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Debridement 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 PDFInvestigation of a chronic single-stage sheep Fontan model.
JTCVS Open
October 2024
Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Article Synopsis
- This study aimed to analyze the hemodynamics of a new animal model of Fontan physiology, which is important for understanding poor long-term outcomes in Fontan patients.
- Researchers created a single-stage Fontan model in juvenile sheep and conducted detailed hemodynamic assessments.
- Results showed that only a fraction of the sheep survived, with survival rates improving over time due to a learning curve; the study identified key hemodynamic characteristics but noted anatomical differences that affected the model's accuracy, suggesting surgical modifications could enhance future studies.
Single-stage resection of uterine fibroids and intravascular leiomyomatosis: a case report.
BMC Womens Health
September 2024
Cardiothoracic Surgery Intensive Care Unit, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, P.R. China.
Article Synopsis
- * A 47-year-old woman with multiple UFs developed heart failure due to the tumors invading the right iliac vein and extending into the heart, but she successfully underwent a single-stage surgical resection.
- * Post-surgery, she has survived more than 24 months with significant improvement in heart function and no recurrence of UFs, highlighting the benefits of this surgical approach.
Two Very Rare Case of Simultaneous Bilateral Intertrochanteric Fracture Operated in Single Stage - A Case Report.
J Orthop Case Rep
June 2024
Department of Joint Replacement and Orthopedics, Tata Main Hospital, Jamshedpur, Jharkhand, India.
Introduction: Unilateral intertrochanteric fractures are common injuries in elderly population. Simultaneous bilateral intertrochanteric fractures do occur but are very rare and only a few cases have been reported in the literature.
Case Report: We report two cases with different modes of injury.
One-Stage Deep Inferior Epigastric Perforator Flap Salvage of Infected Tissue Expanders.
Ann Plast Surg
June 2024
Department of Plastic Surgery, University of Virginia, Charlottesville, VA.
Background: Tissue expander-based breast reconstruction is associated with high rates of infectious complications, often leading to tissue expander explants and delays in receipt of definitive breast reconstruction and adjuvant therapy. In this study, we describe a single-stage technique where deep inferior epigastric artery perforator (DIEP) flaps are used to salvage actively infected tissue expanders among patients originally planning for free flap reconstruction.
Methods: In this technique, patients with tissue expander infections without systemic illness are maintained on oral antibiotics until the day of their DIEP flap surgery, at which time tissue expander explant is performed in conjunction with aggressive attempt at total capsulectomy and immediate DIEP flap reconstruction.
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