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Femoral nerve palsy

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https://www.readbyqxmd.com/read/27935925/clinical-evaluation-of-fused-ankylosed-hip-with-severe-flexion-deformity-after-conversion-to-total-hip-arthroplasty
#1
S K Suwal, P Songming, L Gang, H Kui
INTRODUCTION: Fused or Ankylosed hip is late complication of chronic inflammatory disorder with progressive changes in and around articular as well as periarticular structures with alteration in bio-force line of body which later lead to severe flexion deformity of joint. This not only results decreased movements of hip, it's also increase pain around the hip, back and contralateral hip. METHODS: Retrospectively, all patients aged 18 years or older undergoing THA between June 2006 to June 2012 were reviewed with selection criteria...
April 2016: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/27923597/long-term-results-of-cementless-total-hip-arthroplasty-with-subtrochanteric-shortening-osteotomy-in-crowe-type-iv-developmental-dysplasia
#2
Duan Wang, Ling-Li Li, Hao-Yang Wang, Fu-Xing Pei, Zong-Ke Zhou
BACKGROUND: When surgeons reconstruct hips with a high dislocation related to severe developmental dysplasia of the hip (DDH) in total hip arthroplasty (THA), archiving long-term stable implant fixation and improving patient function and satisfaction remain challenging. The purpose of this study was to evaluate the 10-year outcomes of transverse subtrochanteric shortening osteotomy in cementless, modular THA in Crowe type IV-Hartofilakidis type III DDH. METHODS: We reviewed 62 patients (76 hips) who underwent cementless THA with transverse subtrochanteric shortening osteotomy from 2002-2010...
November 15, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27919583/comparison-of-total-hip-arthroplasty-with-and-without-femoral-shortening-osteotomy-for-unilateral-mild-to-moderate-high-hip-dislocation
#3
Huiwu Li, Jiawei Xu, Xinhua Qu, Yuanqing Mao, Kerong Dai, Zhenan Zhu
BACKGROUND: This study compares the outcome between THA with and without femoral shortening osteotomy for unilateral mild to moderate high hip dislocation in developmental dysplasia of the hip patients. METHODS: The data on 42 hips in 42 patients who had undergone THA for unilateral mild to moderate high hip dislocation were retrospectively reviewed after being prospectively collected. In 22 patients, hips were reduced by soft tissue release and direct leverage using an elevator, without the osteotomy...
August 26, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27837399/reconstruction-of-the-shallow-acetabulum-with-a-combination-of-autologous-bulk-and-impaction-bone-grafting-fixed-by-cement
#4
Masaaki Maruyama, Shinji Wakabayashi, Hiroshi Ota, Keiji Tensho
BACKGROUND: Acetabular bone deficiency, especially proximal and lateral deficiency, is a difficult technical problem during primary total hip arthroplasty (THA) in developmental dysplasia of the hip (DDH). We report a new reconstruction method using a medial-reduced cemented socket and additional bulk bone in conjunction with impaction morselized bone grafting (additional bulk bone grafting method). QUESTIONS/PURPOSES: In a population of patients with acetabular dysplasia undergoing THA using a medial-reduced cemented socket and additional bulk bone with impacted morselized bone grafting, we evaluated (1) the radiographic appearance of bone graft; (2) the proportion of cups that developed loosening and subsequent revision; and (3) clinical results (outcome scores and complications)...
November 11, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27825365/a-prospective-case-series-for-a-minimally-invasive-internal-fixation-device-for-anterior-pelvic-ring-fractures
#5
Wayne Hoskins, Andrew Bucknill, James Wong, Edward Britton, Rodney Judson, Kellie Gumm, Roselyn Santos, Rohan Sheehy, Xavier Griffin
BACKGROUND: External fixation is commonly used as a means of definitive fixation of pelvic fractures. Pin site infection is common, with some cases of osteomyelitis and inpatient nursing can be challenging. The aim of this study is to report the outcomes and complications of an alternative minimally invasive technique, known as INFIX, utilising spinal pedicle screws inserted into the supra-acetabular bone and connected by a subcutaneous rod. METHODS: A single-centre prospective case series was performed...
