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JOURNAL ARTICLE
Matteo Scampa, Vladimir Mégevand, Jérôme Martineau, Dirk J Schaefer, Daniel F Kalbermatten, Carlo M Oranges
BACKGROUND: Recalcitrant bone nonunion and osseous defect treatment is challenging and often requires vascularized bone transfer. The medial femoral condyle flap has become an increasingly popular option for reconstruction. The study aims at reviewing its different applications and synthesizing its surgical outcomes. METHOD: A systematic review including all studies assessing surgical outcomes of free medial femoral condyle flap for bone reconstruction in adults was conducted on January 31, 2023...
April 2024: Plastic and Reconstructive Surgery. Global Open
#22
JOURNAL ARTICLE
Jiaqi Wang, Tianyou Li, Yangyang Yao, Chaoqun Lu, Yanzhou Wang
PURPOSE: This study aims to demonstrate the use of the cartilaginous to osseous acetabular angle ratio (AAR) in surgical decision-making for hip dysplasia. METHODS: Data were collected from patients who underwent an MRI of the hip after conservative treatment for developmental dysplasia of the hip between August 2019 and 2022. The data included demographic information as well as an anteroposterior pelvic radiograph. The osseous acetabular index (OAI) was measured using x-ray, while the cartilaginous acetabular index (CAI) and the cartilaginous acetabulum head index (CAHI) were measured using MRI...
2024: Frontiers in Pediatrics
#23
Priyanka Tidke, Neha Gupta, Dipooja Patil, Mahesh Ghadage, Anamika Sinha, Pranita Dalave, Ramanpal S Makkad
Cemento-osseous dysplasia is a subgroup of fibro-osseous dysplasia commonly invading the tooth-bearing regions of the mandible quite often. These bony pathologies are asymptomatic and are seen on radiographs as an incidental finding. Accurate diagnosis of periapical cemento-osseous dysplasia is very crucial as it will help in the proper management of the patient as the incorrect diagnosis can lead to the unnecessary endodontic treatment of the concerned teeth as it may be misdiagnosed as a periapical pathology...
February 2024: Journal of Pharmacy & Bioallied Sciences
#24
REVIEW
Amit Hemraj Patil, Shruti Singh, Aarti S Bedia, Deepak Sharma, Anamika Sinha, Nitesh Dahiya
In daily practice, clinicians come across certain radiographic abnormalities which may or may not be asymptomatic. This abstract discusses radiographic abnormalities encountered by clinicians in daily practice, some of which resemble endodontic lesions. Prompt attention is crucial as these lesions can be benign or malignant. The article emphasizes the importance of differential diagnosis for accurate identification of periapical pathosis.
February 2024: Journal of Pharmacy & Bioallied Sciences
#25
JOURNAL ARTICLE
Harsh Chansoria, Rolly Chandrakar, H K Chetana, Neelamma Kamadal, Sonal Pamecha, Harveen Kaur, Rahul Tiwari
AIM: This study was performed with the idea of assessing age and gender utilizing differences in osseous microanatomy in human jawbones. MATERIALS AND METHODS: The study was conducted retrospectively among human jawbone samples. Various morphometric assessments such as trabecular width, marrow space, and their corelation were studied. In the samples, variations among osteon numbers, differences in the shapes of the osteocytes of jawbones, and amount of inflammation in the bony areas were recorded...
February 2024: Journal of Pharmacy & Bioallied Sciences
#26
REVIEW
Constantinos Chaniotakis, Christos Koutserimpas, Andreas G Tsantes, Dimitrios V Papadopoulos, Christothea-Alexandra Tsiridis, Apostolos Karantanas, Kalliopi Alpantaki, Alexander Hadjipavlou
Postoperative discitis (POD) accounts for 20% to 30% of all cases of pyogenic spondylodiscitis, while POD may be mis-or-under-diagnosed, due to the vague related symptomatology and the non-specific imaging findings. Most studies report infection rate of less than 1%, which increases with the addition of non-instrumented fusion to 2.4% to 6.2%. It remains controversial whether POD is caused by an aseptic or infectious process. Positive cultures are presented only in 42-73% of patients with Staphylococcus species being the most common invading organisms, while Staphylococcus aureus is isolated in almost 50% of cases...
