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Pelvic fixation

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https://www.readbyqxmd.com/read/29455045/impact-of-transvaginal-modified-sacrospinous-ligament-fixation-with-mesh-for-the-treatment-of-pelvic-organ-prolapse-before-and-after-studies
#1
Qinyi Zhu, Huimin Shu, Guiqiang Du, Zhiyuan Dai
BACKGROUND: Pelvic organ prolapse (POP) is a common disease in women. The aim of this research was to evaluate the safety, efficacy and complication of transvaginal modified sacrospinous ligament fixation with mesh using for the treatment of vaginal vault prolapse. MATERIALS AND METHODS: This was a prospective study including information from 60 symptomatic women with anterior-apical pelvic floor prolapse. The patients underwent transvaginal modified sacrospinous ligament fixation combined with anterior vaginal wall mesh between May 2014 and Sep 2015...
February 15, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29451435/safe-insertion-of-s-2-alar-iliac-screws-radiological-comparison-between-2-insertion-points-using-computed-tomography-and-3d-analysis-software
#2
Kentaro Yamada, Yuichiro Abe, Shigenobu Satoh
OBJECTIVE S-2 alar iliac (S2AI) screws are commonly used as anchors for lumbosacral fixation. A serious potential complication of screw insertion is major vascular injury due to anterior or caudal screw deviation. To avoid screw deviation, the pelvic inlet view on intraoperative fluoroscopy images is recommended. However, there has been no detailed investigation of optimal fluoroscopic incline with the pelvic inlet view. The purpose of this study was to investigate the safety margins and to optimize fluoroscopic settings to avoid screw deviation with 2 reported insertion techniques using 3D analysis software and CT...
February 16, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29443862/red-tides-mass-casualty-and-whole-blood-at-sea-red-tides
#3
Benjamin T Miller, Andrew H Lin, Susan C Clark, Andrew P Cap, Joseph J Dubose
BACKGROUND: The U.S. Navy's casualty-receiving ships provide remote damage control resuscitation (RDCR) platforms to treat injured combatants deployed afloat and ashore. We report a significant mass casualty incident aboard the USS Bataan, and the most warm fresh whole blood (WFWB) transfused at sea for traumatic hemorrhagic shock since the Vietnam War. METHODS: Casualty-receiving ships have robust medical capabilities, including a frozen blood bank with packed red blood cells (pRBC) and fresh frozen plasma (FFP)...
February 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29437067/the-impact-of-external-fixation-on-mortality-in-patients-with-an-unstable-pelvic-ring-fracture-a-propensity-matched-cohort-study
#4
T Ohmori, T Kitamura, T Nishida, T Matsumoto, T Tokioka
AIM: There is not adequate evidence to establish whether external fixation (EF) of pelvic fractures leads to a reduced mortality. We used the Japan Trauma Data Bank database to identify isolated unstable pelvic ring fractures to exclude the possibility of blood loss from other injuries, and analyzed the effectiveness of EF on mortality in this group of patients. PATIENTS AND METHODS: This was a registry-based comparison of 1163 patients who had been treated for an isolated unstable pelvic ring fracture with (386 patients) or without (777 patients) EF...
February 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29424159/-minimally-invasive-internal-fixation-of-pelvic-ring-for-type-c-pelvic-fracture
#5
Chun-Hui Tang, Gao-Wen Yao, Lin Wang, Hong-Liang Tu, Wei Luo
OBJECTIVE: To evaluate the feasibility of minimally invasive internal fixation of pelvic anterior and posterior ring for the treatment of type C pelvic fracture, and to explore its operative techniques and therapeutic efficacy. METHODS: From December 2010 to December 2015, 18 patients with type C pelvic fracture were treated by reconstructive plates fixation through minimally invasive ilioinguinal approach for pelvic anterior ring injuries, and by invasive percutaneous sacroiliac joint screw fixation for pelvic posterior ring injuries...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29419720/minimally-invasive-surgery-for-neuromuscular-scoliosis-results-and-complications-in-a-series-of-one-hundred-patients
#6
Lotfi Miladi, Mathilde Gaume, Nejib Khouri, Michael Johnson, Vicken Topouchian, Christophe Glorion
STUDY DESIGN: A retrospective review. OBJECTIVES: To report the results of an alternative technique using a minimally invasive fusionless surgery. The originality is based on the progressive correction of the deformities with proximal and distal fixation and on the reliability of the pelvic fixation using ilio-sacral screws on osteoporotic bones. SUMMARY OF BACKGROUND DATA: Spinal deformities are common in neuromuscular diseases. Conventional treatment involves bracing, followed by spinal instrumented fusion...
