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https://www.readbyqxmd.com/read/28224067/repair-of-rotator-cuff-tear-with-delamination-independent-repairs-of-the-infraspinatus-and-articular-capsule
#1
Tomoyuki Mochizuki, Akimoto Nimura, Takashi Miyamoto, Hideyuki Koga, Keiichi Akita, Takeshi Muneta
We propose a technique to repair delamination, which often occurs during rotator cuff repair surgery. We have reported that the infraspinatus occupies most of the greater tuberosity with the articular capsule attached to a very wide area, and that the superficial layer is mainly composed of the infraspinatus, and the deep layer is mainly composed of the articular capsule. To repair such delamination with consideration of the detailed anatomy, we developed the following repair method with independent repair of the superficial layer (infraspinatus) and the deep layer (articular capsule): (1) the deep layer is pulled laterally and joined to the medial margin of the greater tuberosity using 4 simple sutures from 2 anchors; (2) the paired limbs (same color) of 4 knots are passed over the posterior leaf of the superficial layer at intervals; (3) a push-in anchor loaded with 1 thread each of 4 knots is placed on the anterolateral corner of the greater tuberosity to pull the superficial layer anterolaterally; (4) another push-in anchor (remaining threads) is pushed on the posterior corner of the greater tuberosity...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28224066/the-use-of-accessory-portals-in-bankart-repair-with-posterior-extension-in-the-lateral-decubitus-position
#2
Gregory L Cvetanovich, Jason T Hamamoto, Kevin J Campbell, Mark McCarthy, John D Higgins, Nikhil N Verma
The Bankart lesion, in which the anteroinferior labrum is detached from the glenoid, is the critical anatomic lesion in the majority of patients with anterior glenohumeral instability. Some patients with anterior glenohumeral instability will have Bankart lesions with posterior extension beyond the 6-o'clock position, and achieving anatomic labral repair in these cases can present a technical challenge. In our experience, the lateral decubitus position and use of accessory portals allow superior visualization of the inferior half of the glenohumeral joint for glenoid and labral preparation, anchor placement, and suture management...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28217662/surgical-repair-of-isolated-triceps-tendon-rupture-using-a-suture-anchor-technique-a-case-report
#3
Federico Mancini, Gabriele Bernardi, Vincenzo DE Luna, Cosimo Tudisco
Rupture or avulsion of the distal triceps tendon is one of the least common tendon injuries. The most common clinical presentation of the injury is avulsion from the olecranon. The diagnosis of acute triceps tendon rupture may be missed and this can result in prolonged disability. We report the case of a 42-year-old man with isolated triceps rupture treated by an open surgical repair technique involving the use of bone suture anchors.
October 2016: Joints
https://www.readbyqxmd.com/read/28212989/arthroscopic-suture-repair-of-acute-quadriceps-tendon-ruptures
#4
M Severyns, G Renard, R Guillou, G A Odri, O Labrada-Blanco, J L Rouvillain
Acute quadriceps tendon ruptures disrupt the continuity of the extensor mechanism and must be treated surgically. Tendon reattachment with suture anchors has recently been shown to be biomechanically superior to reattachment through transosseous tunnels. In this context, arthroscopy is an interesting alternative. It can limit postoperative wound healing and infectious complications, while ensuring functional outcomes that are equivalent to standard techniques. The goal of this technical note is to describe an original, reproducible method for arthroscopic reattachment of the quadriceps tendon with suture anchors...
February 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28204962/the-clinical-anatomy-of-the-insertion-of-the-rotator-cuff-tendons
#5
M Vosloo, N Keough, M A De Beer
The rotator cuff (RC) insertions according to most anatomical texts are described as being separate from one another. However, clear fusion of the RC tendon fibres exists with prior studies showing this interdigitation forming a common, continuous insertion onto and around the lesser and greater tubercles (LT and GT) of the humerus. Current surgical repair methods (especially arthroscopic techniques) rarely mention or consider these connections during repair and suture anchor implantation. The general principles of RC surgery remain a controversial subject, due to various available techniques, surgeon experience and preference, and the contradicting success rates...
