Arthroscopic Stablization Cherry Blossom Final 2009
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1. Arthroscopic stabilization has become the standard treatment for anterior shoulder instability with indications including post-traumatic unidirectional instability with a discrete Bankart lesion and good tissue quality. 2. Contraindications for arthroscopic stabilization include HAGL lesions, poor quality capsulolabral tissue, intra-capsular IGHL rupture, revision surgery, significant glenoid or bony Bankart pathology, engaging Hill-Sachs lesions, and involvement in contact/collision sports. 3. Multiple studies have shown arthroscopic Bankart repair can achieve recurrence rates of 3-10% with mean follow-ups of 2-5 years, though higher recurrence rates of 25-29% were
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Similar to Arthroscopic Stablization Cherry Blossom Final 2009
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αρθροσκοπική αποκατάσταση οστικών ελλειμμάτων τελικο
The document discusses arthroscopic reconstruction of bone defects of the shoulder joint using a bone graft. It begins by introducing Dr. Manos Antoniou who is an orthopedic surgeon and director of the shoulder surgery department. It then discusses shoulder instability, contributors to stability, types of bone defects including those on the glenoid and humeral head. Hill-Sachs lesions are described in detail including engaging vs non-engaging types. Solutions for bone defects including the remplissage procedure and arthroscopic bone block are presented. Early results for 23 patients treated with the arthroscopic bone block procedure are promising with no recurrences and good functional outcomes.
Shoulder Arthritis | Shoulder Instability | South Windsor, Rocky Hill, Glasto...
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses shoulder arthritis and shoulder instability. He highlights:
Causes of shoulder arthritis
Types of shoulder instability
Diagnostic imaging
Non-operative treatment
Arthroscopy techniques
Shoulder replacement
Reverse shoulder arthroplasty
Shoulder Instability
Shoulder dislocations
To learn more about shoulder arthritis, please visit: https://hartfordsportsorthopedics.com/shoulder-arthritis-osteoarthritis-pain-chronic-south-windsor-rocky-hill-glastonbury-ct/
To learn more about shoulder instability and dislocations, please visit: https://hartfordsportsorthopedics.com/dislocated-shoulder-instability-south-windsor-rocky-hill-glastonbury-ct/
Recurrent Anterior instability of Shoulder with bone loss
This document discusses methods for assessing and addressing bone loss in the context of recurrent anterior shoulder instability. It describes different types of glenoid and Hill-Sachs bone loss and techniques for measuring them, including using X-rays, CT scans, and MRI. Significant glenoid bone loss is considered >15-25% while a Hill-Sachs lesion is concerning if it is engaging or off-track. Treatment options discussed include arthroscopic Bankart repair, Latarjet procedure, remplissage, and bone grafting, with the approach depending on the size and location of any bone defects. The goal is to wisely select a treatment plan that addresses the specific bone loss pattern to achieve better outcomes.
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
This document discusses the treatment of nonunion and fixation failure of pertrochanteric fractures through calcar replacement arthroplasty. It begins by outlining the objectives and providing background on pertrochanteric fractures. It then discusses causes of fixation failure, classification systems, and various treatment options including revision fixation and hip arthroplasty. The study aims to evaluate the clinical and radiological outcomes of using calcar replacement arthroplasty to treat nonunion or previously failed fixation of these fractures. It provides details on patients, surgical technique, post-operative outcomes including Harris Hip Scores, complications, and conclusions. In general, it finds the procedure provides acceptable clinical outcomes with improved pain and function though it is technically challenging.
Current management of ACL injury 2017
This document summarizes current management of anterior cruciate ligament (ACL) injuries, including anatomy, treatment options, surgical techniques, graft types, and rehabilitation. Key points include: ACL tears are common sports injuries; reconstruction is preferred over conservative treatment to prevent further damage; anatomic single- or double-bundle reconstruction aims to restore the native footprint; fixation and graft choices depend on patient factors; and rehabilitation focuses on regaining strength and function over 6-12 months before returning to sport. Surgical techniques and understanding continue to evolve based on research into knee biomechanics, healing, and failure rates.
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthroscopic Latarjet procedure is gaining popularity in every part of the world as it combines the strength of Latarjet procedure while retaining the advantages of Arthroscopy. It is most useful shoulder recurrent dislocation associated with bone loss in the glenoid (Bony Bankart) or humeral head (Hill Sach's defect).
Chicago 2010
This document summarizes the results of meniscus allograft transplantation (MAT) procedures performed by the author and colleagues on 38 patients over 5 years of follow up. Key findings include:
- Good short term outcomes in reducing pain and improving function based on clinical scores.
- Success depends on careful patient selection criteria like age, activity level, and degree of cartilage damage.
- Longer follow up is still needed to determine the biomechanical effects and ability of MAT to prevent cartilage degeneration over time.
