Tips and techniques in elbow surgery : a practical approach / / editors : Joshua S. Dines [and three others]

• Record Nr.: UNINA9910624321103321
• Pubbl/distr/stampa: Cham, Switzerland : , : Springer, , [2022]; ©2022
• ISBN: 3-031-08080-7
• Descrizione fisica: 1 online resource (384 pages)
• Disciplina: 617.574
• Soggetti: Elbow - Surgery
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Preface -- Contents -- Contributors -- Part I: Elbow Trauma -- 1: Open Reduction Internal Fixation (ORIF) for Radial Head and Neck Fractures -- 1.1 Introduction -- 1.2 Associated Injuries -- 1.3 Imaging -- 1.4 Initial Evaluation/Examination -- 1.5 Classification -- 1.6 Treatment Algorithm -- 1.7 Surgical Treatment -- 1.7.1 Implants and Equipment -- 1.7.2 Positioning -- 1.7.3 Surgical Approach -- 1.7.3.1 Kocher Approach -- 1.7.3.2 Kaplan Approach -- 1.7.4 Reduction and Fixation -- 1.7.5 Bailout -- 1.8 Take Away Points -- References -- 2: Open Reduction and Internal Fixation (ORIF) for Distal Humerus Fractures -- 2.1 Background and Key Principles -- 2.2 Indications -- 2.3 Contraindications -- 2.4 Special Considerations -- 2.5 Anesthesia and Positioning -- 2.6 Tips, Pearls, and Lessons Learned -- 2.6.1 Olecranon Osteotomy -- 2.6.2 Order of Reduction -- 2.6.3 Intraoperative Mobility Assessment -- 2.7 Difficulties Encountered -- 2.8 Key Procedural Steps -- 2.8.1 Exposure and Approach -- 2.8.2 Fixation -- 2.9 Bailout, Rescue, and Salvage Procedures -- References -- 3: Total Elbow Arthroplasty (TEA) for Distal Humerus Fractures -- 3.1 Introduction -- 3.2 Pre-Operative Assessment -- 3.3 Patient Positioning -- 3.4 Surgical Approaches -- 3.5 Key Technical Steps -- 3.5.1 Exposure of the Elbow -- 3.5.2 Implant Sizing -- 3.5.3 Humerus Preparation -- 3.5.4 Radial Head Preparation -- 3.5.5 Ulna Preparation -- 3.5.6 Trial and Implantation -- 3.5.7 Closure -- 3.6 Intra-Operative Challenges -- 3.6.1 Fracture ; Comminution and Poor Bone Stock -- 3.6.2 Intra-Operative Fracture -- 3.6.3 Instability -- 3.6.4 Impingement -- 3.6.5 Ulnar Component Pistoning -- 3.6.6 Post-Operative Ulnar Neuropathy -- 3.7 Post-Operative Protocol -- 3.8 Linked vs. Unlinked vs. Hemiarthroplasty -- 3.9 Outcomes -- 3.10 Pitfalls.; 3.11 Multiple Choice Questions -- References -- 4: The Internal Elbow Joint Stabilizer -- 4.1 Key Principles -- 4.2 Indications -- 4.3 Expectations -- 4.4 Contraindications -- 4.5 Special Instructions, Positioning, and Anesthesia -- 4.6 Tips, Pearls, and Lessons Learned -- 4.7 Key Procedural Steps -- 4.8 Pitfalls -- 4.9 Bailout, Rescue, and Salvage Procedures -- References -- 5: Open Reduction Internal Fixation (ORIF) for Olecranon Fractures -- 5.1 Description -- 5.2 Key Principles -- 5.3 Expectations -- 5.4 Indications -- 5.5 Contraindications -- 5.6 Special Consideration -- 5.7 Special Instructions, Positioning, and Anaesthesia -- 5.8 Tips, Pearls, and Lessons Learned -- 5.8.1 Bare Area -- 5.8.2 Varus Angle -- 5.8.3 Ulnar Nerve -- 5.8.4 Perfusion -- 5.8.5 Intermediate Fragments -- 5.8.6 Triceps Off-Loading Suture -- 5.9 Difficulties Encountered -- 5.10 Key Procedural Steps -- 5.11 Bailout, Rescue, and Salvage Procedures -- References -- 6: