Autologous Orthobiologics
Introduction The delivery of cell- and non-cell-based therapies can generally be classified as either autologous or allogenic. Autologous treatments involve a procedure in which the patient’s own tissues are collected…
Autologous Tissue Harvesting Techniques: Bone Marrow Aspirate and Adipose Tissue
Introduction Regenerative medicine has become an increasingly popular field of interest over the last several decades. Its potential application for treating various disease pathologies is promising and much research is…
Ultrasound Basics
Introduction Ultrasound guidance can be applied to assist in a multitude of interventional orthopedic procedures. This chapter provides a review of ultrasound physics, image optimization, common artifacts, and fundamentals of…
Principles of Injection Therapy
Musculoskeletal injections are common procedures across various medical specialties. The evidence for musculoskeletal injections is varied and is complicated by differing injection techniques, injectates, and landmark versus image guidance. When…
Principles of Fluoroscopy Imaging in Spine and Musculoskeletal Interventional Orthopedics
Introduction Fluoroscopy has played a central role for injection therapies of the spine and peripheral joints, for both interventional pain management and orthopedics. In this chapter, we focus on the…
Introduction to Interventional Orthopedics and Review of the Pathophysiology of Orthopedic Conditions
Interventional orthopedics is a developing field that attempts to bridge the gap between traditional non-operative orthopedics (e.g., sports medicine, interventional spine or pain medicine) and surgical interventions. This field expands…
Distal Femur Resection
Distal Femur Resection Megan E. Anderson Operative Indications Malignant tumors of the distal femur—wide resection (Figure 42.1) Alternative Treatments Rotationplasty Above-knee amputation Equipment Radiolucent table (using fluoroscopy for reconstruction) Lead…
Proximal Tibia Resection
Proximal Tibia Resection Carrie L. Heincelman Megan E. Anderson Operative Indications Malignant tumors of the proximal femur—wide resection Alternative Treatments Rotationplasty Through-knee or above-knee amputation Co-surgeon Plan for medial gastrocnemius…
Osteochondritis Dissecans Ankle and Knee
Osteochondritis Dissecans Ankle and Knee Dennis E. Kramer Melissa A. Christino Ankle Arthroscopy/Arthrotomy and Treatment of OCD Lesion Background: Lesion Location 10% to 25% bilateral Posteromedial lesions: 60% May be…
Surgical Management of Crouched Gait
Surgical Management of Crouched Gait Colyn J. Watkins Anterior Screw Hemiepiphysiodesis With Medial Hamstring Release Operative Indications Crouch get with knee flexion contracture (>10°) in a child with older than…
