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Deformity surgery

Luigi Cormio, Vito Mancini, Paolo Massenio, Nicola d'Altilia, Oscar Selvaggio, Giuseppe Di Fino, Gennaro Selvaggi, Giuseppe Carrieri
INTRODUCTION: Surgery remains the gold standard for treatment in stable patients with penile deformity associated to Peyronie's disease (PD). AIM: To evaluate the long-term results of plaque incision and buccal mucosa grafting (BMG), with or without additional tunica albuginea plication (TAP), in the correction of severe penile curvatures secondary to PD. METHODS: 72 patients with severe curvature caused by PD, normal erections, and stable disease entered this prospective study...
December 11, 2018: Sexual Medicine
Christopher N Warne, Rami R Hallac, Alex A Kane, Christopher A Derderian, James R Seaward
Human interactions begin with near-instantaneous visual evaluation of the face, modifying emotional responses and social behavior toward the person. Eye-tracking technology can provide a potential window into how humans undertake this evaluation, and the threshold of whether a face containing a craniofacial difference is perceived as "normal." This study's main questions were whether gaze patterns differ from normal when evaluating children with craniofacial differences, and whether these gaze patterns vary with different levels of craniofacial deformity...
December 13, 2018: Journal of Craniofacial Surgery
Till D Lerch, Eduardo N Novais, Florian Schmaranzer, Kai Ziebarth, Simon D Steppacher, Moritz Tannast, Klaus A Siebenrock
BACKGROUND: Prophylactic pinning of the asymptomatic and normal-appearing contralateral hip in patients with unilateral slipped capital femoral epiphysis (SCFE) remains controversial. Understanding the minimal 10-year clinical, functional, and radiographic outcomes of the contralateral asymptomatic hip in unilateral SCFE may be helpful in the decision regarding whether the benefits associated with potentially preventing a SCFE are outweighed by the risk of additional surgery. QUESTIONS/PURPOSES: Among patients with SCFE treated with prophylactic pinning of the asymptomatic and contralateral hip, we sought (1) to determine the complications and reoperations; (2) to evaluate the development of cam deformities and the frequency and severity of osteoarthritis progression; and (3) to characterize hip pain and function as measured by the Harris hip score (HHS) and the Hip Disability and Osteoarthritis Outcome Score (HOOS) at minimal 10-year followup...
December 13, 2018: Clinical Orthopaedics and related Research
Q Q Zhu, S X Wen, J M Fan
In our literature review, we searched the case reports of RosaiDorfman disease (RDD) in Chinese and English, and summarize clinical features, diagnosis and treatment of the disease. At present, it is believed that nasal RDD is a kind of benign cell hyperplastic disease, which mainly causes nasal obstruction, inflammation and nasal deformity, and is easy to misdiagnose. Optional treatments for this disease include medical treatment based on steroid therapy, which can alleviate and stabilize the disease; surgery can completely remove the lesions of some patients, or help some patients improve their symptoms...
December 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
J H Lin, Z F Xia
Pediatric laryngotracheal stenosis is a refractory disease in the present otorhinolaryngological head and neck surgery, including congenital stenosis caused by laryngotracheal deformities and acquired stenosis. The incidence of congenital laryngotracheal malformation has a rising trend.But acquired stenosis is still more common,which is mostly caused by iatrogenic injury (e.g. endotracheal intubation and tracheotomy).So prevention and early intervention are very important.and the standardization of the endotracheal intubation and tracheotomy operation and follow-up care are necessary...
July 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Nikhil Adapa, Nikhil Jain, Allison Capek, Rajiv Chandawarkar, Safdar N Khan, Yazeed M Gussous, Elizabeth Yu
Background: Wound complications can occur in up to 20% of patients following multilevel posterior spinal fusion. Currently, the use of local flaps has been reported in high-risk patients with a history of spinal neoplasm, radiation therapy, exposed hardware, multiple spine surgeries, or wound infections. However, there are no reports of prophylactic muscle flap wound closure in patients undergoing multi-level spinal fusion for degenerative pathology. Given the extensive soft tissue dissection for exposure compounded by patient comorbidities, there is potential to minimize the risk of wound complications with prophylactic trapezius and/or paraspinal flap coverage...
