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22 results on '"Bhatia, Sanjeev"'

1. List of Contributors

Author

Abat, Ferran, primary, Arakgi, Michelle E., additional, Arendt, Elizabeth A., additional, Argentieri, Erin C., additional, Bartels, Douglas W., additional, Baumann, Charles A., additional, Beletsky, Alexander, additional, Bhatia, Sanjeev, additional, Braun, Tatum W., additional, Brown, Charles H., additional, Burge, Alissa J., additional, Burnett, Robert A., additional, Cancienne, Jourdan M., additional, Chahla, Jorge, additional, Chilelli, Brian, additional, Christino, Melissa A., additional, Cole, Brian J., additional, Cosgarea, Andrew J., additional, Cotter, Eric J., additional, Cregar, William M., additional, Damasena, Iswadi, additional, Dean, Robert S., additional, DeJour, David, additional, Delaloye, Jean Romain, additional, DePhillipo, Nicholas N., additional, Diermeier, Theresa, additional, DiFelice, Gregory S., additional, Ellman, Michael B., additional, Ence, Andrew K., additional, Engebretsen, Lars, additional, Farr, Jack, additional, Franck, Florent, additional, Frank, Rachel M., additional, Fritsch, Brett A., additional, Fu, Freddie H., additional, Fulkerson, John P., additional, Graden, Nathan R., additional, Geeslin, Andrew G., additional, Gelber, Pablo Eduardo, additional, Getgood, Alan, additional, Gilat, Ron, additional, Giordanelli, Matthew D., additional, Gomoll, Andreas, additional, Görtz, Simon, additional, Hinckel, Betina B., additional, Huddleston, Hailey P., additional, Kahat, David H., additional, Kane, Patrick, additional, Kennedy, Nicholas I., additional, Kocher, Mininder S., additional, Kunze, Kyle N., additional, Krych, Aaron J., additional, LaGreca, Jaren, additional, LaPrade, Robert F., additional, Lattermann, Christian, additional, LeBus, George, additional, Levy, Bruce A., additional, Lind, Martin, additional, Linklater, James P., additional, Loeb, Alexander E., additional, Macalena, Jeffrey A., additional, Mandelbaum, Bert, additional, Martin, R. Kyle, additional, Meredith, Sean J., additional, Mitchell, Justin J., additional, Moatshe, Gilbert, additional, Monibi, Farrah A., additional, Mueller, Brett, additional, Musahl, Volker, additional, Muzzi, Stefano, additional, O’Brien, Luke T., additional, Perkins, Crystal A., additional, Pioger, Charles, additional, Potter, Hollis G., additional, Pujol, Nicolas, additional, Putnis, Sven E., additional, Raynor, Martin Brett, additional, Rodeo, Scott A., additional, Saithna, Adnan, additional, Scheidt, Michael, additional, Scholz, Henry D., additional, Siljander, Breana, additional, Slone, Harris S., additional, Smigielski, Robert, additional, Sonnery-Cottet, Bertrand, additional, Spalding, Tim, additional, Strauss, Marc, additional, Tabbaa, Suzanne M., additional, Tagliero, Adam J., additional, Tanaka, Miho J., additional, Tauro, Tracy, additional, Teitge, Robert A., additional, Torres-Claramunt, Raúl, additional, van der List, Jelle P., additional, Verdonk, Peter, additional, Vermeijden, Harmen D., additional, Vieira, Thais Dutra, additional, Williams, Brady T., additional, Willimon, S. Clifton, additional, Wise, Kelsey L., additional, Xerogeanes, John W., additional, Yanke, Adam B., additional, and Zochowski, Kelly C., additional

Published
2022
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3. How does clinical profile and outcome differ in patients with Chronic Kidney Disease undergoing percutaneous coronary revascularization according to the severity of CKD? – CHANNEL Study

Author

Meniya Jayesh, Sharma Kamal, Charaniya Riyaz, Jhameria Jevin, Bhatia Sanjeev, Patel Krutika, Jain Sharad, Panwar Jasraj, and Patel Iva

