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https://www.readbyqxmd.com/read/29786824/intramedullary-nail-with-integrated-cephalocervical-screws-in-the-intertrochanteric-fractures-treatment-position-of-screws-in-fracture-stability
#1
Gökhan Kaynak, Mehmet Can Ünlü, Mehmet Fatih Güven, Ozan Ali Erdal, Okan Tok, Hüseyin Botanlıoğlu, Önder Aydıngöz
BACKGROUND: Stable fracture fixation is important in the treatment of intertrochanteric femur (ITF) fractures in the elderly population to prevent the loss of reduction, achieve early mobility, and restore independence. The aim of this study was to present the results of surgical treatment of stable and unstable ITF fractures using a trochanteric antegrade intramedullary nail with two cephalocervical screws in an integrated mechanism (Intertan®; Smith & Nephew, Memphis, TN) and evaluate the relationship between the loss of reduction and screw position in the femoral neck in two planes...
May 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29777534/is-it-necessary-to-have-a-dentist-within-an-intensive-care-unit-team-report-of-a-randomised-clinical-trial
#2
Wanessa Teixeira Bellissimo-Rodrigues, Mayra Gonçalves Menegueti, Gilberto Gambero Gaspar, Hayala Cristina Cavenague de Souza, Maria Auxiliadora-Martins, Anibal Basile-Filho, Roberto Martinez, Fernando Bellissimo-Rodrigues
OBJECTIVE: To evaluate the effectiveness of dental treatment in improving oral health in critical patients. METHODS: This randomised clinical trial was conducted in a general intensive care unit (ICU) at a tertiary care public facility from 1 January 2011 to 8 August 2013. Data from 254 adult patients staying in the ICU for 48 hours or more were analysed. The experimental group (n = 127) had access to dental treatment provided by a dentist four to five times a week, in addition to routine oral hygiene, whereas the control group (n = 127) had access only to routine oral hygiene, including topical application of chlorhexidine, provided by the ICU nursing staff...
May 18, 2018: International Dental Journal
https://www.readbyqxmd.com/read/29739248/cable-plating-with-a-single-strut-allograft-in-the-treatment-of-periprosthetic-fractures-of-the-femur-cable-plating-and-single-strut-allograft-in-periprosthetic-femur-fractures
#3
Jonathan R Manara, John A Mathews, Harvey S Sandhu
BACKGROUND: Hip arthroplasties are increasing worldwide resulting in an increasing number of periprosthetic fractures. These fractures are difficult to treat with various the different fixation or revision options described, many of which have high complication rates. PURPOSE: To investigate whether our described method of treating periprosthetic fractures is an effective, safe and reproducible method of treating patients. METHODS: We describe the largest series of a cable plate fixation system combined with a single cortical strut allograft to treat patients with periprosthetic fractures of the hip (Unified Classification System B1 and selected B2, C and D)...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29676256/-the-smile-a-challenge-in-the-treatment-of-class-iii
#4
Laure De Launay, Sarah Gebeile-Chauty
INTRODUCTION: The smile poses a challenge in the treatment of class III. Untreated, the class III patient presents excessive maxillary torque and a predominant display of the mandibular incisors, a sign that becomes more visible with age. Functional orthopedics restores the aesthetic appearance of the smile by maxillary protraction (sometimes temporarily because 20% of cases will still need surgery). Depending on the initial severity of the case (-4.5 mm AoBo would be the threshold value), the options are compensation or surgical correction...
March 2018: L' Orthodontie Française
https://www.readbyqxmd.com/read/29667141/triplanar-correction-of-adolescent-idiopathic-scoliosis-by-asymmetrically-shaped-and-simultaneously-applied-rods-associated-with-direct-vertebral-rotation-clinical-and-radiological-analysis-of-36-patients
#5
Cesare Faldini, Fabrizio Perna, Giuseppe Geraci, Francesco Pardo, Antonio Mazzotti, Federico Pilla, Alberto Ruffilli
PURPOSE: Aim of this study was to investigate the effectiveness of a new surgical corrective manoeuvre for adolescent idiopathic scoliosis (AIS) by asymmetrically shaped and simultaneously applied rods and in combination with direct vertebral rotation, to control both the triplanar deformity and the kyphosis apex location. METHODS: We retrospectively reviewed 36 patients who undergo surgical treatment using simultaneous translation on two differently contoured rods, in combination with direct vertebral rotation...
