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You will get access to every surgical atlas on Orthoracle.com including exclusive access to the follow in progress atlases:

• BONE & SOFT TISSUE TUMOUR
• SHOULDER & ELBOW
• SPINE

What's In The Surgery Atlas?

31 Active Operations

Arthroplasty

• Birmingham Hip resurfacing
• Conversion of Dynamic Hip Screw to Avantage Dual Mobility Cup (Zimmer-Biomet) and Proximal Femoral Replacement (METS, Stanmore)
• Corail Pinnacle (De Puy)Total Hip replacement ( Midi-posterior approach)
• Direct anterior approach total hip replacement
• Exeter stem (Stryker) and Gap II restoration acetabular cage (Stryker) for acetabular metastases.
• Exeter Trauma Stem for Intracapsular Neck of Femur Fracture - Stryker
• Hip injection using image intensifier
• Mathys Twinys stem & Vitamys cup uncemented Total Hip Replacement - Posterior approach
• Microport Intracapsular Total Hip Replacement
• Polymotion; The Custom Highly Crosslinked Polyethylene Hip Resurfacing
• Revision Total Hip replacement: Direct exchange Link MP revision stem for periprosthetic fracture
• Revision Total Hip replacement: Stryker custom acetabulum and SERF Dual mobility Hip (De Puy)
• Single stage revision of peri-prosthetic hip fracture with Stanmore femoral endo-prosthesis (Stryker) and Trident constrained acetabulum (Stryker),utilising the Zimmer-Biomet Explant and Stimulan bone substitute(Biocomposites).
• Stryker MAKO Express Workflow total hip replacement (using Accolade II and Tritanium implants)
• SuperPath® total hip replacement
• Total Hip replacement (revision): Direct exchange to Rimfit socket (Stryker) with 'X-change' Rim-Mesh (Stryker) and impaction bone grafting
• Total Hip replacement: C stem AMT/Elite (Depuy) cemented hip (femur first)
• Total Hip replacement: Exeter femoral stem and Tritanium acetabular component (Stryker)
• Total Hip replacement(2 stage revision): Combined intra-pelvic and extended trochanteric osteotomy approach

Arthroscopy

• Hip Arthroscopy - set up and access to central compartment

Osteotomy

• Core decompression of femoral head for avascular necrosis
• Dunns osteotomy
• Medial Approach Open Reduction hip (MAOR)
• Proximal femoral varus osteotomy using angled Blade plate fixation
• Salters' osteotomy
• The Birmingham Interlocking Pelvic (Triple) osteotomy
• Unicameral bone cyst (proximal femur) : curettage , bone grafting and plating.

Trauma

• Cannulated Hip screws (Asnis III - Stryker) for fixation of intracapsular neck of femur fracture
• Femoral intramedullary nail: Synthes Expert Lateral Femoral Nail (LFN) for impending pathological fracture.
• Percutaneous pinning of stable slipped capital femoral epiphysis with Synthes 7.3 mm cannulated screws
• Stryker Omega Dynamic Hip Screw for extra-capsular neck of femur fracture

17 Operations In Progress

Arthroplasty

• BIrmingham Hip resurfacing
• Cement in cement revision total hip replacement (for dislocation)
• Exeter Total Hip replacement for Fractured Neck of Femur
• Revision total hip replacement (Thrust plate to Mathys Twinsys stem and Vitamys cup)
• SERF Dual mobility Total Hip replacement 2
• Total Hip replacement -Anterior approach
• Total Hip replacement :Cemented Exeter stem and an uncemented R3 acetabular component(Metal on poly)
• Total Hip replacement (uncemented) -Corin Trinity metafix
• Total hip replacement with capture cup
• Total Hip replacement- Exeter/contemporary (Stryker)
• Total Hip replacement-first stage revision
• Total Hip replacement-Second stage revision
• Total hip replacement: Second stage reconstruction with custom acetabulum.

