Flexor Tendon Repair
Successful outcome after flexor tendon repair requires a delicate balance between tendon healing and limiting scar tissue formation. Recent studies have highlighted the importance of the number of core sutures…
Prosthetic Design in Total Wrist Arthroplasty
Total wrist arthroplasty (TWA) provides a motion-preserving alternative to total wrist arthrodesis for low-demand patients with debilitating pancarpal arthritis. The earlier generation total wrist implants had high complication and failure…
Surgical Treatment of Distal Biceps Ruptures
Distal biceps ruptures occur from eccentric loading of a flexed elbow. Patients treated nonoperatively have substantial loss of strength in elbow flexion and forearm supination. Surgical approaches include 1-incision and…
Congenital Anomalies of the Hand—Principles of Management
Physicians who specialize in pediatric orthopedics and hand surgery frequently encounter congenital hand abnormalities, despite their relative rarity. The treating physician should be aware of the associated syndromes and malformations…
Classification of Lateral Patellar Instability in Children and Adolescents
There is significant heterogeneity in the literature related to the causes and treatment of patellar instability. To address the multifactorial issue of patellar instability, the first task is to classify…
Posterior Shoulder Instability in Overhead Athletes
Posterior shoulder instability in overhead athletes presents a unique and difficult challenge. Often, this group has an inherent capsular laxity and/or humeral retroversion to accommodate the range of motion necessary…
Immobilization After Rotator Cuff Repair
Recurrent tears after rotator cuff repair are common. Postoperative rehabilitation after rotator cuff repair is a modifiable factor controlled by the surgeon that can affect re-tear rates. Some surgeons prefer…
Patellar Instability
Shital N. Parikh, MD, FACS, Editor From an evolutionary standpoint, the patella appeared much later than the condyles, meniscus, and cruciate ligaments of the knee. Compared with lower animals, the…
Application of Tranexamic Acid in Trauma and Orthopedic Surgery
Tranexamic acid has gained recent interest in orthopedics and trauma surgery because of its demonstrated benefit in several clinical trials. It is inexpensive and effective at reducing blood loss and…
Management of the Morel-Lavallée Lesion
Morel-Lavallée lesions are closed degloving injuries sustained during violent soft tissue shear that separate the subdermal fat from its strong underlying fascia. Lesions most often occur in the peritrochanteric region,…
