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https://www.readbyqxmd.com/read/29238871/minimally-invasive-stabilisation-of-posterior-pelvic-ring-instabilities-with-pedicle-screws-connected-to-a-transverse-rod
#1
Hu Wang, Ya-Hui Fu, Chao Ke, Yan Zhuang, Kun Zhang, Xing Wei, Zhong Li, Jin-Lai Lei, Bin-Fei Zhang, Ping Liu
PURPOSE: The goal was to evaluate the clinical outcomes, quality of reduction and complications of pelvic fractures treated by minimally invasive stabilisation of posterior pelvic ring instabilities with pedicle screws connected to a transverse rod. METHODS: Retrospective analysis of prospectively collected data in a consecutive patient series with pelvic fractures treated by minimally invasive stabilisation of posterior pelvic ring instabilities with pedicle screws between January 2010 and January 2016...
December 14, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29238756/outcomes-of-internal-hemipelvectomy-for-pelvic-tumors-a-developing-country-s-prospective
#2
REVIEW
Masood Umer, Moiz Ali, Rizwan H Rashid, Yasir Mohib, Haroon U Rashid
Introduction: Previously, external hemipelvectomy was the mainstay of treatment for pelvic tumors. However, with technological advancements, limb salvage procedures such as internal hemipelvectomy have emerged as a viable alternative. However, there is limited literature available on long-term outcomes and complications of internal hemipelvectomy, especially from developing countries. Therefore, the objective of this study was to share our experience of internal hemipelvectomy at a tertiary care center in a developing country...
May 2017: International Journal of Surgery. Oncology
https://www.readbyqxmd.com/read/29202765/a-novel-technique-for-modified-all-inside-repair-of-bucket-handle-meniscus-tears-using-standard-arthroscopic-portals
#3
Jing Hui Yik, Bryan Thean Howe Koh, Wilson Wang
BACKGROUND: Bucket-handle meniscus tears (BHMT) are often displaced and unstable. The inside-out technique of repairing such tears is currently the gold standard. All-inside repair with meniscal fixators is getting increasingly popular. Shortcomings of the inside-out technique include neurovascular complications, especially saphenous nerve palsy, and retention of a non-resorbable suture which can result in discomfort to patient, granuloma formation, and a foci of infection. Hence, the purpose of this project was to innovate a novel all-inside technique to precisely reduce and fix BHMT while avoiding neurovascular complications and retention of a non-resorbable suture...
December 4, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29201926/factors-associated-with-physician-loss-in-anterior-cruciate-ligament-reconstruction-malpractice-lawsuits
#4
Steven L Bokshan, Roy Ruttiman, Adam E M Eltorai, J Mason DePasse, Alan H Daniels, Brett D Owens
Background: Anterior cruciate ligament (ACL) reconstruction is among the most common orthopaedic procedures, with its incidence doubling over the past decade. To date, no studies have analyzed litigation after ACL reconstruction. Purpose: To characterize the causes of malpractice litigation after ACL reconstruction. Study Design: Cross-sectional study. Methods: A retrospective review of malpractice lawsuits after ACL reconstruction was performed using VerdictSearch, a large legal claims database encompassing nearly 180,000 legal cases, from February 1988 to May 2015...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29198352/editorial-commentary-the-wake-of-the-dragon-will-the-orthopaedic-community-adopt-the-shoulder-arthroscopic-latarjet-procedure-as-we-adopted-the-arthroscopic-rotator-cuff-repair
#5
EDITORIAL
Pascal Boileau, David Saliken
The Latarjet procedure is a complex and difficult operation when performed both with an open approach and arthroscopically. The difficulties come from the fact that it is a combined intra- and extra-articular procedure, and that working close to the brachial plexus may be frightening for surgeons. Because of the high complication and reoperation rates reported in the literature, this procedure is, at the moment, rejected by a large part of the orthopaedic community, specifically in North America. The Chinese experience shows, after the European one, that arthroscopic Latarjet is an efficient and irreplaceable option for the treatment of recurrent anterior shoulder instability in the context of capsular and/or glenoid deficiency...
December 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29195031/surgical-correction-of-peyronie-s-disease-via-tunica-albuginea-plication-long-term-follow-up
#6
M Seveso, S Melegari, O De Francesco, A Macchi, J Romero Otero, G Taverna, G Bozzini
Peyronie's disease (PD) is an acquired connective tissue disorder of the tunica albuginea with fibrosis and inflammation that lead to palpable plaques formation, penile curvature, and pain during erection. Patients report negative effects on main domains such as physical appearance and self-image, sexual function, and performance. The aim of this study was to evaluate plication of the albuginea outcomes after a long-term follow-up period. Between 1998 and 2006, a total of 204 patients with PD underwent surgical correction with albuginea plication technique...
