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https://www.readbyqxmd.com/read/29322875/biomechanical-analysis-of-capsular-repair-versus-arthrex-tfcc-ulnar-tunnel-repair-for-triangular-fibrocartilage-complex-tears
#1
Jayson C Johnson, Ferris M Pfeiffer, Jill E Jouret, David M Brogan
BACKGROUND: This study compares the effectiveness of a peripheral capsular repair with a knotless arthroscopic transosseous ulnar tunnel repair (TR) in restoring distal radioulnar joint (DRUJ) stability and stiffness in the setting of a massive triangular fibrocartilage complex (TFCC) tear. METHODS: Eight matched pairs of fresh-frozen cadaveric forearms were tested. Each forearm was tested in supination and pronation using 3-dimensional (3D) optical tracking devices prior to any intervention...
January 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29304982/editorial-commentary-knot-less-strength-at-half-the-cost-is-it-time-to-abandon-medial-row-anchors-in-shoulder-double-row-rotator-cuff-repair
#2
EDITORIAL
Seth L Sherman
Transosseous equivalent rotator cuff repair is an expensive construct that has demonstrated biomechanical superiority when compared with other rotator cuff repair techniques. A novel transosseous knotless repair that substitutes medial row anchors for a transosseous tunnel rivals the biomechanical advantages of transosseous equivalent rotator cuff repair at half the cost and with reduced dependence on bone quality. Surgeons should carefully consider if "knotless transosseous is more."
January 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29286032/-bidirectional-knotless-barbed-sutures-during-primary-total-knee-arthroplasty-effective-solution-or-new-problem
#3
D V Chugaev, N N Kornilov, S A Lasunskii
THE HYPOTHESIS OF THE STUDY: The use of bidirectional knotless barbed sutures for closure of capsule and subcutaneous fat tissue in primary total knee arthroplasty (TKA) is safe and time-saving. MATERIAL AND METHODS: 302 patients with end-stage osteoarthritis scheduled for primary non-complex TKA were randomly divided into two prospective groups: in group I (N=102) the capsule of the knee joint and subcutaneous fat tissues were closed by continuous braided suture while in group II (N=200) by bidirectional knotless barbed sutures...
2017: Khirurgiia
https://www.readbyqxmd.com/read/29281797/biomechanical-comparison-of-3-glenoid-side-fixation-techniques-for-superior-capsular-reconstruction
#4
Jonas Pogorzelski, Kyle J Muckenhirn, Justin J Mitchell, J Christoph Katthagen, Jason M Schon, Kimi D Dahl, Alan M Hirahara, Joshua S Dines, Christopher R Adams, Thomas Dooney, Patrick J Denard, Travis Lee Turnbull, Peter J Millett
BACKGROUND: Superior capsular reconstruction (SCR) was recently introduced as a treatment for irreparable superior rotator cuff tears in younger patients. Purpose/Hypothesis: The purpose was to assess the biomechanical strength of 3 methods for fixation of the graft to the glenoid for SCR. It was hypothesized that a 4-anchor technique would provide greater load to failure than 3-anchor techniques. STUDY DESIGN: Controlled laboratory study. METHODS: Thirty-six cadaveric specimens were randomized into 3 groups of previously established glenoid-side graft fixation techniques: (1) three 3...
December 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29234570/vaginal-cuff-closure-in-minimally-invasive-hysterectomy-a-review-of-training-techniques-and-materials
#5
REVIEW
Katherine Smith, Aileen Caceres
Hysterectomy is one of the most common surgeries performed each year and can be indicated for many gynecologic conditions. The development of minimally invasive surgery has transformed this procedure, resulting in improved outcomes, superior cosmesis, and quicker return to normal function. Vaginal cuff closure is a critical component of hysterectomy, with many variations in surgical technique and materials. This review provides an overview of intracorporeal suturing and knot-tying techniques at the level of a junior resident in obstetrics and gynecology and describes several validated models that have been developed to test resident skill level in vaginal cuff closure...
October 11, 2017: Curēus
https://www.readbyqxmd.com/read/29224059/lower-complication-rate-and-faster-return-to-sports-in-patients-with-acute-syndesmotic-rupture-treated-with-a-new-knotless-suture-button-device
#6
Christian Colcuc, Marc Blank, Thomas Stein, Florian Raimann, Sanjay Weber-Spickschen, Sebastian Fischer, Reinhard Hoffmann
PURPOSE: Suture button devices for tibiofibular syndesmosis injuries provide semirigid dynamic stabilization, but complications including knot irritation have been reported. No randomized trials of the new knotless suture button devices have been performed. We hypothesized that knotless suture button devices eliminate knot irritation and facilitate quicker return to sports. This study was performed to compare the clinical outcomes, complication rates, and time to return to sports between a new knotless suture button device and syndesmotic screw fixation...
