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https://www.readbyqxmd.com/read/28801112/clinical-efficacies-of-coracoclavicular-ligament-reconstruction-using-suture-anchor-versus-hook-plate-in-the-treatment-of-distal-clavicle-fracture
#1
H W Yan, L Li, R C Wang, Y Yang, Y Xie, J Tang, Z Y Shi
INTRODUCTION: Comparison of clinical efficacies between coracoclavicular ligament reconstruction using autologous gracilis tendon with suture anchor and clavicular hook plate for the treatment of acute Neer type II distal clavicle fracture. HYPOTHESIS: Both coracoclavicular reconstruction with autologous gracilis tendon and clavicular hook plate could achieve satisfactory results for treating acute Neer type II distal clavicle fracture. METHODS: Acute Neer type II distal clavicle fracture patients enrolled in this prospective randomized study were divided into the coracoclavicular ligament reconstruction group (using autologous gracilis tendon and suture anchor) and the hook plate group...
August 8, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28795073/biomechanical-comparison-of-a-first-and-a-second-generation-all-soft-suture-glenoid-anchor
#2
John Erickson, Frank Chiarappa, Jonathan Haskel, Justin Rice, Adam Hyatt, James Monica, Aman Dhawan
BACKGROUND: All-soft tissue suture anchors provide advantages of decreased removal of bone and decreased glenoid volume occupied compared with traditional tap or screw-in suture anchors. Previous published data have led to biomechanical concerns with the use of first-generation all-soft suture anchors. PURPOSE/HYPOTHESIS: The purpose of this study was to evaluate the load to 2-mm displacement and ultimate load to failure of a second-generation all-soft suture anchor, compared with a first-generation anchor and a traditional PEEK (polyether ether ketone) anchor...
July 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28789855/a-new-method-for-stabilizing-the-columellar-strut-used-in-rhinoplasty-the-trans-septal-columellar-stabilizing-suture
#3
Jae Yong Jeong, Hyeokjae Kwon, Yibo Piao, Sang-Ha Oh
PURPOSE: Minimal deformity or instability after columellar strut graft (CSG) placement can be solved by placing a suture between the columella strut and the caudal septum, such as a medial crura anchor suture or a projection control suture. However, this is very tedious. MATERIALS AND METHODS: A trans-septal columellar stabilizing suture (TCSS) was developed for the management of final tip projection and location and increasing stability after CSG placement. RESULTS: Tip projection and rotation could be carefully controlled by changing the position of the TCSS...
July 15, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28780703/radiolucent-rings-around-bioabsorbable-anchors-after-rotator-cuff-repair-are-not-associated-with-clinical-outcomes
#4
Jin-Young Park, Suk-Hwan Jang, Kyung-Soo Oh, Yi Jin Li
PURPOSE: Various researchers have observed small areas of osteolysis after using bioabsorbable anchors in shoulder surgeries. The purpose of this study is to determine whether radiographic perianchor radiolucent rings after rotator cuff repair are associated with the failure of repair and also assess their clinical implications. Further, the most frequent location of the radiolucent rings in the double-row suture bridge configuration was also assessed. METHODS: One hundred and twenty-nine consecutive patients who underwent arthroscopic rotator cuff repair by suture bridge technique were retrospectively evaluated radiographically and clinically...
August 5, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28777665/an-anatomic-and-biomechanical-comparison-of-bankart-repair-configurations
#5
Christopher H Judson, Andreas Voss, Elifho Obopilwe, Felix Dyrna, Robert A Arciero, Kevin P Shea
BACKGROUND: Suture anchor repair for anterior shoulder instability can be performed using a number of different repair techniques, but none has been proven superior in terms of anatomic and biomechanical properties. Purpose/Hypothesis: The purpose was to compare the anatomic footprint coverage and biomechanical characteristics of 4 different Bankart repair techniques: (1) single row with simple sutures, (2) single row with horizontal mattress sutures, (3) double row with sutures, and (4) double row with labral tape...
August 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28748291/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
#6
Peter J Millett, Chris Espinoza, Marilee P Horan, Charles P Ho, Ryan J Warth, Grant J Dornan, J Christoph Katthagen
PURPOSE: To evaluate the outcomes of two commonly used transosseous-equivalent (TOE) arthroscopic rotator cuff repair (RCR) techniques for full-thickness supraspinatus tendon tears (FTST) using a robust multi-predictor model. METHODS: 155 shoulders in 151 patients (109 men, 42 women; mean age 59 ± 10 years) who underwent arthroscopic RCR of FTST, using either a knotted suture bridging (KSB) or a knotless tape bridging (KTB) TOE technique were included. ASES and SF-12 PCS scores assessed at a minimum of 2 years postoperatively were modeled using propensity score weighting in a multiple linear regression model...