April 17, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29547117/retrospective-analysis-of-open-reduction-and-internal-fixation-of-coronal-plane-fractures-of-the-capitellum-and-trochlea-using-the-anterolateral-approach
#6
Yashwant Singh Tanwar, Yatinder Kharbanda, Atin Jaiswal, Vikas Birla, Ramsagar Pandit
INTRODUCTION: Coronal plane distal humeral injuries are relatively rare. Numerous classification systems have been proposed as the complexity of these fractures has been realized. We in the present series of ten patients describe the surgical technique of Open Reduction and Internal Fixation of Coronal plane fractures of the distal humerus with headless compression screws performed using the anterolateral approach. MATERIAL AND METHOD: It was a retrospective study, the data collected from March 2010 to 2015 was analysed and the final outcome was assessed using the DASH score...
2018: SICOT-J
https://www.readbyqxmd.com/read/29526059/restoration-of-sagittal-balance-in-spinal-deformity-surgery
#7
REVIEW
Melvin C Makhni, Jamal N Shillingford, Joseph L Laratta, Seung-Jae Hyun, Yongjung J Kim
The prevalence of patients with adult spinal deformity (ASD) has been reported as high as 68%. ASD often leads to significant pain and disability. Recent emphasis has been placed on sagittal plane balance and restoring normal sagittal alignment with regards to the three dimensional deformity of ASD. Optimal sagittal alignment has been known to increase spinal biomechanical efficiency, reduce energy expenditure by maintaining a stable posture with improved load absorption, influence better bony union, and help to decelerate adjacent segment deterioration...
March 2018: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29509615/the-association-between-rotator-cuff-muscle-fatty-infiltration-and-glenoid-morphology-in-glenohumeral-osteoarthritis
#8
Kenneth W Donohue, Eric T Ricchetti, Jason C Ho, Joseph P Iannotti
BACKGROUND: Glenoid morphology and rotator cuff muscle quality are important anatomic factors that can impact longevity of the glenoid component following total shoulder arthroplasty (TSA). We hypothesized that rotator cuff muscle fatty infiltration is associated with increased pathologic glenoid bone loss in glenohumeral osteoarthritis (OA). METHODS: We retrospectively reviewed 190 preoperative computed tomography (CT) scans of 175 patients (mean age, 66 years; range, 44 to 90 years) who underwent TSA for the treatment of primary glenohumeral OA...
March 7, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29501118/interdisciplinary-treatment-for-a-compensated-class-ii-partially-edentulous-malocclusion-orthodontic-creation-of-a-posterior-implant-site
#9
Grace Chiu, Chris Chang, W Eugene Roberts
A 36-year-old woman with good periodontal health sought treatment for a compensated Class II partially edentulous malocclusion associated with a steep mandibular plane (SN-MP, 45°), 9 missing teeth, a 3-mm midline discrepancy, and compromised posterior occlusal function. She had multiple carious lesions, a failing fixed prostheses in the mandibular right quadrant replacing the right first molar, and a severely atrophic edentulous ridge in the area around the mandibular left first and second molars. After restoration of the caries, the mandibular left third molar served as anchorage to correct the mandibular arch crowding...
March 2018: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29497624/scleral-surgery-for-the-treatment-of-presbyopia-where-are-we-today
#10
REVIEW
AnnMarie Hipsley, Brad Hall, Karolinne M Rocha
Presbyopia corrections traditionally have been approached with attempts to exchange power, either at the cornea or the lens planes, inducing multifocality, or altering asphericity to impact the optical system. Treatments that affect the visual axis, such as spectacle and contact lens correction, refractive surgeries, corneal onlays and inlays, and intraocular lenses are typically unable to restore true accommodation to the presbyopic eye. Their aim is instead to enhance 'pseudoaccommodation' by facilitating an extended depth-of-focus for which vision is sufficient...
