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The combination of hip arthroscopy and periacetabular osteotomy (PAO) has been proven safe and effective for addressing symptoms in patients with developmental dysplasia of the hip (DDH). As not every patient with dysplasia will require a hip arthroscopy to obtain desired clinical improvement in the setting of periacetabular osteotomy, a challenge is identifying which patients require adjacent procedures (either via arthroscopic or open) to fully treat their hip pathology. Even though labral repair is the most reported arthroscopic procedure in cases of hip dysplasia, I would suggest that labral treatment is the least likely helpful component of hip arthroscopy in these cases.
View Article and Find Full Text PDFDebridement Technique for Single-Stage Revision Shoulder Arthroplasty.
JBJS Essent Surg Tech
January 2025
Shoulder and Elbow Service, Florida Orthopaedic Institute, Tampa, Florida.
Background: The incidence of revision shoulder arthroplasty continues to rise, and infection is a common indication for revision surgery. Treatment of periprosthetic joint infection (PJI) in the shoulder remains a controversial topic, with the literature reporting varying methodologies, including the use of debridement and implant retention, single-stage and 2-stage surgeries, antibiotic spacers, and resection arthroplasty. Single-stage revision has been shown to have a low rate of recurrent infection, making it more favorable because it precludes the morbidity of a 2-stage operation.
View Article and Find Full Text PDFA strategy for achieving optimisation of radiological protection in digital radiology proposed by ICRP.
J Radiol Prot
November 2024
International Atomic Energy Agency, Vienna International Centre, 1400 Vienna, Austria.
Radiology is now predominantly a digital medium and this has extended the flexibility, efficiency and application of medical imaging. Achieving the full benefit of digital radiology requires images to be of sufficient quality to make a reliable diagnosis for each patient, while minimising risks from radiation exposure, and so involves a careful balance between competing objectives. When an optimisation programme is undertaken, a knowledge of patient doses from surveys can be valuable in identifying areas needing attention.
View Article and Find Full Text PDFDelayed vs single-staged abdominal wall reconstruction in contaminated ventral hernia.
Hernia
November 2024
Center for Abdominal Core Health, Cleveland Clinic, 2049 E 100th St, Desk, A-100, Cleveland, OH, 44106, USA.
Article Synopsis
- Surgeons face a choice between single-stage or delayed repair for contaminated ventral hernias, and this study compares outcomes of both methods regarding wound complications, hernia recurrence, and quality of life.
- Data was analyzed from patients who had abdominal wall reconstruction (AWR) with synthetic mesh from January 2014 to August 2023, assessing outcomes for those who had delayed and single-staged repairs.
- Findings showed that both groups had similar rates of wound complications, reoperations, and hernia recurrence, suggesting that either repair method might be equally effective in this context.
Single stage direct -to- implant breast reconstruction following mastectomy (The use of Ultrapro® Mesh).
World J Surg Oncol
November 2024
Department of Surgical Oncology, National Cancer Institute, Cairo University, Giza, Egypt.
Background: Immediate breast reconstruction (IBR) with direct to implant (DTI) is the preferred method of reconstruction by many surgeons and patients, however, acellular dermal matrix (ADM) and other synthetic meshes are expensive especially in low- and middle-income countries. AIM OF THE WORK: To evaluate the technique, indications, aesthetic outcomes, and short and long-term complications of DTI breast reconstruction performed with Ultrapro®, a low-cost alternative mesh to ADM and other synthetic meshes.
Methods: Our study is a prospective cohort study that was conducted on 133 patients who experienced IBR following nipple-sparing mastectomy (NSM) or skin sparing mastectomy (SSM) using silicone implants and Ultrapro® mesh between December 2020 and December 2023.
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