Austin Wetzler, Sean McMillan, Aakash Patel, William Taylor, Merrick Wetzler
Patella dislocations and resultant recurrent instability commonly occur. Surgery for patella dislocation is indicated after subsequent dislocation or after an initial dislocation with articular cartilage injury of the patella or femur. The strength of an isolated medial patellofemoral ligament (MPFL) repair has been shown to be insufficient to prevent recurrent dislocation. Multiple different techniques to augment the MPFL repair using various autologous and allografts, as well as high tensile strength sutures or synthetic ligaments have been developed. Most of the techniques use two incisions: one near the patella and the other by the medial femoral condyle. The purpose of this study is to demonstrate a single incision technique for MPFL repair with augmentation using a reinforced bio-inductive (RBI) implant. The single-incision technique does have advantages over the two-incision techniques. Furthermore, the RBI implant is easily reproducible docked into the patella sockets without difficulty and has an initial inherent strength comparable to the semitendinosus. The RBI heals to bone and allows for infiltration of the patient’s own cells which strengthens the augmentation over time.
{"title":"A Single Incision Technique for Medial Patellofemoral Ligament Repair with Augmentation Using a Reinforced Bio-Inductive Implant","authors":"Austin Wetzler, Sean McMillan, Aakash Patel, William Taylor, Merrick Wetzler","doi":"10.60118/001c.94092","DOIUrl":"https://doi.org/10.60118/001c.94092","url":null,"abstract":"Patella dislocations and resultant recurrent instability commonly occur. Surgery for patella dislocation is indicated after subsequent dislocation or after an initial dislocation with articular cartilage injury of the patella or femur. The strength of an isolated medial patellofemoral ligament (MPFL) repair has been shown to be insufficient to prevent recurrent dislocation. Multiple different techniques to augment the MPFL repair using various autologous and allografts, as well as high tensile strength sutures or synthetic ligaments have been developed. Most of the techniques use two incisions: one near the patella and the other by the medial femoral condyle. The purpose of this study is to demonstrate a single incision technique for MPFL repair with augmentation using a reinforced bio-inductive (RBI) implant. The single-incision technique does have advantages over the two-incision techniques. Furthermore, the RBI implant is easily reproducible docked into the patella sockets without difficulty and has an initial inherent strength comparable to the semitendinosus. The RBI heals to bone and allows for infiltration of the patient’s own cells which strengthens the augmentation over time.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"2 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Derek Haas, Porter Jones, Matt Obenhaus, Prashanth Bala, Chris Strickland
Effectively employing these seven strategies will help ASCs maximize their profitability.
有效运用这七项战略将帮助非住院医疗中心实现利润最大化。
{"title":"“In My Experience…Seven Strategies for Enhancing ASC Profitability”","authors":"Derek Haas, Porter Jones, Matt Obenhaus, Prashanth Bala, Chris Strickland","doi":"10.60118/001c.120357","DOIUrl":"https://doi.org/10.60118/001c.120357","url":null,"abstract":"Effectively employing these seven strategies will help ASCs maximize their profitability.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"58 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141807097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The author reviews his experience with transosseous rotator cuff repair techniques and technologies
作者回顾了他在经骨肩袖修复技术方面的经验
{"title":"“In My Experience…Development of Novel Transosseous Rotator Cuff Repair Techniques and Technologies”","authors":"Brett Sanders","doi":"10.60118/001c.117169","DOIUrl":"https://doi.org/10.60118/001c.117169","url":null,"abstract":"The author reviews his experience with transosseous rotator cuff repair techniques and technologies","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"95 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141818616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kiah Mayo, Amy Zhao, A. Agarwal, Alisa Malyavko, Alex Gu, Lisa K. Cannada
