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https://www.readbyqxmd.com/read/27909680/anatomic-labral-repair-in-the-hip-using-a-knotless-tensionable-suture-anchor
#1
Carlos Suarez-Ahedo, Timothy J Martin, John P Walsh, Sivashankar Chandrasekaran, Parth Lodhia, Benjamin G Domb
To perform a proper labral repair, most surgeons use anchors to secure the labrum to the acetabular bone. We aim to describe a technique for labral repair with a knotless tensionable suture anchor. This technique uses a looped suture configuration, allowing selective tensioning of the repair to maintain the anatomic suction seal of the hip. The use of this technique is easily reproducible and reduces the surgical time compared with previous techniques.
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27890337/a-double-button-adjustable-loop-device-is-biomechanically-equivalent-to-tension-band-wire-in-the-fixation-of-transverse-patellar-fractures-a-cadaveric-study
#2
Fucai Han, Christopher Jon Pearce, David Q K Ng, Amit K Ramruttun, Desmond Y R Chong, Diarmuid Murphy, Chin Tat Lim, Bernard C S Lee
INTRODUCTION: Tension-band wire fixation of patellar fractures is associated with significant hardware-related complications and infection. Braided polyester suture fixation is an alternative option. However, these suture fixations have higher failure rates due to the difficulty in achieving rigid suture knot fixation. The Arthrex syndesmotic TightRope, which is a double-button adjustable loop fixation device utilizing a 4-point locking system using FibreWire, may not only offer stiff rigid fixation using a knotless system, but may also obviate the need for implant removal due to hardware related problems...
November 17, 2016: Injury
https://www.readbyqxmd.com/read/27871971/speed-bridge-arthroscopic-reinsertion-of-tibial-eminence-fracture-complementary-to-the-adjustable-button-fixation-technique
#3
A Hardy, L Casabianca, O Grimaud, A Meyer
In comminuted fracturesof the intercondyloid eminence of the tibial spine, the quality of the reduction and the arthroscopic fixation, notably adjustable suture buttonfixation, is sometimes disappointing with reduction defects of theanterior bone block. In the Speed-Bridge technique, the two traction sutures of the adjustable button fixation are replaced with two braided sutures of different colors. After the button is placed above the eminence, reduction is obtained by tightening the loop of the button. The accessory communitive fragments are then packed in the depressionaround the main fragment...
November 18, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27768519/five-year-single-center-experience-for-retroperitoneoscopic-ureterolithotomy
#4
Yong Sung Won, Seung-Ju Lee, Hee Youn Kim, Dong Sup Lee
INTRODUCTION: Narrow working space is a major problem to overcome during retroperitoneoscopic ureterolithotomy. We evaluated initial 5 years experience of retroperitoneoscopic ureterolithotomy for large impacted upper ureteral calculi. PATIENTS AND METHODS: Between January 2011 and December 2015, a total of 37 consecutive patients were evaluated. A 12-mm camera port at middle of midaxillary line and two 5-mm working ports in posterior axillary line were created...
October 21, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27764571/technical-feasibility-of-enterotomy-closure-with-knotless-barbed-suture-material-v-loc-180-in-esophagojejunostomy-using-linear-stapler-during-totally-laparoscopic-total-gastrectomy-for-gastric-cancer
#5
Dong Jin Kim, Wook Kim, Jun Hyun Lee
PURPOSE: Intra-corporeal esophagojejunostomy (EJ) using a linear stapler creates a stapler entry hole that requires secure closure during the totally laparoscopic total gastrectomy (TLTG) procedure for gastric cancer. Since a standard method has not been established yet, the feasibility of using V-loc 180 (Covidien, Mansfield, MA, USA) suture material was evaluated in this study. MATERIALS AND METHODS: During January 2012 to March 2015, 25 patients who underwent linear stapling EJ and V-loc 180 closure of remaining enterotomy were included in this study...
October 20, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27752817/laparoscopic-percutaneous-jejunostomy-with-intracorporeal-v-loc-jejunopexy-in-esophageal-cancer
#6
Shun-Mao Yang, Wei-Ling Hsiao, Jui-Hsiang Lin, Pei-Ming Huang, Jang-Ming Lee
BACKGROUND: Barbed sutures are widely used in various laparoscopic digestive surgeries. The purpose of this paper is to present our initial experience of laparoscopic percutaneous jejunostomy with unidirectional barbed sutures in esophageal cancer patients and compare it with our early cases using traditional transabdominal sutures. METHODS: A total of 118 esophageal cancer patients who underwent laparoscopic percutaneous jejunostomy were identified in a single institution in Taiwan from June 2014 to May 2016...
