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Mashup Score: 9
Intraosseous injections of bone marrow aspirate concentrate have shown promise in the treatment of bone marrow lesions (BMLs) in the knee. With the wide-awake limited anesthesia no tourniquet (WALANT) technique, intraosseous injections can be performed with the patient under local anesthesia in the procedure room or operating room setting. This article describes 2 techniques to access the BML of interest. The “decompression route” involves drilling through the nearest cortex, and the “biologic route” involves drilling through healthy bone to promote bleeding and the introduction of healthy biologic tissue to the BML.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 28Transosseous Repair of Isolated Posterior Medial Meniscal Root Injuries in Children and Adolescents - 8 day(s) ago
The meniscal roots are critically important for maintaining knee stability, functional load distribution, and proper knee kinematics. Although adult meniscal root injuries have been a topic of increasing research, medial meniscus injuries also occur in pediatric and adolescent patients, with up to 2% of meniscal injuries involving root attachments. The purpose of this Technical Note is to demonstrate the transosseous repair of isolated posterior medial meniscal root injuries in children and adolescents, including tear visualization on magnetic resonance imaging and during arthroscopy, operative technique, and postoperative management.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 36Subscapularis Management With Biologic Augmentation in Anatomic Total Shoulder Arthroplasty - 9 day(s) ago
Subscapularis insufficiency continues to be a source of morbidity after anatomic total shoulder arthroplasty (TSA). Biologic augmentation following rotator cuff repair has shown promising results. Here we show the technique for performing subscapularis repair after anatomic TSA using a “peel-tenotomy” and bone marrow aspirate concentrate (BMAC). A standard deltopectoral approach is performed. The peel-tenotomy is performed by leaving 0 to 10 mm of subscapularis attached to the lesser tuberosity and peeling off the remainder of the tendon.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 37Reinsertion of Posterior Meniscal Root for Management of Hypermobile Lateral Meniscus: Description of a Surgical Technique - 26 day(s) ago
Lateral meniscus hypermobility is a special condition in which the posterior horn of the lateral meniscus exhibits excessive mobility. This condition can cause pain and locking in the knee, especially during kneeling, deep flexion, or squatting. In this article, we present a surgical technique for the reinsertion of the posterior root of the external meniscus in cases of hypermobility without detachment. The objective is to increase the tension of the meniscotibial and meniscal popliteal ligaments to achieve meniscal stability.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 32
Persistent rotational instability after anterior cruciate ligament reconstruction is a relatively common postoperative complication, typically associated with graft verticalization due to improper femoral tunnel placement, especially with classic transtibial femoral tunnel techniques. This article describes a technique designed to reorient a verticalized anterior cruciate ligament graft at its femoral insertion to a more anatomic position in the coronal and sagittal planes, aiming to restore knee stability without the need for a complete revision operation.
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Mashup Score: 125Arthroscopic Modified Broström Repair with Suture-Tape Augmentation of the Calcaneofibular Ligament for Lateral Ankle Instability - 1 month(s) ago
Surgical repair of acute or chronic lateral instability of the ankle may be unsuccessful in the presence of associated anterior fibulotalar ligament (AFTL) and calcaneofibular ligament (CFL) injury. This Technical Note presents an arthroscopic double-row repair technique of the AFTL associated with suture tape augmentation of the CFL. The patient is in the supine position with the ankle hanging over the edge of the surgical table. The anteromedial portal is created inside the anterior tibial tendon, and the anterolateral portal is created under arthroscopic control.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 64Intramedullary Screw Fixation for Midshaft Clavicle Fractures - 1 month(s) ago
Operative fixation for acute displaced midshaft clavicle fractures provides improved functional outcomes and patient satisfaction over nonoperative treatment. Although open reduction and plate fixation is most commonly used, intramedullary fixation produces similar patient outcomes with fewer symptomatic hardware or scar complications. The purpose of this Technical Note is to detail a straightforward and cost-efficient method of intramedullary clavicle fracture fixation using a headless cannulated screw.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 22Arthroscopic Medial Bi-portal Extra-articular Debridement for Recalcitrant Medial Epicondylitis - 1 month(s) ago
Medial epicondylitis, or golfer’s elbow, is characterized by pain and tenderness at the tendon insertion points of the pronator teres and flexor carpi radialis. Conservative treatment is sufficient for most patients, whereas surgical treatment is the best choice for intractable medial epicondylitis. With open surgery or arthroscopic surgery, good clinical results have been reported. However, there is still no consensus on which surgical technique is more ideal. We describe our technique of arthroscopic medial bi-portal extra-articular debridement, which is a safe and effective technique that allows more accurate debridement and maximum protection of the ulnar nerve while reducing surgical scars, relieving postoperative pain, reducing the probability of elbow infection and ankylosis, and shortening the recovery time.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 156Double Vector: A Combined Biomechanical and Anatomical Posterolateral Corner Reconstruction Technique - 1 month(s) ago
Posterolateral corner (PLC) injuries are complex knee injuries that are becoming increasingly frequent. Often undiagnosed and underestimated, a systematic diagnostic workup is necessary to assess the severity of PLC injury in order to then be able to select the proper surgery approach. Anatomical and nonanatomical PLC-reconstruction techniques have been described. In this Technical Note, we describe our technique of biomechanical reconstruction of PLC in case of severe posterolateral rotational instability.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
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Mashup Score: 49Arthroscopic Repair of Acute Traumatic Medial Patellofemoral Ligament Tears at the Patellar Insertion - 1 month(s) ago
After a lateral patellar dislocation or subluxation, injury to the medial patellofemoral ligament (MPFL) is common. The MPFL originates between the medial epicondyle and the adductor tubercle, inserting along the superior one-third border of the medial patella. Operative treatment becomes necessary for patients with intra-articular pathology (such as osteochondral injuries or meniscus tears) or those experiencing recurrent dislocations. Numerous surgical techniques have been proposed for addressing this issue, with MPFL reconstruction being the most frequently performed procedure.
Source: www.arthroscopytechniques.orgCategories: General Medicine News, RheumatologyTweet
🎥Check out this technique to access bone marrow lesions through the decompression route and the biologic route https://t.co/Mw2QxnKUpC #orthobiologics #bonemarrowlesions #BMAC https://t.co/F1EYEzqwbB