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Correction Of Deformity

Yakup Balaban, Ali Hıdır Kayışoğlu, Altuğ Tokatlı, Aykut Tantan
Presently described is a case with a twisted catheter in the radial artery during coronary angiography and was removed after stretching it with an external needle tip inserted into the brachial artery. A 77-year-old male patient had undergone coronary artery bypass surgery 10 years earlier and implantation of a permanent pacemaker 2 years prior. He had presented with typical angina and a regional wall motion defect had been observed on echocardiography. Coronary angiography was scheduled. A 5-F sheath (Terumo Corp...
December 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
P Flis, V Filonenko, O Tsyzh
In orthodontic practice, removable orthodontic devices are used to treat anomalies and deformations of the dentoalveolar apparatus during the period of the transition occlusion. The creation of new orthodontic appliances or the modification of existing appliances is actual today. The aim is to create easy-to-use therapeutical-prophilaxis orthodontic appliances that can be used to treat open bite and anomalies of the individual teeth position. The mechanism of action of the proposed appliance by P. Flis - V...
October 2018: Georgian Medical News
S P Mohanty, M Pai Kanhangad, B Yogesh Kumar, A Singh
PURPOSE: The present study evaluated the clinical and radiological outcomes in patients with tuberculosis of the thoracic and thoracolumbar spine, treated by an operative technique in which anterior debridement with posterior instrumentation and global fusion was performed through a single-stage posterior approach. METHODS: Ninty-seven patients with spinal tuberculosis, between T1 and L1, in whom anterior debridement, bone grafting, with posterior instrumentation and fusion was performed through a single-stage posterior approach, with a minimum follow-up of 2 years, formed the basis of this study...
December 4, 2018: Musculoskeletal Surgery
Rosaline S Zhang, Lawrence O Lin, Ian C Hoppe, Jordan W Swanson, Jesse A Taylor, Scott P Bartlett
BACKGROUND: Controversy exists regarding the treatment of mandibular hypoplasia in craniofacial microsomia patients, notably the role of mandibular distraction osteogenesis. The authors compared the need for orthognathic surgery in skeletally mature craniofacial microsomia subjects who either did (study group) or did not (control group) undergo early mandibular distraction osteogenesis. METHODS: A retrospective review was conducted of all craniofacial microsomia patients evaluated between January of 1993 and March of 2017...
November 2018: Plastic and Reconstructive Surgery
Jenny T Chen, Daniel B Schmid, Jacqueline S Israel, John W Siebert
BACKGROUND: Parry Romberg disease (hemifacial atrophy) and linear scleroderma (coup de sabre) are progressive, usually unilateral facial atrophies of unknown cause. The gold standard treatment for these patients has been microsurgical reconstruction following the "burning out" of the facial atrophy and stable contour for 2 years. METHODS: The authors report their experience treating patients with hemifacial atrophy and linear scleroderma with free tissue transfers between 1989 and 2016...
November 2018: Plastic and Reconstructive Surgery
P L Vincent, D Voulliaume, A Coudert, E Truy, S Ayari-Khalfallah
OBJECTIVES: Auricular deformities therapy by external molding is possible. It must be undertaken early, ideally before the sixth week of life. Persistency of maternal hormones impregnation during the first six weeks of life permits to maintain the malleable cartilages. They can thus be molded into a new position. After the end of this hormonal therapy, the cartilages gradually become rigid in a specific position. MATERIAL AND METHODS: All infants under 6 weeks of age with isolated auricular deformities between July 2015 and July 2016 received a neonatal treatment with an external molding device called EarWell© or a custom-made one with silicone...
November 30, 2018: Annales de Chirurgie Plastique et Esthétique
Stella Leng, Kejd Bici, Flavio Facchini, Yary Volpe, Francesca Uccheddu, Rocco Furferi, Lapo Governi, Monica Carfagni, Marco Ghionzoli, Antonio Messineo
PURPOSE: Pectus arcuatum is an anterior chest wall deformity that requires transverse wedge sternotomy. Determining and delivering the correct cutting angle is crucial for successful correction. We present the early clinical experience with a novel cutting template technology able to deliver the optimal cutting angle. DESCRIPTION: From patients' computer tomography scans, the optimal cutting angle is obtained through computer aided design (CAD). A template comprising of slots tilted at the right cutting angle and safety block to avoid damaging the posterior periosteum is printed through additive manufacturing...