Neuromuscular Hip

• Application of a Paediatric Hip Spica

Osteotomy

• excision osteochondroma medial distal femur
• Pelvic & Femoral osteotomies.
• Triple pelvic osteotomy

What's In The Surgery Atlas?

30 Active Operations

Arthroplasty

• De Puy Attune Total Knee Replacement
• First Stage Revision Total Knee Replacement for Acute Prosthetic Joint Infection (Zimmer Biomet articulating spacer)
• Revision total Knee Replacement- Legion CCK (Smith & Nephew)
• Revision total Knee Replacement- Legion Rotating Hinged Knee (Legion RHK, Smith & Nephew)
• Sleeved Total Knee Replacement for Tibial Plateau Fracture (MBT DePuy)
• Smith & Nephew Journey Unicompartmental Knee replacement (Fixed Bearing )
• Smith and Nephew Journey patello-femoral replacement
• Total knee replacement (posterior stabilised): Visionaire Genesis II (Smith and Nephew)
• Total knee replacement-Triathlon (Stryker) posterior stabilised knee.
• Vanguard 360 total Knee replacement (Zimmer)
• Vanguard total Knee Replacement (Cruciate retaining, Zimmer-Biomet)
• Zimmer-Biomet Persona Partial Knee Replacement (Medial)

Arthroscopy

• Knee arthroscopy
• Knee arthroscopy and microfracture of osteochondral defect
• Knee arthroscopy and partial medial menisectomy
• Meniscal repair using Smith & Nephew fast-fix 360 system & knee arthroscopy
• Patella tendon harvest for ACL reconstruction
• Trans-tibial meniscal root repair using Smith and Nephew Firstpass mini

Fracture

• Tibial intramedullary nailing (suprapatella approach): Synthes Expert Tibial Nail.

Lower limb

• Below knee amputation

Osteotomy

• Anteromedialisation tibial tubercle osteotomy
• High Tibial Osteotomy (Synthes Tomofix plate)
• Proximal Tibial Osteotomy using a Newclip plate.
• Rotational proximal tibial Osteotomy

Stabilisation

• Anatomic ACL reconstruction using hamstring tendons ( Linvatec graft tensioner)
• Anterior cruciate ligament reconstruction - double-stranded hamstring graft
• Iliotibial band lengthening (for ITB friction syndrome)
• Lemaire lateral extra-articular tenodesis for anterolateral rotational knee instability
• Medial Patellofemoral Ligament Reconstruction using Healicoil Anchors (Smith and Nephew)
• Patella stabilisation : Tibial tubercle osteotomy and Medial patellofemoral ligament reconstruction

13 Operations In Progress

Arthroplasty

• Avon patello-femoral replacement
• Oxford unicompartmental Knee replacement (mobile bearing ,Zimmer-Biomet)
• Revision of total knee replacement
• Total knee replacement: Vanguard XP cruciate retaining .
• Total knee replacement: Stryker MAKO robotic assisted knee.

Arthroscopy

• ACI to patella with trochleoplasty and combined distal and proximal realignment
• Knee arthroscopy and anterior interval debridement

Fracture

• Tibial shaft fracture: Fixation with Taylor-Spatial Frame

Osteotomy

• Tomofix Plate for High Tibial Osteotomy with Bi-planar cuts (De Puy-Synthes)

Soft tissue procedure

• Open patella tendon decompression

Stabilisation

• Open reduction for congenitally dislocated knee
• Peri-articular ligament releases around the knee
• Posterolateral Corner Reconstruction +ACL reconstruction

What's In The Surgery Atlas?

