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https://www.readbyqxmd.com/read/29138920/concurrent-arthroscopic-osteochondral-lesion-treatment-and-lateral-ankle-ligament-repair-has-no-substantial-effect-on-the-outcome-of-chronic-lateral-ankle-instability
#1
Dong Jiang, Yin-Fang Ao, Chen Jiao, Xing Xie, Lin-Xin Chen, Qin-Wei Guo, Yue-Lin Hu
PURPOSE: The purpose of the study was to evaluate the effect of concurrent arthroscopic osteochondral lesion (OCL) treatment and lateral ankle ligament repair on the outcome of chronic lateral ankle instability. It was hypothesized that the arthroscopic OCL treatment might have some negative effect on the outcome of chronic lateral ankle instability (CLAI) by compromising the rehabilitation program. METHODS: Ankle arthroscopy and anatomic lateral ankle ligament repair with suture anchors were performed for 70 patients with CLAI between 2010 and 2012...
November 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29137567/primary-repair-of-achilles-tendon-avulsions-presentation-of-a-novel-technique-and-its-comparison-with-suture-anchor-repair
#2
Çetin Işık, Mesut Tahta
PURPOSE: We aimed to present our novel technique in the surgical treatment of Achilles tendon avulsions and compare the clinical results of such technique with the repair method using suture anchors. METHODS: A retrospective study was made of patients with Achilles tendon sleeve avulsion and patients where distal portion of the tear prohibited primary repair, surgically treated between January 2009 and January 2013. Twenty-one patients who met the criteria were examined and called for final examination: 9 patients were treated with the novel technique (group 1) and 12 patients were treated with suture anchor repair (group 2)...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29135669/arthroscopic-transosseous-suture-repair-and-single-row-anchor-fixation-for-rotator-cuff-lesions-did-not-differ-for-pain-function-or-rotator-cuff-integrity-at-15-months
#3
Richard K N Ryu
No abstract text is available yet for this article.
November 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29134816/liquifying-pldlla-anchor-fixation-in-achilles-reconstruction-for-insertional-tendinopathy
#4
Stephanie A Boden, Allison L Boden, Danielle Mignemi, Jason T Bariteau
Insertional Achilles tendinopathy (IAT) is a frequent cause of posterior heel pain and is often associated with Haglund's deformity. Surgical correction for refractory cases of IAT has been well studied; however, the method of tendon fixation to bone in these procedures remains controversial, and to date, no standard technique has been identified for tendon fixation in these surgeries. Often, after Haglund's resection, there is large exposed cancellous surface for Achilles reattachment, which may require unique fixation to optimize outcomes...
November 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29134236/-arthroscopic-soft-tissue-stabilization-of-posttraumatic-anterior-shoulder-instability-techniques-limitations-and-long-term-results
#5
REVIEW
B Ockert, N Biermann, W Nebelung, E Wiedemann
Arthroscopic soft tissue stabilization is a well-established and broadly accepted procedure to treat posttraumatic shoulder instability. Advantages in comparison to open stabilization procedures include improved visualization of the structural damage and a less invasive approach. Technical developments in recent years have led to further improvement of the arthroscopic technique for shoulder instability. This article presents a description of principles and new developments as it contains basic techniques including patient positioning, access portals, preparation of the glenoid bone, soft tissue handling and shuttle techniques...
November 13, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29132386/primary-single-suture-anchor-re-fixation-of-anterior-cruciate-ligament-proximal-avulsion-tears-leads-to-good-functional-mid-term-results-a-preliminary-study-in-12-patients
#6
Christof Hoffmann, Jan Friederichs, Christian von Rüden, Christian Schaller, Volker Bühren, Christoph Moessmer
BACKGROUND: Current studies demonstrate encouraging short-term results after primary anterior cruciate ligament (ACL) suture anchor repair. However, earlier studies reported deterioration of knee function at 5-year follow-up following good clinical short-term recovery. Therefore, the aim of this study was to evaluate clinical long-term results after primary ACL repair at a minimum 5-year follow-up. METHODS: In a retrospective study, 13 patients were included between 2009 and 2012...
