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https://www.readbyqxmd.com/read/28742594/cervical-evaluation-in-pregnancy-proper-measurement-evaluation-and-management
#1
Joseph R Wax, Angelina Cartin, Michael G Pinette
Preterm birth is the leading cause of perinatal morbidity and mortality in developed nations. The heterogeneous causes of spontaneous preterm birth make prediction and prevention difficult. The primary importance of transvaginal cervical sonography and cervicovaginal fetal fibronectin lies in their high negative predictive values in assessing risk for preterm birth. Cervical length may be useful in identifying women who are candidates for cervical cerclage or progesterone therapy for preterm birth prevention...
September 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28737619/revision-total-elbow-arthroplasty
#2
Miguel A Ramirez, Emilie V Cheung, Anand M Murthi
Despite recent technologic advances, total elbow arthroplasty has complication rates higher than that of total joint arthroplasty in other joints. With new antirheumatic treatments, the population receiving total elbow arthroplasty has shifted from patients with rheumatoid arthritis to those with posttraumatic arthritis, further compounding the high complication rate. The most common reasons for revision include infection, aseptic loosening, fracture, and component failure. Common mechanisms of total elbow arthroplasty failure include infection, aseptic loosening, fracture, component failure, and instability...
August 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28734767/type-ii-olecranon-fractures-in-patients-over-65-tension-band-or-pre-formed-plate-analysis-and-results
#3
A Liñán-Padilla, L Cáceres-Sánchez
OBJECTIVE: The objective of this study was to compare the clinical outcomes of surgical treatment using tension band with needles and preformed plates in type ii olecranon fractures according to the Mayo classification in patients older than 65 years. MATERIAL AND METHOD: A descriptive, retrospective study of 49 patients with a mean age of 75.1 years who underwent surgery olecranon fracture using 2 different fixing systems. The Mayo classification was used to define them, excluding type i and iii, and the VAS to assess postoperative pain...
July 19, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28733044/management-of-displaced-inferior-patellar-pole-fractures-with-modified-tension-band-technique-combined-with-cable-cerclage-using-cable-grip-system
#4
Xu Yang, Qinfen Wu, Chin-Hui Lai, Xin Wang
INTRODUCTION: We present a modified tension band technique combined with cable cerclage using Cable Grip System for the treatment of displaced inferior patellar pole fractures and report the knee functional outcome. PATIENTS AND METHODS: The patients who had had operative treatment of a displaced inferior patellar pole fracture (AO/OTA 34-A1) between December 2013 and December 2015 were studied retrospectively. Eleven consecutive patients had had open reduction and internal fixation with the modified technique using Cable Grip System, of whom, five males and six females with an average age of 60...
July 13, 2017: Injury
https://www.readbyqxmd.com/read/28721634/minimally-invasive-abdominal-cerclage-compared-to-laparotomy-a-comparison-of-surgical-and-obstetric-outcomes
#5
Soorin Kim, Amanda Hill, Gulden Menderes, Sarah Cross, Masoud Azodi, Mert Ozan Bahtiyar
The objective of this study is to report surgical and obstetric outcomes of patients following abdominal cerclage placement through either minimally invasive or open techniques. Subjects of this retrospective cohort study were patients at two referral centers specializing in high-risk pregnancy and minimally invasive gynecologic surgery. Electronic medical records of all patients who underwent abdominal cerclage placement between December 2011 and December 2015 at Yale New Haven Hospital and Bridgeport Hospital were reviewed...
July 18, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28721591/secondary-femur-shaft-fracture-following-treatment-with-cephalomedullary-nail-a-retrospective-single-center-experience
#6
Nikolaus W Lang, J Joestl, S Payr, P Platzer, K Sarahrudi
AIM: Secondary femur fracture subsequent to treatment of trochanteric fractures with cephalomedullary nailing (i.e., a periprosthetic fracture related to the cephalomedullary nail) is a rare but very severe complication. As such, the aim of this study was to assess the impact of revision surgery and general state of health on mortality and functional outcomes in patients suffering femur fractures following treatment with cephalomedullary nails. MATERIALS AND METHODS: Between 2000 and 2015, 3549 patients presenting with OTA/AO 31A1-3 femur fractures were admitted to our department and subsequently treated with either a Gamma(®) Nail or PFNA(®)...
July 18, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28717889/combined-arthroscopically-assisted-coraco-and-acromioclavicular-stabilization-of-acute-high-grade-acromioclavicular-joint-separations
#7
Carmen Hann, Natascha Kraus, Marvin Minkus, Nina Maziak, Markus Scheibel
PURPOSE AND HYPOTHESIS: Due to high rate of persisting dynamic posterior translation (DPT) following isolated coracoclavicular double-button technique for reconstruction of the acromioclavicular (AC) joint reported in the literature, an additional acromioclavicular cerclage was added to the procedure. The aim of this study was to evaluate the clinical and radiological results of patients with high-grade AC-joint instability treated with a double TightRope technique with an additional percutaneous acromioclavicular cerclage...