September 2018: Journal of Spine Surgery (Hong Kong)
(no author information available yet)
OBJECTIVEAdult spinal deformity surgery is an effective way of treating pain and disability, but little research has been done to evaluate the costs associated with changes in health outcome measures. This study determined the change in quality-adjusted life years (QALYs) and the cost per QALY in patients undergoing spinal deformity surgery in the unique environment of a military healthcare system (MHS).METHODSPatients were enrolled between 2011 and 2017. Patients were eligible to participate if they were undergoing a thoracolumbar spinal fusion spanning more than 6 levels to treat an underlying deformity...
December 1, 2018: Neurosurgical Focus
Adrienn Dobai, Zsolt Markella, Tamás Vízkelety, József Barabás
We summarize up-to-date planning technics of orthognathic and reconstructive surgery operation which appeared with three-dimensional imaging, using literature data and some clinical examples. In many cases, orthognathic and reconstructive operations mean the only treatment of facial deformity caused by tumour, traumatic injury or congenital anomaly. In this field, radiology plays an important role not only in the diagnosis but also in the planning of the treatment. With the appearance of cone-beam computed tomography (CBCT), the previously used two-dimensional cephalometric analysis on lateral cephalogram was changed for three-dimensional cephalometric measurements...
September 2018: Orvosi Hetilap
E Vergara-Amador, L López Rincón, S Herrera Rodríguez
INTRODUCTION: radial longitudinal deficiency (RLD) includes bone, musculotendinous and neurovascular abnormalities of multifactorial aetiology of the radial side of the upper extremity. Treatment includes improving the length of the limb, the appearance and functioning of the hand. The aim of this study was to present our experience in a series of patients attended over the past 15 years and to describe the clinical and radiological results. METHODOLOGY: a retrospective study of patients with RLD between 2000 and 2016...
December 9, 2018: Revista Española de Cirugía Ortopédica y Traumatología
Jingyan Yang, Marc Khalifé, Renaud Lafage, Han Jo Kim, Justin Smith, Christopher I Shaffrey, Douglas C Burton, Christopher P Ames, Gregory M Mundis, Richard Hostin, Shay Bess, Eric O Klineberg, Robert A A Hart, Frank J Schwab, Virginie Lafage
STUDY DESIGN: Retrospective review of prospective multicenter database. OBJECTIVE: To identify an optimal set of factors predicting the risk of PJF while taking the time dependency of PJF and those factors into account. SUMMARY OF BACKGROUND DATA: Surgical correction of adult spinal deformity (ASD) can be complex and therefore, may come with high revision rates due to proximal junctional failure (PJF). METHODS: 763 operative ASD patients with a minimum of 1-year follow-up were included...
December 11, 2018: Spine
Tomas K Kuprys, Leah M Steinmetz, Charla R Fischer, Themistocles S Protopsaltis, Peter G Passias, Jeffrey A Goldstein, John A Bendo, Thomas J Errico, Aaron J Buckland
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: The goals of this study were to (1) evaluate pre-operative bone quality assessment and intervention practice over time and (2) review the current evidence for bone evaluation in spine fusion surgery. SUMMARY OF BACKGROUND DATA: Deformity spine surgery has demonstrated improved quality of life in patients however its cost has made it controversial. If pre-operative bone quality can be optimized then potentially these treatments could be more durable however, at present, no clinical practice guidelines have been published by professional spine surgical organizations...
December 11, 2018: Spine
Nail Özdemir, Senem Alkan Özdemir, Esra Arun Özer
PURPOSE: Kyphosis is the most severe spinal deformity associated with meningomyelocele (MMC) and is seen in approximately 15% of neonates. Our purpose is to present our clinical experience, to discuss the technique and deformity correction in kyphectomy in neonates with MMC, and to assess its long-term outcomes. METHOD: In this prospective study, the authors reviewed eight cases submitted to surgery between 2013 and 2015. We evaluated clinical characteristics that were analyzed, as were the operative technique employed, and angle range of the kyphosis deformity postcorrection follow-up...
December 11, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Mitsuru Yagi, Naobumi Hosogane, Nobuyuki Fujita, Eijiro Okada, Satoshi Suzuki, Osahiko Tsuji, Narihito Nagoshi, Takashi Asazuma, Takashi Tsuji, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
BACKGROUND CONTEXT: Corrective surgery for adult spinal deformity (ASD) improves health-related quality of life but has high complication rates. Predicting a patient's risk of perioperative and late postoperative complications is difficult, although several potential risk factors have been reported. PURPOSE: To establish an accurate, ASD-specific model for predicting the risk of postoperative complications, based on baseline demographic, radiographic, and surgical invasiveness data in a retrospective case series...
