Treatment of AO/OTA 43-C3 Pilon Fracture: Be Aware of Posterior Column Malreduction.

Treatment of AO/OTA 43-C3 Pilon Fracture: Be Aware of Posterior Column Malreduction. Biomed Res Int. 2019;2019:4265782 Authors: Guan J, Huang M, Wang Q, Chen Y, Wang L Abstract Treatment of pilon fractures remains challenging due to the difficulty of fracture reduction and associated soft tissue complications. The aim of this study was to evaluate the pitfalls and strategies of posterior column reduction in the treatment of complex tibial pilon fractures (AO/OTA 43-C3). Thirteen AO/OTA classification 43-C3 type pilon fractures treated between January 2013 and January 2016 were retrospectively analyzed. Nine cases were treated by external fixation within 26 hours (range, 6-56 hours) after injury. The definitive open reduction and internal fixation (ORIF) was performed after the wound was healed without infection and soft tissue swelling had subsided. During the delayed/second-stage operation, the articular surface of the distal tibial plafond was reduced through the posterolateral and anterior approaches. X-ray and CT scans were performed pre- or postoperatively. The reduction quality was evaluated using Burwell-Charnley's radiographic criteria. The follow-up was performed routinely and all complications were recorded. Ankle function was evaluated using the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. During the delayed/second-stage operation, primary reduction of the posterior column was performed entirely through posterolater...
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research

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ConclusionPatients with an increased femoral anteversion angle (>  30°) had inferior postoperative clinical outcomes, including greater patellar laxity, a higher rate of residual J-sign and lower patient-reported outcomes after medial patellofemoral ligament reconstruction and combined tibial tubercle osteotomy for the treatment of recurrent patellar instabilit y.Level of evidenceIII, retrospective cohort study.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Abstract An 87-year-old woman with a history of osteoporosis presented to the emergency department with complaints of low back pain and difficulty walking due to falling onto her left hip 2 weeks prior. Given the delay in diagnostic evaluation and persistent symptoms, computed tomography (CT) of the lumbar spine was ordered. The results of the CT were read as noncontributory and a physical therapist was consulted. Following examination, the physical therapist recommended left hip radiographs. A CT scan of the hip, which was ordered due to its superior specificity in detecting subtle fractures and to assist interve...
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
Publication date: December 2019Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 128, Issue 6Author(s): Danielle Wilt, Chris Kim, Dane St. JohnObjectiveHybrid arch bars have become popular alternatives to traditional Erich arch bars for use in craniomaxillofacial surgery. They offer the benefit of decreased time for application, reduced risk of sharps exposure to healthcare personnel, and decreased risk of compromised periodontal health. However, it has not been established if they pose a significant risk to the dentition. Damage to the teeth, such as violation of the pulpal canal or root fract...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
J Knee Surg DOI: 10.1055/s-0039-3400741Anterior cruciate ligament (ACL) reconstruction represents one of the most successful orthopedic surgical procedures. Nevertheless, ACL revisions are still very frequent, with a small but relevant number of failures. The purpose of this study is to analyze the failure causes and the clinical outcomes of patients who underwent a re-revision ACL reconstruction. Between January 2009 and December 2017, 263 ACL revisions were performed by a single senior surgeon. Seventeen patients (12 males and 5 females) underwent re-revision ACL reconstruction meeting the inclusion criteria. The mean ag...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
ConclusionsMagnification spot radiographs acquired before attempting IVC filter removal improve detection of filter fractures and agreement among interventional radiologists. Therefore, these should be performed routinely to allow for optimal treatment planning.
Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research
CONCLUSIONS Our study, in which no X-ray examination revealed possible intracranial bleeding, clearly shows that nowadays the plain radiograph of the skull does not bring any benefit in the diagnosis of minor traumatic brain injury. Key words:skull X-ray, CT of the head, head injury, minor traumatic brain injury. PMID: 31748109 [PubMed - in process]
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Haisong Bu, Yibo Gong, Li XieAn asymptomatic, 9-year-old boy was referred to our institution for a left ventricular cardiac mass incidentally discovered during a medical examination. The patient was asymptomatic and physical examination was unremarkable. Chest radiography showed an abnormal heart shadow in the left ventricle field. Echocardiography revealed an echo-bright mass attached to the left ventricle free wall with mitral obstruction or compromise to the flow. Computed tomography was performed, from which a large, we...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Conclusion: PET/CT added no significant additional benefit over Chest CT in patients with suspected OS or IOTB. PMID: 31743044 [PubMed - as supplied by publisher]
Source: Ocular Immunology and Inflammation - Category: Allergy & Immunology Tags: Ocul Immunol Inflamm Source Type: research
The follow-up for radically treated non-small cell lung cancer (NSCLC) patients remains controversial. The aim of this study was to review the outcomes since the change in the local protocol in 2014 were CT scan follow-up introduced, in term of further radical treatment for recurrence as well as 3 years survival.243 patients with NSCLC who treated radically with surgical resection were retrospectively reviewed. Patients treated in 2012-2013 were followed-up by chest radiographs or no specific protocol (Group A), while patients treated in 2015 had CT-Scans follow-up at 6, 12 and 18 months (Group B).Out of 169 patients in gr...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Lung cancer Source Type: research
Introduction: In patients with suspected lung cancer a CT scan should be the initial diagnostic test after chest radiography.Objective: To assess the impact of direct access to CT prior to the first appointment in a rapid access lung cancer clinic on diagnostic and treatment delays.Methods: We analysed patients with suspected lung cancer referred from May 2015 to December 2018. General practitioners and specialists from our health department may request a CT at the time of referral and we use a fast track system to offer patients a CT scan scheduled within 1 week. Information was collected on patient characteristics, date ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Lung cancer Source Type: research
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