Noticias March 27, 2020 Novel technique for extensor mechanism augmentation Benefits of the free four-stranded graft include the addition of autogeneic tissue, decreased risk of patellar fracture, fewer hardware complications and accelerated rehabilitation. March 27, 2020 Promoting healing: Vascularized bone transfer for spine and pelvis reconstruction Mayo orthopedic surgeons use free vascularized fibula grafts for reconstruction after tumor resection in the spine and pelvis, with a successful union in more than 90% of patients. March 27, 2020 Multidisciplinary management of congenital hand anomalies Early referral is key to optimal outcomes for children with congenital hand anomalies. Mayo specialists coordinate to provide their best recommendations for diagnosis, treatment and emotional support. March 27, 2020 Salvage surgery for failed toe joint replacement A unique revision surgery for people who experience a failed first metatarsophalangeal joint replacement involves removal of the implant and reconstruction of the great toe to restore function and relieve pain. March 27, 2020 Navigating the hope and hype of regenerative medicine For patients who aren't good candidates for orthopedic surgery and haven't responded to physical therapy or steroid or hyaluronic acid injections, orthobiologics may fill the treatment gap. March 27, 2020 Saphenous nerve neuroma after total knee arthroplasty About 20% of patients who have a total knee arthroplasty are dissatisfied, often due to residual pain. The cause frequently turns out to be an infrapatellar saphenous nerve neuroma. Jan. 31, 2020 Teamwork, technology give hope to kids with hand anomalies Mayo Clinic Children's Center brings broad experience in microsurgery, bone lengthening and straightening, free tissue transfer, and infant and pediatric prosthetics to provide integrated care for children with hand ano[...] Sept. 24, 2019 Spinal care: Team approach at the bedside and in the lab Mayo Clinic's orthopedic surgeons work alongside neurosurgeons and ENT surgeons to optimize the results of complex procedures. Sept. 24, 2019 Foot and ankle surgery: Helping patients reach their goals Mayo Clinic's orthopedic surgeons specializing in foot and ankle procedures can help athletes to safely achieve their goals. Sept. 24, 2019 Back pain after back surgery: The SI joint and adjacent segment disease Mayo Clinic's approach focuses on the sacroiliac (SI) joint, an underrecognizd source of pain. The SI joint can react adversely to increased forces after spinal fusion. Sept. 24, 2019 Soft tissue sarcoma: Technology and expertise to improve care Wound-healing complications are common after surgical resection for soft tissue sarcoma. Intraoperative fluorescence angiography assesses blood flow and tissue perfusion, allowing for the surgical removal of nonviable t[...] Sept. 24, 2019 EMG with motion analysis optimizes care for upper motor neuron syndrome A Mayo Clinic laboratory uses dynamic electromyography with motion analysis to identify candidates for muscle transfer surgery. The procedure can help restore upper-body function and reduce pain. Sept. 24, 2019 Determining the optimal approach for proximal humeral fractures Mayo Clinic's orthopedic surgeons have experience with both surgical repair and reverse total shoulder replacement. The breadth of available options facilitates individualized treatment. Dec. 29, 2018 New option for massive irreparable rotator cuff tears Orthopedic surgeons use an acellular human dermal allograft to perform superior capsule reconstruction (SCR) and employ the leftover allograft to resurface the undersurface of the acromion, providing more-durable outcom[...] Dec. 29, 2018 Novel stem cell therapy for repair of knee cartilage A unique approach to repairing knee cartilage mixes donor mesenchymal stem cells from the Mayo Clinic Center for Regenerative Medicine stem cell bank with recycled autologous cells to quickly obtain enough cells to fill[...] Dec. 22, 2018 Hip arthroscopy: Focus on underlying abnormalities Mayo Clinic's comprehensive, evidence-based approach to hip arthroscopy focuses on correcting the underlying bony abnormalities that drive the process of labral tears. Dec. 22, 2018 Improved technique for extensor mechanism reconstruction A new technique for extensor mechanism reconstruction after total knee arthroplasty relies on a stepwise approach that helps ensure that the mesh is properly incorporated into the host soft tissues. Dec. 22, 2018 Cervical spine surgery: Intraoperative monitoring to avoid complications Routine use of somatosensory- and motor-evoked potentials and electromyography allows a multidisciplinary team of orthopedic surgeons, neurologists, physiatrists and electrophysiologists to monitor nerve pathways and pr[...] Dec. 22, 2018 DRUJ: Novel approaches to diagnosis and treatment Mayo Clinic