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Labral reconstruction

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https://www.readbyqxmd.com/read/27909669/reconstruction-of-massive-posterior-nonrepairable-acetabular-labral-tears-with-peroneus-brevis-tendon-allograft-arthroscopy-assisted-mini-open-approach
#1
Esther Moya, Luis Gerardo Natera, Carlomagno Cardenas, Emanuele Astarita, Vittorio Bellotti, Manel Ribas
Many of the described labral-reconstruction procedures are purely arthroscopic. This approach only allows segmentary reconstructions. For more extensive reconstructions, surgical dislocation of the hip still represents the more suitable approach. We present an arthroscopy-assisted procedure combined with an anterior mini-open approach, which could be considered for reconstruction of nonrepairable labral lesions located in the posterior aspect of the acetabulum and massive reconstructions in cases of global-pincer femoroacetabular impingement and protrusio acetabuli...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27896294/a-qualitative-assessment-of-return-to-sport-after-hip-arthroscopy-for-femoroacetabular-impingement
#2
Vehniah K Tjong, Charles J Cogan, Brett D Riederman, Michael A Terry
BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) is known to produce excellent outcomes, yet some patients do not return to their preinjury level of sport participation. Much literature on return to sport has revolved around anterior cruciate ligament reconstruction and even shoulder instability, but none to date have used qualitative, semistructured patient interviews on patients with hip labral tears. PURPOSE: To understand the factors influencing the decision to return to sport after arthroscopic hip surgery for FAI...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27720304/revision-arthroscopic-acetabular-labral-treatment-repair-or-reconstruct
#3
Brian J White, Julie Patterson, Mackenzie M Herzog
PURPOSE: To compare the outcome of labral repair versus labral reconstruction in patients presenting to a single surgeon for revision hip arthroscopy following previous labral treatment. METHODS: Patients who underwent revision labral repair or labral reconstruction using iliotibial band allograft, after previous labral debridement or repair, between 2009 and 2013 were identified. Hips that underwent revision labral reconstruction were further stratified into 2 graft groups (freeze-dried v frozen allograft)...
October 5, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27709022/arthroscopic-repair-of-inferior-labrum-anterior-to-posterior-lesions-of-the-shoulder-using-a-combined-double-pulley-simple-knot-technique
#4
Nata Parnes, Maryellen Blevins, Brian Carr, Paul Carey
Inferior labrum anterior to posterior lesions as an isolated injury or as part of an extensive traumatic labral tear are uncommon and may present as multidirectional instability of the shoulder. These lesions are hard to visualize radiographically and many times are diagnosed only during surgery. Arthroscopic repair of these lesions requires advanced arthroscopic skills and is required for restoration of glenohumeral stability. We report a combined double-pulley simple knot technique that anatomically reconstructs the inferior labrum while overcoming the typical technical challenges, providing a large footprint for healing along the inferior glenoid rim and minimizing the amount of suture material in direct contact with the articular cartilage and the risk of knot migration...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27591543/variations-of-midfacial-soft-tissue-thickness-in-subjects-aged-between-6-and-18years-for-the-reconstruction-of-the-profile-a-study-on-an-italian-sample
#5
Daniele Gibelli, Federica Collini, Davide Porta, Matteo Zago, Claudia Dolci, Cristina Cattaneo, Chiarella Sforza
Facial approximation techniques used in forensic anthropology are based on soft-tissue thickness databases. However most of articles deal with adult populations, and very few studies were conducted on minors. This study aims at providing data concerning facial thickness for George reconstruction, preliminary to the 3D facial approximation. Diagnostic cephalometric X-ray films were obtained from 222 healthy Caucasoid children (91 boys and 131 girls), aged between 6 and 18years, treated in a Department of Orthodontics of Northern Italy...
September 2016: Legal Medicine
https://www.readbyqxmd.com/read/27581790/hip-labral-repair-options-and-outcomes
#6
REVIEW
Joshua D Harris
The importance of the acetabular labrum has been increasingly recognized, playing a critical role in both normal anatomy and abnormal pathology of the hip joint. The labrum increases acetabular surface area and volume, providing a stable and durable articulation. The fibrocartilaginous composition affords a tissue capable of a lifetime of normal function in the absence of significant osseous pathology. In the setting of femoroacetabular impingement (FAI) or dysplasia, bony biomechanics may cause labral injury, which may translate to patient symptoms...
December 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27504464/epidemiology-of-operative-procedures-in-an-ncaa-division-i-football-team-over-10-seasons
#7
Nima Mehran, Christos D Photopoulos, Steven J Narvy, Russ Romano, Seth C Gamradt, James E Tibone
BACKGROUND: Injury rates are high for collegiate football players. Few studies have evaluated the epidemiology of surgical procedures in National Collegiate Athletic Association (NCAA) Division I collegiate football players. PURPOSE: To determine the most common surgical procedures performed in collegiate football players over a 10-year period. STUDY DESIGN: Descriptive epidemiological study. METHODS: From the 2004-2005 season through the 2013-2014 season, all surgical procedures performed on athletes from a single NCAA Division I college football team during athletic participation were reviewed...