Orthopaedic surgery is one of the most competitive residencies to match in medicine, the match rate has decreased to 63.1% in 2023.1,13 Aspects of the application that are most in the control of applicants are their personal and research experiences in the field and their choice of acting internships. The Medical Student Orthopaedic Society (MSOS) hosted the first national, and virtual orthopaedic research symposium for medical students. This study aimed to examine the short-term publication rate of the research presented at the 2022 MSOS Research Symposium. The titles of the articles and the names of the presenters from the MSOS program were used to search for publications via PubMed and Google Scholar search engines. If no matching result was found, the article was considered not published. If the presentation was published in a journal within our study period, the updated title, name and gender of the medical student and senior author, name of the journal, and date of publication were recorded. Demographic variables among presenters included gender, and current training status. These were determined via a Google search. Impact factors were extracted from the Web of Science (WoS) database for the year of 2023. For the 2022 MSOS Symposium, a total of 300 presentations were given. Nineteen publications had to be excluded. Of the 281 presentations included in this study, 129 were published in a peer-reviewed journal within 18-months after the symposium (45%). Presentations were published on average 165 days (~5.5 months) after the symposium. Of the journals that had an impact factor score, the average was 2.18. Categories with over 60% publication rate were Practice Management and Health Disparities, shoulder and elbow, and medical education. Among presenters whose projects were published, 74% identified as men and 26% as women. The papers’ senior authors were 85% men and 15% women. Of those that participated and published in the 18-month period, 22% of individuals matched into orthopedics the following year, 9% matched into another residency, 38% were still medical students, 30% statuses were unknown or could not be determined. Of those schools represented, 20 schools (35 participants) did not have a home program at their institution, also known as orphan programs. The presenter was the first author in 53% (69) of the published works. The Medical Student Orthopaedic Society (MSOS) touted a publication rate of 45% which is comparable to the rates of publication in less time than numerous other meetings (~5.5 months). This may be due to medical students’ finite amount of time to gain the experience necessary to apply, suggesting there is a higher motivation to get research out and published. However, further research into the participation levels of presenters would need to be studied directly to give a definitive understanding as to why first authorship was not provided to the presenter. Participants that published were majority male and attended
{"title":"The Year Publication Rate of Presentations from the Inaugural Medical Student Orthopedic Society Research Symposium","authors":"Kiah Mayo, Amy Zhao, A. Agarwal, Alisa Malyavko, Alex Gu, Lisa K. Cannada","doi":"10.60118/001c.94149","DOIUrl":"https://doi.org/10.60118/001c.94149","url":null,"abstract":"Orthopaedic surgery is one of the most competitive residencies to match in medicine, the match rate has decreased to 63.1% in 2023.1,13 Aspects of the application that are most in the control of applicants are their personal and research experiences in the field and their choice of acting internships. The Medical Student Orthopaedic Society (MSOS) hosted the first national, and virtual orthopaedic research symposium for medical students. This study aimed to examine the short-term publication rate of the research presented at the 2022 MSOS Research Symposium. The titles of the articles and the names of the presenters from the MSOS program were used to search for publications via PubMed and Google Scholar search engines. If no matching result was found, the article was considered not published. If the presentation was published in a journal within our study period, the updated title, name and gender of the medical student and senior author, name of the journal, and date of publication were recorded. Demographic variables among presenters included gender, and current training status. These were determined via a Google search. Impact factors were extracted from the Web of Science (WoS) database for the year of 2023. For the 2022 MSOS Symposium, a total of 300 presentations were given. Nineteen publications had to be excluded. Of the 281 presentations included in this study, 129 were published in a peer-reviewed journal within 18-months after the symposium (45%). Presentations were published on average 165 days (~5.5 months) after the symposium. Of the journals that had an impact factor score, the average was 2.18. Categories with over 60% publication rate were Practice Management and Health Disparities, shoulder and elbow, and medical education. Among presenters whose projects were published, 74% identified as men and 26% as women. The papers’ senior authors were 85% men and 15% women. Of those that participated and published in the 18-month period, 22% of individuals matched into orthopedics the following year, 9% matched into another residency, 38% were still medical students, 30% statuses were unknown or could not be determined. Of those schools represented, 20 schools (35 participants) did not have a home program at their institution, also known as orphan programs. The presenter was the first author in 53% (69) of the published works. The Medical Student Orthopaedic Society (MSOS) touted a publication rate of 45% which is comparable to the rates of publication in less time than numerous other meetings (~5.5 months). This may be due to medical students’ finite amount of time to gain the experience necessary to apply, suggesting there is a higher motivation to get research out and published. However, further research into the participation levels of presenters would need to be studied directly to give a definitive understanding as to why first authorship was not provided to the presenter. Participants that published were majority male and attended ","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chrystina L James, Tahsin Rahman, Gabriel Burdick, Michelle Hertzberg, Ani Kazanjian, Elizabeth Turner, Stephanie Muh
Orthopaedic surgery remains one of the least diverse fields in medicine, particularly in the higher levels of academic medicine. There is limited literature examining representation of females as speakers and presenters at national meetings, although this is a common stepping stone in an academic career. The purpose of this study is to assess gender diversity among invited speakers at the AAOS Annual Meeting between 2015 and 2022 to determine if this increased over time. The AAOS Annual Meeting final programs from 2015 to 2022 were reviewed to collect the names of all invited speakers (paper presentation session moderators, Ask an Expert session moderators, ICL moderators, and ICL presenters). An internet search of publicly available websites was conducted to determine the gender of each speaker. We then determined the percentage of female speakers in each category each year and compared these across years. There were non-significant positive trends in the percentage of female ICL presenters, paper presentation sessions moderators, and Ask an Expert sessions moderators, there was a significant positive trend in the percentage of female ICL moderators between 2015 and 2022. Speaking at national meetings is an important component of advancing one’s career in academic surgery and can also provide crucial role models to aspiring young surgeons. However, despite various efforts to increase gender diversity in orthopaedic surgery, there have been few significant changes in the representation of female invited speakers at the AAOS annual meeting since 2015.
{"title":"Assessing Diversity of Invited Speakers at the AAOS Annual Meeting","authors":"Chrystina L James, Tahsin Rahman, Gabriel Burdick, Michelle Hertzberg, Ani Kazanjian, Elizabeth Turner, Stephanie Muh","doi":"10.60118/001c.88228","DOIUrl":"https://doi.org/10.60118/001c.88228","url":null,"abstract":"Orthopaedic surgery remains one of the least diverse fields in medicine, particularly in the higher levels of academic medicine. There is limited literature examining representation of females as speakers and presenters at national meetings, although this is a common stepping stone in an academic career. The purpose of this study is to assess gender diversity among invited speakers at the AAOS Annual Meeting between 2015 and 2022 to determine if this increased over time. The AAOS Annual Meeting final programs from 2015 to 2022 were reviewed to collect the names of all