622 results match your criteria direct posterolateral

Clinical evaluation of direct anterior approach total hip arthroplasty for severe developmental dysplasia of the hip.

Sci Rep 2021 Apr 14;11(1):8105. Epub 2021 Apr 14.

Department of Orthopedics, Joint Disease and Sport Medicine Center, Xinqiao Hospital, Army Medical University, 183# Xinqiao Street, Shapingba District, Chongqing, 400037, China.

It is challenging to treat developmental dysplasia of the hip (DDH) classified Crowe III-IV using direct anterior approach (DAA) total hip arthroplasty (THA), and very little is known on its outcome. This study aimed to investigate the clinical result in this defined disorder with DAA versus posterolateral approach. Twenty-three consecutive hips with Crowe III-IV DDH who underwent DAA were retrospectively evaluated from 2016 through 2018. Read More

View Article and Full-Text PDF

Drivers of Cost in Primary Single-Level Lumbar Fusion Surgery.

Global Spine J 2021 Apr 9:21925682211009182. Epub 2021 Apr 9.

Department of Orthopaedic Surgery, Tufts University School of Medicine, Boston, MA, USA.

Study Design: Retrospective cohort.

Objectives: Allocating cost is challenging with traditional hospital accounting. Time-driven activity-based costing (TDABC) is an efficient method to accurately assign cost. Read More

View Article and Full-Text PDF

Periprosthetic Femur Fracture Risk: Influenced by Stem Choice, Not Surgical Approach.

J Arthroplasty 2021 Feb 23. Epub 2021 Feb 23.

Inova Mount Vernon Hospital Joint Replacement Center, Alexandria, VA; Anderson Orthopaedic Research Institute, Alexandria, VA.

Background: Periprosthetic femur fracture (PFF) remains a common reason for failure after total hip arthroplasty (THA). For over 10 years, our institution has performed both anterior approach (AA) and posterolateral (PL) approaches for primary THA with multiple stem designs. The aim of this study is to determine the 90-day relative risk of PFF with regard to approach and stem design. Read More

View Article and Full-Text PDF
February 2021

Outcomes of Total Hip Arthroplasty Via the Direct Anterior vs Alternative Approaches for Acute Femoral Neck Fractures.

Arthroplast Today 2021 Apr 7;8:92-95. Epub 2021 Mar 7.

Investigation Performed at the Department of Orthopedic Surgery, Mayo Clinic Florida Campus, Jacksonville, FL, USA.

Background: Total hip arthroplasty (THA) performed for displaced femoral neck fractures (FNF) is becoming a more frequent treatment in the active elderly population. The complication profiles associated with THA surgical approaches in the fracture setting are unclear. The purpose of this study was to compare a series of THA for FNF performed via the direct anterior (DA) approach vs alternative approaches (anterolateral and posterolateral). Read More

View Article and Full-Text PDF

Differential Behavioral and Neural Effects of Regional Cerebellar tDCS.

Neuroscience 2021 Mar 14. Epub 2021 Mar 14.

Department of Neuroscience and Center for Neuroscience and Behavior, American University, 4400 Massachusetts Ave NW, Washington, DC 20016, USA. Electronic address:

The human cerebellum contributes to both motor and non-motor processes. Within the cerebellum, different subregions support sensorimotor and broader cognitive functions, due to regional patterns in anatomical connectivity with the cerebral cortex and spinal and vestibular systems. We evaluated the effects of transcranial direct current stimulation (tDCS) targeting different cerebellar regions on language task performance and whole-brain functional activation patterns. Read More

View Article and Full-Text PDF

Mandibular Retromolar Foramen and Canal - A Systematic Review and Meta-Analysis.

Ann Maxillofac Surg 2020 Jul-Dec;10(2):444-449. Epub 2020 Jun 18.

Department of Oral and Maxillofacial Surgery, College of Dental Sciences and Research Centre, Manipur, Ahmedabad, Gujarat, India.

Introduction: The retromolar fossa is a small triangular area posterolateral to 3rd molar region in the mandible. The retromolar fossa often contains the retromolar foramen (RMF) as an anatomical variant. When the RMF is present, the foramen is connected with the mandibular canal (MC) through another canal known as the retromolar canal (RMC). Read More

View Article and Full-Text PDF

No clinically meaningful difference in 1-year patient-reported outcomes among major approaches for primary total hip arthroplasty.

Hip Int 2021 Mar 7:1120700021992013. Epub 2021 Mar 7.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.

