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Capsulorrhaphy

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https://www.readbyqxmd.com/read/29894369/arthrodiastasis-followed-by-open-reduction-associated-with-pelvic-and-femoral-osteotomies-for-the-treatment-of-high-inveterate-congenital-hip-dislocation
#1
Pedro Gutiérrez Carbonell
Our purpose is to analyze results, following the use of arthrodiastasis for the treatment of inveterate congenital hip dislocations. The study included eight patients. The mean age was 6 years. Three (37.5%) were male patients, and five (62.5%) were female patients. The patients were followed-up for 46 months. Teratologic, neurologic, rheumatic, and syndrome-associated dislocations were excluded. The following scores were used: Harris Hip Score, displacement of femoral head with respect to Hilgenreiner's line, Acetabular index, Wiberg angle, Reimer's extrusion index, and leg length discrepancy...
June 11, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29876242/arthroscopic-load-shift-technique-for-intraoperative-assessment-of-shoulder-translation
#2
Steven F DeFroda, Brett D Owens
Shoulder instability represents a spectrum of disease, ranging from subluxation to dislocation. It may present acutely after trauma or chronically as a result of multiple events. Physical examination is a key component in evaluating the degree of instability and laxity present; however, in-office guarding or apprehension may limit the examination. In addition, patient anatomy or operator technique may limit the accuracy and reproducibility of examination maneuvers such as the load-shift test. We propose an arthroscopic modification to the load-shift technique involving direct visualization to assess the direction and degree of shoulder instability...
March 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29744648/the-eden-hybbinette-procedure-is-one-hundred-years-old-a-historical-view-of-the-concept-and-its-evolutions
#3
Guillaume Villatte, Sally Spurr, Cyrus Broden, Antoine Martins, Roger Emery, Peter Reilly
INTRODUCTION: One hundred years ago, before Bankart, Latarjet or Bristow, Eden and Hybbinette developed a procedure to treat anterior shoulder instability and currently, this eponymous term is known by every shoulder surgeon. The purpose of this review is to summarise the historical "Eden-Hybbinette" procedure and its evolutions during the last century and discuss results. METHOD: On the centenary of the first publication on the "Eden-Hybbinette procedure", a search was conducted on Medline, Google Scholar and in the grey literature, to find its initial concept and description, and the evolutions...
May 9, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29685561/anatomic-reconstruction-versus-traditional-rebalancing-in-lesser-metatarsophalangeal-joint-reconstruction
#4
Jeremy J Cook, Lindsay J Johnson, Emily A Cook
Traditional rebalancing techniques, such as capsulotomies and capsulorrhaphies, are commonly performed during complex hammertoe and lesser metatarsal osteotomy procedures involving metatarsophalangeal joint (MTPJ) contractures; however, floating toes, digital instability, and malalignment are concerns. We critically analyzed the outcomes after anatomic reconstruction of the plantar plate and collateral ligaments compared with those after traditional rebalancing techniques. A case-control study was conducted of 54 patients who had undergone surgical correction of lesser MTPJ imbalances due to complex hammertoe deformities (power 80%, type I error = 0...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29600669/-clinical-effect-modified-chevron-osteotomy-combined-with-lateral-tissue-loosening-in-treating-mild-moderate-hallux-valgus-through-internal-signal-approach
#5
Xue-Qiang Chen, Qun-Feng Wu, Wei-Qin Dong, Li-Xin Yu, Xiong-Feng Li
OBJECTIVE: To explore clinical effect of modified Chevron osteotomy combined with lateral tissue loosening for the treatment of mild-moderate hallux valgus through internal signal approach. METHODS: From July 2015 to June 2016, 26 patients with mild-moderate hallux valgus treated with modified Chevron osteotomy combined with lateral tissue loosening through internal signal approach, including 2 males and 24 females aged from 45 to 65 years old with an average of(54...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29470237/primary-shoulder-hemiarthroplasty-what-can-be-learned-from-359-cases-that-were-surgically-revised
#6
Daniel J Hackett, Jason E Hsu, Frederick A Matsen
BACKGROUND: Primary shoulder hemiarthroplasty is used to address a range of glenohumeral disorders, including fracture, arthritis, avascular necrosis, and capsulorrhaphy arthropathy; some patients with hemiarthroplasties undergo revision surgery for persistent pain or residual shoulder dysfunction. The literature does not clarify the features of the hemiarthroplasties having repeat surgery in a way that can guide surgeons' efforts to minimize the need for revision. To help address this gap, we analyzed the characteristics of patients from our region for whom we performed surgical revision of a prior humeral hemiarthroplasty QUESTIONS/PURPOSES: (1) What are the common characteristics of shoulder hemiarthroplasties having a revision? (2) What are the common characteristics of the subset of revised shoulder hemiarthroplasties that were performed for fracture? (3) What are characteristics of the subset of all revised hemiarthroplasties that were associated with glenoid bone erosion? METHODS: Data for 983 patients for whom we performed a surgical revision of any type of shoulder arthroplasty between January 1991 and January 2017 were identified in our longitudinally maintained institutional arthroplasty revision database...
