scholarly journals Value of Ultrasound‐Guided Closed Reduction and Minimally Invasive Fixation in the Treatment of Metacarpal Fractures

2019 ◽  
Vol 38 (10) ◽  
pp. 2659-2666
Author(s):  
Suhong Shen ◽  
Xiaohui Wang ◽  
Zhuo Fu
2012 ◽  
Vol 25 (01) ◽  
pp. 79-82 ◽  
Author(s):  
A. Pozzi ◽  
C. C. Hudson

SummaryObjectives: To describe the use of closed reduction and minimally invasive fixation for treatment of a central tarsal bone luxation in a six-year-old spayed female, mixed breed dog with acute onset non-weight bearing right hindlimb lameness.Methods: Physical examination and tarsal radiographs resulted in a diagnosis of central tarsal bone luxation. Closed reduction and minimally invasive screw stabilization were performed with fluoroscopic guidance. External coaptation for six weeks was followed by a gradual return to full function.Results: Follow-up examination at 34 months post-surgery revealed the patient to be fully functional on the surgically repaired limb. Radiographs revealed ankylosis of the intertarsal joints.Clinical significance: Minimally invasive ankle surgery is commonly performed in humans but is uncommon in dogs. Based on the results of this single case, minimally invasive reduction and stabilization of central tarsal bone luxation is feasible.


2021 ◽  
pp. 155335062199779
Author(s):  
Difu Fan ◽  
Leming Song ◽  
Monong Li ◽  
Chunxiang Luo ◽  
Xiaohui Liao ◽  
...  

Objective. The objective is to explore the clinical application value of ultrasound long- and short-axis planar technology in real-time guided puncture in minimally invasive percutaneous nephrology. Methods. The clinical data of 80 patients undergoing real-time ultrasound-guided minimally invasive percutaneous nephrolithotomy from September 2018 to October 2019 were analyzed. The patients were randomly divided into 2 groups with different ultrasound-guided puncture techniques, long-axis in-plane technique and short-axis out-of-plane technique. Results. Minimally invasive percutaneous nephrolithotomies under real-time ultrasound guidance were successfully completed in both groups of patients. The success rate of the first puncture in the short-axis out-of-plane group was significantly higher than that in the long-axis in-plane group, and the differences were statistically significant ( P <.05); the total puncture time in the short-axis out-of-plane group was significantly less than the long-axis in-plane group, and the differences were statistical significance ( P <.05); there was no significant difference in the single-stage stone removal rate, total percutaneous renal channels, total hospital stay, and rate of complications by the Clavien classification between the 2 groups ( P > .05). Conclusion. Ultrasound long-axis and short-axis planar technologies can achieve good clinical application results in real-time guided puncture to establish percutaneous renal channels during minimally invasive percutaneous nephrolithotomy. Compared with the long-axis in-plane technique, the short-axis out-of-plane technique can shorten the puncture time and improve the success rate of the first puncture.


2021 ◽  
Vol 17 ◽  
pp. 11-17
Author(s):  
Andreas Leonidou ◽  
Siddharth Virani ◽  
Georgios Panagopoulos ◽  
Giuseppe Sforza ◽  
Ehud Atoun ◽  
...  

2010 ◽  
Vol 24 (4) ◽  
pp. 217-223 ◽  
Author(s):  
Ping-Cheng Liu ◽  
Song-Hsiung Chien ◽  
Jian-Chih Chen ◽  
Chih-Hsin Hsieh ◽  
Pei-His Chou ◽  
...  

2016 ◽  
Vol 45 (2) ◽  
pp. 462-467 ◽  
Author(s):  
Maximiliano Ranalletta ◽  
Luciano A. Rossi ◽  
Hugo Barros ◽  
Francisco Nally ◽  
Ignacio Tanoira ◽  
...  

Background: Early union and a rapid return to prior function are the priorities for young athletes with lateral clavicular fractures. Furthermore, it is essential to avoid nonunion in this subgroup of patients, as this is frequently associated with persistent pain, restriction of movement, and loss of strength and endurance of the shoulder. Purpose: To analyze the time to return to sport, functional outcomes, and complications in a group of athletes with displaced lateral clavicular fractures treated using closed reduction and minimally invasive double-button fixation. Study Design: Case series; Level of evidence, 4. Methods: A total of 21 athletes with displaced lateral clavicular fractures were treated with closed reduction and minimally invasive double-button fixation between March 2008 and October 2013. Patients completed a questionnaire focused on the time to return to sport and treatment course. Functional outcomes were assessed with the Constant score and the short version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Pain was evaluated with the visual analog scale (VAS). Radiographs were reviewed to identify radiographic union, malunion, and nonunion. Results: Of the 21 study patients, 20 returned to sport after treatment; 100% returned to the same level. The mean time to return to play was 78 days (range, 41-120 days). Four patients (20%) returned to sport less than 6 weeks after surgery, 14 (70%) returned between 6 and 12 weeks after surgery, and 2 (10%) returned after 12 weeks. The mean Constant score was 89.1 ± 4.2 (range, 79-100), the mean QuickDASH score was 0.4 ± 2.6 (range, 0-7.1), and the mean VAS pain score was 0.4 ± 1.0 (range, 0-3) at final follow-up (mean, 41 months). The only complication was asymptomatic nonunion. Hardware removal was not necessary in any patient. Conclusion: Closed reduction and minimally invasive double-button fixation of displaced lateral clavicular fractures in athletes was successful in terms of returning to the previous level of athletic activity regardless of the type of sport, with excellent clinical results and a low rate of complications.


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