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https://www.readbyqxmd.com/read/27904216/scapholunate-ligament-reconstruction-using-the-palmaris-longus-tendon-and-suture-anchor-fixation-in-chronic-scapholunate-instability
#1
Maulik Jagdish Gandhi, Timothy Paul Knight, Peter John Ratcliffe
BACKGROUND: Multiple reconstruction techniques have been described in the management of chronic scapholunate (SL) instability, either based on the capsulodesis or tenodesis principle. It is uncertain which surgical method produces the best patient outcomes. We describe results of a technique using palmaris longus (PL) tendon for surgical reconstruction of the SL ligament and provide functional outcomes scores. MATERIALS AND METHODS: We surgically reconstructed the SL ligament using a PL tendon graft secured with Mitek(®) bone anchors...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27901383/security-and-biomechanical-strength-of-three-end-pass-configurations-for-the-terminal-end-of-intradermal-closures-performed-with-unidirectional-barbed-suture-material-in-dogs
#2
Penny J Regier, Daniel D Smeak, Kirk C McGilvray
OBJECTIVE To compare security of continuous intradermal suture lines closed by use of barbed suture with 3 end-pass configurations or without an end-pass configuration. SAMPLE 40 full-thickness, 4-cm-long, parasagittal wounds in canine cadavers. PROCEDURES Each continuous intradermal closure was terminated with 1 of 3 end-pass techniques or without an end-pass configuration (control group). A servohydraulic machine applied tensile load perpendicular to the long axis of the suture line. A load-displacement curve was generated for each sample; maximum load, displacement, stiffness, mode of construct failure, and load at first suture slippage at termination (ie, terminal end of the suture line) were recorded...
December 2016: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/27900336/optimal-lateral-row-anchor-positioning-in-posterior-superior-transosseous-equivalent-rotator-cuff-repair-a-micro-computed-tomography-study
#3
Matthias A Zumstein, Sumit Raniga, Agatha Labrinidis, Kevin Eng, Gregory I Bain, Beat K Moor
BACKGROUND: The optimal placement of suture anchors in transosseous-equivalent (TOE) double-row rotator cuff repair remains controversial. PURPOSE: A 3-dimensional (3D) high-resolution micro-computed tomography (micro-CT) histomorphometric analysis of cadaveric proximal humeral greater tuberosities (GTs) was performed to guide optimal positioning of lateral row anchors in posterior-superior (infraspinatus and supraspinatus) TOE rotator cuff repair. STUDY DESIGN: Descriptive laboratory study...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27876489/morphologic-changes-and-outcomes-after-arthroscopic-acetabular-labral-repair-evaluated-using-postoperative-computed-tomography-arthrography
#4
Jun-Il Yoo, Yong-Chan Ha, Young-Kyun Lee, Guen-Young Lee, Moon-Jib Yoo, Kyung-Hoi Koo
PURPOSE: To investigate smaller sized labra after acetabular labral repair comparing preoperative and postoperative computed tomography arthrography (CTA) and to assess the correlation between the anatomic changes and clinical outcomes. METHODS: The design and protocol of this retrospective study were approved by the institutional review board of our hospital. The inclusion criteria included age older than 18 years and hip pain associated with mechanical symptoms...
November 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27815015/arthroscopic-anterior-cruciate-ligament-repair-for-proximal-anterior-cruciate-ligament-tears-in-skeletally-immature-patients-surgical-technique-and-preliminary-results
#5
Marco Bigoni, Diego Gaddi, Massimo Gorla, Daniele Munegato, Marco Pungitore, Massimiliano Piatti, Marco Turati
BACKGROUND: Anterior cruciate ligament (ACL) tears in children are increasingly common and present difficult treatment decisions due to the risk of growth disturbance. Although open primary ACL repair was abandoned in the historical literature, recent studies have suggested that there is a role for arthroscopic primary repair in patients with proximal tears. METHODS: This is a retrospective review of five consecutive patients aged 9.2years (range 8 to 10) who underwent suture anchor ACL reinsertion...
November 2, 2016: Knee
https://www.readbyqxmd.com/read/27814945/reconstruction-of-medial-collateral-ligament-defects-with-a-flexor-pronator-fascia-patch-in-complete-open-release-of-stiff-elbows
#6
Shuai Chen, Hede Yan, Wei Wang, Mei Zhang, Kevin A Hildebrand, Cun-Yi Fan
BACKGROUND: Because medial elbow stability is essential for stiff elbow release, surgical techniques have been reported for reconstructing medial elbow stability. However, medial collateral ligament (MCL) defects, caused by inevitable detachment and resection performed for complete release, make the reconstruction more challenging. To our knowledge, no study has evaluated the outcomes after using a flexor-pronator fascia patch in medial elbow reconstruction for open release of stiff elbows...
