Artroscopia y reconstrucción articular

viernes, 7 de marzo de 2014

ICJR Featured Surgeries: Tips & Tricks from the Experts / Reverse Total Shoulder Arthroplasty

Watch ICJR's faculty perform primary and revision orthopaedic procedures, exclusively on
By ICJR Staff - February 24, 2014 0 Feature ArticlesTHATKAdirect anterior approachpatient specific
Watching live surgeries performed by experienced orthopaedic surgeons is a time-honored means of learning about the newest techniques, the latest refinements in procedures, and the tips and tricks the experts use.
Attendees at most meetings sponsored by the International Congress for Joint Reconstruction (ICJR) have this opportunity. ICJR is now bringing those surgeries to all orthopaedic specialists through our live surgeries program on, helping orthopaedic surgeons worldwide expand their knowledge base.
The full surgeries plus the shorter summary versions, which feature the highlights of the procedures, are available.
We will add more live surgery videos as they become available.
NEW: Reverse Total Shoulder Arthroplasty
Watch as Patrick St. Pierre, MD, performs a reverse total shoulder arthroplasty on a female patient with anterior dislocation of her right shoulder.
The patient had fallen about 6 months prior to the procedure and had sustained the dislocation plus a fracture of the greater tuberosity, which had been reduced. She underwent 3 months of unsuccessful physical therapy. She was pseudoparalytic when referred to Dr. St. Pierre for evaluation. A sagittal view MRI showed a massive tear, atrophy, and suprahumeral head migration.
The procedure, performed at  Eisenhower Medical Center in Rancho Mirage, California, was broadcast live to attendees at the 2nd Annual Las Vegas Shoulder Course in November 2013.
Robotically Assisted Primary Hip Replacement, Direct Anterior Approach
In the third and final surgical procedure from the 2nd Annual Anterior Hip Course in Houston, Texas, Adam M. Freedhand, MD, performs a primary hip replacement using the direct anterior approach with robotic assistance.
The patient is a 65-year-old man with severe avascular necrosis. The magnitude of the collapse of his left femur has rendered him essentially wheelchair-bound.
The surgery was performed at the Memorial Bone and Joint Clinic in Houston, Texas.
Direct Anterior Approach Hip Replacement
Three surgical procedures were broadcast live to attendees at the recent 2nd Annual Anterior Hip Course in Houston, Texas. Previously, we highlighted the surgery performed by Dr. Mark Powers. Next is a direct anterior approach hip surgery with navigation performed by Stefan W. Kreuzer, MD.
Dr. Kreuzer’s patient is a 74-year-old female who failed conservative treatment (physical therapy, anti-inflammatory drugs, and use of a cane) and now requires a total hip arthroplasty of her left hip. She is a challenging patient, Dr. Kreuzer point out, as she has significant osteophytes and a short femoral neck.
The surgery was performed at the Memorial Bone and Joint Clinic in Houston.
Direct Anterior Approach Hip Replacement
At the recent 2nd Annual Anterior Hip Course in Houston, Texas, Mark Powers, MD, performed a direct anterior approach hip replacement on the left hip of a 71-year-old female with advanced arthritis.
Dr. Powers had replaced her right hip the year prior, and he said that at that time he knew he would eventually have to replace the left hip as well. The patient had failed a course of conservative treatment for her left hip and had become unable to ambulate, using a wheelchair most of the time.
The surgery was performed at St. Lucie Medical Center in Port St. Lucie, Florida.
Reverse Total Shoulder Arthroplasty
Mark A. Frankle, MD, FACS, recently performed a reverse total shoulder arthroplasty, featuring the DJO Reverse® Shoulder System, at Tampa General Hospital, Tampa, Florida. The procedure was broadcast live on The patient was undergoing the procedure on her left shoulder, where she had previously had rotator cuff surgery.
The broadcast was supported by DJO Surgical and DJO Global.
Direct Anterior Approach THA
Adam M. Freedhand, MD, uses computer navigation with the direct anterior approach to perform a total hip arthroplasty on the right hip of a 75-year-old woman.
The patient had a contralateral total hip performed by another surgeon a few years ago. That surgeon used the posterior approach for the procedure. Dr. Freedhand notes that the patient’s leg is slightly longer on that side.
Templating indicates the patient is a 4 or 5 on the femur and a 54 or 56 cup at 132° of flexion.
The procedure, performed in January 2014 at the University of Texas Health Science Center at Houston, Houston, Texas, was broadcast to attendees at ICJR’s 5th Annual Winter Hip & Knee Course in Vail, Colorado.

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