November 13, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29115019/cell-laden-composite-suture-threads-for-repairing-damaged-tendons
#7
Raquel Costa-Almeida, Rui M A Domingues, Afsoon Fallahi, Huseyin Avci, Iman K Yazdi, Mohsen Akbari, Rui L Reis, Ali Tamayol, Manuela E Gomes, Ali Khademhosseini
Tendons have limited regenerative capacity due to their low cellularity and hypovascular nature, which results in poor clinical outcomes of presently used therapies. As tendon injuries are often observed in active adults, it poses an increasing socio-economic burden on healthcare systems. Currently, suture threads are used during surgical repair to anchor the tissue graft or to connect injured ends. Here, we created composite suture threads coated with a layer of cell-laden hydrogel that can be used for bridging the injured tissue aiming at tendon regeneration...
November 8, 2017: Journal of Tissue Engineering and Regenerative Medicine
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
#8
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/29102748/an-evaluation-of-commonly-used-external-ventricular-drain-securement-metho-ds-in-a-porcine-model-recommendations-to-improve-practise
#9
Danyal Akarca, Andrew J Durnford, Frederick G Ewbank, Jonathan Hempenstall, Ahmed R Sadek, Anthony E Gould, Diederik O Bulters
BACKGROUND: External ventricular drain (EVD) dislodgement is common and leads to significant morbidity and mortality. Many securement techniques to prevent this are described. There are, however, no objective studies comparing them. This study aimed to determine the most secure method of securing an EVD. METHODS: A survey was distributed through the British Neurosurgical Trainee Research Collaborative (BNTRC) to determine common EVD securement methods and select techniques for testing...
November 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29083364/complex-lesion-of-the-third-metacarpophalangeal-joint-complete-tear-of-the-radial-collateral-and-deep-transverse-metacarpal-ligament
#10
Alessio Pedrazzini, Dario Oliver Dejana, Francesco Romagnoli, Nicola Bertoni, Bianca Pedrabissi, Henry Claudel Yewo Simo, Massimo Banchi, Medina Vanni, Francesco Pogliacomi, Francesco Ceccarelli, Cinzia Marenzi, Maria Teresa Zanchi
Injuries of collateral ligaments of MCPs joints are often underdiagnosed but have to be considered serious traumas of the hand. In many cases they concern thumb and rarely long fingers. Closed rupture of the deep transverse metacarpal ligament (DTML) is an unusual parallel injury. Both lesions present similar symptoms included local pain, swelling, ecchymosis and deviation of the finger in flexion and can be misdiagnosed. We describe the treatment of a 34 years old woman who sustained a complex lesion of the soft tissues of third metacarpophalangeal joint with complete close tear of the radial collateral and deep transverse metacarpal ligament following a fall during a walk thus leading to a multiplanar instability...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29082055/quadriceps-tendon-rupture-in-an-adolescent-athlete
#11
William A Zuke, Beatrice Go, Alexander E Weber, Brian Forsythe
Quadriceps tendon rupture is an uncommon injury that usually occurs in middle-aged and elderly men with a history of chronic illnesses. We report the case of a 17-year-old healthy adolescent male baseball player who sustained this injury as a result of sudden deceleration in his left knee. He initially reported to the emergency department and then presented to our practice, where he was diagnosed with a quadriceps tendon tear. Preoperatively, he was unable to perform a single straight-leg raise. During surgical repair, the free edge of the quadriceps tendon was mobilized and anchored into the superior pole of the patella, followed by sutures to ensure reinforcement of the quadriceps footprint...
2017: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29081860/arthroscopic-lateral-ligament-repair-through-two-portals-in-chronic-ankle-instability
#12
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
#13
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/29078829/what-do-you-do-with-the-achilles-if-you-have-no-fancy-toys
#14
REVIEW
Rajiv Shah, Sampat Dumbre Patil
Surgical management of Achilles disorders warrants excision of the degenerated tendon and removal of impinging bone. Resulting defects can be bridged by various methods. Although FHL is the most commonly used tendon for transfer, large defects in cases of chronic Achilles ruptures may be bridged by use of a distant donor tendon. Bony anchorage of a lengthened or transferred tendon into the calcaneus can be done with suture anchors or with interference screws. In developing countries, such implants may not be available or affordable, necessitating the adoption of innovative ways to anchor tendons into the calcaneus...