developed the Four-Leaf Clover diagnostic algorithm to address the major components and enhance the management of distal radioulnar joint (DRUJ) conditions. The algorithm focuses on four key factors of DRUJ [...] Sept. 18, 2018 Pediatric limb salvage: Team approach to orthopedic oncology Mayo Clinic specialists work together to maximize outcomes for children with long bone sarcomas. Sept. 18, 2018 Upper extremity reconstruction in tetraplegia Mayo Clinic uses standard hand surgical techniques to increase patients' independence after spinal cord injuries. Sept. 18, 2018 UCL injuries: Defining risk and improving treatment Mayo Clinic is working to prevent ulnar collateral ligament injuries, and to tailor treatment to an individual athlete's needs. Sept. 18, 2018 Less invasive approach to lumbar fusion The new technique allows surgeons to avoid the extensive soft tissue and muscle dissection associated with open surgery. Sept. 18, 2018 Customized implants for knee replacements The customized implants work more precisely with the patient's ligaments and tendons, avoiding off-the-shelf compromises. April 20, 2018 Complex foot deformities: A case study Complex foot and ankle deformities are challenging for both physicians and patients. Surgeons must take into account not only the type, location and severity of the deformity, but also patient goals and level of social [...] March 20, 2018 Combining expertise to treat traumatic injuries Mayo surgeons go beyond typical Level I trauma care, providing efficient treatment for patients of all ages with complex injuries. March 20, 2018 Specialized care for infected joints Mayo manufactures antibiotic spacers at the time of surgery. This individualized approach enhances mobility while medication clears the infection. March 20, 2018 Robotic full knee replacement in Florida Accurate balance of ligaments and soft tissue is key to successful full knee replacement. Robot-assisted technology provides intraoperative information to help achieve that balance, increasing patients' satisfaction wit[...] March 20, 2018 In-office arthroscopy for diagnosing knee pathology An enhanced method of in-office imaging can provide more-accurate views than MRI, especially for people who have had previous knee surgery. March 20, 2018 Total elbow replacement: Matching the success of hips and knees A prosthetic elbow developed at Mayo Clinic has minimal rates of revision, offering a stable and durable joint replacement for people with debilitating elbow injuries. Oct. 06, 2017 Fractured: Repairing the acetabulum Acetabular fractures are complicated to repair. Best outcomes for patients are likely to be associated with consultation with a Level I trauma center, where specialists can review films and advise regarding next steps i[...] Sept. 23, 2017 Advances in pediatric spine deformity care Orthopedic pediatric surgical teams in Mayo's pediatric spine deformity treatment program ensure maximum safety for patients, improve their comfort postoperatively and markedly reduce their length of hospital stay. Sept. 23, 2017 Shifting the paradigms for complex shoulder surgery New surgical techniques — muscle transfers that can restore some deltoid function as well as tendon transfers for massive rotator cuff tears, brachial plexus injury, trapezius paralysis and subscapularis tears &md[...] Sept. 22, 2017 Wrist replacement: An option for advanced arthritis Wrist replacement, rather than fusion, can provide relief from pain and instability while preserving the range of motion needed for daily activities. Sept. 22, 2017 Direct anterior hip arthroplasty Researchers found that patients who underwent direct anterior approach (DAA) total hip arthroplasty had objectively faster recovery than patients who had mini-posterior approach. Functional milestones occurred about fiv[...] Sept. 22, 2017 Young Hip Clinic: Combining arthroscopy and open surgery Mayo orthopedic surgeons collaborate to treat young, active people with painful hip deformities. Specialists often perform hip arthroscopy and osteotomy in a single procedure. Sept. 22, 2017 Wide-awake hand surgery Wide-awake local anesthesia, no tourniquet (WALANT) allows specialists to perform hand surgery procedures such as carpal tunnel release, tendon repair and removal of masses while patients are under local anesthesia. Feb. 28, 2017 Preoperative planning and patient-specific instrumentation improve accuracy of shoulder arthroplasty Three developments — 3-D preoperative planning, patient-specific instrumentation and 3-D printing — have greatly increased the accuracy of glenoid component placement and improved the likelihood of optimal o[...] Feb. 25, 2017 Distal radius fractures in older versus younger patients The goal of treatment is to restore the previous level of function with minimal risk, but the appropriate treatment may vary, depending