The first ACL reconstruction techniques were done by suturing the graft directly to the bone, however this did not...
Technologies
There are many ways to surgically repair a fracture of the distal fibula. One such technique is to utilize...
There are a few different options when deciding how to operatively manage a lateral malleolar fracture. The modality most...
Ankle arthritis treamtent has made incredible imrpovements in tehncology, techniquem and success recently. Treatment options include debridement, osteotomies or...
Repairing rotator cuff tears utilizes a type of suture made of threaded materials as well as anchors. Advances have...
Various filler materials exist, and are catered to cosmetic outcome, as well as patient goals for longevity. Filler material...
Reattaching the biceps tendon to the arm bone in a tenodesis procedure can be done by several techniques including...
Nearly 1 million procedures are performed with the use of bone graft in the United States and continues to...
Botox, aka Onabotulinumtoxin A, is an example of a chemical compound used in selective denervation. It is isolated from...
Better screening and improved breast cancer awareness has led to some cancers being identified before they are able to...
Watch below as I discuss the different types of breast implants. The first “breast augmentation” surgery was done in...
During the first attempts at CAS, the embolic stroke rate was higher than standard CEA. Attempts at reducing this...
Cervical disc replacement, also known as total disc arthroplasty or artificial disc replacement is a procedure where a damaged...
Laminoplasty was first performed by hinging the bone open and holding it in place with a piece of bone...
Cervical arthroplasty was first developed in 1966. At the time, ACDF was gaining popularity due to reports of great...
Clavicle fractures are commonly treated with a plate and screws. Most implants allow for a combination of locking or...
Coblation stands for controlled ablation. The technology uses radiofrequency in combination with low temperatures to “ablate” tissues, commonly using...
The heart is a very important organ and just like all of your organs, it too needs a blood...
The use of botulinum toxin on humans was pioneered in the 1980s. It’s use to treat wrinkles, rhytids, is...
Adequate soft-tissue coverage prior to excision of burned tissue is necessary in order to counteract the physiologic, metabolic and...
Suspensory cortical buttons are also another option to secure the tendon. These devices function by placing a metallic device...
There have been considerable advances in the treatment of distal humerus fractures that allow for better outcomes. The widespread...
The advent of volar locking plates has seemed to solve some of these issues. Popularized in the early 2000s,...
“Internal” distraction fixators (dorsal bridge plates) were originally designed in an effort to mitigate the pitfalls of external fixators....
Neuromodulation in the spine is more commonly referred to as spinal cord stimulation or dorsal column stimulation. It involves...
Dynamic Uniplanar External Fixation
Kyle Klahs, D.O, Proximal Interphalangeal Joint Flexion ContractureTreatment to reverse the debilitating soft tissue contractures has traditionally been ineffective with splints, which are limited by the...
The earliest form of surgery for scoliosis in children and adolescents involved surgical correction of the deformity with fusion...
Treating Contained Disc Herniations (Bulging Disc)Patients with contained disc herniations are commonly treated with conservative care including rest, medications,...
Endoscopic carpal tunnel release uses one or two small incisions near the wrist through which instruments are inserted. A...
Most recently, the endoscopic hiatal hernia repair has been developed, which involves specialized cameras and staplers. Going through the...
Endoscopic sinus irrigation systems allow for directed, higher-powered irrigation of sinus contents directly where disease is located. Over the...
Femoral nailing is an attractive option for the treatment of hip fractures. This is a minimally invasive technique only...
Historically they have treated with independent screws placed into the femoral neck, but this provides no compression to encourage...
In the early 2000s, the concept of the anal fistula plug was introduced. Specifically, Cook Biotech developed a fistula...
Suture bridge and other suspensory fixation methods typically refer to constructs that consist of a very strong piece of...
Gastric banding was first introduced in 1978 as a treatment option for morbid obesity. In the 1980’s the concept...
Physicians are able to help their patients taking insulin manage their diabetes by reviewing home blood sugar readings. With...
Traditional scoliosis surgery involved drilling screws into the strong pedicle parts of each vertebral bone and attaching them to...
Medical technology has become quite exciting in the last few years. In the old days, if you had a...
Mesh was first introduced in the late 19th century when Witzel first used silver mesh in a groin hernia surgery. ...
Hip prostheses were first developed to treat chronic infections within the hip joint in 1891 using ivory to replace...
Ear molding consists of applying a custom-fit, soft plastic mold that corrects the ear deformity and holds the ear...
Surgical mesh for the repair of hernias was introduced over a century ago. The first generation of surgical mesh...
