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    ARTHROSCOPIC SUTURE REPAIR OF ACUTE QUADRICEPS TENDON RUPTURES.
    Orthop Traumatol Surg Res 2017 Feb 14. Epub 2017 Feb 14.
    Service de chirurgie orthopédique et traumatologique, CHU de Martinique, CS90632, 97261 Fort-de-France, Martinique, France.
    Acute quadriceps tendon ruptures disrupt the continuity of the extensor mechanism and must be treated surgically. Tendon reattachment with suture anchors has recently been shown to be biomechanically superior to reattachment through transosseous tunnels. In this context, arthroscopy is an interesting alternative. Read More

    Axial-Plane Biomechanical Evaluation of 2 Suspensory Cortical Button Fixation Constructs for Acromioclavicular Joint Reconstruction.
    Orthop J Sports Med 2016 Dec 16;4(12):2325967116674668. Epub 2016 Dec 16.
    Musculoskeletal Research Center, New York University Hospital for Joint Diseases, New York, New York, USA.
    Background: Although numerous suture-button fixation techniques for acromioclavicular (AC) joint reconstruction have been validated with biomechanical testing in the superior direction, clinical reports continue to demonstrate high rates of construct slippage and breakage.

    Purpose: To compare the stability of a novel closed-loop double Endobutton construct with a commercially available cortical button system in both the axial and superior directions.

    Study Design: Controlled laboratory study. Read More

    Improving the Aesthetic Outcome in Scaphocephaly Correction: Hairline Lowering During Vault Remodeling Procedures.
    J Craniofac Surg 2017 Feb 15. Epub 2017 Feb 15.
    *Oral and Maxillofacial Surgery, University Hospital Salzburg, Salzburg, Austria †Alder Hey Children's NHS Foundation Trust ‡Supraregional Craniofacial Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
    The bossed forehead in patients with scaphocephaly often leads to a high hairline. A new technique to improve the aesthetic outcome of patients undergoing scaphocephaly correction is described. Sixteen patients with scaphocephaly and having a high hairline due to frontal bossing who underwent scaphocephaly correction by subtotal or total vault remodeling were analyzed. Read More

    A Comparison of Two Monofilament Suture Materials for Repair of Partial Flexor Tendon Lacerations: A Controlled In-vitro Study.
    J Hand Surg Asian Pac Vol 2017 Mar;22(1):18-22
    * Department of Orthopaedic Surgery, Leicester General Hospital, Leicester, LE5 4PW, UK.
    Background: Surgical repair is advocated for flexor tendon lacerations deeper than 70%. Repair can be undertaken with different suturing techniques and using different materials. Different materials used for tendon repair will have a different gliding resistance (GR) at the joint. Read More

    The clinical anatomy of the insertion of the rotator cuff tendons.
    Eur J Orthop Surg Traumatol 2017 Feb 16. Epub 2017 Feb 16.
    Orthopaedic Consultant, Groenkloof Life Hospital (Little Company of Mary Hospital), Pretoria, Gauteng, South Africa.
    The rotator cuff (RC) insertions according to most anatomical texts are described as being separate from one another. However, clear fusion of the RC tendon fibres exists with prior studies showing this interdigitation forming a common, continuous insertion onto and around the lesser and greater tubercles (LT and GT) of the humerus. Current surgical repair methods (especially arthroscopic techniques) rarely mention or consider these connections during repair and suture anchor implantation. Read More

    Treatment of Ulnar Collateral Ligament Tears of the Elbow: Is Repair a Viable Option?
    Orthop J Sports Med 2017 Jan 25;5(1):2325967116682211. Epub 2017 Jan 25.
    Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
    Background: Ulnar collateral ligament (UCL) tears have become common, and UCL reconstruction (UCLR) is currently the preferred surgical treatment method for treating UCL tears.

