Single Antegrade Intramedullary Kirschner Wire Fixation For Transverse Metacarpal Shaft Fractures: A Retrospective Review
We present our series of patients and their outcomes performed by a single surgeon.
Materials and Methods:
A retrospective chart review of cases at our institution was performed on transverse metacarpal fracture treated with an intramedullary K-wire. Fifteen patients met the inclusion criteria. Data extracted included metacarpal involved, laterality, sex, age, if removal of hardware was performed, time from initial injury to surgery, tourniquet time, complications, range of motion, clinical outcome, among others.
Results:
All fractures occurred about the right hand with 7 involving the small finger metacarpal...
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Ankle Arthroscopy in Acute Ankle Fractures: Does It Make Sense?
Discussion:
Occult injuries associated with ankle fractures should be suspected and ruled out by a CT scan at the emergency room. Probably many occult injuries are underestimated because CT scan is not commonly performed, explaining cases of bone healing but poor functional results. In case of confirmation, these alterations should be treated in association with ORIF; arthroscopy may represent a valid and minimally invasive procedure, with low rates of complications. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Static Spacer Construction Using Carbon Fiber Rods in 2-stage Revision for Periprosthetic Knee Infection: A Novel Technique and Indications
Conclusions:
This technique represents an effective method of providing stability of the knee and delivering adequate antibiosis in patients with knee periprosthetic joint infections in the setting of extensor mechanism disruption and severe bone loss. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Delivery Technique for Fibular Strut Bone Grafting to Proximal Humerus Nonunion Fractures
Discussion:
The technique is an effective and simple method for the placement of a fibular strut allograft within the intramedullary canal of the distal and proximal segments of a proximal humeral fracture. The use of an endosteal fibular allograft strut addresses the need to re-establish the medial column of the humerus, provides local bone stock, and helps avoid varus angulation, and allows for improved fixation of the plate in poor quality bone. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Distally Cemented Modified Hackethal’s Technique in the Management of Humeral Shaft Fractures, Surgical Technique, and Preliminary Results
Discussion:
This modification allows better and more control in terms of rotation and shortening, especially in comminuted fractures. It also eliminates the risk of pin migration and triceps irritation, with ability to mobilize the shoulder and elbow immediately postoperatively (postop) compared with prolonged immobilization by the classic technique. These factors lead to a better postop function of the elbow and shoulder in addition to a faster recovery and return to activity. To note, the cost of this procedure is very low compared with plate fixation and other IM techniques. This surgical technique is used in patien...
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Arthroscopic Superior Capsular Reconstruction With Achilles Tendon Allograft: A Good Option for Irreparable Supraspinatus Tendon Tears
Discussion:
Achilles tendon allograft is a valuable alternative to other sources, providing an easy-to-prepare graft with a low-risk profile and avoiding donor-site morbidity. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Management of Incidental High-grade Dedifferentiated Chondrosarcoma by Triple Vertebrectomy and Anterior Reconstruction Using a Posterior-only Approach
We report a case of incidentally detected biopsy-proven chondrosarcoma who was treated by a triple vertebrectomy through a posterior-only approach.
Results:
Three nerve roots had to be sacrificed on one side and 1 nerve root on the other side. The radicular arteries were freed from the vertebral body and tumor mass. Since the pedicles and lamina were involved and there was an extra compartmental spread to the nearby vital structures, an en bloc resection could not be accomplished. Anterior reconstruction was performed through the posterior approach using a MESH cage. Posterior stabilization using pedicle screws and ...
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Rule 50: A Reproducible Technique to Minimize Graft-tunnel Mismatch During ACL Reconstruction Using Bone-Tendon-Bone (BTB) Graft
Conclusion:
Rule 50 is a reproducible method to maximize the amount of bone from a bone-tendon-bone graft within the tibial tunnel to minimize graft-tunnel mismatch and can provide a minimum of 20 mm of distal bone 100% of the time. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Postless Hip Arthroscopy Using Standard Maquet Fracture Table With a Pink Hip Kit Positioning Device
We present a novel technique of postless traction for hip arthroscopy using a fracture table (Maquet), thereby highlighting a practical and economical alternative to the various other techniques of postless traction that have been described in the literature. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A New Technique for Patient Registration During Navigated Total Hip Arthroplasty
Conclusion:
Using a customized perspex board to register the patient and targeting cup placement to a safe zone referenced to the coronal plane result in optimal cup placement when assessed by postoperative radiographs. This avoids the need to turn the patient after registration and obviates the effect of pelvic tilt on cup placement.
Level of Evidence:
Level IV—case series. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Digital Salvage by Transposing Adjacent Ray Components
Conclusions:
Our experience shows that a creative appraisal of devastating hand injuries allows for unique reconstructive strategies. Our cases further demonstrate the utility of transposing adjacent ray components to reconstruct digital mobility and hand function. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
A Novel Spacer Device for Treatment of Perimegaprosthetic Infections in Bone Tumor Surgeries Around the Knee
Conclusion:
We recommend this novel spacer device to ensure stability and functionality in 2-stage revision surgeries of infected megaprostheses. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Combined Conventional and Transulnar Percutaneous Pinning of the Displaced Distal Radius Fracture
Conclusions:
This procedure is technically facile, minimizes costs, and provides near-anatomic healing based on radiographic criteria. Our case series demonstrated excellent and good clinical outcomes following this technique. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Novel Research Methods and Models Source Type: research
Combined Anteversion Technique for the Modified Hardinge Approach in Cementless Total Hip Arthroplasty
Conclusions:
The mean CA angle in the modified Hardinge approach was 24.2 degrees and the effective CA angle for impingement-free ROM and preventing dislocation was between 10 and 40 degrees. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Novel Research Methods and Models Source Type: research
Post-traumatic ACL Tear With Oxford Mobile Bearing UKA In Situ: Management Tips and Pearls
A 59-year-old female individual with bilateral unicompartmental knee arthroplasty (UKA) in situ suffered post-traumatic left anterior cruciate ligament (ACL) tear. She was managed with an arthroscopic ACL reconstruction with an autologous hamstring graft. The outside-in technique was used with a suspensory method of fixation. Currently, the patient has completed 2 years of follow-up with an improvement of the functional scores to the preinjury levels. Given the paramount importance of the integrity of ACL to a well-functioning UKA, the present case shows a suitable treatment option for patients with ACL injury post-UKA and...
Source: Techniques in Orthopaedics - December 1, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