2018: Eye and Vision (London, England)
https://www.readbyqxmd.com/read/29354445/arthroscopic-saucerization-and-all-inside-repair-of-a-delaminated-discoid-lateral-meniscus
#11
William A Zuke, Gregory L Cvetanovich, Beatrice Go, Brian Forsythe
Preservation of the meniscus has been shown to influence the progression of degenerative changes of the knee. As more meniscus is preserved, the propensity for development of osteoarthritis is lessened. Surgical treatment of a torn discoid meniscus has typically been a subtotal meniscectomy or partial meniscectomy. Similar to tears of a normal meniscus, partial meniscectomy compared with subtotal meniscectomy of the discoid meniscus confers better long-term results. With the abnormal morphology predisposing the discoid meniscus to tearing, several characteristic tear patterns can be observed-the horizontal tear being commonly encountered...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354424/the-purse-string-procedure-for-recurrent-anterior-glenohumeral-instability-a-simple-technique-to-achieve-bankart-repair-capsular-shift-and-a-good-labral-bumper
#12
Luis Gerardo Natera, Paolo Consigliere, Caroline Witney-Lagen, Juan Bruguera, Giuseppe Sforza, Ehud Atoun, Ofer Levy
Failure of arthroscopic techniques in cases of recurrent anterior glenohumeral instability may result from inadequate treatment of capsular injury. The use of few anchors has been cited as a cause of failure in arthroscopic stabilization techniques. This applies to the use of the suture anchors as spot-welding points in conventional techniques. It has been shown that horizontal mattress suture techniques restore better labral height and anatomy than simple suture techniques in the repair of acute Bankart lesions...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29279751/thoracolumbar-vertebral-injuries-with-neurological-deficit-treated-with-posterior-decompression-short-segment-pedicle-screw-fixation-and-interlaminar-fusion
#13
Sachin Kumar, Satish Kumar, Rajender Kumar Arya, Avinash Kumar
Study Design: Prospective clinical study. Purpose: The purpose of this study was to evaluate the effect of interlaminar fusion and short segment pedicle screw fixation on thoracolumbar vertebral injuries for preventing pain and post-traumatic kyphosis. Overview of Literature: The treatment of thoracolumbar injuries continues to be one of the most controversial areas in spine care. The main aim of surgical treatment is to decompress the spinal cord or nerve roots, realign the spine, and correct or prevent post-traumatic kyphosis...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29195817/radial-plane-tooth-position-and-bone-wall-dimensions-in-the-anterior-maxilla-a-cbct-classification-for-immediate-implant-placement
#14
Howard Gluckman, Carla Cruvinel Pontes, Jonathan Du Toit
STATEMENT OF PROBLEM: The biological and esthetic challenge of the post-extraction ridge is relevant to restorative implant dentistry, most significantly in the anterior esthetic zone. Previous authors have discussed facial bone wall dimensions and classified their variations. A reclassification may be pertinent. PURPOSE: The purpose of this observational, clinical study was to introduce a new classification system for anterior maxilla tooth position with guidelines for immediate implant placement...
November 29, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/29089772/isolated-descemetorhexis-for-anterior-synechiolysis-prior-to-endothelial-keratoplasty-case-report-and-technique
#15
Konstantinos Droutsas, Konstantinos Andreanos, Apostolos Lazaridis, Ilias Georgalas, George Kymionis, Dimitris Papaconstantinou
PURPOSE: To describe the utilization of descemetorhexis for reformation of the anterior chamber in eyes with central iridocorneal synechiae before endothelial keratoplasty (EK). METHODS: A 71-year-old man with a history of trabeculectomy complicated by hypotony presented with bullous keratopathy in the presence of extensive iridocorneal synechiae and a flat anterior chamber. In order to proceed with EK, synechiolysis with the use of viscoelastic and scissors was attempted...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29083227/variation-in-the-medial-patellofemoral-ligament-origin-in-the-skeletally-immature-knee-an-anatomic-study
#16
Kevin G Shea, W Duncan Martinson, Peter C Cannamela, Connor G Richmond, Peter D Fabricant, Allen F Anderson, John D Polousky, Theodore J Ganley
BACKGROUND: The medial patellofemoral ligament (MPFL) is frequently reconstructed to treat recurrent patellar instability. The femoral origin of the MPFL is well described in adults but not in the skeletally immature knee. PURPOSE: To identify a radiographic landmark for the femoral MPFL attachment in the skeletally immature knee and study its relationship to the distal femoral physis. STUDY DESIGN: Descriptive laboratory study. METHODS: Thirty-six cadaveric specimens between 2 and 11 years old were dissected and examined (29 male and 7 female)...