July 26, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28740974/wound-closure-and-wound-healing-suture-techniques-in-contemporary-periodontal-and-implant-surgery-interactions-requirements-and-practical-considerations
#7
Otto Zuhr, Dodji Lukas Akakpo, Markus Hürzeler
In contemporary reconstructive periodontal and implant surgery, attaining uncomplicated wound healing in the early postoperative healing phase is the key to achieving a successful treatment outcome and is of central interest, from the clinical as well as the scientific perspective. The realization of primary wound healing is the central challenge in most cases. Two of the evidence-based factors that affect postoperative wound healing can be influenced by the surgeon: the blood supply to the surgical site and postoperative wound stability...
July 20, 2017: Quintessence International
https://www.readbyqxmd.com/read/28740775/acute-a4-pulley-reconstruction-with-a-first-extensor-compartment-onlay-graft
#8
Michael G Jakubietz, Rainer H Meffert, Karsten Schmidt, Joerg G Gruenert, Rafael G Jakubietz
BACKGROUND: The integrity of the flexor tendon pulley apparatus is crucial for unimpaired function of the digits. Although secondary reconstruction is an established procedure in multi-pulley injuries, acute reconstruction of isolated, closed pulley ruptures is a rare occurrence. There are 3 factors influencing the functional outcome of a reconstruction: gapping distance between tendon and bone (E-space), bulkiness of the reconstruction, and stability. As direct repair is rarely done, grafts are used to reinforce the pulley...
June 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28739023/suture-bridge-transosseous-equivalent-repair-is-stronger-than-transosseous-tied-braided-tape
#9
Jérémie Ménard, Benjamin Léger-St-Jean, Frédéric Balg, Yvan Petit, Marc Beauchamp, Dominique M Rouleau
BACKGROUND: This study biomechanically compares two methods of supraspinatus repair: single row transosseous braided-tape (BT) and suture bridge transosseous equivalent (SBTE) with 2 medial anchors and 2 lateral anchors. The purpose is to test the hypothesis that BT provides superior or equal biomechanical strength compared to SBTE. METHODS: Nine pairs of frozen cadaveric shoulders were selected and both repair techniques were tested on each pair, using a biomechanical testing unit to measure cyclic loading and ultimate load to failure...
July 21, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28734991/endoscopic-full-thickness-resection-using-suture-loop-needle-t-tag-tissue-anchors-in-the-porcine-stomach-with-video
#10
Akira Dobashi, Elizabeth Rajan, Mary A Knipschield, Christopher J Gostout
BACKGROUND AND AIMS: Endoscopic full-thickness resection (EFTR) is still challenging and a reliable technique is desirable. The aim of this study was to evaluate the feasibility of controlled EFTR using a pseudopolyp made from suture loop needle-T-tag (SLNT) tissue anchors in ex vivo porcine stomachs. METHODS: Five pig stomachs were used. Two concentric circumferential border mucosal incisions were made to facilitate isolating a target lesion for full-thickness excision and pseudopolyp formation...
July 19, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28728432/postoperative-recurrence-of-instability-due-to-new-anterior-glenoid-rim-fractures-after-arthroscopic-bankart-repair
#11
Shigeto Nakagawa, Takehito Hirose, Yuta Tachibana, Ryo Iuchi, Tatsuo Mae
BACKGROUND: Computed tomography (CT) sometimes reveals a new fracture of the anterior glenoid rim in patients with postoperative recurrence of instability after arthroscopic Bankart repair using suture anchors, but there have been few previous reports about such fractures. HYPOTHESIS: The placement of a large number of suture anchors during arthroscopic Bankart repair might be associated with a new glenoid rim fracture. STUDY DESIGN: Cohort study; Level of evidence, 3...
July 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28726147/stent-migration-following-endoscopic-suture-fixation-of-esophageal-self-expandable-metal-stents-a-systematic-review-and-meta-analysis
#12
Ryan Law, Anoop Prabhu, Larissa Fujii-Lau, Carol Shannon, Siddharth Singh
BACKGROUND: Covered self-expandable metal stents (SEMS) are utilized for the management of benign and malignant esophageal conditions; however, covered SEMS are prone to migration. Endoscopic suture fixation may mitigate the migration risk of covered esophageal SEMS. Hence, we conducted a systematic review and meta-analysis to evaluate the effectiveness and safety of endoscopic suture fixation for covered esophageal SEMS. METHODS: Following PRISMA guidelines, we performed a systematic review from 2011 to 2016 to identify studies (case control/case series) reporting the technical success and migration rate of covered esophageal SEMS following endoscopic suture fixation...
