Circumferential Decompression via a ModifiedCostotransversectomy Approach for the Treatment of Single Level Hard Herniated Disc between T10–L1
ConclusionsThis procedure achieves sufficient direct visualization for circumferential decompression of the spinal cord via a posterior midline covered costotransversectomy approach with friendly bleeding control and without muscle sacrifice. It is a reasonable alternative treatment option for thoracic myelopathy caused by single level HTHD between T10–L1. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - March 29, 2016 Category: Orthopaedics Authors: Bo Pei, Chao Sun, Ruoyan Xue, Yuan Xue, Ying Zhao, Ya‐qi Zong, Wei Lin, Pei Wang Tags: CLINICAL ARTICLE Source Type: research
Effect of Interbody Fusion on the Remaining Discs of the Lumbar Spine in Subjects with Disc Degeneration
ConclusionsStresses are greater in flexion at the endplates of L3–4 and in flexion and extension at L2–3 in the presence of L3–4 disc disease and L4–5 fusion than in the control group. In all other combinations of fusion and disc disease, endplate stress was less for all levels tested than in the control model. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - March 29, 2016 Category: Orthopaedics Authors: Robert Ryu, Fernando Techy, Ravikumar Varadarajan, Farid Amirouche Tags: CLINICAL ARTICLE Source Type: research
Titanium/Polyetheretherketone Cages for Cervical Arthrodesis with Degenerative and Traumatic Pathologies: Early Clinical Outcomes and Fusion Rates
ConclusionThe present study shows that enhancement of PEEK cages with Ti endplates is a safe and effective treatment with the potential for early osseointegration and early radiological evidence of fusion. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - March 29, 2016 Category: Orthopaedics Authors: Elizabeth Chong, Ralph J. Mobbs, Matthew H. Pelletier, William R. Walsh Tags: CLINICAL ARTICLE Source Type: research
Construction Strategy and Progress of Whole Intervertebral Disc Tissue Engineering
Degenerative disc disease (DDD) is the major cause of low back pain, which usually leads to work absenteeism, medical visits and hospitalization. Because the current conservative procedures and surgical approaches to treatment of DDD only aim to relieve the symptoms of disease but not to regenerate the diseased disc, their long‐term efficiency is limited. With the rapid developments in medical science, tissue engineering techniques have progressed markedly in recent years, providing a novel regenerative strategy for managing intervertebral disc disease. However, there are as yet no ideal methods for constructing tissue...
Source: Orthopaedic Surgery - March 29, 2016 Category: Orthopaedics Authors: Qiang Yang, Hai‐wei Xu, Sookesh Hurday, Bao‐shan Xu Tags: REVIEW ARTICLE Source Type: research
History of Retractor Technologies for Percutaneous Pedicle Screw Fixation Systems
Minimally invasive techniques aimed at minimizing surgery‐associated risk and morbidity of spinal surgery have increased in popularity in recent years. Their potential advantages include reduced length of hospital stay, blood loss, and requirement for post‐operative analgesia and earlier return to work. One such minimally invasive technique is the use of percutaneous pedicle screw fixation, which is paramount for promoting rigid and stable constructs and fusion in the context of trauma, tumors, deformity and degenerative disease. Percutaneous pedicle screw insertion can be an intimidating prospect for surgeons who have...
Source: Orthopaedic Surgery - March 29, 2016 Category: Orthopaedics Authors: Ralph J. Mobbs, Kevin Phan Tags: REVIEW ARTICLE Source Type: research
Issue Information
(Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - January 31, 2016 Category: Orthopaedics Tags: ISSUE INFORMATION Source Type: research
Efficiency and Accuracy of Bernese Periacetabular Osteotomy for Adult Hip Dysplasia
Bernese periacetabular osteotomy (PAO) has several advantages dealing with adolescents and adults acetabular dysplasia. The authors introduced the details and steps performing PAO, with attached video and schematic diagram which demonstrates a perfect PAO in efficiency and accuracy. The patient is an 18‐year‐old girl, complaining hip pain on the left side for 6 months. Physical examination shows normal gait and range of motion (ROM) of the left hip. Pelvic anteroposterior X‐ray shows acetabular dysplasia on the left, and post operation on the right. She is very satisfied with the PAO on the right one year before, so ...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Dian‐zhong Luo, Hong Zhang, Kai Xiao, Hui Cheng Tags: VIDEO OF ORTHOPAEDIC TECHNIQUE Source Type: research
Simultaneously Combined Anterior‐Posterior Approaches for Subaxial Cervical Circumferential Reconstruction in a Sitting Position
The purpose of this article is to introduce and analyze the feasibility of simultaneously combined anterior‐posterior approaches for subaxial cervical circumferential reconstruction in sitting position. A retrospective case review was performed for above surgery procedure. A 79‐year‐old man was confirmed subaxial cervical fracture and dislocation with facet locked by radiological examination, and the involved levels were C5‐6. According to American Spinal Injury Association (ASIA) classification, the impairment scale was grade B. And the Subaxial Cervical Spine Injury and Severity Score (SLIC) were 9. The patient w...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Yue Han, Qun Xia, Yong‐cheng Hu, Ji‐dong Zhang, Jie Lan, Xin‐long Ma Tags: VIDEO OF ORTHOPAEDIC TECHNIQUE Source Type: research