96 Active Operations

Ankle

• Achilles Reconstruction - Arthrex Biotenodesis screw with Flexor Hallucis Longus tendon transfer
• Achilles tendon debridement
• Achilles tendon lengthening: open
• Achilles tendon minimally invasive debridement
• Achilles tendon repair-open technqiue
• Ankle and Subtalar (Double) Fusion using OrthoSolutions Oxbridge nail
• Ankle arthroscopy using the Smith & Nephew Guhl non-invasive ankle distractor
• Ankle Replacement -De Puy Mobility
• Ankle Replacement-BOX total ankle replacement (MatOrtho)
• Ankle replacement-Revision using Wright Invision Ankle replacement system
• Ankle replacement-Star ankle replacement (revision of mensical component)
• Ankle replacement-Wright Infinity ankle replacement
• Ankle replacement-Wright Prophecy
• Arthroscopic Ankle Fusion using OrthoSolutions CSS screws
• Birmingham lateral ligament reconstruction
• Brostrom lateral ligament reconstruction using JuggerKnot soft anchor(Zimmer-Biomet).
• Correction of the Cavo-varus foot using Orthosolutions Titanium screws & Ultos plate.
• Double fusion (Tibiotalocalcaneal fusion) with De Puy Versa-Nail.
• Fixation of combined talar body and neck fractures via medial malleolar osteotomy
• Fixation of open talar neck fracture using Stryker Variax implants
• Gastrocnemius recession
• Integra Achillon to repair Achilles rupture.
• Internal fixation of "Nutcracker" Fracture of the cuboid: Stryker VariAx 2 Foot System
• Internal fixation of ankle fracture : Fibula pro-tibia fixation technique with Stryker Variax plate.
• Internal fixation of distal tibial Pilon fracture using Stryker AxSOS 3Ti plate.
• Internal fixation of medial malleolar ankle fracture with ASNIS screws
• Lateral malleolar fixation using Acumed Fibula Rod System
• Lisfranc fixation for fracture-dislocation injury
• Open Achilles tendon and posterior ankle release for severe ankle equinus contracture.
• Open ankle arthrodesis using Ankle Fix 4.0 plate (Zimmer-Biomet)
• Open ankle fusion:(trans-fibula approach)
• Osteochondral grafting of the talus (OATS procedure)
• Posterior ankle decompression- Open technique
• Posterior Ankle decompression-Arthroscopic technique
• Postero-lateral plating of pronation-external rotation ankle fracture (posterior malleolar fixation)
• Proximal median nerve release at the pronator tunnel
• Supra malleolar tibial osteotomy-Medial opening wedge with Arthrex plate.
• Tibialis Anterior Reconstruction (Extensor Hallucis Longus transfer)
• Tibio-talo-calcaneal (TTC/Double ) fusion with Wright Valor nail.
• Tibio-Talo-Calcaneal (TTC/Double )fusion using Integra Advansys Plate
• Tibio-Talo-Calcaneal (TTC/Double )fusion using Zimmer Ankle Fix plus plate.
• TTC (double fusion) using 4WEB custom talar replacement and Oxbridge nail (OrthoSolutions)

Forefoot

• 1st MTP Arthroscopy (Big toe)
• 5th metatarsal non-union fixation ,using Stryker Asnis cannulated screws
• Akin osteotomy
• Basal metatarsal osteotomy (open wedge for Hallux Valgus using Arthrex LPS open wedge system)
• Bone block first MTP fusion using the Wright Ortholoc plate
• Bunionette (Scarf correction) using OrthoSolutions FOS screws
• Cartiva implant for 1st MTP joint arthritis
• Chevron Osteotomy (for Hallux Valgus)
• Claw toe correction: Jones procedure and Hansens' Flexor hallucis longus transfer
• Congenital curly fifth toe correction
• Crossover second toe deformity: Extensor Digitorum Brevis transfer
• First MTP Fusion :Coughlin reamer preparation and Orthosolutions Cannulated 4mm screws.
• First MTP Fusion (using Stryker Anchorage MTP arthrodesis plate )for Hallux Varus .
• First MTP Fusion-Crossed screws technique.
• Lateral MTP joint release ( modified McBrides procedure)
• Minimally invasive Cheilectomy for Hallux Rigidus using OrthoSolutions system
• Moberg procedure (and open MTP debridement)
• Modified kellers arthroplasty
• Mortons Neuroma Excision
• Rheumatoid forefoot reconstruction
• Rotaglide first mtp joint replacement (Implants international)
• Scarf osteotomy using OrthoSolutions FOS screws
• Weils osteotomy (using Othosolutions forefoot reconstruction system, FRS)
• Youngswick osteotomy