November 8, 2016: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/27761220/targeted-screening-of-hip-dysplasia-in-newborns-experience-at-a-district-general-hospital-in-scotland
#6
Rahul Tyagi, Marcin R Zgoda, Rachel Short
National Health Service Quality Improvement Scotland (NHS QIS) published a health technology scoping report in 2006 acknowledging that there are serious concerns within Scotland in relation to Developmental Dysplasia of Hip (DDH) as there is no formal screening program in place and there are significant variations between NHS boards leading to confusion for staff and parents. NHS QIS identified need for audit work to improve hip screening in Scotland. The aim of this study is review of current practice of selective screening for DDH...
September 19, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/27752378/delayed-femoral-nerve-palsy-associated-with-iliopsoas-hematoma-after-primary-total-hip-arthroplasty
#7
Sandeep Kumar, Gerald Pflueger
Femoral nerve neuropathy after total hip arthroplasty is rare but catastrophic complication. Pain and quadriceps muscle weakness caused by this complication can significantly affect the functional outcome. Here we present a case report, describing delayed onset femoral nerve palsy associated with iliopsoas hematoma following pseudoaneurysm of a branch of profunda femoris artery after 3 months of primary total hip arthroplasty in an 80-year-old female patient with single kidney. Hip arthroplasty was done for painful primary osteoarthritis of left hip...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27737652/ct-guided-cryoablation-for-locally-recurrent-or-metastatic-bone-and-soft-tissue-tumor-initial-experience
#8
Michiro Susa, Kazutaka Kikuta, Robert Nakayama, Kazumasa Nishimoto, Keisuke Horiuchi, Sota Oguro, Masanori Inoue, Hideki Yashiro, Seishi Nakatsuka, Masaya Nakamura, Morio Matsumoto, Kazuhiro Chiba, Hideo Morioka
BACKGROUND: Historically, local control of recurrent sarcomas has been limited to radiotherapy when surgical re-resection is not feasible. For metastatic carcinomas to the bone or soft tissue, radiotherapy and some interventional radiology treatment along with other systemic therapies have been widely advocated due to the possibility of disseminated disease. These techniques are effective in alleviating pain and achieving local control for some tumor types, but it has not been effective for prolonged local control of most tumors...
October 13, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27512214/nonvascularized-fibular-grafting-in-nonunion-of-femoral-neck-fracture-a-systematic-review
#9
REVIEW
Sujit Kumar Tripathy, Ramesh Kumar Sen, Tarun Goyal
Nonunion of femoral neck fractures following primary fixation and neglected femoral neck fracture in young adults is a challenging task. Every effort should be directed toward hip joint salvage in these patients. Among different available options of hip salvage, nonvascularized fibular graft (NVFG) osteosynthesis is simple, easy to perform, and a successful technique. In this review, the available literature on NVFG in neglected and nonunion femoral neck fractures has been analyzed. After review of 15 articles on NVFG, the average nonunion rate was estimated to be 7...
July 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27440570/evaluation-of-brace-treatment-for-infant-hip-dislocation-in-a-prospective-cohort-defining-the-success-rate-and-variables-associated-with-failure
#10
Vidyadhar V Upasani, James D Bomar, Travis H Matheney, Wudbhav N Sankar, Kishore Mulpuri, Charles T Price, Colin F Moseley, Simon P Kelley, Unni Narayanan, Nicholas M P Clarke, John H Wedge, Pablo Castañeda, James R Kasser, Bruce K Foster, Jose A Herrera-Soto, Peter J Cundy, Nicole Williams, Scott J Mubarak
BACKGROUND: The use of a brace has been shown to be an effective treatment for hip dislocation in infants; however, previous studies of such treatment have been single-center or retrospective. The purpose of the current study was to evaluate the success rate for brace use in the treatment of infant hip dislocation in an international, multicenter, prospective cohort, and to identify the variables associated with brace failure. METHODS: All dislocations were verified with use of ultrasound or radiography prior to the initiation of treatment, and patients were followed prospectively for a minimum of 18 months...
