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Deformity surgery

Weiqing Ge, Brittany Hians, Alison Sfara
Background: Existing variation has been identified in the rehabilitation programs for patients following cardiac surgery. Sternal precautions are believed to be overly restrictive and detrimental to patient recovery both physically and psychologically. Objective: The objective of this study was to determine the deformation of sternal skin during shoulder movements and upper extremity activities using a non-contact approach. Design: This study was a cross-sectional, nonexperimental observational study...
August 13, 2018: Physical Therapy
Robert L Buly, Branden R Sosa, Lazaros A Poultsides, Elaine Caldwell, S Robert Rozbruch
BACKGROUND: Version abnormalities of the femur can cause pain and hip joint damage due to impingement or instability. A retrospective clinical review was conducted on patients undergoing a subtrochanteric derotation osteotomy for either excessive anteversion or retroversion of the femur. METHODS: A total of 55 derotation osteotomies were performed in 43 patients: 36 females and 7 males. The average age was 29 years (range, 14 to 59 years). The osteotomies were performed closed with an intramedullary saw...
August 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
Branum Griswold, Shawn Gilbert, Joseph Khoury
Background: Tibia vara, or Blount's disease, is a pathologic angular deformity of upper tibial physis causing a bow leg deformity. Adolescent Blount's disease may be unilateral or bilateral and is diagnosed during or just before the adolescent growth spurt. In addition to predisposing genetic factors, biomechanical overload of the proximal tibial physis causes asymmetric growth leading to a varus deformity.Surgical intervention is usually required for adolescent Blount's disease. Hemiepiphysiodesis has had some success in arresting or correcting the deformity...
2018: Iowa Orthopaedic Journal
Abbas Peymani, Anna Rose Johnson, Arriyan S Dowlatshahi, Johannes G G Dobbe, Samuel J Lin, Joseph Upton, Geert J Streekstra, Simon D Strackee
BACKGROUND: Madelung deformity is a congenital wrist condition characterized by volar subluxation of the wrist caused by premature growth arrest of the distal radius. Progressive symptoms can necessitate surgical intervention, yet optimal treatment strategy remains unknown. The aim of this study is to determine treatment options, surgical indications, and operative outcomes for Madelung deformity. METHODS: This study adhered to the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) guidelines...
August 13, 2018: Hand: Official Journal of the American Association for Hand Surgery
Leigh Davis, Joshua S Murphy, Kenneth A Shaw, Kaitlin Cash, Dennis P Devito, Michael L Schmitz
BACKGROUND: Orthotic treatment for adolescent idiopathic scoliosis is a mainstay in nonoperative treatment to prevent progressive spinal deformity. OBJECTIVE: To determine the effectiveness of the Providence orthosis in the treatment of adolescent idiopathic scoliosis. STUDY DESIGN: Retrospective review. METHODS: Patients treated with a Providence orthosis for adolescent idiopathic scoliosis were reviewed. Inclusion criteria included the following: age of 10-18 years; curve magnitude of 25°-40°; Risser stage of 0-2; and, if female, <1 year post menarche at the time of brace initiation...
August 13, 2018: Prosthetics and Orthotics International
Su Keng Tan, Alexander Th Tang, Dr Odont, Wai Keung Leung, Roger A Zwahlen
PURPOSE: To investigate short- and long-term post-surgical three-dimensional changes of pharyngeal airway morphology and hyoid bone position in dento-skeletal class II deformity patients after two-jaw surgery with segmentation. METHODS: Relations between skeletal movement, hyoid bone position and three-dimensional pharyngeal airway changes were retrospectively analyzed on pre- and post-surgical CBCTs in dento-skeletal class II patients who underwent orthognathic two-jaw surgery with segmentation...
August 9, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Themistocles S Protopsaltis, Bassel G Diebo, Renaud Lafage, Jensen K Henry, Justin S Smith, Justin K Scheer, Daniel M Sciubba, Peter G Passias, Han Jo Kim, D Kojo Hamilton, Alexandra Soroceanu, Eric O Klineberg, Christopher P Ames, Christopher I Shaffrey, Shay Bess, Robert A Hart, Frank J Schwab, Virginie Lafage
STUDY DESIGN: Retrospective analysis. OBJECTIVE: To define thoracic compensation and investigate its association with postoperative reciprocal thoracic kyphosis and proximal junctional kyphosis (PJK) SUMMARY OF BACKGROUND DATA.: Adult spinal deformity (ASD) patients recruit compensatory mechanisms like pelvic retroversion and knee flexion. However, thoracic hypokyphosis is a less recognized compensatory mechanism. METHODS: Patients enrolled in a multicenter ASD registry undergoing fusions to the pelvis with UIV between T9-L1 were included...