- MAT is technically demanding but shows promise as an alternative to treat symptomatic knees with meniscus deficiency.
Fracture both forearm team v
An isolated ulna fracture with less than 20% displacement and 5 degrees of angulation can be treated non-operatively in an otherwise healthy adult. Fractures involving the radial diaphysis or both bones of the forearm carry a high risk of displacement and malunion/nonunion and are generally treated with open reduction internal fixation. Maintaining radial bow is important for functional outcomes with surgical treatment of forearm fractures.
Traumatic shoulder dislocation 2017 kat
This document discusses the management of traumatic anterior shoulder dislocations. It begins by describing the shoulder's anatomy and how its mobility makes it prone to instability. It then reviews the history and clinical examination findings that help determine appropriate treatment. Arthroscopic findings from studies of acute and chronic dislocations are presented, showing common lesions like Bankart tears. Treatment options are explored, including arthroscopic stabilization which can address all lesions with minimal morbidity. Arthroscopy allows accurate diagnosis and repair of injuries while facilitating early rehabilitation. The conclusion is that arthroscopy is now often the treatment of choice for traumatic shoulder dislocations.
Radial head replacement best evidence
This document discusses treatment options for radial head fractures, including conservative treatment, fixation, excision, partial excision, and replacement. It provides guidelines for treating different Mason types of fractures, noting that Mason type 1 fractures can be treated conservatively, Mason type 2 fractures should be fixed, and Mason types 3 and 4 may require fixation with ligament repair or replacement depending on associated injuries. Reasons for replacing versus fixing the radial head are discussed. While there is a lack of level 1 evidence, studies at lower levels generally show better outcomes with replacement compared to fixation for complex injuries or fractures with three or more fragments. Precise sizing and avoiding overstuffing are important with replacement.
Rotator Cuff Evidence Update
This document provides an overview of rotator cuff disorders and evidence related to diagnosis and management. Key points include:
- Rotator cuff tears can be caused by mechanical or degenerative factors and progress from tendinosis to partial or full thickness tears.
- Physical exams have low diagnostic accuracy for tears but clusters of tests may help. Investigations like ultrasound and MRI can better identify soft tissue pathology.
- Factors like age, tear size, tendon retraction and fatty infiltration affect outcomes, with larger/retracted tears and more fatty changes correlating to poorer prognosis.
- Initial management focuses on rest, analgesics and physiotherapy, with surgery for failed non-operative treatment. Surgical techniques like
Displasia anca ISTA Dubai
The document discusses the management of severe congenital hip dysplasia (CHD) with total hip arthroplasty (THA) plus a shortening osteotomy performed at the same time. It notes that this technique allows for faster bone healing, precise control of femoral derotation, and retention of thigh muscles. The results of 376 Crowe IV hips treated with THA and subtrochanteric shortening osteotomy over 25 years are presented, with a complication rate of around 22-18% reported.
KNEE RECON KADER 2022.pdf
The document provides an overview of a knee surgeon's elective orthopaedics course on the topic of knees. It includes the surgeon's background and areas of specialty. It also includes sample cases and questions from attendees on topics like evidence-based treatment for osteoarthritis, different types of knee replacements and osteotomies, and principles of knee surgery procedures.
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
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TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospital Gondia Maharashtra IndiaInstability and bone loss. pptx
This document discusses shoulder dislocation with bone defects. It begins with an introduction to the speaker, Dr. Manos Antonogiannakis, and the conference he is presenting at. The document then covers various topics related to shoulder instability and bone defects, including the types of instability, static and dynamic stabilizers of the shoulder, classifications of glenoid and humeral bone defects, techniques for addressing bone defects like the Latarjet procedure and remplissage, and results from studies on these techniques. It provides images and diagrams to illustrate the concepts and surgical approaches.
Total shoulder arthroplasty and reverse TSA - Hussain Algawahmed
This document discusses shoulder arthritis and treatment options including total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (rTSA). It provides details on patient cases, anatomy, biomechanics, types of arthritis, and principles of TSA and rTSA. For a 50-year-old patient with shoulder pain, options could include TSA if the rotator cuff and glenoid are intact. An rTSA may be considered for a patient with a massive rotator cuff tear or pseudoparalysis. The document reviews indications, surgical techniques, and complications for both procedures.
Total Shoulder Arthroplasty | Reverse Shoulder Replacement | South Windsor, R...
https://hartfordsportsorthopedics.com/
In this presentation, Dr. Mazzara discusses the pathology, surgical techniques, and potential complications during a total shoulder replacement and a reverse total shoulder replacement.
