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https://www.readbyqxmd.com/read/29779978/biomechanical-evaluation-of-cable-and-suture-cerclages-for-tuberosity-reattachment-in-a-4-part-proximal-humeral-fracture-model-treated-with-reverse-shoulder-arthroplasty
#1
Dominik Knierzinger, Christian H Heinrichs, Clemens Hengg, Marko Konschake, Franz Kralinger, Werner Schmoelz
BACKGROUND: Sufficient tuberosity fixation in proximal humeral fractures treated with shoulder arthroplasty is essential to gain a good clinical outcome. This biomechanical study evaluated the strength of the reattached tuberosities in reverse total shoulder arthroplasty fixed with cables or with sutures in a cerclage-like technique. Considering the mechanical advantages of flexible titanium alloy cables compared with conventional sutures for cerclage-like fixations, we hypothesized that titanium alloy cables would achieve higher fixation strengths of the tuberosities compared with heavy nonabsorbable sutures...
May 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29776382/sternal-instability-measured-with-radiostereometric-analysis-a-study-of-method-feasibility-accuracy-and-precision
#2
Rikke Falsig Vestergaard, Kjeld Søballe, John Michael Hasenkam, Maiken Stilling
BACKGROUND: A small, but unstable, saw-gap may hinder bone-bridging and induce development of painful sternal dehiscence. We propose the use of Radiostereometric Analysis (RSA) for evaluation of sternal instability and present a method validation. METHODS: Four bone analogs (phantoms) were sternotomized and tantalum beads were inserted in each half. The models were reunited with wire cerclage and placed in a radiolucent separation device. Stereoradiographs (n = 48) of the phantoms in 3 positions were recorded at 4 imposed separation points...
May 18, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29764255/knot-positioning-during-mcdonald-cervical-cerclage-does-it-make-a-difference-a-cohort-study
#3
Hytham Atia, Mohamed Ellaithy, Ahmed Altraigey, Heba Ibrahim
OBJECTIVE: To study the effect of McDonald cerclage knot position on the different maternal and neonatal outcomes. METHODS: This historical cohort study included women with singleton pregnancy who had a prophylactic McDonald cervical cerclage between 1 May 2010 and 31 September 2017. Maternal and neonatal outcome parameters were compared between the anterior and posterior knot cerclage procedures. The primary outcome measure was the rate of term birth. RESULTS: 550 Women had a prophylactic McDonald cervical cerclage, 306 with anterior knot (Group A) and 244 with posterior knot (Group B)...
May 15, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29738749/the-vaginal-eukaryotic-dna-virome-and-preterm-birth
#4
Kristine M Wylie, Todd N Wylie, Alison G Cahill, George A Macones, Methodius G Tuuli, Molly J Stout
BACKGROUND: Despite decades of attempts to link infectious agents to preterm birth, an exact causative microbe or community of microbes remains elusive. Culture-independent sequencing of vaginal bacterial communities demonstrates community characteristics are associated with preterm birth, although none are specific enough to apply clinically. Viruses are important components of the vaginal microbiome and have dynamic relationships with vaginal bacterial communities. We hypothesized that vaginal eukaryotic DNA viral communities (the "vaginal virome") either alone or in the context of bacterial communities are associated with preterm birth...
May 5, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29737103/-therapeutic-effect-of-uncemented-allograft-prosthetic-composite-for-the-reconstruction-of-tumorous-bone-defect
#5
Yan-Ling Wang, Li Min, Hong Duan, Yong Zhou, Wei-Li Zhang, Rui Shi, Yi Luo, Chong-Qi Tu
OBJECTIVE: To investigate the surgical techniques and mid-term efficacy of reconstruction for proximal femur with allograft-prosthetic composite (APC) . METHODS: Fifteen patients who underwent uncemented APC reconstruction of proximal femur after bone tumor resection were retrospectively evaluated. Image and physical examinations were taken on the 1st,3rd,6th,9th and 12th month after surgery and every 6 months thereafter to assess union condition,greater trochanteric bone absorption and myodynamia of abductors...