Subjects
ACS, Chronic kidney disease, MACE, Percutaneous coronary angioplasty, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Background: Chronic kidney disease (CKD) is an independent risk factor for the development of coronary artery disease. We evaluated outcomes amongst patients of CKD undergoing percutaneous coronary intervention (PCI) as assessed on severity of CKD based on estimated glomerular filtration rate (eGFR) at the time of PCI. Method and materials: We analyzed 100 consecutive CKD patients who underwent PCI and were followed up for 1 year; an observational, prospective, open-label study. Multivariate and Receiver operator characteristics (ROC) analysis was used to determine the cut point ofeGFR for predicting 4-P major adverse cardiac events (MACE) outcomes defined as the composite of Cardiovascular (CV) mortality, heart failure hospitalization (HHF), repeat revascularization and non-fatal MI over 1 year follow up. Results: According to eGFR cut-off value derived from ROC, patients were divided in to two groups based on eGFR cut-off of 36.25 mL/min/1.73 m2. Majority of patients (79%) were in Group 1 (eGFR >36.25 mL/min/1.73 m2). Group 2 had Lower HbA1C, hemoglobin and elevated level of urea as compared to group:1 (p=0.002,

Published
2021
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4. Contributors

Author

Altchek, David W., primary, Angeline, Michael, additional, Ashton, Jeff, additional, Bennett, Jolene, additional, Besselink, Allan, additional, Bhatia, Sanjeev, additional, Bolgla, Lori A., additional, Brotzman, S. Brent, additional, Brumitt, Jason, additional, Butler, David S., additional, Camarillo, R. Matthew, additional, Casillas, Mark M., additional, Clark, Bridget, additional, Caughran, Alexander T., additional, D’Amato, Michael, additional, Davies, George J., additional, Duke, Michael, additional, Durall, Christopher J., additional, Ellenbecker, Todd S., additional, Farr, Brian K., additional, Field, Larry D., additional, Fitzgerald, G. Kelley, additional, Frank, Rachel M., additional, Garabekyan, Tigran, additional, Ghodadra, Neil S., additional, Giangarra, Charles E., additional, Gilliland, Charles Andrew, additional, Guido, John A., additional, Hardin, J. Allen, additional, Hardy, Maureen A., additional, Hewett, Timothy E., additional, Holmes, Clayton F., additional, Hoogenboom, Barbara J., additional, Irrgang, James J., additional, Jacobs, Margaret, additional, Jadgchew, R. Jason, additional, James, David A., additional, Jasko, John J., additional, Jenk, Drew, additional, Kibler, W. Ben, additional, Kidd, Theresa M., additional, Kiesel, Kyle, additional, Kim, Jonathan Yong, additional, Lawrance, Scott E., additional, Levinson, Michael, additional, Lodha, Sameer, additional, Loudon, Janice K., additional, Louw, Adriaan, additional, Lynch, Joseph R., additional, Manske, Robert C., additional, Matava, Matthew J., additional, Mazloom, Sean, additional, McMullen, John, additional, Meftah, Morteza, additional, Meira, Erik P., additional, Meister, Keith, additional, Miller, Scott T., additional, Moore, Josef H., additional, Nguyen, Donald, additional, Nigrini, Cullen M., additional, Novotny, Steven R., additional, O’Brien, Michael J., additional, Ozgur, Sinan Emre, additional, Paterno, Mark V., additional, Pitts, Ryan T., additional, Pontillo, Marisa, additional, Porter, Andrew S.T., additional, Powell, Christie C.P., additional, Prohaska, Daniel, additional, Provencher, Matthew T., additional, Puentedura, Emilio “Louie”, additional, Ranawat, Amar S., additional, Ranawat, Anil S., additional, Reagan, James T., additional, Reider, Bruce, additional, Reiman, Michael P., additional, Resler, Amy G., additional, Riemann, Bryan, additional, Rogers, Toby, additional, Romeo, Anthony A., additional, Romeyn, Richard, additional, Rosenthal, Michael D., additional, Savoie, Felix H., additional, Schroeder, Suzanne Zadra, additional, Sciascia, Aaron, additional, Shelbourne, K. Donald, additional, Smith, Jace R., additional, Southard, Damien, additional, Stephenson, Ken, additional, Stevens, Faustin R., additional, Stovak, Mark, additional, Tyler, Timothy F., additional, Van Thiel, Geoffrey S., additional, Wagner, Mark, additional, Wilcox, Reg B., additional, and Woods, Daniel, additional