March 4, 2024: Journal of Clinical Medicine
#27
JOURNAL ARTICLE
Simon Hackl, Christian von Rüden, Katharina Trenkwalder, Lena Keppler, Christian Hierholzer, Mario Perl
Background: The aim of this study was to evaluate detection rates and risk factors for unsuspected proof of bacteria, as well as clinical and radiologic outcomes following femoral shaft nonunion without clinical signs of infection treated by a single-stage surgical revision procedure including reamed intramedullary exchange nailing. Methods: A retrospective cohort study was performed in a European level I trauma center between January 2015 and December 2022. Fifty-eight patients were included who underwent reamed intramedullary exchange nailing as a single-step procedure for surgical revision of posttraumatic diaphyseal femoral nonunion without any indications of infection in medical history and without clinical signs of local infection...
February 29, 2024: Journal of Clinical Medicine
#28
REVIEW
Fawzi Aljassir, Musab Alageel, Malak N AlShebel, Abdulaziz M Alsudairi, Ahmed Hashim, Ibrahim Alshaygy
BACKGROUND: Osteochondromas, classified as a new benign subtype of lipomas and characterised by chondroid and osseous differentiation, are rare lesions that have been infrequently reported in previous literature. The maxillofacial region was reported as the most frequent localization, with infrequent occurrence in the lower limb. This paper represents the first documented case report of osteochondrolipoma in the foot. CASE PRESENTATION: A 51-year-old male patient presented with a chief complaint of right foot pain at the plantar aspect, accompanied by the observation of swelling between the first and the second metatarsal shafts...
April 9, 2024: BMC Musculoskeletal Disorders
#29
JOURNAL ARTICLE
Marule Paul Kgagudi, Tiego Hlapolosa, Maxwell Jingo, Mmampapatla Thomas Ramokgopa, Eunice Van Den Berg
Tuberculosis (TB) remains endemic in South Africa. The spine, hip, and knee joints are common extra-pulmonary TB sites. Sound history taking, clinical examination, and basic laboratory and pathological tests remain key important steps in osteoarticular TB diagnosis. In our resources-stricken context cost is everything, if we can make a diagnosis cheaply that would go a long way. The diagnostic yield of standard laboratory tests compared to a real-time polymerase chain reaction (PCR) for osteoarticular TB diagnosis in a single orthopaedic unit has not been analysed...
2024: Orthopedic Reviews
#30
JOURNAL ARTICLE
Richard Volz, Gudrun H Borchert, Mirjam V Neumann-Langen
Arthroscopic-assisted anterior cruciate ligament reconstruction follows standardized protocols. Multiple fixation techniques are known. Discussion has been raised about osseus fixation and integration. To improve a biological osseous fixation of the anterior cruciate ligament transplant, a Press-Fit-Hybrid technique has been developed. The basic principle is to recycle bony cylinders obtained from the femoral and tibial tunnel to fix the transplant in the femoral and tibial tunnel. In addition to the biological advantage, there are additional economic benefits, such as no extra fixation material is necessary compared with common fixation techniques, and the overall surgical procedure requires minimal effort...
March 2024: Arthroscopy Techniques
#31
Shawn M Hines, Michael J Anderson, Brittany E Homcha, Randy M Hauck
CASE: A 54-year-old male with osteoarthritis of the right long finger metacarpophalangeal joint underwent Pyrocarbon joint arthroplasty. Seven years later the patient presented for metacarpophalangeal joint swelling and pain. The workup was benign, without signs of implant complication or osseous abnormality. He underwent washout and two-stage revision, where gross implant wear and debris not demonstrated by radiograph were found. He then returned to the operating room for reimplantation of a PyroCarbon implant...