invited speakers (paper presentation session moderators, Ask an Expert session moderators, ICL moderators, and ICL presenters). An internet search of publicly available websites was conducted to determine the gender of each speaker. We then determined the percentage of female speakers in each category each year and compared these across years. There were non-significant positive trends in the percentage of female ICL presenters, paper presentation sessions moderators, and Ask an Expert sessions moderators, there was a significant positive trend in the percentage of female ICL moderators between 2015 and 2022. Speaking at national meetings is an important component of advancing one’s career in academic surgery and can also provide crucial role models to aspiring young surgeons. However, despite various efforts to increase gender diversity in orthopaedic surgery, there have been few significant changes in the representation of female invited speakers at the AAOS annual meeting since 2015.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141273302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Socket suspension (SS) prosthetics are the current standard for transfemoral amputee prosthetic management. The SS systems have been shown to be inefficient in energy transfer, leading to gait alteration, wear discomfort, and skin complications. Many studies have shown osseointegrated (OI) devices are not associated with these problems and offer many benefits. Through this report the authors will describe surgical outcomes following transfemoral amputation (TFA) surgery using a novel OI device. Patients with problematic TFA were identified from 2013 to 2018 were treated with a novel OI system. Candidate TFA patients identified through record review as part of an IRB authorized retrospective study. The study group all had the following characteristics: (1)No diabetes, (2)no peripheral vascular disease, and (3)mature healed TFA. All study subjects had attempted use of SS and had failed for many reasons related to the skin to socket interface. The outcomes measured recorded included: (1)Q-TFA Scores, (2)SF-36 Score, (3)time coupled per day, (4)resolution of back pain, (5)residual limb pain, and (6)overall satisfaction. Radiographs of implanted stems were reviewed for evidence of loosening or bone on growth. A group of TFA patients (11) had been treated with the OI system and agreed for follow up evaluation. Mean age 52 (37-73) years at the time of OI stage I surgery, with a mean time of 9 (3-20) years post amputation to implantation of the OI system. Original indications for the amputation included: 1 chronic osteomyelitis, 1 neoplasm, and 9 traumatic. Mean time to from TFA to OI was 73 months (2- 216). All patients reported a reduction or complete resolution of back pain after OI. Ambulatory/device coupling status reported was mean 12 hours/day. Average Q-TFA Prosthetic use score 66.1, Prosthetic mobility score, 60.2, Problem score 18.2, and Global score 72. Average SF-36 PCS 56.2 and average MCS 70.0. Radiographs reviewed all showed 4 to 6mm of distal circumferential bone reabsorption with robust bone on growth in the diaphysis of the implanted femurs. Early data on the effectiveness and safety of the custom Patriot™ OI device is favorable. Future study evaluating long-term device survivorship and patient reported outcomes is warranted. Bone remodeling post implantation and coupling showed positive effects of the system. This study found the custom OI device to be safe and effective in the management of TFA in patients with controlled indications.
插座悬挂式（SS）假肢是目前经股截肢者假肢管理的标准。事实证明，SS 系统的能量传递效率较低，会导致步态改变、佩戴不适和皮肤并发症。许多研究表明，骨结合（OI）装置不会出现这些问题，而且具有很多优点。通过本报告，作者将介绍使用新型 OI 装置进行经股截肢 (TFA) 手术后的手术效果。从2013年到2018年，确定了有问题的TFA患者，并使用新型OI系统进行了治疗。候选TFA患者是通过审查记录确定的，这是一项经IRB授权的回顾性研究的一部分。所有研究对象均具有以下特征：（1）无糖尿病；（2）无外周血管疾病；（3）TFA 已成熟愈合。所有研究对象都曾尝试使用过 SS，但由于与皮肤和牙槽界面相关的多种原因而失败。测量记录的结果包括(1)Q-TFA评分，(2)SF-36评分，(3)每天使用时间，(4)背痛缓解情况，(5)残肢疼痛，以及(6)总体满意度。对植入骨干的 X 光片进行复查，看是否有松动或骨质增生的迹象。一组 TFA 患者（11 人）曾接受过 OI 系统治疗，并同意接受随访评估。截肢I期手术时的平均年龄为52（37-73）岁，截肢后到植入OI系统的平均时间为9（3-20）年。截肢的最初适应症包括1例慢性骨髓炎，1例肿瘤，9例外伤。从 TFA 到 OI 的平均时间为 73 个月（2- 216 个月）。所有患者均报告称，截肢后背痛减轻或完全缓解。报告的非卧床/假体耦合状态平均为 12 小时/天。Q-TFA假体使用平均得分为66.1分，假体活动度平均得分为60.2分，问题平均得分为18.2分，总体平均得分为72分。SF-36 PCS 平均值为 56.2，MCS 平均值为 70.0。复查的X光片均显示植入股骨的远端周缘有4至6毫米的骨再吸收，骨骺生长旺盛。定制的 Patriot™ OI 装置的有效性和安全性的早期数据良好。未来有必要对该装置的长期存活率和患者报告的结果进行评估。植入和耦合后的骨重塑显示了该系统的积极作用。这项研究发现，定制的 OI 装置在控制适应症的患者中治疗 TFA 是安全有效的。
