Editor’s Choice—Essential Surgical Techniques – September 2014

O’Driscoll et al. have included 13 videos in their excellent description of a safety-driven technique for arthroscopic arthroplasty of the elbow. While detailing a four-step process for both the anterior and posterior compartments, in eight of the videos, these authors simultaneously display both the exterior surgical field and the intra-articular arthroscopic view with a “picture-in-picture” format. Viewers can thus see what camera and instrument maneuvers the surgeon is performing to achieve the arthroscopic views and surgical goals. Furthermore, the technique videos are “chaptered” so viewers can easily locate, replay, and study specific details at their leisure.

Edward Y. Cheng, MD, Editor, Essential Surgical Techniques

The right elbow of a sixty-four-year-old man with hypertrophic osteoarthritis. Posterior and anterior compartment three-dimensional surface-rendering (A, B, C, and D) and two-dimensional sagittal scans (E and F) showing typical osteophytes and non-united fractured osteophytes (black arrow) on the olecranon and a loose body near the capitellum (white arrow). The dotted lines define the osteophytes to be resected (E and F). Particular attention has to be paid to the proximity of the osteophytes to the major nerves.

The right elbow of a sixty-four-year-old man with hypertrophic osteoarthritis. Posterior and anterior compartment three-dimensional surface-rendering (A, B, C, and D) and two-dimensional sagittal scans (E and F) showing typical osteophytes and non-united fractured osteophytes (black arrow) on the olecranon and a loose body near the capitellum (white arrow). The dotted lines define the osteophytes to be resected (E and F). Particular attention has to be paid to the proximity of the osteophytes to the major nerves. Source: JBJS Essential Surgical Techniques (3/3/e15)

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