July 20, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27433063/uncemented-total-hip-arthroplasty-in-osteoarthritis-of-hip-secondary-to-low-and-high-dislocated-hips-a-mid-term-follow-up-study
#11
Sudarshan Munigangaiah, Sinead O'Dwyer, Eric Masterson
BACKGROUND: Performing successful total hip replacement (THR) in dysplastic, subluxed, and dislocated hip is a challenging task. Here, we assessed midterm clinical and radiological outcomes of uncemented total hip arthroplasty in osteoarthritis (OA) of hip secondary to Hartofilakidis low and high-dislocated hips with a mean follow-up of 8.8 years. MATERIALS AND METHODS: A retrospective study of prospectively collected data was designed involving all consecutive patients who underwent uncemented THR for OA of hip secondary to developmental dysplasia of the hip and Grade II or Grade III Hartofilakidis classification...
July 2016: Journal of Natural Science, Biology, and Medicine
https://www.readbyqxmd.com/read/27349467/neurological-complications-using-a-novel-retractor-system-for-direct-lateral-minimally-invasive-lumbar-interbody-fusion
#12
Fady Sedra, Robert Lee, Ignacio Dominguez, Lester Wilson
We describe our experience using the RAVINE retractor (K2M, Leesburg, VA, USA) to gain access to the lateral aspect of the lumbar spine through a retroperitoneal approach. Postoperative neurological adverse events, utilising the mentioned retractor system, were recorded and analysed. We included 140 patients who underwent minimally invasive lateral lumbar interbody fusion (MI-LLIF) for degenerative spinal conditions between 2011 and 2015 at two major spinal centres. A total of 228 levels were treated, 35% one level, 40% two level, 20% three level and 5% 4 level surgeries...
September 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27341195/femoral-venous-pressure-waveform-as-indicator-of-phrenic-nerve-injury-in-the-setting-of-second-generation-cryoballoon-ablation
#13
Giacomo Mugnai, Carlo de Asmundis, Erwin Ströker, Burak Hünük, Darragh Moran, Diego Ruggiero, Valentina De Regibus, Hugo Enrique Coutino-Moreno, Ken Takarada, Rajin Choudhury, Jan Poelaert, Christian Verborgh, Pedro Brugada, Gian-Battista Chierchia
AIMS: Femoral venous pressure waveform (VPW) analysis has been recently described as a novel method to assess phrenic nerve function during atrial fibrillation ablation procedures by means of the cryoballoon technique. In this study, we sought to evaluate the feasibility and effectiveness of this technique, with respect to the incidence of phrenic nerve injury (PNI), in comparison with the traditional abdominal palpation technique alone. METHODS: Consecutive patients undergoing second-generation cryoballoon ablation (CB-A) from June 2014 to June 2015 were retrospectively analyzed...
June 22, 2016: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/27250041/neurological-complications-in-adult-spinal-deformity-surgery
#14
REVIEW
Justin A Iorio, Patrick Reid, Han Jo Kim
The number of surgeries performed for adult spinal deformity (ASD) has been increasing due to an aging population, longer life expectancy, and studies supporting an improvement in health-related quality of life scores after operative intervention. However, medical and surgical complication rates remain high, and neurological complications such as spinal cord injury and motor deficits can be especially debilitating to patients. Several independent factors potentially influence the likelihood of neurological complications including surgical approach (anterior, lateral, or posterior), use of osteotomies, thoracic hyperkyphosis, spinal region, patient characteristics, and revision surgery status...
September 2016: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/27239897/sciatic-nerve-injuries-following-femoral-shaft-fractures-does-the-time-interval-from-injury-to-surgery-matter
#15
Mohammadreza Emamhadi, Alia Saberi, Sasan Andalib
OBJECTIVES: Sciatic nerve injuries following fractures of femoral shaft are uncommon complications. The patients with such deficits present with sciatic nerve palsy. A few cases of sciatic nerve injuries secondary to femoral shaft fractures have thus far been reported. If such patients fail to improve spontaneously, they may require surgical exploration. The present paper gives an account of surgical exploration in patients presenting with sciatic nerve injuries following femoral shaft fractures...