February 6, 2018: Spine
https://www.readbyqxmd.com/read/29417322/sagittal-imbalance-treated-with-l5-pedicle-subtraction-osteotomy-with-short-lumbar-fusion-from-l4-to-sacrum-using-four-screws-into-l4-for-enhanced-fixation-two-additional-vertebral-screws-a-technical-note
#7
Kuenzang Wangdi, Bungo Otsuki, Shunsuke Fujibayashi, Shimei Tanida, Kazutaka Masamoto, Shuichi Matsuda
PURPOSE: To report on suggested technique with four screws in a single vertebra (two pedicle screws and two direct vertebral body screws) for enhanced fixation with just one level cranially to a pedicle subtraction osteotomy (PSO). METHODS: A 60-year-old woman underwent L4/5 fusion surgery for degenerative spondylolisthesis. Two years later, she was unable to stand upright even for a short time because of lumbar kyphosis caused by subsidence of the fusion cage and of Baastrup syndrome in the upper lumbar spine [sagittal vertical axis (SVA) of 114 mm, pelvic incidence of 75°, and lumbar lordosis (LL) of 41°]...
February 7, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29401088/safe-zone-quantification-of-the-third-sacral-segment-in-normal-and-dysmorphic-sacra
#8
John S Hwang, Mark C Reilly, Mohammad K Shaath, Stuart Changoor, Jonathan Eastman, Milton Lee Chip Routt, Michael S Sirkin, Mark R Adams
OBJECTIVE: To quantify the osseous anatomy of the dysmorphic third sacral segment and assess its ability to accommodate internal fixation DESIGN:: Retrospective chart review of a trauma database SETTING:: University Level 1 Trauma Center PATIENTS:: Fifty-nine patients over the age of 18 with computed tomography (CT) scans of the pelvis separated into two groups: a group with normal pelvic anatomy and a group with sacral dysmorphism. MAIN OUTCOME MEASUREMENTS: The sacral osseous area was measured on CT scans in the axial, coronal, and sagittal planes in normal and dysmorphic pelves...
January 26, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29397629/-comparison-of-clinical-outcome-between-utilized-second-sacral-alar-iliac-and-iliac-screw-on-kyphoscoliosis-patients
#9
Z Liu, C C Tseng, Z H Zhao, J Li, B Wang, Y Yu, B P Qian, X Sun, Y Qiu, Z Z Zhu
Objective: To compare the clinical outcome and health related quality of life(HRQoL)of patients with degenerative spinal deformity who underwent spino-pelvic fixation utilized second sacral alar-iliac(S(2)AI)with patient utilized traditional iliac screw(IS). Methods: Patients diagnosed as degenerative spinal deformity who underwent spino-pelvic fixation utilized either S(2)AI screw or Iliac screw at Department of Spine Surgery of Drum Tower hospital from January 2013 to January 2016 were retrospectively analyzed...
