Intraoperative Challenges, An Issue of Orthopedic Clinics

1st Edition, Volume 55-1 - November 21, 2023
Imprint: Elsevier
Editor: Frederick M. Azar
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 4 2 1 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 4 2 2 - 2

In this issue of Orthopedic Clinics, guest editors from the esteemed Campbell Clinic bring their considerable expertise to the topic of Intraoperative Challenges. Eleven top ex… Read more

Intraoperative Challenges, An Issue of Orthopedic Clinics

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In this issue of Orthopedic Clinics, guest editors from the esteemed Campbell Clinic bring their considerable expertise to the topic of Intraoperative Challenges. Eleven top experts discuss a wide variety of potential surgical challenges that require the surgeon to make important judgment calls and decide the proper course of action. Areas covered include knee and hip reconstruction, hand and wrist, foot and ankle, shoulder and elbow, spine, trauma, and pediatrics.

Cover image
Title page
Table of Contents
Copyright
Editorial Board
Contributors
Forthcoming Issues
Preface
Safety of Outpatient Total Hip Arthroplasty Performed in Patients 65 Years of Age and Older in an Ambulatory Surgery Center
Key points
Introduction
Materials and methods
Results
Discussion
Summary
Clinics care points
Funding
Ethical review
Disclosures
Knee and Hip Reconstruction
Management of Intraoperative Acetabular Fractures During Total Hip Arthroplasty
Key points
Introduction
Classification and management of intraoperative acetabular fractures
Case
Postoperative precautions
Summary
Clinics care points
Disclosure
Treatment of Intraoperative Trochanteric Fractures During Primary and Revision Total Hip Arthroplasty
Key points
Introduction
Patient evaluation
Treatment
Postoperative management
Outcomes and complications
Summary
Clinics care points
Declaration of conflicting interests
Intraoperative Challenges of the Kinematic Knee
Key points
Introduction
Preoperative challenges
Summary
Clinics care points
Disclosure
Troubleshooting Robotics During Total Hip and Knee Arthroplasty
Key points
Introduction
History
Background
Outcomes and safety profile of semi-active systems
Summary
Clinics care points
Disclosure
Acknowledgment
Supplementary data
The Medial Pivot Design in Total Knee Arthroplasty
Key points
Introduction
Discussion
Primary medial pivot implant designs
Retrofitted medial congruent total knee arthroplasty systems
Outcomes
Summary
Clinics care points
Intraoperative Medial Instability During Total Knee Arthroplasty
Key points
Introduction
Anatomic considerations
Etiology of injury, risk factors, and prevention
Management of medial instability
Postoperative management
Discussion
Summary
Clinics care points
Disclosure
Trauma
Intraoperative Imaging Challenges During Pelvic Ring Disruptions and Acetabular Fracture Surgery
Key points
Introduction
Preoperative planning
Equipment, setup, and communication
Posterior pelvic ring
Anterior column/superior pubic ramus
Posterior column
Acetabular fractures
Intraoperative computer tomography
Summary
Clinics care points
Disclosure
Pediatrics
Neuromonitoring Changes in Spinal Deformity Surgery
Key points
Introduction
Relevant anatomy
Types of neuromonitoring
Perioperative patient selection/risk factors for intraoperative neural monitoring loss and increase in electrophysiologic events
Sources of injury to spinal cord
Use of a standardized protocol
Summary
Clinics care points
Disclosures
Shoulder and Elbow
Maximizing Implant Stability in the Face of Glenoid Bone Stock Deficiency
Key points
Introduction
Patient evaluation
Treatment options
Bone loss in anatomic total shoulder arthroplasty
Bone grafting
Eccentric reaming
Anatomic augmented glenoid
Bone loss in primary reverse shoulder arthroplasty
Bone loss in revision reverse shoulder arthroplasty
Techniques for reverse shoulder arthroplasty with significant bone loss
Bone grafting
Alternate center line
Augmented glenoid components
Design considerations
Soft tissue considerations
Summary
Clinics care points
Disclosure statement
Hand and Wrist
The Pitfalls of Difficult Distal Radius Fractures and Provisional Reduction
Key points
Introduction
Surgical principles
Challenges and surgical techniques
Summary
Clinics care points
Disclosure
Intraoperative Challenges in Hand Surgery
Key points
Introduction
Discussion
Clinics care points
Foot and Ankle
Managing Intraoperative Fractures During Total Ankle Replacement
Key points
Introduction
Clinics care points
Disclosure
Spine
Intraoperative Vertebral Artery Injury: Evaluation, Management, and Prevention
Key points
Introduction
Anatomy
Prevention
Approach and instrumentation
Intraoperative management
Summary
Clinics care points
Disclosure

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Intraoperative Challenges, An Issue of Orthopedic Clinics

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Frederick M. Azar

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