August 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27220971/lumbar-plexus-nervous-distortion-in-xlif-%C3%A2-approach-an-anatomic-study
#16
Carlo Mandelli, Elena Virginia Colombo, Giovanni Marco Sicuri, Pietro Mortini
PURPOSE: XLIF (®) is a widely used minimally invasive technique to treat different spine pathologies. The aim of this study was to quantify nerve distortion of lumbar plexus during XLIF (®) approach and to correlate it with morphometric data. METHODS: Nine fresh frozen cadaveric specimens were used. All specimens were subjected to the same dissection procedure cored on a left XLIF® approach at L2/L3 and L4/L5 levels. Distortion of cutaneous superficial nerves, femoral nerve (FN) at L4/L5 and genitofemoral nerve (GN) at L2/L3 and L4/L5 while opening the retractor were assessed and analyzed with respect to psoas muscle features...
May 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27144899/inadvertent-prolonged-femoral-nerve-palsy-after-field-block-with-liposomal-bupivacaine-for-inguinal-herniorrhaphy
#17
David Olsen, Adam Amundson, Sandra Kopp
Inguinal herniorrhaphy is a common outpatient procedure where analgesia can be augmented with local infiltration. We report a case of prolonged femoral nerve palsy secondary to liposomal bupivacaine use during wound infiltration after inguinal herniorrhaphy. Inadvertent transient femoral nerve palsy is a rare but known complication after ilioinguinal field block. This case both highlights the value of ultrasound imaging in evaluating the complications and demonstrates how the prolonged nature of liposomal bupivacaine can prolong adverse sequela...
June 1, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/27102557/the-results-of-monoblock-stem-with-step-cut-femoral-shortening-osteotomy-for-developmentally-dislocated-hips
#18
İsmail Remzi Tözün, Turgut Akgül, Volkan Şensoy, Önder İsmet Kılıçoğlu
INTRODUCTION: The main objective of this study was to evaluate the midterm results of cementless THA with the use of monoblock stems combined with step-cut femoral shortening derotational osteotomy for DDH. MATERIALS AND METHODS: A total of 66 hips of 49 patients with Crowe type IV developmental hip dislocation, with a mean follow-up of 90 (range 26-207) months, were reviewed retrospectively. Subtrochanteric step-cut shortening osteotomy and monoblock femoral stems were used...
May 16, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/27043730/mri-findings-of-post-traumatic-subperiosteal-hematoma-of-the-iliac-bone-with-resultant-femoral-nerve-palsy-in-an-adolescent-boy
#19
Maegen Wallace, Richard Kruse, Eric P Eutsler, Lauren W Averill
Post-traumatic subperiosteal hematoma of the iliac bone may present insidiously without external evidence of bleeding or go undetected in the acute setting. In some cases, the patient may come to medical attention due to femoral nerve palsy rather than hip or groin pain. In this report, we describe a case of femoral nerve palsy caused by acute post-traumatic subperiosteal hematoma of the iliac bone using MRI to highlight the subperiosteal location. Anatomy of the femoral nerve is also discussed.
August 2016: Pediatric Radiology
https://www.readbyqxmd.com/read/27042782/long-term-survivorship-and-clinical-outcomes-of-a-single-radius-total-knee-arthroplasty
#20
Jaydev B Mistry, Randa K Elmallah, Morad Chughtai, Melike Oktem, Steven F Harwin, Michael A Mont
INTRODUCTION: To ensure the continued success of total knee arthroplasties (TKAs), we must employ ever-evolving modifications to our techniques and implant designs. As part of this process, a knee prosthesis with a single radius (SR) has been developed to more precisely emulate the anatomy and biomechanics of the native knee, but there is little data on long-term outcomes. Therefore, the purpose of this study was to evaluate (1) the long-term (10-year) survivorship; (2) clinical and patient-reported outcomes; (3) radiographic outcomes; and (4) incidence of complications in patients who underwent TKA with this SR prosthesis...
April 2016: Surgical Technology International
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