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Deformity surgery

Myriam Amsallem, Olaf Mercier, Yukari Kobayashi, Kegan Moneghetti, Francois Haddad
In the last decade, there has been renewed interest in the study of the right ventricle. It is now well established that right ventricular function is a strong predictor of mortality, not only in heart failure but also in pulmonary hypertension, congenital heart disease, and cardiothoracic surgery. The right ventricle is part of a cardiopulmonary unit with connections to the pulmonary circulation, venous return, atria, and left ventricle. In this context, ventriculoarterial coupling, interventricular interactions, and pericardial constraint become important to understand right ventricular adaptation to injury or abnormal loading conditions...
October 4, 2018: JACC. Heart Failure
Hiroshi Uei, Yasuaki Tokuhashi, Masafumi Maseda, Masahiro Nakahashi, Hirokatsu Sawada, Koji Matsumoto, Hiroyuki Miyakata
BACKGROUND: Proximal junctional kyphosis (PJK) following adult spinal deformity (ASD) surgery in elderly patients is markedly influenced by osteoporosis causing additional vertebral fracture and loosening of pedicle screws (PS). This study aimed to investigate the association between mean bone density represented in Hounsfield units (HU) on spinal computed tomography (CT) and revision surgery for PJK or postoperative additional vertebral fracture following ASD surgery in elderly patients...
October 12, 2018: Journal of Orthopaedic Surgery and Research
Jamshid H Karimov, Tomislav Mihaljevic, Shengqiang Gao, Gengo Sunagawa, Patrick Grady, Martin Sinkewich, Kiyotaka Fukamachi
OBJECTIVE: With heart disease increasing worldwide, demand for new minimally invasive techniques and transcatheter technologies to treat structural heart disease is rising. Cardioscopy has long been considered desirable, as it allows direct tissue visualization and intervention to deliver therapy via a closed chest, with real-time fiber-optic imaging of intracardiac structures. Herein, the feasibility of the advanced cardioscopic platform, allowing both transapical and fully percutaneous access is reported...
October 9, 2018: Seminars in Thoracic and Cardiovascular Surgery
Go Yoshida, Muneharu Ando, Shiro Imagama, Shigenori Kawabata, Kei Yamada, Tsukasa Kanchiku, Yasushi Fujiwara, Nobuaki Tadokoro, Masahito Takahashi, Kanichiro Wada, Naoya Yamamoto, Sho Kobayashi, Hiroki Ushirozako, Kazuyoshi Kobayashi, Akimasa Yasuda, Kenichi Shinomiya, Toshikazu Tani, Yukihiro Matsuyama
STUDY DESIGN: Prospective multicenter study OBJECTIVE.: To analyze the incidence of intraoperative spinal neuromonitoring (IONM) alerts and neurological complications, as well as to determine which interventions are most effective at preventing postoperative neurological complications following IONM alerts in high risk spinal surgeries. SUMMARY OF BACKGROUND DATA: IONM may play a role in identifying and preventing neural damage; however, few studies have clarified the outcomes of intervention after IONM alerts...
October 11, 2018: Spine
Senol Bekmez, Ayaz Afandiyev, Ozgur Dede, Eda Karaismailoğlu, Halil G Demirkiran, Muharrem Yazici
BACKGROUND: Magnetically controlled growing rod (MCGR) concept was introduced with the premise of minimizing the repetitive lengthening surgeries, which is default in traditional growing rod (TGR) treatment for early-onset scoliosis (EOS). Despite good radiographic outcomes, previous studies did not compare identical patient groups in terms of etiology and deformity characteristics; therefore, a true comparison of the MCGR and TGR is essential. This study was designed to compare 2 techniques in terms of clinical, radiologic, and health-related quality of life (HRQoL) outcomes...
October 11, 2018: Journal of Pediatric Orthopedics
Elizabeth A Rapp van Roden, Robert Tyler Richardson, Stephanie A Russo, William C Rose, Kristen F Nicholson, Ross S Chafetz, Peter G Gabos, Suken A Shah, Amer F Samdani, James G Richards
BACKGROUND: Nonsurgically treated patients with AIS demonstrate altered scapular kinematics and decreased patient-reported shoulder function compared with typically developing adolescents. It is unknown whether surgical correction of the spine deformity has beneficial or detrimental effects on scapulothoracic joint function, as previous assessments of shoulder function following surgery have only focused on humerothoracic motion. The objective of this study was to perform a comprehensive analysis of scapular kinematics before and after PSF and compare postoperative scapular kinematics in AIS to those of a typically developing cohort...