{"title":"Patient Outcomes in a Novel Osseointegrated Device for Transfemoral Amputation: a case series","authors":"Ronald Hillock, Daniel Allison, Benjamin Moyer","doi":"10.60118/001c.91023","DOIUrl":"https://doi.org/10.60118/001c.91023","url":null,"abstract":"Socket suspension (SS) prosthetics are the current standard for transfemoral amputee prosthetic management. The SS systems have been shown to be inefficient in energy transfer, leading to gait alteration, wear discomfort, and skin complications. Many studies have shown osseointegrated (OI) devices are not associated with these problems and offer many benefits. Through this report the authors will describe surgical outcomes following transfemoral amputation (TFA) surgery using a novel OI device. Patients with problematic TFA were identified from 2013 to 2018 were treated with a novel OI system. Candidate TFA patients identified through record review as part of an IRB authorized retrospective study. The study group all had the following characteristics: (1)No diabetes, (2)no peripheral vascular disease, and (3)mature healed TFA. All study subjects had attempted use of SS and had failed for many reasons related to the skin to socket interface. The outcomes measured recorded included: (1)Q-TFA Scores, (2)SF-36 Score, (3)time coupled per day, (4)resolution of back pain, (5)residual limb pain, and (6)overall satisfaction. Radiographs of implanted stems were reviewed for evidence of loosening or bone on growth. A group of TFA patients (11) had been treated with the OI system and agreed for follow up evaluation. Mean age 52 (37-73) years at the time of OI stage I surgery, with a mean time of 9 (3-20) years post amputation to implantation of the OI system. Original indications for the amputation included: 1 chronic osteomyelitis, 1 neoplasm, and 9 traumatic. Mean time to from TFA to OI was 73 months (2- 216). All patients reported a reduction or complete resolution of back pain after OI. Ambulatory/device coupling status reported was mean 12 hours/day. Average Q-TFA Prosthetic use score 66.1, Prosthetic mobility score, 60.2, Problem score 18.2, and Global score 72. Average SF-36 PCS 56.2 and average MCS 70.0. Radiographs reviewed all showed 4 to 6mm of distal circumferential bone reabsorption with robust bone on growth in the diaphysis of the implanted femurs. Early data on the effectiveness and safety of the custom Patriot™ OI device is favorable. Future study evaluating long-term device survivorship and patient reported outcomes is warranted. Bone remodeling post implantation and coupling showed positive effects of the system. This study found the custom OI device to be safe and effective in the management of TFA in patients with controlled indications.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"111 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141115658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medial-stabilised total knee arthroplasty (MS-TKA) usage has increased significantly over the past decade with encouraging results. MS-TKA mimics the natural knee kinematics, providing superior antero-posterior stability as compared to cruciate-retaining or posterior-stabilised designs. Its proponents suggest that MS-TKA may provide the solution to the residual dissatisfaction seen in many patients following knee replacement surgery. The literature was reviewed for critical analysis of the evidence for the biomechanics of the native knee and the clinical outcomes for MS-TKA. The history of the development of the medial-stabilised knee was also reviewed. MS-TKA were found generally to have similar revision rates to non-MS-TKA. Studies of knee function found either similar or improved function, which may be due to increased AP stability and a lack of paradoxical movement of femur over tibia which is seen in CR and PS designs. This review highlights the key design features needed for a total knee arthroplasty to be termed as a medial-stabilised design, summarises current clinical and kinematic evidence including an overview of its development over the past three decades and sets out the next steps needed for meaningful evaluation of long-term real-world data of individual MS-TKA implants. With longer and more detailed follow-up data emerging as MS-TKA becomes more popular, a more thorough analysis of their performance will soon be possible.