August 9, 2018: Spine
Dimitrios Kloukos, Piotr Fudalej, Patrick Sequeira-Byron, Christos Katsaros
BACKGROUND: Cleft lip and palate is one of the most common birth defects and can cause difficulties with feeding, speech and hearing, as well as psychosocial problems. Treatment of orofacial clefts is prolonged; it typically commences after birth and lasts until the child reaches adulthood or even into adulthood. Residual deformities, functional disturbances, or both, are frequently seen in adults with a repaired cleft. Conventional orthognathic surgery, such as Le Fort I osteotomy, is often performed for the correction of maxillary hypoplasia...
August 10, 2018: Cochrane Database of Systematic Reviews
Aakash Agarwal, Ankur Goswami, Govindaraja Perumal Vijayaraghavan, Abhishek Srivastava, Pankaj Kandwal, Upendra Bidre Nagaraja, Vijay K Goel, Anand K Agarwal, Arvind Jayaswal
STUDY DESIGN: A prospective single-center study OBJECTIVE.: To record the characteristic forces and lengths observed during distraction episodes in early onset scoliosis (EOS), and analyze their interdependencies on the key variability among the patients. SUMMARY OF BACKGROUND DATA: The goal of the growing-rod technique is to achieve deformity correction alongside maintaining growth of the spine. The deformity correction is achieved during the initial surgery but follow up distraction episodes are necessary to maintain the growth...
August 7, 2018: Spine
Michael T Archdeacon, Cory A Collinge, Adam P Schumaier, Georgina Glogovac
Pelvic fractures are common after high-energy trauma and are often associated with ligamentous injury. Treatment is guided by assessing stability of the pelvic ring, and unstable injuries frequently require surgery to achieve a desirable outcome. Assessment of pelvic ring stability is often possible with physical examination and standard imaging studies (plain radiographs and computed tomography); however, these "static" imaging modalities may not adequately identify dynamically unstable pelvic injuries that require surgery...
September 2018: Journal of Orthopaedic Trauma
Tetsuro Ohba, Shigeto Ebata, Hiroki Oba, Kensuke Koyama, Hirotaka Haro
STUDY DESIGN: This was a retrospective cohort study using consecutive patients. OBJECTIVES: The objectives of this study were to evaluate the effect of lumbar lordosis (LL) construction on postoperative reciprocal progression of thoracic kyphosis (TK) and occurrence of proximal junctional kyphosis (PJK) following surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA: A large postoperative TK has been reported as an iatrogenic risk factor for PJK following surgery for ASD...
August 7, 2018: Clinical Spine Surgery
Paul Park, Kai-Ming Fu, Praveen V Mummaneni, Juan S Uribe, Michael Y Wang, Stacie Tran, Adam S Kanter, Pierce D Nunley, David O Okonkwo, Christopher I Shaffrey, Gregory M Mundis, Dean Chou, Robert Eastlack, Neel Anand, Khoi D Than, Joseph M Zavatsky, Richard G Fessler
OBJECTIVE Achieving appropriate spinopelvic alignment in deformity surgery has been correlated with improvement in pain and disability. Minimally invasive surgery (MIS) techniques have been used to treat adult spinal deformity (ASD); however, there is concern for inadequate sagittal plane correction. Because age can influence the degree of sagittal correction required, the purpose of this study was to analyze whether obtaining optimal spinopelvic alignment is required in the elderly to obtain clinical improvement...
August 10, 2018: Journal of Neurosurgery. Spine
T David Luo, Fiesky A Nunez, Elizabeth A Newman, Fiesky A Nunez
BACKGROUND: Distal radius articular step-off or deformity may cause posttraumatic arthritis and poor functional outcome. The purpose of this study was to evaluate pain and functional outcomes in patients with malunited partial articular distal radius fractures who underwent corrective osteotomy. We hypothesized that anatomic restoration of distal radius articular surface after a malunited partial articular distal radius fracture results in improvement in pain and functional measures and delays the development of posttraumatic arthritis...
