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Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
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Handheld Osteotomes Facilitate Arthroscopic Elbow Osteophyte Removal
Wesley S Greer1, Adam C Field1, Larry D Field1
1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Arthroscopy Techniques
|November 1, 2018
Summary
Arthroscopic elbow surgery for arthritis can be difficult due to joint size and nearby nerves. This study presents a new technique using handheld osteotomes for safer, more effective removal of bone spurs during arthroscopic procedures.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Sports Medicine
Background:
- Arthroscopic elbow surgery presents challenges due to limited joint volume, articular congruence, and proximity to neurovascular structures.
- Arthritic conditions like osteoarthritis and rheumatoid arthritis often lead to bony prominences and osteophytes, necessitating surgical intervention.
- Traditional arthroscopic removal of osteophytes using burrs and shavers carries risks of iatrogenic injury to surrounding tissues.
Purpose of the Study:
- To describe and demonstrate a novel technique for the arthroscopic removal of intra-articular osteophytes in the elbow.
- To address the technical difficulties and risks associated with conventional arthroscopic osteophyte removal methods.
Main Methods:
- A technique utilizing small, handheld osteotomes for intra-articular osteophyte removal during arthroscopic elbow surgery is detailed.
- The described method aims to facilitate safe and efficient resection of bony prominences and osteophytes.
Main Results:
- The handheld osteotome technique offers a valuable and effective approach to arthroscopic osteophyte removal.
- This method potentially mitigates the risks of iatrogenic injury associated with burrs and shavers.
Conclusions:
- Handheld osteotomes provide a practical solution for managing osteophytes in arthroscopic elbow surgery.
- This technique enhances safety and efficiency in treating arthritic elbow conditions requiring osteophyte resection.
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