How to ease the fixation of carpal bones? Twenty-four lesions treated by 1,5 mm headless compression screws.

Background: Carpal bone lesions are common, even in acute injuries or as sequalae of missed fractures. If not correctly diagnosed and treated, can lead to loss of function, especially in active patients. The surgical management remain difficult particularly in case of small, atypical or non-unions fragments.

Healing of Diabetic Neuroischemic Foot Wounds With vs Without Wound-Targeted Revascularization: Preliminary Observations From an 8-Year Prospective Dual-Center Registry.

To assess the clinical efficacy of endovascular angiosome-oriented wound-targeted revascularization (WTR) vs indirect (wound-indifferent) revascularization (IR) in diabetic patients with neuroischemic foot ulcers. Between April 2009 and July 2017, 167 diabetic patients (mean age 72.8 years; 137 men) with chronic limb-threatening ischemia (Rutherford category 5) and foot wounds (Wagner 2-4) in 194 limbs were prospectively registered and scheduled for primary infragenicular endovascular treatment.

[Fixation of fractures of the distal radius using the "nail-plate"].

Objective: Stable fixation of unstable distal radius fractures by means of a "nail-plate" with the distal plate section lying on the dorsal surface of the distal radius fragment, and the proximal nail section inside the diaphysis of the radius.

Indications: Unstable extraarticular fractures of the distal radius AO types A2 and A3, which can be managed by closed or indirect reduction. Intraarticular fractures of the distal radius showing a nondisplaced articular component.

[Post-acute management of fractures of the proximal interphalangeal joint with metal prosthesis: first experience].

Aim: The purpose of this report is to present our management strategy for fractures of the proximal interphalangeal joint by means of a metal prosthesis via a dorsomedial approach and to discuss our clinical and radiological results.

Patients And Methods: Two patients with complex crush injuries and fractures of the proximal interphalangeal joints who were treated surgically in the years 2004 and 2005 were examined again at an average of 13 months postoperatively. Management was standardised, first in the emergency room with wound cleaning and temporary osteosynthesis.

Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate.

Objectives: The increasing number of fixed-angle plate systems used to treat distal radius fractures carries with it the problem of determining the optimal fixation for unstable fractures. Our goal was to analyze the clinical and radiological outcomes of patients with displaced, unstable distal radius fractures treated with a palmar fixed-angle plate.

Design: Prospective protocol; multicenter clinical study; retrospective analysis.

[Stabilisation of distal radius fractures by a novel endomedullary, fixed-angle plate: first experience].

Background: Based on the fact that not every extra-articular distal radius fracture is stable, we asked ourselves whether there would be a place for other methods for stable fracture management besides on the one hand the plaster cast or pin osteosynthesis, respectively, external fixateur and, on the other hand, the traditional plate fixation (from a palmar or dorsal direction).

Patients And Methods: In this paper, we report our first experience with a novel plate that has been in use in Europe since April 2005. It is a fixed-angle, intrafocal nail plate.

Admission requirements for radiography programs.

Context: Radiography program applicants far outnumber available class capacity in many programs. Educational accountability requires that programs justify their admission practices, work to retain all qualified students and evaluate their attrition rates. Thus, radiography programs are interested in identifying the best candidates for admission.

Health and growth of veal calves fed milk replacers with or without probiotics.

Four experiments with 1-wk-old veal calves were conducted to assess the influence of probiotics on growth and health indicators. In experiments 1 and 2, the liquid probiotic supplements were administered daily from experimental d 1 to 15. The treatment period in experiments 3 and 4 was extended to 56 d.

[Combined palmar and dorsal approach for complex distal radius fractures].

Purpose: The purpose of this paper was to describe our management of complex fractures of the distal radius using a combined dorsal and palmar approach and to evaluate the radiological and clinical outcome.

Patients And Methods: Twenty out of 26 patients with complex fractures of the distal radius, which were operated on from 1996 to 2000 using a combined dorsal and palmar approach, were followed-up on an average of 28 months. According to AO fracture classification, there were one A3, two B3, three C1, two C2 and twelve C3 fractures.

Elevated plasma cortisol reduces permeability of mammary tight junctions in the lactating bovine mammary epithelium.

Induction of tight junction permeability in the mammary epithelium decreases milk secretion, and in cows tight junctions become leaky after 17 h of milk accumulation. In vitro studies demonstrate the importance of glucocorticoids for the formation and maintenance of tight junctions. In this study we examined whether cortisol can prevent mammary tight junction permeability in the lactating gland in vivo, and inhibit the associated milk loss, using our milk-accumulation model to challenge tight junction patency.

The spontaneous aortocaval fistula: a complication of the abdominal aortic aneurysm. Case report and review of the literature.

An aortocaval fistula is a rare complication of the abdominal aortic aneurysm: early diagnosis and appropriate surgery improve survival. We report the case of a patient presenting with abdominal pain and oedema of both lower limbs secondary to an aortocaval fistula. CT-scan confirmed the diagnosis and successful surgery was performed in the emergency room.