Injectable enzyme medications are a class of medicines that use tiny proteins (called enzymes) used by living organisms to...
Insulin was discovered in 1921 and it was not until 1982 when the first commercially available biosynthetic human insulin...
There are many varieties of defibrillators. The subcutaneous defibrillators are unique in that they do not require using the...
A recently developed novel technology to address the aforementioned shortcomings of chronic elbow instability is the internal joint stabilizer...
Internal hemorrhoidal treatment options are based on symptoms and the grade of hemorrhoid ranging from I-III. Mild cases are...
Mandibular distraction (also known as distraction osteogenesis) involves precise cuts being made in the lower jaw bone. A device...
Interspinous-interlaminar fusion devices are intended for the fixation and stabilization of the thoracic, lumbar, and sacral spine while awaiting...
Relievant Medsystem’s Intracept System is based on groundbreaking anatomic research that identified and demonstrated the role of the basivertebral...
Intramedullary screws are type of implant designed to sit within the bone being fixated. Benefits of intramedullary fixation include...
Much research and development has been performed regarding the utilization of existing and new technology for hip arthroscopy. Intraoperative...
Joint replacement of the hand has continuously advanced as better implant materials have been developed. Metal hinge joints were...
Intramedullary screws are type of implant designed to sit within the bone being fixated. Benefits of intramedullary fixation include...
Dermal substitutes or surrogates are a rapidly expanding area of medical technology. Absent of the morbidity and mortality associated...
Laser resurfacing is a technique used to reduce acne scarring by “selective phototheromolysis.” This concept employs the use of...
Many nonablative laser skin resurfacing types target hemoglobin as their chromophore. This reduces the damage to deeper skin layers,...
There are many types of pacemaker with some helping assist the sinus node by pacing the heart’s top chambers...
Ligament Repair with Reinforcement/ Augmentation
Angela Jones, MD, Thumb Metacarpophalangea Joint SprainLigament repair with reinforcement/ augmentation evolved as hand surgeons looked at ways to make the UCL stronger after surgery...
Suture bridge and other suspensory fixation methods typically refer to constructs that consist of a very strong piece of...
There are many different types of local anesthetics. Lidocaine and bupivacaine are among the most commonly used. The medications...
Lumbar disc arthroplasty started in Europe with metallic spheres used to replace the disc. This however had mixed outcomes,...
Magnetocardiography (MCG) has been assessed over the last 25 years as a noninvasive, radiation-free, rapid diagnostic tool for various...
Medial Patellofemoral Ligament Reconstruction
Austin Fares, MD, Medial Patellofemoral Ligament RuptureSuture anchors are the mainstay of treatment for reconstructing a new MPFL. These suture anchors are a type of...
The meniscus are a C shaped discs within the knee made of fibrocartilage that essentially provide cushioning and stability...
Microdiscectomy, also sometimes called microdecompression or microdiskectomy, is a minimally invasive surgical procedure performed on patients with a herniated...
Advancements in tethering material has led to the development of FiberWire, which is the suturing material utilized in most...
Minimally-invasive bunion surgery arose in an attempt to make surgery less painful for patients, while still correcting the alignment...
Negative Pressure Wound Therapy (NPWT)
John Scanaliato, MD, Necrotizing Soft Tissue Infections (NSTI), Open FractureNegative pressure wound therapy (NPWT) is a method of soft-tissue injury treatment in which an impervious dressing is applied...
A nerve allograft (a graft from a donor) may be used from a living or dead donor. If the...
Nerve stimulation during thyroidectomy has been described in the 1940s, where palpation of the larynx during recurrent laryngeal nerve...
Olecranon fracture are commonly treated with locking plates and screws. Each implant regardless of the manufacturer allows for a...
Hip arthroscopy is widely regarded as the most difficult joint to perform arthroscopy on, and demands optimal patient positioning,...
Osteochondral Allograft or Autograft Transfer System (OATS)
Alex Yevtukh, MD, Osteochondral Dissecans (OCD)Osteochondral grafting is a common method for treating injuries of the cartilage that expose the underlying bone (called osteochondral...
Given the high complication rate with metal wires, alternative methods of fixation were developed. Included among these was the...
Suture anchor technology is one of the more modern ways surgeons fix a torn patellar tendon back to the...
Photodynamic therapy is a type of treatment that uses a light sensitizing medication put on the skin or into...
Plantar plate repair has continued to evolve as a treatment option for plate ruptures due to specialized guides and...
