Grand Rounds from HSS: Management of Complex Cases

Grand Rounds from HSS: Management of Complex Cases profiles highly complicated cases with follow-up data and a clinical treatment discussion. We welcome your feedback at complexcases@hss.edu.

Current Issue

June 2018 | Volume 7, Issue 2 | Perioperative Multimodal Anesthesia in High-Risk Patients

Cases in the Current Issue

• Suprainguinal Fascia Iliaca Block as Postoperative Analgesia in Open Reduction and Internal Fixation to Treat Hip Fracture in a Woman with Parkinson’s Disease
• Superior Trunk Block Regional Anesthesia for Shoulder Surgery in a Patient with Myasthenia Gravis
• Minimizing Opioid Exposure After Total Knee Arthroplasty Using Peripheral Nerve Blocks in a Patient with a History of Alcohol Use Disorder

Past Issues

January 2018 | Volume 7, Issue 1

• Dealing with Major Bone Deficits in Revision Total Hip Arthroplasty
• Treatment of Acetabular Bone Loss with Dual-Mobility Cup-in-Cup Construct
• Revision Custom Acetabular Biflange Implant for Large Acetabular Defects After Failed Custom Triflange

March 2017 | Volume 6, Issue 3 | Rheumatology Issue

• Case Images Eosinophilic Fasciitis Associated with Cancer Immunotherapy
• Case Images Calcific Tendonitis: An Unusual Presentation of Neck Pain
• Case Images Inflammatory Erosive Arthritis and Tendon Rupture in Sarcoidosis
• Case Images Eosinophilic Granulomatosis with Polyangiitis with Cardiac Involvement

March 2016 | Volume 6, Issue 2

• Cervical Spinal Osteotomy for Treatment of Post-Tramatic Fixed Spinal Deformity
• Cervical Spine Fusion for the Treatment of Refractory Idiopathic Cervical Dystonia
• Surgical Treatment of Basilar Invagination Under the Setting of Progressive Quadriparesis

September 2015 | Volume 6, Issue 1

• Revision of Failed Triple Arthrodesis for Flatfoot Deformity
• Total Ankle Replacement for Valgus Deformity Correction Following Triple Arthrodesis and Failed Deltoid Ligament Reconstruction
• Staged Revision Surgery for Failed Cavovarus Hindfoot Reconstruction

Winter 2015 | Volume 5, Issue 3

• Revision Anterior Cruciate Ligament Reconstruction in the Setting of Underlying Connective Tissue Laxity
• Multi-Ligament Knee Injury with Common Peroneal Nerve Palsy
• Cruciate Ligament Tear with Detachment and Extrusion of the Posterior Root of the Medial Meniscus

Fall 2014 | Volume 5, Issue 2 | Rheumatology Issue

• Severe Lupus with Nephritis and Catatonia; Excellent Response to Aggressive Treatment
• Subacute Bacterial Endocarditis Masquerading as Polymyalgia Rheumatica
• Chikungunya Arthritis in a Rheumatology Clinic in New York City

Spring 2014 | Volume 5, Issue 1

• Supracondylar Periprosthetic Fracture Above a Total Knee Replacement Repaired Using a Lateral Distal Femoral Locking Plate
• Supracondylar Periprosthetic Fracture Above a Total Knee Replacement Revised to a Distal Femoral Replacement
• Patellar Tendon Rupture Resulting From a Fall Following Revision Total Knee Arthroplasty

Winter 2014 | Volume 4, Issue 3

• Combined Proximal and Distal Realignment for Recurrent Patellofemoral Instability
• Proximal Realignment with Cartilage Restoration for Patellar Instability and Chondromalacia
• Patellofemoral Arthroplasty for Isolated Arthritis in the Setting of Patellar Instability

Summer 2013 | Volume 4, Issue 2

• Recalcitrant Femoral Nonunion: A Case for Integrated Fixation
• Lengthening of 20cm in the Femur and Tibia to Equalize Leg Lengths in a Growing Child
• Trifocal Bone Transport and Motorized Intramedullary Nail to Restore Massive Limb Length Inequality After Excision of Osteosarcoma of the Femur

Winter 2013 | Volume 4, Issue 1

• Limb Lengthening for the Congenital Short Femur
• Chronic Monteggia Injury – Bado Type III
• Staged Correction of Bilateral Genu Valgum Secondary to Hypophosphatemic Rickets

Fall 2012 | Volume 3, Issue 3 Rheumatology Issue

• Severe Lupus Nephritis (LN) with Response to Aggressive Multimodal Management
• Retiform Purpura Initially Concerning for Granulomatosis with Polyangiitis
• Eonsiniphilic Fasciitis Presenting During Travel Abroad

Summer 2012 | Volume 3, Issue 2
View the past gallery of Complex Cases images

• Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture with Underlying Osteoarthritis
• Total Hip Replacement for Fibrous Dysplasia
• Idiosyncratic Reaction to Propofol After Hip Arthroscopy

Winter 2012 | Volume 3, Issue 1
View the past gallery of Complex Cases images

• Anterior Inferior Iliac Spine as a Source of Hip Impingement
• Surgical Hip Dislocation, Osteochondroplasty and Osteochondral Allograft Transplantation to Correct FAI and a Large Osteochondral Lesion of the Femoral Head
• Staged Bilateral Periacetabular Osteotomies for the Surgical Treatment of Hip Dysplasia

Fall 2011 | Volume 2, Issue 3
View the past gallery of Complex Cases images

• Adult Traumatic Brachial Plexus Injury
• A Custom Triflange Acetabular Component for Management of Severe Acetabular Bone Loss
• Management of Posterior Tibial Tendon Rupture and Severe Flatfoot Deformity
• Bilateral Custom Femoral Stems in a Patient with Skeletal Dysplasia

Summer 2011 | Volume 2, Issue 2: Rheumatology Issue
View the past gallery of Complex Cases images

• Bilateral Knee Replacement in Rheumatoid Arthritis
• Systemic Lupus Erythematosus and Severe Pulmonary Hypertension
• Rheumatoid Arthritis Mimicking Pigmented Villonodular Synovitis
• Tumor Necrosis Factor Inhibition Therapy for Sarcoidosis Presenting as
  Transverse Myelitis and Uveitis

Winter 2011 | Volume 2, Issue 1
View the past gallery of Complex Cases images

• Osteotomy and Allograft Transplants to Restore Knee Articular Surface and Meniscus
• Complex Primary Total Knee Replacement with Large Cystic Lesions
• Severe Traumatic Tibial Bone Loss and Bifocal Tibial Transport
• Management of High Grade Spondylolisthesis

Summer 2010 | Volume 1, Issue 2
View the past gallery of Complex Cases images

• Neuropathic Joint, Total Knee Replacement
• Open Reduction of Pipkin IV Fracture through Trochanteric Flip Osteotomy
• Complex Limb Reconstruction Techniques
• Reverse Total Shoulder Prosthesis for the Treatment of a Four-part Proximal Humerus Fracture

Winter 2010 | Volume 1, Issue 1
View the past gallery of Complex Cases images

• Simultaneous Reconstruction of Bone and Soft-Tissue Defect
• Salvage of Bilateral Extensor Mechanism Failures After Total Knee Replacement
• Severe Early Onset Kyphoscoliosis
• Treatment of Massive Pelvic Discontinuity with a Custom Triflange Acetabular Component