Outcomes Study of an Innovative Method of Direct Repair of Metatarsophalangeal Joint Instability With an Angiocatheter Needle
Publication date: Available online 19 November 2019Source: The Journal of Foot and Ankle SurgeryAuthor(s): Kristin B. Kindred, Anthony S. Rusher, Andrew M. Baker, Corey N. Groh, Brett R. FinkAbstractPlantar plate tears are a common cause of forefoot pain and digital deformity. Repair of the plantar plate has been described from both a dorsal and plantar approach, each with its own benefits and drawbacks. Many of the approaches use costly devices. Our innovative repair method uses low-cost materials available in most operating room settings. We undertook a retrospective case series study to evaluate outcomes in patients who had undergone plantar plate repair with our method of repair. A review was performed to identify patients with plantar plate disruptions treated with this approach by a single surgeon. Clinical position and patient satisfaction of the involved joints were evaluated. Six patients (9 joints) underwent plantar plate repair using this innovative method and were evaluated at a median follow-up time of 19 (range 19 to 39) months. The mean visual analog scale pain score at final follow up was 0.8 ± 2.0. The median sagittal plane position of the toe was 2 mm (range 0 to 6) from the plantar skin of the digit to the ground. Five of the 6 patients (83%) stated that they would have the procedure again. We were able to obtain satisfactory outcomes with good alignment by repairing the plantar plate with this innovative method. Our data suggest that the described m...
This article reviews the potential role of exosomes in OA regenerative medicine. Special attention is given to mesenchymal stem cells-derived exosomes due to the extensive research on their cartilage repair property and their function as miRNA cargo. More investigations are needed for the effects of exosomes from synovial fluid and chondrocytes in joints. A better understanding of the mechanisms will contribute to a novel and promising therapy for OA patients.
Publication date: Available online 6 December 2019Source: Annals of Medicine and SurgeryAuthor(s): Alaa S. Bahjat, Ahamd Mohammad Sharif Tahir, Ayad Ahmad MohammedAbstractHydatid cyst of the heart is very rare, the left ventricle is the commonest site of myocardial involvement due to dominant left coronary vessels and thicker wall. Isolated cardiac involvement is extremely rare. Patients may be quite asymptomatic but the cyst may cause palpitation, dyspnea, chest pain, or when ruptured in to the cardiac or pericardial cavities may cause emergency presentations like anaphylactic reactions, sudden collapse due to pericardial...
The MIRAgel (hydrogel) scleral buckle, introduced in the 1980s, was a novel material to repair retinal detachments. It was later discontinued due to the frequency of long-term complications related to buckle hydrolysis and expansion. These complications included pain, limited extraocular motility, and more serious complications such as infection or scleral perforation, which ultimately necessitated surgical extraction as late as 20 –30 years after placement. Prompt and proper diagnosis and treatment is often delayed as these buckle-associated complications frequently mimic other orbital pathologies such as tumors or infections.
Conclusion: It is important to consider mesh graft migration to viscus as a cause of persistent abdominal pain and bleeding per rectum irrespective of the time of presentation post hernia repair. PMID: 31788028 [PubMed]
Fingertip injuries and amputations are common in the emergency department, often occurring on weekends when consultants are not available. Some experienced physicians may consider rongeuring distal tuft amputation injuries, but simple closure and expert consultation for more difficult cases are suggested.A fingertip amputation within zone III involving total amputation of the distal tip, fingernail, matrix, and tuft. Photos by M. Roberts.Care of fingertip amputations in the ED should focus on removing debris and cleaning the wound as best as possible, closing the wound using available skin, bandaging and splinting for c...
Articular cartilage lesions generated by trauma or osteoarthritis are the most common causes of pain and disability in patients.
Abstract Ventricular free wall rupture is a fatal mechanical complication of acute myocardial infarction. In some cases it can be represented as subacute clinic and may not cause death in a few minutes. Acute pseudo-aneurysms are extremely unstable and bound to fatal rupture. Herein we report a male patient who suffered dyspnea and mild chest pain, 4 weeks after acute ST-segment elevation myocardial infarction.
The purpose of this investigation was to evaluate the analgesic effect of preoperative fascia iliaca block (FIB) on postoperative morphine equivalent dose (MED), pain level, and patient satisfaction for patients electing to undergo primary hip arthroscopic labral repair with osteochondroplasty.
Introduction: Thoracic Endovascular aortic repair (TEVAR) is Class I recommendation for complicated acute type B aortic dissection (TBAD). Refractory pain and uncontrollable hypertension without evident image-support indication (ISI) are frequently used as a pure symptom-driven indication (SDI) in aggressive manner. They could extend TEVAR indications to nearly all acute TBAD. The impact of SDI in all indications for acute TBAD about perioperative mortality, early/late complications, re-intervention, and remodeling of aorta are our concerns.
Introduction: Endovascular exclusion of popliteal artery aneurysm is an attractive and noninvasive alternative to the classical open vascular surgery treatment. It provides an opportunity for treatment of patients with comorbidities who have a high risk associated with an open surgery procedure. Endovascular procedures alleviates complications related with open surgery, in particular it reduces pain and convalescence time. Comparable to the classical open vascular surgery method, the results of endovascular treatment induce vascular surgeons to prefer the less invasive option.