Published
2018
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6. How does clinical profile and outcome differ in patients with Chronic Kidney Disease undergoing percutaneous coronary revascularization according to the severity of CKD? – CHANNEL Study

Author

Panwar Jasraj, Jain Sharad, Meniya Jayesh, Sharma Kamal, Bhatia Sanjeev, Charaniya Riyaz, Patel Iva, Patel Krutika, and Jhameria Jevin

Subjects
medicine.medical_specialty, RD1-811, medicine.medical_treatment, Renal function, MACE, Coronary artery disease, Percutaneous Coronary Intervention, Risk Factors, Internal medicine, Chronic kidney disease, medicine, Humans, Diseases of the circulatory (Cardiovascular) system, Prospective Studies, Risk factor, Renal Insufficiency, Chronic, Percutaneous coronary angioplasty, business.industry, Percutaneous coronary intervention, medicine.disease, ACS, Treatment Outcome, RC666-701, Cohort, Conventional PCI, Cardiology, Original Article, Surgery, Cardiology and Cardiovascular Medicine, business, Mace, Kidney disease, Glomerular Filtration Rate
Abstract

Background: Chronic kidney disease (CKD) is an independent risk factor for the development of coronary artery disease. We evaluated outcomes amongst patients of CKD undergoing percutaneous coronary intervention (PCI) as assessed on severity of CKD based on estimated glomerular filtration rate (eGFR) at the time of PCI. Method and materials: We analyzed 100 consecutive CKD patients who underwent PCI and were followed up for 1 year; an observational, prospective, open-label study. Multivariate and Receiver operator characteristics (ROC) analysis was used to determine the cut point ofeGFR for predicting 4-P major adverse cardiac events (MACE) outcomes defined as the composite of Cardiovascular (CV) mortality, heart failure hospitalization (HHF), repeat revascularization and non-fatal MI over 1 year follow up. Results: According to eGFR cut-off value derived from ROC, patients were divided in to two groups based on eGFR cut-off of 36.25 mL/min/1.73 m2. Majority of patients (79%) were in Group 1 (eGFR >36.25 mL/min/1.73 m2). Group 2 had Lower HbA1C, hemoglobin and elevated level of urea as compared to group:1 (p=0.002