    Purpose/hypothesis: The purpose of this study was to review the literature surrounding UCL repair and determine the viability of new repair techniques for treatment of UCL tears. We hypothesized that UCL repair techniques will provide comparable results to UCLR for treatment of UCL tears. Read More

    Double breasting spongioplasty in tubularized/tubularized incise plate urethroplasty: A new technique.
    Indian J Urol 2017 Jan-Mar;33(1):58-63
    Department of Sugery, S.P. Medical College, Bikaner, Rajasthan, India.
    Introduction: The main disadvantage of currently described techniques of spongioplasty is superimposition of 3 suture lines (neourethra, spongioplasty, and skin closure) which is likely to increase the chances of a fistula. We describe and evaluate the results of a double breasting spongioplasty in urethroplasty.

    Methods: A prospective study of 60 primary hypospadias was undertaken by double breasting spongioplasty from August 2012 to March 2014. Read More

    Lateral clavicle fracture with coracoclavicular ligament injury: a biomechanical study of 4 different repair techniques.
    Knee Surg Sports Traumatol Arthrosc 2017 Feb 14. Epub 2017 Feb 14.
    Department of Orthopaedic Surgery, New England Musculoskeletal Institute, University of Connecticut, Farmington, CT, 06034, USA.
    Purpose: To investigate the biomechanical performance of four different methods used for coracoclavicular (CC) ligament reconstruction in a lateral clavicle fracture repair.

    Methods: Native displacement, translation, and rotation at the acromioclavicular joint of 24 fresh-frozen cadaveric shoulders were tested. A reproducible fracture in the lateral third of the clavicle was created by dissecting both CC ligaments. Read More

    Biomechanical evaluation of the long head of the biceps brachii tendon fixed by three techniques: a sheep model.
    Rev Bras Ortop 2017 Jan-Feb;52(1):52-60. Epub 2016 Dec 30.
    Universidade Federal do Paraná, Curitiba, PR, Brazil.
    Objective: To evaluate the biomechanical properties of the fixation of the long head of the biceps brachii into the humeral bone with suture anchors, interference screw, and soft tissue suture, comparing strength, highest traction load, and types of fixation failure.

    Methods: Thirty fresh-frozen sheep shoulders were used, separated into three groups of ten for each technique. After fixation, the tendons were subjected to longitudinal continuous loading, obtaining load-to-failure (N) and displacement (mm). Read More

    What Are the Advantages of 3D Cameras in Gynaecological Laparoscopy?
    Geburtshilfe Frauenheilkd 2017 Jan;77(1):45-51
    Universitätsfrauenklinik Würzburg, Würzburg, Germany.
    Introduction Minimally invasive operative techniques are being used increasingly in gynaecological surgery. The expansion of the laparoscopic operation spectrum is in part the result of improved imaging. This study investigates the practical advantages of using 3D cameras in routine surgical practice. Read More

    Pneumatic Burst Pressures After Inverted Closure of the Left Atrial Appendage: An Ex Vivo Model.
    Ann Thorac Surg 2017 Feb 9. Epub 2017 Feb 9.
    Klinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Germany.
    Background: The left atrial (LA) appendage (LAA) is the main source of thromboembolism in atrial fibrillation. This study addressed initial pressure resistance of surgical LAA closures.

    Methods: In an experimental model, pneumatic pressure resistances of different surgical closure techniques were examined, and variations in technique and access were studied. Read More

    Endoscopic closure after intraluminal surgery.
    Dig Endosc 2017 Feb 9. Epub 2017 Feb 9.
    Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University, School of Medicine, Tokyo, Japan.
    Endoscopic submucosal dissection is established as a curative endoscopic method for gastrointestinal epithelial neoplasms with a high possibility of complete en bloc resection; however, postoperative adverse events of bleeding and delayed perforation remain. To prevent or minimize them, several techniques for endoscopic mucosal closure have been introduced, such as using endoscopic clips, combined use of hemoclips and supplement devices, and specially designed endoscopic suturing devices. Furthermore, endoscopic full-thickness suturing technique for gastrointestinal wall defect has been developed based on the concept in natural orifice transluminal endoscopic surgery and endoscopic full-thickness resection. Read More