October 17, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27733881/arthroscopic-double-row-transosseous-equivalent-rotator-cuff-repair-with-a-knotless-self-reinforcing-technique
#7
William R Mook, Joshua A Greenspoon, Peter J Millett
BACKGROUND: Rotator cuff tears are a significant cause of shoulder morbidity. Surgical techniques for repair have evolved to optimize the biologic and mechanical variables critical to tendon healing. Double-row repairs have demonstrated superior biomechanical advantages to a single-row. METHODS: The preferred technique for rotator cuff repair of the senior author was reviewed and described in a step by step fashion. The final construct is a knotless double row transosseous equivalent construct...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27731517/laparoscopic-gastropexy-using-knotless-unidirectional-suture-and-an-articulated-endoscopic-suturing-device-seven-cases
#8
Kristin A Coleman, Sean Adams, Daniel D Smeak, Eric Monnet
OBJECTIVE: To describe a technique for laparoscopic incisional gastropexy using an articulated endoscopic suturing device with knotless unidirectional barbed suture in healthy large breed dogs. STUDY DESIGN: Prospective case series. ANIMALS: Healthy client-owned dogs presented for prophylactic gastropexy and weighing >20 kg (n=7). METHODS: Incisional gastropexy was performed using a single port access system with an articulated endoscopic suturing device...
November 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27728954/anterior-cruciate-ligament-repair-with-internal-brace-ligament-augmentation
#9
William T Wilson, Graeme P Hopper, Paul A Byrne, Gordon M MacKay
BACKGROUND: Anterior cruciate ligament (ACL) reconstruction using tendon or ligament autograft is the gold standard surgical treatment for acute ruptures; however, this is still associated with subsequent problems and variable outcomes. Renewed interest in healing of injured ACL tissue has led to new surgical repair techniques. CASE DESCRIPTION: We report the case of one of the first patients to undergo this novel procedure of ACL repair with internal bracing. An internal brace is a bridging concept using braided suture tape and knotless bone anchors to reinforce ligament strength...
October 6, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27699517/modified-overlap-method-using-knotless-barbed-sutures-mobs-for-intracorporeal-esophagojejunostomy-after-totally-laparoscopic-gastrectomy
#10
Sang-Yong Son, Long-Hai Cui, Ho-Jung Shin, Cheulsu Byun, Hoon Hur, Sang-Uk Han, Yong Kwan Cho
BACKGROUND: Compared to end-to-side anastomosis with a circular stapler, the overlap method is favored for intracorporeal esophagojejunostomy because it facilitates handling of the stapler, even in narrow spaces, and wider anastomosis. However, it associates with technical difficulties during anastomosis, including difficult traction on the esophageal stump that necessitates stay sutures. Here, we introduce a new modified overlap method that employs knotless barbed sutures (MOBS) and report the outcomes of our case series...
October 3, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27699462/barbed-sutures-in-body-contouring-outcome-analysis-of-695-procedures-in-623-patients-and-technical-advances
#11
Dominik Duscher, Michael S Pollhammer, Raphael Wenny, Andreas Shamiyeh, Manfred Schmidt, Georg M Huemer
INTRODUCTION: Surgical wound closure is often complicated by suture-related issues. The recent introduction of knotless barbed sutures may address the shortcomings of conventional sutures and offer the additional benefit of reduced operating time. In this paper, we describe our experience with barbed sutures for body-contouring procedures. We share technical insights and evaluate postoperative complications. PATIENTS AND METHODS: A retrospective assessment of prospectively collected data over a period of more than 5 years was undertaken...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27697181/editorial-commentary-can-passive-muscle-stiffness-in-a-cadaveric-study-be-clinically-related-to-using-knotted-versus-knotless-rotator-cuff-repair
#12
Maxwell C Park
Is a biomechanical cadaveric study to assess the effect of rotator cuff tear size and repair technique on supraspinatus muscle stiffness clinically relevant? A study in this issue compared double-row and knotless transosseous-equivalent repairs, but notably, muscle loading was not simulated. Results showed that the knotless transosseous-equivalent repair for larger tears demonstrated a more uniform stiffness distribution across the supraspinatus muscle compared with the double-row repair. However, given the inherently asymmetrical functional anatomy and morphology of the supraspinatus tendon-muscle unit, when muscle tone exists, the effect of the repair technique on muscle stiffness in vivo may not be determined based on the findings of this study...
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27679134/unidirectional-knotless-barbed-suture-for-laparoscopic-myomectomy-fertility-pregnancy-and-delivery-outcomes
#13
A Racca, F Alessandri, U Leone Roberti Maggiore, S Fausta, P L Venturini, S Ferrero
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27614823/a-biomechanical-comparison-of-3-different-arthroscopic-lateral-ankle-stabilization-techniques-in-36-cadaveric-ankles
#14
James M Cottom, Joseph S Baker, Phillip E Richardson, Jared M Maker
Arthroscopic lateral ankle stabilization has become an increasingly popular option among foot and ankle surgeons to address lateral ankle instability, because it combines a modified Broström-Gould procedure with the ability to address any intra-articular pathologic findings at the same session. The present study evaluated 3 different constructs in a cadaveric model. Thirty-six fresh frozen cadaver limbs were used, and the anterior talofibular ligament was identified and sectioned. The specimens were then placed into 1 of 3 groups...
