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Umesh Kumar, Pradeep Jain
Objective: The objective of the study was to determine the feasibility of infragluteal fasciocutaneous flap in recurrent ischial pressure sore. Materials and Methods: In our study, from 2015 to 2017, nine patients suffering from recurrent ischial sore with scars of previous surgery were managed with infragluteal fasciocutaneous flap. Wound bed was prepared by surgical debridement and negative pressure wound therapy in each case. In two cases, gracilis muscle flap was used as adjuvant to fill up the residual cavity...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Christopher Dowding, Johanna S Dobransky, Paul R Kim, Paul E Beaulé
BACKGROUND: Metal on metal hip resurfacing (MoM-HR) is an alternative to total hip arthroplasty in young and active patients. The purpose was to determine the survivorship of MoM-HR procedures performed in patients aged 45 years and younger assessing patient-reported outcome measures (PROMs) at minimum 5-year follow-up. METHODS: All 217 patients equal to or younger than 45 years of age at the time of surgical intervention presenting to our center with MoM-HR between May 2002 and May 2011 were prospectively followed...
June 1, 2018: Journal of Arthroplasty
Elina Ekman, Inari Laaksonen, Antti Eskelinen, Pekka Pulkkinen, Eero Pukkala, Keijo Mäkelä
Background and purpose - Metal-on-metal (MoM) total hip arthroplasty (THA) and hip resurfacing arthroplasty (HRA) have been widely used during the early 21st century. We assessed the midterm risk of cancer of patients treated with modern MoM hip implants compared with patients with non-MoM hip implants and the general Finnish population with special interest in soft tissue sarcomas and basalioma due to the findings of our previous report. Patients and methods - All large-diameter head MoM THAs and hip resurfacings performed in Finland between 2001 and 2010 were extracted from the Finnish Arthroplasty Register (10,728 patients)...
June 18, 2018: Acta Orthopaedica
Elisabeth Datz, Carmen Schönberger, Florian Zeman, Michael Koller, Mark Berneburg, Michael Landthaler, Sigrid Karrer, Ulrich Hohenleutner, Silvia Hohenleutner
BACKGROUND: Fractional ablative resurfacing is frequently used for treating atrophic and acne scars as well as for the early improvement of scars after surgery. No evidence-based clinical data on improving the appearance of skin grafts by fractional CO2 -laser resurfacing have been available so far. OBJECTIVES: The primary outcome parameter was the adaptation of the skin graft to the surrounding skin 2, 6, and 12 months after the second laser treatment. Secondary outcome parameters were melanin variation, skin roughness, resizing of the skin graft, and patient satisfaction with cosmetic results...
June 17, 2018: Lasers in Surgery and Medicine
Veera Venkata Satyanarayana Eethakota, Vinod Vaishnav, Linda Johnston, Rami Abboud, Weijie Wang
BACKGROUND AND PURPOSE: Currently it is not clear whether age is a factor affecting revisions in total hip replacement (THR) and hip resurfacing (HR). This study aimed to investigate which of THR or HR has a higher risk in terms of revision and complication within similar age groups. METHODS: A systemic review was performed for published literature research databases and local data and compared the two procedures under the condition that both groups of patients were age matched...
June 12, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Valerie Michaelson, William Pickett, Colleen Davison
Holism is an ancient theme concept that has resurfaced in recent literature, and that requires informed and intentional use in order to preserve its utility. This paper provides a historical and conceptual reintroduction of the notion of holism as it relates to health, with the hopes of informing the term's use in public health discourse. It also addresses the challenges that a lack of conceptual clarity about holistic health imposes on public health and health promotion discussions. It describes how the use and conceptualizations of holism are shifting in health promotion and argues that failing to accurately define and delineate its scope risks diluting its utility for future health promotion applications...
June 11, 2018: Health Promotion International
Raphaëlle Klitting, Ernest A Gould, Christophe Paupy, Xavier de Lamballerie
The recent resurgence of yellow fever virus (YFV) activity in the tropical regions of Africa and South America has sparked renewed interest in this infamous arboviral disease. Yellow fever virus had been a human plague for centuries prior to the identification of its urban transmission vector, the Aedes ( Stegomyia ) aegypti (Linnaeus) mosquito species, and the development of an efficient live-attenuated vaccine, the YF-17D strain. The combination of vector-control measures and vaccination campaigns drastically reduced YFV incidence in humans on many occasions, but the virus never ceased to circulate in the forest, through its sylvatic invertebrate vector(s) and vertebrate host(s)...