    A self-locking loop as an alternative to purse-string suture in colon anastomosis: a feasibility study.
    BMC Res Notes 2017 Feb 8;10(1):89. Epub 2017 Feb 8.
    CarpoNovum AB, Olofsdalsvägen 10, 302 41, Halmstad, Sweden.
    Background: Colorectal cancer is common in humans where treatment involves surgical removal of the cancerous part of the intestines. In the anastomosis procedure a purse-string suture may be time consuming to perform. The aim was to replace the purse-string suture, to develop and test a self-locking loop for temporary sealing of the lumen in colon anastomosis. Read More

    Fasciotomy closure techniques.
    J Orthop Surg (Hong Kong) 2017 Jan;25(1):2309499016684724
    2 Department of Orthopaedic Surgery and Rehabilitation, SUNY Downstate Medical Center, Brooklyn, New York, NY, USA.
    We evaluated the risks and success rates of the three major techniques for compartment syndrome fasciotomy closure by reviewing all literature published to date. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we systematically evaluated the Medline (PubMed) database until July 2015, utilizing the Boolean search sting "compartment syndrome OR fasciotomy closure." Two authors independently assessed all studies published in the literature to ensure validity of extracted data. Read More

    Efficacy of repair techniques of the Achilles tendon: A meta-analysis of human cadaveric biomechanical studies.
    Foot (Edinb) 2017 Jan 28;30:13-20. Epub 2017 Jan 28.
    The Orthopedic Department, Lebanese American University, Lebanon. Electronic address:
    Purpose: Achilles injuries are very common, mainly among young athletes. When indicated, the surgical treatment aims for strong repairs that can resist distraction and consequently ruptures. The majority of the published clinical meta-analyses reported comparisons between broad treatment modalities such as conservative treatment, open, and minimally invasive surgery. Read More

    Frankfurt microsurgery course: the first 175 trainees.
    Eur J Trauma Emerg Surg 2017 Feb 4. Epub 2017 Feb 4.
    Department of Trauma, Hand and Reconstructive Surgery, JW Goethe-University, Frankfurt/main, Germany.
    Introduction: Microsurgery courses, taught external to surgical training programs, are essential for acquiring the high level of technical skill required for clinical proficiency.

    Methods: The Frankfurt microsurgery course is a 5-day, intensive course that teaches arterial and venous anastomosis using end-to-end, end-to-side, one-way-up, continuous-suture, and vessel graft techniques. During the course, the instructor records the level of skill (in-course data) achieved by each trainee by assessing anastomosis completion and patency. Read More

    Suture fixation of an Akin osteotomy: A cost effective and clinically reliable technique.
    Foot Ankle Surg 2017 Mar 22;23(1):40-43. Epub 2016 Feb 22.
    Department of Trauma and Orthopaedics, Whittington Hospital, United Kingdom.
    Background: The Akin osteotomy is commonly performed as an adjunct to osteotomies of the first metatarsal for the correction of hallux valgus such as the scarf or chevron osteotomies. The Akin osteotomy is indicated for the correction of a hallux valgus interphalangeus and can be used supplementary in any first metatarsal osteotomy for a hallux valgus. Various techniques have been described for fixation of the osteotomy. Read More

    Comparison of 3 suture closure techniques for pelvic flexure enterotomy in equine cadaveric large colon.
    Vet Surg 2017 Feb 3. Epub 2017 Feb 3.
    Department of Clinical Sciences, Colorado State University, Fort Collins, Colorado.
    Objective: To compare a 2-layer closure with suture line reversal for a pelvic flexure enterotomy to 1-layer and traditional 2-layer hand sewn closures.

    Study Design: Ex vivo, simple randomized study.

    Sample Population: Large colon segments from adult horses (n = 18). Read More

    Mini-plate fixation versus suture suspensory fixation in cervical laminoplasty: A meta-analysis.
    Medicine (Baltimore) 2017 Feb;96(5):e6026
    aDepartment of Spinal Surgery, The Third Hospital of Hebei Medical University bDepartment of Endocrinology, The Second Hospital of Hebei Medical University, Shijiazhuang cDepartment of Orthopaedics, Chinese PLA General Hospital, Beijing dHebei Provincial Key Laboratory of Orthopedic Biomechanics, Shijiazhuang, China.
    Background: Both the mini-plate fixation and suture suspensory fixation techniques are extensively applied in cervical laminoplasty, but which technique is superior has not been ascertained. The purpose of this meta-analysis is to compare the results between mini-plate fixation and suture suspensory fixation in cervical laminoplasty for the patients with multilevel cervical compressive myelopathy.