December 1, 2017: Andrology
https://www.readbyqxmd.com/read/29188213/pituicytoma-with-significant-tumor-vascularity-mimicking-pituitary-macroadenoma
#7
Hyuk Ki Shim, Seung Heon Cha, Won Ho Cho, Sung-Hye Park
A 19-year-old man presented with bitemporal hemianopsia and was found to have a large sellar and suprasellar tumor, resembling a pituitary macroadenoma. Emergency transsphenoidal approach was attempted because of rapid visual deterioration with headache. However, the approach was complicated and stopped by uncontrolled hemorrhage from the tumor. After conventional cerebral angiography and recognition of an unusual pathology, transcranial approach was achieved to prevent permanent visual loss. The final pathological diagnosis was pituicytoma with epithelioid features...
October 2017: Brain Tumor Research and Treatment
https://www.readbyqxmd.com/read/29185830/median-nerve-injury-after-removal-of-subdermal-implantable-contraceptive
#8
Joani M Christensen, Nicholas M Caggiano, Aviram M Giladi, Matthew L Iorio
BACKGROUND: Subdermal implantable contraceptives are highly effective, approved in over 60 countries, and used by millions of women. Due to simple insertion and removal protocols, these procedures are often performed in the outpatient clinic setting, and procedural complications are rare. However, given the location of the implant in the medial antebrachial interval, there is a risk of neurovascular injury, especially with malpositioned or deeply placed implants. METHODS: We present a case of proximal median nerve injury leading to severe neuropathy after attempted removal of a subdermal implantable contraceptive requiring neurolysis and tendon transfers...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29183011/transoral-robotic-surgery-with-sialendoscopy-for-a-plunging-ranula
#9
Ryan M Carey, Benjamin L Hodnett, Christopher H Rassekh, Gregory S Weinstein
BACKGROUND/AIMS: Plunging ranulas are oral mucoceles that often cannot be visualized directly and thus can be challenging to diagnose and differentiate from other neck lesions. Surgery is the preferred treatment option, but the optimal approach requires careful consideration. METHODS: We report the case of a plunging ranula presenting as an isolated neck mass in a 33-year-old patient. This patient was treated with a novel transoral robotic surgery (TORS)-assisted approach aided by sialendoscopy...
November 29, 2017: ORL; Journal for Oto-rhino-laryngology and its related Specialties
https://www.readbyqxmd.com/read/29181345/intrapleural-penetration-of-a-clavicle-fracture-an-indication-for-operative-fixation
#10
Ryan D DeAngelis, Kenneth W Graf, Rakesh P Mashru
Introduction: Clavicle fractures are common injuries treated by orthopedic surgeons, with most injuries managed nonoperatively. Operative fixation of clavicle fractures is indicated in specific clinical scenarios such as open injuries, ipsilateral shoulder trauma, or fractures with associated neurovasculature compromise. Operative fixation is not widely accepted for closed injuries and is typically reserved for instances of failed closed treatment with resultant nonunion or delayed union...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29174959/blind-versus-ultrasound-guided-maxillary-nerve-block-in-donkeys
#11
Usama Hagag, Mohamed G Tawfiek
OBJECTIVES: To describe the 'blind' and ultrasound-guided approaches to block the maxillary nerve in donkeys. To compare the success and complication rates between the 'blind' and ultrasound-guided techniques based on staining of nerves and other structures in cadavers and assessing level of analgesia in live animals. STUDY DESIGN: Prospective anatomical and experimental study. ANIMALS: Eighteen cadaver heads and nine adult live donkeys. METHODS: Phase 1: the anatomical characteristics of the maxillary nerve and its related structures were investigated within the pterygopalatine fossa in five cadavers...
July 15, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/29174871/resection-of-neurogenic-heterotopic-ossification-nho-of-the-hip
#12
REVIEW
P Denormandie, N de l'Escalopier, L Gatin, A Grelier, F Genêt
Neurogenic heterotopic ossification of the hip is secondary to neurologic lesions such as cranial trauma, stroke, medullary injury or cerebral anoxia. We shall not deal here with the other etiologies of heterotopic ossification. There are numerous locations within the hip, depending on etiology, and relations with adjacent neurovascular structures are sometimes close. Preoperative work-up should include contrast-enhanced CT; scintigraphy is non-contributive. Indications for surgery are decided in a multidisciplinary team meeting, with a contract laying out expected functional gain...
November 22, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29173667/ultrasound-guided-interventions-of-the-cervical-spine-and-nerves
#13
REVIEW
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
High-resolution ultrasound (US) enables prompt depiction of muscles, tendons, ligaments, and peripheral nerves. It seems to be the best imaging modality for guiding perineural injections. The most complicated neurovascular network of the musculoskeletal system surrounds the cervical spine; so injection to that region is never an easy task. This article elaborates the regional anatomy and the use of US scanning and guidance for cervical interventions; for example, cervical root, superficial cervical plexus, stellate ganglion, cervical medial branch, greater occipital nerve, and third occipital nerve...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29167476/levodopa-induced-abnormal-involuntary-movements-correlate-with-altered-permeability-of-the-blood-brain-barrier-in-the-basal-ganglia
#14
Renata P Lerner, Veronica Francardo, Koji Fujita, Zisis Bimpisidis, Vincent A Jourdain, Chris C Tang, Stephen L Dewey, Thomas Chaly, M Angela Cenci, David Eidelberg
Chronic levodopa treatment leads to the appearance of dyskinesia in the majority of Parkinson's disease patients. Neurovascular dysregulation in putaminal and pallidal regions is thought to be an underlying feature of this complication of treatment. We used microPET to study unilaterally lesioned 6-hydroxydopamine rats that developed levodopa-induced abnormal involuntary movements (AIMs) after three weeks of drug treatment. Animals were scanned with [15O]-labeled water and [18F]-fluorodeoxyglucose, to map regional cerebral blood flow and glucose metabolism, and with [11C]-isoaminobutyric acid (AIB), to assess blood-brain-barrier (BBB) permeability, following separate injections of levodopa or saline...
