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The ACL-deficient knee : a problem solving approach

https://libcat.nshealth.ca/en/permalink/provcat32332
Vicente Sanchis-Alfonso, Joan Carles Monllau, editors. --London: Springer , c2013.
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The ACL-Deficient Knee: A Problem Solving Approach, focuses on problem analysis and problem solving, as well as analyzing the possibility of prevention. In each chapter, the biomechanics, anatomy, etc. that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (v. gr. double bundle reconstruction or meniscal transplant), as well as developing areas such as ACL tears in children, where we are finding a growing number of injuries due…
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Other Authors
Sanchis-Alfonso, Vicente
Monllau, Joan Carles
Responsibility
Vicente Sanchis-Alfonso, Joan Carles Monllau, editors
Place of Publication
London
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (lxxix, 414 p. : 237 ill., 178 ill. in color)
ISBN
9781447142706
Subjects (MeSH)
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament - injuries
Ligaments - transplantation
Orthopedics - methods
Subjects (LCSH)
Orthopedics
Orthopedic surgery
Sports medicine
Abstract
The ACL-Deficient Knee: A Problem Solving Approach, focuses on problem analysis and problem solving, as well as analyzing the possibility of prevention. In each chapter, the biomechanics, anatomy, etc. that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (v. gr. double bundle reconstruction or meniscal transplant), as well as developing areas such as ACL tears in children, where we are finding a growing number of injuries due to the increase of sports at early ages. These chapters are written by internationally renowned specialists who are pioneers in the topics analyzed. To further enhance the educational content, there is a collection of online step by step surgical technique videos that will allow the knee specialist to perform the techniques presented in this book.
Contents
FOREWORD I -- FOREWORD II -- Treatment ACL-injuries still an unsolved clinical problem? -- PREFACE -- Historical Aspects on Surgery for Anterior Cruciate Ligament Deficiency -- Evidence-Based Medicine. How Can we Use it to Guide our Practice? -- What have we learned from the Kaiser Permanente Anterior Cruciate Ligament Reconstruction Registry (KP ACLRR)? -- The Danish anterior cruciate ligament reconstruction registry. What we are doing, how we do it, and which would be the best way to do it -- ACL ruptures in the female athlete. Can we predict who is at increased risk and can we reduce noncontact injury rates? -- Anterior cruciate ligament surgery risk factors for development of osteoarthritis. What can we do to prevent it? -- The need for an objective measurement in-vivo of rotational stability of the ACL-deficient knee. How can we measure it? -- Guidelines for operative versus nonoperative management of ACL injuries -- The stimulation of healing of the anterior cruciate ligament. Research and clinical relevance -- ACL Primary Repair. What we did, the results and how it helps today to tailor treatments to the patient and the pathology -- Graft choice in ACL reconstruction. Which one and why? -- Graft healing in ACL reconstruction: Can we enhance it in clinical practice? -- Is double-bundle ACL reconstruction necessary? -- ACL injuries in skeletally immature patients and adolescents. How can we improve the high rate of poor outcomes? -- Indications for ancillary surgery in the ACL deficient knee -- Outpatient ACL surgery. Is it safe? -- Factors related to return to sport after ACL reconstruction: When is it safe? -- Return to sports after ACL reconstruction surgery. A risk for further joint injury? -- Psychological factors in the ACL reconstruction population. Are they predictive of patient outcomes? -- Acute anterior cruciate ligament tear surgery. Repair vs. reconstruction. When? -- Partial chronic anterior cruciate ligaments tears. What to do -- Chronic anterior cruciate ligament tear. Single-bundle ACL reconstruction. Anteromedial portal versus transfemoral outside-in versus transtibial drilling technique -- Anterior cruciate ligament tear. Rationale and indications for anatomic ACL reconstruction -- Clinical relevance of meniscus in the treatment of the ACL-deficient knee. The real value of meniscal transplantation -- Clinical relevance of chondral lesions in the treatment of the ACL-deficient knee: Microfracture technique -- The role of high-tibial osteotomy in the ACL-deficient knee -- ACL injuries combined with lateral and medial knee injuries. Acute vs. chronic injury. What to do -- ACL injuries in children.Treatment and Outcomes. Personal experience -- Combined anterior cruciate ligament reconstruction with patella tendon lengthening following a complex knee injury -- ACL graft failure -- Reducing the risk of a reinjury following ACL reconstruction. What factors should be used to allow unrestricted return to sports activities? -- Anterior knee pain after ACL reconstruction. How to avoid it -- Limitation of joint range of motion after surgery of the anterior cruciate ligament -- Septic arthritis after anterior cruciate ligament reconstruction -- Deep venous thrombosis and pulmonary thromboembolism after ACL reconstruction. What can we do to prevent it? -- VIDEO # 1 - ACL reconstruction augmentation technique AMB & PLB -- VIDEO # 2 - ACL reconstruction. The surgical technique -- VIDEO # 3 - Anatomic ACL reconstruction: (3-1) Anatomic single bundle ACL reconstruction, (3-2) Anatomic double bundle ACL reconstruction -- VIDEO # 4 Lateral meniscus transplantation. Surgical technique. Bonus track: medial and lateral meniscal implants (ACTIFIT) + ACL reconstruction (BTPB) -- VIDEO # 5 - What factors should be used to allow unrestricted return to sports activities?