May 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29388030/the-effect-of-subscapularis-tenotomy-in-athletes-operated-on-for-recurrent-anterior-shoulder-dislocation
#7
C Iorio, R M Lanzetti, D Lupariello, A Vadalà, M Fabbri, A Ciompi, A Ferretti, A De Carli
PURPOSE: Some authors consider preservation of the subscapularis tendon as one of the most important elements for a successful long-term outcome in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. The purpose of this study was to evaluate whether vertical tenotomy of the subscapularis tendon might affect internal rotation strength recovery in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. METHODS: Ninety-six patients were retrospectively followed up at a mean of 72...
January 31, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29318175/trends-in-shoulder-stabilization-techniques-used-in-the-united-states-based-on-a-large-private-payer-database
#8
Andrew J Riff, Rachel M Frank, Shelby Sumner, Nicole Friel, Bernard R Bach, Nikhil N Verma, Anthony A Romeo
Background: Arthroscopic stabilization is the most broadly used surgical procedure in the United States for management of recurrent shoulder instability. Latarjet coracoid transfer has been considered a salvage surgical procedure for failed arthroscopic repairs or cases of significant glenoid bone loss; however, with recent literature suggesting reduced risk of recurrent instability with Latarjet, several surgeons have advocated its broader utilization as a primary operation for treatment of shoulder instability...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29236126/-structural-damage-after-shoulder-dislocation-and-development-of-surgical-treatment-from-a-historical-perspective
#9
REVIEW
P Habermeyer, P Magosch
In the nineteenth century there was a high incidence of habitual shoulder instability caused by epileptic seizures and accompanied by therapeutic dilettantism, which led to socioeconomic problems in the working population. In the preradiography era the pathomechanism of shoulder dislocation was only known on the basis of cadaver studies and autopsy findings. The underlying structural disorders of habitual shoulder instability in the Bismarck era were published by Malgaigne, Broca and Hartmann. In1898 the first surgical reconstructive stabilization procedure for habitual shoulder dislocation was performed by Wilhelm Müller in Rostock...
February 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29216701/-a-cadaveric-study-of-a-new-capsulorrhaphy-for-the-surgical-treatment-of-hallux-valgus
#10
S L Orozco-Villaseñor, M Monzó-Planella, X Martín-Oliva, J Vázquez-Escamilla, J J Mayagoitia-Vázquez, J E Frías-Chimal
BACKGROUND: There are many surgical options for the treatment of hallux valgus in combination with capsular repairs for the correction of hallux valgus. MATERIAL AND METHODS: This report corresponds to a descriptive study where a new capsulorrhaphy technique in hallux valgus is proposed. Six dissections were performed on cadavers with hallux valgus deformity using the following surgical technique: medial approach on the first toe longitudinally, dissecting by planes and locating the metatarsophalangeal joint capsule; it was incised longitudinally...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29203431/surgical-reduction-of-congenital-hip-dislocation
#11
REVIEW
C Glorion
Surgical reduction of congenital hip dislocation is technically challenging. In our practice, surgical reduction is usually reserved for patients who have failed non-operative treatment, which is the first-line strategy. However, primary surgery may be indicated if the dislocation is diagnosed late and can be performed until 8 years of age. The reduction step is crucial. It starts with painstaking exposure of the capsule. Identifying the lower part of the acetabulum is the key to accurate repositioning of the epiphysis...
February 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29058450/range-of-motion-of-the-first-metatarsophalangeal-joint-after-different-capsulorrhaphies-a-comparative-cadaver-study
#12
Can Xu, Mingqing Li, Chenggong Wang, Hua Liu
BACKGROUND: Capsulorrhaphy restricts the motion of the first metatarsophalangeal joint (1st MTPJ) in hallux valgus surgery. However, changes in motion of the first MTPJ immediately after surgery that resulted from different capsulorrhaphy methods have not been compared. The primary aim of this study was to compare the immediate effect of Y-shaped and inverted L capsulorrhaphy methods on the range of motion (ROM) of the 1st MTPJ. METHODS: Y-shaped and inverted L capsulorrhaphies were performed on sixteen human cadaveric feet...
October 23, 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29048695/evaluation-of-late-redislocation-in-patients-who-underwent-open-reduction-and-pelvic-osteotomy-as-treament-for-developmental-dysplasia-of-the-hip
#13
Ümit Tuhanioğlu, Hakan Cicek, Hasan U Ogur, Firat Seyfettinoglu, Ahmet Kapukaya
INTRODUCTION: The goal in the treatment of developmental dysplasia of the hip (DDH) is to achieve a stable and concentric reduction and to create a congruent relationship between the femoral head and the acetabulum. This study discusses the causes of loss of reduction in DDH patients who had a concentrically reduced hip at the time of removal of the hip spica cast and cessation of brace use and who later appeared with hip redislocation after mobilisation and ambulation. In addition, the possible interventions in such cases are also discussed...