December 9, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29203937/comparison-of-surgical-time-and-complication-rate-of-subcutaneous-and-skin-closure-using-barbed-suture-or-traditional-knotted-suture-in-dogs
#7
Laura K Nutt, Megan L Wilson, Sherisse Sakals
This prospective study evaluated the handling, intraoperative and postoperative complication rates of a barbed knotless suture for closure of subcutaneous tissue and skin in 17 client-owned dogs (group A) following a tibial plateau leveling osteotomy procedure. Clinical characteristics, surgical time, and complication rates were compared to a control group of 17 client-owned dogs (group B) with subcutaneous tissue and skin closure using traditional suture material. Signalment was not significantly different between groups and did not have an effect on complication rates...
December 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/29197038/barbed-versus-traditional-suture-for-enterotomy-closure-after-laparoscopic-right-colectomy-with-intracorporeal-mechanical-anastomosis-a-case-control-study
#8
Francesco Feroci, Iacopo Giani, Maddalena Baraghini, Luca Romoli, Tiku Zalla, Roberto Quattromani, Stefano Cantafio, Marco Scatizzi
Our aim was to establish the safety and efficacy of barbed suture for enterotomy closure after laparoscopic right colectomy with intracorporeal anastomosis. This study included 47 patients who underwent laparoscopic right hemicolectomy with intracorporeal mechanical anastomosis and barbed suture enterotomy closure (barbed suture closure-BSC) for adenocarcinoma (with the exception of T4 lesions and metastasis), compared with 47 matched patients who underwent laparoscopic right hemicolectomy with intracorporeal mechanical anastomosis and conventional suture enterotomy closure (conventional suture closure-CSC) during the same period...
December 1, 2017: Updates in Surgery
https://www.readbyqxmd.com/read/29103892/analysis-of-two-different-arthroscopic-brostr%C3%A3-m-repair-constructs-for-treatment-of-chronic-lateral-ankle-instability-in-110-patients-a-retrospective-cohort-study
#9
James M Cottom, Joseph Baker, Britton S Plemmons
Chronic lateral ankle instability is a common condition treated by most foot and ankle surgeons. Once conservative treatment has failed, patients often undergo surgical reconstruction, either anatomic or nonanatomic. The present retrospective cohort study compared the clinical outcomes of 2 different arthroscopic Broström procedures. A total of 110 patients (83 females [75.5%] and 27 males [24.5%]) were treated with 1 of the 2 lateral ankle stabilization techniques from October 1, 2014 to December 31, 2015...
November 2, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29082807/barbed-sutures-versus-conventional-sutures-for-uterine-closure-at-cesarean-section-a-randomized-controlled-trial
#10
Mohamed A Zayed, Usama M Fouda, Khaled A Elsetohy, Shereef M Zayed, Ahmed T Hashem, Mohamed A Youssef
INTRODUCTION: The aim of this randomized control trial was to compare the operative data and the early postoperative outcomes of cesarean sections in which the uterine incision was closed with a barbed suture (STRATAFIX™ Spiral PDO Knotless Tissue Control Device, SXPD2B405, Ethicon Inc.) with those of cesarean sections in which the uterine incision was closed with a conventional smooth suture (VICRYL(™); Ethicon Inc.). MATERIALS AND METHODS: One hundred pregnant patients were randomized in a 1:1 ratio to the Stratafix group or the Vicryl group...
October 29, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29081860/arthroscopic-lateral-ligament-repair-through-two-portals-in-chronic-ankle-instability
#11
Jorge Pablo Batista, Jorge Javier Del Vecchio, Luciano Patthauer, Manuel Ocampo
OBJECTIVES: Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition. MATERIAL AND METHODS: Of the 22 patients who were treated; 18 males and 4 females, and aged from 17-42 years (mean 28 years)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29079260/biomechanical-comparison-of-transosseous-knotless-rotator-cuff-repair-versus-transosseous-equivalent-repair-half-the-anchors-with-equivalent-biomechanics
#12
Robert Z Tashjian, Robert W Hoy, Joel R Helgerson, Andrew D Guss, Heath B Henninger, Robert T Burks
PURPOSE: To compare the biomechanics of a transosseous equivalent (TOE) repair using medial and lateral anchors with tape to a transosseous knotless (TOK) tape repair with only laterally placed intraosseous anchors. METHODS: One of 2 different repairs were performed on 8 paired specimens: (1) transosseous equivalent (TOE) tape repair or (2) transosseous knotless (TOK) tape repair. Specimens were mounted on a materials testing machine and loaded in uniaxial tension to measure cyclic construct gap formation, followed by failure testing...
October 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29063182/correction-to-predictors-of-outcomes-after-arthroscopic-transosseous-equivalent-rotator-cuff-repair-in-155-cases-a-propensity-score-weighted-analysis-of-knotted-and-knotless-self-reinforcing-repair-techniques-at-a-minimum-of-2%C3%A2-years
#13
Peter J Millett, Chris Espinoza, Marilee P Horan, Charles P Ho, Ryan J Warth, Grant J Dornan, J Christoph Katthagen
The author claims that his name is wrongly listed on PubMed. It seems, that first and last name have been mixed up. Correct first name is: J. Christoph (on PubMed: J.).