November 22, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29162525/surgical-outcome-of-very-small-intracranial-aneurysms-utilizing-the-double-clip-technique
#15
Abdolkarim Rahmanian, Fariborz Ghaffarpasand, Ehsanali Alibai, Joham Choque-Velasquez, Behnam Rezai Jahromi, Juha Hernesniemi
OBJECTIVES: To report the outcome of patients with VSIA undergoing surgical clipping utilizing a double clip technique. METHODS: This cross-sectional study was conducted in Namazi hospital, the main referral neurovascular center in Southern Iran during a 6-year period from September 2010 to March 2016. All the patients with VSIAs (≤3mm) undergoing surgery by double clip technique were included. This technique reduces the clip slippage. The short- and long-term outcome determined by Glasgow Coma Scale (GOS), Modified Rankin Scale (MRS) and complications...
November 18, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29155344/freehand-technique-for-c2-pedicle-and-pars-screw-placement-safe-or-not
#16
Prachya Punyarat, K Daniel Riew, Benjamin T Klawson, Colleen Peters, Thamrong Lertudomphonwanit, Jacob M Buchowski
BACKGROUND CONTEXT: During placement of C2 pedicle and pars screws, intraoperative fluoroscopy is used so that neurovascular complications can be avoided, and screws can be placed in the proper position. However, this method is time consuming and increases radiation exposure. Furthermore, it does not guarantee completely safe and accurate screw placement. PURPOSE: To evaluate the safety of the C2 pedicle and pars screw placement without fluoroscopic or other guidance methods...
November 16, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29143863/morphometric-properties-of-the-latissimus-dorsi-muscle-in-human-fetuses-for-flap-surgery
#17
Orhan Beger, Burhan Beger, Deniz Uzmansel, Semra Erdoğan, Zeliha Kurtoğlu
PURPOSE: Although latissimus dorsi (LD) flaps are extensively used in a wide range of interventions, fetus studies on this subject are quite limited. This study aims to obtain detailed information about the morphometric features of LD, thoracodorsal artery (TDA) and nerve (TDN). METHODS: The study was carried out on both sides of 50 formalin-fixed human fetuses (22 male/28 female) with a mean gestational age of 24.5 ± 4.7 (range 18-36) weeks, which were in the inventory of Anatomy Department of Mersin University Faculty of Medicine...
November 16, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29143107/how-i-do-it-endoscopic-microvascular-decompression-for-hemifacial-spasm-associated-with-the-vertebral-artery
#18
Fuminari Komatsu, Masaaki Imai, Mitsunori Matsumae
BACKGROUND: Microvascular decompression (MVD) of hemifacial spasm (HFS) associated with the vertebral artery (VA) shows higher rates of incomplete cure and complications compared to non-VA-related HFS. METHOD: Purely endoscopic MVD for VA-associated HFS via a retrosigmoid keyhole was performed. Neurovascular conflicts by a directly offending artery and VA around the root exit zone of the facial nerve were clearly demonstrated under 30° endoscopic view without significant cerebellar retraction...
November 15, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29142635/microvascular-decompression-for-glossopharyngeal-neuralgia-clinical-analyses-of-30-cases
#19
Mi Kyung Kim, Jae Sung Park, Young Hwan Ahn
Objective: We present our experience of microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) and evaluate the postoperative outcomes in accordance with four different operative techniques during MVD. Methods: In total, 30 patients with intractable primary typical GPN who underwent MVD without rhizotomy and were followed for more than 2 years were included in the analysis. Each MVD was performed using one of four different surgical techniques: interposition of Teflon pieces, transposition of offending vessels using Teflon pieces, transposition of offending vessels using a fibrin-glue-coated Teflon sling, and removal of offending veins...
November 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29138974/medical-complications-and-mortality-in-octogenarians-undergoing-elective-spinal-fusion-surgeries
#20
Sharad Rajpal, E Lee Nelson, Alan T Villavicencio, Jayratna Telang, Roshan Kantha, Kara Beasley, Sigita Burneikiene
BACKGROUND: The consequences of suffering postoperative complications in elderly undergoing spinal surgeries may be different compared to younger patients. The primary objective of this study was to identify the types and frequency of medical complications and mortality rates in patients 80 years of age or older undergoing elective spinal fusion surgeries for degenerative spinal disease. METHODS: A prospective observational study with a retrospective chart review was performed, which included all consecutive patients ≥80 years old undergoing elective spinal fusion surgeries from May 2012 to August 2015...
November 14, 2017: Acta Neurochirurgica
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