Journal of Orthopedic Surgery and Techniques

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 ISSN: 2578-7187

Journal of Orthopedic Surgery and Techniques

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Table of Content: Volume 4, Issue 1

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Case Report Pages 331-336

A New Technique Combining Open-Wedge High Tibial Osteotomy and Medial Meniscus Reconstruction Using the Semitendinosus Tendon

Authors: Goki Kamei MD, PhD, Masakazu Ishikawa MD, PhD, Kyohei Nakata MD, Akinori Nekomoto MD, Atsuo Nakamae MD, PhD and Nobuo Adachi MD, PhD

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

A Proposed Method to Quantify the Effect of Head and Shoulder Position on Kyphotic Deforming Forces before and after Spine Surgery

Authors: Daniel Bonthius, Richard Gross, Yongren Wu and Hai Yao

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

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Case Series Pages 319-324

Posteromedial Approach to Fix Posterior Cruciate Ligament Tibial Avulsion: A Backup Fixation and Case Series

Authors: Elhadi Babikir, MBBS, CABMS, Mohd AlKhayarin, FRCSC, FRCSI, Waleed Asad, MD and Ahmed Khalil Attia, MD

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.

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Research Article Pages 315-318

A Simple Technique to Remove Well Fixed Porous Cementless Acetabular Component in Revision Total Hip Arthroplasty

Authors: Naren Garneti, MRCS, MSc (Tr), MCh (Orth), FRCS (Tr & Orth)

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.

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Case Report Pages 306-314

Robotic Arm Assisted Total Knee Arthroplasty in Patients with Flexible versus Fixed Deformities

Authors: Tarek A Taha, MD, PhD

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.

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Case Report Pages 301-305

Pediatric Olecranon Open Reduction and Internal Fixation Utilizing Arthrex Fibertape Cerclage Suture Technique: A Case Report

Authors: Wesley Miaw, James Kim, Chandler Noordhoff and Chris Miller, MD

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

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Research Article Pages 293-300

Arthroplasty of the Distal Interphalangeal Joint: A Review of Currently Available Surgical Approaches, Implants and Complications

Authors: Evelyn Hui Yi Chan, Wing Yuk Ip, Yuk Fai Lui and Vernice Hui Yan Chan

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

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Commentary Pages 276-277

A Technical Tip: Surgical Exposure of Proximal Tibia in Total Knee Replacement Arthroplasty Using a Pin to Retract Patellar Tendon

Authors: Kheradmand Behfar and Wilkinson, MCP

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

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Review Article Pages 266-275

Intra-Medullary Screw Fixation Comprehensive Technique Guide for Metacarpal and Phalanx Fractures: Pearls, and Pitfalls

Authors: John Chao, MD, Anup Patel, MD, MBA and Ajul Shah, MD

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

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Research Article Pages 284-292

Outcomes of Extended Trochanteric Osteotomy in Revision Total Hip Arthroplasty for Periprosthetic Joint Infection: A Systematic Review

Authors: Madeleine Salesky, BA, David N Shau, MD and Jeffrey Barry, MD

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.

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Case Series Pages 278-283

Safety of Intraoperative Neurophysiological Monitoring during Indirect Decompression in Lumbar Spinal Surgery - Descriptive Report

Authors: Diego Armando Devia Manosalva, Aura Lucía Guarnizo Tovar, Miguel Leonardo León Méndez, Maria Ximena Rojas Quiñones, Valentina Osejo Arcos, Miguel Enrique Berbeo Calderón and Roberto Carlos Díaz Orduz

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).

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Case Report Pages 262-265

Reconstruction of the Medical Collateral Ligament with Degradable, Elastic Internal Bracing

Authors: Daniel L Rodkey, MD, Boddy G Yow, MD and Brandon J Bryant, MD

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.

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Research Article Pages 254-261

Functional Prosthetic Spacer Surgical Technique for Definitive Management of Hip Periprosthetic Joint Infection

Authors: Jordan R Bonier, DO, MS, Ahmed Siddiqi, DO, MBA, Ronald E Delanois, MD and James Nace, DO, FAOAO, MPT

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.

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Detailed Surgical Tips and Tricks Pages 246-253

The Eeklo Modified Subvastus Approach for Total Knee Arthroplasty: Detailed Surgical Tips and Tricks

Authors: Ignace Ghijselings, MD, Hans Van den Wyngaert, MD, Demurie Alex, MD, Stefaan Van Onsem, MD, PhD and Hendrik P. Delport, MD, PhD

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.

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Research Article Pages 231-236

Growth Factors in the Blood Serum of Patients with Infection Complications of Polytrauma

Authors: Luneva SN, Klyushin NM, Dolganova TI, Matveeva EL and Leonchuk DS

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.

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Short Communication Pages 244-245

The TAL Suction Retractor: A Simple Technique for Visualising the Transverse Acetabular Ligament (TAL) During Total Hip Replacement (THR) Surgery

Authors: Murphy Ben, MB BCh BAO, MCh, MRCSI, Pollock Roisin, MB BCh BAO, Ramchurn Sumant, MD and Hurson Conor, MB BCh BAO, AFRCSI, MCh, FRCSI

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.

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Case Report Pages 239-243

Treatment of End-Stage Osteoarthritis and Concurrent Bony Metastasis to the Distal Femoral Metaphysis with a Modified Total Knee Arthroplasty: A Case Report & Review of the Literature

Authors: Griffin Rechter and Stephen Brotherton, MD

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

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Mini Review Pages 237-238

A Novel Technique for Administering Hamstring Donor-Site Analgesia during Anterior Cruciate Ligament Reconstruction

Authors: Douglas J Matthews, FRCS and Gil Railton, FRCS

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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