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Mashup Score: 17The Air-Lift Technique for Improving Ease and Safety When Establishing the Modified Midanterior Portal in Hip Arthroscopy - 13 day(s) ago
Hip arthroscopy continues to increase in popularity and has an ever-expanding range of indications; however, the steep learning curve introduces significant risk of iatrogenic chondrolabral injury when accessing the joint and establishing arthroscopic portals. This article presents a technique for establishing the modified midanterior portal and is particularly useful when the available space is tight. We present “the air-lift” as a safe and simple adjunct to standard portal creation when performing hip arthroscopy in the supine position.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, OrthopedicsTweet
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Mashup Score: 10
Over the past decade, there has been an increased awareness of the recognition and treatment of medial meniscus posterior root tears. Recent systematic reviews and meta-analyses have shown that surgical repair of medial meniscus posterior root tears is effective in improving patient-reported outcome measures and decreasing the progression of osteoarthritis when compared with nonoperative treatment or meniscectomy. The available techniques currently consist of transosseous suture fixation and direct suture anchor fixation, with transosseous repairs being the most frequently performed.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 33
The Federal No Surprises Act was passed to avoid surprise out-of-network billing to patients, particularly after surgical procedures from independent third parties hired as assistants. This has resulted in a scarcity of “for-hire” surgical first assistants. Anterior cruciate ligament (ACL) surgery is challenging to perform without an assistant. During arthroscopy, the leg must be manipulated simultaneously while performing surgery. This usually requires multiple hands and can be physically demanding.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 31Endoscopic Repair of the Distal Biceps Tendon - 18 day(s) ago
Distal biceps ruptures are common orthopaedic injuries that may result in cosmetic deformity, loss of subjective flexion strength, and loss of objective supination strength if treated nonoperatively. To combat this, both single- and dual-incision techniques have been developed to repair the distal biceps. Although each of these procedures has unique complications, both procedures are at risk of posterior interosseous nerve palsies, with up to 21% of surgeons reporting nerve palsies. This article proposes an endoscopically assisted biceps tendon repair that uses minimal retraction of the muscles in the forearm, which may lower the risk of traction-related nerve palsy.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 19Arthroscopy-Assisted Core Decompression and Bone Grafting for Avascular Necrosis of the Hip - 28 day(s) ago
Although specific techniques vary, core decompression is generally accepted as the treatment of choice for precollapse avascular necrosis (AVN) of the hip to delay or prevent progression of the disease. This can be combined with hip arthroscopy to allow visual assessment of the femoral head as well as treatment of intra-articular pathologies, which may contribute to pain and joint degeneration. We describe a technique of hip arthroscopy and concurrent core decompression using an expandable reamer and bone grafting for treatment of hip AVN.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 35Distal Biceps Tendon Repair: An Arthroscopic-Assisted Technique With Suture Anchors - 1 month(s) ago
Distal biceps tendon ruptures are rare injuries that can lead to significant limitations in forearm supination strength and elbow flexion. Although conservative treatment leads to satisfactory results in many cases, surgical treatment is indicated in high-demanding patients, heavy workers, and athletes. Many different surgical techniques have been described, but the percentage of complications after surgery remains high (almost 25%). The purpose of this article is to describe our preferred surgical approach for acute distal biceps tendon ruptures with an arthroscopic-assisted technique and suture anchor fixation method.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 24All-Arthroscopic Intratendinous Dermal Patch Integration for Large-Sized Rotator Cuff Tear - 1 month(s) ago
Patch augmentation of rotator cuff repair can create a healed tendon-bone interface, rather than the formation of a fibrovascular scar tissue, seen even after maximizing biomechanical strength of repair with a double-row construct. Here we describe our technique of patch interposition between the tendon and bone interface. Most arthroscopic patch augmentation techniques are challenging, and here we present a simpler reproducible approach, which has minimal strain on tissue and repair construct without compromising on the footprint coverage.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 21Arthroscopic Modified McLaughlin Procedure and Posterior Labral Repair in the Lateral Decubitus Position - 1 month(s) ago
Traumatic posterior shoulder dislocations are commonly associated with a posterior labral tear and an impaction fracture involving the anterior humeral head referred to as a reverse Hill-Sachs lesion (RHSL). This humeral defect can engage on the posterior glenoid rim during shoulder cross-body adduction combined with shoulder elevation and may require surgical intervention. Depending on the size of the RHSL relative to the articular arc of the humeral head, traditional open surgical options including transfer of the subscapularis tendon alone, subscapularis transfer with the attached lesser tuberosity into the humeral impaction injury, or reconstruction using allograft for more severe defects have been described.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 71Blind-Tie Remplissage: Technique and Sequence - 1 month(s) ago
Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure. The goal of this Technical Note is to describe our technique and sequence for accomplishing an arthroscopic “blind-tie” remplissage procedure.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 64Rotator Cuff Footprint Medialization: Indications and Technique - 1 month(s) ago
When attempting to repair a large, retracted rotator cuff tear, the orthopaedic surgeon can use several techniques such as capsular release and interval slides that can aid in achieving a low-tension repair and thus allow the best environment for healing. One less commonly used strategy is medialization of the greater and lesser tuberosity anatomic rotator cuff footprint. Previous studies have shown that increased tension across the bone-tendon interface decreases healing rates. Medialization effectively decreases the repair tension by reducing the distance from the tendon to its insertion point.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
Watch Dr. Chad Mather demonstrate how his "Air-Lift" method can be used to safely establish a mid-anterior portal when performing hip arthroscopy in the supine position #HipArthroscopy #SurgicalTechniques @MatherMD @dukeortho https://t.co/tH7xIH3VLC https://t.co/hdUIx86Zp3