July 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27475898/acetabular-labral-debridement-segmental-resection-versus-reconstruction-in-the-comprehensive-treatment-of-symptomatic-femoroacetabular-impingement-a-systematic-review
#8
Csaba Forster-Horvath, Noah von Rotz, Brian D Giordano, Benjamin G Domb
PURPOSE: To perform a systematic review comparing outcomes of labral debridement/segmental resection with labral reconstruction as part of a comprehensive treatment strategy for femoroacetabular impingement. METHODS: A systematic review was conducted according to established PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using defined inclusion and exclusion criteria. The study groups were divided into labral debridement/segmental resection (group 1) and labral reconstruction (group 2)...
July 27, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27462535/hip-capsular-reconstruction-using-dermal-allograft
#9
Jorge Chahla, Chase S Dean, Eduardo Soares, William R Mook, Marc J Philippon
Because hip arthroscopic procedures are increasing in number, complications related to the operation itself are starting to emerge. Whereas the capsule has been recognized as an important static stabilizer for the hip, it has not been until recently that surgeons have realized the importance of its preservation and restoration. Disruption of the capsule during arthroscopic procedures is a potential contributor to postoperative iatrogenic hip instability. In cases of a symptomatic deficient capsule, a capsular reconstruction is mandatory because instability may lead to detrimental chondral and labral changes...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27462534/arthroscopic-labrum-reconstruction-in-the-hip-using-the-indirect-head-of-rectus-femoris-as-a-local-graft-surgical-technique
#10
Zachary T Sharfman, Eyal Amar, Thomas Sampson, Ehud Rath
The importance of the acetabular labrum has been well documented for the health and function of the hip joint. Labral reconstruction has proven effective but often requires the use of a cadaveric allograft or auto graft from the fascia lata or gracilis. The indirect head of the rectus femoris is in close proximity with the anterior superior acetabulum, which is the most common site of labral tears. Using the indirect head of the rectus femoris as a local graft minimizes surgical invasiveness by mitigating the need to harvest the graft from a different location, in case of an autograft, and by minimizing donor site morbidity and damage to local tissues...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27458896/hip-pain-after-a-femoral-fracture-it-is-not-always-related-to-the-implant
#11
Brian J White, Tara K Hawkes, Mackenzie M Herzog
The source of continued hip pain following fixation of traumatic femoral shaft fracture is not always clear. Intra-articular hip pathology is often overlooked when evaluating the etiology of residual pain. The purpose of this study was to describe cases of intra-articular hip pathology following traumatic femoral shaft fracture. This was a retrospective case series of patients presenting to a private practice orthopedic clinic from 2012 to 2015. Three patients presented with symptomatic intra-articular hip pathology following traumatic ipsilateral femoral shaft fracture...
November 1, 2016: Orthopedics
https://www.readbyqxmd.com/read/27354954/hip-labral-reconstruction-the-kite-technique-for-improved-efficiency-and-graft-control
#12
Sanjeev Bhatia, Jorge Chahla, Chase S Dean, Michael B Ellman
Although the merits of labral reconstruction have been well established, the technical difficulty of presently used reconstruction techniques-particularly with graft passage and fixation-limit its efficacy and potentiates the risk of iatrogenic damage within the hip joint. The unwieldy nature of a floating labral graft anchored on one end may impede accurate fixation of the other end, which is critical for restoration of the fluid hip seal and preservation of graft integrity. In this technique narrative, we present a "kite technique" for introduction, control, and efficient fixation of a labral reconstruction graft...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27347868/arthroscopic-shoulder-surgery-in-female-professional-tennis-players-ability-and-timing-to-return-to-play
#13
Simon W Young, Jodie Dakic, Kathleen Stroia, Michael L Nguyen, Marc R Safran
OBJECTIVE: To assess the outcome and time to return to previous level of competitive play after shoulder surgery in professional tennis players. DESIGN: Retrospective case series. SETTING: Tertiary academic centre. PATIENTS AND INTERVENTIONS: The records of all female tennis players on the Women's Tennis Association (WTA) professional circuit between January 2008 and June 2010 were reviewed to identify players who underwent shoulder surgery on their dominant (serving) shoulder...
