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Intramedullary Screw Fixation of Midshaft Clavicle Fractures: A Surgical Technique
We describe our technique for intramedullary fixation of midshaft clavicle fractures utilizing a single partially threaded, cannulated 6.5-mm screw. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research

Evaluation of the Surgical Treatment of Acromioclavicular Joint Dislocation With a New Option for Temporary Fixation of the Acromioclavicular Joint: Erratum
No abstract available (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Erratum Source Type: research

Tennis Elbow Repair With or Without Suture Anchors: A Randomized Clinical Trial
The surgical treatment of chronic severe tennis elbow refractory to extensive traditional nonoperative management remains controversial. This prospective, double-blinded, longitudinal study is the first to compare the clinical results of traditional elbow arthroscopy and extensor carpi radialis brevis tendon (ECRB) debridement and decortication (Nirschl procedure) with combined elbow arthroscopy, ECRB debridement, decortication, and suture anchor repair. Sixty patients with chronic tennis elbow failing a minimum of 6 months of nonoperative treatment (NSAIDS, oral steroids, standardized physical therapy, bracing, and cortis...
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research

Surgical Repair of Posterolateral Rotatory Instability of the Elbow Using Surgilig/LockDown: A Novel Surgical Technique
We describe a novel surgical technique for the treatment of PLRI using the Surgilig/LockDown. Using this tensioned double-braided polyester synthetic ligament to reconstruct the lateral ulnar collateral ligament it is possible to reconstitute elbow stability. Through a global posterior midline incision, a Surgilig/LockDown synthetic ligament is first secured to the proximal ulnar and then passed through a bone tunnel from the isometric point of the lateral epicondyle, along the lateral column, exiting the posterior aspect of the supracondylar ridge where it is tensioned and secured with bicortical screw fixation. We presen...
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research

Reconstruction of the Acromioclavicular Joint, its Superior Capsule, and Coracoclavicular Ligaments Using an Interpositional Acellular Dermal Matrix and Tibialis Tendon Allograft
Acromioclavicular (AC) separations are one of the most common shoulder injuries that may lead to pain, disability, and dysfunction of the shoulder girdle. Over 100 different surgical procedures have been described in the literature for the treatment of this injury. Initial surgical repairs were nonanatomic and nonbiological. In recent years, allograft reconstruction has become accepted for the treatment of chronic separations, but most reconstructions are aimed at restoring the coracoclavicular ligaments. Very little attention has been placed on the reconstruction of the AC joint itself. The technique described is an anato...
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research

Arthrodesis of the Shoulder With Subacromial Plating
Shoulder arthrodesis has evolved such that a combined intra-articular and extra-articular technique utilizing a plate and compression screws are the standard of care. The current method of plate fixation to the spine of the scapula passing over the lateral edge of the acromion to the humeral shaft is associated with a high incidence of pressure symptoms. Our aim was to evaluate a new technique for shoulder arthrodesis. A 56-year-old woman who had undergone numerous previous shoulder operations including a failed shoulder arthrodesis was treated by rearthrodesis using an angular-stable plate placed in the supraspinatus foss...
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research

Double-loop Anatomic Acromioclavicular Reconstruction: Surgical Technique and Early Results
Acromioclavicular (AC) reconstruction surgery is performed to address high-grade AC separations. In the double-loop anatomic reconstruction, the coracoclavicular ligaments are reconstructed in an anatomic fashion similar to the technique described by Mazzocca and colleagues using a free tissue graft and tunnels through the clavicle. However, the double-loop technique passes a graft both through and around the clavicle using semitendinosus graft. This allows maximal use of the long hamstring graft. A preliminary case series of 7 patients (7 operations) is presented. Shoulder complications were observed in 0 patients who und...
Source: Techniques in Shoulder and Elbow Surgery - September 1, 2014 Category: Orthopaedics Tags: Techniques Source Type: research