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Direct Anterior Approach

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https://www.readbyqxmd.com/read/29456708/meniscal-allograft-transplantation-using-a-novel-all-arthroscopic-technique-with-specifically-designed-instrumentation
#1
Ya-Dong Zhang, Shu-Xun Hou, Hong-Bin Zhong, Yi-Chao Zhang, Dian-Zhong Luo
The present study describes a novel all-arthroscopic technique for medial and lateral meniscal allograft transplantation (MAT). Surgical instruments were specifically designed to assist in the all-arthroscopic approach for MAT. The bone plug attachment technique, either the arthroscopic-assisted or all-arthroscopic approach, attaches bone plugs to the anterior and posterior horns. In the present study, two sets of surgical implements were designed: One to produce bone plugs of predefined sizes in the anterior and posterior horns of the allograft meniscus (bone plug implements) and a second to create bone tunnels in the receptor tibial plateau to hold the bone plugs (bone tunnel implements)...
March 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29439894/early-failure-of-primary-total-hip-arthroplasty-is-surgical-approach-a-risk-factor
#2
Marc R Angerame, Thomas K Fehring, John L Masonis, J Bohannon Mason, Susan M Odum, Bryan D Springer
BACKGROUND: In an era of innovation in surgical approaches for total hip arthroplasty (THA), there is concern for increasing trends of early failure. The purpose of this study is to evaluate the incidence of early failure of primary THA stratified by surgical approach. METHODS: A retrospective review was performed on consecutive primary THAs completed from 2007 to 2014 at a high-volume center. THAs were stratified by surgical approach. Only the direct anterior (DAA) and posterior approaches (PA) were included...
February 2, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29438218/full-endoscopic-uniportal-odontoidectomy-and-decompression-of-the-anterior-cervicomedullary-junction-using-the-retropharyngeal-approach
#3
Sebastian Ruetten, Patrick Hahn, Semih Oezdemir, Xenophon Baraliakos, Harry Merk, Georgios Godolias, Martin Komp
STUDY DESIGN: A study of a series of consecutive full-endoscopic uniportal decompressions of the anterior craniocervical junction with retropharyngeal approach. OBJECTIVE: The aim of this study was to evaluate the direct anterior decompression of the craniocervical junction in patients with bulbomedullary compression using a full-endoscopic uniportal technique via an anterolateral retropharyngeal approach. SUMMARY OF BACKGROUND DATA: Acute or progressive myelopathy may necessitate direct anterior decompression of the craniocervical junction and odontoidectomy...
February 12, 2018: Spine
https://www.readbyqxmd.com/read/29416904/vasospasm-in-the-setting-of-traumatic-bilateral-carotid-cavernous-fistulas-and-its-effect-on-treatment
#4
Benjamin Z Ball, Panayiotis E Pelargos, Catherine Christie, Kiarash Golshani
Background: Direct, Type A, cavernous-carotid fistulas (CCFs) are predominantly caused by head trauma, especially when basilar skull fractures are present. Transarterial endovascular treatment of direct CCFs is the preferred method of treatment. Bilateral CCFs are estimated to be present in 1-2% of the cases. The treatment of bilateral CCFs is difficult often requiring a combination of endovascular and open surgical approaches. Case Description: We present a case of traumatic bilateral CCFs presenting with vasospasm of the anterior circulation seen on the initial angiogram on day 1 and our treatment paradigm...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29410451/non-knee-spanning-muscles-contribute-to-tibiofemoral-shear-as-well-as-valgus-and-rotational-joint-reaction-moments-during-unanticipated-sidestep-cutting
#5
Nirav Maniar, Anthony G Schache, Prasanna Sritharan, David A Opar
Anterior cruciate ligament (ACL) injuries are a burdensome condition due to potential surgical requirements and increased risk of long term debilitation. Previous studies indicate that muscle forces play an important role in the development of ligamentous loading, yet these studies have typically used cadaveric models considering only the knee-spanning quadriceps, hamstrings and gastrocnemius muscle groups. Using a musculoskeletal modelling approach, we investigated how lower-limb muscles produce and oppose key tibiofemoral reaction forces and moments during the weight acceptance phase of unanticipated sidestep cutting...