    Methods: PubMed, Embase, the Cochrane library, CNKI, and WANFANG were searched for studies that compared mini-plate fixation and suture suspensory fixation in cervical laminoplasty up to November 1, 2016. Read More

    A UK questionnaire survey of current techniques used to perform pelvic organ prolapse repair.
    Int Urogynecol J 2017 Feb 1. Epub 2017 Feb 1.
    The Warrell Unit, Saint Mary's Hospital, Manchester Academic Health Science Centre, Central Manchester University Hospital NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.
    Introduction And Hypothesis: Evidence-based medicine should result in better standardisation of practice. This study aims to evaluate whether there remains variation in surgical techniques in native tissue and graft/mesh repairs of pelvic organ prolapse (POP) in UK practice.

    Methods: A questionnaire survey was conducted to describe current surgical techniques for native tissue and graft/mesh POP repairs performed by a cohort of UK surgeons recruiting to a large multicentre prolapse trial (PROSPECT). Read More

    Quadruple-Bundle Semitendinosus-Gracilis Graft Technique for All-Inside Anterior Cruciate Ligament Reconstruction.
    Arthrosc Tech 2016 Dec 21;5(6):e1317-e1320. Epub 2016 Nov 21.
    Department of Orthopaedic Surgery, Medstar Georgetown University Hospital, Washington, District of Columbia, U.S.A.
    Hamstring tendon autograft has been shown to be an excellent option for anterior cruciate ligament (ACL) reconstruction. Adequate graft size can usually be achieved through either a double-bundle technique of semitendinosus and gracilis tendons or a quadruple-bundle technique using a single tendon. To minimize failure rates that result from graft insufficiency, a minimum graft thickness of 8 mm is recommended for reconstruction. Read More

    A Prospective Randomized Study Comparing the Interference Screw and Suture Anchor Techniques for Biceps Tenodesis.
    Am J Sports Med 2017 Feb 22;45(2):440-448. Epub 2016 Oct 22.
    Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
    Background: Several methods are used to perform biceps tenodesis in patients with superior labrum-biceps complex (SLBC) lesions accompanied by a rotator cuff tear. However, limited clinical data are available regarding the best technique in terms of clinical and anatomic outcomes.

    Purpose: To compare the clinical and anatomic outcomes of the interference screw (IS) and suture anchor (SA) fixation techniques for biceps tenodesis performed along with arthroscopic rotator cuff repair. Read More

    [Surgery of Lower Eyelid Ectropion with the Tarsal Strip Procedure, Using Absorbable or Non-Absorbable Sutures for Periosteal Fixation].
    Klin Monbl Augenheilkd 2017 Jan 30;234(1):59-63. Epub 2017 Jan 30.
    Augenklinik, Universitätsklinikum Carl Gustav Carus, TU Dresden.
    Purpose Tightening of the lower eyelid is often performed and many techniques are available. This paper describes the outcome of lower eyelid ectropion repair using the lateral tarsal strip procedure. Periosteal fixation of the tarsal strip can be performed with absorbable or non-absorbable sutures. Read More

    Totally Endoscopic Robotic Left Atrial Appendage Closure Demonstrates High Success Rate.
    Innovations (Phila) 2017 Jan/Feb;12(1):46-49
    From the Departments of *Cardiothoracic Surgery, †Cardiology, and ‡Anesthesia, New York University School of Medicine, New York, NY USA.
    Objective: In patients with atrial fibrillation, 90% of embolic strokes originate from the left atrial appendage (LAA). Successful exclusion of the LAA is associated with a lower stroke rate in patients with atrial fibrillation. Surgical oversewing of the LAA is often incomplete when evaluated with transesophageal echocardiogram (TEE). Read More

    Allgöwer-Donati Versus Vertical Mattress Suture Technique Impact on Perfusion in Ankle Fracture Surgery: A Randomized Clinical Trial Using Intraoperative Angiography.
    J Orthop Trauma 2017 Feb;31(2):97-102
    Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
    Objective: The purpose of this study was to evaluate which primary wound closure technique for ankle fractures affords the most robust perfusion as measured by laser-assisted indocyanine green angiography: Allgöwer-Donati or vertical mattress.

