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Rib fixation

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https://www.readbyqxmd.com/read/29859359/cortical-bone-trajectory-screw-fixation-in-the-upper-and-middle-thoracic-spine-t1-t8-an-anatomical-and-radiographic-assessment
#1
Jun Xuan, Chen-Long Xie, Yang Wu, Jian Chen, Xin Tong, Xiang-Yang Wang, Hui Xu
OBJECTIVE: To assess an alternative method of cortical bone trajectory (CBT) screw placement in thoracic spine from T1 to T8, and investigate the proper entry point, screw insertion angle, screw length and diameter. METHODS: Computed tomography (CT) images of eighty patients were used to measure all related parameters. Ten cadaveric spines were included to study and 4.5 mm screws were inserted into both sides of vertebrae. CT scans of all vertebrae previously inserted with CBT screws were done and we checked lateral or medial pedicle wall violation...
May 30, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29850125/development-of-a-socket-type-rib-coaptation-device-made-of-poly-l-lactide-fibers-feasibility-study-in-a-canine-model
#2
Teruya Komatsu, Toshihiko Sato, Yasuto Sakaguchi, Yusuke Muranishi, Yojiro Yutaka, Hiroshi Date, Tatsuo Nakamura
Background: Costal coaptation pins made of poly-L-lactide (PLA) are clinically available for fixing surgically divided ribs. However, the clinical results of such rib fixation have not been completely satisfactory. We aimed to develop a new rib coaptation socket system and explore its clinical applicability. Methods: We surgically divided three consecutive ribs of each beagle dog, and rib coaptation sockets were implanted to stabilize each rib. Fifteen 3-dimensional (3D)-printed and 30 PLA fiber knitted sockets were implanted in five and ten dogs, respectively, to stabilize the artificially divided ribs...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29808094/subdural-hemorrhage-after-scoliosis-and-detethering-of-cord-surgery
#3
Rohan Bhimani, Fardeen Bhimani, Preeti Singh
Introduction: Intracranial hypotension may occur when CSF leaks from the subarachnoid space. Formation of intracranial, subdural, and subarachnoid hemorrhage has been observed after significant CSF leak as seen in lumbar puncture or ventricular shunt placement. However, very few cases, referring to these remote complications following spine surgery, have been described in literature. We present a case of a 10-year-old male child operated for idiopathic scoliosis with low-lying conus medullaris who postoperatively developed subdural hemorrhage...
2018: Case Reports in Medicine
https://www.readbyqxmd.com/read/29807546/surgical-plate-fixation-of-multiple-rib-fractures-a-case-report
#4
Konstantin Mitev, Dashurie Neziri, Emil Stoicovski, Zan Mitrev
BACKGROUND: The healthcare system in developing countries is limited; particularly, medical specialties such as emergency and trauma medicine are underdeveloped. Consequently, trauma injuries sustained in traffic accidents result in chronic morbidity more often than similar cases in developed countries. Multiple rib fractures induce significant patient morbidity. Current international guidelines recommend a multidisciplinary, surgery-based treatment approach to achieve optimal clinical benefit...
May 29, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29806325/-the-autologous-bundled-multi-segment-rib-graft-reconstruction-for-bone-defects-after-thoracic-spinal-tuberculosis-debridement
#5
Shuang Xu, Gaoju Wang, Jin Yang, Jun Li, Yi Duan, Yilin Xiong, Qing Wang
Objective: To investigate the effectiveness of bundled multi-segment autologous rib graft reconstruction for bone defects after thoracic spinal tuberculosis debridement. Methods: The anterior debridement, multi-segment autologous rib interbody fusion, anterior or posterior internal fixation were used for treating the bone defect after thoracic spinal tuberculosis debridement in 36 cases between January 2006 and December 2013. There were 20 males and 16 females with an average age of 50...
October 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29787540/rib-fractures-fixation-always-worthwhile
#6
Stefano Magnone, Niccolò Allievi, Michele Pisano
No abstract text is available yet for this article.
April 30, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29785655/early-results-after-operatively-versus-non-operatively-treated-flail-chest-a-retrospective-study-focusing-on-outcome-and-complications
#7
Mathieu M E Wijffels, Tjebbe Hagenaars, Diba Latifi, Esther M M Van Lieshout, Michael H J Verhofstad
PURPOSE: Flail chest was traditionally treated non-operatively using mechanical ventilation and pain control. In order to reduce the occurrence of ventilation-associated complications and long-term disability, operative rib fixation is becoming a proven standard therapy for these patients. However, the consequences of the surgical complications may influence success rates negatively. The aim of this study was to compare the outcome of flail chest treatment by surgical rib fixation with non-operative treatment, with special focus on the impact of surgical complications...