on the patient's age and activity level, existing medical conditions, bone quality,[...] Feb. 25, 2017 Innovative approaches improve limb salvage in pediatric patients with cancer Advances including adjuvant chemotherapy regimens, improved imaging and custom implants have improved the five-year survival rate for local pediatric bone cancers to 60 to 80 percent. Feb. 25, 2017 Trauma surgeons uniquely qualified to treat SIJ dysfunction Current studies suggest sacroiliac joint (SIJ) involvement in 15 to 30 percent of patients with low back pain and a much higher prevalence in patients who have undergone lumbar fusion procedures, whether or not the fusi[...] Sept. 24, 2016 Reducing the risk of recurrent patellar instability in skeletally immature patients Most first-time patellar dislocations in skeletally immature patients are managed conservatively, despite the frequency of recurrent dislocations. A new trial aims to determine whether medial patellofemoral ligament rec[...] Sept. 23, 2016 Limb Lengthening and Regeneration Clinic addresses complex discrepancies and deficiencies Recent advances in limb-lengthening devices and techniques, including FDA approval of the PRECICE implantable intramedullary rod, means that most patients can now be successfully treated for complex limb deficiencies an[...] Sept. 23, 2016 Minimally invasive spine surgery: Hit or miss? The goal of minimally invasive spine surgery (MISS) is to achieve outcomes equivalent to open surgery while minimizing soft tissue damage. Although pain and recovery times are often reduced in MISS, long-term outcomes a[...] Sept. 23, 2016 Dexamethasone may prevent post-traumatic osteoarthritis A new trial is investigating whether one-time, low-dose dexamethasone can prevent post-traumatic arthritis after osteochondral fractures and ligament or meniscus tears. Jan. 22, 2016 Scapholunate injuries: A paradigm shift? Four-dimensional CT technology allows earlier and better assessment of dynamic joint instabilities while also helping locate the exact site of ligament injury. Jan. 21, 2016 Ponseti treatment for clubfoot: Past and future The Ponseti method for treating clubfoot involves serial casting and percutaneous Achilles tenotomy of the affected foot followed by bracing to maintain the correction. Although time-consuming and arduous, it remains th[...] Jan. 19, 2016 Animal models aid study of arthrofibrosis after TKA Despite improved surgical techniques and implant design, rates of arthrofibrosis after total knee arthroplasty (TKA) have remained relatively unchanged for two decades. Now, translational studies are increasing understa[...] Jan. 20, 2015 Improving complex spine surgery outcomes with intraoperative CT navigation Improving complex spine surgery outcomes with minimally invasive surgical techniques and intraoperative CT navigation is a rapidly evolving practice at advanced spine centers. Mayo Clinic's novel low-dose protocol optim[...] Dec. 02, 2014 Stem cells studied as minimally invasive treatment for avascular necrosis of the femoral head Link between epigenetics and steroid use may predispose patients to develop steroid-sensitive AVN subtype - Study data may also point the way to developing a new therapeutic risk-stratification screening prior to steroi[...] June 10, 2014 First nationwide prevalence study of hip and knee arthroplasty shows 7.2 million Americans living with implants Mayo Clinic researchers recently presented the first prevalence study of joint replacement, showing an estimated 4.7 million Americans have undergone total knee arthroplasty and 2.5 million have undergone total hip arth[...] Anterior cruciate ligament reconstruction graft selection Considerations for selecting a graft for ACL reconstruction - Data show roughly equivalent clinical outcomes for various graft types used in anterior cruciate ligament reconstruction, yet graft selection remains controv[...] Innovative bone-preserving approaches to managing shoulder arthritis in young adults using shoulder replacement Managing shoulder arthritis in young adults - Managing shoulder arthritis in adults under age 65 can be challenging because of their reluctance to consider total shoulder arthroplasty. However, when performed by an expe[...] Advances in articular cartilage defect management Innovations in managing articular cartilage defects of the knee - An aging and active population puts articular cartilage of the knee increasingly at risk of injury. To manage cartilage defects, Mayo Clinic orthopedic s[...] Shoulder Pain: Raising the level of diagnostic certainty about SLAP lesions Improving diagnostic certainty of SLAP lesions - There is a risk of surgical overtreatment of patients with shoulder pain symptoms suggestive of a superior labrum anterior and posterior lesion. This risk can be reduced [...] Profesionales médicos Orthopedic Surgery news