Published
2021

8. Contributors

Author

Aleem, Alexander W., primary, Al-Shihabi, Laith M., additional, An, Howard S., additional, Bach, Bernard R., additional, Begly, John P., additional, Bhatia, Sanjeev, additional, Bindra, Randip, additional, Brown, Nicholas M., additional, Cannada, Lisa K., additional, Carmody, Emily E., additional, Chalmers, Peter N., additional, Chimenti, Peter, additional, Cipriano, Cara A., additional, Cohen, Mark S., additional, Cole, Brian J., additional, Collins, Michael, additional, Cvetanovich, Gregory L., additional, Daccarett, Miguel S., additional, Dobbs, Matthew B., additional, Doroshow, Scott M., additional, Egol, Kenneth A., additional, Erickson, Brandon J., additional, Fillingham, Yale A., additional, Forsythe, Brian, additional, Frank, Rachel M., additional, Friel, Nicole A., additional, Gaddie, Todd, additional, Galatz, Leesa M., additional, Gerlinger, Tad, additional, Gottschalk, Hilton Phillip, additional, Greenspoon, Joshua A., additional, Gross, Christopher E., additional, Haddad, Steven L., additional, Hansen, Erik Nathan, additional, Haughom, Bryan D., additional, Hellman, Michael D., additional, Herman, Martin J., additional, Jupiter, Jesse B., additional, Karam, Matthew, additional, Kogan, Monica, additional, LaPorte, Dawn M., additional, Levine, William N., additional, Marchese, Joseph, additional, Marsh, J. Lawrence, additional, Mead, Robert Nelson, additional, Mehta, Samir, additional, Millett, Peter J., additional, Moon, Daniel K., additional, Newman, Justin T., additional, Nunley, James Albert, additional, O'Brien, Michael J., additional, Park, Andrew, additional, Patel, Amar Arun, additional, Petri, Maximilian, additional, Philippon, Marc J., additional, Provencher, Matthew T., additional, Quinnan, Stephen M., additional, Riff, Andrew Joseph, additional, Rihn, Jeffery A., additional, Roach, James W., additional, Romeo, Anthony A., additional, Rosenberg, Aaron G., additional, Savoie, Felix H., additional, Seamon, Jesse, additional, Stinner, Daniel J., additional, Streubel, Philipp N., additional, Strike, Sophia A., additional, Sullivan, Matthew P., additional, Swensen, Stephanie J., additional, Tarkin, Ivan S., additional, Tauberg, Brandon M., additional, Verma, Nikhil N., additional, von Keudell, Arvind, additional, Walton, David, additional, Watling, Jonathan P., additional, Willey, Michael C., additional, Wolf, Jennifer Moriatis, additional, Yi, Paul Hyunsoo, additional, and Zussman, Marc A., additional

Published
2017
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9. Contributors

Author

Arciero, Robert A., primary, Arrington, Edward D., additional, Barber, F. Alan, additional, Barker, Joseph U., additional, Baudi, Paolo, additional, Bava, Eric D., additional, Beauthier, Violaine, additional, Bernhardson, Andrew S., additional, Bhatia, Sanjeev, additional, Boileau, Pascal, additional, Boucher, Ron, additional, Bradley, James P., additional, Brems, John J., additional, Burkhead, Wayne Z., additional, Burns, Travis C., additional, Buss, Daniel D., additional, Campi, Fabrizio, additional, Costantini, Alberto, additional, Covey, Dana C., additional, Cutuk, Adnan, additional, Cyran, Leah T., additional, David, Tal S., additional, DeBerardino, Thomas M., additional, Gasperis, Nicola De, additional, Vita, Andrea De, additional, Dewing, Christopher B., additional, Giacomo, Giovanni Di, additional, Fauci, Francesco, additional, Frank, Rachel M., additional, Garzon-Muvdi, Juan, additional, Ghodadra, Neil S., additional, Glanzmann, Michael C., additional, Greiwe, R. Michael, additional, Gulotta, Lawrence V., additional, Habermeyer, Peter, additional, Hardy, Philipe, additional, Hrnack, Scott A., additional, Bliven, Kellie Huxel, additional, Imhoff, Andreas B., additional, Itoi, Eiji, additional, Kane, Edward J., additional, Kibler, W. Ben, additional, Kim, Seung-Ho, additional, Kozlowski, Erick J., additional, Krishnan, Sumant G., additional, LeClere, Lance E., additional, Lee, Thay Q., additional, Levine, William N., additional, Lin, Bernard K.H., additional, Lo, Ian, additional, Macrina, Leonard C., additional, Marchant, LTC Bryant G., additional, Mazzocca, Augustus D., additional, McCarty, L. Pearce, additional, McFarland, Edward G., additional, McGill, Kevin C., additional, Metzger, Paul, additional, Millett, Peter J., additional, O’Brien, Michael J., additional, Old, Jason, additional, O’Shea, Kieran, additional, Owens, Brett D., additional, Pagnani, Michael J., additional, Paladini, Paolo, additional, Parada, CPT(P) Stephen A., additional, Park, Maxwell C., additional, Petersen, Steve A., additional, Porcellini, Giuseppe, additional, Provencher, Matthew T., additional, Puskas, Brian, additional, Reinold, Michael M., additional, Romeo, Anthony A., additional, Rosenthal, Michael D., additional, Sanghavi, Sanjay, additional, Sano, Hirotaka, additional, Savoie, Felix H., additional, Schepsis, Anthony, additional, Sciascia, Aaron, additional, Sekiya, Jon K., additional, Shah, Anup A., additional, Shin, Alexander Y., additional, Solomon, Daniel J., additional, Spang, Jeffrey, additional, Sperling, John W., additional, Stanley, Mark, additional, Strauss, Eric J., additional, Sugaya, Hiroyuki, additional, Tejwani, Sam G., additional, Tibone, James E., additional, Tokish, John M., additional, Vaishnav, Suketu, additional, Van Thiel, Geoffrey S., additional, Verma, Nikhil M., additional, Voos, James E., additional, Walch, Gilles, additional, Warner, Jon J.P., additional, Warren, Russell F., additional, Wellmann, Mathias, additional, Wilk, Kevin E., additional, Wilke, Michaelann, additional, Yamamoto, Nobuyuki, additional, Young, Allan A., additional, Zoric, Bojan, additional, and Zumstein, Matthias A., additional