December 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/29066268/do-skin-lacerations-imply-tissue-transfer-from-surgeon-to-patient-during-arthroscopic-knot-tying
#15
Matthew B Burn, Heidi L Holtorf, Kevin M Smith, Derek T Bernstein, Domenica A Delgado, Nickarr Prudhomme, Michael T Deavers, Patrick C McCulloch, Joshua D Harris
PURPOSE: To use simulated arthroscopic knot tying to assess (1) whether epithelial cells from the surgeon's hands were transmitted to the suture and (2) whether the number of knots tied or the presence of glove tears would correlate with the number of cells transmitted. METHODS: Knots were tied in a simulated arthroscopic environment using a nonabsorbable No. 2 suture over a metal hook. The surgeon was double gloved for each knot tied. For each "anchor," a surgeon's knot was tied, followed by 3 reversed half-hitches on alternating posts...
October 21, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29051899/surgical-treatment-of-segond-fractures-in-acute-anterior-cruciate-ligament-reconstruction
#16
Andrea Ferretti, Edoardo Monaco, Megan Rianne Wolf, Matteo Guzzini, Angelo De Carli, Daniele Mazza
BACKGROUND: The Segond fracture is an avulsion-type fracture located on the anterolateral aspect of the tibia associated with a ligament recently termed the anterolateral ligament. This injury has been described as pathognomonic for an anterior cruciate ligament (ACL) tear and is associated with a higher grade pivot shift. PURPOSE: To present and report 2-year clinical outcomes of a surgical technique for acute ACL reconstruction with fixation of a concomitant Segond fracture...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29044362/personal-evolution-in-thighplasty-techniques-for-patients-following-massive-weight-loss
#17
Shelly M Xie, Kevin Small, Ran Stark, Ryan S Constantine, Jordan P Farkas, Jeffrey M Kenkel
Background: Lockwood described the importance of Colles' fascia anchoring in medial thighplasty to reduce morbidity associated with the procedure. However, this maneuver may still have complications including traumatic dissection, prolonged edema, and potential wound healing ramifications form increased tension. Alternatively, we suggest orienting tension in medial thighplasty for massive weight loss (MWL) patients in the horizontal vector rather than a vertical direction, negating the need for Colles' fascia anchoring...
October 16, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29040248/retrospective-evaluation-of-surgical-anatomical-repair-of-distal-biceps-brachii-tendon-rupture-using-suture-anchor-fixation
#18
Jarosław Witkowski, Aleksandra Królikowska, Andrzej Czamara, Paweł Reichert
BACKGROUND To date, no consensus has been reached regarding the preferred fixation method to use in the repair of distal biceps brachii tendon rupture. The aim of this study was to clinically and functionally (Mayo Elbow Performance Index, MEPI) assess the upper limb after surgical anatomic reinsertion of the distal biceps brachii tendon with the use of suture anchor fixation method with regard to postoperative time and limb dominance, and to assess postoperative complications. MATERIAL AND METHODS The sample comprised 18 males (age 52...
October 17, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29039637/peri-implant-soft-tissue-augmentation-in-a-mild-smoker-a-surgical-prosthetic-approach-using-a-subepithelial-ct-graft-with-coronal-anchoring-sutures-and-a-zirconia-abutment
#19
Neel Bhatavadekar, Bhakti Tunkiwala, Aliasger Tunkiwala
This report presents the use of a CT graft to augment the periimplant soft tissue at time of abutment placement in a smoker using coronal anchoring sutures around a zirconia abutment. Soft tissue augmentation at the time of abutment connection, avoiding abutment removal after CT grafting, use of a zirconia abutment and placement of coronal anchoring sutures might be the recommended approach when dealing with such esthetic challenges.
November 2016: Journal of the California Dental Association
https://www.readbyqxmd.com/read/29038845/clinical-and-sonographic-evaluation-of-subpectoral-biceps-tenodesis-with-a-dual-suture-anchor-technique-demonstrates-improved-outcomes-and-a-low-failure-rate-at-a-minimum-2-year-follow-up
#20
Matthijs Jacxsens, Erin K Granger, Robert Z Tashjian
INTRODUCTION: The purpose of this study was to evaluate the clinical outcomes and integrity of an open subpectoral biceps tenodesis using a dual suture anchor construct. MATERIALS AND METHODS: Patients with at least 2 years of follow-up were retrospectively evaluated for simple shoulder test (SST), American Shoulder and Elbow Surgeons (ASES) score, and visual analog scales (VAS) for pain, function and satisfaction. A physical exam assessed shoulder range of motion and elbow strength...
October 16, 2017: Archives of Orthopaedic and Trauma Surgery
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