Plates and screws are commonly utilized for fracture fixation in long bones and some short tubular bones of the...
Platelet-Rich Plasma (PRP) is a substance created by spinning down a tube of blood in a centrifuge machine and...
The cavity left over from the removed tissue often fills with fluid that eventually scars down over several years....
Posterior Lumbar Instrumented Fusion (PLIF) is a technique performed to achieve spinal fusion in the low back (lumbar spine)....
Proximal Humerus Fracture Open Reduction Internal Fixation
Kyle Klahs, D.O, Proximal Humerus FractureThe development of locking plate technology has established a gold-standard for proximal humerus fracture fixation in the non-geriatric adult...
Fixation of the tibial plateau is usually performed using plates and screws. Due to the poor quality of bone...
Suture anchor repair has demonstrated to be a viable option for treating quadriceps tendon ruptures. These suture anchor-based repairs...
Radial head fractures are commonly surgically treated with either a plate and screws or a radial head replacement. The...
The very first technology that was used for this was radio-frequency energy (RF) which is similar to the energy...
Increased intra-compartmental pressures seen in compartment syndrome often leave difficult to close wounds. Historically, surgeons have utilized a combination...
The development of locking plate technology established a gold-standard for proximal humerus fracture fixation, however the treatment was still...
Ringed external fixators use rings outside the body, connected to the bone through wires and pins that are surgically...
During the procedure, real-time visual, tactile, and auditory feedback are given to the surgeon, which ideally reduces the potential...
Robotic Surgery was first introduced in 1985 when a robotic surgical arm was used in a neurosurgical biopsy. Shortly...
The guiding principle for operative treatment of scaphoid fractures is an anatomic reduction and compression across the fracture. There...
The scaphoidectomy and four corner fusion was developed to limit the painful motion between the carpal bones in the...
Extracorporeal Shock Wave Therapy (ESWT) involves a machine which generates a current outside the body, using a spark in...
Sientra High-Strength Cohesive (HSC) Gel Opus Luxe round gel implants reflect the latest advancements in implant technology. These implants...
Various filler materials exist, and are catered to cosmetic outcome, as well as patient goals for longevity. Filler material...
The technology used to repair or fix the hip has evolved significantly. Initial repair methods used basic plate and...
Traditional growing rods are intended for young patients with significant growth potential and a high risk of spinal deformity...
Surgical implantation of material into the breast began in the early 20th century. After trial and error with numerous...
Surgical navigation systems are popular tools during sinus and skull base surgery, which allow the surgeon to upload CT...
Suture Anchor
John Scanaliato, MD, Shoulder Instability, Superior Labral from Anterior to Posterior (SLAP) tearSuture anchors are the technology of choice when performing labral repair. A variety of suture anchor types exist, each...
Syndesmosis fixation can be performed for those injuries indicated to undergo operative intervention. There are multiple methods of syndesmotic...
The suture anchor is another method of attaching tendon to bone. Using a small drill, two anchors are inserted...
Suspensionplasty refers to the step that some surgeons perform after removing the trapezium bone to suspend the metacarpal base...
This rare complication of thyroid disease has few treatment options. Intravenous steroids are given to reduce the inflammation and...
The most commonly employed device for surgical fixation of tibia shaft fracture are intramedullary nails. However, tibial intramedullary nails...
Among the preventative scar treatments mentioned, two are simple, consistently improve scars, and cost-effective: 1) Silicone – can be...
There are different types of elbow replacements. The components can be made of different materials and come in different...
Total Hip and knee replacement surgeries have been performed for over a century, with continued evolution to the surgical...
Total knee replacement surgeries have been performed since the late 1800’s and fortunately technology has continued to advance throughout...
Total knee replacement surgeries have been performed for over a century and the technology and techniques has continued to...
The modern era of shoulder replacement began in the 1950s, but the techniques and implants we most commonly see...
Dr. Harrington was the surgeon whose growth rod technique and implants became eponymous in scoliosis surgery. Harrington rods are...
Unicompartmental (partial) Knee Replacement
Tyler Nicholson MD, Partial (unicompartmental) Knee osteoarthritisPartial knee replacement components are designed and manufactured by many different companies in the United States and throughout the...
The benefits of needle sticks versus large incisions include shorter operations, shorter hospital stays, less pain, and fewer bleeding...
Balloon kyphoplasty is a minimally invasive procedure used in the USA since 1999 for the treatment of osteoporotic vertebral...
Influenza is primarily diagnosed clinically. Based on the presentation of symptoms, clinicians make a diagnosis and provide the appropriate...