Operative Techniques in Orthopaedics 
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(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 1, 2017 Category: Orthopaedics Source Type: research
Table of Contents
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 1, 2017 Category: Orthopaedics Source Type: research
Contributors
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 1, 2017 Category: Orthopaedics Source Type: research
Introduction
Hip and knee arthroplasty has been one of the greatest modern medical AND engineering achievements. Since the initial conception of the modern day total hip replacement by Sir John Charnley, the field has made remarkable progress. There are few solutions in medicine that can improve and restore function. The long-term survival of these implants is impressive. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 1, 2017 Category: Orthopaedics Authors: Kenneth L. Urish Source Type: research
Contributing to the Value Equation: How Uniform Musculoskeletal Implant Labeling could Improve Quality and Decrease Costs for Orthopedic Patients
This article reviews the published literature related to orthopedic implant waste, its potential contributing factors, and the impact on quality related to improper implant selection. It concludes by reviewing developed international standards around uniform implant labeling and discusses how uniform labeling can benefit human based selection errors based on human factors engineering principles. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Kent Jason Lowry Source Type: research
Why We Need Coating Technologies for Hip Replacement Systems, and the Importance of Testing them in Vitro
We report on two large scale experimental hip wear simulator studies we conducted on samples of two such coating technologies implemented by external experts in their respective fields. One was a titanium nitride ceramic coating on a metal-on-metal THR which aimed at wear reduction and a barrier against metal ion diffusion. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Hani Haider, Joel N. Weisenburger, Fereydoon Namavar, Kevin L. Garvin Source Type: research
Factors Influencing Total Hip Arthroplasty in Obese Patients
This article presents data upon which to guide treatment choice and help improve outcomes. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Menachem M. Meller, Aaron Y. Meller Source Type: research
Diagnosis of Metal Hypersensitivity in Orthopedics
The pathology of early aseptic implant failure has been linked in basic science, case and group studies to metal implant debris induced Delayed Type Hypersensitivity (DTH) responses (or metal allergy). However, a pre-condition of metal DTH does not always result in implant failure. The methods of diagnosing metal DTH responses, measure cell mediated adaptive immunity, where conditioned lymphocytes respond to specific stimuli. Metal sensitivity testing is a direct test of an individual ′s immune response to metal challenge where the results indicate levels of immune reactivity that have in use over the past half century t...
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Nadim Hallab Source Type: research
Modular Femoral Stems in Revision Total Hip Arthroplasty
Revision hip arthroplasty presents some of the most difficult challenges in reconstructive surgery. With the success of nonmodular stems, the use of modularity to address complex revisions has been questioned. Multiple studies highlight the success of these stems; they allow for improved reconstruction options when addressing concerns for bone quality, leg length discrepancy and stability. The increased modularity allows opportunities for improvement but can also lead to an increased number of challenges. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Brian T. Grisez, Tyler E. Calkins, Matthew J. Dietz Source Type: research
Abductor Deficiency in Total Hip Arthroplasty: Evaluation, Diagnosis, and Treatment Strategies
Abductor deficiency after total arthroplasty is rare and challenging problem facing reconstructions surgeons today. The etiologies are vast. Herein we review the relevant anatomy of the abductor mechanism, as well as the course and potential sites of injury for the superior gluteal nerve. The diagnosis can be challenging, but a focus on history and physical examination are the most important diagnostic tools. Supplemental modalities include plain radiographs, arthrography, ultrasound, EMG, and MRI. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Brady K. Mock, Adam S. Olsen, Brian A. Klatt Source Type: research
Direct Anterior Approach for Total Hip Arthroplasty: Implant, Instrument and Approach
The goal of total hip arthroplasty is to restore native biomechanics and function to the diseased joint while preserving the soft tissue envelope and muscular attachments. The direct anterior approach for total hip arthroplasty has seen a significant increase in popularity for both surgeon and patient alike, based on the reported ability to access the joint with less insult to the soft tissue and musculature structures about the hip. In light of this popularity, the development of approach-specific implants, instruments and operating table set-up has also accelerated. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Jason P. Zlotnicki, Michael J. O ′Malley Source Type: research
Unusual Acetabular and Proximal Femur Reconstructions: Technical Considerations From The Orthopaedic Oncology Perspective
The term “proximal femur replacement” (PFR) deceptively implies that the proximal femur bone is simply replaced with metal. This is an inadequate description. A PFR is not merely a large hip arthroplasty, and unusual acetabular reconstructions are among the most challenging in orthopaedic surgery. Many p rinciples of orthopaedic oncology can be readily applied to the non-oncologic setting, and can therefore assist the reconstructive surgeon with helpful techniques to address these difficult clinical problems. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 30, 2017 Category: Orthopaedics Authors: Richard L. McGough, Mark A. Goodman, Kurt R. Weiss Source Type: research
WITHDRAWN: The Anterolateral Complex – Why all the Fuss?
The Publisher regrets that this article is an accidental duplication of an article that has already been published, doi:10.1053/j.oto.2017.02.001. The duplicate article has therefore been withdrawn. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 15, 2017 Category: Orthopaedics Authors: Alan Getgood, Elmar Herbst Source Type: research
The Anterolateral Complex – Why all the Fuss?
The world of anterior cruciate ligament (ACL) surgery continues to evolve at a steady pace. In 1916 Hey Groves of Bristol performed the first ACL reconstruction with an intra-articular fascia lata graft to address anterior tibial translation.1 The concept of anterolateral tibial subluxation was first addressed by Strickler in 1937, and later by Lemaire (1960) and MacIntosh (1970s), utilizing the lateral extra-articular tenodesis, a method of controlling internal rotation without addressing the intra-articular ACL pathology. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - May 15, 2017 Category: Orthopaedics Authors: Alan Getgood, Elmar Herbst Source Type: research
Anterior Cruciate Ligament Reconstruction in Combination With an Extra-Articular Tenodesis
This article focuses on the role of lateral extra-articular tenodesis in reestablishing dynamic stability when performed together with ACL reconstruction; then it describes our preferred surgical technique, which always associates ACL and lateral extra-articular tenodesis, and discusses it with other surgical options described in literature. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - March 7, 2017 Category: Orthopaedics Authors: Stefano Zaffagnini, Tommaso Roberti Di Sarsina, Luca Macchiarola, Alberto Grassi, Federico Raggi, Cecilia Signorelli, Maurilio Marcacci Source Type: research
