Cover 2 - Masthead
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - December 1, 2015 Category: Orthopaedics Source Type: research

Editorial Board
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - December 1, 2015 Category: Orthopaedics Source Type: research

Table of Contents
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - December 1, 2015 Category: Orthopaedics Source Type: research

Contributors
(Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - December 1, 2015 Category: Orthopaedics Source Type: research

Editorial
We are pleased to offer this series of orthopaedic trauma technique papers. the papers have been prepared by internationally recognized experts, so you May have seen cases where these techniques have been used presented at meetings, or read papers reporting their results. however, a single slide never gives details, and an article reporting results Is No help in the operating room. in these papers the authors have not only provided step by step instructions but also pointed out subtleties that can mean the difference between success and failure. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - November 7, 2015 Category: Orthopaedics Authors: Mark Vrahas Source Type: research

Distal Radius Fractures: Dorsal Bridge Plating
Distal radius fractures are one of the most common injuries in orthopaedics. The management of these fractures are complicated in the setting of multiple extremity trauma and with metaphyseal diaphyseal extension of the fracture. Dorsal bridge plating of select distal radius fractures has improved the management of these fractures and has allowed for earlier mobilization of these fractures. We discuss the indications, surgical techniques and advantages of this procedure. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - October 12, 2015 Category: Orthopaedics Authors: Henry A. Boateng, Alexander H. Payatakes Source Type: research

Fasciocutaneous flaps for open fractures of the tibia
The soft tissue envelope is crucial for proper healing in open tibia fractures. Fasciocutaneous flaps are effective in providing soft tissue coverage in open fractures with severe bone exposure, allowing for healing of the fracture and prevention of infection. Optimal flap selection and timing for definitive soft tissue coverage are controversial. With recent technological advances and surgical technique refinements, the options for flap selection have increased, with greater reliability of complex limb reconstruction procedures. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - October 2, 2015 Category: Orthopaedics Authors: Joao B Panattoni Source Type: research

Plating of Patella Fractures: A Novel Technique Using Multiplanar Fixation
Fractures of the patella present unique challenges to surgeons and patients alike. As surgical knowledge and technique has advanced, management of these injuries has evolved from nonoperative care or patellectomy to anatomical reduction and internal fixation. Currently, tension band constructs are the most common method of fixation, but anterior knee pain and implant-related problems have become accepted as an expected consequence of treatment. Further, this technique often fails to address inferior pole comminution commonly seen in these injuries. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 23, 2015 Category: Orthopaedics Authors: Dean G. Lorich, Stephen J. Warner, Matthew R. Garner Source Type: research

Sinus Tarsi Approach for Calcaneus Fractures
For decades the optimal treatment of intra-articular calcaneus fractures has been debated in the literature with no definitive solution reached. Although improved implant design and surgical techniques has led some to advocate for operative treatment, high rates of wound complications, in-particular with use of the extensile lateral approach, have been touted as reasons to avoid operative fixation of calcaneus fractures. Given the advent of newer lower profile implants, better fixation techniques and improved surgical approaches that preserve the lateral vascular supply to the calcaneus, fewer complications and improved fu...
Source: Operative Techniques in Orthopaedics - September 23, 2015 Category: Orthopaedics Authors: Tyler A. Gonzalez, John Y. Kwon Source Type: research

Surgical Treatment of Posterior Tibial Plateau Fractures
Posterior tibial plateau fractures are not uncommon injuries and often necessitate surgical treatment. They are frequently unstable with knee flexion even in the absence of an axial load. As with other tibial plateau fractures, knee instability and articular incongruity are indications for surgery. Optimal reduction and fixation usually requires a direct surgical approach, which is dictated by the fracture location and morphology. Common fracture morphologies include a posteromedial fragment that may or may not be associated with a bicondylar tibial plateau fracture, a posterior shearing pattern involving the posteromedial...
Source: Operative Techniques in Orthopaedics - September 23, 2015 Category: Orthopaedics Authors: Julius Bishop, Michael Githens Source Type: research

Plating of Patella Fractures: A Novel Technique Utilizing Multiplanar Fixation
Fractures of the patella present unique challenges to surgeons and patients alike. As surgical knowledge and technique has advanced, management of these injuries has evolved from non-operative care or patellectomy to anatomic reduction and internal fixation. Currently, tension band constructs are the most common method of fixation, but anterior knee pain and implant related problems have become accepted as an expected consequence of treatment. Further, this technique often fails to address inferior pole comminution commonly seen in these injuries. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 23, 2015 Category: Orthopaedics Authors: Dean G. Lorich, Stephen J. Warner, Matthew R. Garner Source Type: research

Anterior Subcutaneous Internal Fixation of the Pelvis: Placement of the INFIX
The treatment of displaced or unstable pelvic fractures involves surgical stabilization. Traditional methods of fixation for the anterior pelvic ring include plate fixation, screw fixation, or external fixation. Recently, a technique for using spinal pedicle screws to create an anterior subcutaneous internal fixator, also termed an “INFIX,” has been reported with some success. Although no technique has proved clinically superior, the subcutaneous technique offers significant advantages over traditional pelvic external fixation. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: George W. Chaus, Michael J. Weaver Source Type: research

Lumbopelvic Fixation for Pelvic Fractures
Pelvic fractures are uncommon but complex injuries associated with a high degree of morbidity and mortality. Most fractures involving the pelvis, specifically the sacrum, can be effectively stabilized with iliosacral screws alone. However, significantly unstable fractures, particularly vertical shear patterns, as well as U-type variant sacral fracture patterns that create spinopelvic instability, require the addition of lumbopelvic fixation. The surgical technique involves neurologic decompression as necessary, multiplanar reduction of the pelvic ring and sacrum, and placement of stable fixation. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Conor Kleweno, Carlo Bellabarba Source Type: research

Acute Pelvic Packing
In high-energy trauma, a pelvic fracture can be a life-threatening source of hemorrhage. Management of patients with an exsanguinating pelvis requires a clear, multidisciplinary institutional protocol for the best possible outcomes. A management algorithm of severe pelvic fracture is presented with a focus on surgical preperitoneal pelvic packing as the primary method of hemorrhage control. Angioembolization is utilized as a secondary intervention after pelvic packing for ongoing hemodynamic instability. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Marilyn Heng Source Type: research

Lumbo-Pelvic Fixation for Pelvic Fractures
Pelvic fractures are uncommon but complex injuries associated with a high degree of morbidity and mortality. Most fractures involving the pelvis, specifically the sacrum, can be effectively stabilized with iliosacral screws alone. However, significantly unstable fractures, particularly vertical shear patterns, as well as U-type variant sacral fracture patterns that create spino-pelvic instability, require the addition of lumbo-pelvic fixation. The surgical technique involves neurological decompression as necessary, multiplanar reduction of the pelvic ring and sacrum, and placement of stable fixation. (Source: Operative Tec...
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Conor Kleweno, Carlo Bellabarba Source Type: research