    Design: Prospective, randomized.

    Setting: Level 1 Academic Trauma Center. Read More

    Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome.
    Bratisl Lek Listy 2016 ;117(12):710-714
    Background: Fasciotomy wounds can be a major contributor to length of stay for patients as well as a difficult reconstructive challenge.

    Objectives: To evaluate lower leg fasciotomy wound closure outcomes comparing treatment with combined dressing fabric (COM) and negative pressure wound therapy (NPWT) in combination with elastic dynamic ligature (EDL).

    Methods: Retrospective study of 63 patients who underwent lower leg fasciotomy due to injury treated from January 2008 to December 2015 at the Department of Trauma Surgery, University Hospital Brno. Read More

    Primary surgical repair of acute Achilles tendon rupture: comparative results of three surgical techniques.
    Wien Klin Wochenschr 2017 Jan 26. Epub 2017 Jan 26.
    Institute for Physical and Rehabilitation Medicine, University Clinical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia.
    Purpose: To determine which of the three surgical techniques for acute unilateral complete rupture of Achilles tendons in use at the University Clinical Centre Maribor gives the best short-term functional results.

    Methods: In the retrospective analysis of the results of 3 surgical techniques, 262 patients of which 244 (93.1%) were men (mean age 41. Read More

    Sports Injuries to the Latissimus Dorsi and Teres Major.
    Am J Sports Med 2016 Dec 1:363546516676062. Epub 2016 Dec 1.
    Beacon Orthopaedics and Sports Medicine, Cincinnati, Ohio, USA.
    Injuries to the latissimus dorsi and teres major muscles, while rare, are debilitating. They are seen in a variety of sports, although disproportionately in the throwing shoulder of baseball pitchers. There have been 25 case reports and 2 case series published on the nonoperative and operative management of these injuries. Read More

    Load response and gap formation in a single-row cruciate suture rotator cuff repair.
    ANZ J Surg 2017 Jan 26. Epub 2017 Jan 26.
    Department of Mechanical Engineering, The University of Melbourne, Melbourne, Victoria, Australia.
    Background: Double-row rotator cuff tendon repair techniques may provide superior contact area and strength compared with single-row repairs, but are associated with higher material expenses and prolonged operating time. The purpose of this study was to evaluate gap formation, ultimate tensile strength and stiffness of a single-row cruciate suture rotator cuff repair construct, and to compare these results with those of the Mason-Allen and SutureBridge repair constructs.

    Methods: Infraspinatus tendons from 24 spring lamb shoulders were harvested and allocated to cruciate suture, Mason-Allen and SutureBridge repair groups. Read More

    Biomechanical testing of transcapsular meniscal repair.
    J Exp Orthop 2017 Dec 25;4(1). Epub 2017 Jan 25.
    Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
    Background: All of previous biomechanical studies on meniscal repair have examined the meniscus itself without synovial membrane and capsule, although in the clinical setting, the meniscal repair is generally performed including capsule. Therefore, biomechanical properties of transcapsular meniscal repair are unclear. Thus, this study aimed to clarify the biomechanical properties of transcapsular meniscal repair. Read More

    Arthroscopic transosseous rotator cuff repair: the eight-shape technique.
    Eur J Orthop Surg Traumatol 2017 Jan 25. Epub 2017 Jan 25.
    Shoulder Unit, IRCCS Humanitas Institute, Milan, Italy.
    All-arthroscopic anchorless transosseous suture techniques combine the advantages of the open transosseous repair with the benefits of arthroscopic technique. However, all the techniques described until now are very complex, difficult to reproduce and associated with an increased surgical time. The authors developed a novel all-arthroscopic anchorless transosseous suture technique easy to perform and to reproduce. Read More

    Learning Curve Associated With an Automated Laparoscopic Suturing Device Compared With Laparoscopic Suturing.
    Surg Innov 2017 Jan 1:1553350616687903. Epub 2017 Jan 1.
    1 Baylor University Medical Center at Dallas, Dallas, TX, USA.
    Background: Laparoscopic suturing has proved to be a challenging skill to master which may prevent surgical procedures from being started, or completed, in a minimally invasive fashion. The aim of this study is to compare the learning curves between traditional laparoscopic techniques with a novel suturing device.