May 21, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29766123/orthopaedic-traumatology-fundamental-principles-and-current-controversies-for-the-acute-care-surgeon
#8
REVIEW
Shad K Pharaon, Shawn Schoch, Lucas Marchand, Amer Mirza, John Mayberry
Multiply injured patients with fractures are co-managed by acute care surgeons and orthopaedic surgeons. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. The acute care surgeon should have a working knowledge of orthopaedic terminology to communicate with colleagues effectively. They should have an understanding of the composition of bone, periosteum, and cartilage, and their reaction when there is an injury...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29723878/biomechanical-comparison-between-preloaded-position-screw-and-lag-screw-fixations-for-their-compressive-effects-in-a-porcine-rib-fracture-model
#9
Ya-Pei Chang, Chi-Yuan Ho, Chao-Chang Chen, Lih-Seng Yeh
OBJECTIVES:  The aim of this study was to compare the compressive effect between preloaded position screws and lag screws in fracture fixation. METHODS:  Pairs of semi-cylindrical bone fragments were created on a porcine rib model to simulate fractured bones. The compressive forces of fracture fixation generated by preloaded position screws (P group) and conventional lag screws (L group) were recorded by a film stress sensor. In the P group, a pair of Angus bone holding forceps was used to compress the interfragmentary interface until reaching the preloading force of 1...
May 3, 2018: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/29704737/laparoscopic-and-percutaneous-repair-of-a-large-midline-incisional-hernia-extending-to-the-bilateral-subcostal-region-a-case-report
#10
Shingo Tsujinaka, Yukio Nakabayashi, Nao Kakizawa, Rina Kikugawa, Nobuyuki Toyama, Toshiki Rikiyama
INTRODUCTION: Optimal surgery for a midline incisional hernia extending to the subcostal region remains unclear. We report successful hybrid laparoscopic and percutaneous repair for such a complex incisional hernia. PRESENTATION OF CASE: An 85-year-old woman developed a symptomatic incisional hernia after open cholecystectomy. Computed tomography revealed a 14 × 10 cm fascial defect. Four trocars were placed under general anesthesia. Percutaneous defect closure was performed using multiple non-absorbable monofilament threads, i...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29689004/assessment-of-proximal-junctional-kyphosis-and-shoulder-balance-with-proximal-screws-vs-hooks-in-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#11
Joshua M Pahys, Andrew C Vivas, Amer F Samdani, Gregory Cunn, Randal R Betz, Peter O Newton, Patrick J Cahill
STUDY DESIGN: A retrospective review of a prospectively collected multicenter database OBJECTIVE.: To assess the effect of proximal hooks vs. screws on proximal junctional kyphosis (PJK) as well as shoulder balance in otherwise all pedicle screw (>80%) posterior spinal fusion (PSF) constructs in adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA: Less rigid forms of fixation at the top of constructs in degenerative lumbar PSF have been postulated to decrease the risk of PJK...
April 23, 2018: Spine
https://www.readbyqxmd.com/read/29655592/development-of-a-blunt-chest-injury-care-bundle-an-integrative-review
#12
REVIEW
Sarah Kourouche, Thomas Buckley, Belinda Munroe, Kate Curtis
BACKGROUND: Blunt chest injuries (BCI) are associated with high rates of morbidity and mortality. There are many interventions for BCI which may be able to be combined as a care bundle for improved and more consistent outcomes. OBJECTIVE: To review and integrate the BCI management interventions to inform the development of a BCI care bundle. METHODS: A structured search of the literature was conducted to identify studies evaluating interventions for patients with BCI...
June 2018: Injury
https://www.readbyqxmd.com/read/29644031/the-use-of-magnetically-controlled-growing-rods-in-paediatric-osteogenesis-imperfecta-with-early-onset-progressive-scoliosis
#13
A Gardner, J Sahota, H Dong, V Saraff, W Högler, N J Shaw
Osteogenesis Imperfecta (OI) is a condition of bone fragility and can present with early onset scoliosis that can cause respiratory complications in later life. The fear of instrumenting the spine in OI is the possibility of fracture either on primary insertion or subsequent lengthening. Magnetically controlled growing rods were inserted to control a scoliosis in a 6-year old with OI type IV. Fixation was obtained using pedicle screws proximally and distally with sublaminar bands around the ribs proximally...
March 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29563370/successful-surgical-fixation-using-bio-absorbable-plates-for-frail-chest-in-a-severe-osteoporotic-octogenarian
#14
Ryuichi Waseda, Isao Matsumoto, Yasuhiko Tatsuzawa, Akinori Iwasaki
We present a case of a severe osteoporotic octogenarian who sustained serious flail chest from a traffic accident. The 3rd-9th ribs of the right chest wall were fractured. Non-operative management was unsuccessful. We performed a surgical fixation using a bio-absorbable and bio-active mini-plating set. This plating set is unsintered hydroxyapatite (u-HA) particles/poly-L-lactide (PLLA) composite osteosynthesis device commonly used for cranial, oral, and maxillofacial surgeries. The use of the u-HA/PLLA device for chest wall reconstruction has previously been reported, but no long-term results have been included...