January 2018: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/29723412/single-incision-laparoscopic-abdominal-cerclage-placement-a-retrospective-study-of-single-port-and-robotic-single-port-versus-multiport-laparoscopy
#6
Yiming Zhang, Manisha Gandhi, Courtney Birchall, Xiaoming Guan
Abdominal cerclage is an alternative to vaginal cerclage in the setting of previous vaginal cerclage failure or in women for whom vaginal cerclage placement was not possible due to an extremely short or scarred cervix.1 Abdominal cerclage is performed using either laparoscopy or via laparotomy during early pregnancy or prior to conception. This article is protected by copyright. All rights reserved.
May 3, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29712493/mcdonald-versus-shirodkar-cervical-cerclage-for-the-prevention-of-preterm-birth-impact-of-body-mass-index
#7
Reinaldo Figueroa, Rebecca Crowell, Alvin Martinez, Marielle Morgan, Dorothy Wakefield
OBJECTIVE: To compare obstetrical outcomes on women undergoing a McDonald or Shirodkar cerclage and to estimate the impact of maternal body mass index (BMI) on these outcomes. METHODS: We conducted a retrospective review of the medical records of all women with singleton pregnancies who underwent placement of a McDonald or Shirodkar cerclage at St. Francis Hospital from January 2008 to October 2013. The subjects were categorized based on BMI groups (normal: less than 25 kg/m2 , overweight: 25-29 kg/m2 , obese: 30 kg/m2 or more)...
April 30, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29706728/acute-arthrodesis-of-interphalangeal-joints-of-the-hand-in-traumatic-injuries
#8
Mark Tan, Sean Wei Loong Ho, Sreedharan Sechachalam
Background: Trauma resulting in severe comminution, bone loss, and articular involvement of the fingers is a challenging injury. Osteosynthesis of the digits is nonviable when there is an inability to restore a stable articular surface adequately. Acute arthrodesis of the proximal and distal interphalangeal joints may be an option in such scenarios. The aim of this study is to evaluate the role of finger joint arthrodesis in the setting of trauma, in terms of fusion rates and clinical outcomes...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29699436/the-association-of-different-progesterone-preparations-with-preterm-birth-prevention
#9
Eyal Krispin, Eran Hadar, Rony Chen, Arnon Wiznitzer, Boris Kaplan
OBJECTIVE: We aimed to compare the efficacy of commonly available progesterone preparations for preterm birth prevention. METHODS: A retrospective cohort study of all women treated with progesterone to prevent preterm birth and delivered in a single university-affiliated tertiary medical-center. Four progesterone preparations were compared: vaginal Endometrin 100 mg twice daily, vaginal Crinone 8% gel 90 mg daily, vaginal Utrogestan 200 mg daily, and intramuscular 17α-hydroxyprogesterone caproate (17-OHPC) 250 mg weekly...
April 26, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29670041/comparative-evaluation-of-arabin-pessary-and-cervical-cerclage-for-the-prevention-of-preterm-labor-in-asymptomatic-women-with-high-risk-factors
#10
Panagiotis Tsikouras, George Anastasopoulos, Vasileios Maroulis, Anastasia Bothou, Anna Chalkidou, Dorelia Deuteraiou, Xanthoula Anthoulaki, Georgios Tsatsaris, Arzou Halil Bourazan, George Iatrakis, Stefanos Zervoudis, Georgios Galazios, Lola-Katerina Inagamova, Roland Csorba, Alexander-Tobias Teichmann
OBJECTIVE: Preterm labor is one of the most significant obstetric problems associated with high rate of actual and long-term perinatal complications. Despite the creation of scoring systems, uterine activity monitoring, cervical ultrasound and several biochemical markers, the prediction and prevention of preterm labor is still a matter of concern. The aim of this study was to examine cervical findings for the prediction and the comparative use of Arabin pessary or cerclage for the prevention of preterm birth in asymptomatic women with high risk factors for preterm labor...
