Techniques in Shoulder and Elbow Surgery 
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This 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.A Triceps Split Approach for Total Elbow Arthroplasty
Total elbow arthroplasty can be performed through a variety of surgical approaches including partial or complete triceps detachment and triceps sparing. The choice is partially influenced by surgeon preference as well as patient-related and prosthetic-related factors. Failure of triceps repair is a known complication of approaches involving triceps detachment and ulnar component malposition is a common complication of triceps sparing techniques. Our approach allows total elbow arthroplasty to be performed without compromise to the triceps insertion and ideal placement of the ulnar component. In our approach the triceps spl...
Source: Techniques in Shoulder and Elbow Surgery - May 1, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Arthroscopic Technique for Transfragment Fixation of the Supraspinatus Intratendinous Footprint Avulsion
We present an arthroscopic fixation technique for a rare lesion of the rotator cuff. The lesion involves nondisplaced intratendinous avulsion of the supraspinatus footprint with an intact bridge of the supraspinatus tendon on the articular and bursal sides. The surgical technique involves the use of arthroscopic transfragment fixation with a single double-loaded suture anchor which was placed within the avulsed fragment bed. At 3 months from surgery, radiographic healing of the fracture was noted, with full recovery of daily activities and almost complete active range of motion confirmed with improvement of the Oxford Shou...
Source: Techniques in Shoulder and Elbow Surgery - May 1, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Independent Arthroscopy-assisted Acromioclavicular Ligament Reconstruction: A Novel Technique
A large number of surgical techniques have been described for acromioclavicular (AC) joint (ACJ) dislocations. Most are based on the reconstruction of the coracoclavicular ligaments. These techniques provide the ACJ with vertical stability and have a high. complication rate. Advances in material technology and implants have allowed us to develop a surgical, technique approach to treat ACJ dislocations, that provides this joint with stability in both, vertical and horizontal planes, reconstructing only the AC ligaments. Two drilled holes are made in the acromion under arthoscopic control. Then, 2 tape-type sutures are passe...
Source: Techniques in Shoulder and Elbow Surgery - May 1, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Movement Patterns of the Shoulder Post Synthetic Interpositional PTFE Patch Repair for Large Rotator Cuff Tears
This study compared the outcomes of polytetrafluoroethylene patch repair (n=15), suture-anchor repair (n=8), reverse total shoulder arthroplasty (n=7), and normal shoulders (n=5). The inter-rater and intrarater reliability of radiography was excellent (r=0.98, 0.96). Glenohumeral joint movement at maximal active abduction following patch repair (59±5 degrees), suture-anchor repair (57±8 degrees) and reverse total shoulder arthroplasty (52±7 degrees) was less than asymptomatic shoulders (95±3 degrees; P (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - May 1, 2019 Category: Orthopaedics Tags: Research Article Source Type: research
Chronic Distal Triceps Rupture Repaired Using Acellular Dermal Allograft as an Interposition Graft
Rupture of the triceps is a rare event. If triceps rupture is not immediately recognized, chronic ruptures produce a therapeutic problem. The residual tendon is often retracted, atrophic and of poor quality, therefore it is not usually appropriate for primary repair due to the high levels of tension encountered. Previously, multiple autograft techniques have been reported; however, this often leaves the patient with an additional surgical site and additional morbidity. Therefore we present our operative technique using acellular dermal allograft (ADA) as an interposition graft for the management of chronic distal triceps r...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
A Surgical Technique for Corrective Osteotomy of a Complex Distal Humeral Deformity Using 3-Dimensional Printing Technology
Corrective osteotomy for complex deformity correction is a challenging procedure, both in its planning and execution. Traditional planning techniques, particularly when applied to periarticular deformity, are generally inaccurate and the outcome of subsequent osteotomy may be suboptimal. In this described technique, 3-dimensional printed models were generated from preoperative computed tomographic scans to assist in both the planning and execution of a distal humeral osteotomy. A single case is described of cubitus valgus of 40 degrees with fixed flexion deformity following nonunion of a fracture of the lateral condyle of ...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Medial Clavicle Osseous Dimensions With Implication on Plate Fixation
Significantly displaced medial clavicle fractures are associated with high rates of painful nonunion. Operative fixation can be challenging due to limited medial bone stock and adjacent vital vascular structures. In total, 21 consecutive chest computer tomographic scans were analyzed to measure anterior-posterior and superior-inferior dimensions of the medial clavicle. Correlation between height and clavicular dimensions were assessed by the Pearson correlation coefficient. Two cases using dual T-locking plates are described. From anterior to posterior, the medial clavicle typically measures 1.44 (SD, 0.26 cm) and 2.51...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Novel Use of Calcium Phosphate Bone Void Filler in Rotator Cuff and Labral Repair