October 11, 2018: Journal of Pediatric Orthopedics
Jesus Benito-Ruiz, Francisco de Cabo, Marisa Manzano, Laura Salvador
BACKGROUND: Breast implants may be responsible for secondary deformities produced by parenchymal atrophy. However, few studies in the literature have reported changes in breast tissue after augmentation surgery. In this study, the breast thickness of patients undergoing breast augmentation was monitored by ultrasound, and correlations with surface, volume and projection measurements were examined. METHODS: We studied the parenchymal thickness at the lower pole of the breast with ultrasound in 36 women (72 breasts)...
October 11, 2018: Aesthetic Plastic Surgery
T Tarhan, A Meurer, O Tarhan
OBJECTIVE: Description of a novel technique to surgically correct (asymmetric) pectus carinatum and other chest deformities using a metal bar without fixation to the ribs. INDICATIONS: Severe thoracic deformity, extensive psychological strain, social isolation, pain and respiratory complaints. Pseudarthrosis or insufficient correction of a thoracic deformity after prior surgery. Distinctive deformities. CONTRAINDICATIONS: Acute infections...
October 11, 2018: Operative Orthopädie und Traumatologie
Yong Huang, Ganjun Feng, Limin Liu, Xi Yang, Yueming Song, Chunguang Zhou, Lei Wang, Zhongjie Zhou
The treatment of congenital hemivertebrae in the upper thoracic region is challenging. The objective of this study was to investigate the outcomes of posterior hemivertebral resection for the upper thoracic region. Twenty-one patients diagnosed with upper thoracic congenital scoliosis were included. All of them received hemivertebral resection surgery via the posterior-only approach with at least 2 years of follow-up. The radiographic parameters and Scoliosis Research Society-22 score were analyzed. All the intraoperative and postoperative complications were recorded retrospectively...
October 10, 2018: Journal of Pediatric Orthopedics. Part B
Alexander E Weber, William H Neal, Erik N Mayer, Benjamin D Kuhns, Elizabeth Shewman, Michael J Salata, R Chad Mather, Shane J Nho
BACKGROUND: Interportal and T-capsulotomies are popular techniques for exposing femoroacetabular impingement deformities. The difference between techniques with regard to the force required to distract the hip is currently unknown. PURPOSE: To quantify how increasing interportal capsulotomy size, conversion to T-capsulotomy, and subsequent repair affect the force required to distract the hip. STUDY DESIGN: Controlled laboratory study. METHODS: Eight fresh-frozen cadaveric hip specimens were dissected and fixed in a materials testing system, such that pure axial distraction of the iliofemoral ligament could be achieved...
October 11, 2018: American Journal of Sports Medicine
Matthew V Smith, Michelle Gosselin, Karen Steger-May, Matthew J Matava, Rick W Wright, Robert H Brophy
Background: Patient preference information has become increasingly more important in clinical decision making. Purpose: To assess patient preferences when making treatment decisions in the shoulder to determine which features are more important according to patient age, race, activity level, and sex. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Study participants aged ≥18 years were surveyed as to their preferences regarding surgical treatment for shoulder and proximal biceps abnormalities...
October 2018: Orthopaedic Journal of Sports Medicine
Toru Iga, Ken Kato, Tatsuro Karita
A subtrochanteric fracture of the femur accompanying pre-existing osteoarthritis of the ipsilateral hip is rare. A deformity of the hip joint complicates the insertion of the intramedullary nail and varus malreduction is anticipated when surgery is performed on a fracture table with a perineal post. We report a successful case of intramedullary fixation performed in the lateral decubitus position and discuss the importance of avoiding varus and the superiority of the lateral position in surgery.
July 31, 2018: Curēus
Andrea Veljkovic, Michael Symes, Alastair Younger, Chamnanni Rungprai, Kaniza Zahra Abbas, Peter Salat, Joshua Tennant, Phinit Phisitkul
BACKGROUND: Standard open calcaneal osteotomies to correct hindfoot malalignment have been associated with high complication rates, including nerve damage and wound infection. This has resulted in the development of minimally invasive techniques such as the percutaneous endoscopically assisted calcaneal osteotomy (PECO), which in cadaver studies has been shown to be potentially safer than open surgeries. The aim of this study was to demonstrate the safety and effectiveness of PECO in a clinical setting, with regard to neurovascular injury rates, infection, and short-term radiographic and functional outcomes...
