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Guide-wire and K-wire readjustment jig for osteotomy and osteosynthesis: An instrument.
J Clin Orthop Trauma
February 2025
Joints and Spine Clinic, Mahavir Nagar, Kandivali West, Mumbai, 400067, India.
Introduction: Numerous orthopaedic procedures including dynamic hip screw plating and various osteotomies require placement of a reference guide pin or K wire to direct bone cuts or for drilling screw holes. Appropriate positioning of these wires is a critical component of surgery. Irrespective of whether one is a seasoned surgeon or an apprentice, these wires often need repositioning and readjustment.
View Article and Find Full Text PDFBiplanar Lateral Hemi-Wedge Osteotomy for the Correction of Severe Tibial Varus Deformity.
Arthrosc Tech
December 2024
Department for Orthopedics and Trauma Surgery, Martin Luther Hospital Berlin, Berlin, Germany.
Indication for this hemi-wedge high tibial osteotomy is the combination of medial osteoarthritis or cartilage damage, varus deformity of >10°, and medial proximal tibial angle of <80°. The proximal lateral tibia is exposed via a skin incision of approximately 10 cm length between the tibial tuberosity and the head of the fibula. After detachment of the anterior tibial muscle, a first oblique guidewire marks the main osteotomy plane and a second guidewire marks the hemi-wedge.
View Article and Find Full Text PDFNo Right Way: Removal of a Pencil Foreign Body From a Male Urethra.
Cureus
November 2024
Urology, Sunderland Royal Hospital, Sunderland, GBR.
Foreign body insertion into the urethra is uncommonly encountered in urology practice. Such insertion can result in a myriad of problems including bleeding, infectious sequelae, urinary retention, urethral injury or rupture, and resultant urethral stricture formation. This article describes a case in which an elderly male inserted a pencil into his urethra, which subsequently became lodged and required removal under regional anesthesia in the operating theater.
View Article and Find Full Text PDFA Corticotomy-Assisted Extraction for a Rare 3-Part Broken Proximal Femoral Nail: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Introduction: Delayed union, non-union, and unstable fixation can lead to fatigue fractures of orthopedic implants. Breakages typically occur at the fracture site or locking screw insertion, acting as stress concentration foci. This case report highlights a rare instance of a 3-part broken proximal femoral nail (PFN), extracted using a corticotomy-assisted method without knee joint violation.
View Article and Find Full Text PDFComprehensive Overview of Retrograde-Antegrade Connection Techniques Without Externalization in Chronic Total Occlusion PCI: The Portal Techniques.
Catheter Cardiovasc Interv
January 2025
Department of Cardiology, University Hospital Basel, Basel, Switzerland.
Background: Advancing the retrograde microcatheter (MC) into the antegrade guide catheter during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) can be challenging or impossible, preventing guidewire externalization.
Objectives: To detail and evaluate all the techniques focused on wiring to achieve intubation of the distal tip of a microcatheter, balloon, or stent with an antegrade or retrograde guidewire, aiming to reduce complications by minimizing tension on fragile collaterals during externalization and enabling rapid antegrade conversion in various clinical scenarios.
Methods: We describe the two main techniques, tip-in and rendezvous, and their derivatives such a facilitated tip-in, manual MC-tip modification, tip-in the balloon, tip-in the stent, deep dive rendezvous, catch-it and antegrade microcatheter probing.
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