February 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29075419/bimaxillary-simultaneous-immediate-loading-of-full-arch-restorations-a-case-series
#17
REVIEW
Iñaki Cercadillo-Ibarguren, Alba Sánchez-Torres, Rui Figueiredo, Eduard Valmaseda-Castellón
AIM: To describe a bimaxillary simultaneous immediate loading protocol with full-arch implant-supported fixed prostheses. MATERIAL AND METHODS: A prospective case series of 8 patients who required full-arch rehabilitation was conducted. The main inclusion criteria were patients with teeth that required extraction. At least 1 molar per arch was temporarily employed to stabilize the surgical template and the provisional prosthesis during intraoral relining. RESULTS: Two upper implants failed in 1 patient...
September 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29072208/assessment-of-caries-status-among-schoolchildren-according-to-decayed-missing-filled-teeth-decayed-extract-filled-teeth-index-international-caries-detection-and-assessment-system-and-caries-assessment-spectrum-and-treatment-criteria
#18
E Rajendra Reddy, S Thabitha Rani, M Manjula, L Vinay Kumar, T Ajay Mohan, E Radhika
BACKGROUND: Detection and evaluation of dental caries is of epidemiological importance. Its early detection is important to commence appropriate treatment planning. Cavitated, noncavitated, and initial lesions of dental caries can be detected by various indices. OBJECTIVES: The objective of the study was to assess the caries experience in schoolchildren using decayed-missing-filled teeth (DMFT)/decayed-extracted-filled teeth (deft), International Caries Detection and Assessment System-II (ICDAS-II), and Caries Assessment Spectrum and Treatment (CAST) systems...
September 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28986816/effects-of-electroacupuncture-on-metabolic-changes-in-motor-cortex-and-striatum-of-6-hydroxydopamine-induced-parkinsonian-rats
#19
Min Li, Ke Wang, Wen-Ting Su, Jun Jia, Xiao-Min Wang
OBJECTIVE: To explore the possible underlying mechanism by investigating the effect of electroacupuncture (EA) treatment on the primary motor cortex and striatum in a unilateral 6-hydroxydopamine (6-OHDA) induced rat Parkinson's disease (PD) model. METHODS: Male Sprague-Dawley rats were randomly divided into sham group (n=16), model group (n=14), and EA group (n=14). EA stimulation at Dazhui (GV 14) and Baihui (GV20) was applied to PD rats in the EA group for 4 weeks...
October 6, 2017: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/28957738/standard-versus-physiologic-bone-preparation-in-total-knee-arthroplasty-and-the-effect-on-joint-space-opening
#20
Timothy A Burkhart, Benjamin V Herman, Kevin Perry, Pieter-Jan Vandekerckhove, James Howard, Brent Lanting
BACKGROUND: Total knee arthroplasty is an effective treatment for osteoarthritis. Restoration of physiologic varus alignment may restore the native soft tissue tension and improve outcomes. METHODS: Six paired fresh-frozen knee specimens were used to perform total knee arthroplastys. The left and right sides of were randomly assigned to have either a physiologic alignment cut or a standard of care neutral alignment bony cut prior to the implantation. Loads of 100 and 200N were applied at 0, 30, 60, and 90° of flexion and the magnitude of the medial and lateral compartment distraction was measured...
November 2017: Clinical Biomechanics
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