February 6, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29403248/functional-outcome-in-unstable-hangman-s-fracture-managed-with-anterior-approach-a-prospective-study
#6
Vaibhav Jain, Manoj Kumar Thakur, Amit Thakur, Sachin Sud, Mukund Lal, Ankit Madan
Aim: To study the functional outcome in unstable Hangman s fracture managed with anterior decompression and stabilization with cervical locking plate and tricortical bone graft. Materials and Methods: Between 2010 and 2016, 44 patients (range: 19-75 years) with unstable Hangman's fracture underwent anterior decompression and stabilization with cervical locking plate and tricortical bone graft in our institution. Result: According to the Levine and Edwards classification, all patients were unstable with Type IA 6 (13...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29402583/diagnostic-accuracy-of-sequential-arthroscopic-approach-for-ramp-lesions-of-the-posterior-horn-of-the-medial-meniscus-in-anterior-cruciate-ligament-deficient-knee
#7
Seong Hwan Kim, Sang Hak Lee, Kang-Il Kim, Jae Woo Yang
PURPOSE: To document the diagnostic accuracy and steps for sequential arthroscopic exploration of ramp lesions-peripheral tear within 4 mm of meniscocapsular junction of medial meniscus-associated with anterior cruciate ligament (ACL) injury. METHODS: This was a prospective consecutive study of 195 primary ACL reconstructions with arthroscopic exploration for ramp lesion in 4 steps: (1) standard exploration through the anterolateral portal, (2) through the intercondylar space using a 30° arthroscope, (3) through the intercondylar space using a 70° arthroscope, and (4) after creation of a posteromedial portal...
February 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29396752/topography-of-activation-deficits-in-schizophrenia-during-p300-task-related-to-cognition-and-structural-connectivity
#8
Vicente Molina, Alejandro Bachiller, Rodrigo de Luis, Alba Lubeiro, Jesús Poza, Roberto Hornero, Joan Francesc Alonso, Miguel Angel Mañanas, Patricia Marqués, Sergio Romero
BACKGROUND: The study of cerebral underpinnings of schizophrenia may benefit from the high temporal resolution of electromagnetic techniques, but its spatial resolution is low. However, source imaging approaches such as low-resolution brain electromagnetic tomography (LORETA) allow for an acceptable compromise between spatial and temporal resolutions. METHODS: We combined LORETA with 32 channels and 3-Tesla diffusion magnetic resonance (Dmr) to study cerebral dysfunction in 38 schizophrenia patients (17 first episodes, FE), compared to 53 healthy controls...
February 2, 2018: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/29390479/biaxial-reduction-technique-for-the-medially-displaced-quadrilateral-surface-in-acetabular-fracture-through-the-modified-iliofemoral-approach-an-observational-study
#9
Byung Hoon Lee
Treatment of acetabular fractures is technically demanding injuries. The complex surgical approaches and special equipment have been introduced for achieving accurate anatomical reduction.The aim of the study was to present our experiences of using a newly operative technique to achieve accurate reduction of articular dome impaction and of the quadrilateral surface without special equipment or traction device in reference to fracture reduction and fixation, technical aspects, and the incidence of complications...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29389857/estimation-of-foot-plantar-center-of-pressure-trajectories-with-low-cost-instrumented-insoles-using-an-individual-specific-nonlinear-model
#10
Xinyao Hu, Jun Zhao, Dongsheng Peng, Zhenglong Sun, Xingda Qu
Postural control is a complex skill based on the interaction of dynamic sensorimotor processes, and can be challenging for people with deficits in sensory functions. The foot plantar center of pressure (COP) has often been used for quantitative assessment of postural control. Previously, the foot plantar COP was mainly measured by force plates or complicated and expensive insole-based measurement systems. Although some low-cost instrumented insoles have been developed, their ability to accurately estimate the foot plantar COP trajectory was not robust...
February 1, 2018: Sensors
https://www.readbyqxmd.com/read/29388461/the-infraclavicular-approach-for-paget-schroetter-syndrome
#11
REVIEW
G Samoila, C P Twine, I M Williams
Introduction Paget-Schroetter syndrome is a rare effort thrombosis of the axillary-subclavian vein, mainly occurring in young male patients. Current management involves immediate catheter directed thrombolysis, followed by surgical decompression of the subclavian vein. This has been invariably performed using a transaxillary or supraclavicular approach. However, the subclavian vein crosses the first rib anteriorly just behind the manubrium and can also be accessed via an infraclavicular incision. Methods MEDLINE ® and Embase™ were searched for all studies on outcomes in patients undergoing infraclavicular first rib resection for treatment of Paget-Schroetter syndrome...
February 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29386757/anterior-sagittal-anorectoplasty-with-external-sphincter-preservation-for-the-treatment-of-recto-vestibular-fistula-a-new-approach
#12
Mohamed Ibrahim Elsawaf, Mohamed S Hashish
Context: To our knowledge, there is no description of anterior sagittal anorectoplasty (ASARP) with external anal sphincter preservation and passing neorectum in the middle of muscle complex under direct vision for the treatment of recto-vestibular fistula (VF). Aim: This study evaluates a new modification combining ASARP with under vision sphincter preservation. Subjects and Methods: This prospective study was conducted on thirty female infants with VF...
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29379903/cad-cam-based-chairside-restorative-technique-with-composite-resin-for-full-mouth-adhesive-rehabilitation-of-excessively-worn-dentition
#13
Filippo Del Curto, Carlo Massimo Saratti, Ivo Krejci
Since the first introduction of the Cerec system (Sirona) in the early 1980s, the use of computer-aided design/computer-aided manufacture (CAD/CAM) technology has spread widely in modern adhesive dentistry. Thanks to this innovative technology, it has been possible to carry out chairside restorations fully managed by the clinician, with the advantages of lower costs for the patient, more rapid execution of the restorations, and the exclusion of the provisional phase. With further improvements in chairside technologies and materials, specifically in the field of composite resin blocks, it is now possible to fabricate multiple ultrathin, minimally invasive or even noninvasive restorations in one single appointment...