November 30, 2018: Annals of Thoracic Surgery
Stephan Barrientos, Jason Miller
Traditional fronto-orbital advancement continues to be a useful operation for correction of craniosynostosis involving the coronal or metopic sutures. Recently, distraction osteogenesis has been used to correct a variety of cranial deformities. Studies have mostly focused on posterior vault distraction due to its simplicity and greater volume gain when compared with anterior vault distraction. However, certain patients are not candidates for posterior distraction due to anterior deformity and need for expansion of the frontal skull...
November 30, 2018: Journal of Craniofacial Surgery
Stella Fahrni, Olivier Delémont, Lorenzo Campana, Silke Grabherr
3D surface scanning is a technique brought forward for wound documentation and analysis in order to identify injury-causing tools in legal medicine and forensic science. Although many case reports have been published, little is known about the methodology employed by the authors. The study reported here is exploratory in nature, and its main purpose was to get a first evaluation of the ability of an operator, by means of 3D surface scanning and following a simple methodology, to correctly exclude or associate an incriminated tool as the source of a mock wound...
December 1, 2018: International Journal of Legal Medicine
Stefan Schulz-Drost, Anna Maria Luber, Kirsten Simon, Melanie Schulz-Drost, Julia Syed, Roman T Carbon, Manuel Besendörfer
Background: Complex and mature funnel chest deformities are traditionally managed with open surgical procedures. Elastic stable chest repair (ESCR) has been used successfully and safely for relapse corrections. Does pure plate osteosynthesis in ESCR allow comparable corrective potency and implant safety as hybrid methods with metal bars? Methods: Data from 86 patients with open funnel chest correction between 2011 and 2015 were analyzed in this retrospective study...
October 2018: Journal of Thoracic Disease
Ki Won Young, Hong Seop Lee, Seong Cheol Park
Background: We developed a modified proximal scarf osteotomy technique for moderate to severe hallux valgus in an attempt to obtain better correction of the deformity. In addition, we compared the clinical and radiographic results of this modified technique with those of the classic scarf osteotomy reported in other studies. Methods: Between December 2004 and July 2009, 44 cases of modified proximal scarf osteotomy was performed in 35 patients with moderate hallux valgus...
December 2018: Clinics in Orthopedic Surgery
Federico Maria Liuni, Luca Berni, Alberto Fontanarosa, Riccardo Cepparulo, Alberto Guardoli, Andrea Pellegrini, Andrea Bianchi, Aldo Guardoli
BACKGROUND: Many procedures and different osteotomies have been described for percutaneous hallux valgus correction. Percutaneous techniques may lead to reduced morbidity, surgery, and recovery time. The aim of this study is to evaluate the clinical and radiographic outcome of a new percutaneous procedure (PBS-Percutaneous Bianchi System). METHODS: Fifty-eight cases were treated with Percutaneous Bianchi System procedure for correction of mild, moderate or severe hallux valgus deformity...
November 14, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Weibo Yu, Xiang Xiao, Jiali Zhang, Zhifei Li, Xiaohu Wang, Fubo Tang, Xiaobing Jiang, Yuanming Zhong
OBJECTIVE: To determine cement distribution patterns on therapeutic efficacy after percutaneous vertebroplasty (PVP) treatment of osteoporotic vertebral compression fractures (OVCFs) with intravertebral cleft (IVC). METHODS: Patients who were treated with PVP for single OVCFs with IVC and met this study's inclusion criteria were retrospectively reviewed. The follow-up period was at least 2 years. Distribution patterns of cement in the IVC area were respectively specified into two groups: Group 1: solid lump distribution pattern (n=22); Group 2: the comparatively diffused pattern (n=90)...
November 29, 2018: World Neurosurgery
R Bryan Bell
This review highlights the contributions of American oral and maxillofacial surgeons to the field of orthognathic surgery. The present state of the art and science of orthognathic surgery is the harvest of yesterday's innovation and research. An improved understanding of the biological and surgical principles and the routine involvement of orthodontics have fueled widespread adoption of a coordinated approach to the treatment of dentofacial problems. Technologic advances in rigid internal fixation, virtual surgical planning with computer-aided manufacturing of occlusal splints and cutting guides, custom implants, and worldwide interest in the correction of dentofacial and craniofacial deformities have resulted in highly predictable, efficient, and safe treatment, which scarcely resembles the situation 70 years ago...