February 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29390346/pipkin-type-iii-femoral-head-fracture-dislocation-combined-with-complicated-acetabular-fracture-a-rare-case-report-and-literature-review
#10
Bei Zhao, Hao Li, Jun Yan, Li-Ren Han, Xiao-Fei Yang
RATIONALE: Pipkin III fracture, which is characterized by high risk of avascular necrosis of the femoral head, is extremely rare. It is more difficult to treat and has a worse prognosis when accompanied with severe acetabular fractures. Few studies show that both Pipkin type III femoral head fracture-dislocation and complicated acetabular fracture presented in one patient. PATIENT CONCERNS: A 34-year-old male suffered a terrible traffic accident with a serious damage to the left side when he was sitting in the car's cockpit...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390269/a-new-strategy-to-reconstruct-type-iii-acetabular-bone-defect-associated-with-inflammatory-pseudotumor-combined-medial-and-lateral-acetabular-bone-grafting-a-case-report
#11
Jing Wang, Dejiu Wang, Jiang Du, Zhen Lin
RATIONALE: Inflammatory pseudotumor has been commonly reported in patients undergoing total hip arthroplasty (THA). PATIENT CONCERNS: We reported a patient who had a massive intra-pelvic pseudotumour and acetabular bone defect underwent two-stage revision THA. DIAGNOSES: A new surgical strategy for pseudotumor after THA is performed. INTERVENTIONS: Thorough debridement intra-pelvic pseudotumour via Smith-Petersen approach, bone grafting on iliac medial surface and plate-screw internal fixation were performed in the first stage, followed by revision of the loosened prosthesis to a cementless primary prosthesis in the second stage...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29376621/transvaginal-native-tissue-repair-of-vaginal-vault-prolapse
#12
Rodolfo Milani, Matteo Frigerio, Francesca L Vellucci, Stefania Palmieri, Federico Spelzini, Stefano Manodoro
BACKGROUND: Post-hysterectomy vaginal vault prolapse repair is a challenge for pelvic floor surgeons. Native-tissue repair procedures imply lower costs and reduced morbidity. Our study aims to evaluate operative data, complications, objective, subjective and functional outcomes of transvaginal native-tissue repair for post-hysterectomy vaginal vault prolapse. We also investigated differences among available techniques. METHODS: Retrospective study including patients with symptomatic vaginal vault prolapse (≥ stage 2), previously treated with transvaginal vault suspension through native-tissue repair...
January 26, 2018: Minerva Ginecologica
https://www.readbyqxmd.com/read/29373455/routine-postoperative-computed-tomography-scans-after-pelvic-fracture-fixation-a-necessity-or-a-luxury
#13
Walid A Elnahal, Niraj Vetharajan, Bashir Mohamed, Mehool Acharya, Timothy J S Chesser, Anthony J Ward
INTRODUCTION: There is no consensus regarding the postoperative radiology imaging protocol after pelvic fracture surgery. Some institutes routinely scan all patients after their surgery, others do not. The aim of this study was to assess the value of routine use of computed tomography (CT) scans after pelvic fracture surgery and to determine the sensitivity of conventional plain radiographs and intraoperative fluoroscopy in detecting metalwork malposition. PATIENTS AND METHODS: The radiographs and clinical notes of patients undergoing pelvic fracture surgery in the period between January 2010 and December 2015 were reviewed...
February 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29373447/does-posterior-fixation-of-partially-unstable-open-book-pelvic-ring-injuries-decrease-symphyseal-plate-failure-a-biomechanical-study
#14
Rachelle M Metz, J Gary Bledsoe, Berton R Moed
OBJECTIVE: Recent clinical study suggests an advantage to adding an iliosacral screw to the anterior fixation construct for anteroposterior compression type-2 (OTA/AO type 61-B1), partially unstable open-book pelvic ring injuries. Others have described stress examination to determine any required supplemental fixation. However, biomechanical studies investigating iliosacral fixation requirements for this injury are lacking. Our objective was to determine whether adding an iliosacral screw to symphyseal plate fixation decreases displacement in a well-defined open-book pelvic ring injury model...
February 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29370895/pelvic-and-lower-extremity-immobilization-for-cloacal-exstrophy-bladder-and-abdominal-closure-in-neonates-and-older-children
#15
Karl S Benz, John Jayman, Mahir Maruf, Timothy Baumgartner, Matthew C Kasprenski, Daniel A Friedlander, Heather N Di Carlo, Paul D Sponseller, John P Gearhart
INTRODUCTION: Successful bladder closure in cloacal exstrophy (CE) is best accomplished through a multidisciplinary team and attention to pre- and postoperative technique. This study from a high volume exstrophy center investigates outcomes and complications of primary and reoperative bladder closures in patients immobilized with spica cast or patients with external fixation (EF) and skin traction. METHODS: The authors reviewed an institutionally approved and daily updated database of 1311 patients with exstrophy-epispadias complex and identified patients with cloacal exstrophy born between 1975 and 2015 who had undergone primary or reoperative bladder closures...
