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"Intra-Articular Intrusion of Broken Patella Cerclage Wire and the Importance of Higher Imaging in Its Rescue" - A Case Report.
J Orthop Case Rep
November 2024
Department of Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Introduction: In this case report, we would like to discuss about a 51-year-old gentleman, who had underwent patella tension band wiring for transverse patella fracture 3 years ago and presented with a painful knee with broken cerclage wire with a fragment migrating into the joint.
Case Report: The aim of the study was to highlight the importance of higher imaging (Computed tomography) in deciding whether the retrieval of the fragment can be attempted through a minimally invasive arthroscopic technique.
Result: CT of the knee joint with 3D reconstruction was done and it showed the broken migrated fragment to be intra-articular and intracapsular.
Intracapsular Enucleation of Cervical Sympathetic Chain Schwannoma: Improved Strategy of Intraoperative Hemostasis and Better Outcome.
Ear Nose Throat J
July 2024
Center of Otorhinolaryngology-Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- The article discusses a new strategy for improving hemostasis during intracapsular enucleation (ICE) surgeries for cervical sympathetic chain schwannoma (CSCS), addressing previous challenges like diffuse hemorrhage.* -
- A review of 8 CSCS cases revealed that the new preemptive approach for managing blood vessels significantly reduced both operation time and recovery period for postoperative Horner's syndrome (HS).* -
- Results showed that while HS occurred in most patients, recovery was notably quicker with the new strategy, and no recurrences of CSCS were observed during the 20-month follow-up.*
Challenging Open Extraction of Intraarticular Intracapsular Broken Patellar Cerclage Wire Adjacent to the Medial Femoral Condyle Following Unsuccessful Arthroscopic Removal.
Cureus
April 2024
Orthopaedics, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.
Cerclage wiring and tension band wiring are commonly utilized in orthopedic surgeries for patellar fractures, but wire breakage is a recognized complication. This report presents a rare case where a broken cerclage wire exhibited intraarticular intracapsular migration, prompting open removal adjacent to the medial femoral condyle after unsuccessful attempts at arthroscopic extraction. A 50-year-old male with a history of patellar fracture fixation using cerclage and tension band wiring, presented with persistent knee pain and restricted motion.
View Article and Find Full Text PDFMyomectomy in adult women of reproductive age: a propensity score-matched study for pregnancy rates.
Arch Gynecol Obstet
October 2023
Moscow Institute of Physics and Technology, 141701, Dolgoprudny, Russia.
Purpose: To study whether it is better to perform or not a myomectomy, in terms of surgical and reproductive outcomes in patients of advanced reproductive age, by an observational prospective study in university-affiliated and Community Hospitals.
Materials And Methods: 40 years and older patients affected by non-submucous symptomatic uterine fibroids and desiring future fertility were enrolled and treated by laparoscopic intracapsular myomectomy by (LIM) or by open laparotomy (OIM), or by a non-surgical management as control group, while attempting to conceive. The primary outcome measures were fibroid characteristics, pre- and post-surgical parameters, pregnancy achievement; the secondary outcome measures were the spontaneous or ART pregnancy outcomes, eventual week of abortion and type of delivery.
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