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Ani Gar

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12 papers 0 to 25 followers
J Parvizi, N Shohat, T Gehrke
The World Health Organization (WHO) and the Centre for Disease Control and Prevention (CDC) recently published guidelines for the prevention of surgical site infection. The WHO guidelines, if implemented worldwide, could have an immense impact on our practices and those of the CDC have implications for healthcare policy in the United States. Our aim was to review the strategies for prevention of periprosthetic joint infection in light of these and other recent guidelines. Cite this article: Bone Joint J 2017;99-B(4 Supple B):3-10...
April 2017: Bone & Joint Journal
Santiago Salazar Botero, Juan Jose Hidalgo Diaz, Anissa Benaïda, Sylvie Collon, Sybille Facca, Philippe André Liverneaux
In adults, mallet finger is a traumatic zone I lesion of the extensor tendon with either tendon rupture or bony avulsion at the base of the distal phalanx. High-energy mechanisms of injury generally occur in young men, whereas lower energy mechanisms are observed in elderly women. The mechanism of injury is an axial load applied to a straight digit tip, which is then followed by passive extreme distal interphalangeal joint (DIPJ) hyperextension or hyperflexion. Mallet finger is diagnosed clinically, but an X-ray should always be performed...
March 2016: Archives of Plastic Surgery
M Vlček, J Pech, V Musil, J Stingl
PURPOSE OF STUDY: Fractures of the distal radius and distal ulna require anatomical reconstruction for good restoration of wrist and hand function. In this study we compared the results of conservative treatment with those of plate osteosynthesis management in distal ulna fractures of patients who had concomitant fractures of the distal radius indicated for plate osteosynthesis. Our objective was to specify indications for plate osteosynthesis of a distal ulna fracture in the case of an associated distal radius fracture...
2015: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Michael Codsi, Chris R Howe
The following guideline covers a wide array of shoulder conditions seen in the workers' compensation, as well as the nonworkers' compensation, population. The guideline is intended to help establish work relatedness and aid in making the diagnosis of shoulder injuries and degenerative conditions. It also provides a nonoperative and operative guideline for the treatment of several shoulder conditions, not limited to rotator cuff tears, subacromial impingement syndrome, acromioclavicular arthritis and dislocations, as well as glenohumeral arthritis...
August 2015: Physical Medicine and Rehabilitation Clinics of North America
Sema Ertan, Egemen Ayhan, Mehmet F Güven, Hayrettin Kesmezacar, Kenan Akgün, Muharrem Babacan
BACKGROUND: We evaluated the factors that affect the natural course of subacromial impingement syndrome in patients without rotator cuff tears. METHODS: In total, 63 patients were included. During the first evaluation, we recorded each patient's age, gender, profession, body mass index (BMI), hand dominance, alcohol and tobacco consumption, comorbidities, causative event of pain, presence of a functional limitation, duration of symptoms, shoulder scores (American Shoulder and Elbow Surgeons [ASES], Constant-Murley, and visual analog scale), history of subacromial steroid injections, and magnetic resonance imaging (MRI) classification...
October 2015: Journal of Shoulder and Elbow Surgery
T Wada, T Oda
One-third of all mallet fingers are associated with a fracture. Mallet fractures associated with large fracture fragments may result in volar subluxation of the distal phalanx. The management of mallet fractures varies based on injury pattern and surgeon preference. These treatment options include splinting regimens, closed reduction and percutaneous pinning and open reduction and internal fixation. Although numerous surgical techniques have been described, there is little clear consensus on operative treatment...
January 2015: Journal of Hand Surgery, European Volume
Gregory B Couzens, Susan E Peters, Kenneth Cutbush, Benjamin Hope, Fraser Taylor, Christopher D James, Carly R Rankin, Mark Ross
BACKGROUND: Distal radius fractures are among the most common fractures seen in the hospital emergency department. Of these, over 40% are considered unstable and require some form of fixation. In recent years with the advent of low profile plating, open reduction and internal fixation (ORIF) using volar plates has become the surgical treatment of choice in many hospitals. However, it is currently unknown which plating system has the lowest complication rate and/or superior clinical and radiological outcomes following surgery...
March 11, 2014: BMC Musculoskeletal Disorders
Hans Kainz, Enrico Dall'Ara, Anna Antoni, Heinz Redl, Philippe Zysset, Patrick Weninger
PURPOSE: Distal radius fractures represent the most common fractures in adults. Volar locking plating to correct unstable fractures has become increasingly popular. Although reasonable primary reduction is possible in most cases, maintenance of reduction until the fracture is healed is often problematic in osteoporotic bone. To our knowledge, no biomechanical studies have compared the effect of enhancement with biomaterial on two different volar fixed-angle plates. METHODS: Human fresh-frozen cadaver pairs of radii were used to simulate an AO/OTA 23-A3 fracture...
August 2014: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
J Sebastiaan Souer, David Ring, Stefan Matschke, Laurent Audige, Marta Marent-Huber, Jesse B Jupiter
BACKGROUND: The impact of an unrepaired fracture of the ulnar styloid base on recovery after internal fixation of a fracture of the distal part of the radius is uncertain. We evaluated a series of patients with an internally fixed fracture of the distal part of the radius to test the hypothesis that there is no difference in wrist motion or function scores between those with an untreated fracture of the ulnar styloid base and those with no ulnar fracture. METHODS: Two cohorts of seventy-six matched patients, one with a fracture of the ulnar styloid base and the other with no ulnar fracture, were retrospectively analyzed by examining data gathered in a prospective study of plate-and-screw fixation of distal radial fractures...
April 2009: Journal of Bone and Joint Surgery. American Volume
M Vlcek, P Visna
INTRODUCTION: Distal radius fractures remain the commonest fractures in the human body. Developed countries have recorded increasing rates of these fracures. MATERIAL AND METHODS: The authors assess results of distal radius osteosynthesis procedures using the Aptus Radius 2.5 mm (Medartis, Schweiz) system, consisting of 18 types of multidirectional, locking plates, designated for osteosyntheses and corrective osteotomies of the distal radius. The authors evaluate six-month results in 66 patients operated from January to September 2007...
September 2008: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
S J Mubarak, C A Owen
Surgical decompression remains the only effective treatment for the ischemia of the muscles and nerves of the leg that constitutes the principal defects in the compartment syndromes. Recently, partial fibulectomy has been proposed as a good way to decompress all four compartments instead of the older double incision. Both methods are effective in satisfactorily reducing intracompartmental pressures, as documented by our wick catheter measurements. However, the double-incision technique is easier, faster, safer, and is the treatment of choice when four-compartment decompressive fasciotomy is indicated...
March 1977: Journal of Bone and Joint Surgery. American Volume
H Kapoor, A Agarwal, B K Dhaon
Fractures of the distal end of the radius are common injuries and are the commonest bony injury around the wrist. Management of these fractures has remained controversial as far as modality of treatment is concerned. In this study 90 adult cases of acute displaced intra-articular fractures of the lower end of the radius were classified according to Frykman's and AO classifications after obtaining radiographs in antero-posterior and lateral planes. These were randomly treated by one of three methods: (1) closed reduction and plaster immobilisation, (2) external fixation and (3) open reduction and internal fixation, and were followed for an average of 4 yr...
March 2000: Injury
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