A Novel Technique for Protecting Cartilage Repairs
Despite the considerable progress made in the last years with conservative and surgical orthopedic treatment methods, damage to the acetabular cartilage of the hip remains a challenging clinical issue. The development of new arthroscopic techniques and the use of biomaterials shows excellent promise in the regeneration of cartilaginous damage in young patients. It often delays the onset of degenerative joint lesions by postponing the moment where the patient will require arthroplasty. The presented technique shows promising results to serve as a bioabsorbable spacer and ensure the offloading of the operated hip joint surfa...
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Cartilage Restoration and Use of Orthobiologics
Orthobiologics are materials derived from biological substances, which aim to improve regeneration of tissues that are relevant in orthopedic surgery. Platelet-rich plasma, bone marrow, and mesenchymal stem cells are examples of orthobiologics, the use of which has increased explosively in clinical practice in recent years. In this chapter, we review the characteristics and clinical evidence available for this orthobiologics. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Deep Gluteal Space, Peripheral Compartment, and Peritrochanteric Disorders
This article reviews known and new etiologies of deep gluteal syndrome, assesses the role of orthopedic surgeons in the diagnosis and treatment of sciatic nerve entrapments in the subgluteal, and reviews the present understanding of the lesions that comprise greater trochanteric pain syndrome. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
The “Pull-through” Technique for Labral Reconstruction of the Hip
Hip arthroscopy has proved to be a valid option for the management of femoroacetabular impingement syndrome and labral tears. In this context, labral preservation has been advocated as a superior alternative to complete debridement in terms of clinical outcomes. While labral repair remains the gold standard, particularly in the primary setting, labral reconstruction has been suggested for irreparable tears. However, labral reconstruction is highly technical and demanding. The pull-through technique was described to overcome some of the challenges in arthroscopic labral hip reconstruction surgery. The present review describ...
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Arthroscopic Labral Reconstruction of the Hip: A Decade of Growing Evidence and Technical Evolution
The field of hip arthroscopy has rapidly evolved over the past 2 decades. Originally, surgical treatment of the hip primarily involved resection of damaged tissue. More recently, arthroscopic surgical procedures that aim to preserve and restore the function of the labrum have been advocated and have shown superior results when compared with debridement or excision. Although labral repair has been largely adopted as a standard labral preservation procedure to treat labral tears, continued innovation in hip arthroscopy techniques and tools has paved the way for labral reconstruction as an alternative and even preferable trea...
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Arthroscopic Treatment of Femoroacetabular Impingement: Rim Trim to Closed Capsule
Femoroacetabular impingement (FAI) has been the focus of much investigation, which has inherently led to an improvement in understanding of the pathophysiology, diagnosis, and surgical management of this condition. Over the last decade, hip arthroscopy has become the preferred form of surgical management for FAI with the advancement in arthroscopic technology. In this review, the arthroscopic surgical technique to address acetabular rim, labrum, and capsule are described. Furthermore, current evidence and recent advancements in the arthroscopic approach for FAI are evaluated. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Advances in Hip Arthroscopy
Hip arthroscopy is a rapidly progressing field of orthopedic surgery. The development of preoperative planning software and post-less hip joint distraction, improvements in soft tissue management including the capsule and labrum, and improvements in postoperative pain control are just a few areas of recent advancement in hip arthroscopy. The future of hip arthroscopy is exciting and the potential clinical benefits to patients are very promising. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Symposium Source Type: research
Advances in Minimally Invasive Techniques of Hip Preservation: Where We Are Today
No abstract available (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - September 1, 2021 Category: Orthopaedics Tags: Preface Source Type: research
Postless Hip Traction Table for Combined Femoral and Pelvic Fractures
In multiple injured patients, the association of femoral and pelvic fractures is not uncommon. Femoral reduction and fixation in those patients may be performed with a traction table and a perineal post, but it may result in various groin-related complications, including the displacement of the pubic rami, pudendal nerve neurapraxias, vaginal tears, and scrotal necrosis. The aim of this study was to describe a technique for femur fracture distraction without the use of a perineal post in patients with pelvic trauma. Here, we describe the technical details and 5 cases of femoral fracture associated with pelvic fractures tre...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Compression Bone Grafting in Clavicle Nonunion Surgery
We present a simple technique of applying the graft to the plate on the back table, and then applying the plate to the clavicle, using compression through the plate to compress the graft, increasing the change of healing by utilising first principles of fracture fixation. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Addressing the Complications Associated With the Use of Arthrex TightRope RT in Anterior Cruciate Ligament Reconstruction
TightRope Reverse Tension is a second-generation suspensory fixation device that is used for graft fixation in anterior cruciate ligament reconstruction, with distinct advantages compared with fixed-loop devices. However, despite adhering to standard precautions, there are certain complications associated with its use, such as the button getting stuck in the guide-pin hole, button being pulled out too far laterally beyond the femoral cortex, and transverse impaction of the button in the region of corticocancellous bone-bridge. Furthermore, complete loop discontinuity or breakage can also possibly occur during cycling, when...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Fulcrum-assisted Ankle Reduction Maneuver
We describe a novel maneuver to aid in the application of short leg splints in the initial management of fibula fractures with lateral displacement of the talus. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Humerus Nail Retrieval: A Novel New Technique
Antegrade humerus nailing in humerus shaft fracture is one of the treatment options that offer the advantage of maintaining the biophysiology of the fracture but while in case of non union with broken implant insitu its removal comes as an greater challenge. Removal of nail with the help of schanz pin in case of extraction system failure is an novel technique with easy availability of pin in operation theatre and having lesser complication like rotaor cuff injury then other removal technique such as using nibbler or pliar. Cost of this technique is very less compared with arthrocopic removal of humerus nail. (Source: Techn...
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Technique for Guiding Distal Locking Screws into Intramedullary Nails
Placing distal locking screws into an intramedullary nail can be a difficult step for the young surgeon to master. We propose a step-by-step approach to drilling the distal locking screw holes. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Tips and Pearls Source Type: research
Safe Zone for Anterior Retractor Placement in Total Hip Arthroplasty: A Cadaveric Study
Conclusions:
The femoral nerve is closest to the anterior acetabular rim at plane C (9’o clock position of the right hip/3’o clock position of the left hip). Hence, the Hohmann retractor should not be placed on this plane. Anterior retractors can be safely placed adjacent the acetabular rim at planes A, B, and D. (Source: Techniques in Orthopaedics)
Source: Techniques in Orthopaedics - May 27, 2021 Category: Orthopaedics Tags: Special Technical Articles Source Type: research