Published
2012
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12. Contributors

Author

Altchek, David W., primary, Angeline, Michael, additional, Bennett, Jolene, additional, Besselink, Allan, additional, Bhatia, Sanjeev, additional, Bolgla, Lori A., additional, Brewington, Dana C., additional, Brotzman, S. Brent, additional, Brumitt, Jason, additional, Burchill, Gae, additional, Butler, David S., additional, Callamaro, Donna Ryan, additional, Camarillo, R. Matthew, additional, Casillas, Mark M., additional, Clark, Bridget, additional, Cox, Kara, additional, D'Amato, Michael, additional, Davies, George J., additional, Duke, Michael, additional, Durall, Christopher J., additional, Ellenbecker, Todd S., additional, Farr, Brian K., additional, Field, Larry D., additional, Fitzgerald, G. Kelley, additional, Frank, Rachel M., additional, Garabekyan, Tigran, additional, Ghodadra, Neil S., additional, Giangarra, Charles E., additional, Guido, John A., additional, Hardin, J. Allen, additional, Hardy, Maureen A., additional, Hewett, Timothy E., additional, Holmes, Clayton F., additional, Hoogenboom, Barbara J., additional, Irrgang, James J., additional, Jacobs, Margaret, additional, Jadgchew, R. Jason, additional, James, David A., additional, Jenk, Drew, additional, Johnson, Derrick, additional, Jupiter, Jesse B., additional, Kibler, W. Ben, additional, Kidd, Theresa M., additional, Kiesel, Kyle, additional, Kim, Jonathan Yong, additional, Lawrance, Scott E., additional, Levinson, Michael, additional, Lodha, Sameer, additional, Loudon, Janice K., additional, Louw, Adriaan, additional, Manske, Robert C., additional, Matava, Matthew J., additional, Mazloom, Sean, additional, McMullen, John, additional, Meftah, Morteza, additional, Meira, Erik P., additional, Meister, Keith, additional, Miller, Scott T., additional, Nguyen, Donald, additional, Nigrini, Cullen M., additional, O'Brien, Michael J., additional, Paterno, Mark V., additional, Pitts, Ryan T., additional, Pontillo, Marisa, additional, Porter, Andrew S.T., additional, Powell, Christie C.P., additional, Provencher, Matthew T., additional, Puentedura, Emilio “Louie”, additional, Ranawat, Amar S., additional, Ranawat, Anil S., additional, Reider, Bruce, additional, Reiman, Michael P., additional, Resler, Amy G., additional, Ring, David, additional, Rogers, Toby, additional, Romeo, Anthony A., additional, Romeyn, Richard, additional, Savoie, Felix H., additional, Schroeder, Suzanne Zadra, additional, Sciascia, Aaron, additional, Shelbourne, K. Donald, additional, Stephenson, Ken, additional, Stevens, Faustin R., additional, Stovak, Mark, additional, Tyler, Timothy F., additional, Van Thiel, Geoffrey S., additional, Wagner, Mark, additional, Wilcox, Reg B., additional, and Woods, Daniel, additional

Published
2011
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13. "Assessing the hemodynamic impact of various inotropes combination in patients with cardiogenic shock with Non-ST elevation myocardial infarction -the ANAPHOR study".