Hindfoot

• Arthroscopic subtalar fusion with Orthosolutions Large Fragment(TCS) cannulated screws
• Calcaneal Fracture Fixation
• Calcaneal fracture fixation : Internal fixation of sustentaculum tali fracture (Acutrak screws)
• Calcaneal osteotomy (open technique using Atkins approach)
• Calcaneal osteotomy with OrthoSolutions FRS Locking Plate
• Calcaneo-navicular Coalition takedown
• Haglunds deformity-Arthrex Bio-corkscrew & postero-lateral approach
• Minimally invasive Calcaneal osteotomy
• Peroneal sheath reconstruction (for peroneal tendon subluxation)
• Pes Planus correction with FDL transfer , Calcaneal osteotomy and Wright Bioarch arthroresis screw
• Plantar fascia release
• Subtalar fusion and Talonavicular arthrodesis (open technique) using Stryker anchorage 2 plating system
• Talectomy and tibio-calcaneal fusion using Wright Ortholoc posterior TTC fusion plate
• Talo-Calcaneal tarsal coalition takedown.
• Tarsal tunnel decompression (for tarsal tunnel syndrome)
• Tibialis Posterior Reconstruction for pes planus
• Tibialis posterior tendon debridement
• Tibialis posterior transfer (through interosseous membrane )for foot drop
• Triple Fusion

Midfoot

• Dorsi-flexing osteotomy of first metatarsal (using Orthosolutions Memo-staple)
• Internal fixation of fracture dislocation of the navicular
• Lapidus procedure: (fixation using crossed screw technique)
• Lisfranc Fusion
• Medial column arthrodesis for a midfoot Charcot rocker-bottom deformity: Wright Salvation system
• Os Naviculare excision and tibialis posterior advancement
• Peroneal Tendon Debridement
• Talo-navicular fusion using Zimmer-Biomet locking plate
• Tibialis posterior transfer (for foot drop)
• Wedge Tarsectomy & dorsi-flexing Lapidus
• Wedge tarsectomy: For correction of isolated cavus deformity.

22 Operations In Progress

Ankle

• Achilles tendon reconstruction using Wright Medical Graftjacket
• Achilles tendon repair: Arthrex Pars (Dresden)technique.
• advanced arthroscopic ankle fusion
• Application of Taylor spatial frame
• Compartment pressure monitoring (Tibial compartments)
• Fasciotomies of calf for exertional compartment syndrome
• Full-House Equinus Ankle Correction
• Fusion of distal tibio-fibular articulation for syndesmotic arthritis
• Haglunds deformity correction; Arthrex Speedbridge technique.
• Lateral ankle ligament repair (reattachment of ATF ligament)
• Lion operation
• Open Equinus Ankle Correction
• Orthosolutions 4WEB articulated total talar replacement for avascular necrosis of the whole talus
• Revision (augmented lateral ankle ligament reconstruction (Wright Graftjacket)
• Revision Ankle Fusion
• Talectomy and tibio-talar fusion

Forefoot

• First MTP dorsal cheilectomy
• First MTP Fusion: Revision of failed Kellers using DocPreiss plate and bone graft.
• Hallux valgus skin closure: Technical tip
• lateral release modified mcbrides procedure

Hindfoot

• Pes planus correction : Calcaneal osteotomy, spring ligament reconstruction and FDL transfer.

Midfoot

• Lapidus fusion using Paragon 28 Phantom intramedullary nail system

What's In The Surgery Atlas?