October 23, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29062447/overcoming-the-learning-curve-of-single-port-total-laparoscopic-hysterectomy-with-barbed-suture-a-single-surgeon-s-initial-experience
#14
Yoon Hee Lee, Gun Oh Chong, Mi Ju Kim, Dae Gy Hong, Yoon Soon Lee
INTRODUCTION: Single-port total laparoscopic hysterectomy (TLH) has not been widely used because of its technical difficulty and steep learning curve, especially the laparoscopic suturing of the vaginal stump. Barbed suturing is a new technology that has the potential to greatly facilitate laparoscopic suturing. AIM: To compare surgical outcomes and vaginal vault healing between barbed sutures and traditional sutures in the repair of the vaginal vault during single-port TLH...
September 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29045003/barbed-expansion-sphincter-pharyngoplasty-for-the-treatment-of-oropharyngeal-collapse-in-obstructive-sleep-apnoea-syndrome-a-retrospective-study-on-17-patients
#15
LETTER
L Pianta, G Bertazzoni, R Morello, P Perotti, P Nicolai
No abstract text is available yet for this article.
October 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29038043/laparoscopic-excision-of-a-scar-pregnancy-and-isthmocele-repair
#16
Huseyin Kiyak, Lale Susan Wetherilt, Kerem Doga Seckin, Ibrahim Polat, Pınar Kadirogullari, Tolga Karacan
Laparoscopic excision of a scar pregnancy and isthmocele repair with barbed suture Design Step by step explanation of the laparoscopic excision technique of a scar pregnancy and isthmocele repair Setting Cesarean scar pregnancy occurs as a result of attachment of the products of conception to the uterine scar. In the present case, a 34 year old G4 P1 patient with a history of one miscarriage and one ectopic pregnancy was diagnosed with type 2 cesarean scar pregnancy at 7 weeks of gestation. A Dilation & Curretage was performed at the 8th week of gestation to terminate the pregnancy...
October 13, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28983653/combined-arthroscopic-all-inside-repair-of-lateral-and-medial-ankle-ligaments-is-an-effective-treatment-for-rotational-ankle-instability
#17
Jordi Vega, Jörg Allmendinger, Francesc Malagelada, Matteo Guelfi, Miki Dalmau-Pastor
PURPOSE: When the anterior fascicle of the deltoid ligament is injured in patients with chronic ankle instability, the diagnosis of rotational ankle instability is supported. The aim of this study was to report the results of an all-arthroscopic technique to concomitantly repair the lateral collateral and deltoid ligaments to treat patients with rotational ankle instability. METHODS: Thirteen patients [12 men and 1 woman, median age 32 (15-54) years] with rotational ankle instability were treated by arthroscopic means after failing non-operative management...
October 5, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28970991/long-biceps-subpectoral-tenodesis-with-suspensory-button-and-bicortical-fixation
#18
Nuno Gomes, Manuel Ribeiro da Silva, Helder Pereira, Ricardo Aido, Ricardo Sampaio
Tenodesis of the long head of the biceps (LHB) tendon has long been recognized as a valid alternative to address pathologic conditions of this tendon. However, the location and type of fixation is still a matter of discussion, because common complications associated with this procedure include failure of the repair, persistent pain, reaction to the fixation device, cosmetic deformity, and fracture. The authors describe a method of subpectoral LHB tenodesis that aims to preserve bone stock and allows a strong, easy, and reproducible type of fixation with a minimal approach...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28935379/knotless-double-row-suturebridge-rotator-cuff-repairs-have-improved-self-reinforcement-compared-with-double-row-suturebridge-repairs-with-tied-medial-knots-a-biomechanical-study-using-an-ovine-model
#19
Geoffrey C S Smith, Theresia M Bouwmeester, Patrick H Lam
BACKGROUND: In double-row SutureBridge (Arthrex, Naples, FL, USA) rotator cuff repairs, increasing tendon load may generate progressively greater compression forces at the repair footprint (self-reinforcement). SutureBridge rotator cuff repairs using tied horizontal mattress sutures medially may limit this effect compared with a knotless construct. MATERIALS AND METHODS: Rotator cuff repairs were performed in 9 pairs of ovine shoulders. One group underwent repair with a double-row SutureBridge construct with tied horizontal medial-row mattress sutures...
December 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28921666/comparison-of-laparoscopic-gastropexy-performed-via-intracorporeal-suturing-with-knotless-unidirectional-barbed-suture-using-a-needle-driver-versus-a-roticulated-endoscopic-suturing-device-30-cases
#20
Kristin A Coleman, Eric Monnet
OBJECTIVE: To compare two suturing techniques for prophylactic laparoscopic gastropexy in healthy dogs. STUDY DESIGN: Retrospective case series. ANIMALS: Thirty healthy client-owned dogs from breeds predisposed to gastric dilation volvulus. METHODS: Medical records of dogs presented for prophylactic laparoscopic gastropexy performed with knotless unidirectional barbed suture were reviewed. Dogs were grouped based on the device used for suturing, consisting of an endoscopic needle driver (END) vs an endoscopic suturing device (ESD)...
September 16, 2017: Veterinary Surgery: VS
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