Format
e-Book
Location
Online
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Carpal ligament surgery : before arthritis

https://libcat.nshealth.ca/en/permalink/provcat32597
Emmanuel Camus, Luc Van Overstraeten, editors. --Paris: Springer , c2013.
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Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical…
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Other Authors
Camus, Emmanuel
Van Overstraeten, Luc
Responsibility
Emmanuel Camus, Luc Van Overstraeten, editors
Place of Publication
Paris
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xxiii, 306 p. : 205 ill., 132 ill. in color)
ISBN
9782817803791
Subjects (MeSH)
Arthritis - prevention & control
Carpal Joints -- surgery
Ligaments, articular - surgery
Subjects (LCSH)
Medicine
Orthopedic surgery
Surgery
Trauma
Abstract
Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone. Paraclinical examinations are also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscan and soon MRI. As concerns repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book is the result of a reflection of an expert group in the field of wrist pathology. It attempts to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this beginning synthesis inspiring to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.
Contents
PART 1: FUNDAMENTALS -- Anatomy of the carpal ligaments -- Biomechanics of the carpus. Application to the ligamentary lesions -- Clinical examination of wrist ligaments -- Imaging traumatic carpal instabilities -- MRI of Normal Anatomy and injuries of extrinsic ligaments -- Definition and classification of carpal instabilities -- Radio-carpal rotary instability -- Vertical Instability of the carpus. Axial dislocation and fracture-dislocation: Review of the literature -- Normal arthroscopy of the wrist -- Wrist arthroscopy to study intrinsic ligaments -- Arthroscopic anatomy and lesions of the extrinsic ligaments -- Dynamic arthroscopic testing: false positives and false negatives -- Arthroscopic criterions to date ligamentary trauma -- PART 2: TREATMENT OF LIGAMENTARY LESIONS -- Management of the wrist sprains by the general practitioner -- Role of the surgeon in raising the awareness of first-line general practitioners -- Management of the constitutional painful mediocarpal laxity -- Arthroscopic debridement and pinning: treatment of peri-lunate unstable recent lesions -- Scapho-lunate ligament suture with arthrotomy -- Treatment of scapho-lunate instability with Blatt's capsulodesis -- Treatment of the chronic lesions of the scapho lunate ligament before arthritis -- Berger's dorsal intercarpal capsulodesis in chronic scapho-lunate instability -- Viegas's dorsal scapho-lunate capsulodesis -- Capsulo Fibrodesis. A new therapeutic option to treat scapho-lunate lesion (Garcia-Elias type 2, 3 and 4) with reducible scaphoid and without arthritis -- Brunelli's tenodesis -- Chronic lunotriquetral ligament injuries: arthrodesis or capsulodesis -- Scapho-lunate reconstruction with a bone-tissue-bone graft -- Reduction and Association of the Scaphoid and Lunate (RASL) -- Treatment of chronic, static scapholunate dissociation with the modified Brunelli technique: preliminary results -- Scapho-capitate arthrodesis -- Medico legal aspect of the carpal ligamentary traumatisms -- Socioeconomic Aspects of Traumatic Wrist Ligament Injuries.
Format
e-Book
Location
Online
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