{"title":"Medial Stabilised Total Knee Arthroplasty: Definition and Performance","authors":"S. W. King, J. Palan, Hemant Pandit","doi":"10.60118/001c.91477","DOIUrl":"https://doi.org/10.60118/001c.91477","url":null,"abstract":"Medial-stabilised total knee arthroplasty (MS-TKA) usage has increased significantly over the past decade with encouraging results. MS-TKA mimics the natural knee kinematics, providing superior antero-posterior stability as compared to cruciate-retaining or posterior-stabilised designs. Its proponents suggest that MS-TKA may provide the solution to the residual dissatisfaction seen in many patients following knee replacement surgery. The literature was reviewed for critical analysis of the evidence for the biomechanics of the native knee and the clinical outcomes for MS-TKA. The history of the development of the medial-stabilised knee was also reviewed. MS-TKA were found generally to have similar revision rates to non-MS-TKA. Studies of knee function found either similar or improved function, which may be due to increased AP stability and a lack of paradoxical movement of femur over tibia which is seen in CR and PS designs. This review highlights the key design features needed for a total knee arthroplasty to be termed as a medial-stabilised design, summarises current clinical and kinematic evidence including an overview of its development over the past three decades and sets out the next steps needed for meaningful evaluation of long-term real-world data of individual MS-TKA implants. With longer and more detailed follow-up data emerging as MS-TKA becomes more popular, a more thorough analysis of their performance will soon be possible.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"35 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Building a successful robotics team is a long journey with much effort before the first surgery. It starts with sound business development and, in case of acquiring a system, an implementation plan, to make it a success. The pathway to a successful Robotics program is much more than choosing the desired robotic arm-assisted surgery (RAS) brand. Success also depends on the specific pathway optimization aspects of RAS. High-over, all systems introduce the computer and robotic-arm into the operating room. But all systems have subtle, but significant, differences. An essential aspect of a successful RAS project is the implementation phase. After deciding to purchase a Robotic system, the following training and OR setup phase should be prepared and executed. When the robotic system enters the operating room, aspects like arm position using the arm board should be evaluated critically since the robot needs sufficient working space. A suboptimal positioning will disrupt the team dynamics and lead to preventable delay. RAS requires new or adjusted skills. Two crucial aspects are eye-hand-feet coordination in combination with a different focus of the surgeon (also screen instead of 100% surgery field) and new cognitive decision making features. Robotic surgery is a perfect example of how technology can change a surgical field. This data acquisition is probably the most fundamental, powerful aspect of adding the computer into the surgical process. The most used robotic-arm systems in hip and knee arthroplasty are semi-automatic systems, and practically all major orthopedic manufacturers offer a device. ORs are a highly capitalized section of hospitals, generating high costs and critical revenues. Therefore, taking a closer look at workflows, inventory management, and team efficiencies is crucial. Improving these aspects in the OR has a high return on investment. RAS helps accurately observe everything occurring within and around the surgical process. These new data opportunities open the opportunity to work with surgical data science (SDS).