    Methods: In this prospective single blinded nonrandomized controlled crossover study, we recruited 19 general surgery residents ranging from beginner (PGY1-2, n = 12) to advanced beginner (PGY3-5, n = 7). Read More

    Two Suturing Techniques for the Prevention and Treatment of Nasal Valve Collapse After Mohs Micrographic Surgery.
    Dermatol Surg 2017 Jan 20. Epub 2017 Jan 20.
    *Department of Dermatology, Naval Medical Center, Charette Health Care Center, Portsmouth, Virginia; †Dayton Skin Surgery Center, Dayton, Ohio.
    Background: Tumor extirpation of nonmelanoma skin cancer (NMSC) adjacent to the alar groove, using Mohs micrographic surgery (MMS), may risk causing internal nasal valve (INV) collapse, resulting in reduced airflow during inspiration. There are many surgical options described in the literature to repair INV collapse as a postoperative corrective procedure, but few exist as an intra-operative preventative procedure.

    Objective: The authors present 2 distinct methods to prevent and treat INV collapse during the repair of a perialar surgical defect caused by MMS. Read More

    [Injuries of major tendons : Review of current diagnostic and surgical standards].
    Chirurg 2017 Feb;88(2):175-186
    Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland.
    Chronic degenerative tendon injuries as well as injuries due to acute high-energy trauma and incisional injuries are a significant aspect in the emergency surgery department. As a result of anatomical characteristics and exposure certain tendons are particularly vulnerable to injury. These include the biceps brachialis, quadriceps femoris, patella, achilles and tibialis anterior tendons. Read More

    Comparison of 4 techniques for limbal-conjunctival autograft fixation in primary pterygium surgery.
    Eur J Ophthalmol 2017 Jan 18. Epub 2017 Jan 18.
    Ophthalmology Service, CES University, Medellin - Colombia.
    Purpose: To compare 4 limbal-conjunctival autograft fixation techniques-conventional suture, commercial fibrin glue, autologous fibrin glue, and cautery-in primary nasal pterygium surgery.

    Methods: This is a retrospective and descriptive study. The postoperative patient discomfort, graft edema, ocular inflammation, and other complications of 4 limbal-conjunctival autograft fixation techniques in primary nasal pterygium surgery were evaluated. Read More

    [Surgical Correction of Scoliosis: Does Intraoperative CT Navigation Prolong Operative Time?]
    Acta Chir Orthop Traumatol Cech 2016 ;83(5):344-347
    Ortopedicko-traumatologická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.
    PURPOSE OF THE STUDY The aim of the study was to compare the duration of corrective surgery for scoliosis in relation to the intra-operative use of either fluoroscopic or CT navigation. MATERIAL AND METHODS The indication for surgery was adolescent idiopathic scoliosis in younger patients and degenerative scoliosis in middleage or elderly patients. In a retrospective study, treatment outcomes in 43 consecutive patients operated on between April 2011 and April 2014 were compared. Read More

    Is the arthroscopic suture bridge technique suitable for full-thickness rotator cuff tears of any size?
    Knee Surg Sports Traumatol Arthrosc 2017 Jan 18. Epub 2017 Jan 18.
    Department of Orthopaedic Surgery, Wonkwang University Hospital, 344-2 Shinyong-dong, Iksan, Jeollabuk-do, Korea.
    Purpose: The purpose of this study was to compare functional outcomes and tendon integrity between the suture bridge and modified tension band techniques for arthroscopic rotator cuff repair.