June 8, 2018: Genes
Martin J C van Gemert, Paul R Bloemen, Wei-Yong Wang, Cees W M van der Geld, Rudy M M A Nuijts, Hayri Hortoglu, Albert Wolkerstorfer, Daniel M de Bruin, Ton G van Leeuwen, H A Martino Neumann, Martine J Jager
BACKGROUND AND OBJECTIVES: A 36-year-old woman underwent CO2 laser resurfacing for periocular rhytides using protective stainless steel Cox II ocular shields. Immediately after the treatment, corneal lesions were seen in both eyes. The left eye subsequent developed corneal ulceration and scarring, a deformed iris, cataract, and lower eye lashes showing signs of acute burns. The right cornea had a small inferior mid-peripheral superficial lesion and concomitant lower mid-peripheral burned eye lashes...
June 8, 2018: Lasers in Surgery and Medicine
Jack W Martin, Mark A Williams, Karen L Barker
Background: When compared to total hip arthroplasty (THA), hip resurfacing arthroplasty (HRA) is usually undertaken in younger, more active patients with hip osteoarthritis. Previous research has noted that patients are able to return to pre-operative activity levels, with many even increasing their activity post HRA, but patterns in post-operative recovery have been less well investigated. Materials and Methodology: A randomised controlled trial dataset was analysed to explore activity levels attained after HRA...
June 2018: Journal of Orthopaedics
Michael W Maier, Pit Hetto, Patric Raiss, Matthias Klotz, Matthias Bülhoff, David Spranz, Felix Zeifang
Purpose: The aim of the study was to examine clinical and radiographic results of a cementless humeral surface and to evaluate prognostic parameters for implant failure. Methods: 34 shoulders were examined preoperatively and after a mean 2.7 years. Radiographic parameters, Constant scores (CS) and complications were recorded. Results: The mean CS improved from 27 to 51 points. Eight patients (24%) had an implant revision for secondary glenoid erosion...
June 2018: Journal of Orthopaedics
Sean J Matuszak, Vincent P Galea, James W Connelly, Janus Christiansen, Orhun Muratoglu, Henrik Malchau
INTRODUCTION: Recent registry studies show that aseptic loosening secondary to osteolysis is the second leading cause of hip implant failure in patients implanted with metal-on-metal (MoM) bearings. The primary aim of our study was to report on the progression of acetabular osteolysis during mid-term follow-up in patients treated with MoM hip resurfacing arthroplasty (HRA) and MoM total hip arthroplasty (THA). The secondary aim was to identify independent predictors of osteolytic lesion progression...
June 5, 2018: Archives of Orthopaedic and Trauma Surgery
Sjoerd T T Schetters, Laura J W Kruijssen, Matheus H W Crommentuijn, Hakan Kalay, Jordi Ochando, Joke M M den Haan, Juan J Garcia-Vallejo, Yvette van Kooyk
The efficacy of vaccination studies aimed at targeting antigens to human DC-SIGN (hDC-SIGN) have been notoriously difficult to study in vivo , as eight dendritic cell-specific intercellular adhesion molecule-3 grabbing non-integrin (DC-SIGN) homologs have been described in mice. CD209a/SIGNR5 has been coined as the mouse DC-SIGN (mDC-SIGN) ortholog, based on its expression and location in the genome. Nonetheless, which properties of hDC-SIGN are covered by mDC-SIGN is poorly investigated. One of the most important functions of DC-SIGN is the induction of adaptive immunity...
2018: Frontiers in Immunology
Megan M Brown, Arisa Ortiz
No abstract text is available yet for this article.
June 1, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Jason A Kayce, Jennifer Buchanan, Adam S Landsman
Ten cases using decellularized allografts and xenografts for the purpose of resurfacing the first metatarsal head are reviewed in this article. Although most of the cases were performed without any postoperative complications, the focus of this series is on 2 of the 3 cases in which destruction of the first metatarsal head was observed postoperatively due to a foreign body reaction and severe degeneration within the metatarsal head. A salvage procedure using a silicone total joint to replace the damaged surface is shown...