2018: International Journal of Esthetic Dentistry
https://www.readbyqxmd.com/read/29354467/posterior-double-cannular-sliding-technique-for-resection-of-posterior-septum-of-the-knee-joint
#14
Nam Yong Choi, Hyung Kook Cheong, Hyun Seok Song, Chan Woong Moon
We introduce the posterior double cannular sliding technique, which is an easy, fast, safe, and reproducible method for posterior septum resection of the knee joint. Several posterior compartment procedures have been developed. Procedures with anterior-posterior approaches (transnotch approach) and posterior-posterior approaches have become possible for arthroscopic total synovectomy and loose body removal. For resection of the posterior septum with posterior-posterior approaches, several authors have used various methods...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349363/a-novel-technique-combining-laparoscopic-and-endovascular-approaches-using-image-fusion-guidance-for-anterior-embolization-of-type-ii-endoleak
#15
M Mujeeb Zubair, Ponraj Chinnadurai, Francis E Loh, Thomas M Loh, Alan B Lumsden, Carlos F Bechara
Type II endoleak (T2E) leading to aneurysm sac enlargement is one of the challenging complications associated with endovascular aneurysm repair. Recent guidelines recommend embolization of T2E associated with aneurysmal sac enlargement. Various percutaneous and endovascular techniques have been reported for embolization of T2E. We report a novel technique for T2E embolization combining laparoscopic and endovascular approaches using preoperative image fusion. We believe our technique provides a more direct access to the lumbar feeding vessels that is typically challenging with transarterial or translumbar embolization techniques...
March 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29349046/reduction-of-closed-frontal-sinus-fractures-through-suprabrow-approach
#16
Hyung Min Hahn, Yoo Jung Lee, Myong Chul Park, Il Jae Lee, Sue Min Kim, Dong Ha Park
Background: The traditional approach for reduction of frontal sinus fractures is coronal incision. Inherent complications of the coronal approach include long scar, hair loss, and long operation time. We describe a simple approach for the reduction of frontal sinus anterior wall fractures using a suprabrow incision that is commonly used for brow lift. Methods: From March 2007 to October 2016, the authors identified patients with anterior wall frontal sinus fractures treated by open reduction through a suprabrow incision...
December 2017: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/29345622/position-paper-on-nasal-obstruction-evaluation-and-treatment
#17
REVIEW
A Valero, A M Navarro, A Del Cuvillo, I Alobid, J R Benito, C Colás, G de Los Santos, R Fernández Liesa, A García-Lliberós, R González-Pérez, A Izquierdo-Domínguez, A Jurado-Ramos, M M Lluch-Bernal, J R Montserrat Gili, J Mullol, A Puiggròs Casas, M C Sánchez-Hernández, F Vega, J M Villacampa, M Armengot-Carceller, M T Dordal
Nasal obstruction (NO) is defined as the subjective perception of discomfort or difficulty in the passage of air through the nostrils. It is a common reason for consultation in primary and specialized care, and it may affect up to 30-40% of the population. It affects the quality of life (it especially disturbs sleep) and lowers work efficiency. The aim of this document is to agree on how to treat NO, establish a methodology for evaluating and diagnosing it, and define an individualized approach to its treatment...
January 18, 2018: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/29339323/mechanical-thrombectomy-of-acute-middle-cerebral-artery-occlusion-using-trans-anterior-communicating-artery-approach
#18
Krishna Amuluru, Charles E Romero, Logan Pyle, Mohammad El-Ghanem, Fawaz Al-Mufti
BACKGROUND: A cross-circulation technique involves gaining access to a cerebral vessel through a patent anterior or posterior communicating artery. This technique may be utilized in patients with emergent large vessel occlusions and an unfavorable direct route to the occlusion. While few previous reports have demonstrated successful cross-circulation technique for treatment of emergent large vessel occlusions, we present the first two cases of trans-anterior communicating artery stent-retriever thrombectomy...
January 12, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29335832/lateral-trochanteric-pain-following-total-hip-arthroplasty-radiographic-assessment-of-altered-biomechanics-as-a-potential-aetiology
#19
Ali Abdulkarim, Cathy Keegan, Raazi Bajwa, Eoin Sheehan
INTRODUCTION: Lateral trochanteric pain (LTP) complicates up to 17% of cases of total hip arthroplasty (THA). Studies have refuted underlying trochanteric bursitis. Restoration of the femoral offset and reproduction of the natural femoral centre of rotation are important in successful arthroplasty. LTP is believed to be associated with their alteration. AIM: The aim of our study was to evaluate the effect of femoral offset and centre of rotation on the incidence of LTP post-THA...
January 15, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#20
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
February 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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