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ISSN: 2578-7187
Home / Browse Journals & Books / Journal of Orthopedic Surgery and Techniques / Archive / Volume 4, Issue 1
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Case Report Pages 331-336
Abstract: Open-wedge high tibial osteotomy (OWHTO) is an established surgical treatment for medial osteoarthritis of the knee. There is a tendency in recent years that the optimal postoperative alignment is less than that of previous reports and defined as %MA (Mechanical Axis) 50-60%. On the other hand, a larger angle of correction reportedly improves postoperative pain score and a reduction in the angle of correction is unlikely to yield positive results regarding pain.
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Case Report Pages 324-330
Abstract: While sagittal balance of the spine is examined regularly before and after surgery for kyphotic spinal deformity, current radiographic measurement techniques limit assessment of sagittal balance to the spine and pelvis (or femoral heads) only and ignore the head and shoulder position. Patients with kyphotic deformity often have anterior positioning of the head
Case Series Pages 319-324
Abstract: Tibial avulsion fractures of PCL are common; however, the choice between open reduction internal fixation (ORIF) and arthroscopic repair of acute fractures remains controversial. We assessed the efficacy and safety of managing PCL avulsion fractures with ORIF using the posteromedial approach.
Research Article Pages 315-318
Abstract: Removing well-fixed porous cementless acetabular components in revision Total Hip arthroplasty can be a surgical challenge for Orthopaedic surgeons. Forceful removal can result in loss of bone stock. Acetabular wall fracture is a real risk associated with extracting well-fixed cementless acetabular components, especially with certain instruments. Extraction of a well-fixed porous cementless acetabular component with relative ease can be achieved with the technique described.
Case Report Pages 306-314
Abstract: A total knee arthroplasty aims to achieve a stable, well aligned, and balanced knee through range of motion. Arthritic knees with rigid alignment can be challenging to balance reliably by both measured resection and gap balancing techniques. Titration of soft tissue releases can be difficult to reproducibly assess, resulting in over- or underreleases. The robotic arm platform has recently introduced a novel concept of knee balancing by implant manipulation.
Case Report Pages 301-305
Abstract: The elbow is a hinge-type synovial joint made up of three major bones in the arm: The humerus, radius, and ulna. The olecranon process lives on the proximal end of the ulnar bone and articulates with the olecranon fossa of the humerus, essential for extension and flexion of the joint. Olecranon fractures most commonly occur with direct impact to the elbow due to minimal protection from surrounding soft tissue or with indirect impact from forceful contraction of the triceps from a fall with an outstretched arm. While minor non displaced olecranon fractures may be treated non-surgically, displaced fractures most likely require surgical intervention to restore normal anatomy, extensor mechanism, and range of motion
Research Article Pages 293-300
Abstract: Arthroplasty of the distal interphalangeal joint (DIPJ) of the hand is an uncommonly performed and insufficiently researched procedure used to treat painful DIPJ arthritis. This review article investigates the indications, surgical approaches, clinical outcomes and complications of distal interphalangeal joint arthroplasty to address the following questions
Commentary Pages 276-277
Abstract: The tibial cut in knee arthroplasty requires adequate exposure of the proximal tibia while protecting the surrounding structures. The medial, lateral and posterior structures are usually protected with retractors held by one or more assistants. The Patellar Tendon must be protected during tibial preparation. Damage to the tendon by scalpel or saw is a disastrous complication. This can be avoided by our technique of Patellar Tendon retraction during a knee replacement which also facilitates tibial exposure without the need for any further assistant. To the best of our knowledge this
Review Article Pages 266-275
Abstract: Phalangeal and metacarpal fractures are the second and third most common upper extremity fractures after distal radius fractures with varying methods of fixation techniques. Intramedullary screw fixation is an increasingly preferred method of fixation. Benefits include early range of motion, faster recovery, limited dissection, and limited complications. Improper technique, which is readily avoidable
Research Article Pages 284-292
Abstract: Extended trochanteric osteotomy (ETO) is a technique to remove well-fixed femoral stems in revision total hip arthroplasty (THA). ETO is commonly utilized in the setting of chronic periprosthetic joint infection (PJI). This article presents a systematic review concerning outcomes after ETO in the setting of PJI.
Case Series Pages 278-283
Abstract: Degenerative disease of the lumbar spine often compromises the life quality of patients. In recent decades, surgical procedures on the lumbar spine have been oriented to reduce risks, costs, and perioperative complications by performing minimally invasive surgeries, specifically anterior lumbar interbody fusion (ALIF) and/or lateral lumbar interbody fusion (LLIF).
Case Report Pages 262-265
Abstract: The medical collateral ligament (MCL) is the most commonly injured knee ligament and has a large capacity for healing. The majority of isolated MCL injuries may be treated conservatively due to its capacity to heal. However, acute MCL disruptions associated with multiligamentous knee injuries, distal avulsions and chronic MCL attenuation may benefit from surgical intervention to prevent valgus instability.
Research Article Pages 254-261
Abstract: Periprosthetic joint infection (PJI) of the hip has been treated with two-stage revision arthroplasty with success. Concerns with this treatment approach include significant morbidity, cost, and functional impairment for the patient. One-stage revision arthroplasty for PJI is commonly performed outside of the United States.
Detailed Surgical Tips and Tricks Pages 246-253
Abstract: This paper describes step by step a modified Far Medial Subvastus approach-the Eeklo Modified Subvastus approach (EMS)-for Total Knee Arthroplasty (TKA). The EMS approach is a modification of the classic Subvastus approach. It provides excellent exposure of the knee joint with preservation of all peri-articular soft tissues.
Research Article Pages 231-236
Abstract: Molecular aspects of organism functioning in ostemyelitis have not received an in-depth study. Therefore, the purpose of the work is to study the content of angiogenic factors in the blood serum in the patients with high-energy trauma.
Short Communication Pages 244-245
Abstract: Having highlighted the importance of directly visualising the TAL to aid with orientation of the acetabular component in THR, we now describe a very simple technique for maintaining visualisation during acetabular preparation, template trial and cup implantation.
Case Report Pages 239-243
Abstract: We present a patient with end-stage degenerative osteoarthritis and concurrent osseous metastasis to the distal femoral metaphysis successfully treated with a modified total knee arthroplasty. Improved survivorship in cancer patients with osseous metastasis presents a growing need to explore novel surgical approaches for patients with concomitant end-stage osteoarthritis. Currently, endoprosthetic replacement is the intervention
Mini Review Pages 237-238
Abstract: A sterile packed anaesthetic bougie (Cook Medical LLC, Bloomington, USA) (Figure 1) is opened and kept sterile. The proximal end is cut toaccomodate a 20 ml Luer slip-type syringe containing 0.25% Chirocaine (Figure 2, Figure 3 and Figure 4). The rigidity of the bougie aids passage along the tract of the hamstring donor-site and the local anaesthetic is injected as the bougie is withdrawn.
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