July 2018: Clinics in Podiatric Medicine and Surgery
Anoop Jhurani, Piyush Agarwal, Mukesh Aswal, Purvi Saxena, Nidhi Singh
Purpose: Restoring the native patellar thickness after patellar resurfacing provides optimal function of the knee after arthroplasty and minimises complications related to the patellofemoral articulation. The aim of this study was to assess the usefulness of a thin patellar button (6.2 mm) in patients with a patella thickness of less than 20 mm during total knee arthroplasty. Materials and Methods: This is a retrospective case control study. A total of 54 female patients with an intraoperative patellar thickness of <20 mm, resurfaced with a patellar button of 6...
June 1, 2018: Knee Surgery & related Research
James W Pritchett
INTRODUCTION: This study evaluated the effectiveness of hip resurfacing in patients with femoral deformities or retained femoral implants. Implant removal and conversion total hip replacement (CTHR) have been associated with increased operative time, blood loss, and cost. Removing intramedullary nails in particular can be difficult and can result in a more difficult recovery and/or complications. Hip resurfacing can be performed with a blocked femoral canal and has the possible additional benefits of a less-complex procedure, improved functional outcomes, better patient survivorship, and a possibly less-complicated revision should a failure occur...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Pierre H M Péchon, Katherine Butler, George Murphy, Gian C Singer
INTRODUCTION: The Oxford Hip Score (OHS) is a commonly used patient-reported outcome measure (PROM), comprising 12 questions. We present the incidental finding that one of the 12 questions is ambiguous. MATERIALS AND METHODS: As part of a 10-year follow-up of patients treated with hip resurfacing the OHS was posted to 148 patients; 135 (91%) replied. Scores were read by 2 orthopaedic surgery trainees and entered into a database. It was noted that Question 5 was frequently mis-interpreted...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Mette H Hjorth, Inger Mechlenburg, Kjeld Soballe, Stig S Jakobsen, Lone Roemer, Maiken Stilling
BACKGROUND: Metal-on-metal (MoM) total hip arthroplasty (THA) and resurfacing hip arthroplasty (RHA) were previously considered an excellent option for young and physically active patients. However, the relationship between MoM THA/RHA patients' daily physical activity (PA), metal ion measurements of chromium and cobalt, and pseudotumor dynamic is insufficiently explored. METHODS: One hundred eleven patients with 148 hip articulations, 77 MoM THA/RHA and 71 MoP THA, participated in a prospective cohort study, with 5 cross-sectional analyses during a 1-year follow-up...
April 30, 2018: Journal of Arthroplasty
Chengqi Jia, Ming Ni, Jun Fu, Xin Li, Xiang Li, Wei Chai, Jiying Chen
Objective: To investigate the effectiveness of total knee arthroplasty (TKA) with or without patellar resurfacing. Methods: Between March 2013 and August 2015, 30 patients (60 knees) with osteoarthritis who met the inclusion criteria were recruited in the study. Of 30 cases, 24 were male and 6 were female with an average age of 57.2 years (range, 37-65 years). The body mass index ranged from 19.5 to 40.3 kg/m 2 (mean, 28.2 kg/m 2 ). According to Kellgren-Lawrence grading, there were 8 cases at grand Ⅲ and 22 cases at grand Ⅳ...
April 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Joy Tao, Amanda Champlain, Charles Weddington, Lauren Moy, Rebecca Tung
Introduction: Burn scars cause cosmetic disfigurement and psychosocial distress. We present two Fitzpatrick phototype (FP) III patients with burn scars successfully treated with combination pulsed dye laser (PDL) and non-ablative fractional lasers (NAFL). Case 1: A 30-year-old, FP III woman with a history of a second-degree burn injury to the bilateral arms and legs affecting 30% body surface area (BSA) presented for cosmetic treatment. The patient received three treatments with 595 nm PDL (7 mm, 8 J, 6 ms), six with the 1550 nm erbium:glass laser (30 mJ, 14% density, 4-8 passes) and five with the 1927 nm thulium laser (10 mJ, 30% density, 4-8 passes)...
January 2018: Scars, burns & healing
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