Author

Sharma K, Charaniya R, Champaneri B, Bhatia S, Sharma V, Mansuri Z, Panakkal BJ, Thakkar H, and Patel K

Subjects
Hemodynamics, Hospital Mortality, Humans, Intra-Aortic Balloon Pumping, Prospective Studies, Non-ST Elevated Myocardial Infarction, Shock, Cardiogenic drug therapy
Abstract

Background: Various inotropic agents/vasopressors combinations are used in patients of cardiogenic shock. We performed this study to observe hemodynamic effects of various inotrope/vasopressor combinations in patients with NSTEMI cardiogenic shock (CS) at tertiary cardiac centre METHODS AND MATERIALS: Of 3832 NSTEMI, we studied 59 consecutive such patients with CS who hadn't undergone revascularization in the first 24 h in a prospective, open label, observational study. Group 1 comprised of background Dopamine with Noradrenaline titration(N = 38), Group 2 had background Dobutamine and Noradrenaline titration(N = 15) and Group 3 comprised of triple combination of Dopamine, Noradrenaline & Adrenaline(N = 6)., Results: The mean change in hemodynamic parameters between these groups from baseline to 24 h showed no statistical difference. Cardiac output(CO), mean arterial pressure(MAP), central venous pressure(CVP) and cardiac power output(CPO) in group 2 were favorable at 6 and 24 h compared to baseline but mean change was insignificant as compared to others. In group 3, the increase in MAP was significant. IABP use did not change CO, CPO or SVR in any group except lower dosages of Dobutamine (49%) in IABP group. Lower in-hospital mortality in group 2 compared to others (P = 0.004) may be reflective of sicker patients in group 1 and 3., Conclusion: The mean changes in hemodynamic parameters were not significant between all groups. All regimes of inotropes when selected as per clinical indication in CS with ACS resulted in similar hemodynamic effects. The mortality difference may not truly be reflective of regimes rather reflect sicker patients in the higher mortality group., Competing Interests: Declaration of competing interest The authors declare that they have no conflict of interest., (Copyright © 2021 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.)

Published
2021
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14. Technical Pearls for Arthroscopic Labral Augmentation of the Hip.

Author

Scheidt M, Haber DB, Bhatia S, and Ellman MB

Abstract

Our recent understanding of the importance of the acetabular labral suction seal has placed preserving labral integrity as a guiding principle in hip preservation surgery. In cases with a hypoplastic labrum and intact chondrolabral junction, labral augmentation presents as a viable alternative and an often preferred treatment option over labral reconstruction. At this time, there are few studies that have described the technical pearls of performing labral augmentation of the hip. In this technique guide, we describe, in detail, the kite technique for the introduction, control, and acetabular fixation of a hip labral augmentation graft. Comparable to flying a kite with 2 fly lines and to the previously described kite technique for hip labral reconstruction, the kite technique for labral augmentation is based on the principle that the use of 2 control sutures in a pulley system creates an efficient method to accurately and reproducibly facilitate graft passage and fixation during arthroscopic labral augmentation procedures., (© 2021 by the Arthroscopy Association of North America. Published by Elsevier.)

Published
2021
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15. Capsular Reconstruction of the Hip Using Modified Kite Technique: A Technical Guide for Efficient Graft Management and Fixation.

