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Suture fixation of traumatic rib fracture flail segment with Klebsiella osteomyelitis.
Trauma Case Rep
June 2024
Surgery, OhioHealth Riverside Methodist Hospital, Columbus 43214, USA.
We report the case of a 71-year-old male who initially presented with urosepsis and was found to have a rib fracture of his right 6th rib with a flail segment and an associated abscess. Given the concern for infection, surgical rib fixation with titanium plating was not pursued during the washout of his abscess and instead, he successfully underwent rib fracture stabilization with bilateral suture transfixation. He was continued on a prolonged course of antibiotics for Klebsiella pneumonia osteomyelitis and was discharged uneventfully with optimal pain control and adequate respiratory effort.
View Article and Find Full Text PDFBiceps Transfer to FDP-FPL Tendon Augmented with Fascia Lata to Restore Hand Function in Neglected Fracture Treated by Traditional Bone-setters.
Plast Reconstr Surg Glob Open
November 2023
From the Department of Orthopaedic and Traumatology Sardjito General Hospital, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Neglected bone fractures owing to the traditional bone-setter practices could lead to devastating complications. We aimed to describe the procedure and outcome of fascia lata augmentation for a forearm massive soft tissue loss case. Here, we report a case of a 14-year-old boy who presented to our hospital with a history of neglected right forearm fracture 4 years prior.
View Article and Find Full Text PDF[Extensive transfixing skin necrosis after breast biopsy under local anesthesia: About four cases].
Ann Chir Plast Esthet
January 2024
Department of Plastic and Breast Surgery, Gustave-Roussy Cancer Campus, Grand Paris, France.
Introduction: Local anesthetics with adrenaline are widely used in routine practice and have long proven their benefits and safety. The rare complications due to their use mainly concern immuno-allergic and vascular mechanisms.
Description: In this article, we present four similar cases of early transfixing skin necrosis occurring after radioguided breast biopsy under local anesthesia using epinephrine local anesthetics in the context of a diagnostic approach to breast cancer.
Laparoscopic Transduodenal Ampullectomy: How We Have Standardized the Technique (with Video).
Ann Surg Oncol
February 2023
Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China.
Background: The procedure of choice for the resection of ampullary tumors comprises transduodenal ampullectomy (TDA), endoscopic papillectomy (EP), and pancreaticoduodenectomy (PD). For neoplasms with low-grade dysplasia, TDA and EP have equivalent efficacies and lower morbidities than PD. Compared with EP, also as an organ-preserving procedure, TDA could be applicable for tumors involving the pancreatic ducts or common bile ducts.
View Article and Find Full Text PDF[Migration of the Tips of Metal Implants during Treatment of Coxa Vara Adolescentium (Slipped Capital Femoral Epiphysis)].
Acta Chir Orthop Traumatol Cech
September 2022
Klinika dětské chirurgie, ortopedie a traumatologie, Fakultní nemocnice Brno a Lékařské fakulty Masarykovy univerzity, Brno.
PURPOSE OF THE STUDY This paper aims to detect, through a retrospective study, the migration of the tips of used metal implants (K-wires or a screw) in the direction out from the proximal femoral epiphysis as a part of studied basic radiometric characteristics of the cohort, with no intention of the authors to evaluate the therapy outcomes. MATERIAL AND METHODS It was a retrospective multicentre study including patients of two orthopaedic clinics and one department of orthopaedics treated in the period 2005-2018. The same treatment procedure was used in all three centres.
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