December 27, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29369154/combining-bilateral-magnetically-controlled-implants-inserted-parallel-to-the-spine-with-rib-to-pelvis-fixation-surgical-technique-and-early-results
#16
Anna K Hell, Katharina Groenefeld, Konstantinos Tsaknakis, Lena Braunschweig, Heiko M Lorenz
Spine-based fixation of magnetically controlled lengthening devices has been successfully performed for children with early-onset scoliosis. However, spinal manipulation may lead to ossifications, stiffness, and autofusion as previously described. To avoid these problems, a surgical technique combining bilateral externally controlled magnetic device implantation with a rib cradle and pelvic hook fixation was introduced by us in 2011. By using a bilateral single-rib or double-rib cradle fixation and a pelvic hook, the magnetic device is percutaneously inserted...
January 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29367917/update-on-open-reduction-and-internal-fixation-of-unstable-pelvic-fractures-during-pregnancy-case-reports
#17
Carlos Roberto Schwartsmann, Carlos Alberto de Souza Macedo, Carlos Roberto Galia, Ricardo Horta Miranda, Leandro de Freitas Spinelli, Marco Tonding Ferreira
This article aims to report four cases of unstable pelvic fractures in pregnant women treated by open reduction and internal fixation. Cases report: The study included four cases of pregnant women with unstable pelvic fractures; their outcomes were analyzed and discussed. Data were obtained from two University Hospitals. The mean age of women was 23 years; most (3/4) were primiparous, with a mean pregnancy age of 23 weeks. Two women had Malgaigne-type fractures and the other two had symphyseal disjunction associated with acetabular fractures...
January 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29354904/-clinical-application-of-pelvic-floor-reconstruction-in-extralevator-abdominoperineal-excision-for-low-rectal-cancer
#18
Wei Ge, Gang Chen, Songsong Jiang, Hao Wang
OBJECTIVE: To investigate the safety and clinical significance of pelvic floor reconstruction in extralevator abdominoperineal excision(ELAPE) for advanced low rectal cancer. METHODS: The clinical efficacy was retrospectively analyzed in 30 patients with low rectal cancer who underwent ELAPE from January 2013 to December 2016 in Nanjing Drum Tower Hospital, the affiliated Hospital of Nanjing University Medical School. There were 21 male patients and 9 female, with an average age of 61...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29354726/outcomes-and-complications-of-s2-alar-iliac-fixation-technique-in-patients-with-neuromuscular-scoliosis-experience-in-a-third-level-pediatric-hospital
#19
Carlos Segundo Montero, David Alberto Meneses, Fernando Alvarado, Wilmer Godoy, Diana Isabel Rosero, Jose Manuel Ruiz
Background: Multiple techniques are utilized for distal fixation in patients with neuromuscular scoliosis. Although there is evidence of benefit with S2 alar iliac (S2AI) fixation, this remains controversial. The objective of this study is to evaluate the radiological outcomes and complications associated with this surgical technique in a pediatric population. Methods: An observational retrospective case series study was performed. All pediatric patients between January 2011 and February 2014 diagnosed with neuromuscular scoliosis associated with pelvic obliquity, which required surgery with fixation unto S2AI, were included...
December 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29354619/a-study-on-laparoscopic-sacral-colpopexy-for-uterine-prolapse
#20
Eun A Cho, Mi Jung Um, Suk Jin Kim, Hyuk Jung
Objectives: We sought to describe the perioperative and postoperative adverse events associated with sacral colpopexy and evaluate the surgical outcome, complications, and benefits of laparoscopic sacral fixation for patients with pelvic prolapse. Methods: Ninety-two women with uterine prolapse underwent sacral colpopexy between January 2011 and September 2016 at Chosun University Hospital. Patients' electronic medical records were investigated for demographic, intraoperative, and postoperative data...
December 2017: Journal of Menopausal Medicine
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