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Operative techniques in orthopaedics 15건

  1. [해외논문]   Table of Contents  


    Operative techniques in orthopaedics v.27 no.4 ,pp. A2 - A2 , 2017 , 1048-6666 ,

    초록

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Editorial Board  


    Operative techniques in orthopaedics v.27 no.4 ,pp. A1 - A1 , 2017 , 1048-6666 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Introduction  

    Nassr, Ahmad (Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN ) , Donaldson, William F. (Department of Orthopaedic Surgery University of Pittsburgh Medical Center, Pittsburgh, PA)
    Operative techniques in orthopaedics v.27 no.4 ,pp. 207 - 207 , 2017 , 1048-6666 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Outcomes and Value in Spine Surgery  

    Hills, Jeffrey M. (Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN ) , Sivaganesan, Ahilan (Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, TN ) , Chotai, Silky (Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN ) , Devin, Clinton J. (Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN)
    Operative techniques in orthopaedics v.27 no.4 ,pp. 208 - 216 , 2017 , 1048-6666 ,

    초록

    Health care costs are on an unsustainable upward trajectory and spine disorders are one of the most costly disease states worldwide. Value-based care is being implemented across all medical specialties. However, the true meaning of value and how to accurately and precisely measure value poses a significant challenge. The keys to identifying and optimizing value in spine care lies at the individual patient level. Analyzing drivers of cost from all perspectives and identifying patient factors, surgeon factors, and others that lead to increased cost and cost variation is critical to make improvements in value. Equally important, is the ability to accurately measure patient outcomes. Innovative methods are being developed for measuring patient outcomes and developing evidence to guide clinical decision-making. It can no longer be acceptable to only look at population based outcomes when evaluating the value of a spine intervention, rather the factors that drive variation in outcomes in the outliers must be identified and modified. Understanding what drives cost in spine surgery, the ability to accurately measure outcomes following spine intervention, and identifying factors that drive variation in cost and outcomes is critical to improving the value of health care. These concepts are essential in order to strive toward individualized care, which will not only lead to improved benefit to the patient, but also benefit to the surgeon, the hospital, the payer, and society as a whole.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Minimally Invasive Pedicle Screw Placement for Applications in Trauma and Tumor Surgery  

    Aleem, Ilyas S. (Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI ) , Park, Paul (Department of Neurosurgery, University of Michigan, Ann Arbor, MI ) , La Marca, Frank (Department of Neurosurgery, University of Michigan, Ann Arbor, MI ) , Patel, Rakesh (Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI)
    Operative techniques in orthopaedics v.27 no.4 ,pp. 217 - 222 , 2017 , 1048-6666 ,

    초록

    The goals of pedicle screw fixation after spinal trauma or metastatic disease are to restore stability, protect neural elements, and to obtain and maintain physiologic spinal alignment. Conventional open surgical techniques are often associated with extensive muscular dissection, significant blood loss, soft tissue morbidity including paraspinal muscle denervation and atrophy, and postoperative pain. To minimize these risks, and at the same time achieving the same goals, minimally invasive surgical (MIS) techniques have emerged as a successful alternative for patients with trauma or tumor. The decreased morbidity associated with percutaneous approaches may be particularly beneficial in these vulnerable populations, especially where patients may not tolerate a comparable open procedure. The principles for performing MIS pedicle screw fixation include accurate and reliable intraoperative imaging, careful consideration of anatomical landmarks for screw placement, and astute combination of tactile, visual, and auditory feedback at every step of the case. We aim to describe the surgical technique of MIS pedicle screw placement for applications in trauma and tumor. Knowledge of indications and contraindications, careful preoperative planning, and meticulous surgical technique are paramount for ensuring a successful outcome.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Oblique Lateral Interbody Fusion (OLIF): Indications and techniques  

    Orita, Sumihisa (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Inage, Kazuhide (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Furuya, Takeo (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Koda, Masao (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Aoki, Yasuchika (Department of Orthopaedic Surgery, East Chiba Medical Center, Togane, Japan ) , Kubota, Go (Department of Orthopaedic Surgery, East Chiba Medical Center, Togane, Japan ) , Nakamura, Junichi (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Shiga, Yasuhiro (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Matsuura, Yusuke (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Maki, Satoshi (Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan ) , Suzuki, Miyako (Department of Orthopaedic Surgery, Graduate School of Medicine, Chib) , Hynes, Richard A. , Eguchi, Yawara , Ohtori, Seiji
    Operative techniques in orthopaedics v.27 no.4 ,pp. 223 - 230 , 2017 , 1048-6666 ,

