and used as a conduit for delivering antibiotic beads. A 20-Fr chest tube can be used to manually piston the beads further down the canal.
Uses, Outcomes, and Pi...
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
