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Latest journal articles about sports medicine and arthroscopy from Sports Medicine, American Journal of Sports Medicine, Arthroscopy - Journal of Arthroscopic and Related Surgery, British Journal of Sports Medicine, Sports Medicine and Arthroscopy Review, International Journal of Sports Medicine, Clinical Journal of Sport Medicine, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics
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Orthopaedic surgeons spend most of their surgical planning thinking about bones and hardware. However, respecting the soft tissues (eg, the skin) is a key factor in promoting healing after orthopaedic surgery, particularly in the setting of trauma or infection. Attending and resident physicians alike often think that they are tying square knots, when in reality they are throwing a series of half hitches in opposite directions, ultimately creating a slip knot. The purpose of this article is to review the nature of a square knot, demonstrate how to tie a square knot, and review the most common error in technique that young surgeons often demonstrate in the operating room.
561 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:
These pubmed results were generated on 2013/11/30
174 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:
These pubmed results were generated on 2013/09/22
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Stress Distribution Within Rotator Cuff Tendons With a Crescent-Shaped and an L-Shaped Tear.
Am J Sports Med. 2013 Aug 1;
Authors: Sano H, Hatta T, Yamamoto N, Itoi E
Abstract
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Leadership in the face of adversity.
Arthroscopy. 2013 Aug;29(8):1387-91
Authors: Sgaglione NA
PMID: 23906278 [PubMed - in process]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23906278?dopt=Abstract
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Loop securities of arthroscopic sliding-knot techniques when the suture loop is not evenly tensioned.
Arthroscopy. 2013 Aug;29(8):1380-6
Authors: Kim SH, Glaser D, Doan J, Chung SW, Choi HY, Oh JH, Hargens AR
Abstract
PURPOSE: The purpose of this study was to evaluate the loop security of arthroscopic sliding knots when tension is only applied to the post strand and not the loop strand.
METHODS: Six different locking sliding knots (Weston, Nicky, Roeder, SMC, San Diego, and Dines) were included. Loop securities were evaluated in 2 ways: with a conventional method (equal tension applied to the suture loop) and with a worst-case scenario (WCS) method (only the post strand of the suture loop was tensioned). Differences between test methods were evaluated for significance. To help assess the applicability of each test method, loop-security testing in a cadaveric shoulder was performed with 1 type of knot (SMC).
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Treatment of large cystic medial osteochondral lesions of the talus with autologous osteoperiosteal cylinder grafts.
Arthroscopy. 2013 Aug;29(8):1372-9
Authors: Hu Y, Guo Q, Jiao C, Mei Y, Jiang D, Wang J, Zheng Z
Abstract
PURPOSE: To investigate the clinical, radiologic, and second-look arthroscopic outcomes of autologous iliac crest osteoperiosteal cylinder graft transplantation for medial osteochondral lesions of the talus (OLTs) with large subchondral cysts.
METHODS: Between January 2008 and December 2010, 17 consecutive cases of medial OLT with a subchondral cyst larger than 10 mm in diameter received transplantation of autologous osteoperiosteal cylinder graft, which was harvested from the ipsilateral iliac crest. The visual analog scale score for pain during daily activities, American Orthopaedic Foot & Ankle Society hindfoot and ankle scores, and subjective satisfaction survey rating were obtained. Plain radiographs and magnetic resonance imaging of the ankle were obtained before and after surgery. In 13 cases second-look arthroscopy was performed 12 months postoperatively and the cartilage repair was assessed with the criteria of the International Cartilage Repair Society.
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Preservation of remnant attachment improves graft healing in a rabbit model of anterior cruciate ligament reconstruction.
Arthroscopy. 2013 Aug;29(8):1362-71
Authors: Wu B, Zhao Z, Li S, Sun L
Abstract
PURPOSE: To determine the effect of remnant preservation on the healing of anterior cruciate ligament (ACL) tendon graft after reconstruction in an animal model.
METHODS: Fifty-two New Zealand rabbits were divided into 6 groups. Revascularization and graft healing were studied in groups 1 through 4 (n = 8 each). The biomechanical properties of the graft complex were evaluated in group 5 (n = 12). The blood flow and biomechanical characteristics of the intact ACL were evaluated in group 6 (n = 8). Both knees of each rabbit were subjected to ACL reconstruction with 2-mm grafts of Achilles tendon splits. The right knees were reconstructed with remnant preservation, whereas the remnants in the left knees were debrided. The revascularization and remodeling of grafts were evaluated at 6, 12, 18, and 24 weeks after reconstruction. Tendon-to-bone integration was investigated histomorphologically. The tensile load strengths of graft complexes were also tested.
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Incidence of postoperative infections requiring reoperation after arthroscopic knee surgery.
Arthroscopy. 2013 Aug;29(8):1355-61
Authors: Yeranosian MG, Petrigliano FA, Terrell RD, Wang JC, McAllister DR
Abstract
PURPOSE: The purposes of this study were to determine the incidence of infection requiring reoperation after arthroscopic knee surgery during a 6-year period and to compare infection rates across different age groups, genders, geographic regions of the United States, and Current Procedural Terminology (CPT) codes through a retrospective review of a large insurance company database.
METHODS: A retrospective review of an insurance company database was performed for all knee arthroscopies performed in the United States from 2004 to 2009. The database was first queried for all knee arthroscopies, and the number of those cases requiring additional surgery for infection within 30 days was determined to calculate the incidence of infection. The incidence was stratified by gender, age group, region within the United States, and CPT code. A separate analysis for procedures using allografts was also performed.
RESULTS: A total of 432,038 arthroscopic surgeries were performed, and the number of infections requiring drainage was 638, for an overall incidence of infection from 2004 to 2009 of 0.15%. Among adults, men were affected almost twice as often as women (P < .001), and among children, boys were affected almost 3
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