Surgical Technique: Mini-open Acetabular Rim Trimming, Labral Refixation, and Femoral Osteochondroplasty

2014 ◽  
pp. 1-7
Author(s):  
Patrick O’Toole ◽  
Antonia F. Chen ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Surgical Technique ◽  
Labral Refixation ◽  
Mini Open ◽  
Acetabular Rim

Surgical Technique: Mini-Open Acetabular Rim Trimming, Labral Refixation, and Femoral Osteochondroplasty

2021 ◽  
pp. 1-7
Author(s):  
Steven Yacovelli ◽  
Patrick O’Toole ◽  
Antonia F. Chen ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Surgical Technique ◽  
Labral Refixation ◽  
Mini Open ◽  
Acetabular Rim

Surgical Technique: Mini-open Acetabular Rim Trimming, Labral Refixation, Femoral Osteochondroplasty

2014 ◽  
pp. 697-701
Author(s):  
Patrick O’Toole ◽  
Antonia F. Chen ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Surgical Technique ◽  
Labral Refixation ◽  
Mini Open ◽  
Acetabular Rim

Ten- to 14-Year Follow-up of the Nirschl Surgical Technique for Lateral Epicondylitis

2007 ◽  
Vol 36 (2) ◽  
pp. 261-266 ◽  
Author(s):  
Jonathan H. Dunn ◽  
John J. Kim ◽  
Lonnie Davis ◽  
Robert P. Nirschl
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Tennis Elbow ◽  
Lateral Epicondylitis ◽  
Scoring Systems ◽  
Intensity Scale ◽  
The Mean ◽  
Mini Open

Background Good to excellent short-term results have been reported for the surgical treatment of lateral epicondylitis using various surgical techniques. Hypothesis Surgical treatment for lateral epicondylitis using the mini-open Nirschl surgical technique will lead to durable results at long-term follow-up. Study Design Case series; Level of evidence, 4. Methods Records from 139 consecutive surgical procedures (130 patients) for lateral epicondylitis performed by 1 surgeon between 1991 and 1994 were retrospectively reviewed. Eighty-three patients (92 elbows) were available by telephone for a mean follow-up of 12.6 years (range, 10–14 years). Outcome measures included the Numeric Pain Intensity Scale, Nirschl and Verhaar tennis elbow–specific scoring systems, and American Shoulder and Elbow Surgeons elbow form. Preoperative data were collected retrospectively. Results The mean age of the study group was 46 years (range, 23–70 years) with 45 men and 38 women. Eighty-seven of the procedures were primary, and 5 were revision tennis elbow surgeries. Concomitant procedures were performed in 30 patients including ulnar nerve release in 24 patients, medial tennis elbow procedures in 23 patients, shoulder arthroscopy in 2 patients, carpal tunnel release in 1 patient, and triceps debridement and osteophyte excision in 1 patient. The mean duration of preoperative symptoms was 2.2 years (range, 2 months to 10 years). The mean Nirschl tennis elbow score improved from 23.0 to 71.0, and the mean American Shoulder and Elbow Surgeons score improved from 34.3 to 87.7 at a minimum of 10-year follow-up ( P < .05). The Numeric Pain Intensity Scale pain score improved from 8.4 preoperatively to 2.1 ( P < .05). Results were rated as excellent in 71 elbows, good in 6 elbows, fair in 9 elbows, and poor in 6 elbows by the Nirschl tennis elbow score. By the criteria of Verhaar et al, the results were excellent in 45 elbows, good in 32 elbows, fair in 8 elbows, and poor in 7 elbows. Eighty-four percent good to excellent results were achieved using both scoring systems. Ninety-two percent of the patients reported normal elbow range of motion. The overall improvement rate was 97%. Patient satisfaction averaged 8.9 of 10. Ninety-three percent of those available at a minimum of 10-year follow-up reported returning to their sports. Conclusion The mini-open Nirschl surgical technique with accurate resection of the tendinosis tissue remains highly successful in the long term.

scholarly journals Arthroscopic treatment of pincer-type femoroacetabular impingement performing acetabuloplasty without labral detachment

2017 ◽  
Vol 5 (1_suppl) ◽  
pp. 2325967117S0001
Author(s):  
Fernando Comba ◽  
Pablo Slullitel ◽  
Pedro Bronenberg ◽  
Martin Buttaro ◽  
Gerardo Zanotti ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Visual Analogue Scale ◽  
Clinical Outcomes ◽  
Analogue Scale ◽  
Harris Hip Score ◽  
Crossover Sign ◽  
Center Edge ◽  
Labral Refixation ◽  
Modified Harris Hip Score ◽  
Acetabular Rim

Objectives: In order to access and resect the acetabular rim, arthroscopic acetabuloplasty was described with labral detachment. However, when the chondrolabral junction remains intact, acetabuloplasty and labral refixation can be performed maintaining an unharmed labrum. We aimed to evaluate the outcome of a group of patients treated with arthroscopic acetabuloplasty without labral detachment. Methods: During the study period, we retrospectively analyzed 44 patients with pincer-type o combined impingement and an intact chondroblabral junction, with an average followup of 32 months (range: 27-38). We excluded patients with CAM-type impingement and previous hip pathology. Radiographs were analyzed to define impingement and classify grade of osteoarthritis. Clinical evaluation consisted of preoperative and postoperative modified Harris Hip Score (mHHS) and WOMAC as well as postoperative Visual Analogue Scale (VAS) of pain and satisfaction. Reoperations were considered surgical failures for purposes of survival analysis.. Results: Mean preoperative anterior and lateral center-edge angles were 35º and 29º, respectively. Mean preoperative alfa angle was 52º. Crossover sign was found in 82% of cases. mHHS changed from 51.06 (SD 4.81) preoperatively to 84.97 (SD 12.79) postoperatively. Preoperative WOMAC was 29.18 (SD 8) and postoperative, 13.10 (SD 11). Postoperative VAS was 7.5 and 2.27 for satisfaction and pain, respectively. When comparing patients with Tönnis 0 to those with Tönnis 1, the former showed better results regarding postoperative mHHS (89.9s vs 77.85, p=0.03), pain VAS (1.5 vs 6.3, p=0.03) and satisfaction VAS (8.2 vs 6.3, p=0.01). Postoperative WOMAC was slightly better for Tönnis 0 patients (8.31 vs 19.3, p=0.05). No differences were found in preoperative WOMAC and mHHS. Three of 44 patients required a second surgical procedure and were considered failures. Survival was 100% at 24 months and 76% at 40 months (95%CI: 35%-98%). Conclusion: Arthroscopic acetabuloplasty without labral detachment achieved good clinical outcomes in all the evaluated scores. Slight degenerative changes on radiographs correlated with poorer clinical outcomes, exhibiting better results in patients without osteoarthritis.

scholarly journals Mini-open Incision Sports Hernia Repair: A Surgical Technique for Core Muscle Injury

2017 ◽  
Vol 6 (4) ◽  
pp. e1281-e1284 ◽  
Author(s):  
Anthony J. Scillia ◽  
Todd P. Pierce ◽  
Erica Simone ◽  
Richard C. Novak ◽  
Benton A. Emblom
Keyword(s):  
Surgical Technique ◽  
Hernia Repair ◽  
Muscle Injury ◽  
Sports Hernia ◽  
Mini Open

Surgical Technique: Mini-Open Approach to the Hip

2013 ◽  
pp. 1-8
Author(s):  
Antonia F. Chen ◽  
Patrick O’Toole ◽  
Joshua Minori ◽  
Javad Parvizi
Keyword(s):  
Surgical Technique ◽  
Open Approach ◽  
Mini Open
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