Operative Techniques in Orthopaedics Operative Techniques in Orthopaedics RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Anterior Subcutaneous Internal Fixation of the Pelvis: Placement of the In-Fix
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 (ASIF), also termed an “In-Fix”, 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

Percutaneous Fixation in Pelvic and Acetabular Fractures: Understanding Evolving Indications and Contraindications
Percutaneous fixation technique for the management of pelvic and acetabular fractures is gaining wider acceptance in the orthopedic trauma community. The development of new surgical techniques for antegrade and retrograde placement of pelvic and acetabular columnarscrews, and the increased access to advanced imaging and navigational tools has resulted in an increased application of the technique. With its increased use in tertiary trauma centers, newly trained traumatologists are rapidly embracing the advantages of percutaneous fixation perhaps at the cost of a decreased emphasis on the traditional exposures and approaches...
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Arvind von Keudell, Daniel Tobert, Edward K. Rodriguez Source Type: research

The Fibula Nail for the Management of Unstable Ankle Fractures
Surgery for unstable ankle fractures comes with risks of infection and painful, prominent hardware not infrequently requiring further surgery to remove plates and screws. The fibula nail offers the opportunity for lower profile hardware and minimally invasive surgical techniques. The technique for using the fibula nail is illustrated in detail; in addition, recent literature pertaining to the fibula nail is reviewed. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - September 22, 2015 Category: Orthopaedics Authors: Paul Appleton Source Type: research

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

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

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

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

Treatment of Spinal Conditions in the Young Adult: Endoscopic Cervical Foraminotomy
Minimally invasive cervical foraminotomy procedures have become more prevalent. The goal in treatment of spinal disorders via minimally invasive approaches is motivated by enhancing patient outcome by minimizing pain and complications, facilitating a quicker return to activities, and reducing health care costs. Minimally invasive procedures, specifically microendoscopic foraminotomy surgeries, are excellent for achieving these important goals in young adults. We conducted a literature review of publications regarding endoscopic cervical foraminotomy, as well as including our own experience with the technique. (Source: Oper...
Source: Operative Techniques in Orthopaedics - June 13, 2015 Category: Orthopaedics Authors: Anuj Prasher, Bobby Tay Source Type: research

Treatment of Spinal Conditions in the Young Adult Endoscopic Cervical Foraminotomy
Minimally invasive cervical foraminotomy procedures have become more prevalent. The goal in treatment of spinal disorders via minimally invasive approaches is motivated by enhancing patient outcome by minimizing pain and complications, facilitating a quicker return to activities, and reducing health-care costs. Minimally invasive procedures, specifically microendoscopic foraminotomy surgeries, are excellent for achieving these important goals in young adults. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 13, 2015 Category: Orthopaedics Authors: Anuj Prasher, Bobby Tay Source Type: research

Lumbar Discectomy Review
Lumbar disc herniations are relatively common and often a source of leg pain, paresthesias, and/or weakness. Fortunately, the natural history of lumbar radiculopathy due to a disc herniation is favorable, and most patients (70–80%) improve with nonoperative care. Surgical intervention is indicated in patients who continue to have severe pain despite conservative treatment, and outcomes have been shown to be quite favorable in terms of alleviating leg pain and returning to function. There appears to be no difference in outcomes when comparing MIS or tubular discectomy versus open discectomy, and surgeons should offer the ...
Source: Operative Techniques in Orthopaedics - June 9, 2015 Category: Orthopaedics Authors: Shah-Nawaz M. Dodwad, Shah-Jahan M. Dodwad, Jason W. Savage Source Type: research

Treatment of Spinal Conditions in Young Adults: Cortical Lumbar Screw Techniques
Cortical screws in the lumbar spine are an alternative to traditional pedicle screw fixation. The starting point is on the dorsal pars and the trajectory is up and out toward the lateral junction of the pedicle with the vertebral body. It allows for a smaller incision and less lateral dissection when compared with pedicle screw placement. Biomechanical studies have shown that cortical screws are equivalent to pedicle screws, and there is limited evidence of improved fixation with this technique in the setting of low bone density. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 5, 2015 Category: Orthopaedics Authors: Brian W. Su, Christopher D. Chaput Source Type: research

Cervical Disc Replacement vs Anterior Cervical Discectomy and Fusion
Cervical disc arthroplasty (CDA) is an option for young patients with degenerative disc disease resulting in radiculopathy or myelopathy. This new surgical technique has been compared with the gold standard of anterior cervical discectomy and fusion with similar excellent outcomes in neurologic function and resolution of pain and other radicular symptoms. CDA is attractive for the young patient because it is a motion-sparing implant, and therefore it is thought to have a decreased risk of adjacent level disease. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 5, 2015 Category: Orthopaedics Authors: Abigail L. Mantica, Clifton Meals, Joseph O׳Brien Source Type: research

Cervical Instability in Young Adults
Os odontoideum, trauma, and genetic conditions such as Down syndrome, Morquio disease, and pseudoachondroplasia are common causes of cervical instability in the young adult. Each underlying cause presents unique challenges to the treating physician, but a systematic approach to the problem can help guide physicians and patients in developing an individualized and appropriate treatment plan. The first step in evaluating these patients is determining if the instability is associated with any neurologic findings, as almost all patients with progressive neurologic symptoms should undergo surgical stabilization. (Source: Operat...
Source: Operative Techniques in Orthopaedics - June 5, 2015 Category: Orthopaedics Authors: Gregory D. Schroeder, Emily K. Albert, Christopher K. Kepler Source Type: research

Treatment of Spinal Conditions in Young Adult
There are many considerations when formulating a treatment algorithm for painful spinal conditions, and when young adults are seen, there are potentially even more consequences. Much of the recent developments in surgical technique, hardware technology, and outcomes research have focused on longer-term outcomes and return to a high activity level. For this patient population, effects from treatment decisions can greatly affect one׳s quality of life. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 5, 2015 Category: Orthopaedics Authors: Wellington K. Hsu Source Type: research

Treatment of Spinal Conditions in Young Adults
Spinal stenosis of the cervical spine, or cervical spondylotic myelopathy, is a debilitating, typically progressive condition, and surgery has been shown to produce better outcomes than conservative measures do. Surgical options include single-level or multilevel anterior cervical discectomy with fusion, single-level or multilevel anterior corpectomy with fusion, posterior laminectomy with or without fusion, and posterior laminoplasty. The location of the pathology and geometry of the spinal canal, in addition to the risks and benefits of each surgical approach, determine the procedure chosen. (Source: Operative Techniques in Orthopaedics)
Source: Operative Techniques in Orthopaedics - June 5, 2015 Category: Orthopaedics Authors: M. Craig McMains, Safdar N. Khan Source Type: research