December 8, 2018: Spine Journal: Official Journal of the North American Spine Society
Mark C Kendall, Lucas J Castro Alves, Edward I Suh, Zachary L McCormick, Gildasio S De Oliveira
Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. The majority of the articles published from 2013 to 2017 reported that the use of regional anesthesia minimized postoperative pain and reduced opioid consumption...
2018: Local and Regional Anesthesia
Yueh-Hsiu Lu, Chia-Chieh Wu, Chen-Pu Hsieh
Background: A variety of surgical techniques for treating mallet fracture finger has been reported with different outcomes and complications. However, the optimal procedure remains controversial. This study describes surgical outcomes of mallet fractures of the finger with distal phalanx treated by modified pull-out wire fixation with Kirschner wire (K-wire) stabilization of the DIP joint in hyperextension. Materials and Methods: 30 patients who had mallet fracture finger injuries (Doyle's classification type IVC) with DIP joint subluxation between January 2009 and January 2015 were included in this study...
November 2018: Indian Journal of Orthopaedics
Yuki Oichi, Junya Hanakita, Toshiyuki Takahashi, Manabu Minami, Taigo Kawaoka, Yusuke Funakoshi, Takeshi Kawauchi, Yasufumi Ohtake
Objective: Computed tomography following myelography (CTM) revealed an unusual flow of contrast dye into the anterior median fissure (AMF) in a patient with cervical spondylotic myelopathy. Since then, several AMF configurations have been observed on CTM. Therefore, we evaluated morphological patterns of the AMF on CTM and investigated the significance and mechanisms of contrast dye flow into the AMF. Methods: Morphological patterns of the AMF on CTM were examined in 79 patients...
September 4, 2018: Neurospine
Robert F Murphy, Leah Plumblee, Brian Sleasman, William Barfield, Matthew A Dow, James F Mooney
The purpose of this study was to compare the efficacy of a single-sugar-tong splint (SSTS) to a long-arm cast (LAC) in maintaining reduction of pediatric forearm fractures, while avoiding secondary intervention. One hundred patients age 3-15 with a forearm fracture requiring a reduction and immobilization were evaluated (50 LAC and 50 SSTS). Medical records and radiographs were reviewed at injury, postreduction, and at 1, 2, and 4 weeks postinjury. Sagittal and coronal angular deformities were recorded. Any secondary intervention due to loss of reduction was documented...
December 6, 2018: Journal of Pediatric Orthopedics. Part B
Kemble K Wang, Tom F Novacheck, Adam Rozumalski, Andrew G Georgiadis
BACKGROUND: Fixed knee flexion deformity is common in children with neuromuscular disorders. Anterior guided growth (AGG) of the distal femur can achieve gradual correction in patients who are skeletally immature. Little outcome data are available on this procedure. METHODS: This is a retrospective matched cohort study. Forty-two knees (26 patients) underwent AGG surgery at our institution between 2007 and 2017. All patients underwent instrumented 3-dimensional gait analysis (3DGA)...
December 8, 2018: Journal of Pediatric Orthopedics
Long Lei, Xiaozhi Qi, Shibo Li, Yuanyuan Yang, Ying Hu, Bing Li, Shijia Zhao, Yanfang Zhang
Self-expanding Nitinol stents are increasingly used to treat femoropopliteal artery (FPA) occlusions, but the risk of stent fatigue failure exists due to complex artery deformation during daily activities. Finite element analysis (FEA) has been widely applied to study the stent fatigue behaviours, but physiological deformation and atherosclerotic plaque were not considered simultaneously in previous studies. In this work, to show the necessity and feasibility of considering both factors in evaluation of the stent fatigue behaviours, a comprehensive FEA framework considering both factors is established, and an easy loading method for the complex boundary condition is proposed...
November 29, 2018: Computers in Biology and Medicine
Cody C Wyles, Joseph A Panos, Matthew T Houdek, Robert T Trousdale, Daniel J Berry, Michael J Taunton
BACKGROUND: Spondyloepiphyseal dysplasia (SED) is rare genetic condition which leads to skeletal and joint deformities that can predispose patients to degenerative joint disease. There are limited reports on the results of total hip arthroplasty (THA) in this patient population. The purpose of this study is to review clinical and radiographic outcomes of THA performed in patients with SED at one institution. METHODS: Among 43,917 patients undergoing primary THA from 1970 to 2015, we identified 50 THAs performed in 29 patients with SED; 21 patients underwent bilateral THA (none simultaneous)...
October 30, 2018: Journal of Arthroplasty
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