Background: Debate continues around the most effective surgical approach for primary total hip arthroplasty (THA). This study's purpose was to compare 1-year patient-reported outcome measures (PROMs) of patients who underwent direct anterior (DA), transgluteal anterolateral (AL)/direct lateral (DL), and posterolateral (PL) approaches.

Methods: A prospective consecutive series of primary THA for osteoarthritis ( = 2,390) were performed at 5 sites within a single institution with standardised care pathways (20 surgeons). Read More

View Article and Full-Text PDF

Direct superior approach for total hip arthroplasty.

Bone Joint J 2021 Mar;103-B(3):500-506

Department of Orthopaedics, Golden Jubilee National Hospital, Glasgow, UK.

Aims: The purpose of this study was to compare the clinical, radiological, and patient-reported outcome measures (PROMs) in the first 100 consecutive patients undergoing total hip arthroplasty (THA) via a direct superior approach (DSA) with a matched group of patients undergoing THA by the same surgeon, using a posterolateral approach (PLA).

Methods: This was a retrospective single surgeon study comparing the first 100 consecutive DSA THA patients with a matched group of patients using a standard PLA. Case notes were examined for patient demographics, length of hospital stay, operating time, intra- and postoperative complications, pain score, satisfaction score, and Oxford Hip Score (OHS). Read More

View Article and Full-Text PDF

Targeting the safe zones for cup position without fluoroscopic guidance in total hip arthroplasty: does the surgical approach affect the outcomes?

Eur J Orthop Surg Traumatol 2021 Feb 24. Epub 2021 Feb 24.

UOC Ortopedia e Traumatologia, Ospedale Bolognini Seriate - ASST, Bergamo Est, Italia Via Paderno, 21 - 24065, Seriate, BG, Italy.

Background: Proper acetabular cup positioning is crucial for achieving implant longevity and stability in total hip arthroplasty (THA). One of the elements that may affect the accuracy and precision of the positioning of the cup is the type of surgical approach used. This study compares the accuracy and the precision of conventional free-hand acetabular cup positioning relative to different "safe zones" in two groups of patients operated with THA using two different surgical approach. Read More

View Article and Full-Text PDF
February 2021

Obesity leads to a higher rate of positive surgical margins in the context of robot-assisted radical prostatectomy. Results of a prospective multicenter study.

Cent European J Urol 2020 3;73(4):457-465. Epub 2020 Dec 3.

Department of Urology, Caritas St. Josef Medical Centre, University of Regensburg, Regensburg, Germany.

Introduction: Current results concerning the effect of body mass index (BMI) on positive surgical margins (PSMs) after robot-assisted radical prostatectomy (RARP) in patients with localized prostate cancer are inconsistent. Therefore, the aim of this study was to further analyse the association between BMI and PSMs after RARP.

Material And Methods: Between March 2017 and December 2017 a multicentre, prospective, randomised, single-blind series with a blinded outcome assessment of 232 RARP patients was performed. Read More

View Article and Full-Text PDF
December 2020

Heterotopic ossification in primary total hip arthroplasty using the posterolateral compared to the direct lateral approach.

Arch Orthop Trauma Surg 2021 Feb 3. Epub 2021 Feb 3.

Clinical Orthopedic Research Center, mN, Zeist, The Netherlands.

Purpose: Total hip arthroplasty (THA) is a successful procedure. However, in time, heterotopic ossification (HO) can form due to, amongst others, soft tissue damage. This can lead to pain and impairment. Read More

View Article and Full-Text PDF
February 2021

[Primary repair with bioabsorbible anchor of anterior cruciate ligament in post-traumatic tibial avulsion].

Acta Ortop Mex 2020 Jul-Aug;34(4):238-241

Servicio de Traumatología y Ortopedia, Centro Médico Naval, Secretaría de Marina-Armada de México. Ciudad de México. México.

Introduction: Anterior cruciate ligament injuries are common, however, tibial avulsions in adults are rare. The gold standard continues to be reconstruction either by allograft or autologous graft. Primary repairs in femoral side lesions have been reported in recent years by bioabsorbable anchors. Read More

View Article and Full-Text PDF
February 2021

Time efficiency of direct anterior hip arthroplasty compared to postero-lateral approach in elderly patients.

Arch Med Sci 2021 5;17(1):106-112. Epub 2021 Jan 5.

Department of Internal Diseases, Diabetology and Endocrinology, Medical University of Warsaw, Warsaw, Poland.

