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Lower extremity tendon transfer

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https://www.readbyqxmd.com/read/28746282/outcomes-of-muscle-brachialis-transfer-to-restore-finger-flexion-in-brachial-plexus-palsy
#1
Brent R DeGeorge, Hillary A Becker, John H Faryna, Robert J Spinner, Allen T Bishop, Alexander Y Shin
BACKGROUND: In adults with lower trunk brachial plexus injury, proximal nerve surgery for restoration of prehension demonstrates poor outcomes secondary to long distances required for nerve regeneration and time-dependent degradation of motor endplates. Options for reconstruction are limited to distal tendon or nerve transfers and free-functioning muscle transfers. In this article, the authors describe the long-term outcomes of brachialis muscle-to-flexor digitorum profundus transfer to restore prehension in patients with traumatic lower trunk brachial plexus injuries...
August 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28606434/the-relationships-between-surface-measurements-and%C3%A2-underlying-tendon-autograft-length-for-upper%C3%A2-extremity-reconstructive-surgery
#2
Michael T Milone, Mikael Starecki, Omri Ayalon, Michael W Aversano, Anthony Sapienza
PURPOSE: The availability of tendon grafts is an important consideration for successful upper extremity reconstructive surgery, including flexor or extensor tendon reconstructions, tendon transfers, and ligament reconstructions. Graft selection is based on availability, expendability, ease of harvest, and length. Given variations in patient height and extremity length, existing average values may provide suboptimal insight into actual tendon lengths available. The purpose of this study is, therefore, to pursue a method of estimating available donor tendon lengths based on easily measured anatomical surface landmarks...
June 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28536044/free-tissue-transfer-for-necrotizing-fasciitis-reconstruction-a-case-series
#3
Justin Peter Gawaziuk, Tianyi Liu, Leif Sigurdson, Edward Buchel, Thomas Edward Jo Hayakawa, Sarah Shiga, Sarvesh Logsetty
BACKGROUND: Necrotizing fasciitis (NF) is a life-threatening infection requiring extensive debridement that may necessitate amputation. Free tissue transfer (FTT) is an option for reconstruction in difficult cases. Currently, only case reports have described FTT in the setting of NF, and comprehensive evidence on flap outcomes is lacking. The present study characterizes outcomes in patients with FTT following NF. METHODS: All patients admitted with NF between January 1, 2005 and December 31, 2011 to our level 1 burns/trauma referral center were retrospectively reviewed...
November 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28403000/the-combined-use-of-a-neurocutaneous-flap-and-the-ilizarov-technique-for-reconstruction-of-large-soft-tissue-defects-and-bone-loss-in-the-tibia
#4
Jia Xu, Wan-Run Zhong, Liang Cheng, Chun-Yang Wang, Gen Wen, Pei Han, Yi-Min Chai
BACKGROUND: Management of posttraumatic large soft tissue defects and bone loss remains a therapeutic and surgical challenge for orthopedic surgeons. We assessed the use of a neurocutaneous flap and the Ilizarov technique in the reconstruction of severe composite defects in the tibia. METHODS: We retrospectively reviewed 18 consecutive patients with trauma-related soft tissue defects and bone loss. The size of the soft tissue defect ranges from 8 × 9 cm to 14 × 18 cm...
May 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28340663/compound-or-specially-designed-flaps-in-the-lower-extremities
#5
REVIEW
Bruno Battiston, Davide Ciclamini, Jin Bo Tang
Novel and combined tissue transfers from the lower extremity provide new tools to combat soft tissue defects of the hand, foot, and ankle, or fracture nonunion. Flaps can be designed for special purposes, such as providing a gliding bed for a grafted or repaired tendon or for thumb or finger reconstruction. Propeller flaps can cover soft tissue defects of the leg and foot. In repairing severe bone and soft tissue defects of the lower extremity, combined approaches, including external fixators, one-stage vascularized bone grafting, and skin or muscle flap coverage of the traumatized leg and foot, have become popular...
April 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28255387/reverse-sural-flap-for-ankle-and-heel-soft-tissues-reconstruction
#6
R N Ciofu, D G Zamfirescu, S A Popescu, I Lascar
Introduction: The potential of the medial calf integument, as donor site for a free flap based on musculocutaneous branches of the medial sural artery, was first identified by Taylor and Daniel, following cadaver investigation. In 1981, Pontén described the fasciocutaneous sural flap as a reconstructive option for soft tissue loss of the lower extremity, particularly around the knee. Two years later, Donski and Fogdestram presented the distally based fasciocutaneous flap from the sural region followed by Montegut and Allen who considered the sural artery perforator flap as a viable alternative for the gastrocnemius myocutaneous flap...
