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Robotic-Assisted Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty.
JBJS Essent Surg Tech
December 2024
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Background: Unicompartmental knee arthroplasty (UKA) procedures have become much more common in the United States in recent years, with >40,000 UKAs performed annually. However, it is estimated that 10% to 40% of UKAs fail and thus require conversion to total knee arthroplasty (TKA). In the field of total joint arthroplasty, robotic-assisted surgeries have demonstrated advantages such as better accuracy and precision of implant positioning and improved restoration of a neutral mechanical axis.
View Article and Find Full Text PDFClosed Intramedullary Pinning of Displaced Radial Neck Fracture (Metaizeau Technique).
JBJS Essent Surg Tech
November 2024
Pediatric Hand, Nerve and Microsurgery, Barcelona Children's Hospital, HM Hospitales, Barcelona, Spain.
Background: Radial neck fractures account for 1% of all pediatric fractures and 5% to 10% of pediatric elbow fractures. The mechanism of injury is typically a fall with the elbow in hyperextension and the forearm in supination. A valgus force compresses the radial head against the capitellum, causing a radial neck fracture.
View Article and Find Full Text PDFSurgery for Pediatric Trigger Finger.
JBJS Essent Surg Tech
November 2024
Shriners Children's Philadelphia, Philadelphia, Pennsylvania.
Article Synopsis
- - Pediatric trigger finger (PTF) is rare and more challenging to treat than trigger thumb, with surgical treatment showing a much higher success rate (97.1% resolution) compared to nonoperative methods (30% resolution).
- - Nonoperative treatments like monitoring and splinting are often ineffective, and surgical intervention involves releasing the A1 pulley and removing a slip of the flexor tendon to restore finger motion.
- - The outlined surgical procedure includes several steps, such as anesthesia and careful identification of nerves and blood vessels, to ensure a successful outcome for affected children.
Shortening Dome Osteotomy for the Correction of Coronal Plane Elbow Deformities.
JBJS Essent Surg Tech
October 2024
Department of Orthopaedic Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India.
Background: Severe elbow deformities are common in developing countries because of neglect or as a result of prior treatment that achieved poor reduction. Various osteotomy techniques have been defined for the surgical correction of elbow deformities. However, severe elbow deformities (>30°) pose a substantial challenge for surgeons because limited surgical options with high complication rates have been described in the literature.
View Article and Find Full Text PDFCementless, 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.*
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