scholarly journals Injuries of the Posterolateral Corner of the Knee-Diagnosis and Treatment Options for Beginning and Advanced Arthroscopic Surgeons

2021 ◽  
Author(s):  
Adrian Góralczyk ◽  
Piotr Jancewicz ◽  
Krzysztof Hermanowicz
Keyword(s):  
Treatment Options ◽  
Surgical Techniques ◽  
Posterolateral Corner ◽  
Surgical Skills ◽  
Diagnostic Tools ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Orthopedic Surgeons ◽  
Invasive Techniques ◽  
Posterolateral Corner Reconstruction

Injuries to the posterolateral corner (PLC) of the knee may have a devastating impact on whole joint. Posterolateral rotatory instability, despite getting more and more popular among orthopedic surgeons, still remains challenging to diagnose and even more challenging to treat. Available surgical techniques are demanding and require advanced surgical skills. In this chapter we are going to review the diagnostic tools which help to recognize posterolateral rotatory instability of the knee, to outline its importance and consequences of misdiagnosis as well as present arthroscopic popliteus tenodesis and arthroscopic-assisted posterolateral corner reconstruction which are our minimally invasive techniques used to treat this condition depending on PLC injury pattern and grading. Presented techniques are reproducible, safe and do not require advanced surgical skills being a useful alternative for available open PLC reconstructions.

Kinematics of the Posterolateral Corner of the Knee: A Cadaveric Study

2010 ◽  
Author(s):  
Ryan J. Quigley ◽  
Hideya Ishigooka ◽  
Michelle H. McGarry ◽  
Yu J. Chen ◽  
Akash Gupta ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Posterolateral Corner ◽  
Cadaveric Study ◽  
Knee Ligaments ◽  
Rotatory Instability ◽  
Posterolateral Rotatory Instability ◽  
Combined Injuries

Combined injuries of the posterior cruciate ligament (PCL) and the posterolateral corner (PLC) of the knee results in posterolateral rotatory instability. The detailed anatomy and kinematics of the PCL is well described in the literature as well as the anatomy of the PLC; however, the detailed kinematics of the posterolateral corner ligaments and tendons are not well understood. This information on the posterolateral corner is important for developing a strategy for accurate anatomical reconstructions. Therefore, the purpose of this study was to quantify the detailed kinematics of the posterolateral corner of the knee ligaments and tendons.

scholarly journals Congenital Scoliosis: A Current Concepts Review

2021 ◽  
Vol 9 (2) ◽  
pp. 127-136
Author(s):  
Farshid Bagheri ◽  
◽  
Amin Razi ◽  
Ali Birjandinejad ◽  
Sara Amel Farzad ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Options ◽  
Surgical Techniques ◽  
Congenital Scoliosis ◽  
Critical Issue ◽  
Nonoperative Treatment ◽  
Final Choice ◽  
Orthopedic Surgeons ◽  
Difficult Condition ◽  
A Current

Context: Congenital scoliosis is a difficult condition for orthopedic surgeons. There are some influencing factors to choose the best treatment option for scoliosis. Objectives: Patients with congenital scoliosis may encounter different anomalies. There exist various surgical techniques with different indications. Methods: Electronic databases, such as Google Scholar, PubMed, and Scopus were searched for congenital scoliosis. Articles published from 1928 to 2020 were searched. A narrative review was conducted by focusing on treatment options. Results: Different methods are presented in the literature that consists of operative and nonoperative approaches. Nonoperative treatment methods are seldom a final choice. They are used to postpone the final surgery. There are different methods of surgeries in the literature; the best treatment strategy concerns the patients’ condition and the surgeon’s preference. Conclusions: The critical issue in the management of congenital scoliosis is to diagnose these patients’ curves before severe progression, i.e. mandatory to achieve desirable results. Usually, a course of nonoperative treatment can be started, but only to postpone the final surgery. The preferred surgical treatment depends on the type of congenital scoliosis and the age of the patient. The treatment of congenital scoliosis should be a multidisciplinary approach due to concomitant morbidity in these patients.

New Trends and Developments in Patients with Severe Aortic Stenosis – Towards Optimal Treatment?

2009 ◽  
Vol 5 (2) ◽  
pp. 81 ◽  
Author(s):  
Martijn WA van Geldorp ◽  
Johanna JM Takkenberg ◽  
Ad JJC Bogers ◽  
A Pieter Kappetein ◽  
◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Surgical Techniques ◽  
Treatment Strategies ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Treatment Modalities ◽  
Diagnostic Tools ◽  
Number Of Patients ◽  
Transcatheter Valve

Over the next few decades the number of patients diagnosed with aortic stenosis is expected to rise as the population ages and the use of several diagnostic tools expands. This will result in a growing need for both medical and surgical treatment and stimulate the development of new diagnostic and surgical techniques. This article briefly describes the prevalence, pathogenesis and clinical presentation of patients with aortic stenosis and focuses on developments in diagnostic tools, treatment strategies and treatment modalities: the use of echocardiography, tissue Doppler imaging, stress testing and biomarkers is discussed, as well as timing of surgery and the role microsimulation can play in prosthesis selection. Furthermore, newly developed transcatheter valve implantation techniques and their possible role in treating ‘inoperable’ or ‘elderly’ patients are discussed.

scholarly journals Anatomic Posterolateral Corner Reconstruction Using Semitendinosus and Gracilis Autografts: Surgical Technique

2021 ◽  
Vol 10 (2) ◽  
pp. e487-e497
Author(s):  
Santiago Pache ◽  
Martín Sienra ◽  
Diego Larroque ◽  
Rodrigo Talamás ◽  
Zachary S. Aman ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Posterolateral Corner ◽  
Posterolateral Corner Reconstruction

scholarly journals Revisional Techniques for Secondary Cleft Lip Deformities

2021 ◽  
Vol 35 (02) ◽  
pp. 065-071
Author(s):  
Shayan M. Sarrami ◽  
Anna J. Skochdopole ◽  
Andrew M. Ferry ◽  
Edward P. Buchanan ◽  
Larry H. Hollier ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Early Life ◽  
Cleft Lip ◽  
Primary Repair ◽  
Surgical Techniques ◽  
Minimally Invasive Techniques ◽  
Adjacent Tissue ◽  
Tissue Transfer ◽  
Invasive Techniques

AbstractSecondary deformities of repaired cleft lips are an unfortunate complication despite the meticulous approach of modern primary procedures. Most of these surgeries take place in the patient's early life and must be strategically planned to provide optimal cosmesis with minimal interventions. Depending on the level of severity, treatment of the secondary deformities ranges from noninvasive or minimally invasive techniques to complete revision cheiloplasty. Many novel topical, injectable, and laser therapies have allotted physicians more technical flexibility in treating superficial distortions. Nonetheless, surgical techniques such as diamond excision and adjacent tissue transfer remain popular and useful reconstructive modalities. Deformities involving the orbicularis oris must be completely taken down to allow full access to the muscle. Complete revision cheiloplasty requires recreation of the cleft defect and reconstruction similar to the primary repair. Due to the myriad of presentations of these secondary deformities, familiarity with the various treatments available is imperative for any cleft surgeon.

Sign in / Sign up

Export Citation Format

Share Document