June 22, 2016: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/27343389/management-of-the-acetabular-labrum
#14
REVIEW
Andrew B Wolff, Jamie Grossman
The options for labral treatment are debridement, repair, and reconstruction. Debridement of labral tissue is indicated when there is peripheral tearing of the labrum that does not compromise the functionality of the labrum at its base or if the labrum is not playing an important role in the patient's pathology. Labral repair is performed when the base of the labrum is unstable at its attachment at the acetabular rim and the tissue is of otherwise good quality. Labral reconstruction is an option for labral tissue compromised beyond repair, segmental labral defect, or previous failed repair...
July 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27216250/the-study-on-facial-soft-tissue-thickness-using-han-population-in-xinjiang
#15
Jierui Wang, Xi Zhao, Congbo Mi, Iqbal Raza
Facial profile is an important aspect in physical anthropology, forensic science, and cosmetic research. Thus, facial soft tissue measurement technology plays a significant role in facial restoration. A considerable amount of work has investigated facial soft tissue thickness, which significantly varies according to gender, age, and race. However, only few studies have considered the nutritional status of the investigated individuals. Moreover, no sufficient research among Chinese ethnic groups, particularly Xinjiang population in China, is currently available...
September 2016: Forensic Science International
https://www.readbyqxmd.com/read/27174068/reconstruction-of-nonrepairable-acetabular-labral-tears-with-allografts-mid-term-results
#16
Esther Moya, Manuel Ribas, Luis Natera, Carlomagno Cardenas, Vittorio Bellotti, Emanuele Astarita
BACKGROUND: Many labral tears are nonrepairable. For these cases, labral reconstruction procedures may be considered in order to restore the joint fluid seal and prolong hip longevity. AIMS: The aim of this study was to describe the clinical and functional outcomes of a series of cases with nonrepairable labral tears that underwent labral reconstruction with tendon allografts. The hypothesis was that labral reconstruction would provide good clinical outcomes. METHOD: A cohort of 20 patients with nonrepairable labral tears, which underwent to labral grafting mainly by means of arthroscopic assisted anterior mini-open approach, were included in this study...
May 14, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27073784/arthroscopic-labral-reconstruction-of-the-hip-using-iliotibial-band-allograft-and-front-to-back-fixation-technique
#17
Brian J White, Mackenzie M Herzog
Labral repair has been shown to be an effective treatment option with excellent early outcomes; however, in cases of severe labral damage or when the labral tissue is too large or diminutive, labral repair may be less effective. The purpose of this article is to present a modified technique for hip labral reconstruction using iliotibial band allograft tissue and a front-to-back fixation technique. The described technique is modified from the original report of a technique for arthroscopic labral reconstruction...
February 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27017566/treatment-of-ulnar-collateral-ligament-injuries-and-superior-labral-tears-by-major-league-baseball-team-physicians
#18
Brandon J Erickson, Joshua D Harris, Yale A Fillingham, Gregory L Cvetanovich, Charles A Bush-Joseph, Bernard R Bach, Anthony A Romeo, Nikhil N Verma
PURPOSE: To determine practice patterns of Major League Baseball (MLB) team orthopaedic surgeons in addressing the controversial topics of ulnar collateral ligament (UCL) tears, type II SLAP tears, and partial-thickness rotator cuff tear. METHODS: Seventy-four MLB team orthopaedic surgeons were surveyed via an online survey system. A 14-question survey was used to assess surgeon experience, technique, and graft choice for UCL reconstruction (UCLR), treatment of type II SLAP tears, and other common pathologic conditions...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27011865/clinical-and-radiographical-results-of-labral-reconstruction
#19
Roland S Camenzind, Isabelle Steurer-Dober, Martin Beck
Treatment of femoroacetabular impingement (FAI) includes correction of underlying bony deformities. Labrum preservation is recommended whenever possible. In hips, where the labrum is missing or damaged beyond preservation, labral reconstruction is an option to restore labral seal. Between 2008 and 2011, 84 hips underwent treatment for FAI by means of a surgical hip dislocation. In 13 of these hips (11 patients), the severely damaged or missing labrum was reconstructed with ligamentum capitis femoris. Pre- and postoperative radiographic and clinical data were analysed with a mean follow-up of 38 months (range: 19-65 months)...
December 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/27011861/description-and-mid-term-results-of-the-over-the-top-technique-for-the-treatment-of-the-pincer-deformity-in-femoroacetabular-impingement
#20
Victor M Ilizaliturri, Pedro Joachin, Marco Acuna
Pincer impingement is often treated by surgical labral separation from the acetabular rim and rim reduction. A more recent technique the so-called 'over the top' involves reduction of the bony acetabular rim without separation of the labrum. Our purpose is to report mid-term results of the 'over the top' technique. Between January 2006 and January 2013 a consecutive series of patients with femoroacetabular impingement (FAI) diagnosis, treated with the 'over the top' technique were included, using the lateral approach...
December 2015: Journal of Hip Preservation Surgery
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