Surgical Technique of Anterolateral Approach for Tibial Plateau Fracture
A 66‐year‐old woman had sustained crush injury 3 hours prior to her presentation to our hospital. The diagnosis was defined as lateral tibial plateau fracture of the right knee (Schatzker III). Supine position was set up and a pad was put under the affected hip. After sterilization of the surgical field the sterilized sheets were placed beneath the leg in order to be higher than the other side. A rolled sheet was put under the knee joint so that the knee joint was flexed around 30° to 40°. After the surgical field was draped the skin was incised. Iliotibial band was incised by blade (not by electrotomy) and sharp dis...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Peng‐cheng Wang, Dong Ren, Bing Zhou Tags: VIDEO OF ORTHOPAEDIC TECHNIQUE Source Type: research
Oblique Lumbar Interbody Fusion for Revision of Non‐union Following Prior Posterior Surgery: A Case Report
We report the case of a 75‐year‐old lady who presented with a L2‐3 non‐union 18 months following a L2‐3 and L3‐4 posterior decompression and transforaminal lumbar interbody fusion. Halo of the L2 pedicle screws on imaging was consistent with a non‐union at the L2‐3 level. An anterior lumbar interbody fusion (ALIF) approach was originally considered. However, due to the high lumbar approach and patient habitus [body mass index (BMI) > 35], a decision was made to approach the L2‐3 level using an oblique technique. This involved dissection anterior to the psoas muscle to access the L2‐3 disc space. The ...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Kevin Phan, Ralph J Mobbs Tags: CASE REPORT Source Type: research
Percutaneous Repair Technique for Acute Achilles Tendon Rupture with Assistance of Kirschner Wire
The aim of this study is to introduce a self‐designed, minimally invasive technique for repairing an acute Achilles tendon rupture percutaneously. Comparing with the traditional open repair, the new technique provides obvious advantages of minimized operation‐related lesions, fewer wound complications as well as a higher healing rate. However, a percutaneous technique without direct vision may be criticized by its insufficient anastomosis of Achilles tendon and may also lead to the lengthening of the Achilles tendon and a reduction in the strength of the gastrocnemius. To address the potential problems, we have improve...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Ze‐yang He, Ming‐xiang Chai, Yue‐ju Liu, Xiao‐ran Zhang, Tao Zhang, Lian‐xin Song, Zhi‐xin Ren, Xi‐rui Wu Tags: SURGICAL TECHNIQUE Source Type: research
One‐Stage Anterior Approach with Arch Plate to Treat Lumbosacral Tuberculosis
This study demonstrated the effectiveness of one‐stage anterior debridement, bone grafting, and arch plate fixation to treat lumbosacral tuberculosis. The risk of intraoperative and postoperative complications, such as injury to major vessels, could be minimized. This surgical procedure had many advantages, including a shorter operation time, less blood loss, and better functional recovery over the conventional combined anterior and posterior approach. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Fei Luo, Ze‐hua Zhang, Dong Sun, Jian‐zhong Xu Tags: SURGICAL TECHNIQUE Source Type: research
A Simple Approach to Assessment of a Total Knee Replacement's Rotationary Profile Using Computed Tomography
Malrotation is a cause of persistent pain and poor functioning postoperatively in those who undergo a total knee replacement (TKR). The accurate measurement of malrotation is not routinely available in most hospital settings due to an absence of three‐dimensional computed tomography (CT) software. An accessible, uncomplicated technique to demonstrate TKR prosthesis malrotation would be of benefit to orthopaedic surgeons worldwide. A patient was reviewed with persistent postoperative pain, having undergone a right TKR 3 years previously for progressive osteoarthritis. Postoperative prosthetic infection, instability, loose...
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Andrew Jerome Hughes, Sven O'hEireamhoin, Eric Heffernan, Coner Hurson Tags: BRIEF REPORT Source Type: research
Relation of Age, Sex and Bone Mineral Density to Serum 25‐Hydroxyvitamin D Levels in Chinese Women and Men
ConclusionMore than two‐third of participants residing in Guangzhou had vitamin D insufficiency. Serum 25(OH)D level is an important biomarker for BMD in elderly women and young men. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Qiu‐shi Wei, Zhen‐qiu Chen, Xin Tan, Hai‐rong Su, Xiao‐xiang Chen, Wei He, Wei‐min Deng Tags: SCIENTIFIC ARTICLE Source Type: research
Radiographic Features of Acute Patellar Tendon Rupture
ConclusionsThe soft tissue radiographic features described in the rupture group are consistent and reliable. When coupled with careful clinical assessment, these will aid in early diagnosis and further imaging will be seldom required. (Source: Orthopaedic Surgery)
Source: Orthopaedic Surgery - November 30, 2015 Category: Orthopaedics Authors: Muhammad Ali Fazal, Pradeep Moonot, Fares Haddad Tags: CLINICAL ARTICLE Source Type: research