November 2, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27802925/effects-of-suture-site-or-penetration-depth-on-anchor-location-in-all-inside-meniscal-repair
#7
Ryohei Uchida, Tatsuo Mae, Kunihiko Hiramatsu, Ryo Iuchi, Kazutaka Kinugasa, Konsei Shino, Hideki Yoshikawa, Ken Nakata
BACKGROUND: To evaluate the effects of suture site or penetration depth on anchor location in all-inside meniscal repair. METHODS: Eight fresh-frozen cadaveric knees were evaluated after meniscal repair using eight FasT-Fix360 (FF360) devices (Smith & Nephew Endoscopy, Andover, MA) (16 anchors) for each knee. The penetration depth was 14mm, the distance same from the periphery to insertion point, in four knees (Group A) and that in the remaining four knees (Group B) was 18mm...
December 2016: Knee
https://www.readbyqxmd.com/read/27795949/outcome-of-repair-of-chronic-tear-of-the-pectoralis-major-using-corkscrew-suture-anchors-by-box-suture-sliding-technique
#8
Deepak Joshi, Jitesh Kumar Jain, Deepak Chaudhary, Utkarsh Singh, Vineet Jain, Ajay Lal
AIM: To assess the functional and clinical results of repair of chronic tears of pectoralis major using corkscrew and sliding suture technique. METHODS: In this retrospective study, we reviewed the results of pectoralis major repair in 11 chronic cases (> 6 wk) done between September 2011 and December 2014 at our institute. In all cases repair was done by same surgeon using corkscrew suture anchors and box suture sliding technique. At 6 mo, after surgery magnetic resonance imaging was done to see the integrity of the repair...
October 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27746496/reconstruction-of-kuwada-grade-iv-chronic-achilles-tendon-rupture-by-minimally-invasive-technique
#9
Xudong Miao, Yongping Wu, Huimin Tao, Disheng Yang, Lu Huang
BACKGROUND: Transfer of a flexor hallucis longus (FHL) tendon can not only reconstruct the Achilles tendon but also provide ischemic tendinous tissues with a rich blood supply to enhance wound healing. This retrospective study aims to investigate clinical outcomes in patients who underwent repair of Kuwada grade IV chronic Achilles tendon rupture with long hallucis longus tendons harvested using a minimally invasive technique. MATERIALS AND METHODS: 35 patients who were treated for Kuwada grade IV Achilles tendon injuries from July 2006 to June 2011 were included in this retrospective study...
September 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27720412/suture-spanning-augmentation-of-single-row-rotator-cuff-repair-a-biomechanical-analysis
#10
Nicholas A Early, John J Elias, Steven B Lippitt, Danielle E Filipkowski, Robert A Pedowitz, William J Ciccone
BACKGROUND: This in vitro study evaluated the biomechanical benefit of adding spanning sutures to single-row rotator cuff repair. METHODS: Mechanical testing was performed to evaluate 9 pairs of cadaveric shoulders with complete rotator cuff repairs, with a single-row technique used on one side and the suture spanning technique on the other. The spanning technique included sutures from 2 lateral anchors securing tendon near the musculotendinous junction, spanning the same anchor placement from single-row repair...
October 5, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27709046/arthroscopic-double-row-suture-anchor-repair-of-acute-posterior-bony-bankart-lesion
#11
Justin A Ly, Erin M Coleman, Eric J Kropf
The treatment of anterior shoulder instability is well described with various techniques, including arthroscopic double-row repair, an alternative to open stabilization procedures in high-risk groups. The surgical management of posterior instability in high-risk and athletic populations is a less-explored entity. We describe our technique for an all arthroscopic double-row suture anchor repair of a large posterior bony Bankart lesion. We prefer this technique over percutaneous cannulated screw fixation because the double-row suture technique allows for incorporation of capsular plication with bony fixation in an effort to better restore normal anatomy for capsulolabral complex...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27682277/radiological-and-clinical-outcome-of-arthroscopic-labral-repair-with-all-suture-anchors
#12
L Willemot, R Elfadalli, K C Jaspars, M H Ahw, J Peeters, N Jansen, G Declerq, O Verborgt
Purpose : The aim of this study was to assess radiological and clinical outcome after arthroscopic all--suture anchor labral repair. Method: 20 patients treated for anterior and superior labral instability (mean age 29, range 14-51 years) were assessed at a minimum follow-up time of 1 year (mean 19 months ; range, 12-28 months). Postoperative MRI scans were assessed by 3 independent radiologists. The radiological appearance of bone at the anchor-site was judged by the presence of cyst formation, tunnel widening (> 2 mm) or bone edema...