March 22, 2018: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29525055/geriatric-g60-trauma-patients-with-severe-rib-fractures-is-muscle-sparing-minimally-invasive-thoracotomy-rib-fixation-safe-and-does-it-improve-post-operative-pulmonary-function
#15
Francis Ali-Osman, Alicia Mangram, Joseph Sucher, Gina Shirah, Van Johnson, Phillip Moeser, Natasha K Sinchuk, James K Dzandu
BACKGROUND: Patient outcomes after muscle sparing minimally invasive thoracotomy rib fixation (MSMIT-ORF) in geriatric G60 trauma patients remain poorly studied. This study determined the effect of MSMIT-ORF on pulmonary function (PFT). Non-operatively managed (NOM) patients were also described. METHODS: Medical records of G60 patients with severe rib fractures with PFTs measured before and after MSMIT-ORF were examined. Patient outcomes (MSMIT-ORF vs NOM) were adjusted in a multivariate logistic regression model...
February 20, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29500508/-single-port-vats-assisted-internal-fixation-of-serial-rib-fractures
#16
REVIEW
M T Berninger, F Kellermann, A Woltmann, V Bühren, M Lang
This article describes the operative stabilization of a flail chest due to traumatic serial rib fractures with extensive chest wall deformation and respiratory insufficiency. Initial conservative treatment including systemic and regional pain management and non-invasive positive pressure ventilation did not improve the pain or ventilation. Therefore, a single-port video-assisted thoracoscopic surgery (VATS) assisted internal fixation of the ribs was performed. The thoracoscopy enabled easy repositioning of the ribs and additionally an estimation of intrathoracic injuries...
April 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29493501/-surgical-stabilization-of-multiple-rib-fractures-can-shorten-inpatient-stay
#17
Rikke Halberg, Kirsten Neckelmann
Flail chest is a common complication in patients with blunt chest wall traumas resulting in high mortality rates. In this case report a 43-year-old woman was stepped on by a horse, thereby receiving multiple rib fractures and pneumohaemothorax. She was not able to wean from epidural analgesia after ten days and maintained a "thoracic floating feeling". In opposition to the non-operative management previously preferred, a surgical stabilization was then performed in the patient, who was discharged only five days later...
February 19, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29447441/design-factors-of-femur-fracture-fixation-plates-made-of-shape-memory-alloy-based-on-the-taguchi-method-by-finite-element-analysis
#18
Cheolwoong Ko, Mikyung Yang, Taemin Byun, Sang-Wook Lee
This study proposed a way to design femur fracture fixation plates made of shape memory alloy based on computed tomography (CT) images of Korean cadaveric femurs. To this end, 3 major design factors of femur fracture fixation plates (circumference angle, thickness, and inner diameter) were selected based on the contact pressure when a femur fracture fixation plate was applied to a cylinder model using the Taguchi method. Then, the effects of the design factors were analyzed. It was shown that the design factors were statistically significant at a level of p = 0...
February 15, 2018: International Journal for Numerical Methods in Biomedical Engineering
https://www.readbyqxmd.com/read/29429475/-osteosynthesis-of-rib-fractures-unstable-chest-wall-pseudoarthroses-and-acquired-defects-of-the-chest-wall
#19
Kirsten Neckelmann, Rikke Hagelberg
Several patients suffer from rib fractures after traumas, and in severe cases it can be life-threatening. Until recently, attempts to perform surgical fixation in patients with instability have been unsuccessful. Chronic non-union causes persistent pain, disability and loss of quality of life. Implementation of surgical stabilization of rib fractures with tailored plates seems to improve pain relief, especially in cases of non-union but also in patients with instability of the chest wall after severe traumas, where advanced pain treatment (epidural catheter) is insufficient or weaning off fails...
February 5, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29402425/surgical-treatment-of-rib-fracture-nonunion-a-single-center-experience
#20
M B de Jong, R M Houwert, S van Heerde, M de Steenwinkel, F Hietbrink, L P H Leenen
INTRODUCTION: In contrast to the emerging evidence on the operative treatment of flail chest, there is a paucity of literature on the surgical treatment of rib fracture nonunion. The purpose of this study was to describe our standardized approach and report the outcome (e.g. patient satisfaction, pain and complications) after surgical treatment of a rib fracture nonunion. METHODS: A single centre retrospective cohort study was performed at a level 1 trauma centre...
March 2018: Injury
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