July 17, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28697395/vaginal-cervico-isthmic-cerclage-versus-mcdonald-cerclage-in-women-with-a-previous-failure-of-prophylactic-cerclage-a-retrospective-study
#8
Capmas Perrine, Letendre Irène, Leray Camille, Deffieux Xavier, Duminil Laura, Subtil Damien, Fernandez Hervé
AIM: Compare preterm births before 30 weeks of gestation in women with a previous failed McDonald cerclage that benefit from another McDonald cerclage (or simplified Shirodkar cerclage) or a vaginal cervico-isthmic cerclage. METHODS: Women with a cerclage performed at the end of the first trimester of a singleton pregnancy with a previous failed prophylactic McDonald cerclage were included in this mutlicenric study involving four teaching hospitals. Comparisons between groups were done using a chi square test and a student t-test...
June 27, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28683739/a-multi-centre-non-inferiority-randomised-controlled-trial-to-compare-a-cervical-pessary-with-a-cervical-cerclage-in-the-prevention-of-preterm-delivery-in-women-with-short-cervical-length-and-a-history-of-preterm-birth-pc-study
#9
Bouchra Koullali, Liselotte E M van Kempen, Maud D van Zijl, Christiana A Naaktgeboren, Ewoud Schuit, Dick J Bekedam, Maureen T M Franssen, Sebastiaan W A Nij Bijvank, Marieke Sueters, Marchien van Baal, Marjon A de Boer, Angelo B Hooker, Brenda B J Hermsen, Toon A A M Toolenaar, Joost J Zwart, David P van der Ham, Flip W van der Made, Federico Prefumo, Begoña Martinez de Tejada, Dimitri N M Papatsonis, Anjoke J M Huisjes, Liesbeth H C J Scheepers, Marion E van Hoorn, Tom H M Hasaart, Nico W E Schuitemaker, Karlijn C Vollebregt, Moira A Müller, Inge M Evers, Marinka S Post, Karin de Boer, Henricus Visser, Nico A Mensing van Charante, Josje Langenveld, Nicole Y C Steemers, Ben W J Mol, Martijn A Oudijk, Eva Pajkrt
No abstract text is available yet for this article.
July 6, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28673792/cervical-cerclage-placement-decreases-local-levels-of-proinflammatory-cytokines-in-patients-with-cervical-insufficiency
#10
Stephany P Monsanto, Silvia Daher, Erika Ono, Karen Priscilla Tezotto Pendeloski, Évelyn Trainá, Rosiane Mattar, Chandrakant Tayade
BACKGROUND: Cervical insufficiency is characterized by premature, progressive dilation and shortening of the cervix during pregnancy. If left unattended, this can lead to the prolapse and rupture of the amniotic membrane, which usually results in midtrimester pregnancy loss or preterm birth. Previous studies have shown that proinflammatory cytokines such as interleukin-1β, interleukin-6, interleukin-8, and tumor necrosis factor alpha are up-regulated in normal parturition but are also associated with preterm birth...
June 30, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28643662/evaluation-of-a-new-technique-of-prophylactic-cervical-cerclage-simplified-from-the-shirodkar-cerclage-a-pilot-study
#11
S Bartolo, C Garabedian, P Deruelle, V Debarge, A-S Ducloy-Bouthors, D Subtil
INTRODUCTION: In terms of prophylactic cerclage, the simplest and most commonly used technique is the McDonald cervical cerclage. Cervico-isthmic cerclage techniques may have better results, but are more difficult to achieve. A simplified Shirodkar technique would have the advantage of being "cervical high" while remaining easy to achieve. OBJECTIVE: To compare the results of high cervical cerclage, according to a simplified Shirodkar technique, with those of a classic McDonald cerclage, in the case of women at high risk of prematurity in an exploratory study...
April 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28639717/a-prospective-study-on-transvaginal-ultrasound-of-cervical-length-cl-in-the-first-and-second-trimester-in-a-low-risk-population
#12
C B Wulff, L Rode, S Rosthøj, E Hoseth, O B Petersen, A Tabor
OBJECTIVES: To assess cervical length (CL) longitudinally in the first and second trimester and to determine the proportion of women with a short CL. Further, to assess if women with a short CL at 19-24 weeks could be identified at the combined first-trimester screening (cFTS) at 11-14 weeks in relation to a potential implementation of CL screening in the Danish population. METHODS: We recruited singleton pregnant women attending the combined first-trimester screening from 1 November 2013 to 1 December 2014 to a longitudinal prospective study at three University Hospitals in Denmark...
June 22, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28639273/a-single-center-retrospective-study-of-pregnancy-outcomes-after-emergency-cerclage-for-cervical-insufficiency
#13
Sheng Wang, Ling Feng
OBJECTIVE: To compare maternal and perinatal outcomes after emergency cerclage with those after elective cerclage. METHODS: In a retrospective review, data were assessed from women with a viable singleton pregnancy who underwent elective or emergency cerclage for cervical insufficiency at the Tongji Hospital, Wuhan, China, between January 2010 and July 2015. Subgroup analyses based on cervical length (CL; ≤15, 15-25, and 25-30 mm) were also conducted among women undergoing emergency cerclage...