April 18, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29627847/pregnancy-outcomes-and-superiorities-of-prophylactic-cervical-cerclage-and-therapeutic-cervical-cerclage-in-cervical-insufficiency-pregnant-women
#11
Yanyan Liu, Zikan Ke, Wanmin Liao, Hanping Chen, Shiqing Wei, Xiaoquan Lai, Xi Chen
PURPOSE: To compare the clinical effect of prophylactic cervical cerclage and therapeutic cervical cerclage on pregnancy outcome and operative factors in cervical insufficiency pregnant women. METHODS: A retrospective study was conducted between June 2014 and September 2016 in a maternity ward, which included women who have had a single pregnancy and have been carried out a McDonald cerclage. All maternal medical records were reviewed. The efficacy of cerclage for preventing late foetal loss was assessed using multivariable logistic regression analysis...
April 7, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29609972/fixed-angle-plate-fixation-of-comminuted-patellar-fractures
#12
Tyler B Moore, Bharat R Sampathi, David P Zamorano, Martin C Tynan, John A Scolaro
INTRODUCTION: Comminuted patella fractures are uncommon and difficult fractures to manage. Multiple treatment modalities have been suggested, with little clinical data to support practice. Recent biomechanical and technical investigations have described successful plate fixation of comminuted patella fractures. The purpose of this study was to evaluate radiographic, clinical and functional outcome of comminuted patella fractures treated with a fixed angle locking plates. We believe stable fixation, which results in successful fracture union and functional recovery, can be achieved with this technique...
March 27, 2018: Injury
https://www.readbyqxmd.com/read/29606552/sexual-activity-recommendations-in-high-risk-pregnancies-what-is-the-evidence
#13
REVIEW
Sally E MacPhedran
BACKGROUND: While sexual activity in normal, healthy pregnant women is safe, concern regarding elements of the sexual act have led to restrictions in pregnancies experiencing complications that are frequently insufficiently addressed in clinical practice. AIM: To comprehensively review the literature for evidence that supports or refutes specific sexual activity restrictions in high-risk pregnancy conditions. METHODS: A search of PubMed, MEDLINE, Ovid, UpToDate, Google Scholar, and Google for relevant publications related to any aspect of sexual activity affecting high-risk pregnancies complicated by history of pre-term delivery, shortened cervix, presence of cerclage, pre-mature rupture of membranes, placenta abruption, placenta previa, multiple gestation, or history of classical cesarean section was performed...
March 29, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29600204/acetabular-fracture-after-hip-hemiarthroplasty-one-stage-procedure-to-a-total-hip-arthroplasty-after-stabilization-of-the-fracture-by-means-of-cerclage-wires
#14
Vanlommel Jan, Vanderschot Paul
Introduction: Hip fractures in the elderly pose an increasing problem in society. In the elderly, a bipolar hemiarthroplasty (HA) remains the treatment of choice in case of hip fractures related to osteoporosis. However, due to an ongoing osteoporosis in this age group, a periprosthetic femoral fracture and a fracture of the unresurfaced acetabulum are increasingly noticed.In the literature, no information can be found regarding the treatment options for this kind of periprosthetic acetabular fracture...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29577921/rigid-plate-fixation-versus-wire-cerclage-for-sternotomy-after-cardiac-surgery-a-meta-analysis
#15
REVIEW
Derrick Y Tam, Rashmi Nedadur, Monica Yu, Bobby Yanagawa, Stephen E Fremes, Jan O Friedrich
BACKGROUND: Traditionally, wire cerclage (WC) has been used to reapproximate the sternum after sternotomy. Recent evidence suggests that rigid plate fixation (RPF) for sternal closure may reduce the risk of sternal complications. METHODS: MEDLINE and EMBASE databases searched from inception to February 2017 for studies that compared RPF to WC in cardiac surgery patients undergoing sternotomy. Random-effects meta-analysis compared rates of sternal complications (primary outcome, defined as deep or superficial sternal wound infection, or sternal instability), early mortality, and length of stay (secondary outcomes)...