February 16, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28203598/treatment-of-ulnar-collateral-ligament-tears-of-the-elbow-is-repair-a-viable-option
#6
Brandon J Erickson, Bernard R Bach, Nikhil N Verma, Charles A Bush-Joseph, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament (UCL) tears have become common, and UCL reconstruction (UCLR) is currently the preferred surgical treatment method for treating UCL tears. PURPOSE/HYPOTHESIS: The purpose of this study was to review the literature surrounding UCL repair and determine the viability of new repair techniques for treatment of UCL tears. We hypothesized that UCL repair techniques will provide comparable results to UCLR for treatment of UCL tears...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203592/suture-only-repair-versus-suture-anchor-augmented-repair-for-achilles-tendon-ruptures-with-a-short-distal-stump-a-biomechanical-comparison
#7
Michael A Boin, Matthew A Dorweiler, Christopher J McMellen, Gregory C Gould, Richard T Laughlin
BACKGROUND: Chronic noninsertional Achilles tendinosis can result in an acute Achilles tendon rupture with a short distal stump. In such tendon ruptures, there is a limited amount of adequate tissue that can hold suture, thus presenting a challenge for surgeons who elect to treat the rupture operatively. HYPOTHESIS: Adding suture anchors to the repair construct may result in biomechanically stronger repairs compared with a suture-only technique. STUDY DESIGN: Controlled laboratory study...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203590/surgeon-directed-cost-variation-in-isolated-rotator-cuff-repair
#8
E Bailey Terhune, Peter C Cannamela, Jared S Johnson, Charles D Saad, John Barnes, Janette Silbernagel, Thomas Faciszewski, Kevin G Shea
BACKGROUND: As value becomes a larger component of heath care decision making, cost data can be evaluated for regional and physician variation. Value is determined by outcome divided by cost, and reducing cost increases value for patients. "Third-party spend" items are individual selections by surgeons used to perform procedures. Cost data for third-party spend items provide surgeons and hospitals with important information regarding care value, potential cost-saving opportunities, and the total cost of ownership of specific clinical decisions...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28194498/lateral-clavicle-fracture-with-coracoclavicular-ligament-injury-a-biomechanical-study-of-4-different-repair-techniques
#9
Farhang Alaee, John Apostolakos, Hardeep Singh, Christian Holwein, Theresa Diermeier, Mark P Cote, Knut Beitzel, Andreas B Imhoff, Augustus D Mazzocca, Andreas Voss
PURPOSE: To investigate the biomechanical performance of four different methods used for coracoclavicular (CC) ligament reconstruction in a lateral clavicle fracture repair. METHODS: Native displacement, translation, and rotation at the acromioclavicular joint of 24 fresh-frozen cadaveric shoulders were tested. A reproducible fracture in the lateral third of the clavicle was created by dissecting both CC ligaments. Each specimen was then repaired with plate fixation of the fracture and the following CC repair technique: (1) Cortical button...
February 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28194382/biomechanical-evaluation-of-the-long-head-of-the-biceps-brachii-tendon-fixed-by-three-techniques-a-sheep-model
#10
Carlos Henrique Ramos, Júlio Cezar Uili Coelho
OBJECTIVE: To evaluate the biomechanical properties of the fixation of the long head of the biceps brachii into the humeral bone with suture anchors, interference screw, and soft tissue suture, comparing strength, highest traction load, and types of fixation failure. METHODS: Thirty fresh-frozen sheep shoulders were used, separated into three groups of ten for each technique. After fixation, the tendons were subjected to longitudinal continuous loading, obtaining load-to-failure (N) and displacement (mm)...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28191790/safety-and-short-term-outcomes-of-a-new-truly-minimallyinvasive-mesh-less-and-dissection-less-anchoring-system-for-pelvic-organ-prolapse-apical-repair
#11
Adi Y Weintraub, Masha Ben Zvi, David Yohay, Joerg Neymeyer, Yonatan Reuven, Menahem Neuman, Alex Tsivian
OBJECTIVE: To evaluate the safety and short term outcomes of a new, truly minimallyinvasive, mesh-less and dissection-less anchoring system for pelvic floor apical repair. METHODS: A prospective study was conducted using the NeuGuide™ device system for pelvic floor apical repair. The primary effectiveness outcome was centro-apical pelvic floor prolapse by POP-Q after six months. The primary safety outcome was intra-operative, immediate (first 48 h) post-operative complications and adverse effects after six months...
January 27, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28185373/dual-anchor-internal-pulse-generator-technique-may-lower-risk-of-twiddler-s-syndrome-a-case-series-and-literature-review
#12
Michał Roman Sobstyl, Mirosław Ząbek, Grażyna Brzuszkiewicz-Kuźmicka, Tomasz Pasterski
BACKGROUND: Twiddler's syndrome (TS) is described as a spontaneous rotation or intentional external manipulation of implanted internal pulse generator (IPG) for neurological or cardiac disorders. There have been identified some predisposing factors of the development of TS such as: loose subcutaneous tissue, older age of individuals undergoing deep brain stimulation (DBS) procedures, creation of too large pockets for IPG. Apart from these factors, the construction of IPG itself may predispose to the development of TS...
February 9, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28167489/mechanical-properties-of-all-suture-anchors-for-rotator-cuff-repair
#13
N S Nagra, N Zargar, R D J Smith, A J Carr
OBJECTIVES: All-suture anchors are increasingly used in rotator cuff repair procedures. Potential benefits include decreased bone damage. However, there is limited published evidence for the relative strength of fixation for all-suture anchors compared with traditional anchors. MATERIALS AND METHODS: A total of four commercially available all-suture anchors, the 'Y-Knot' (ConMed), Q-FIX (Smith & Nephew), ICONIX (Stryker) and JuggerKnot (Zimmer Biomet) and a traditional anchor control TWINFIX Ultra PK Suture Anchor (Smith & Nephew) were tested in cadaveric human humeral head rotator cuff repair models (n = 24)...
