Spanning a multitude of locations, types, and morphology, fractures require proper stabilization to achieve successful bony union after injury. A variety of different implants and fixation techniques are available to achieve successful fracture management when surgical intervention is indicated.
Careful evaluation of humeral shaft fractures and execution of surgical fixation are essential to avoid neurovascular involvement. Surgical management may involve a posterior approach, dissection through the triceps, and stabilization through plating and cerclage techniques.
While the coronoid process is a much smaller bony projection than the neighboring olecranon, fractures can similarly result in loss of elbow function. Proper fixation of coronoid fractures is essential to maintain upper extremity biomechanics and eliminate instability of the...
Stephen Brockmeier, MD (Charlottesville, VA), demonstrates an arthroscopic suprapectoral onlay biceps tenodesis using the Knotless FiberTak® biceps implant system.
Radial neck fractures vary in their level of bony displacement and effect on elbow function. If they impede elbow range of motion, surgical management is typically indicated to restore arm and forearm functions
Posterolateral elbow dislocation, coronoid process fractures, and radial head fractures are grouped together and identified as terrible triad injuries. Successful outcomes depend on radiographic indications for varied surgical fixation techniques.
Surgical approaches for radial shaft fractures vary depending on whether the proximal, middle, or distal third of the radial shaft is affected. Careful surgical planning is needed to preserve forearm musculature and avoid biceps tendon irritation with plating.
Commonly resulting from trauma, recurrent instability, or as a postoperative complication, articular cartilage pathologies of the glenohumeral joint often lead to pain and disability. Early surgical intervention can halt the progression to global cartilage loss and preserve the function of...
Distal femur fractures can be treated with a variety of surgical approaches. The level of comminution and intra-articular involvement will help determine plating and nailing fixation options.
Proper management of tibial plateau fractures is crucial to restore stability to this intra-articular weight-bearing surface and restore function of the tibiofemoral joint. A variety of different surgical approaches and fixation techniques with plates, screws, and pins are available to...
Peter Derman, MD (Dallas, TX), covers the historical progression of endoscopic spine surgery. While navigating the learning curve, he describes cases and focuses on the visualization achieved with an endoscope.
Ranging from simple fractures to complex cases involving bony displacement and intra-articular involvement with the glenohumeral joint, scapula fractures require proper management to restore shoulder kinematics. Successful outcomes depend on radiographic indications for conservative treatment or surgical intervention.
Working in concert with the ACL, the anterolateral ligament (ALL) plays a role in providing rotatory stability to the knee. Current treatment concepts focus on lateral extra-articular procedures to reduce residual instability after knee injury.
Soft-tissue trauma and dislocations present unique challenges in trauma management due to capsular, ligamentous, and tendinous involvement. Proper management of fracture fixation and/or soft-tissue repair is paramount to preserve joint stability and kinematics.
The collateral ligaments are critical for maintaining medial and lateral knee stability. Injury classification and whether an injury occurs in isolation or contributes to multiligamentous instability will help guide whether conservative or surgical treatment is indicated.
Rarely occurring in isolation, lateral collateral ligament (LCL) injuries are often part of multiligamentous injuries. LCL tear classification will help determine whether conservative or surgical treatment is appropriate.
Explore innovations in trauma solutions, including the latest fracture fixation and soft-tissue repair techniques.
More common in those over 40 years old, quadriceps tendon ruptures often require prompt surgical management for restoration of function. Transosseous tunnels or suture anchors are standard methods of fixation, with additional options for autograft or allograft augmentation.
In cases of isolated cartilage loss, transplantation and implantation techniques with autografts or allografts can be used with the goal of restoring cartilaginous integrity.
Flexor tendon injuries that affect the palmar aspect of the hand not only affect mobility and hand function but may also result in neurological and vascular compromise. Depending on the pathology, surgical release or repair may be indicated.
The lunotriquetral ligament (LTL) and associated joint are integral to wrist structure and function. Injury resulting in lunotriquetral ligament instability may require ligament repair, reconstruction, or other surgical intervention to restore ulnar-sided stability to the wrist.
A palmar distal interphalangeal (DIP) joint injury, otherwise known as jersey flexor digitorum profundus from the distal phalanx. Surgical intervention can restore alignment to preserve function and prevent deformity.
Perilunate injuries range in severity, inclusive of multipoint instability, dislocation, and fracture. Careful evaluation of the extent of injury and level of structural involvement is needed for treatment planning to maximize functional outcomes.
