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Atypical lumbar pedicle fractures. A case report and comparative review of the literature: Bisphosphonate-related? Possible matching with diagnostic criteria of atypical fractures of the femur.
Brain Spine
March 2024
Consultant Orthopaedic Surgeon, San Carlo Borromeo Hospital, Via Pio II 3, Milano, Italy.
Introduction: Bisphosphonates are commonly used to prevent osteoporotic fractures. Many randomized controlled trials have proved the efficacy of bisphosphonates, showing their ability to increase bone mineral density and decrease the risk of hip and vertebral fractures. Atypical, bisphosphonate-related fractures concerning the femur have been widely described and a list of primary and secondary clinical and radiographic criteria are used in order to achieve diagnosis.
View Article and Find Full Text PDFA novel technique for atraumatic transurethral catheterisation of male rats.
Biol Open
September 2024
Plastic, Reconstructive & Aesthetic Surgery Service, Sengkang General Hospital, Singapore 544886, Singapore.
Article Synopsis
- - Transurethral catheterisation in male rats is challenging due to their unique anatomy, particularly the urethral striated sphincter, which complicates smooth catheter insertion.
- - Researchers often resort to either using female rats or performing more invasive procedures like suprapubic bladder punctures when conducting studies that require urine collection or bladder pressure measurement.
- - The study introduces a new, less invasive method for catheterising male rats using a microscope and microsurgical tools, successfully demonstrated on six rats without causing injury, enabling future research involving male subjects.
Duct Stenting in Duct-Dependent Systemic Blood Flow, Past, Present, and Future.
Pediatr Cardiol
April 2024
Pediatric Cardiology, University Clinic Frankfurt, Frankfurt, Germany.
Arterial duct stenting, pioneered in the early 1990s for newborns with a duct-dependent pulmonary and systemic circulation, has evolved significantly over the past decades. This progressive technique has led to the development of novel therapeutic strategies, including the Hybrid approach introduced three decades ago, and more recently, a complete transcatheter approach for treating newborns with hypoplastic left heart syndrome (HLHS). Subsequently, the transcatheter method has been extended to bi-ventricular lesions and patients with pulmonary hypertension, establishing a reverse Potts-shunt pathophysiology.
View Article and Find Full Text PDFOperative Technique for Sacral Insufficiency Fractures Causing Spinopelvic Dissociation: A Case Report.
JBJS Case Connect
October 2023
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.
Case: We present a case of a 54-year-old man with atraumatic, U-type sacral insufficiency and L5 compression fractures leading to spinopelvic dissociation, inability to ambulate, and bowel/bladder compromise. The patient underwent L3-4 percutaneous pedicle screw fixation with bilateral iliac bolts and percutaneous iliosacral screw fixation. Postoperatively, the patient had return of bowel/bladder function and independent ambulation at 2.
View Article and Find Full Text PDFLate Periprosthetic Femoral Stress Fracture Associated with Extra-articular Deformity in a Patient with Fibrous Dysplasia: A Case Report.
JBJS Case Connect
July 2023
Hip Surgery Unit, Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
Case: In the setting of a total hip arthroplasty performed in a patient with a proximal femoral deformity, atraumatic periprosthetic femoral stress fracture may arise as a complication. We report a rare case of a late periprosthetic femoral stress fracture around a cemented stem in a patient with a history of fibrous dysplasia of the proximal femur. After a 10-year uneventful period, the patient complained about a subtle, subacute pain in his left thigh induced by exercise but not with daily axial load.
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