RESUMO
Four corner arthrodesis is an accepted salvage operation for scapholunate advanced collapse and scaphoid non-union advanced collapse. Circular plates were introduced in 1999 and promoted as a rapid and more stable method for this procedure. A retrospective chart review was performed on all patients who were treated with the Spider Limited Wrist Fusion Plate (Kinetikos Medical Inc., San Diego, CA). Sixteen patients were identified and followed clinically and with X-rays for an average of 16 (range 5-38) months. Nine out of the 16 patients (56%) had complications, including non-union (25%), delayed union (6%), dorsal impingement (25%), radial styloid impingement (6%) and broken screws (13%). The purpose of this study was to compare our complication rate using circular plates with published outcomes using traditional methods of fixation: this study identified a significantly higher complication rate and lower union rate using circular plate fixation for four-corner arthrodesis compared with previously published techniques.
Assuntos
Artrodese/instrumentação , Placas Ósseas , Análise de Falha de Equipamento , Osso Semilunar/cirurgia , Osteoartrite/cirurgia , Complicações Pós-Operatórias/diagnóstico por imagem , Osso Escafoide/cirurgia , Adulto , Idoso , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Osso Semilunar/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Osseointegração/fisiologia , Osteoartrite/diagnóstico por imagem , Complicações Pós-Operatórias/cirurgia , Radiografia , Reoperação , Estudos Retrospectivos , Osso Escafoide/diagnóstico por imagemRESUMO
Enigmatic thigh pain remains a difficult problem to treat after total hip arthroplasty. This article reports on the use of strut cortical allografting for the treatment of recalcitrant enigmatic thigh pain following total hip arthroplasty in patients with a well-fixed cemented or cementless femoral component.
Assuntos
Fêmur/transplante , Prótese de Quadril , Dor Pós-Operatória/cirurgia , Adulto , Transplante Ósseo/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Coxa da PernaAssuntos
Nitroglicerina/farmacologia , Adolescente , Adulto , Anti-Hipertensivos/farmacologia , Ensaios Clínicos como Assunto , Avaliação de Medicamentos , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Injeções Intravenosas , Aneurisma Intracraniano/cirurgia , Masculino , Meningioma/cirurgia , Pessoa de Meia-IdadeRESUMO
A case of lower tracheal resection is reported. A number 28 Foley catheter was modified and successfully used to ventilate the lungs through the short distal tracheal stump.