    Methods: A consecutive series of 128 patients who underwent the modified tension band (MTB group; 69 patients) and suture bridge (SB group; 59 patients) techniques were enrolled. The pain visual analogue scale (VAS), Constant, and American Shoulder and Elbow Surgeons (ASES) scores were determined preoperatively and at the final follow-up. Read More

    Open retromuscular large mesh reconstruction of lumbar incisional hernias including the atrophic muscular area.
    Hernia 2017 Jan 17. Epub 2017 Jan 17.
    Department of General, Digestive and Endocrine Surgery, Robert-Debré University Hospital, University of Reims Champagne-Ardenne, Rue Cognacq-Jay, 51092, Reims Cedex, France.
    Purpose: Lumbar incisional hernias (LIH) are a rare wall defect, whose surgical management is challenging because no recommendation exists. Moreover, LIH are frequently associated with flank bulging which should be taken into account during LIH surgical repair. We aimed to describe a cohort of patients operated on for LIH using a homogeneous surgical technique and to report surgical outcomes. Read More

    A Biomechanical Comparison of Different Tendon Repair Techniques.
    J Long Term Eff Med Implants 2016 ;26(2):167-171
    Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, NY.
    Previous studies have examined multiple suture techniques for the repair of ruptured tendons. In this study, we investigated how the two- and four-stranded Krackow suture weave techniques compared with a novel Krackow/Bunnell suture technique. Our hypothesis was that the Krackow/Bunnell suture would have greater strength compared with the two- and four-stranded Krackow suture in terms of resistance to pullout from the muscle tendon. Read More

    Laparoscopic-endoscopic cooperative surgery for a duodenal neuroendocrine tumor: A case report.
    Asian J Endosc Surg 2017 Jan 17. Epub 2017 Jan 17.
    Department of Comprehensive Surgery, Shiga University of Medical Science, Otsu, Japan.
    For neuroendocrine tumor G1, local resection is one of the primary treatment options. Endoscopic submucosal dissection has been proven to ensure complete resection with sufficient margins. However, duodenal endoscopic submucosal dissection has a high risk of duodenal perforation because of the thin duodenal wall and poor endoscopic maneuverability. Read More

    Biomechanical Comparison of Standard and Linked Single-Row Rotator Cuff Repairs in a Human Cadaver Model.
    Arthroscopy 2017 Jan 12. Epub 2017 Jan 12.
    Southern California Orthopedic Institute, Van Nuys, California, U.S.A.. Electronic address:
    Purpose: The purpose of this study was to evaluate the time zero cyclic and failure loading properties of a linked single-row rotator cuff repair compared with a standard simple suture single-row repair using triple-loaded suture anchors.

    Methods: Eighteen human cadaveric shoulders from 9 matched pairs were dissected, and full-thickness supraspinatus tears were created. The tendon cross-sectional area was recorded. Read More

    Evaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study.
    Surg Obes Relat Dis 2016 Dec 10. Epub 2016 Dec 10.
    Department of Surgery, University of Michigan Health Systems, Ann Arbor, Michigan.
    Objective: To assess the effect of operative technique on staple line leaks after laparoscopic sleeve gastrectomy (LSG).

    Background: Staple-line leaks after LSG are a major source of morbidity and mortality. Variations in operative technique exist; however, their effect on leaks is poorly understood. Read More

    Postmyelotomy closure of spinal cord - "Zip lock technique": An initial experience.
    World Neurosurg 2017 Jan 10. Epub 2017 Jan 10.
    Senior Resident, Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research (GIPMER), New Delhi.
    Proper closure of the pia matter is necessary to restore the normal anatomy and prevent postoperative painful dysesthesia after excision of intramedullary spinal cord tumor. Two methods of closure of the pia have been described: welding technique and conventional suturing. Here, we report our initial experience with a new "pial press" or "zip-lock" technique for pial closure where pial layers are simply held together and plunged into each other with small micro tooth forceps. Read More

    Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective.
    J Thorac Cardiovasc Surg 2016 Dec 21. Epub 2016 Dec 21.
    Division of Thoracic Surgery, Stanford University School of Medicine, Sunnyvale, Calif; Veterans Affair Palo Alto Health Care System, Palo Alto, Calif.
    Objective: Surgeons have hesitated to adopt minimally invasive diaphragm plication techniques because of technical limitations rendering the procedure cumbersome or leading to early failure or reduced efficacy. We sought to demonstrate efficacy and durability of our thoracoscopic plication technique using a single running suture.