To learn more about shoulder replacements, please visit: https://hartfordsportsorthopedics.com/total-shoulder-replacement-arthroplasty-south-windsor-rocky-hill-glastonbury-ct/
Corrective Surgery for Malunited Tibial Plateau Fracture
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
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αρθροσκοπική αποκατάσταση οστικών ελλειμμάτων τελικο
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Shoulder Arthritis | Shoulder Instability | South Windsor, Rocky Hill, Glasto...
Shoulder Arthritis | Shoulder Instability | South Windsor, Rocky Hill, Glasto...
Recurrent Anterior instability of Shoulder with bone loss
Recurrent Anterior instability of Shoulder with bone loss
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
Total shoulder arthroplasty and reverse TSA - Hussain Algawahmed
Total shoulder arthroplasty and reverse TSA - Hussain Algawahmed
Total Shoulder Arthroplasty | Reverse Shoulder Replacement | South Windsor, R...
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Arthroscopic Stablization Cherry Blossom Final 2009
- 1. Arthroscopic Stabilization in Anterior Instability Indications, Pearls and Pitfalls Benjamin Shaffer MD
- 18. REC: Preop Bilateral CT’s Significant Glenoid Bone Loss
- 20. How to assess arthroscopically? Glenoid Bare spot provides consistent reference point to quantify % bone loss of inferior glenoid
- 27. “ Engaging” Hill-Sachs Lesion
- 38. Humeral Bone Loss Engaging Hill-Sachs Lesion Auto Body Technique w/ “transhumeral elevation and allograft augmentation of the impacted head fragment”
- 41. Humeral Bone Loss Engaging Hill-Sachs Lesion
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- 62. Arthroscopic Bankart Results Year Author(s) # Shoulders Mean F/U (months) Recurrence Rate Comments 2005 Mazzocca 18 37 11% Contact/collision 2005 Sugaya 42 34 5% All w/ bony lesions 2005 Bottoni 32 32 3% Prospective 2006 Carierra 72 46 10% Prospective 2006 Marquardt 54 3.7 yrs 7.5% Prospective 2006 Larrain 121 5.9 yrs 8.3% Rugby players 2006 Rhee 16 >2 yrs 25% Collision 2006 Cho 14 >2 yrs 29% Collision 2007 Thal 72 Min 2yr 6.9% 13.5% <22yrs, 7.5% in contact/collision sports 2008 Ozbaydar 93 47 10.7% 7% Bankart vs 19% ALPSA
- 63. Arthroscopic Bankart Results Year Author(s) # Shoulders Mean F/U (months) Recurrence Rate Comments 2005 Mazzocca 18 37 11% Contact/collision 2005 Sugaya 42 34 5% All w/ bony lesions 2005 Bottoni 32 32 3% Prospective 2006 Carierra 72 46 10% Prospective 2006 Marquardt 54 3.7 yrs 7.5% Prospective 2006 Larrain 121 5.9 yrs 8.3% Rugby players 2006 Rhee 16 >2 yrs 25% Collision 2006 Cho 14 >2 yrs 29% Collision 2007 Thal 72 Min 2yr 6.9% 13.5% <22yrs, 7.5% in contact/collision sports 2008 Ozbaydar 93 47 10.7% 7% Bankart vs 19% ALPSA
- 64. Arthroscopic Bankart Results Year Author(s) # Shoulders Mean F/U (months) Recurrence Rate Comments 2005 Mazzocca 18 37 11% Contact/collision 2005 Sugaya 42 34 5% All w/ bony lesions 2005 Bottoni 32 32 3% Prospective 2006 Carierra 72 46 10% Prospective 2006 Marquardt 54 3.7 yrs 7.5% Prospective 2006 Larrain 121 5.9 yrs 8.3% Rugby players 2006 Rhee 16 >2 yrs 25% Collision 2006 Cho 14 >2 yrs 29% Collision 2007 Thal 72 Min 2yr 6.9% 13.5% <22yrs, 7.5% in contact/collision sports 2008 Ozbaydar 93 47 10.7% 7% Bankart vs 19% ALPSA
- 65. Arthroscopic Bankart Results Year Author(s) # Shoulders Mean F/U (months) Recurrence Rate Comments 2005 Mazzocca 18 37 11% Contact/collision 2005 Sugaya 42 34 5% All w/ bony lesions 2005 Bottoni 32 32 3% Prospective 2006 Carierra 72 46 10% Prospective 2006 Marquardt 54 3.7 yrs 7.5% Prospective 2006 Larrain 121 5.9 yrs 8.3% Rugby players 2006 Rhee 16 >2 yrs 25% Collision 2006 Cho 14 >2 yrs 29% Collision 2007 Thal 72 Min 2yr 6.9% 13.5% <22yrs, 7.5% in contact/collision sports 2008 Ozbaydar 93 47 10.7% 7% Bankart vs 19% ALPSA
- 66. Caution
- 69. Thank You