August 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#13
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
September 21, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27635413/new-complication-associated-with-all-inside-meniscal-repair-device-ultrasound-aided-diagnosis-and-operative-localization-of-foreign-body-reaction
#14
Lucian C Warth, Matthew J Bollier, Douglas F Hoffman, Justin S Cummins, Mederic M Hall
BACKGROUND: The importance of meniscal preservation has become widely accepted, and meniscal repair techniques have evolved over recent years. With new techniques come new complications, which are critical to recognize. PURPOSE: To describe a new complication of foreign body reaction from a nonabsorbable suture anchor associated with improper placement of the all-inside meniscal device. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This study was a retrospective review of 3 patients who developed pain associated with a foreign body reaction from a misplaced all-inside meniscal device...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27633461/biomechanical-study-comparing-3-fixation-methods-for-rotator-cuff-massive-tear-transosseous-no-2-suture-transosseous-braided-tape-and-double-row
#15
Stéphanie Hinse, Jérémie Ménard, Dominique M Rouleau, Fanny Canet, Marc Beauchamp
BACKGROUND: Important rotator cuff repair failure rates have prompted this study of the techniques and materials used in order to optimize clinical results. QUESTIONS/PURPOSES: Is the reconstruction of the rotator cuff biomechanically stronger when using: 1) transosseous with 2 mm braided tape suture (TOT), 2) transosseous with multi-strand No. 2 sutures (TOS), or 3) double row suture bridge with suture anchors loaded with No. 2 braided sutures (DRSB)? METHODS: Twenty-four cadaveric pig shoulders were randomized in the three repair constructs...
November 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27604511/bilateral-posterior-tibial-tendon-and-flexor-digitorum-longus-dislocations-a-case-report
#16
Eric M Padegimas, David M Beck, David I Pedowitz
: The authors present a case of a previously healthy and athletic 17-year-old female who presented with a 3.5-year history of medial left ankle pain after sustaining an inversion injury while playing basketball. Prior to presentation, she had failed prior immobilization and physical therapy for a presumed ankles sprain. Physical examination revealed a dislocated posterior tibial tendon (PTT) that was temporarily reducible, but would spontaneously dislocate immediately after reduction...
September 7, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27590201/anatomical-principles-for-minimally-invasive-reconstruction-of-the-acromioclavicular-joint-with-anchors
#17
Chuanzhi Xiong, Yaojia Lu, Qiang Wang, Gang Chen, Hansheng Hu, Zhihua Lu
PURPOSE: The aim of this study was to evaluate the outcome of a minimally invasive surgical technique for the treatment of patients with acromioclavicular joint dislocation. METHODS: Sixteen patients with complete acromioclavicular joint dislocation were enrolled in this study. All patients were asked to follow the less active rehabilitation protocol post-operatively. Computed tomography with 3-D reconstruction of the injured shoulder was performed on each patient post operatively for the assessment of the accuracy of the suture anchor placement in the coracoid process and the reduction of the acromioclavicular joint...
September 2, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27573355/the-influence-of-evidence-based-surgical-indications-and-techniques-on-failure-rates-after-arthroscopic-shoulder-stabilization-in-the-contact-or-collision-athlete-with-anterior-shoulder-instability
#18
Timothy S Leroux, Bryan M Saltzman, Maximilian Meyer, Rachel M Frank, Bernard R Bach, Brian J Cole, Anthony A Romeo, Nikhil N Verma
BACKGROUND: It has been reported that arthroscopic shoulder stabilization yields higher rates of failure in contact or collision athletes as compared with open shoulder stabilization; however, this is largely based upon studies that do not employ modern, evidence-based surgical indications and techniques for arthroscopic shoulder stabilization. PURPOSE: To (1) determine the pooled failure rate across all studies reporting failure after primary arthroscopic shoulder stabilization for anterior shoulder instability in contact or collision athletes and (2) stratify failure rates according to studies that use evidence-based surgical indications and techniques...
August 29, 2016: American 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
#19
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/27522591/critical-period-and-risk-factors-for-retear-following-arthroscopic-repair-of-the-rotator-cuff
#20
Johannes Barth, Kevin Andrieu, Elias Fotiadis, Gerjon Hannink, Renaud Barthelemy, Mo Saffarini
PURPOSE: The incidence of retear following rotator cuff repair remains a major concern, and the cause and timing of retear remain unclear. The aim of this study was to prospectively investigate the timing of retears following rotator cuff repair at multiple time intervals. The hypothesis was that the 'critical period' for retears extends beyond the first three post-operative months. METHODS: The authors prospectively studied 206 shoulders that underwent arthroscopic double-row (without suture bridge) suture anchor repair for rotator cuff tears...
August 13, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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