Patients with poor bone quality or cystic changes present a unique problem when utilizing standard arthroscopic rotator cuff and labral repair techniques and implants. Previous studies have looked at multiple methods to augment the bone in the presence of poor bone quality to allow for appropriate fixation with variable success. The following case reports describe the use of AccuFill, an injectable calcium phosphate bone void filler, to augment rotator cuff or labral repair in the setting of deficient bone in the greater tuberosity or glenoid. In the rotator cuff repair case report, follow-up imaging at 1 year show tendon-...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Technique for a Novel Arthroscopic Transosseous Rotator Cuff Repair
The authors describe a novel all-arthroscopic anchorless transosseous suture technique that is easy to perform and reproduce and combines the benefits of both the arthroscopic technique and the transosseous approach. This procedure maximizes the tendon-footprint contact area obtaining both medial and lateral fixation without using any implanted device. In the current technical note, the procedure is described in detail providing several tips and tricks. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
Techniques for Interpositional Graft Reconstruction for Massive Irreparable Rotator Cuff Tears
The management of massive irreparable rotator cuff tears is a challenge for surgeons. Unlike smaller rotator cuff tears massive irreparable tears cannot be managed through standard surgical techniques and have high rates of retear after surgical repair. Interpositional graft reconstruction is a novel surgical technique to manage these massive irreparable tears, with promising preliminary clinical outcomes. In the past interpositional graft reconstructions of massive irreparable rotator cuff tears were complex and invasive, open procedures, however more recently, with the development of specialized devices, a number of tech...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Techniques Source Type: research
True AP Image of the Proximal Radioulnar Joint as a Tool for Assessment of Radial Head Height
Replicating the original bony anatomy during radial head replacement or fracture repair is important for both joint stability and prevention of arthritis, but can be difficult to achieve. An important landmark for determining appropriate radial head height that is often overlooked is the proximal radioulnar joint (PRUJ). We propose a methodology to use an en face view of the lesser sigmoid notch as a fluoroscopic reference point to establish appropriate height for the proximal border of the prosthesis in radial head replacement. 5 fresh frozen cadaveric elbows were dissected medially to assess the relationship of the radia...
Source: Techniques in Shoulder and Elbow Surgery - February 5, 2019 Category: Orthopaedics Tags: Research Article Source Type: research
Arthroscopic Stabilization With Hill-Sachs Remplissage and Bankart Repair: A Surgical Technique
Management of recurrent instability with coexisting Hill-Sachs defect is debatable. Isolated Bankart repairs do not address the bone loss sustained on the humeral side and are associated with higher recurrence risk in those with concomitant humeral bone loss. Further, bone block procedures may not be necessary to achieve stability if there is minimal glenoid bone loss and are associated with higher rate of complications. The arthroscopic remplissage allows the Hill-Sachs defect to be filled with a soft tissue structure to decrease the risk of recurrent dislocations when combined with a soft tissue Bankart repair. Key steps...
Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Video Technique Source Type: research
Case Report: Reconstruction of a Coronoid Using a Radial Head Autograft for Failed ORIF of Monteggia Variant Fracture Dislocation
In this report we will provide details of the reconstruction technique, as well as information with regard to perioperative management, intraoperative findings, postoperative clinical progression, and subsequent postoperative imaging. Restoration of a fractured coronoid in the setting of Monteggia variant fractures is a technically challenging procedure. Our case demonstrates that using a radial head autograft to repair a severely fractured coronoid can lead to a successful outcome for the patient. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Techniques Source Type: research
Buckle-Down Technique for the Bony Reconstruction of Large Anterior Glenoid Defects
Background:
A bony defect of the anterior glenoid is often observed in patients presenting with recurrent dislocation; when this defect is considerably large, bony reconstruction is indicated and results in long-term stabilization of the joint. Conventional procedures for restoring the glenoid surface are associated with numerous postoperative complications related to bone graft fixation. The aim of this study was to devise a novel technique for graft fixation in the context of a large anterior glenoid defect that might mitigate these complications, and to quantify the techniques ability to restore bony stability in the ...
Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Techniques Source Type: research
Long Head of Biceps Tendon Transfer for Anterior Shoulder Instability
We describe a technique variation for the treatment of recurrent anterior shoulder dislocation: the long head of biceps tendon transfer. This technique follows the same crucial “sling effect” of the Bristow-Latarjet without the risk of coracoid bone block complications or scapular dyskinesis due to detachment of the conjoined tendon and pectoralis minor from the scapula. Moreover, it can be used with capsule-labrum repair. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - October 30, 2018 Category: Orthopaedics Tags: Techniques Source Type: research