{"title":"Building a successful robotic-arm assisted orthopedic surgery program","authors":"Nanne P Kort, Peter Pilot","doi":"10.60118/001c.91030","DOIUrl":"https://doi.org/10.60118/001c.91030","url":null,"abstract":"Building a successful robotics team is a long journey with much effort before the first surgery. It starts with sound business development and, in case of acquiring a system, an implementation plan, to make it a success. The pathway to a successful Robotics program is much more than choosing the desired robotic arm-assisted surgery (RAS) brand. Success also depends on the specific pathway optimization aspects of RAS. High-over, all systems introduce the computer and robotic-arm into the operating room. But all systems have subtle, but significant, differences. An essential aspect of a successful RAS project is the implementation phase. After deciding to purchase a Robotic system, the following training and OR setup phase should be prepared and executed. When the robotic system enters the operating room, aspects like arm position using the arm board should be evaluated critically since the robot needs sufficient working space. A suboptimal positioning will disrupt the team dynamics and lead to preventable delay. RAS requires new or adjusted skills. Two crucial aspects are eye-hand-feet coordination in combination with a different focus of the surgeon (also screen instead of 100% surgery field) and new cognitive decision making features. Robotic surgery is a perfect example of how technology can change a surgical field. This data acquisition is probably the most fundamental, powerful aspect of adding the computer into the surgical process. The most used robotic-arm systems in hip and knee arthroplasty are semi-automatic systems, and practically all major orthopedic manufacturers offer a device. ORs are a highly capitalized section of hospitals, generating high costs and critical revenues. Therefore, taking a closer look at workflows, inventory management, and team efficiencies is crucial. Improving these aspects in the OR has a high return on investment. RAS helps accurately observe everything occurring within and around the surgical process. These new data opportunities open the opportunity to work with surgical data science (SDS).","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carter Whittemore, Kevin Setter, Timothy A. Damron
Custom revision total shoulder replacements are one option for salvage of failed shoulder arthroplasty, but reports are scarce. We report two cases of revision shoulder arthroplasty using a custom constrained total shoulder (CCTS) endoprosthesis with a bi-flanged scapular (BFS) component in the setting of soft tissue, humeral, and glenoid bone loss. The CCTS with BFS is a viable salvage implant for failed reverse total shoulder arthroplasty to achieve pain reduction, but long-term follow up is needed.
{"title":"Custom Bi-flanged Constrained Total Shoulder Revision Implants: A Novel Design and Report of Two Cases","authors":"Carter Whittemore, Kevin Setter, Timothy A. Damron","doi":"10.60118/001c.90727","DOIUrl":"https://doi.org/10.60118/001c.90727","url":null,"abstract":"Custom revision total shoulder replacements are one option for salvage of failed shoulder arthroplasty, but reports are scarce. We report two cases of revision shoulder arthroplasty using a custom constrained total shoulder (CCTS) endoprosthesis with a bi-flanged scapular (BFS) component in the setting of soft tissue, humeral, and glenoid bone loss. The CCTS with BFS is a viable salvage implant for failed reverse total shoulder arthroplasty to achieve pain reduction, but long-term follow up is needed.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. A. Schoenmakers, Isobel M Dorling, M. J. Heymans, N. Kort, B. Boonen, L. V. van Rhijn, M. Schotanus
Since the introduction of total knee arthroplasty (TKA) into modern medicine, many types of digital pre- and intra-operative planning methods have been introduced. Due to the abundance of planning modalities for TKA, physicians are posed with the challenge of which type to implement into their daily practice. In the current fast-paced and research-driven medical environment it is important to understand the differences between the computer-based pre- and intra-operative planning modalities for TKA. The following databases were searched: MedLine, EMBASE, Web of Science, and the Cochrane Library. All articles were independently reviewed by the two reviewers (DS, ID). The following data were extracted, if available: study ID, country of conduction, type of planning modality or modalities, and the use and explanation of historical and currently employed pre- and intra-operative planning modalities for TKA. 39 studies were included into the systematic review. Computer assisted surgery (CAS) represents a surgical concept where computer technology is used for surgical planning. CAS for TKA was introduced in the late 1980s. Subsequently, three different types of CAS were developed to plan TKA. The first type of CAS, computer integrated instruments, also known as CAS navigation, provides a real-time view of anatomy and marked surgical instruments intra-operatively. For the second type of CAS, rapid prototyping, or 3D printing, was derived from CAS technology in which the development of patient specific instrumentation (PSI) for TKA followed. Furthermore, CAS aided the evolution of the third type of CAS for TKA: robotics. With a high demand for TKA surgery, the challenge to achieve more accurate alignment, improved prosthesis survival, and improved patient satisfaction rates is a very topical one. Planning modalities for TKA were developed to address this demand. This comprehensive systematic review showed that the monumental development of digital planning modalities for TKA has led to a vast amount of well-researched options that surgeons can choose from and use in daily practice.