April 5, 2024: Hand Surgery and Rehabilitation
#32
JOURNAL ARTICLE
Stefan F Nemec, Steffen Schneider, Klaus M Friedrich, Michael Weber, Ursula Schwarz-Nemec
This study investigated the natural course of cemento-osseous dysplasia (COD) on cone-beam computed tomography (CBCT). Retrospectively, 104 CBCT scans from 36 patients (mean age, 44.5 years; 33 female and three male) with mandibular COD (10 florid, seven focal, 19 periapical) were included, based upon clinico-radiological features, without complications such as infection and related surgery. Changes in maximum diameter and morphology (lytic, mixed lytic-sclerotic, sclerotic) were evaluated in 83 lesions, with a mean follow-up of 28...
March 12, 2024: Journal of Cranio-maxillo-facial Surgery
#33
JOURNAL ARTICLE
Alexander T Yahanda, Joyce Koueik, Laurie L Ackerman, P David Adelson, Gregory W Albert, Philipp R Aldana, Tord D Alden, Richard C E Anderson, David F Bauer, Tammy Bethel-Anderson, Karin Bierbrauer, Douglas L Brockmeyer, Joshua J Chern, Daniel E Couture, David J Daniels, Brian J Dlouhy, Susan R Durham, Richard G Ellenbogen, Ramin Eskandari, Herbert E Fuchs, Gerald A Grant, Patrick C Graupman, Stephanie Greene, Jeffrey P Greenfield, Naina L Gross, Daniel J Guillaume, Todd C Hankinson, Gregory G Heuer, Mark Iantosca, Bermans J Iskandar, Eric M Jackson, George I Jallo, James M Johnston, Bruce A Kaufman, Robert F Keating, Nickalus R Khan, Mark D Krieger, Jeffrey R Leonard, Cormac O Maher, Francesco T Mangano, Jonathan Martin, J Gordon McComb, Sean D McEvoy, Thanda Meehan, Arnold H Menezes, Michael S Muhlbauer, Brent R O'Neill, Greg Olavarria, John Ragheb, Nathan R Selden, Manish N Shah, Chevis N Shannon, Joshua S Shimony, Matthew D Smyth, Scellig S D Stone, Jennifer M Strahle, Mandeep S Tamber, James C Torner, Gerald F Tuite, Elizabeth C Tyler-Kabara, Scott D Wait, John C Wellons, William E Whitehead, Tae Sung Park, David D Limbrick, Raheel Ahmed
OBJECTIVE: Congenital anomalies of the atlanto-occipital articulation may be present in patients with Chiari malformation type I (CM-I). However, it is unclear how these anomalies affect the biomechanical stability of the craniovertebral junction (CVJ) and whether they are associated with an increased incidence of occipitocervical fusion (OCF) following posterior fossa decompression (PFD). The objective of this study was to determine the prevalence of condylar hypoplasia and atlas anomalies in children with CM-I and syringomyelia...
April 5, 2024: Journal of Neurosurgery. Pediatrics
#34
JOURNAL ARTICLE
Akshar V Patel, Connor Hoge, Andrew J Stevens, Parth A Vaghani, Noah R Takacs, Gregory Cvetanovich, Hisham Awan, Ryan C Rauck
CASE: A 27-year-old woman developed capitellar osteonecrosis after long-term corticosteroid use to treat non-Hodgkin lymphoma. She underwent an osteochondral reconstruction using a lateral femoral condyle (LFC) allograft. This graft was selected because it has a similar radius of curvature to the capitellum. The patient had osseous integration, painless, near full range of motion of her elbow 6 months postoperatively and good shoulder function 1.0 year postoperatively. CONCLUSION: The LFC allograft should be considered a viable option in treating capitellar osteonecrosis...