January 2017: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27941532/modification-of-the-alignment-between-the-tibial-tubercle-and-the-trochlear-groove-induced-by-temporary-hemiepiphysiodesis-for-lower-extremity-angular-deformities-a-trigonometric-analysis
#7
Dimitri Ceroni, Amira Dhouib, Laura Merlini, Georgios Kampouroglou
This study aimed to predict the modification of the alignment between the tibial tubercle (TT) and the trochlear groove (TG) that occurs during femoral or tibial hemiepiphysiodesis. MRI scans of 541 knees were retrospectively reviewed to determine the distances between the cranial insertion of the patellar tendon on the TT and the femoral physis (FP)/tibial physis (TP). Thereafter, we developed a trigonometric formula to calculate the predicted change of the TT-TG distance that occurs during hemiepiphysiodesis around the knee using both the planned angular correction as well as the length between the physis (both distal femoral and proximal tibial) and the insertion of the patellar tendon of the TT...
May 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27502230/interosseous-membrane-window-size-for-tibialis-posterior-tendon-transfer-geometrical-and-mri-analysis
#8
COMPARATIVE STUDY
Pablo Wagner, Cristian Ortiz, Omar Vela, Paul Arias, Diego Zanolli, Emilio Wagner
BACKGROUND: Tibialis posterior (TP) tendon transfer through the interosseous membrane is commonly performed in Charcot-Marie-Tooth disease. In order to avoid entrapment of this tendon, no clear recommendation relative to the interosseous membrane (IOM) incision size has been made. OBJECTIVE: Analyze the TP size at the transfer level and therefore determine the most adequate IOM window size to avoid muscle entrapment. METHODS: Eleven lower extremity magnetic resonances were analyzed...
September 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27172534/negative-pressure-wound-therapy-npwt-to-treat-complex-defect-of-the-leg-after-electrical-burn
#9
Iulia Tevanov, Dan M Enescu, Radu Bălănescu, G Sterian, Alexandru Ulici
Negative pressure wound therapy is a non-invasive treatment that uses under atmospheric pressure to increase blood supply to the wound, stimulating the formation of granulation tissue, angiogenesis, proliferation of fibroblasts and endothelial cells. Negative pressure therapy has also the ability to decrease the bacterial load, reduce swelling and decrease exudate while maintaining a moist environment that facilitates healing. Our patient, a 17 year old male, suffered major third and fourth-degree high voltage electrical burns on 60% of the body surface, in November 2011...
March 2016: Chirurgia
https://www.readbyqxmd.com/read/26805697/intramedullary-tuberculoma-combined-with-abscess-case-report-and-literature-review
#10
REVIEW
Jijun Liu, Haiping Zhang, Baorong He, Biao Wang, Xingbang Niu, Dingjun Hao
BACKGROUND: Intramedullary spinal tuberculoma combined with abscess has low incidence and could easily be misdiagnosed. Given the rarity of spinal intramedullary tuberculoma, there is no standardized treatment protocol for this condition. We reported the case of a 28-year-old male who was diagnosed with intramedullary tuberculoma combined with abscess and treated with antituberculosis therapy followed by surgery. CASE DESCRIPTION: A 28-year-old male was admitted to our hospital with lower back pain and lower limb sensory and motor dysfunction...
May 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26700629/peroneal-nerve-palsy-evaluation-and-management
#11
REVIEW
Chad Poage, Charles Roth, Brandon Scott
Peroneal nerve palsy is the most common entrapment neuropathy of the lower extremity. Numerous etiologies have been identified; however, compression remains the most common cause. Although injury to the nerve may occur anywhere along its course from the sciatic origin to the terminal branches in the foot and ankle, the most common site of compressive pathology is at the level of the fibular head. The most common presentation is acute complete or partial foot drop. Associated numbness in the foot or leg may be present, as well...
January 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/26683981/treatment-of-peroneal-nerve-injuries-in-the-multiligament-injured-dislocated-knee
#12
Michael P O'Malley, Ayoosh Pareek, Patrick Reardon, Aaron Krych, Michael J Stuart, Bruce A Levy
Tibiofemoral knee dislocations are typically a consequence of high-energy mechanisms, causing significant damage to the soft tissue and osseous structures of the knee. Concomitant neurovascular injuries such as popliteal artery and peroneal nerve injuries are also common and can have significant long-term consequences. The mechanism typically involves a traction injury to the peroneal nerve subsequent to an extreme varus moment applied to the knee. Complete nerve injuries typically hold a worse prognosis than incomplete palsies...
May 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/26491328/serotonin-syndrome-induced-by-the-readministration-of-escitalopram-after-a-short-term-interruption-in-an-elderly-woman-with-depression-a-case-report
#13
Yasushi Sato, Kazuhiko Nakamura, Norio Yasui-Furukori
BACKGROUND: Serotonin syndrome is a rare but potentially fatal side effect of antidepressants that results from the effects of drug activity on both central and peripheral serotonergic receptors. CASE: A 78-year-old Japanese female with a 2-year history of major depressive disorder was treated with escitalopram (10 mg/d), risperidone (1 mg/d), and nitrazepam (5 mg/d). One month after beginning this drug regimen, she was transferred to the emergency department and immediately hospitalized due to suspicion of a urinary tract infection and dehydration...
