February 2003 Bulletin

OKO in 2003: New topics now online

New topics include: ACL reconstruction, spinal osteoporosis, flatfoot and more

By Carolyn Rogers

With its new look and format, the Academy’s Orthopaedic Knowledge Online (OKO) Web site is not only easier to use in 2003, it’s expanded to include four new topics and an update, with many more topics to debut in the coming months.

The OKO Web site allows Academy members and subscribers immediate access to orthopaedic information and current surgical techniques, providing video demonstrations and text-based information regarding the diagnosis, treatment and management of musculoskeletal disorders.

New topic: Revision ACL Reconstruction

OKO’s new "Revision ACL Reconstruction" topic covers the pathophysiology and etiology through the diagnosis and surgical treatment options and extends these to an actual patient case.

In addition to in-depth coverage with text and visual resources, this topic offers detailed procedures for revision ACL reconstructive surgery from preoperative planning and setup through postoperative care. The accompanying video takes the user from the hardware removal through preparing the femoral tunnel. Images and step-by-step descriptions take users through the graft preparation and fixation to wound closure.

"Revision ACL Reconstruction" authors are Bernard R. Bach, Jr., MD; Augustus D. Mazzocca, MD; Jeff A. Fox, MD, and Robert A. Hunter, MD, OKO Sports Medicine section editor.

Updated topic: ACL Reconstruction

OKO’s "ACL Reconstruction" topic has been updated to offer the user the step-by-step techniques of the "One-Incision Endoscopic Bone-Patellar Tendon-Bone Autograft" procedure.

The extensive video takes you from setup and instrumentation all the way through closure, with detailed descriptions and narrated explanations. Other techniques already posted for ACL Reconstruction include the Two-Incision Bone-Patellar Tendon-Bone autograft procedure and the Endoscopic Hamstring Graft with Endobutton. Both techniques include procedural videos.

Peter B. Blessey, MD; Mark D. Miller, MD; and Todd C. Battaglia, MD, contributed to this OKO "ACL Reconstruction" update.

New topic: Spinal Osteoporosis

This new OKO topic explores the incidence, diagnosis of osteoporosis in the spine and management options of osteoporotic vertebral fractures. Users will learn about nonoperative treatment therapies as well as open surgical methods reserved for patients with severe deformities.

Step-by-step techniques of vertebroplasty are included in addition to a narrated video of kyphoplasty with three different approaches: transpedicular, extrapedicular and posterolateral.

The indications, contraindications, techniques, complications and outcomes for these methods are provided, as well as two patient case studies for use in reviewing this condition.

OKO’s "Spinal Osteoporosis" was prepared by Christopher M. Bono, MD, and Steven R. Garvin, MD.

New topic: Removal of Cementless Acetabular Components

Cementless acetabular components are currently the most popular devices used for acetabular reconstruction in both primary and revision total hip arthroplasty. With more widespread use and increasing length of follow-up, the need to remove such components has also increased. OKO users will examine the indications, preoperative planning, step-by-step surgical techniques and learning points with this new topic.

In addition to detailed surgical techniques, narrated video on this procedure and three different interface division methods are provided. Users can review all three and then link directly from this topic to related articles on Medline.

Andrew H. Glassman, MD, MS, is the author of "Removal of Cementless Acetabular Components."

New topic: Flatfoot

The incidence, diagnosis and management options of three recognized types of flatfoot are explored in this new OKO topic. In addition to a number of nonoperative treatment methods, this OKO topic explores the use of a calcaneal lengthening osteotomy as a surgical treatment option in some cases.

Users can review the detailed, step-by-step procedure and discover the indications and contraindications for surgery as well as the pitfalls, complications and outcomes of calcaneal lengthening osteotomy.

"Flatfoot" was prepared for OKO by Vincent S. Mosca, MD.

Visit OKO

Access the OKO Web site at www.aaos.org/oko or by visiting the AAOS home page (www.aaos.org), clicking on the "Orthopaedic Knowledge Online" tab."

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