April 1, 2024: JBJS Case Connector
#35
Song Wu, Fei Hu, Bing Sun, Yuting Yang, Wenxin Zhang, Yuan Ma, Qing Ouyang
INTRODUCTION AND IMPORTANCE: Intraspinal tuberculoma is rare and challenging situation, which results in serious neurological dysfunctions. CASE PRESENTATION: This case report shows an intraspinal tuberculoma with osseous involvement in a 31-year-old male patient with subacute progressing neurologic deficit. His medical history included tuberculosis of pulmonary and intestinal 8 years previously, at which time he had been treated with intestinal obstruction operation and antituberculosis treatment...
April 2024: Annals of Medicine and Surgery
#36
JOURNAL ARTICLE
Chen Jin, Kaiwei Wang, Yilong Ren, Yi Li, Zhanwei Wang, Liming Cheng, Ning Xie
Currently, there is a lack of effective treatments for spinal cord injury (SCI), a debilitating medical condition associated with enduring paralysis and irreversible neuronal damage. Extradural decompression of osseous as well as soft tissue components has historically been the principal objective of surgical procedures. Nevertheless, this particular surgical procedure fails to tackle the intradural compressive alterations that contribute to secondary SCI. Here, we propose an early intrathecal decompression strategy and evaluate its role on function outcome, tissue sparing, inflammation, and tissue stiffness after SCI...
April 2024: MedComm
#37
David L Best, Farangis Farsio, Kevin C Lee, Alfredo Aguirre, Vladimir Frias, Michael R Markiewicz
Ameloblastic fibro-odontoma (AFO) is a rare, gnathic, benign, mixed odontogenic tumor that commonly presents in the first or second decade of life as a unilocular and rarely multilocular radiolucency with variable amounts of calcified material. Tumor progression is typically indolent, and generally accepted treatment is surgical enucleation and curettage. This case report describes an atypical presentation in a 14-year-old male with a multilocular, aggressive AFO requiring hemimandibulectomy with immediate osseous and dental "Jaw-in-a-Day" reconstruction...
December 7, 2023: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
#38
Kanankira A Nnko, Raphael T Pima, Sosthenes Damas, Alex Mremi
Ossifying fibroma (OF) is a slow-growing benign fibro-osseous neoplasm. It is mostly odontogenic in origin, and it arises in the jaws, particularly the mandible. OF is characterized by the production of bone and cementum-like calcifications in a fibrous stroma. OF reports of the bone of the maxilla are uncommon. Diagnosing OF can be challenging due to the considerable overlap of clinico-pathological characteristics with those of other neoplasms. Herein, the authors describe a case report OF in a 26-year-old male who presented with a huge fibro-osseous tumor of the maxilla...
April 2024: Journal of Surgical Case Reports
#39
JOURNAL ARTICLE
Jessica E Tullington, Laura R Brown, J Alford Flippin, Chih-Yuan Fu, Jasmine Patel, Faran Bokhari
BACKGROUND: Rib fixation for traumatic rib fractures is advocated to decrease morbidity and mortality in select patient populations. We intended to investigate the effect of combination osseous thoracic injuries on mortality with the hypothesis that combination injuries will worsen overall mortality and that SSRF will improve outcomes in combination injuries and in high-risk patients. METHODS: Patients with rib fractures were identified from the Trauma Quality Improvement Project registry from 2019...
April 3, 2024: American Surgeon
#40
JOURNAL ARTICLE
J Ernesto Cantini, M Fernanda Vergel, Xiomara Tapiero, Viviana Gómez-Ortega
INTRODUCTION: Fibrous dysplasia is a disorder in which normal bone is gradually replaced by immature fibro-osseous tissue, with an incidence of less than 7% of all benign bone tumors. The management of this disease is a challenge for plastic surgeons and neurosurgeons. GOAL: To describe the diagnostic, therapeutic, and outcome approach of patients with craniofacial fibrous dysplasia seen at the Plastic Surgery Service of the Hospital San José in Bogotá, Colombia...
April 3, 2024: Journal of Craniofacial Surgery
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