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Cementless, Cruciate-Retaining Primary Total Knee Arthroplasty Using Conventional Instrumentation: Technical Pearls and Intraoperative Considerations.
JBJS Essent Surg Tech
September 2024
Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland.
Article Synopsis
- Total knee arthroplasty (TKA) is a common surgical procedure for patients with severe knee osteoarthritis, especially when non-surgical treatments fail, leading to significant improvements in pain, function, and quality of life.
- The procedure can use various components (cemented, cementless, or a hybrid) and is generally performed with a focus on mechanical alignment, although newer alignment strategies like gap and kinematic balancing are showing promising results in early studies.
- The preferred surgical technique for cementless TKA involves a specific patient positioning and incision approach, starting with the application of a thigh tourniquet and a parapatellar incision, ensuring proper alignment and access during the surgery.*
Easy and safe: a new surgical fixation technique for acute and chronic anterior instabilities of the sternoclavicular joint: technique and results.
J Shoulder Elbow Surg
August 2024
Department of Orthopedic and Trauma Surgery, DIAKOVERE Friederikenstift and Henriettenstift, Hannover, Germany; Department of Trauma Surgery, Hannover Medical School, Hannover, Germany; Center for Musculoskeletal Surgery, Campus Virchow, Department of Shoulder and Elbow Surgery, Charité-Universitaetsmedizin, Berlin, Germany.
Background: Instabilities of the sternoclavicular (SC) joint are a rare injury, accounting for only 3% of all injuries of the shoulder girdle. Although acute posterior dislocations are an emergency and require immediate surgical intervention, anterior instabilities (first and second degree according to Allman) can mostly be treated conservatively. Chronic and highly instable acute anterior instabilities often impose a significant limitation on the lives of affected patients.
View Article and Find Full Text PDFProximal Hamstring Repair With All-Suture Anchors and an Accelerated Rehabilitation and Bracing Protocol Demonstrates Good Outcomes at 1-Year Follow-Up.
Arthrosc Sports Med Rehabil
April 2024
Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, U.S.A.
Purpose: To evaluate patient-reported outcomes and risk for rerupture after surgical treatment of proximal hamstring tendon ruptures using all-suture anchors and a unique postoperative bracing strategy.
Methods: A retrospective review of a prospectively collected database was conducted of patients undergoing proximal hamstring repair or reconstruction from 2020 to 2022 at a tertiary, academic institution. Patients were included if they reached minimum 1-year follow-up and completed postoperative patient-reported outcomes.
Achilles Tendon Rupture Repair Using the Mini-Open Approach in a Supine Position.
JBJS Essent Surg Tech
March 2023
University of Alabama at Birmingham, Birmingham, Alabama.
Background: The mini-open approach with supine patient positioning is a useful technique to consider for acute Achilles rupture repair, ideally performed within 2 weeks from the time of injury. The traditional surgical approach is completed with the patient in the prone position with an extensile midline incision. Here we describe a mini-open approach with supine positioning that utilizes a single incision measuring approximately 3 to 4 cm in length and avoids the pitfalls of prone positioning, which include greater operative time and potential difficult airway management, vision loss, and brachial plexus palsies.
View Article and Find Full Text PDFFeasibility of mitigating out-toeing gait using compression tights with inward-directing taping lines.
PLoS One
September 2023
Department of Physical Education, Seoul National University, Seoul, Republic of Korea.
Out-toeing gait may cause alterations in lower limb biomechanics that could lead to an increased risk of overuse injuries. Surgery and physical therapy are conventional methods for mitigating such gait, but they are costly and time-consuming. Wearable devices like braces and orthoses are used as affordable alternatives, but they apply non-negligible stress on the skin.
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