83 Active Operations

Ankle

• Proximal median nerve release at the pronator tunnel

Forearm

• Axillary nerve decompression for quadrangular syndrome
• Cubital tunnel decompression
• Digital nerve conduit-assisted repair with the NeurolacTM (Polyganics)
• Dorsal cutaneous ulnar nerve reconstruction using Axogen Avance nerve allograft
• Excision of median nerve tumour and Axogen AxoGuard nerve protector wrapping
• Excision of Schwannoma from ulnar nerve
• Fractional Tendon Lengthening and Swanson Silastic Metacarpophalangeal Joint Replacement (Wright Medical) for Spasticity
• Modified Oberlin double fascicular nerve transfer for elbow flexion: FCR fascicle to motor branch to biceps and FCU fascicle to motor branch to brachialis
• Multiple tendon transfers for C8 / T1 loss from spinal infarct: Camitz transfer for opposition; ECRL to FDP for finger flexion; Brachioradialis to FPL for thumb flexion
• Nerve grafting for digital nerve defect (autograft using medial cutaneous nerve of forearm)
• Radial nerve decompression
• Spinal Accessory nerve reconstruction using autologous sural nerve graft
• Thoracodorsal nerve to long thoracic nerve transfer for scapula winging

Hand

• Bony Mallet finger injury repair( Synthes Hook plate)
• Collagenase (XiapexTM) injection and Manipulation for Dupuytrens contracture
• De Quervains release (first extensor compartment decompression at the wrist)
• Digital nerve reconstruction with Axogen Avance processed nerve allograft
• EIP to EPL Tendon Transfer
• Extensor tendon repair in Zone 5 of the hand
• Extensor tenolysis and intrinsic release of the hand
• First stage flexor tendon reconstruction
• Flexor tendon reconstruction-2nd stage.
• Foucher Flap to reconstruct volar thumb soft tissue defect
• Internal fixation of 5th metacarpal neck fracture (Synthes LCP plate)
• Internal fixation of metacarpal shaft fractures using Synthes® 2.0 mm Modular Hand System
• Internal fixation of middle phalangeal (P2) fracture using Synthes compact hand set
• Internal Fixation of Proximal Phalanx with Synthes® 1.5 mm Compact Hand Set
• Interphalangeal joint fusion of thumb
• Intramedullary fixation of metacarpal fracture using the Acutrak compression screw
• Limited fasciectomy for Dupuytrens disease plus Z-plasties
• MCP joint fusion of thumb (tension band wiring technique)
• Moberg's volar advancement flap for thumb
• Palmar and digital fasciectomy for Dupuytrens
• PIP joint replacement (Middle finger): Stryker SR Metal on Poly implant
• Reattachment of Flexor digitorum profundus (FDP) tendon using mini-mitek bone anchor.
• Sagittal band reconstruction (Middle finger)
• Stryker SR MCPJ Cemented Joint replacement
• Swansons' MCP Joint replacement
• Trigger finger-open release
• Trigger thumb release

Upper Limb

• Clavicle osteotomy and resection of a hibernoma tumour from the left brachial plexus

Elbow

• Cubital tunnel decompression with medial epicondylectomy

Lower limb

• Sural nerve graft reconstruction of the sciatic nerve after resection of a malignant peripheral nerve sheath tumour