Author

Scheidt M, Bhatia S, Fenoglio Z, and Ellman MB

Abstract

Preserving capsular integrity has become an important principle of hip preservation surgery given the increasingly recognized deleterious effects of instability in cases of capsular insufficiency. When capsular tissue is deficient, capsular reconstruction may be indicated to restore function of the iliofemoral ligament and improve hip biomechanics. To date, few studies have presented technical guidance on performing arthroscopic capsular reconstruction of the hip. In this Technical Note, we introduce a modified kite technique for arthroscopic entry, control, and fixation of a capsular reconstruction graft. Similar to flying a kite with multiple fly lines, and to the previously described kite technique for hip labral reconstruction, the principles of this method are founded on the belief that control sutures within a pulley system facilitate safe and efficient graft management during capsular reconstruction procedures., (© 2020 by the Arthroscopy Association of North America. Published by Elsevier.)

Published
2021
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16. Kite Measurement Technique for Enhanced Accuracy and Technical Proficiency of Graft Preparation in Segmental Labral Reconstruction of the Hip.

Author

Ellman MB, Hulse J, Chahla J, and Bhatia S

Abstract

Preserving labral integrity has become a guiding principle in hip preservation surgery given the recent understanding of the importance of the acetabular labral suction seal. When labral tissue is deficient, a labral reconstruction may be indicated to re-create the suction seal and improve hip biomechanics. One of the main challenges of segmental labral reconstruction techniques is obtaining an accurate measurement of the defect because incorrect sizing of the graft could result in incomplete restoration of the labral seal or an oversized graft that requires amputation. In this report, we present a kite measurement technique that allows for easy, accurate measurement of the segmental defect during segmental labral reconstruction., (© 2019 by the Arthroscopy Association of North America. Published by Elsevier.)

Published
2019
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17. Assessment and Evaluation of Glenoid Bone Loss.

Author

Hamamoto JT, Leroux T, Chahla J, Bhatia S, Higgins JD, Romeo AA, Yanke AB, and Verma NN

Abstract

The preoperative assessment of anterior glenoid bone loss is a critical step in surgical planning for patients with recurrent anterior glenohumeral instability. The structural integrity of the glenoid has been identified as one of the most important factors influencing the success of operative repair. The currently accepted gold standard for glenoid structural assessment among most orthopaedic surgeons is the use of 3-dimensional reconstructed computed tomography images with the humeral head digitally subtracted, yielding an en face sagittal oblique view of the glenoid. This view allows for evaluation of glenoid morphology and quantitative assessment of glenoid bone loss. In this article, we describe the practical application of ImageJ software (National Institutes of Health, Bethesda, MD) to quantify the amount of glenoid bone loss reported as a percentage of either total surface area or diameter. The following equations are used in this technical note for the diameter-based method and surface area method, respectively: Percent bone loss = (Defect width/Diameter of inferior glenoid circle) × 100% and Percent bone loss = (Defect surface area/Surface area of inferior glenoid circle) × 100%.

Published
2016
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18. Medial Meniscus Radial Tear: A Transtibial 2-Tunnel Technique.

Author

Nitri M, Chahla J, Civitarese D, Bhatia S, Moulton SG, LaPrade CM, and LaPrade RF

Abstract

Complete radial tears of the medial meniscus significantly decrease the meniscal tissue's ability to dissipate tibiofemoral loads and have been described as functionally similar to a total meniscectomy, predisposing patients to early osteoarthritis. At present, no consensus exists regarding the optimal surgical treatment of a radial meniscal tear. Current repair techniques have led to a reportedly high rate of incomplete healing or healing of the meniscus in a nonanatomic, gapped position, which compromises its ability to withstand hoop stresses. Improvement regarding the ability to repair and heal medial meniscus radial tears has the potential to result in enhanced preservation of the articular cartilage in the medial compartment of the knee. This technical description details a method for repairing radial tears of the medial meniscus using a transtibial 2-tunnel technique.

Published
2016
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19. Arthroscopic Technique for Acetabular Labral Reconstruction Using Iliotibial Band Autograft.