Treatment Options for Nonunion of the Olecranon -- 6.1 Introduction -- 6.2 Angiosome-Informed Incision Design -- 6.3 How Fixation Fails: Pitfalls of Conventional Olecranon Fixation Strategies -- 6.3.1 Tension Band Wiring -- 6.3.2 Plate and Screw Fixation -- 6.3.3 Intramedullary Fixation -- 6.4 Novel Implants and Their Relevance to the Failed Olecranon Fracture -- 6.5 Modes of Failure and How to Address Them -- 6.5.1 Necessity of a Strict Post-Operative Protocol -- 6.5.2 Loss of Hardware Fixation -- 6.5.3 Delayed Union, Infection, and Bone Loss -- 6.6 Conclusion -- 6.7 Questions -- References -- 7: Radial Head Replacement -- 7.1 Description -- 7.2 Key Principles -- 7.3 Expectations -- 7.4 Indications -- 7.5 Contraindications -- 7.6 Special Considerations -- 7.7 Special Instructions, Positioning, and Anesthesia -- 7.8 Tips, Pearls, and Lessons Learned.; 7.8.1 Choice of Approach -- 7.8.2 Radial Neck Resection and Radial Shaft Preparation -- 7.8.3 Sizing -- 7.8.4 Assessing the Trial Implant -- 7.8.5 Treatment of Associated Injuries -- 7.9 Difficulties Encountered -- References -- 8: Open Reduction Internal Fixation (ORIF) for Capitellum Fractures -- 8.1 Epidemiology and Surgical Anatomy -- 8.2 Classification -- 8.3 Tips, Pearls, and Lessons Learned -- 8.4 Arthroscopic Treatment -- 8.5 Complications -- 8.6 Tips, Tricks and Pitfalls -- References -- 9: Open Reduction Internal Fixation (ORIF) for Trochlear Fractures -- 9.1 Introduction -- 9.2 Preoperative Planning -- 9.2.1 Images -- 9.2.2 Classifications -- 9.2.2.1 Bryan and Morrey -- 9.2.2.2 Dubberley -- 9.2.2.3 Ring -- 9.3 Surgical Technique -- 9.3.1 Patient Position -- 9.3.2 Approach -- 9.3.2.1 Olecranon Osteotomy -- 9.3.2.2 Lateral Extensile -- 9.3.2.3 Medial Based Approaches -- 9.3.3 Fracture Fixation -- 9.3.4 Closing -- 9.4 Arthroscopic-Assisted Reduction and Internal Fixation (AARIF) -- 9.5 Postoperative Management -- 9.6 Results -- 9.7 Complications -- 9.8 Questions -- References -- 10: Open Reduction Internal Fixation (ORIF) for Coronoid Fractures -- 10.1 Injury Patterns and Fracture Classification -- 10.2 Surgical Indications -- 10.3 Preoperative Considerations -- 10.4 Positioning and Anesthesia -- 10.5 Exposures -- 10.5.1 Coronoid Tip Fracture -- 10.5.2 Anteromedial Coronoid Fracture -- 10.5.3 Basal Coronoid Fracture -- 10.6 Fixation Methods -- 10.6.1 Coronoid Tip Fracture -- 10.6.2 Anteromedial Coronoid Fracture -- 10.6.3 Basal Coronoid Fracture -- 10.7 Structures at Risk -- 10.8 Key Procedure Steps -- 10.8.1 ; Coronoid Tip Fracture ORIF in Terrible Triad Injuries -- 10.8.2 Anteromedial Coronoid Fracture ORIF -- 10.8.3 Basal Coronoid Fracture ORIF in Transolecranon Fracture-Dislocations.; 10.8.4 Coronoid Fracture ORIF in Monteggia Fracture-Dislocations -- 10.9 Knowledge Testing Questions -- References -- 11: External Fixation of the Elbow -- 11.1 Introduction -- 11.2 Biomechanics -- 11.3 Indications -- 11.4 Surgical Technique/Tips -- 11.5 Complications -- References -- 12: Surgical Treatment of Pediatric Supracondylar Humerus Fractures -- 12.1 Description -- 12.2 Key Principles -- 12.2.1 Evaluation -- 12.2.2 Reduction -- 12.2.3 Fixation -- 12.3 Expectations -- 12.4 Indications -- 12.5 Contraindications -- 12.6 Special Considerations -- 12.6.1 Neurovascular Compromise -- 12.6.2 Medial Comminution -- 12.6.3 Flexion-Type -- 12.6.4 Occult T-Type -- 12.7 Special Instructions, Positioning, Anesthesia -- 12.8 Tips, Pearls, and Lessons Learned -- 12.8.1 Pin Sizing -- 12.8.2 Traction and Milking -- 12.8.3 Pronation/Supination -- 12.9 Difficulties Encountered -- 12.9.1 Global Instability -- 12.9.2 Open Reduction in Flexion vs. Extension Types -- 12.9.3 Entrapment of Neurovascular Structures -- 12.9.4 Compartment Syndrome -- 12.10 Key Procedural Steps -- 12.11 Open Reduction or Exploration -- References -- Part II: Degenerative Conditions of the Elbow -- 13: Revision Total Elbow Arthroplasty (TEA) with Osseous Augmentation -- 13.1 Key Principles -- 13.2 Indications -- 13.3 Contraindications -- 13.4 Special Considerations -- 13.5 Special Instructions, Positioning, and Anesthesia -- 13.6 Tips, Pearls, and Lessons Learned -- 13.6.1 Exposure -- 13.7 Humeral Bone Loss -- 13.8 Ulnar Bone Loss -- 13.9 Difficulties Encountered -- 13.9.1 Considerations -- 13.10 Key Procedural Steps -- 13.11 Techniques -- 13.11.1 Implant Removal -- 13.11.2 Impaction Grafting Technique -- 13.11.3 Allograft Prosthetic Composite (APC) -- 13.11.4 Ulnar Bone Loss -- 13.12 Pearls and Pitfalls.; 13.13 Bailout, Rescue, and Salvage Procedures -- 13.13.1 Infection -- 13.14 Postoperative Care -- 13.15 Outcomes -- 13.16 Complications -- References -- 14: Interposition Arthroplasty of the Elbow -- 14.1 Introduction -- 14.2 Indications/Selection -- 14.3 Contraindications -- 14.4 History -- 14.5 Physical Examination -- 14.6 Imaging -- 14.7 Decision/Discussion -- 14.8 Preoperative Planning -- 14.9 Procedure [5] -- 14.10 Post Procedure -- 14.11 Examination Under Anesthesia -- 14.12 Further Rehabilitation -- 14.13 Results and Expectations -- References -- 15: Open Treatment of the Stiff Elbow -- 15.1 Description -- 15.2 Key Principles -- 15.3 Expectations -- 15.4 Indications -- 15.5 Contra-Indications -- 15.6 Special Considerations -- 15.7 Lateral Column Procedure: Procedural Steps -- 15.7.1 Positioning and Exposure -- 15.7.2 Exposing the Anterior Capsule -- 15.7.3 Exposing the Posterior Capsule -- 15.7.4 Postoperative Management -- 15.8 Medial Column Procedure: Procedural Steps -- 15.8.1 Approach -- 15.8.2 Exposing the Ulnar Nerve and the Medial Fascia -- 15.8.3 Exposing the Anterior Capsule for Excision and Incision -- 15.8.4 Exposing and Excising the Posterior Capsule and Bone Spurs -- 15.8.5 Ulnar Nerve Transposition -- 15.8.6 Closure -- 15.9 Handling Difficulties -- 15.10 Bailout and Salvage -- 15.10.1 Combined Lateral and Medial Approaches -- 15.10.2 Distraction Arthroplasty -- 15.10.3 Interpositional Arthroplasty -- Suggested Readings -- 16: Total Elbow Replacement -- 16.1 Description -- 16.2 Key Principles -- 16.3 Expectations -- 16.4 Indications -- 16.5 Contraindications -- 16.6 Special Considerations -- 16.7 Special Instructions, Positioning, and Anesthesia -- 16.8 Tips, Pearls, and Lessons Learned -- 16.9 Difficulties Encountered -- 16.10 ; Key Procedural Steps.; 16.11 Bailout, Rescue, and Salvage Procedures.