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Arthroscopic Surgery of the Temporomandibular Joint Surgery: Treatment of Internal Derangement with Persistent Closed Lock
Published in Niall MH McLeod, Peter A Brennan, 50 Landmark Papers every Oral & Maxillofacial Surgeon Should Know, 2020
Arthroscopic surgery of the TMJ has become a common procedure, with a great variety of surgical techniques and instruments described. Disc-repositioning techniques, capsular release, synovial coagulation, chondroplasty, discoplasty, and fibrous debridement have all been incorporated in arthroscopic procedures, using manual instruments, rotary mechanical shavers, monopolar or bipolar electrocautery, and lasers.
Soft Tissue Surgery of the Knee
Published in Timothy W R Briggs, Jonathan Miles, William Aston, Heledd Havard, Daud TS Chou, Operative Orthopaedics, 2020
Stephen Key, Jonathan Miles, Richard Carrington
Details of previous imaging and surgery should be available. Suitable equipment for the chosen technique of chondroplasty consists of: Microfracture picks/K-wire (microfracture)Plug harvest and implant equipment (mosaicplasty)Chondrocytes (ACI)
Endoscopic shelf acetabuloplasty for the treatment of patients in the setting of hip dysplasia
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
Soshi Uchida, Dean K. Matsuda, Akinori Sakai
Microfracture chondroplasty is performed if ICRS grade III or IV chondral defects are present. Next, unstable labral tears are addressed with midsubstance repair following conservative rim trimming using a motorized burr to create a bleeding bone surface. Midsubstance labral repair is performed using bioabsorbable suture anchors (OsteoRaptor, Smith & Nephew, Andover, MA) with knots tied on the capsular side of the labrum (Figure 31.2b).
Anterior cruciate ligament reconstruction complicated by Propionibacterium acnes infection: case series
Published in The Physician and Sportsmedicine, 2018
Alex C. DiBartola, Katherine R. Swank, David C. Flanigan
Patient 2 was a 44-year-old female who had undergone two previous right ACL reconstructions (2006, hamstring autograft; 2007, unknown allograft) prior to presenting at our institution. She presented 4 years after last ACL surgery with 1 year of increasing pain and instability after a minor stumble down stairs. Her past medical history was complicated by smoking, a known risk factor for development of infection. Her physical exam was positive for sharp, achy pain over the anterio-proximal tibial incision and screw, and medial joint line tenderness. She had no knee erythema or warmth. Magnetic resonance imaging (MRI) at this time showed an insufficient ACL graft and an anterior horn medical meniscal tear with degenerative changes (Figure 2(a, b)). She was treated with quadriceps strengthening physical therapy and a hinged knee brace for 2 months. Two months later, she continued to have tibial screw pain. The patient elected to have chondroplasty and debridement of the previous ACL graft remnant, hardware removal, and femoral and tibial tunnel bone grafting as a staged procedure.
Factors associated with RVU generation in common sports medicine procedures
Published in The Physician and Sportsmedicine, 2022
R. Timothy Kreulen, Micheal Raad, Farah N. Musharbash, Suresh K. Nayar, Matthew J. Best, Varun Puvanesarajah, Majd Marrache, Uma Srikumaran, John H. Wilckens
Comprehensive data are presented in Table 3. In summary, posterior cruciate ligament reconstruction generated the highest mean wRVUs, at 17 ± 0.0. Knee meniscectomy generated the lowest mean wRVUs, at 7.1 ± 0.0. Posterior cruciate ligament reconstruction had the longest operative time (154 ± 14 minutes), whereas knee meniscectomy had the shortest (29 ± 0.21 minutes). Knee chondroplasty generated the most wRVUs/hour, at 22 ± 0.47 (8.3 RVUs and an operative time of 32 minutes); whereas, ‘open tenodesis of the biceps, long head’ generated the least, at 9.6 ± 0.25 wRVUs/hour (10 ± 0.08 wRVUs and an operative time of 78 ± 2.1 minutes).
Cost-effectiveness analysis of arthroscopic injection of a bioadhesive hydrogel implant in conjunction with microfracture for the treatment of focal chondral defects of the knee – an Australian perspective
Published in Journal of Medical Economics, 2022
George Papadopoulos, Sarah Griffin, Hemant Rathi, Amit Gupta, Bhavna Sharma, Dirk van Bavel
Osteochondral defects are initially treated with conservative measures which may include restricting physical activity (weight-bearing and sports activities) and targeted physiotherapy, but these have limited ability to solve the underlying problem of cartilage damage4,5,8. Conservative treatments do not lead to healing of the defect but may provide symptomatic relief for a time. Surgical evaluation and treatment via an arthroscopic procedure is the preferred option upon failure of conservative treatment4,5. There are various surgical treatment options to mitigate osteochondral defects: chondroplasty, microfracture surgery, osteochondral autograft transplant (OAT), matrix-assisted chondrocyte implantation (MACI) and autologous chondrocyte implantation (ACI))4,9. While conventional surgical treatment options such as microfracture surgery are limited in their ability to generate hyaline cartilage, novel scaffold-based therapies (such as the Chitosan-based ones BST CarGel and JointRep) have been developed to promote tissue repair when administered with microfracture surgery. A randomized clinical trial reported superior short-term (1 year) and long-term (5 years) repair tissue quantity and quality with one of these chitosan-based scaffolds (BST-CarGel, Piramal Life sciences, Bio-Orthopaedics Division at the time of the trials, now the product is part of the Smith & Nephew family of products) administered with microfracture surgery in 41 knees affected by single focal cartilage lesion (Grade 3 to 4) on femoral condyles compared to 39 knees treated with microfracture alone10,11.