Introduction: Primary arthroplasty of the hip joint is currently one of the most commonly performed procedures in orthopedics. In Poland we are observing significant changes in the age structure. With the prolonged life more and more elderly patients require musculoskeletal surgery to maintain comfortable and painless mobility. Read More

View Article and Full-Text PDF
January 2021

Surgical management of medial and lateral elbow instability secondary to acute atypical complex elbow dislocation: Case report and literature review.

Int J Surg Case Rep 2021 Feb 15;79:222-226. Epub 2021 Jan 15.

Ministry of Health, Department of Emergency Medicine, Saudi Arabia.

Introduction And Importance: Elbow dislocation is common in adults, and complex elbow dislocations are generally associated with bone fractures. Anteromedial coronoid fracture, in association with lateral collateral ligament (LCL) disruption, often results from varus posteromedial forces. "Terrible triad" injuries are more likely to result from valgus posterolateral forces. Read More

View Article and Full-Text PDF
February 2021

2020 international practice patterns in adult joint reconstruction surgery: a survey of members of the International Society of Orthopaedic Centers.

Eur J Orthop Surg Traumatol 2021 Jan 22. Epub 2021 Jan 22.

Department of Orthopaedic Surgery, Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.

Purpose: It is important to assess global trends in the practice of adult reconstruction orthopaedic surgery to understand how new evidence is being implemented. The International Society of Orthopaedic Centers (ISOC) is a consortium of academic orthopaedic centers whose members' practices likely reflect contemporary evidence and indicate how orthopaedic surgery residents and fellows are trained.

Methods: We administered a 65 question, electronic survey of adult reconstruction surgeons across the ISOC centers in September 2020 to assess practice patterns. Read More

View Article and Full-Text PDF
January 2021

Direct anterior approach versus posterolateral approach in total hip arthroplasty: a meta-analysis of results on early post-operative period.

J Orthop Surg Res 2021 Jan 19;16(1):69. Epub 2021 Jan 19.

Department of Medical Oncology, Weifang People's Hospital, no. 151 Guangwen Road, Weifang, 260041, China.

Background: This study was performed to compare the advantage and disadvantage of posterolateral approach (PLA) and direct anterior approach (DAA) in total hip arthroplasty (THA).

Methods: Relevant trials were identified via a search of the Cochrane Central Register of Controlled Trials and PubMed from inception to 1 June 2019. A meta-analysis was performed to compare postoperative perioperative and radiographic outcomes between DAA and PLA in THA with respect to the hospital stay, blood loss, incision length, operative time, complications, and femoral and cup component position. Read More

View Article and Full-Text PDF
January 2021

Autogenous iliac crest bone grafting for tibial nonunions revisited: does approach matter?

Arch Orthop Trauma Surg 2021 Jan 8. Epub 2021 Jan 8.

NYU Langone Orthopedic Hospital, 301 E 17th St, Suite 1402, New York, NY, 10003, USA.

Background: Tibial nonunion remains a considerable burden for patients and the surgeons who treat them. In recent years, alternatives to autogenous grafts for the treatment of tibial nonunions have been sought. The purpose of this study was to evaluate the efficacy of autogenous iliac crest bone graft (ICBG) in the treatment of tibial shaft nonunions. Read More

View Article and Full-Text PDF
January 2021

Direct superior approach versus posterolateral approach in total hip arthroplasty: a randomized controlled trial on early outcomes on gait, risk of fall, clinical and self-reported measurements.

Acta Orthop 2021 Jan 7:1-6. Epub 2021 Jan 7.

IRCCS Istituto Ortopedico Galeazzi , Milan.

Background and purpose - Several surgical approaches are used in primary total hip arthroplasty (THA). In this randomized controlled trial we compared gait, risk of fall, self-reported and clinical measurements between subjects after direct superior approach (DSA) versus posterolateral approach (PL) for THA. Patients and methods - Participants with DSA (n = 22; age 74 [SD 8. Read More

View Article and Full-Text PDF
January 2021

Arthroscopic Diagnosis of Posterolateral Rotatory Instability of the Elbow.

Arthrosc Tech 2020 Dec 25;9(12):e1951-e1956. Epub 2020 Nov 25.

Brighton & Sussex University Hospitals and Brighton & Sussex Medical School, Brighton, United Kingdom.

Posterolateral rotatory instability (PLRI) is the most common form of symptomatic acute and chronic elbow instability. Diagnosis is usually made using a combination of clinical tests and imaging modalities; however, in more subtle forms of instability, these measures may be equivocal. Arthroscopy is a valuable adjunct for diagnosis and treatment of PLRI. Read More

View Article and Full-Text PDF
December 2020

Extreme Lateral Supracerebellar Infratentorial Approach: Surgical Anatomy and Review of the Literature.