Peripheral nerve

• Brachial plexus exploration and long thoracic nerve decompression
• Brachial plexus reconstruction (intercostal to radial nerve transfer)
• Common peroneal nerve decompression and application of NeuroCap device (Polyganics)
• Common peroneal nerve decompression, neurolysis and wrapping with the AxoGen AxoGuard nerve protector
• Excision of a sural nerve end neuroma and application of a Polyganics NeuroCapTM
• Hybrid tendon transfer and nerve transfer reconstruction of high radial nerve palsy
• Medial branch spinal accessory (XI) nerve transfer to Suprascapular nerve through a posterior approach
• Modified Somsak nerve transfer (medial head of triceps nerve transfer to anterior division of the axillary nerve through a posterior approach)
• Neurolysis digital nerve plus Vivosorb barrier wrap (Polyganics) and Z-plasties to scar contracture left little finger
• Peroneal Nerve exploration and decompression
• Polyganics Neurocap application to the geniculate branches of the saphenous nerve
• Radial nerve exploration and nerve grafting using autologous graft and AxoGen AVANCE nerve allograft .
• Revision cubital tunnel release with submuscular transposition and application of Axoguard
• Saphenous neurectomy and application of the Polyganics Neurocap
• Supinator to Posterior Interosseous Nerve Transfer (S-PIN transfer)
• Suprascapular nerve decompression and reconstruction
• Thoracic Outlet decompression/ supraclavicular first rib resection

Wrist

• Arthroscopic assisted Scaphoid non-union grafting and fixation using Acutrak screw
• Carpal tunnel decompression
• Compound distal radius fracture: stabilised with Hoffman II External Fixator
• De Quervain's release - Dorsal approach
• Diagnostic Wrist Arthroscopy (using Acumed ARC Tower )
• Distal Radial fracture fixation with dorsal approach and Synthes 2.4mm variable angle plating system
• Distal radius fracture : Manipulation Under Anaesthetic (MUA) and K-wire fixation
• Distal Radius Fracture fixation , volar approach with Synthes® 2.4 mm Variable Angle locking LCP
• Dorsal plating of distal radial fracture with Depuy/Synthes 2.4mm VA locking radial column plate assisted by wrist arthroscopy using Acumed ARC tower
• Excision of benign tumour posterior interosseus nerve
• Extended approach Carpal Tunnel decompression
• Four Corner Fusion using Medartis plate and scaphoid excision
• Guyons canal release
• Median nerve reconstruction
• Modified Brunelli procedure : Scapho-lunate ligament reconstruction for wrist instability using Biotenodesis screw(Arthrex)
• Posterior and Anterior interosseous nerve neurectomies of the wrist
• Radioscapholunate fusion using Medartis plate with distal Scaphoid excision
• Scaphoid non-union: Vascularised graft based on the volar carpal artery
• Total wrist fusion for Volkmann’s ischaemic contracture (Using Synthes fusion plate)
• Trapeziectomy
• Trapeziectomy with APL suspensionplasty
• Ulnar shortening osteotomy using the RECOS locking plate

23 Operations In Progress

Forearm

• Deltoid to triceps transfer including achilles allograft
• Open reduction and internal fixation of a Galeazzi radial fracture
• Posterior interosseous nerve decompression

Hand

• Fasciectomy for Dupuytrens
• Lag screw fixation of a proximal phalanx fracture
• Median nerve neurolysis and resection
• PIPJ release little finger
• Proximal interphalangeal joint arthrodesis using APEX system
• Scaphoid non-union: Bone grafting and internal fixation.
• Volar buttress plate fixation and bone grafting for a dorsal PIPJ fracture dislocation
• Xiapex injection hand

Upper Limb & Hand

• Excision of a Schwannoma from the proximal radial nerve

Peripheral nerve

• Brachial plexus exploration and repair
• Decompression and neurolysis of cutaneous nerves and implant removal
• Infra-clavicular exploration of the brachial plexus
• Metatarsal neck osteotomies, excision of recurrent Morton's neuroma & Polyganics NeuroCap to common digital nerve 2nd and 3rd inter-metatarsal spaces
• Revision thoracic outlet decompression
• Ulna nerve decompression (motor branch)

Wrist

• Distal ulna fracture fixation using the Synthes 2.0mm LCP Ulna Plate
• Modified ‘Corella’ arthroscopic scapho-lunate ligament reconstruction
• Revision carpal tunnel decompression and application of Vivosorb membrane(polyganics)
• Wrist Arthroscopy with Ulnar shortening.
• X-Ray guided CMC Joint injection