July 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28717607/arthroscopic-trans-osseous-rotator-cuff-repair
#13
Claudio Chillemi, Matteo Mantovani
BACKGROUND: Mechanical factors are at the basis of any tendon healing process, being pressure an aspect able to positively influence it. For this reason transosseous rotator cuff repair represents the gold standard procedure for patients affected by a cuff tear, maximizing the tendon footprint contact area and reducing motion at the tendon to bone interface. METHODS: The Authors present an all arthroscopic suture bridge-like transosseous repair with the preparation of a single transosseous tunnel perfor med thanks to a precise dedicated instrument (Compasso®) and one implant (Elite-SPK®) with the use of only 3 suture wires...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28713633/the-floating-anchored-craniotomy
#14
Matthew J Gutman, Elena How, Teresa Withers
BACKGROUND: The "floating anchored" craniotomy is a technique utilized at our tertiary neurosurgery institution in which a traditional decompressive craniectomy has been substituted for a floating craniotomy. The hypothesized advantages of this technique include adequate decompression, reduction in the intracranial pressure, obviating the need for a secondary cranioplasty, maintained bone protection, preventing the syndrome of the trephined, and a potential reduction in axonal stretching...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28706824/pectoralis-major-repair-with-unicortical-button-fixation-and-suture-tape
#15
Anthony Sanchez, Marcio B Ferrari, Salvatore J Frangiamore, George Sanchez, Bradley M Kruckeberg, Matthew T Provencher
Although injuries of the pectoralis major muscle are generally uncommon, ruptures of the pectoralis major are occasionally seen in younger, more active patients who participate in weightlifting activities. These injuries usually occur during maximal contraction of the muscle, while in extension and external rotation. In the case of a rupture, operative treatment is advocated especially in young, active patients regardless of the chronicity of the injury. Various surgical techniques for reattachment of the avulsed tendon have been described, but bone tunnel and suture anchor repair techniques are most widely used...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706821/arthroscopic-transtendinous-biceps-tenodesis-with-all-suture-anchor
#16
Chien-An Shih, Florence L Chiang, Chih-Kai Hong, Cheng-Wei Lin, Ping-Hui Wang, I-Ming Jou, Wei-Ren Su
There are several methods for long head of the biceps (LHB) tenodesis, yet the optimal option is still debatable. Here we introduce a technique for arthroscopic suprapectoral biceps tenodesis with an all-suture anchor, the transtendinous biceps tenodesis technique. The LHB tenodesis is performed by using the Y-Knot anchor (1.3-mm). A standard suprapectoral approach is used for the tenodesis. A 1.3-mm drill bit is used to drill through the midportion of the biceps tendon and underlying bone to make a pilot hole...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706818/arthroscopic-repair-of-posterior-bony-bankart-lesion-and-subscapularis-remplissage
#17
Colten Luedke, Stefan J Tolan, John M Tokish
Posterior shoulder instability with glenoid bone loss has only a fraction of the prevalence of anterior instability. Unlike the latter, there is a paucity of literature regarding the treatment of posterior bony Bankart lesions and even less with concomitant reverse Hill-Sachs lesions. This combination of pathology leads to a difficult situation regarding treatment options. We present our technique for arthroscopic repair of a posterior bony Bankart lesion and reverse Hill-Sachs lesion. The importance of proper portal placement cannot be overstated...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706810/a-simple-all-arthroscopic-knotless-suture-lasso-loop-technique-for-suprapectoral-biceps-tenodesis
#18
David Saper, Xinning Li
A variety of pathology of the long head of the biceps tendon can contribute to anterior shoulder pain in adults that can be managed with either arthroscopic tenotomy or tenodesis when conservative treatment fails. Biceps deformity or the Popeye sign is a major concern in patients after tenotomy. Biceps tenodesis can be performed in a variety of ways with different sized anchors and at different locations (suprapectoral or subpectoral). Several studies have shown that patient outcomes and complication rates are similar between all-arthroscopic suprapectoral biceps tenodesis and open subpectoral biceps tenodesis...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706808/transosseous-posterior-meniscal-root-reinsertion-using-knotless-anchor-for-tibial-fixation
#19
Alejandro Espejo-Baena, Alejandro Espejo-Reina, María Josefa Espejo-Reina, María Belén Martín-Castilla, Jaime Dalla-Rosa Nogales, Enrique Sevillano-Pérez
A technique for posterior meniscal root reinsertion is presented. With the arthroscope in the central transtendinous portal for a better view, a 5-mm transtibial tunnel is created with the aid of an anterior cruciate ligament guide open to 45°. A suture device, which consists of a long needle with an eyelet on its tip, is introduced through the tunnel with a suture thread inserted through the eyelet, while the meniscus is stabilized with a grasper inserted through the anterior portal. The meniscus is pierced with the device, and the suture thread is recovered with said grasper...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28706793/medial-meniscus-posterior-root-repair-using-a-transtibial-technique
#20
Jarret M Woodmass, Rohith Mohan, Michael J Stuart, Aaron J Krych
The meniscal roots are critical in maintaining the normal shock absorbing function of the meniscus. If a meniscal root tear is left untreated, meniscal extrusion can occur rendering the meniscus nonfunctional resulting in degenerative arthritis. Two main repair techniques are described: (1) suture anchors (direct fixation) and (2) sutures pulled through a tibial tunnel (indirect fixation). Meniscal root repair using a suture anchor technique is technically challenging requiring a posterior portal and a curved suture passing device that can be difficult to manipulate within the knee...
June 2017: Arthroscopy Techniques
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