March 22, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29564613/vancouver-b2-periprosthetic-femoral-fractures-a-comparative-study-of-stem-revision-versus-internal-fixation-with-plate
#16
Mauro Spina, Andrea Scalvi
INTRODUCTION: The aim is to compare stem revision versus internal fixation with plate in the treatment of Vancouver B2 periprosthetic femoral fractures. MATERIALS AND METHODS: This is a retrospective review of 34 consecutive patients admitted from June 1998 to May 2017. One patient was treated conservatively, 11 with stem revision (group 1), 20 with plate, screws and cerclage (group 2), one patient with cerclage alone and another by Girdlestone procedure. We assessed surgical complications, mortality within 1 year, functional outcome with Harris Hip Score and radiographic outcome with Beals and Tower's criteria...
March 21, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29542241/three-dimensional-ultrasound-imaging-of-intra-abdominal-cervical-isthmus-cerclage
#17
K Ichizuka, K Seo, S Dohi, T Ishikawa, A Sekizawa, M Nagatsuka
No abstract text is available yet for this article.
May 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29540100/vascular-injuries-due-to-cerclage-passer-relevant-anatomy-and-note-of-caution
#18
Agraharam Devendra, M Avinash, Dinesh Chidambaram, Jayaramaraju Dheenadhayalan, S Rajasekaran
PURPOSE: The cerclage passer instrument was introduced for aiding percutaneous reduction in spiral femur fractures, thereby overcoming the risk of devascularization of the fracture ends commonly associated with traditional open cerclage wiring techniques. This may, however, predispose to iatrogenic vascular injuries owing to the proximity of the vessels and several other factors. We report four cases with femoral artery (superficial and deep) injuries caused by the cerclage passer in proximal femur and distal femur shaft fractures and incidence of these injuries in our institution...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29537316/routine-second-trimester-cervical-length-screening-in-low-risk-women-identified-women-at-risk-of-a-very-preterm-birth-but-did-not-reduce-the-preterm-birth-rate-a-randomised-study-from-india
#19
Siddhidatri Mishra, Rashmi Bagga, Jasvinder Kalra, Vanita Jain, Sourabh Dutta
Women (n = 300) at 'low risk' for a preterm birth (PTB), a singleton pregnancy and for a 16-24 week period of gestation (POG) were randomised to undergo cervical length (CL) measurement by transvaginal sonography (TVS) or not. The aim was to see if routine CL measurement and treatment of a short CL reduced the PTB rate. 'Low risk' was defined by an absence of a prior abortion or PTB of a singleton infant (>16 to <37 weeks) due to a spontaneous preterm labour (PTL) or a preterm pre-labour rupture of membranes (pPROM)...
March 14, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29536456/the-costa-study-sternal-closure-in-high-risk-patients-a-prospective-randomized-multicenter-trial
#20
Tetyana Leinberger, Claudia Heilmann, Stefan Sorg, Matthias Mueller, Sami Kueri, Claudia Schmoor, Matthias Siepe, Friedhelm Beyersdorf
BACKGROUND:  Median sternotomy in patients with risk factors for wound healing is associated with high rates of postoperative wound infections and sternum instability. METHODS:  A total of 338 patients with elective first median sternotomy and at least four predefined risk factors were randomized between Sternal Talon (Gebrüder Martin GmbH & Co. KG-KLS Martin Group, Tuttlingen, Germany) and wire cerclage. The primary end point was mediastinitis and/or sternal instability within 30 ± 5 days, and the secondary end points were mediastinitis and/or sternal instability within 60 ± 5 days; incidence of pneumonia during hospitalization within the first 30 (±5) days and chest pain intensity...
February 2, 2018: Thoracic and Cardiovascular Surgeon
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