Menu Expand
Volume 45, Issue 2, An Issue of Orthopedic Clinics, E-Book

Volume 45, Issue 2, An Issue of Orthopedic Clinics, E-Book

Asif M. Ilyas

(2014)

Additional Information

Abstract

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot and ankle.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orthopedic Clinics of North America\r i
copyright\r ii
Contributors iii
Editors iii
Authors iii
Contents vii
Orthopedic Clinics of North America\r xi
Preface\r xiii
Dynamic Soft Tissue Balancing in Total Knee Arthroplasty 157
Key points 157
Ligamentous imbalance and incidence of revision 157
Defining balance 158
Traditional Methods for Defining Balance 158
Novel Methods and a More Precise Definition of Balance 158
Clinical applications for dynamic soft tissue balancing 159
Rotational Incongruency 159
Joint Imbalance 160
Coronal plane imbalance 160
Sagittal plane imbalance 161
Malalignment 162
The future of soft tissue balancing 163
References 164
Total Knee Arthroplasty with a Novel Navigation System Within the Surgical Field 167
Key points 167
Introduction 167
Tibial Coordinate System Registration 168
Femoral Coordinate System Registration 169
Preclinical Validation Study 169
Early Clinical Validation Study 170
Discussion 170
References 172
Soft Tissue Balance in Total Knee Arthroplasty with a Force Sensor 175
Key points 175
Introduction 175
Knee joint stability and achieving balance 176
Traditional balancing techniques 177
Pitfalls with measured resection technique 177
Transepicondylar Axis 177
Posterior Femoral Condyles 178
The Anteroposterior Axis (Whiteside Line) 178
Gap balancing technique 178
Design rationale: balanced resection 179
eLibra Dynamic Knee Balancing System Design Specifications 180
eLibra surgical technique 181
Establish Extension Gap by Traditional Methods 181
Establish Flexion Gap with eLibra 181
Troubleshooting with the eLibra 182
Early clinical results 183
Summary 183
References 184
Handheld Navigation in Total Knee Arthroplasty 185
Key points 185
Introduction 185
Surgical technique 186
Distal Femoral Cut 186
Step 1 186
Step 2 186
Step 3 186
Step 4 186
Step 5 186
Step 6 187
Step 7 187
Proximal Tibial Cut 187
Step 1 187
Step 2 187
Step 3 187
Step 4 187
Step 5 187
Evidence 187
Discussion 189
References 190
Trauma A3
Principles of Tibial Fracture Management with Circular External Fixation 191
Key points 191
Introduction and history of external fixation for fracture management 191
Biomechanics of circular fixation versus uniplanar fixation 193
Indications for circular ex fix versus internal fixation methods 195
Half pins versus wires, indications for each 196
Review of published clinical results 197
Plateau 197
Diaphyseal/Segmental 198
Pilon 199
Case example 200
Discussion 202
References 204
Surgical Management of Isolated Greater Tuberosity Fractures of the Proximal Humerus 207
Key points 207
Introduction 207
Anatomy 207
Fracture classification 208
Mechanism of injury 210
Associated injuries 210
Rotator Cuff Tear 210
Nerve Injuries 210
Vascular Injuries 211
Evaluation 211
Treatment 212
Nonoperative Treatment 212
Operative Treatment 214
Malunion and nonunion 216
Summary 217
References 217
Upper Extremity A5
The Role of Acromioplasty for Rotator Cuff Problems 219
Key points 219
Introduction 219
Acromioplasty for management of subacromial impingement syndrome 220
Acromioplasty during arthroscopic rotator cuff repair 221
Summary 222
Reference 222
Evaluation and Management of Brachial Plexus Birth Palsy 225
Key points 225
Introduction 225
Anatomy 225
Diagnosis 226
Assessment tools 226
Classification 227
Nonsurgical treatment 227
Surgical treatment 227
Microsurgery 227
Tendon Transfers 230
Osteotomies 230
Summary 231
References 231
Evaluation and Medical Management of Fragility Fractures of the Upper Extremity 233
Key points 233
Introduction and epidemiology of fragility fractures 233
The definition and pathophysiology of osteoporosis 235
Evaluation and indications for treatment 235
Intervention options 237
Vitamin D and Calcium Supplementation 237
Bisphosphonates 240
Teriparatide 240
Raloxifene 240
Calcitonin 241
Looking Ahead: Biologics 241
Summary 241
References 241
Oncology A7
Non-neoplastic Soft Tissue Masses That Mimic Sarcoma 245
Key points 245
Introduction 245
History and physical 246
Laboratory results 246
Imaging 246
Biopsy 247
Infection 247
Ganglion cyst 248
Myositis ossificans 249
Hematoma 250
Diabetic myonecrosis 251
Arthroplasty-related pseudotumor 253
Summary 254
References 254
The Principles and Applications of Fresh Frozen Allografts to Bone and Joint Reconstruction 257
Key points 257
Introduction 257
Osteoarticular allograft 258
Total Condylar Allograft 258
Surgical Technique 258
Results 259
Unicondylar allografts 261
Surgical Technique 261
Results 261
Intercalary allografts 261
Allograft Arthrodesis 261
Intercalary Segmental Allografts 261
Surgical Technique 262
Hemicylindrical Intercalary Allografts 262
Allograft-prosthetic composites 263
Surgical Technique 263
Results 263
Summary 266
Supplementary data 266
References 266
Index 271