Gary Ulrich
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View article: Skin Necrosis after Total Knee Arthroplasty Treated with Eschar Preservation and Prophylactic Antibiotic Measures: A Case Report
Skin Necrosis after Total Knee Arthroplasty Treated with Eschar Preservation and Prophylactic Antibiotic Measures: A Case Report Open
Introduction: Skin necrosis following total knee arthroplasty (TKA) represents a rare, but serious complication that can lead to deep infection. In the setting of a lateral release performed during TKA, the incised retinaculum unveils a po…
View article: Current Concepts on Unicompartmental Knee Arthroplasty
Current Concepts on Unicompartmental Knee Arthroplasty Open
Unicompartmental knee arthroplasty (UKA) represents a treatment option to address knee pain deriving from either the medial or lateral compartment of the knee. Compared to total knee arthroplasty, UKA offers the advantages of preserving na…
View article: Reverse shoulder arthroplasty in dialysis amyloidosis: a case report
Reverse shoulder arthroplasty in dialysis amyloidosis: a case report Open
A 65-year-old male with end-stage renal disease (ESRD) on hemodialysis (HD) for 32 years presented with chronic intractable pain and progressive loss of motion in his right shoulder. The patient underwent a reverse total shoulder arthropla…
View article: Open Dislocation of the Scaphoid With an Associated Hamate Fracture and Fourth Metacarpal Fracture
Open Dislocation of the Scaphoid With an Associated Hamate Fracture and Fourth Metacarpal Fracture Open
Scaphoid dislocation represents a rare injury with only a few case reports and limited case series reported in the literature. The majority of scaphoid dislocations result from a high-energy trauma causing hyperextension and ulnar deviatio…
View article: Reinforcement Ring–Augmented Hip Arthroplasty: A 35-Year Follow-up
Reinforcement Ring–Augmented Hip Arthroplasty: A 35-Year Follow-up Open
During the late 1980s, techniques were evolving to prevent acetabular component loosening. Inadequate acetabular bone stock further complicated this concern, which was traditionally addressed with cementation and bone grafting during this …
View article: Femoral Malrotation Following Intramedullary Nailing of Femoral Shaft Fractures
Femoral Malrotation Following Intramedullary Nailing of Femoral Shaft Fractures Open
Femoral malrotation represents one of the common causes of deformity following intramedullary nailing of femoral shaft fractures that can lead to cosmetic and functional consequences.Femoral malrotation is often underrecognized because fem…
View article: The Radiographic Targeting Attachment-A New Freehand Targeting Device for Distal Locking of Intramedullary Nails
The Radiographic Targeting Attachment-A New Freehand Targeting Device for Distal Locking of Intramedullary Nails Open
The radiographic targeting attachment (RTA) being developed by Eclipse Orthopaedics offers a new way to perform the distal locking portion of intramedullary nailing procedures by combining the modalities of fluoroscopy and drilling into a …
View article: Radiation Exposure During Intramedullary Nailing of Femoral and Tibial Fractures: How Much Radiation Does an Orthopedic Surgeon Receive and Habits to Reduce Radiation Exposure
Radiation Exposure During Intramedullary Nailing of Femoral and Tibial Fractures: How Much Radiation Does an Orthopedic Surgeon Receive and Habits to Reduce Radiation Exposure Open
Radiation exposure is omnipresent in the orthopedic field, especially with the advent of minimally invasive techniques such as intramedullary nailing.A thorough understanding of radiation is necessary due to the health effects of accumulat…
View article: Distal Locking of Intramedullary Nailing: Current Technology to Improve Accuracy, Radiation Exposure, and Operative Time
Distal Locking of Intramedullary Nailing: Current Technology to Improve Accuracy, Radiation Exposure, and Operative Time Open
Distal locking during intramedullary nailing of long bone fractures remains a challenging part of this procedure, especially for novice surgeons.The conventional freehand method has been the mainstay for the placement of distal locking scr…
View article: How to get the most out of your gastrocnemius and soleus flaps
How to get the most out of your gastrocnemius and soleus flaps Open
Summary: Gastrocnemius and soleus flaps represent the workhorse local flaps to cover soft tissue defects of the proximal 1/3 and middle 1/3 of the leg, respectively. An important consideration before conducting a local flap is whether the …
View article: Tibial Malrotation Following Intramedullary Nailing of Tibial Fractures
Tibial Malrotation Following Intramedullary Nailing of Tibial Fractures Open
Tibial malrotation represents a complication of tibial shaft fractures treated with intramedullary nailing.Tibial malrotation has been described as ≥ 10 degrees and the incidence varies from 0 to 41% in the literature.The effect of tibial …
View article: Metal Hypersensitivity in Total Joint Arthroplasty
Metal Hypersensitivity in Total Joint Arthroplasty Open
Background: Failed total joint arthroplasty (TJA) is a multifactorial problem and one potential cause of failed TJA has been attributed to allergic reaction to the metallic components of the implants.The pathophysiology of implant function…
View article: Localizing the Posterior Interosseous Nerve with Anatomic Landmarks During Surgical Approaches of the Lateral Elbow
Localizing the Posterior Interosseous Nerve with Anatomic Landmarks During Surgical Approaches of the Lateral Elbow Open
The Posterior Interosseous Nerve (PIN) represents a critical neurovascular structure within the surgical field of the lateral approaches to the elbow. The PIN innervates the extensor muscles of the forearm, while also sending sensory fiber…
View article: The Utility of Lower Trapezius Transfers in Massive Irreparable Posterior- Superior Rotator Cuff Tears
The Utility of Lower Trapezius Transfers in Massive Irreparable Posterior- Superior Rotator Cuff Tears Open
Massive irreparable rotator cuff tears (RCT) present a challenging problem when they occur in the young, active patient population. One treatment option involves tendon transfer, which traditionally has involved the latissimus dorsi transf…
View article: Outcomes of Coracoid Bone Graft Positioning During the Latarjet Procedure with Respect to Surgical Approach
Outcomes of Coracoid Bone Graft Positioning During the Latarjet Procedure with Respect to Surgical Approach Open
The Latarjet procedure represents a successful treatment option for patients with recurrent shoulder instability with glenoid bone loss, and its indications are expanding. One of the most important steps of the Latarjet procedure with resp…