Orthopaedic Surgery

Cover image for Vol. 7 Issue 1

Edited By: Gui-Xing Qiu, Beijing, China and Francis John Hornicek, Boston, USA

Online ISSN: 1757-7861

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  • Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: A long-term follow-up

    Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: A long-term follow-up

    Measurements on AP pelvic radiographs. (A) Acetabular index (AI). (B) Center-Edge (CE) angle and ReimersIndex (RI).

  • Treatment of Chronic Deltoid Ligament Injury Using Suture Anchors

    Treatment of Chronic Deltoid Ligament Injury Using Suture Anchors

    Diagram of the surgical procedure: (A) The posterior tibial tendon is exposed. (B) Approximately 5 mm from the anterior colliculus of the medial malleolus, a transverse incision is made in the deep layer of the posterior tibial tendon sheath and superficial layer of the deltoid ligament. (C) A Smith-Nephew 3.5 mm suture anchor is placed in an anterior-to-posterior direction. (D) The distal end of the superficial layer of the deltoid ligament is sutured and fixed onto the bone structure of the anterior colliculus of the medial malleolus. (E) The periosteum and proximal end of the superficial deltoid ligament layers are overlapped and sutured onto the distal severed end and reinforced with suture anchors.

  • Pre-operative planning versus post-operative CT scans of the position of the hip rotation center

    Pre‐operative planning versus post-operative CT scans of the position of the hip rotation center

    The central point of the implant model was defined as the hip rotation center and identified in a coronal view by measuring vertical and horizontal distances in an X–Y coordinate system starting from the reference point. The positions according to (a) pre-operative planning and (b) post-operative CT scans were compared in order to determine the accuracy of preoperative planning.

  • Schematic diagram of intramedullary fixation of a clavicular fracture with a cannulated screw

    Schematic diagram of intramedullary fixation of a clavicular fracture with a cannulated screw

    Schematic diagram of intramedullary fixation of a clavicular fracture with a cannulated screw.(a) The guiding device has been pushed into the medullary cavity of the distal fractured end, then the guide pin inserted and pushed out posterior to the acromion.(b) The fractured bone has been set, then the guide pin pushed back into medullary cavity of the proximal fractured end and the cannulated screw screwed in along the guide pin after tapping.(c) The clavicular fracture is fixed.

  • Schematic outlines of (A, B) lateral and medial layered structures of the knee and (C) thee general principles for ligamentous repair

    Schematic outlines of (A, B) lateral and medial layered structures of the knee and (C) thee general principles for ligamentous repair

    Schematic outlines of (A, B) lateral and medial layered structures of the knee and (C) thee general principles for ligamentous repair. ①, patellar tendon; ②, iliotibial tract; ③, popliteal tendon; ④, LCL; ⑤, biceps femoris tendon; ⑥, ACL; ⑦, superficial MCL; ⑧, deep MCL; ⑨, pes anserinus.

  • ALIF implant

    ALIF implant

    (A) ALIF interbody device with integral fixation. (B) ALIF implant with anterior plate fixation. (C) ALIF implant with posterior instrumentation.

  • The process of the rotational acetabular osteotomy

    The process of the rotational acetabular osteotomy

    (a) Rotational acetabular osteotomy was performed by a curved osteotome. (b) The acetabular bone block was displaced laterally and anteriorly by rotation and fixed with long cortical screws.

  • Schematic diagram of operating procedure

    Schematic diagram of operating procedure

    (A) A longitudinal dissection was made following the medial border of the patella to dissect the vastus medialis and medial retinaculum, and then a transverse dissection was made along the junction of the vastus medialis and medial retinaculum to the medial femoral condyle with the aim of dividing both of them. (B) The vastus medialis and medial retinaculum were divided. (C) The medial retinaculum was pulled proximally and laterally to near the upper pole of the patella with fixation. (D) The vastus medialis was pulled distally and laterally to near the middle line of the patella with fixation, then the two overlapping tissues were sutured together.

  • The branches of the popliteal vessel are ligated, the cruciate ligaments severed and the tumor bone completely removed according to the preoperative MRI

    The branches of the popliteal vessel are ligated, the cruciate ligaments severed and the tumor bone completely removed according to the preoperative MRI

    The branches of the popliteal vessel are ligated, the cruciate ligaments severed and the tumor bone completely removed according to the preoperative MRI.

  • Schematic diagram of intra-operative microwave thermotherapy of a tumor in the scapula

    Schematic diagram of intra‐operative microwave thermotherapy of a tumor in the scapula

    Schematic diagram of intra-operative microwave thermotherapy of a tumor in the scapula.

  • The ipsilateral side of the tear was threaded

    The ipsilateral side of the tear was threaded

    The ipsilateral side of the tear was threaded.

  • MLST screw

    MLST screw

    Model showing the axial trajectory for the MLST screw (arrow). The screw follows a medial to lateral path, thus avoiding lateral dissection of the paraspinal musculature.

  • Three-dimensional model of L4–5

    Three‐dimensional model of L4–5

    (a) Three-dimensional model of L4–5 and its adjacent structures such as skeletal, articular, muscular, vascular and nervous tissue. 1, abdominal aorta; 2, vertebral body of L4; 3, superior articular process of L4; 4, inferior articular process of L4; 5, spinous process of L4; 6, transverse process; 7, spinal cord; 8, nerve root; 9, intervertebral disc of L4–5; 10, vertebral body of L5; 11, endoscope.(b) Endoscopic view of simulated virtual endoscopic spinal surgery via a transforaminal approach, showing the endoscope (black cylinder) as inserted through the safe triangle zone, allowing the spine surgeon to remove a herniated nucleus pulposus via virtual endoscopy.

  • MIS pedicle screw fixation

    MIS pedicle screw fixation

    Diagrams showing rationale for MIS pedicle screw fixation: minimization of muscle trauma with a percutaneous pedicle screw insertion technique (A) Normal anatomy of the lumbar vertebra. (B) Traditional fusion. (C) Minimally invasive fusion.

  • Workflow with 50/50 technique

    Workflow with 50/50 technique

    Workflow with 50/50 technique: Midline incision and PLIF are performed and a pedicle screw inserted into the caudal pedicle. Insertion of a percutaneous screw into the cranial pedicle avoids damage to the cranial/mobile facet joint.

  • Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: A long-term follow-up
  • Treatment of Chronic Deltoid Ligament Injury Using Suture Anchors
  • Pre‐operative planning versus post-operative CT scans of the position of the hip rotation center
  • Schematic diagram of intramedullary fixation of a clavicular fracture with a cannulated screw
  • Schematic outlines of (A, B) lateral and medial layered structures of the knee and (C) thee general principles for ligamentous repair
  • ALIF implant
  • The process of the rotational acetabular osteotomy
  • Schematic diagram of operating procedure
  • The branches of the popliteal vessel are ligated, the cruciate ligaments severed and the tumor bone completely removed according to the preoperative MRI
  • Schematic diagram of intra‐operative microwave thermotherapy of a tumor in the scapula
  • The ipsilateral side of the tear was threaded
  • MLST screw
  • Three‐dimensional model of L4–5
  • MIS pedicle screw fixation
  • Workflow with 50/50 technique

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Published ONLINE ONLY from 2013
Launched in 2009, Orthopaedic Surgery(OS) is the official journal of the Chinese Orthopaedic Association, focusing on all aspects of orthopaedic technique and surgery.

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