Author

Chahla J, Soares E, Bhatia S, Mitchell JJ, and Philippon MJ

Abstract

The dynamic function of the acetabular labrum makes it an important structure for both hip stability and motion. Because of this, injuries to the labrum can cause significant dysfunction, leading to altered hip kinematics. Labral repair is the gold standard for symptomatic labral tears to keep as much labral tissue as possible; however, in cases where the labrum has been injured to such a degree that it is either deficient or repair is not possible, arthroscopic labral reconstruction is preferred. This article describes our preferred approach for reconstruction of the acetabular labrum using iliotibial band autograft.

Published
2016
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20. Hip Labral Reconstruction: The "Kite Technique" for Improved Efficiency and Graft Control.

Author

Bhatia S, Chahla J, Dean CS, and Ellman MB

Abstract

Although the merits of labral reconstruction have been well established, the technical difficulty of presently used reconstruction techniques-particularly with graft passage and fixation-limit its efficacy and potentiates the risk of iatrogenic damage within the hip joint. The unwieldy nature of a floating labral graft anchored on one end may impede accurate fixation of the other end, which is critical for restoration of the fluid hip seal and preservation of graft integrity. In this technique narrative, we present a "kite technique" for introduction, control, and efficient fixation of a labral reconstruction graft. The principles of this method are founded on the belief that a soft-tissue graft in an arthroscopic environment is much easier to guide into position with 2 control sutures using a pulley system similar to flying a kite with 2 fly lines. Although we herein detail the technique as it applies to labral reconstruction in the hip, the concept of the kite technique may also be employed in arthroscopic-assisted soft-tissue reconstructions of other joints.

Published
2016
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21. Patch-Augmented Latissimus Dorsi Transfer and Open Reduction-Internal Fixation of Unstable Os Acromiale for Irreparable Massive Posterosuperior Rotator Cuff Tear.

Author

Petri M, Greenspoon JA, Bhatia S, and Millett PJ

Abstract

Latissimus dorsi transfer is a reasonable treatment option for massive posterosuperior rotator cuff tears that can substantially improve chronically painful and dysfunctional shoulders. This report and accompanying video describe the treatment of an active 43-year-old man with severe pain and weakness in the right shoulder after 3 failed rotator cuff repairs. Preoperative imaging showed a massive posterosuperior rotator cuff tear retracted to the glenoid as well as a hypermobile os acromiale likely causing dynamic impingement and recurrent rotator cuff tears. After diagnostic arthroscopy, the latissimus tendon is harvested and augmented with a 3-mm human acellular dermal patch (ArthroFlex; Arthrex, Naples, FL). The native rotator cuff tissue is repaired as much as possible, and the latissimus tendon is passed underneath the deltoid and posterior to the teres minor. The patch-augmented tendon is then integrated into a double-row SpeedBridge repair of eight 4.75-mm BioComposite SwiveLock anchors (Arthrex). The bony surface of the os acromiale is prepared and then fixed to the acromion with 2 cannulated partially threaded screws and additional tension-band wiring. Postoperative rehabilitation initially focuses on early passive range of motion, followed by active and active-assisted motion and a biofeedback program starting at 6 weeks postoperatively.

Published
2015
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22. Arthroscopic suprascapular nerve decompression: transarticular and subacromial approach.

Author

Bhatia S, Chalmers PN, Yanke AB, Romeo AA, and Verma NN

Abstract

Entrapment of the suprascapular nerve (SSN) is an increasingly recognized entity that can occur due to traction or compression-related etiology. Traction injuries of the SSN are unlikely to respond to surgical management and frequently improve with rest and avoidance of overhead activity. Compression injuries, on the other hand, frequently require surgical decompression for pain relief. SSN entrapment caused by compression at the suprascapular notch by the transverse scapular ligament gives rise to pain and atrophy of both the supraspinatus and infraspinatus muscles. However, compression at the spinoglenoid notch is more insidious because pain fibers may not be involved, causing isolated external rotation weakness. We present our preferred surgical technique for safe decompression of the SSN at the suprascapular and spinoglenoid notch using a subacromial and intra-articular approach, respectively. The key to ensuring efficient and uncomplicated decompression of the SSN relies on an intimate knowledge of the neurovascular anatomy and related landmarks.

Published
2012
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