    Methods: We retrospectively reviewed patients who underwent our technique for diaphragm plication since 2008. Read More

    Application of Computed Tomography Processed by Picture Archiving and Communication Systems in the Diagnosis of Acute Achilles Tendon Rupture.
    Biomed Res Int 2016 18;2016:6043638. Epub 2016 Dec 18.
    Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Rescue Center of Severe Wound and Trauma of Chinese PLA, Shenyang, Liaoning 110016, China.
    The applications of CT examination in the diagnosis of the acute Achilles tendon rupture (AATR) were investigated. A total of 36 patients with suspected acute Achilles tendon rupture were tested using physical examination, ultrasound, and 3DCT scanning, respectively. Then, surgery was performed for the patients who showed positive result in at least two of the three tests for AATR. Read More

    The Double-Row Suture Technique: A Better Option for the Treatment of Haglund Syndrome.
    Biomed Res Int 2016 18;2016:1895948. Epub 2016 Dec 18.
    Nanjing University of Chinese Medicine, Nanjing, China.
    Purpose. The purpose of this study is to investigate whether double-row suture technique is a better option for the treatment of Haglund syndrome than single-row suture technique regarding the surgical outcomes. Methods. Read More

    Low Cost Simulator for Heart Surgery Training.
    Braz J Cardiovasc Surg 2016 Nov-Dec;31(6):449-453
    Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor-HCFMUSP), São Paulo, SP, Brazil.
    Objective:: Introduce the low-cost and easy to purchase simulator without biological material so that any institution may promote extensive cardiovascular surgery training both in a hospital setting and at home without large budgets.

    Methods:: A transparent plastic box is placed in a wooden frame, which is held by the edges using elastic bands, with the bottom turned upwards, where an oval opening is made, "simulating" a thoracotomy. For basic exercises in the aorta, the model presented by our service in the 2015 Brazilian Congress of Cardiovascular Surgery: a silicone ice tray, where one can train to make aortic purse-string suture, aortotomy, aortorrhaphy and proximal and distal anastomoses. Read More

    Keyhole approach in the neuroendoscopic treatment for hydrocephalus.
    Medicine (Baltimore) 2017 Jan;96(1):e5823
    Department of Neurosurgery, Renmin Hospital of Wuhan University, Hubei Province, China.
    The aim of the study was to explore keyhole approach and dura suture in the neuroendoscopic treatment for hydrocephalus.Twelve cases of hydrocephalus patients who were treated with neuroendoscope by this approach were analyzed retrospectively from April 2015 to April 2016 in our department. The basic steps of this procedure was using drill and milling cutter to form a small bone flap instead of burr hole, and then making a cruciate incision on the dura. Read More

    Current Status of Exposed Endoscopic Full-Thickness Resection and Further Development of Non-Exposed Endoscopic Full-Thickness Resection.
    Digestion 2017 5;95(1):6-15. Epub 2017 Jan 5.
    Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Takamatsu, Japan.
    Endoscopic full-thickness resection (EFTR) is a procedure that makes it possible to access the lesions that are on the wall of the digestive tract via the shortest distance through the mouth. Because of the ultra-minimal invasive nature of the treatment, pure EFTR is a highly promising surgical procedure that allows the radical excision of full-thickness layers of digestive tract tumors using only a flexible endoscope. There are 2 types of EFTR methods: exposed and non-exposed. Read More

    Division Tenorrhaphy.
    Foot Ankle Spec 2017 Jan 1:1938640016685145. Epub 2017 Jan 1.
    Department of Orthopaedic Surgery, University of Tennessee, Erlanger University Health System, Chattanooga, TN, USA.
    Here we describe a modified open technique for the repair of a ruptured Achilles tendon using multiple looped sutures with the creation of interdigitating tendon stumps maximizing surface area for suture application as well as allowing for significant tissue overlay. This technique produces a high strength repair that is useful in cases of extensive degeneration or poor-quality tissue. Degenerative tissue may be encountered with chronic ruptures or failed nonoperative treatment, as well as those ruptures that occur at the proximal myotendinous junction. Read More

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