June 22, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28602787/ultrasound-guided-laparoscopic-assisted-abdominal-cerclage-in-pregnancy
#14
Sevan A Vahanian, Martin R Chavez, Jean Murphy Rdms, Patrick Vetere, Farr Nezhat, Anthony M Vintzileos
No abstract text is available yet for this article.
June 7, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28597706/outcomes-following-rescue-cerclage-in-twin-pregnancies
#15
Nimrah Abbasi, Jon Barrett, Nir Melamed
OBJECTIVE: Our aim was to compare perinatal outcomes in twin pregnancies complicated by premature asymptomatic cervical dilatation treated with rescue cerclage and expectant management. METHODS: A retrospective cohort study was conducted at a single tertiary referral center between 2003 and 2014 and included all women with twins found to have a dilated cervix with intact membranes before 25-week gestation. Pregnancy outcomes were compared between women with rescue cerclage and those managed expectantly...
July 4, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28589477/the-impact-of-postpartum-cervical-tear-on-the-occurrence-of-preterm-birth-in-subsequent-pregnancy
#16
Noah Zafran, Eden Gerszman, Gali Garmi, Sivan Zuaretz-Easton, Raed Salim
PURPOSE: To examine the occurrence of subsequent preterm birth (PTB) among women who experienced a cervical tear during prior delivery. METHODS: A retrospective study conducted at a single teaching hospital on data from January 1994 to March 2014. The study group included all women who had a cervical tear detected at uterine and cervical examination, performed due to early postpartum hemorrhage. The control group consisted of women who delivered vaginally, experienced an early postpartum hemorrhage, and had an intact cervix at uterine and cervical examination...
August 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28586127/cervical-stitch-cerclage-for-preventing-preterm-birth-in-singleton-pregnancy
#17
REVIEW
Zarko Alfirevic, Tamara Stampalija, Nancy Medley
BACKGROUND: Cervical cerclage is a well-known surgical procedure carried out during pregnancy. It involves positioning of a suture (stitch) around the neck of the womb (cervix), aiming to give mechanical support to the cervix and thereby reduce risk of preterm birth. The effectiveness and safety of this procedure remains controversial. This is an update of a review last published in 2012. OBJECTIVES: To assess whether the use of cervical stitch in singleton pregnancy at high risk of pregnancy loss based on woman's history and/or ultrasound finding of 'short cervix' and/or physical exam improves subsequent obstetric care and fetal outcome...
June 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28580360/complete-cranial-iliac-osteotomy-to-approach-the-lumbosacral-foramen
#18
Barbara Dyall, Hugo Schmökel
An approach using a complete cranial iliac osteotomy (CCIO) to access the lumbosacral (LS) foramen in dogs from lateral was developed using cadavers and applied in a clinical patient with degenerative lumbosacral stenosis (DLSS). The foraminal enlargement in the cadavers and the patient was documented on postoperative CT scans. The preoperative CT scan of the patient showed moderate cranial telescoping of the sacral roof and a moderate central disk protrusion, leading to moderate to severe compression of the cauda equina...
2017: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/28570639/cerclage-position-cervical-length-and-preterm-delivery-in-women-undergoing-ultrasound-indicated-cervical-cerclage-a-retrospective-cohort-study
#19
Joanna R Cook, Susan Chatfield, Manju Chandiramani, Lindsay Kindinger, Stefano Cacciatore, Lynne Sykes, Tiong Teoh, Andrew Shennan, Vasso Terzidou, Phillip R Bennett
OBJECTIVE: The objectives were to assess whether anatomical location of ultrasound (USS) indicated cervical cerclage and/or the degree of cervical shortening (cervical length; CL) prior to and following cerclage affects the risk of preterm birth (PTB). METHOD: A retrospective cohort study of 179 women receiving cerclage for short cervix (≤25mm) was performed. Demographic data, CL before and after cerclage insertion, height of cerclage (distance from external os) and gestation at delivery were collected...
2017: PloS One
https://www.readbyqxmd.com/read/28555367/subtrochanteric-fractures-in-elderly-people-treated-with-intramedullary-fixation-quality-of-life-and-complications-following-open-reduction-and-cerclage-wiring-versus-closed-reduction
#20
Pablo Codesido, Ana Mejía, Jonathan Riego, Cristina Ojeda-Thies
INTRODUCTION: Subtrochanteric fractures are more difficult to treat than other proximal femoral fractures. The aim of this study was to report the outcomes for patients with subtrochanteric fractures treated using a cephalomedullary nail following open reduction and cerclage wiring versus closed reduction alone, regarding health-related quality of life (HRQoL) and social function. MATERIALS AND METHODS: We performed a prospective cohort study including patients aged 60 years or older suffering fragility subtrochanteric fractures of the femur treated with cephalomedullary nails, with a minimum 2-year follow-up...
May 29, 2017: Archives of Orthopaedic and Trauma Surgery
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