September 7, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27582985/the-temporal-outcomes-of-open-versus-arthroscopic-knotted-and-knotless-rotator-cuff-repair-over-5-years
#15
Thomas R Lucena, Patrick H Lam, Neal L Millar, George Ac Murrell
BACKGROUND: The present study aimed to determine how repair technique influenced structural and clinical outcomes at 5 years post-surgery. METHODS: Three cohorts of patients had repair of a symptomatic rotator cuff tear using (i) an open double-row mattress repair technique (n = 25); (ii) arthroscopic single-row simple suture knotted technique (n = 25); or (iii) arthroscopic single-row inverted mattress knotless technique (n = 36) by one surgeon. Standardized patient- and examiner-determined outcomes were obtained pre-operatively and postoperatively with a validated protocol, ultrasound were also performed at the same time...
October 2015: Shoulder & Elbow
https://www.readbyqxmd.com/read/27555353/knotless-repair-of-achilles-tendon-rupture-in-an-elite-athlete-return-to-competition-in-18%C3%A2-weeks
#16
Paul A Byrne, Graeme P Hopper, William T Wilson, Gordon M Mackay
Rupture of the Achilles tendon is an increasingly common injury, particularly in physically active males, and current evidence favors minimally invasive surgical repair. We describe the case of a 36-year-old male elite bobsled athlete with complete rupture of the Achilles tendon. He was treated with surgical repair of the ruptured tendon using an innovative, minimally invasive procedure based on an internal bracing concept and was able to undergo early mobilization and aggressive physiotherapy rehabilitation...
August 20, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27545051/difference-in-vascular-patterns-between-transosseous-equivalent-and-transosseous-rotator-cuff-repair
#17
Atsushi Urita, Tadanao Funakoshi, Tatsunori Horie, Mutsumi Nishida, Norimasa Iwasaki
BACKGROUND: Vascularity is the important factor of biologic healing of the repaired tissue. The purpose of this study was to clarify sequential vascular patterns of repaired rotator cuff by suture techniques. METHODS: We randomized 21 shoulders in 20 patients undergoing arthroscopic rotator cuff repair into 2 groups: transosseous-equivalent repair (TOE group, n = 10) and transosseous repair (TO group, n = 11). Blood flow in 4 regions inside the cuff (lateral articular, lateral bursal, medial articular, and medial bursal), in the knotless suture anchor in the TOE group, and in the bone tunnel in the TO group was measured using contrast-enhanced ultrasound at 1 month, 2 months, 3 months, and 6 months postoperatively...
August 18, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27514943/knotless-suture-anchor-with-suture-tape-quadriceps-tendon-repair-is-biomechanically-superior-to-transosseous-and-traditional-suture-anchor-based-repairs-in-a-cadaveric-model
#18
Michael C Kindya, John Konicek, Angelo Rizzi, David E Komatsu, James M Paci
PURPOSE: To compare the biomechanical properties of a knotless suture anchor with suture tape quadriceps tendon repair technique with transosseous and suture anchor repair techniques. METHODS: Twenty matched pairs of cadaveric knees underwent a quadriceps tendon avulsion followed by repair via the use of transosseous tunnels with #2 high-strength sutures, 5.5-mm biocomposite fully threaded suture anchors with #2 high-strength sutures, or 4.75-mm biocomposite knotless suture anchors with suture tape...
August 8, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27501704/management-of-shoulder-instability-the-current-state-of-treatment-among-german-orthopaedic-surgeons
#19
Maurice Balke, Sven Shafizadeh, Bertil Bouillon, Marc Banerjee
INTRODUCTION: The aim of this study was to evaluate the current state of treatment in traumatic anterior shoulder dislocation in Germany and to detect changes over the last 12 years. METHODS: Seven hundred ninety-six trauma and/or orthopaedic departments were found in the German hospital directory 2012. The websites of each department were searched for the email address of the responsible shoulder surgeon (if applicable) or the head of the department. Seven hundred forty-six email addresses were found, and emails with the request to participate in an online survey were sent in January 2013...
December 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27497939/effectiveness-of-a-barbed-suture-in-the-repair-of-bile-duct-injury-during-laparoscopic-cholecystectomy-report-of-two-cases
#20
Yusuke Takahashi, Naoyuki Yokoyama, Natsumi Matsuzawa, Daisuke Sato, Tetsuya Otani
INTRODUCTION: Bile duct injury during laparoscopic cholecystectomy occurs in rare cases. We report two cases using barbed suture for repair in bile duct injury during laparoscopic cholecystectomies. PRESENTATION OF CASES: The first patient was a 73-year-old woman who underwent elective laparoscopic cholecystectomy for cholecystolithiasis. When the gallbladder was dissected from the bed, bile spillage was observed and an injured small bile duct was detected. The bile duct could not be managed using a titanium clip...
2016: International Journal of Surgery Case Reports
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