Dr. Krishnan details the surgical approach and technique for hemiarthroplasty for proximal humeral fractures. He uses a unique prosthetic stem and a reproducible method of tuberosity osteosynthesis to restore the gothic arch of the shoulder girdle. The goal of this video is to aid orthopaedic surgeons in the operative management of this difficult, yet commonplace, surgical procedure.

Dr. Krishnan details the surgical approach and technique for hemiarthroplasty for proximal humeral fractures. He uses a unique prosthetic stem and a reproducible method of tuberosity osteosynthesis to restore the gothic arch of the shoulder girdle. The goal of this video is to aid orthopaedic surgeons in the operative management of this difficult, yet commonplace, surgical procedure.

Arthroscopic reattachment of the superior glenoid labrum is the primary treatment for Type II SLAP (Superior labrum anterior posterior) lesions and is also utilized in Types III through X to various degrees. Once the suture anchors are inserted in the glenoid rim, SLAP repair requires successful passing of the sutures through the labrum.

Drs. Nord, Masterson, and Mauck demonstrate how they use a penetrating suture through a Neviaser portal. They explain that using the Neviaser portal for SLAP repair is a safe and easy technique for SLAP repair, because it allows easy passage of suture through the labrum with less trauma to the labrum.

Drs. Albritton and Ferkel illustrate a 21-point exam of the anterior, posterior, and central ankle joint that has been developed to increase the accuracy and reproducibility of the arthroscopic examination. The exam allows the surgeon to reproduce the findings and to diagnose any intraarticular pathology. In addition, it guarantees that all areas of the ankle joint are carefully inspected and provides a complete videotape record that can be reviewed in the future for both patient care and clinical studies of ankle arthroscopy.

Drs. Bonutti, Mont, Seyler, and Plate describe and demonstrate a mini-subvastus approach using a posterior referencing instrumentation system.

Demonstrates the anatomy of the distal biceps tendon, outline the treatment algorithm for injuries to the tendon, and demonstrate biceps tendon endoscopy. This technique allows debridement of synovitis and partial tears. Tears of the tendon complex that are greater than 50% require surgical reattachment. They also demonstrate the Endobutton technique of distal biceps tendon repair, which provides strong fixation through a single anterior incision and allows immediate mobilization. Retracted chronic complete tears are managed with autologous hamstring tendon grafts.

Demonstrates the SMC knot, showing how the internal locking mechanism flips the post strand by pulling the loop strand, which then converts the loop strand into a new post strand within the initial slip knot. The result is locking of the initial slip knot in situ--without leaving a time or chance to be loose during the additional locking half-hitches.

This video presents a discussion of the technique and rationale for a stand-alone anterior spine fusion construct using dual (paired) proximity cages with bone morphogenetic protein.

This multimedia presentation by Dr. McAllister and Mr. Stepanian demonstrates a minimally invasive technique for total knee replacement. Downsized instruments are combined with modified surgical techniques and an altered sequence of osteotomies. This combination decreases the incision size, eliminates the need to evert the extensor mechanism, and decreases soft tissue stretching and trauma. The technique demonstrated in this program allows knee replacement to be performed with less soft tissue trauma and a less invasive surgical approach compared to traditional knee replacement. In spite of the minimally invasive approach, the knee replacement is precise and accurate.

The docking procedure is the topic of this surgical demonstration. This technique for the surgical reconstruction of the ulnar collateral ligament is becoming a more reliable and reproducible procedure. Because of the docking procedure, combined with an advance in our understanding of the pertinent anatomy and rehabilitation, the insufficiency that previously ended the careers of overhead throwing athletes can now be treated successfully.

Knot tying is a critical component of reconstructive arthroscopic shoulder surgery. This video details an efficient and effective method of tying a surgeon's one-handed knot during arthroscopic surgery. The video covers how to master this technique, including making overhand and underhand throws, switching the post, sliding the throw using an arthroscopic knot-pusher, and past-point tightening to place and tension each half-hitch correctly. It also reviews the general principles of arthroscopic knot tying and compares various types of knots.

Drs. Toolan and Pinzur provide an overview of total contact casting for neuropathic ulceration and Charcot osteoarthropathy in diabetic patients. The video outlines the purpose, indications, and contraindications for the use of total contact casting; it presents a step-by-step method for applying a total contact cast; and it reviews the instructions and precautions for the proper care of a total contact cast.

Treating patients with glenohumeral arthritis and massive, irreparable rotator cuff tears is a challenging clinical problem. The surgical standard of care for these patients has traditionally been hemiarthroplasty, which has typically resulted in pain relief with modest functional gains. Recently, reverse total shoulder arthroplasty has become available in the United States for use in these difficult cases, yielding superior active elevation to hemiarthroplasty. In this video, Dr. Edwards, Gartsman, Elkousy, Hammerman, Warnock, and O'Connor describe a standardized surgical technique for implantation of a reverse total shoulder arthroplasty as a primary procedure in a patient with glenohumeral arthritis and a massive, irreparable rotator cuff tear. Additionally, this video highlights technical points, such as humeral and glenoid component positioning, that will help the orthopaedic surgeon reduce the incidence of postoperative complications.

Dr. Naito presents a modification of the Bernese periacetabular osteotomy that improves on the negative aspects of the procedure and develops a minimally invasive periacetabular osteotomy (MIPO). The incision is small and gluteal muscles are not detached in this osteotomy. The tape shows the surgery on a young woman with grade 1 osteoarthrosis in both hips and reviews the results of 128 hips on 112 patients over 6 years. The video suggests that limiting the dissection prevents the outside of the ilium from being exposed and all iliac osteotomy surfaces have the same curvature. As a result of these advantages and the greater contact among the bony surfaces, stable fixation and solid union of the iliac osteotomy can be accomplished.

This video demonstrates a two-row technique for mini-open rotator cuff repair. Live and cadaveric surgery illustrates the method by which the wide anatomic footprint of the rotator cuff to the greater tuberosity is surgically recreated. The surgical principles, mechanical basis, technical details, and anatomy are all demonstrated. This technique allows for anatomical restoration of the tendinous attachment while providing enhanced mechanical strength.

This video shows the indications and the surgical technique of latissimus dorsi transfer for an irreparable posterosuperior rotator cuff deficiency that Dr. Gerber pioneered. Each step of the operation is explained in such detail that the competent orthopaedic surgeon should be able to reproduce the procedure.

Translaminar facet screw placement is a technique originally described by Magerl in 1984. This was a modification of previously described techniques. This video reviews the history of transfacet screws, the rationale and indications for translaminar facet screws, and the operative technique and clinical results. The anatomy and operative technique are emphasized by showing the operative technique as a 3-D computer animation as well as on a cadaveric specimen. The clinical results, biomechanical studies, and fusion rates from several large studies are also reviewed.