Graft non-union resulting in recurrent instability was the main indication for open revision surgery after Bristow or Latarjet procedure, followed by resorption, malpositioning, and graft fracture in this retrospective case series. Revision surgery consisted of a structural iliac crest bone graft in the majority of cases. Clinical and radiographic outcomes are predictably variable in this population of multioperated patients.
Purpose: The purpose of this study is to provide an overview of the published literature on the existing educational methods used to teach surgical skills, with a specific focus on hip surgery, to orthopaedic residents. Methods: A total of 31 articles were selected from a PubMed literature search on the topic of teaching surgical skills to orthopaedic residents, and 9 articles on hip surgery are included in this review. Results: Although several methods are included in the published literature to teach orthopaedic residents, only arthroscopy of the knee and shoulder joint is well described. Hip arthroscopy has a steeper learning curve and thus the use of simulation training as a complementary teaching method is even more important. Conclusions: Currently, open surgery skills for joint arthroplasty are largely acquired by apprenticeship learning. Simulation training in the form of virtual reality could contribute to better performance of residents, decreasing operation time and improving patient safety.
The goal of this study is to determine if changes over age occur in the Glenoid Rim (GR) orientation related to SB and GVOC planes.Background: Restauration of the glenoid anatomy is mandatory in Total Shoulder Arthroplasty (TSA). The optimal glenoid placement is usually determined using Scapula Blade (SB) landmarks. Recently the Glenoid Vault Outer Cortex (GVOC) has been described and seems to correspond better to the surface layer orientation than scapula blade plane in young patients. However, TSA is mostly indicated in patient over 60 years old.Methods: 129 scans of normal scapulae were extracted from body or shoulder scan from 35 males et 33 females (respectively 64 and 65 scapulae) aged between 30 to 92. It represented 75 and 54 scapulae from patients under and over 60. The orientation of the Glenoid Rim (GR) was assessed related respectively to GVOC and Scapula Blade (SB). Using Horos and Cloud-Compare softwares, Reference of Interest points were positioned on the 3D reconstructed images to determine the edges of GR, GVOC and SB planes. The planes were reconstructed using the least-squares method, permitting to calculate their relative position.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.