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There is renewed interest in anterior cruciate ligament (ACL) preservation techniques. Prior studies have shown good outcomes and low failure rates with ACL preservation in patients with good tissue quality and more proximal tears. We describe a technique intended to assist surgeons in obtaining maximal length of the ACL stump during ACL preservation surgery.

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Article Synopsis
  • A 43-year-old woman with a history of uterine fibromatosis experienced heavy bleeding and pelvic pain, leading to a pelvic ultrasound that revealed a highly vascularized growth.
  • A diagnosis of a uterine smooth muscle tumor of uncertain malignant potential (STUMP) was made after histological examination and noted intravascular invasion.
  • The case emphasizes the importance of ultrasound as a diagnostic tool for irregular uterine masses and the need to assess vascular structures to inform surgical treatment strategies.
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Metallic Lateralized-Offset Glenoid Reverse Shoulder Arthroplasty.

JBJS Essent Surg Tech

July 2024

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

Background: Metallic lateralized-offset glenoid reverse shoulder arthroplasty (RSA) for cuff tear arthropathy combines the use of a metallic augmented baseplate with a metaphyseally oriented short stem design that can be applied at a 135° or 145° neck-shaft angle, leading to additional lateralization on the humeral side. Lateralization of the center of rotation decreases the risk of inferior scapular notching and improves external rotation, deltoid wrapping, residual rotator cuff tensioning, and prosthetic stability. Metallic increased-offset RSA (MIO-RSA) achieves lateralization and corrects inclination and retroversion while avoiding graft resorption and other complications of bony increased-offset RSA (BIO-RSA).

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Symptomatic neuroma represents a debilitating complication after major limb amputation. The regenerative peripheral nerve interface (RPNI) has emerged as a reproducible and practical surgery aimed at mitigating the formation of painful neuroma. Although previous animal studies revealed axonal sprouting, elongation, and synaptogenesis of proximal nerve stump within the muscle graft in RPNI, there is a lack of reports confirming these physiological reactions at the histopathological level in human samples.

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Objectives: Since 2000, we anastomosed the saphenous vein graft to the right coronary artery system using the stump of the right internal thoracic artery as inflow. The long-term results of patients where the right coronary artery was grafted with the right internal thoracic artery or the ascending aorta as saphenous vein inflow has not been reported.

Methods: From 2000 to 2018, 699 consecutive patients had right internal thoracic artery elongated with saphenous vein (I-graft group, n = 358, 51.

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