World Neurosurg 2021 Mar 1;147:89-104. Epub 2021 Jan 1.

Department of Neurosurgery, University Hospital of Lausanne, Lausanne, Switzerland; Department of Neurosurgery, Sechenov University, Moscow, Russia; Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland. Electronic address:

Objective: The extreme lateral supracerebellar infratentorial (ELSI) approach has the potential to access several distinct anatomical regions that are otherwise difficult to reach. We have illustrated the surgical anatomy through cadaveric dissections and provided an extensive review of the literature to highlight the versatility of this approach, its limits, and comparisons with alternative approaches.

Methods: The surgical anatomy of the ELSI has been described using 1 adult-injected cadaveric head. Read More

View Article and Full-Text PDF

Use of Surgical Approach Is Not Associated With Instability After Primary Total Hip Arthroplasty: A Meta-analysis Comparing Direct Anterior and Posterolateral Approaches.

J Am Acad Orthop Surg 2020 Dec 10. Epub 2020 Dec 10.

From the Department of Orthopaedic Surgery, Hospital Universitario Mayor Méderi and Instituto Roosevelt (E. Huerfano), the Department of Orthopaedic Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Universidad del Rosario (Bautista), the Department of Nephrology, Hospital Universitario Mayor Méderi (M. Huerfano), and the Department of Orthopaedic Surgery, Fundación Cardioinfantil, Clinica del Country and Instituto Roosevelt (Nossa), Bogotá, Colombia.

Introduction: Posterolateral approach (PA) has been historically associated with an increased risk of dislocation after primary total hip arthroplasty (THA), especially when compared with the direct anterior approach (DAA). However, current evidence is inconsistent regarding the risk of dislocation with either approach. The purpose of this study is to determine whether surgical approach influences joint stability. Read More

View Article and Full-Text PDF
December 2020

Posterolateral Transforaminal Full-Endoscopic Lumbar Discectomy for Foraminal or Extraforaminal Lumbar Disc Herniations.

World Neurosurg 2021 Feb 1;146:e1278-e1286. Epub 2020 Dec 1.

Department of Orthopaedic Surgery, Tokyo Women's Medical University, Tokyo, Japan. Electronic address:

Background: Surgical procedures via the posterior median or paramedian approach for lateral lumbar disc herniation require significant bone resection to reach the herniation. In contrast, posterolateral transforaminal full-endoscopic lumbar discectomy (FELD) allows direct access to the lateral disc herniation. This study aimed to determine the efficacy and safety of this procedure. Read More

View Article and Full-Text PDF
February 2021

Treatment of Posterior Cruciate Ligament Tibial Avulsion: A New Modified Open Direct Lateral Posterior Approach.

J Knee Surg 2020 Nov 25. Epub 2020 Nov 25.

Department of Orthopedic Surgery, Poursina Hospital Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran.

The optimal operative technique for the treatment of the tibial-side avulsion injuries of the posterior cruciate ligament (PCL) is debatable. This study was aimed to evaluate the postoperative outcomes and complications if any after an open direct, posterolateral approach using cannulated cancellous screw fixation of a PCL tibial avulsion. From January 2016 to June 2018, 17 patients (14 males and 3 females) with PCL avulsion fraction treatment-who underwent open reduction and internal fixation using cannulated cancellous screws-were included in this prospective study. Read More

View Article and Full-Text PDF
November 2020

Iatrogenic L5 Nerve Injury Following Decortication of the Sacral Ala in Posterolateral Lumbosacral Fusion Surgery.

Global Spine J 2020 Nov 18:2192568220968773. Epub 2020 Nov 18.

Legal Medicine Research Center, Legal Medicine Organization, Shiraz, Iran. Oveisee is now with the Bam University of Medical Sciences, Bam, Iran.

Study Design: Cadaver study.

Objectives: To investigate the risk of the L5 nerve injury following sacral ala decortication performed during lumbosacral posterolateral fusion surgery.

Methods: Fourteen fresh cadaver pelvises were dissected through an anterior approach and the L5 nerves on both sides were explored and macroscopically examined by direct observation. Read More

View Article and Full-Text PDF
November 2020

Minimally invasive posterolateral hip approach with SPARTAQUUS (Spare the Piriformis And Respect The Active QUadratus femoris and gluteus mediUS) technique.

Orthop Traumatol Surg Res 2020 Dec 8;106(8):1523-1526. Epub 2020 Nov 8.