October 11, 2018: Foot & Ankle International
Todor Krastev, Arjen van Turnhout, Eline Vriens, Luc Smits, René van der Hulst
Importance: Autologous fat transfer (AFT or fat grafting) has become an invaluable tool for the correction of disfiguring deformities after breast cancer surgery. However, clinical and animal studies have shown conflicting results regarding its oncologic safety. Objective: To determine whether exposure to AFT vs conventional breast reconstruction is associated with increased rates of cancer relapse in patients with breast cancer. Design, Setting, and Participants: This matched cohort study involved retrospective medical record review to identify all patients in a local patient database receiving AFT between 2006 and 2014...
October 10, 2018: JAMA Surgery
Tomasz Buczek, Wiesław Tarnowski, Marcin Kuriata, Maciej Śmietański
Anterior abdominal wall reconstruction surgery in patients who have undergone multiple laparotomies is associated with a high risk of complications. For this reason, minimally invasive surgery techniques are used to avoid abdominal compartment syndrome, to enhance wound healing and to reduce postoperative pain and blood loss. This paper presents a case of a patient who was admitted to the Department of General Surgery in Puck Hospital as a result of extensive anterior abdominal wall deformation with an end descending colostomy...
September 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Muharrem Özkaya, Mehmet Bilgin
Introduction: The minimally invasive pectus carinatum surgery described by Abramson has been performed in many centers. We modified the "sub-muscular tunnel creation" part of the original Abramson technique. Aim: To compare the operative time between the original Abramson technique and a lightly modified approach. Material and methods: A retrospective review of 84 patients who underwent minimally invasive repair of pectus carinatum deformity between July 2008 and November 2017 was performed...
September 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Yi Sun, Lei Tian, Heinz-Theo Luebbers, Constantinus Politis
Bilateral sagittal split ramus osteotomy (BSSO) surgery is used to correct various dento-skeletal deformities. Clinical outcomes are critically dependent on accurate and proper positioning of skeletal units created by BSSO. Monitoring skeletal changes postoperatively is a major part of follow-up. Between January 2015 and December 2015, 24 patients underwent BSSO surgery without any other segmental osteotomy (mean age, 29.9 ± 14.2 [range, 17-67] years; 18 females). Cephalometric X-rays and cone-beam computed tomography scans were performed 6 weeks and 12 months postoperatively...
September 20, 2018: Journal of Cranio-maxillo-facial Surgery
Robert C Spang, Frances A Tepolt, Nikolaos K Paschos, Lauren H Redler, Eric A Davis, Mininder S Kocher
OBJECTIVES: A variety of surgical options exist to treat the challenging problem of recurrent patellar instability in children and adolescents. The goal of the current study is to describe a novel combined reconstruction technique of both the medial patellofemoral ligament (MPFL) and the medial quadriceps tendon-femoral ligament (MQTFL) and report patient outcomes of a single-surgeon series. METHODS: All patients studied underwent simultaneous MPFL and MQTFL reconstruction for patellar instability using gracilis allograft...
October 8, 2018: Journal of Pediatric Orthopedics
Jennifer M Bauer, Vijay Yanamadala, Suken A Shah, Rajiv K Sethi
There is an increased trend in complex spine deformity cases toward a two attending surgeon approach, but the practice has not become widely accepted by payers. Multiple studies have shown that spine surgery complications increase with the duration of case, estimated blood loss, and use of transfusions, as well as in certain high-risk populations or those requiring three-column osteotomies. Dual-surgeon cases have been shown to decrease estimated blood loss, transfusion rate, surgical times, and therefore complication rates...
October 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
Ishan Shah, Christopher Wang, Nick Jain, Blake Formanek, Zorica Buser, Jeffrey Wang
BACKGROUND CONTEXT: Previous studies have found an association between mental illness and poor outcomes in spine surgery, but little is known about the effects of depression and/or anxiety on the adult spinal deformity population. In addition, most relevant studies exclusively focused on the lumbar spine and had relatively small patient sizes. PURPOSE: The aim of this study was to investigate whether adult spinal deformity patients with depression and/or anxiety have an increased risk of postoperative complications and reoperation following posterior thoracolumbar spinal surgery...
October 5, 2018: Spine Journal: Official Journal of the North American Spine Society
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