自从全膝关节置换术（TKA）被引入现代医学以来，许多类型的数字化术前和术中规划方法已经问世。由于全膝关节置换术（TKA）的规划方法种类繁多，医生们面临着在日常工作中采用哪种规划方法的难题。在当前快节奏和研究驱动的医疗环境中，了解基于计算机的 TKA 术前和术中规划模式之间的差异非常重要。搜索了以下数据库：MedLine、EMBASE、Web of Science 和 Cochrane Library。所有文章均由两位审稿人（DS、ID）独立审阅。提取了以下可用数据：研究编号、开展研究的国家、规划模式的类型、TKA术前和术中规划模式的使用和解释。系统性综述共纳入 39 项研究。计算机辅助手术（CAS）是一种利用计算机技术进行手术规划的外科概念。用于 TKA 的 CAS 于 20 世纪 80 年代末引入。随后，三种不同类型的计算机辅助手术被开发出来用于规划 TKA。第一种 CAS 是计算机集成器械，也称为 CAS 导航，可实时显示解剖结构和术中标记的手术器械。第二种 CAS 是由 CAS 技术衍生出的快速原型或 3D 打印技术，随后开发出了用于 TKA 的患者专用器械 (PSI)。此外，CAS 还促进了第三种 TKA CAS 的发展：机器人技术。随着对 TKA 手术的高需求，如何实现更精确的对位、提高假体存活率和患者满意度是一个非常热门的挑战。为满足这一需求，TKA 的规划模式应运而生。这篇全面的系统性综述显示，TKA 数字规划模式的巨大发展带来了大量经过深入研究的选择，可供外科医生在日常实践中选择和使用。
{"title":"Computer-based pre- and intra-operative planning modalities for Total Knee Arthroplasty: A comprehensive review","authors":"D. A. Schoenmakers, Isobel M Dorling, M. J. Heymans, N. Kort, B. Boonen, L. V. van Rhijn, M. Schotanus","doi":"10.60118/001c.89963","DOIUrl":"https://doi.org/10.60118/001c.89963","url":null,"abstract":"Since the introduction of total knee arthroplasty (TKA) into modern medicine, many types of digital pre- and intra-operative planning methods have been introduced. Due to the abundance of planning modalities for TKA, physicians are posed with the challenge of which type to implement into their daily practice. In the current fast-paced and research-driven medical environment it is important to understand the differences between the computer-based pre- and intra-operative planning modalities for TKA. The following databases were searched: MedLine, EMBASE, Web of Science, and the Cochrane Library. All articles were independently reviewed by the two reviewers (DS, ID). The following data were extracted, if available: study ID, country of conduction, type of planning modality or modalities, and the use and explanation of historical and currently employed pre- and intra-operative planning modalities for TKA. 39 studies were included into the systematic review. Computer assisted surgery (CAS) represents a surgical concept where computer technology is used for surgical planning. CAS for TKA was introduced in the late 1980s. Subsequently, three different types of CAS were developed to plan TKA. The first type of CAS, computer integrated instruments, also known as CAS navigation, provides a real-time view of anatomy and marked surgical instruments intra-operatively. For the second type of CAS, rapid prototyping, or 3D printing, was derived from CAS technology in which the development of patient specific instrumentation (PSI) for TKA followed. Furthermore, CAS aided the evolution of the third type of CAS for TKA: robotics. With a high demand for TKA surgery, the challenge to achieve more accurate alignment, improved prosthesis survival, and improved patient satisfaction rates is a very topical one. Planning modalities for TKA were developed to address this demand. This comprehensive systematic review showed that the monumental development of digital planning modalities for TKA has led to a vast amount of well-researched options that surgeons can choose from and use in daily practice.","PeriodicalId":503083,"journal":{"name":"Journal of Orthopaedic Experience & Innovation","volume":"13 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140359954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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