LaTIM, Inserm, UMR 1101, SFR IBSAM, UFR médecine, 22, avenue Camille-Desmoulins, CS 93837, 29238 Brest cedex 3, France; Service de chirurgie orthopédique et traumatologique, centre hospitalier régional universitaire, 29200 Brest, France; Université de Bretagne Occidentale, UBO, 3, rue des Archives, CS 93837, 29238 Brest, France.

Interest in the different surgical approaches to total hip arthroplasty remains high, but without any real consensus on which approach is the most beneficial. Several recent technical innovations have made it possible to reduce the risk of dislocation, therefore improving the efficacy of the posterolateral approach. Since 2003, we have been using a modified minimally invasive posterolateral approach called SPARTAQUUS (Spare the Piriformis And Respect The Active QUadratus femoris and gluteus mediUS), which spares the piriformis tendon, the quadratus femoris muscle and the gluteus medius muscle, and involves direct capsular repair. Read More

View Article and Full-Text PDF
December 2020

Fiber splay precludes the direct identification of ligament material properties: Implications for ACL graft selection.

J Biomech 2020 12 31;113:110104. Epub 2020 Oct 31.

Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA; Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA; Program in Macromolecular Science and Engineering, University of Michigan, Ann Arbor, MI, USA.

Anterior cruciate ligament (ACL) injuries typically require surgical reconstruction to restore adequate knee stability. The middle third of an injured patient's patellar tendon (PT) is a commonly used graft for ACL reconstruction. However, many clinicians and researchers question whether it is the best option, as several studies have suggested that it is a stiffer material than the ACL. Read More

View Article and Full-Text PDF
December 2020

Morphometric localisation of pterion for lateral neurosurgical planning and approach.

J Pak Med Assoc 2020 Oct;70(10):1779-1783

Department of Anatomy, Fazaia Medical College, Air University, Islamabad, Pakistan.

Objective: To localise pterion, as a safe landmark, on dry skulls, for performing various neurosurgical procedures. To analyse the variation in the type and location of pterion among Pakistani male population.

Methods: This cross sectional study was conducted form August 2018 to May 2019 on 50 dry skulls obtained from The anatomy departments of different medical colleges of Rawalpindi and Islamabad. Read More

View Article and Full-Text PDF
October 2020

Fibular Neck Osteotomy Approach in Treatment of Posterolateral Tibial Plateau Fractures: A Retrospective Case Series.

Med Sci Monit 2020 Nov 5;26:e927370. Epub 2020 Nov 5.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland).

BACKGROUND The surgical strategies for posterolateral tibial plateau fractures are still inconsistent. Although a number of operative approaches were previously reported for surgical treatment of fractures of the posterolateral column in the tibial plateau, some approaches fail to provide direct visualization of the articular surface and do not allow enough space to access the posterolateral area of the lateral tibial plateau, thereby leading to unsatisfactory reconstruction of the knee and poor articular activity. MATERIAL AND METHODS We retrospectively reviewed records of 21 patients who underwent fibular neck osteotomy approach for posterolateral fractures. Read More

View Article and Full-Text PDF
November 2020

A rare case of hypoplastic coronary sinus partially draining into right superior vena cava: A case report.

Pacing Clin Electrophysiol 2021 Jan 29;44(1):178-180. Epub 2020 Nov 29.

Max Super Speciality Hospital, New Delhi, India.

Background: The hypoplastic coronary sinus (CS) is a rare anomaly of the cardiac venous system, wherein some of the tributaries fail to join the CS. These tributaries usually drain into atrial chambers through dilated thebesian channels. We report the first case where the tributaries are draining into the right superior vena cava (SVC). Read More

View Article and Full-Text PDF
January 2021

Steering the Volume of Tissue Activated With a Directional Deep Brain Stimulation Lead in the Globus Pallidus Pars Interna: A Modeling Study With Heterogeneous Tissue Properties.

Front Comput Neurosci 2020 25;14:561180. Epub 2020 Sep 25.

Research Institute of Molecular and Clinical Sciences, St. George's University of London, London, United Kingdom.

To study the effect of directional deep brain stimulation (DBS) electrode configuration and vertical electrode spacing on the volume of tissue activated (VTA) in the globus pallidus, pars interna (GPi). Directional DBS leads may allow clinicians to precisely direct current fields to different functional networks within traditionally targeted brain areas. Modeling the shape and size of the VTA for various monopolar or bipolar configurations can inform clinical programming strategies for GPi DBS. Read More

View Article and Full-Text PDF
September 2020