Category Archives: Print Release

Fundamentals, Hand Surgery, Orthopedics, Print Release

PUBLISHED: Cubital Tunnel Release (Cadaver)

Cubital Tunnel Release

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Cubital tunnel syndrome is a condition that affects the ulnar nerve as it crosses the medial elbow through the retrocondylar groove. It is the second most common compressive neuropathy, causing tingling and numbness in the ring and small fingers. In advanced cases of symptomatic cubital tunnel syndrome, weakness, altered dexterity, and atrophy of the intrinsic muscles of the hand may develop. Cubital tunnel syndrome can be treated with either a cubital tunnel release or an ulnar transposition. In this case, the former is demonstrated on a cadaveric arm using the mini-open technique.

Fundamentals, Hand Surgery, Orthopedics, Print Release

PUBLISHED: Carpal Tunnel Release (Cadaver)

Carpal Tunnel Release (Cadaver)

Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Rothman Institute, Thomas Jefferson University

Carpal tunnel syndrome (CTS) is the most common peripheral compression neuropathy and results in symptoms of numbness and paresthesia in the thumb, index finger, middle finger, and half of the ring finger. When CTS symptoms progress and can no longer be managed with nonoperative measures, carpal tunnel release (CTR) surgery is indicated.

In this case, Dr. Asif Ilyas at the Rothman Institute performs CTR surgery on a cadaveric arm via the mini-open CTR technique. A 2-cm longitudinal incision was placed directly over the carpal tunnel, the transverse carpal ligament was exposed and then released, and the wound was closed. Patients are typically sent home with instructions to use their hand immediately postoperatively, while avoiding strenuous use until the incision has healed. Splinting and therapy are not required postoperatively.


Announcement, General Surgery, Print Release

Published: Pancreatic Debridement via Sinus Tract Endoscopy

Pancreatic Debridement via Sinus Tract Endoscopy
Massachusetts General Hospital

Peter Fagenholz, MD
Assistant Professor of Surgery
Massachusetts General Hospital
Harvard Medical School

This patient is a 58-year-old male who was in a motor vehicle accident and developed a persistent necrotic collection adjacent to the pancreatic tail that did not improve with percutaneous drainage. Here, Dr. Peter Fagenholz at MGH performs a pancreatic debridement using sinus tract endoscopy (STE), a minimally-invasive technique for debridement of dead or infected tissue.

STE and other minimally-invasive techniques have significantly decreased morbidity and mortality for patients undergoing intervention for infected pancreatic necrosis. Common management principles include early non-interventional management to allow the necrosis to wall off, initial intervention with minimally-invasive drainage, and minimally-invasive necrosectomy addressing clearly demarcated necrosis.

STE involves the placement of a percutaneous drain followed by fluoroscopically-guided dilation of the drain tract to allow for placement of a working sheath, through which an endoscope can be introduced to debride the peripancreatic necrosis. After debridement, a drain is then replaced through the same tract.

Announcement, Content, Orthopedic Trauma, Orthopedics, Print Release

PUBLISHED: Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair

Less Invasive Stabilization System (LISS) for Distal Femur Fracture Repair
Brigham and Women’s Hospital

Michael J. Weaver, MD
Associate Orthopaedic Surgeon, Brigham and Women’s Hospital
Assistant Professor of Orthopedic Surgery, Harvard Medical School
Brigham and Women’s Hospital

The patient in this case is an 81-year-old male with dementia who sustained an unwitnessed fall that resulted in a displaced intra-articular distal femur fracture. Here, Dr. Weaver at Brigham and Women’s Hospital repairs the fracture by performing an open reduction and internal fixation with a LISS plate. An anterolateral approach was used to visualize the joint surface and obtain an anatomic reduction of the articular surface, and a percutaneously-placed lateral lock plate was used to bridge the area of comminution while restoring length, alignment, and rotation to hopefully allow for biologic fixation that permits the bone to heal well.

Announcement, Content, Print Release, Vascular Surgery

PUBLISHED: Creation Of A Radial-Cephalic Arteriovenous Fistula

Creation of a Radial-Cephalic Arteriovenous Fistula
Nahel Elias, MD FACS
Surgical Director
Kidney Transplantation
Massachusetts General Hospital

AV fistulas provide the crucial vascular access required for patients receiving hemodialysis, a life-saving procedure for end-stage renal disease. Such patients have irreversible kidney damage and must receive a new kidney. While waiting, patients rely on hemodialysis to filter their blood to stay alive, and AV fistulas provide the sustainable vascular access required for hemodialysis. 

Continue reading PUBLISHED: Creation Of A Radial-Cephalic Arteriovenous Fistula →
Announcement, Content, General Surgery, Print Release

PUBLISHED: Whipple Procedure for Multiple Endocrine Neoplasia of the Pancreas

Whipple Procedure for Multiple Endocrine Neoplasia of the Pancreas
Keith Lillemoe, MD
Surgeon in Chief
Massachusetts General Hospital
Harvard Medical School

Participate in a masterclass with MGH Chief of Surgery, Dr. Keith Lillemoe, as he performs and narrates a complete Whipple procedure in the latest video-article published by JOMI.

The Whipple procedure, or pancreaticoduodenectomy, is most notably known for its use in the treatment of cancer that is confined to the head of the pancreas. Because of the intricate blood supply between the pancreas, duodenum, gallbladder, and common bile duct, these structures must be resected along with the head of the pancreas. The remaining structures must then be carefully and precisely anastomosed in order to preserve digestive functioning.

This procedure is a complex and difficult operation that can have serious risks; however, it is responsible for saving countless lives.

 

Announcement, Orthopedics, Print Release

PUBLISHED: Posterior Cruciate-Retaining Total Knee Arthroplasty

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0062Posterior Cruciate-Retaining Total Knee Arthroplasty
Richard Scott, MD
Professor of Orthopaedic Surgery, Emeritus
Harvard Medical School

Abstract: Total knee arthroplasty has evolved into a very successful procedure to relieve pain and restore function in the arthritic knee with advanced structural damage. Optimal results are dependent on the restoration of alignment and ligament stability. Operative techniques involve either preservation of the posterior cruciate ligament or substitution of its function through increased prosthetic constraint. The vast majority of knees do not require cruciate substitution to establish appropriate stability and function. This video outlines the operative technique used by the author for posterior cruciate-retaining total knee arthroplasty in a patient with a preoperative varus deformity.

Orthopedics, Print Release

PRINT RELEASE: Arthroscopic ACL Reconstruction with Bone Patellar Bone Graft using Anteromedial Technique

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0045-265204-featuredArthroscopic ACL Reconstruction with Bone Patellar Bone Graft using Anteromedial Technique
Xinning “Tiger” Li MD
Division of Sports Medicine, Boston Medical Center

 

Dr. Li addresses an ACL torn after a pivot shift incident using a BTB autograft. The anteromedial approach to ACL reconstruction offers the advantage of reliably reproducing the native anatomy of the ACL on the femur footprint by drilling the femoral tunnel independently of the tibial tunnel.
Print Release

JoMI Publishes Dr. Matthew Provencher, Chief of Sports Medicine, Massachusetts General Hospital

JoMI has just published a new video article by Dr. Matthew Provencher, Chief of Sports Medicine at the  Massachusetts General Hospital and Medical Director of the New England Patriots.

The video article covers in detail a procedure to resurface the cartilage of the knee for a patient with a condition called Osteochondritis Dissecans (OCD).

Provencher Screenshot

Matthew Provencher, MD
Chief, Sports Medicine Division
Massachusetts General Hospital