August 10, 2018: Hand: Official Journal of the American Association for Hand Surgery
Zheng Li, Chong Chen, Youxi Lin, Xingye Li, Haining Tan, Matthew Tv Chan, William Kk Wu, Songtao Zhan, Qun Cao, Jianxiong Shen
Posterior spinal reconstruction with rods and pedicle screws has been widely used to corrects coliosis and other forms of degenerative spinal deformities. However, insertion of pedicle screwsis often clinically challenging, particularlyin patients with severe deformity. Bioelectrical impedance analysis is a technique that exploits the electrical properties of biological organs and tissues to indicate their compositions. Bioelectrical impedance measurement is non-invasive, simple, with adequate repeatability, and at a relatively low cost...
2018: American Journal of Translational Research
Ting Zhang, Charles T Price, James J McCarthy, Jie Nguyen, Kenneth J Noonan
Unicameral/aneurysmal bone cysts can lead to pain, fracture, and limb deformity. In this study, the authors evaluated the outcome of triphasic bone graft to treat unicameral/aneurysmal bone cysts. They retrospectively evaluated 41 immature patients from a prospectively enrolled cohort from 2 institutions treated from May 9, 2007, to November 1, 2014. Medical record review and evaluation of radiographs and computed tomography scans were performed. The authors characterized replacement of the material by normal bone or recurrent cyst at final follow-up...
August 9, 2018: Orthopedics
Feng Yang, Yang Liu
INTRODUCTION: The aim of this work was to report and describe the different types of congenital middle ear malformations in order to guide surgical treatment approaches and improve outcomes for affected patients. METHODS: The authors reviewed patients with congenital middle ear malformations who received surgical treatment between September 2010 and March 2017. Patient characteristics, middle ear deformities, and surgical procedures were documented. RESULTS: In this retrospective study, 35 patients were reviewed...
August 9, 2018: Annals of Otology, Rhinology, and Laryngology
Robert A Duerr, Darin Nye, James M Paci, Sam Akhavan
Background: Pathology of the long head of the biceps tendon is a well-known cause of shoulder pain that is commonly managed with arthroscopic suprapectoral biceps tenodesis when conservative treatment fails. Purpose: To present an arthroscopic knotless suprapectoral biceps tenodesis technique known as "Loop 'n' Tack" tenodesis and to report the clinical outcomes of patients with a minimum 2 years of follow-up. Study Design: Case series; Level of evidence, 4...
June 2018: Orthopaedic Journal of Sports Medicine
Joanne L Kemp, Kay M Crossley, Rintje Agricola, Fenna Geuskens, Marienke van Middelkoop
Background: The prevalence of radiographic hip osteoarthritis (OA), and its relationship with outcomes after hip arthroscopy is unclear. Objectives: The aims of this study were to: (i) describe the prevalence of OA and cam deformity 12-24 months post hip arthroscopy; (ii) to determine the association between radiographic OA and cam deformity, surgical and clinical findings and symptoms; and (iii) describe the differences between legs for radiological and clinical findings...
April 2018: International Journal of Sports Physical Therapy
Octavio Cintra, Simonas Grybauskas, Carlos Jorge Vogel, Dalia Latkauskiene, Nilo Alves Gama
Dentofacial deformities usually are surgically treated, and 3D virtual planning has been used to favor accurate outcomes. Cases reported in the present article show that orthognathic surgery carried out to correct facial asymmetries does not comprise only one treatment protocol. 3D virtual planning might be used for surgical planning, but it should also be used to diagnose the deformity, thus allowing for an analysis of the best-recommended possibilities for the orthodontic preparation that suits each individual case...
May 2018: Dental Press Journal of Orthodontics
Babak Alinasab, Karl-Johan Borstedt, Rebecka Rudström, Michael Ryott, Abdul Rashid Qureshi, Pär Stjärne
To clarify the conflicting recommendations for care of blowout fracture (BOF), a prospective randomized study is required. Here, we present a prospective randomized pilot study on BOF. This article aimed to evaluate which computed tomography (CT) findings predict late functional and/or cosmetic symptoms in BOF patients with ≥ 1.0 mL herniation of orbital content into maxillary and/or ethmoidal sinuses. It also aimed to evaluate which patients with BOF would benefit from surgical treatment or observational follow-up...
September 2018: Craniomaxillofacial Trauma & Reconstruction
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