2015: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/26110695/mechanical-energy-and-propulsion-in-ergometer-double-poling-by-cross-country-skiers
#14
Jørgen Danielsen, Øyvind Sandbakk, Hans-Christer Holmberg, Gertjan Ettema
PURPOSE: This study aims to investigate fluctuations in total mechanical energy of the body (Ebody) in relation to external ergometer work (Werg) during the poling and recovery phases of simulated double-poling cross-country skiing. METHODS: Nine male cross-country skiers (mean ± SD age, 24 ± 5 yr; mean ± SD body mass, 81.7 ± 6.5 kg) performed 4-min submaximal tests at low-intensity, moderate-intensity, and high-intensity levels and a 3-min all-out test on a ski ergometer...
December 2015: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/26041544/allograft-reconstruction-of-chronic-tibialis-anterior-tendon-ruptures
#15
Jeannie Huh, Deanna M Boyette, Selene G Parekh, James A Nunley
BACKGROUND: Chronic ruptures of the tibialis anterior tendon are often associated with tendon retraction and poor-quality tissue, resulting in large segmental defects that make end-to-end repair impossible. Interpositional allograft reconstruction has previously been described as an operative option in these cases; however, there are no reports of the clinical outcomes of this technique in the literature. METHODS: Eleven patients with chronic tibialis anterior tendon ruptures underwent intercalary allograft recon-struction between 2006 and 2013...
October 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/26002675/peroneal-tendon-reconstruction-and-coverage-for-treatment-of-septic-peroneal-tenosynovitis-a-devastating-complication-of-lateral-ankle-ligament-reconstruction-with-a-tendon-allograft
#16
Valerie L Schade, Wayne Harsha, Caitlin Rodman, Thomas S Roukis
Septic peroneal tenosynovitis is a rare and significant challenge. A search of peer-reviewed published studies revealed only 5 case reports to guide treatment, none of which resulted in significant loss of both peroneal tendons necessitating reconstruction. No clear guidance is available regarding how to provide reliable reconstruction of both peroneal tendons after a significant loss secondary to septic tenosynovitis. In the present report, we describe the case of a young, active-duty soldier who underwent lateral ankle ligament reconstruction with a tendon allograft whose postoperative course was complicated by septic peroneal tenosynovitis resulting in significant loss of both peroneal tendons...
March 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25931309/a-rare-complication-of-spine-surgery-guillain-barr%C3%A3-syndrome
#17
Sheng-Li Huang, Hua-Guang Qi, Jing-Jie Liu, Ya-Juan Huang, Li Xiang
OBJECTIVE: Since little has been reported about Guillain-Barré syndrome (GBS) after spine surgery, we sought to determine some of the clinical features and the management of the condition. METHODS: A total of 4 cases of GBS after spine surgery were included. The medical charts of the patients were reviewed to obtain demographic and clinical details. All the patients underwent neurologic and electrophysiologic examinations and were followed up after surgery. RESULTS: The onset of symptoms about GBS was 2-7 days after the operation...
September 2015: World Neurosurgery
https://www.readbyqxmd.com/read/25786754/-a-case-of-pure-sensory-type-guillain-barr%C3%A3-syndrome-with-galactocerebroside-antibody
#18
Shuro Kogawa, Atsushi Nakajima, Syuhei Kobashi, Makoto Samukawa, Susumu Kusunoki
A 67-year-old man noticed paresthesia in both legs in July 2011. Three days later, he was found on a street where he was unable to stand up. On admission, the deep sensation in both legs was severely disturbed, but their muscle strength remained normal. Cranial nerves and autonomic functions were normal. The deep tendon reflexes were diminished in both legs. Magnetic resonance imaging of the spine was normal. Motor nerve conduction studies revealed normal conduction velocity, amplitude, and F-wave latency. However, sensory nerve conduction studies revealed severe reduction of amplitude in the upper and lower extremities...
2015: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/25131389/minimally-invasive-early-operative-treatment-of-progressive-foot-and-ankle-deformity-associated-with-charcot-marie-tooth-disease
#19
Troy J Boffeli, Jessica A Tabatt
Charcot-Marie-Tooth disease is a neuromuscular disorder that commonly results in a predictable pattern of progressive bilateral lower extremity weakness, numbness, contracture, and deformity, including drop foot, loss of ankle eversion strength, dislocated hammertoes, and severe cavus foot deformity. Late stage reconstructive surgery will be often necessary if the deformity becomes unbraceable or when neuropathic ulcers have developed. Reconstructive surgery for Charcot-Marie-Tooth deformity is generally extensive and sometimes staged...
July 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25092957/case-report-on-lithium-intoxication-with-normal-lithium-levels
#20
Jing Peng
An 18-year old female was admitted to a psychiatric hospital with an initial episode of mania. Treated with routine dosages of lithium bicarbonate, her symptoms resolved after two weeks; she was discharged on a dosage of 250mg lithium bid. Five days after discharge she was taken to the emergency department of a general hospital with loss of appetite and disturbed consciousness. The general hospital physicians were unable to diagnose the problem so she was transferred back to the psychiatric hospital. At that time she had a lithium blood level of 0...
April 2014: Shanghai Archives of Psychiatry
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