February 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28163085/novel-technique-for-proximal-bone-anchoring-of-penile-prosthesis-after-radial-forearm-free-flap-neophallus
#14
Andrew J Cohen, Raj R Bhanvadia, Joseph J Pariser, David M Hatcher, Lawrence J Gottlieb, Gregory T Bales
BACKGROUND: Penile prosthesis insertion allows individuals with a neophallus to achieve erectile function. Lack of corporal bodies to accommodate cylinders makes anchoring of any prosthesis challenging. Anchoring the device to pubic bone is one strategy to achieve proximal stabilization of the prosthesis. PURPOSE: To describe outcomes of bone anchoring of penile implant in a neophallus with an accompanying video focusing on operative technique and salient tips for surgeons performing these procedures...
February 2, 2017: Urology
https://www.readbyqxmd.com/read/28149729/arthroscopic-rotator-cuff-repair-double-row-transosseous-equivalent-suture-bridge-technique
#15
Mina Abdelshahed, Siddharth A Mahure, Daniel J Kaplan, Brent Mollon, Joseph D Zuckerman, Young W Kwon, Andrew S Rokito
Following a failed course of conservative management, arthroscopic rotator cuff repair (ARCR) has become the gold standard treatment for patients presenting with symptomatic rotator cuff (RC) tears. Traditionally, the single-row repair technique was used. Although most patients enjoy good to excellent clinical outcomes, structural healing to bone remains problematic. As a result, orthopaedic surgeons have sought to improve outcomes with various technological and technical advancements. One such possible advancement is the double-row technique...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28149190/prefered-surgical-technique-used-by-orthopedists-in-acute-acromioclavicular-dislocation
#16
Alexandre Yukio Nishimi, Demetrio Simão Arbex, Diogo Lucas Campos Martins, Carlos Vinicius Buarque DE Gusmão, Roberto Rangel Bongiovanni, Luciano Pascarelli
OBJECTIVE: To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS: A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. RESULTS: Thirty specialists and forty-five general orthopedists joined the study. Most specialists preferred the endobutton technique, while most general orthopedists preferred the modified Phemister procedure for coracoclavicular ligament repair using anchors...
September 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28146397/a-prospective-randomized-study-comparing-the-interference-screw-and-suture-anchor-techniques-for-biceps-tenodesis
#17
Ji Soon Park, Sae Hoon Kim, Ho Jin Jung, Ye Hyun Lee, Joo Han Oh
BACKGROUND: Several methods are used to perform biceps tenodesis in patients with superior labrum-biceps complex (SLBC) lesions accompanied by a rotator cuff tear. However, limited clinical data are available regarding the best technique in terms of clinical and anatomic outcomes. PURPOSE: To compare the clinical and anatomic outcomes of the interference screw (IS) and suture anchor (SA) fixation techniques for biceps tenodesis performed along with arthroscopic rotator cuff repair...
February 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28142355/a-new-technique-for-arthroscopic-reduction-and-fixation-of-displaced-tibial-intercondylar-eminence-fractures-using-suture-anchor-and-endobutton-system
#18
Qiang Zhang, Jianjun Yang, Gongyin Zhao, Dong Zheng, Xianju Zhou, Nanwei Xu, Yuji Wang
AIM: The study aims to describe a less invasive technique for displaced tibial intercondylar eminence fractures, using only one bone tunnel with suture anchor and EndoButton system. METHODS: Seventeen patients were followed up after arthroscopic fixation for tibial eminence fractures using suture anchor and EndoButton. The patients were followed with clinical examinations such as Lysholm, Tegner, and International Knee Documentation Committee (IKDC) rating scales...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28132809/cyclic-and-load-to-failure-properties-of-all-suture-anchors-in-synthetic-acetabular-and-glenoid-cancellous-bone
#19
Nathan P Douglass, Anthony W Behn, Marc R Safran
PURPOSE: To evaluate the cyclic displacement, maximum load to failure, and failure mode of multiple all-suture anchors (ASAs) in 2 different densities of sawbones cancellous bone substitute. METHODS: Anchors tested included the Suturefix Ultra 1.7 mm, JuggerKnot 1.45 mm (No. 1 and No. 2 MaxBraid) and 2.9 mm, Y-Knot Flex 1.3 mm and 1.8 mm, Iconix 1, 2, 25, and 3, Q-Fix 1.8 mm, and Bioraptor 2.3 PK. The Bioraptor served as a non-all-suture-based control. Seven to eleven anchors were tested in both 20 and 30 pounds per cubic foot (pcf) test blocks that were chosen to simulate glenoid and acetabular cancellous bone, respectively...
January 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28127741/evaluation-of-repair-of-the-hip-labrum-under-simulated-full-weight-bearing
#20
Jason L Koh, Kavish Gupta
INTRODUCTION: Repairs of labral tears are performed for unstable tears, hip instability, and after detachment concomitant to the treatment of femoroacetabular impingement (FAI), but limited data is known about the strength of repair. This study evaluated the effect of simulated axial weight-bearing on suture anchor based repair of the acetabular labrum. METHODS: 3 cadaveric pelvises underwent creation of a 1.5 cm anterior-superior labral tear in each hip. The tears were then repaired using 2 suture anchors per hip...
January 24, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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