    초록

    Lumbar lateral interbody fusion (LLIF) has been gaining popularity among the spine surgeons who deal with degenerative spinal diseases. LLIF achieves effective anterior interbody fusion in degenerative spinal pathologies such as spondylolisthesis, spondylolysis, discogenic lower back pain, adjacent segment disease, and degenerative kyphoscoliosis. Its curative effect is based on the mechanisms of indirect decompression, rigid stability, and alignment correction. Among several LLIF procedures, oblique lateral interbody fusion (OLIF) is a non–psoas-splitting approach which suppresses postoperative neural symptoms such as thigh pain, numbness, and motor weakness compared with psoas-splitting LLIF (XLIF). Although LLIF technique itself is relatively novel, the basic concept is based on traditional anterior interbody fusion. To avoid perioperative complications, thorough understanding of the procedures and anatomical features such as nerves, urinary tracts, and vessels are mandatory.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Minimally Invasive Lateral Interbody Technique for the Treatment of Lumbar Adjacent Segment Disease  

    Toy, Jason O. (Address reprint requests to Jason O. Toy, MD, Department of Orthopaedic Surgery, Kaufman Building Suite 1011, 3471 Fifth Avenue, Pittsburgh, PA, 15213.) , Esmende, Sean M , Nwasike, Chinedu , Lee, Joon Y. , Donaldson III, William F.
    Operative techniques in orthopaedics v.27 no.4 ,pp. 231 - 235 , 2017 , 1048-6666 ,

    초록

    Adjacent segment disease can be a clinically significant complication following lumbar spinal arthrodesis. This disease is traditionally addressed surgically via a posterior approach, which can be associated with significant morbidity and complication. In recent years, the minimally invasive lateral approach has evolved as an effective surgical option for arthrodesis in the lumbar spine. We detail our use of this approach as an alternative treatment for adjacent segment disease, as it allows for placement of a large interbody graft and indirect decompression of the adjacent segment.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Percutaneous Sacroiliac Joint Fusion: Indications and Technique  

    Cross, William W. (Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN ) , Tavanaiepour, Kourosh (Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA ) , Paschel, Erin E. (Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA ) , Gerszten, Peter C. (Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA)
    Operative techniques in orthopaedics v.27 no.4 ,pp. 236 - 241 , 2017 , 1048-6666 ,

    초록

    Sacroiliac joint (SIJ) pain is a common, although underdiagnosed cause of lower back pain. In the past, the surgical treatment for SIJ pain had been somewhat controversial and the indications for intervention rather unclear. The surgical treatment for SIJ dysfunction traditionally has been performed in an open fusion with a significant dissection and disruption of normal tissues to expose the joint and allow for arthrodesis. More recently, minimally invasive percutaneous techniques have been developed for SIJ fusion. A substantial body of evidence now supports the benefits of percutaneous SIJ fusion compared to nonoperative management for decreasing pain and improving quality of life. SIJ pain has been demonstrated to be responsible for 22% of low back pain and is found in 43% of patients who have previously undergone lumbar fusion. As of increased awareness of this pain generator, we can expect an increased recognition of its diagnosis. Thus, methods for SIJ fusion including percutaneous SIJ fusion, may become more utilized in the future. This overview will help to define the indications for SIJ fusion surgery and describe current techniques commonly used.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Cervical Laminoplasty: A Review of Indications, Technique and Outcomes  

    Tobert, Daniel G. (Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA ) , Kang, James D. (Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA)
    Operative techniques in orthopaedics v.27 no.4 ,pp. 242 - 247 , 2017 , 1048-6666 ,

    초록

    Laminoplasty is a motion-sparing decompression technique for the cervical spine. As the first description was published over 40 years ago, it has been established as an effective treatment for cervical spondylotic myelopathy. The application of this technique is predicated on maintenance of physiologic sagittal alignment in the cervical spine. Numerous variations of the originally published laminoplasty technique exist and they can be broadly categorized into symmetric or asymmetric canal expansions. Potential complications include chronic neck pain, C5 palsy, and door closure, among others. Recent clinical research suggests sparing the muscle attachments on the C2 and C7 spinous process may improve the incidence of pain. The purpose of this article is to review the indications and contraindications for cervical laminoplasty and evaluate its efficacy based on current literature.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   T1 Pedicle Subtraction Osteotomy for Correction of Fixed Cervical Kyphotic Deformity: Surgical Technique and Review of the Literature  

    Abtahi, Amir M. (Address reprint requests to Amir Abtahi, MD, 1 Mercado St Ste 200, Durango, Co 81301.) , Lee, Joon Y.
    Operative techniques in orthopaedics v.27 no.4 ,pp. 248 - 250 , 2017 , 1048-6666 ,

    초록

    Fixed cervical or cervicothoracic kyphosis is a rare yet severely debilitating condition. When indicated, lower cervical or upper thoracic osteotomies may be used to address these deformities. This article describes the authors’ preferred surgical technique for T1 osteotomy. Using this technique, surgical correction of approximately 30° at the osteotomy site can be achieved. Significant improvement in patient-reported outcome measures and quality of life have been reported following this procedure. Despite its potential benefits, this is a technically challenging procedure and has a high rate of postoperative complications—up to 56.5%—and patients should be counseled as to the risks of this procedure and potential complications before surgery.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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