December 2018: Journal of Oral and Maxillofacial Surgery
Zoe B Cheung, Daniel H Chen, Samuel J W White, Jun S Kim, Samuel K Cho
OBJECTIVE: Anterior column realignment (ACR) is a new emerging minimally invasive surgical technique in adult spinal deformity (ASD) that has the potential to provide similar corrective ability to traditional posterior approaches. This paper reviews the current literature on the clinical efficacy and safety of ACR and illustrates an additional utilization of this technique in a case of sagittal imbalance following posterior spinal fusion with segmental instrumentation. METHODS: We performed a literature search of all published ACR reports using PubMed, including only clinical papers describing the ACR technique and reporting radiographic and/or clinical outcomes...
November 27, 2018: World Neurosurgery
Huimin Zhu, Dongmei He, Zhi Yang, Xinyu Song, Edward Ellis
PURPOSE: To evaluate the effect of temporomandibular joint (TMJ) disc repositioning and post-operative functional splint for the treatment of anterior disc displacement (ADD) in juvenile patients with Class II malocclusion. MATERIALS AND METHODS: Juvenile patients (≤20 years) who had bilateral TMJ ADD with and Class II malocclusion treated by disc repositioning and functional splints were included in the study. Magnetic resonance imaging (MRI) and cephalometric radiographs before surgery (T0), immediately after surgery (T1) and more than 3 months after surgery (T3) were obtained in all patients...
November 14, 2018: Journal of Cranio-maxillo-facial Surgery
(no author information available yet)
OBJECTIVEFixed sagittal spinal malalignment is a common problem in adult spinal deformity (ASD). Various three-column osteotomy techniques, including the extended pedicle subtraction osteotomy (ePSO), may correct global and regional malalignment in this patient population. In contrast to the number of reports on traditional PSO (Schwab grade 3 osteotomy), there is limited literature on the outcomes of ePSO (Schwab grade 4 osteotomy) in ASD surgery. The objective of this retrospective study was to provide focused investigation of radiographic outcomes and complications of single-level lumbar ePSO for ASD patients with fixed sagittal malalignment...
November 1, 2018: Journal of Neurosurgery. Spine
H J Cui, J M Chen, J Zhuang, J Z Cen, G Xu, S S Wen
Objective: To analyze the early and midterm results of surgical treatment of interrupted aortic arch (IAA) with double-ventricular procedure. Methods: The data of the 68 cases with the main diagnosis of IAA with biventricular structure from June 2009 to June 2017 at Department of Cardiac Surgery, Guangdong General Hospital was collected, including 46 cases of type A, 22 cases of type B. There was no type C case. Except for 5 cases without patent ductus arteriosus or other intracardiac malformations, the remaining 63 cases were combined with intracardiac deformity...
December 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Mary Adjeiwaah, Mikael Bylund, Josef A Lundman, Karin Söderström, Björn Zackrisson, Joakim H Jonsson, Anders Garpebring, Tufve Nyholm
PURPOSE: To evaluate the effect of magnetic resonance imaging (MRI) geometric distortions on head and neck radiotherapy treatment planning (RTP) in for an MRI-only RTP. We also assessed the potential benefits of patient-specific shimming to reduce the magnitude of MR distortions for a 3 T scanner. MATERIALS AND METHODS: Using an in-house Matlab algorithm, shimming within entire imaging volumes and user-defined region of interest (ROI) were simulated. We deformed 21 patient CTs (CT) with MR distortion fields (gradient nonlinearity and patient-induced susceptibility effects) to create distorted CT (dCT) images using bandwidths of 122 and 488 Hz/mm at 3 T...
November 26, 2018: International Journal of Radiation Oncology, Biology, Physics
Anthony A Catanzano, Robert D Fitch
CASE: Osteopetrosis is a heritable disease that causes brittle bones that are prone to fracture. Furthermore, these brittle bones have a poor healing response and a high risk of subsequent refracture. Many treatment strategies have been described for initial fracture stabilization; however, there is a paucity of literature describing treatment of refractures and subsequent deformity. We present the long-term results of a unique case in which we used a circular external fixator, the TAYLOR SPATIAL FRAME (Smith & Nephew), to correct a deformity in a patient with osteopetrosis who suffered multiple refractures of the tibia...
November 28, 2018: JBJS Case Connector
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