October 16, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28706846/arthroscopic-reduction-and-fixation-of-transverse-intra-articular-glenoid-fractures-with-scapular-extension
#14
Anastasios Papadonikolakis
The most common procedure to address transverse glenoid fractures that are characterized by intra-articular step-off or gapping is open reduction and internal fixation. Disadvantages of open surgery are delay in regaining full range of motion, increased approach morbidity, neurovascular complications, and the need for capsulotomy, which delays healing and increases the risk of stiffness. An arthroscopically assisted fracture fixation, as described in this article, is characterized by better visualization of the glenoid articular surface and reduction of the intra-articular fragments under direct vision, which diminishes the chances of residual step-off after fixation...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28121863/revision-buttock-implantation-indications-procedures-and-recommendations
#15
Douglas M Senderoff
BACKGROUND: Buttock implant studies have focused largely on safety, efficacy, and complication rates of primary surgery. The revision buttock implant surgical experience has to date not been published. METHODS: A retrospective chart review was conducted to collect data from patients who underwent revision buttock implantation surgery performed by the author over a 12-year period from June of 2003 through December of 2015. Inclusion criteria consisted of any patient for whom an implant was either removed and replaced, exchanged, or repositioned after prior buttock implant surgery...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27570783/comparison-of-time-to-recurrence-of-instability-after-open-and-arthroscopic-bankart-repair-techniques
#16
Mandeep S Virk, Richard L Manzo, Mark Cote, James K Ware, Augustus D Mazzocca, Carl W Nissen, Kevin P Shea, Robert A Arciero
BACKGROUND: The results of open and arthroscopic instability repairs have been shown to be equivalent in recent literature. PURPOSE: To compare the time to recurrence (TTR) of instability and disease-specific outcome measures in patients undergoing open and arthroscopic Bankart repair. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients with recurrent traumatic anterior shoulder instability and a Bankart lesion on diagnostic arthroscopy underwent either open Bankart repair (OB) or arthroscopic Bankart and suture capsulorrhaphy (ABSC) using suture anchors...
June 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27543145/outcomes-after-arthroscopic-pancapsular-capsulorrhaphy-with-suture-anchors-for-the-treatment-of-multidirectional-glenohumeral-instability-in-athletes
#17
M Brett Raynor, Marilee P Horan, Joshua A Greenspoon, J Christoph Katthagen, Peter J Millett
BACKGROUND: Outcomes after arthroscopic pancapsular capsulorrhaphy (APC) with suture anchors for multidirectional instability (MDI) of the shoulder are not widely reported. PURPOSE: To compare intraoperative findings and midterm outcomes of APC with suture anchors for MDI between female and male athletes and between a classic, atraumatic onset versus clinical onset of MDI after a traumatic event. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27252441/glenoid-dysplasia-pathophysiology-diagnosis-and-management
#18
REVIEW
Josef K Eichinger, Joseph W Galvin, Jason A Grassbaugh, Stephen A Parada, Xinning Li
➤Subtle forms of glenoid dysplasia may be more common than previously thought and likely predispose some patients to symptomatic posterior shoulder instability. Severe glenoid dysplasia is a rare condition with characteristic radiographic findings involving the posteroinferior aspect of the glenoid that often remains asymptomatic.➤Instability symptoms related to glenoid dysplasia may develop over time with increased activities or trauma. Physical therapy focusing on rotator cuff strengthening and proprioceptive control should be the initial management...
June 1, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27132776/short-term-outcomes-of-glenoid-bone-block-augmentation-for-complex-anterior-shoulder-instability-in-a-high-risk-population
#19
Brian R Waterman, Philip J Chandler, Edward Teague, Matthew T Provencher, John M Tokish, Mark P Pallis
PURPOSE: To describe the short-term clinical outcomes of glenoid bone block augmentation in a high-demand population, as well as to describe its clinical success and complications at greater than 2 years' follow-up in an at-risk military population. METHODS: All patients undergoing anterior capsulorrhaphy with coracoid process transfer or anterior bone block augmentation (Current Procedural Terminology code 23662 or 23460) for shoulder instability between 2006 and 2012 were isolated from the Military Health System Management Analysis and Reporting Tool...
September 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27090723/hip-dislocation-or-subluxation-after-hip-arthroscopy-a-systematic-review
#20
REVIEW
Neil L Duplantier, Patrick C McCulloch, Shane J Nho, Richard C Mather, Brian D Lewis, Joshua D Harris
PURPOSE: To determine patient- and surgery-specific characteristics of patients sustaining postarthroscopic hip dislocation or subluxation. METHODS: A systematic review of multiple medical databases was registered with PROSPERO and performed using Preferred Reporting Items for Systemic Reviews and Meta-Analysis guidelines. Level I to IV clinical outcome studies reporting the presence of hip dislocation or subluxation after hip arthroscopy were eligible. Length of follow-up was not an exclusion criterion...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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