RESUMO
Radiofrequency microdebridement for Achilles tendinosis is a relatively new technique. We report a case of Achilles tendon rupture in a patient eight weeks after coblation for his right insertional Achilles tendinosis. We believe that this is the first reported case of Achilles tendon rupture following this new treatment of radiofrequency microdebridement for chronic Achilles tendinosis.
Assuntos
Tendão do Calcâneo/lesões , Desbridamento/efeitos adversos , Ondas de Rádio/efeitos adversos , Tendinopatia/terapia , Tendão do Calcâneo/diagnóstico por imagem , Tendão do Calcâneo/fisiopatologia , Adulto , Doença Crônica , Desbridamento/métodos , Humanos , Masculino , Ruptura/etiologia , Tendinopatia/fisiopatologia , UltrassonografiaRESUMO
Bilateral Achilles tendon rupture is a rare injury. We present a case of a 59-year-old gentleman who sustained a bilateral Achilles tendon rupture when the tendon was subjected to normal physiological load. He was treated operatively with V-Y plasty and repair of the tendon with post-operative plaster immobilisation.
Assuntos
Tendão do Calcâneo/lesões , Fenômenos Biomecânicos , Moldes Cirúrgicos , Tratamento de Emergência , Marcha , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Doenças Raras , Encaminhamento e Consulta , Fatores de Risco , Corrida/lesões , Ruptura , Ruptura Espontânea , Fumar/efeitos adversos , Traumatismos dos Tendões/diagnóstico , Traumatismos dos Tendões/etiologia , Traumatismos dos Tendões/cirurgiaAssuntos
Acidentes Domésticos , Fraturas do Quadril/etiologia , Adolescente , Parafusos Ósseos , Fixação de Fratura/instrumentação , Fraturas do Quadril/diagnóstico por imagem , Fraturas do Quadril/cirurgia , Humanos , Masculino , Obesidade/complicações , Obesidade/diagnóstico por imagem , RadiografiaRESUMO
We conducted a prospective, randomized study to assess the impact of cell salvage, auto transfusion on the requirements for allogeneic blood for patients undergoing a total knee replacement (TKR). One hundred consecutive TKR patients were randomly allocated to receive either autologous blood (using cell salvage) or an allogeneic blood transfusion as necessary. Patients allocated to the autologous group were rescued with allogeneic blood if the postoperative haemoglobin fell below 9 g dL-1. Forty-two (84%) of 50 patients in the autologous group required no supplementary blood transfusion. Forty (80%) of 50 patients allocated to receive allogeneic blood required transfusion. There were no detrimental effects of autologous blood transfusion. We conclude that autologous blood transfusion, using the cell saver system, is a safe and effective method of reducing the need for allogeneic blood transfusion and, in doing so, reduces the risk of transmission of infections associated with allogeneic blood transfusion, whilst decreasing demand on precious allogeneic blood reserves.
