Lateral Approach to the Hook of Hamate for its Fracture

1986 ◽  
Vol 11 (1) ◽  
pp. 109-111
Author(s):  
TAKAYA MIZUSEKI ◽  
YOSHIKAZU IKUTA ◽  
TSUNEJI MURAKAMI ◽  
SADAO WATARI
Keyword(s):  
Ct Scan ◽  
Surgical Approach ◽  
Lateral Approach ◽  
Hook Of Hamate

We have recently experienced one case of the fracture of the hook of the hamate that was diagnosed only by the CT scan. As a surgical approach, lateral approach to the hook of the hamate for its fracture was utilized. We found that this approach was safe, easy and quick.

SURGICAL APPROACH FOR KNEE JOINT ARTHROPLASTY IN CHILDREN WITH CANCER: THE INTRODUCTION OF A LATERAL APPROACH FOR SEGMENTAL RESECTION OF THE PROXIMAL TIBIA

2021 ◽  
Vol 100 (3) ◽  
pp. 227-233
Author(s):  
N.A. Bolshakov ◽  
◽  
A.Yu. Artemov ◽  
A.S. Slinin ◽  
E.O. Bezdolnova ◽  
...  
Keyword(s):  
Knee Joint ◽  
Surgical Approach ◽  
Ewing’S Sarcoma ◽  
Rating Scale ◽  
Ewing's Sarcoma ◽  
Functional Results ◽  
Lateral Approach ◽  
Joint Arthroplasty ◽  
Lateral Side ◽  
Significant Difference

The aim of the study was to analyze our own experience of using the lateral approach in knee joint arthroplasty in children with oncopathology. Materials and methods of research: the results of a retrospective nonrandomized uncontrolled single-center study are analyzed, within the framework of which 97 endoprosthetics of the knee joint were performed in children and adolescents with oncological pathology over 7 years (2012–2018). Lateral approach was used in 28 patients. The functional results were assessed using the MSTS rating scale 6 and 12 months after the surgery. Postoperative complications were analyzed according to the Henderson classification (modified by the ISOLS committee). Results: when comparing the functional outcome depending on the surgical approach, no statistically significant difference was found either after 6 months (p=0,124) or after 12 months (p=0,755). There is no more frequent development of complications detected (p=0,551). The access used also did not affect overall survival in osteosarcoma (p=0,577), in Ewing's sarcoma (p=0,493), as well as on event-free survival in osteosarcoma (p=0,829) and in Ewing's sarcoma (p=0,886). Conclusion: the use of the lateral surgical approach for knee arthroplasty in children with oncopathology does not affect the treatment results, however, it provides the surgeon with greater variability of actions during preoperative planning. This is especially true for patients whose biopsy tract is located on the lateral side.

Lateral approach to the hook of hamate for its fracture

1986 ◽  
Vol 11 (1) ◽  
pp. 109-111 ◽  
Author(s):  
T MIZUSEKI ◽  
Y IKUTA ◽  
T MURAKAMI ◽  
S WATARI
Keyword(s):  
Lateral Approach ◽  
Hook Of Hamate

scholarly journals Correlation between preoperative CT scan and lung metastases according to surgical approach in patients with colorectal cancer

2021 ◽  
Author(s):  
Jorge Hernández ◽  
Laureano Molins ◽  
Juan J. Fibla ◽  
Ángela Guirao ◽  
Juan J. Rivas ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Ct Scan ◽  
Surgical Approach ◽  
Lung Metastases ◽  
Preoperative Ct

scholarly journals Surgical approach for fracture of distal humerus: Posterior vs lateral

2020 ◽  
Author(s):  
Michela Saracco ◽  
Alessandro Smimmo ◽  
Davide De Marco ◽  
Osvaldo Palmacci ◽  
Giuseppe Malerba ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Radial Nerve ◽  
Posterior Approach ◽  
Age Distribution ◽  
Young Patients ◽  
Lateral Approach ◽  
Humeral Fractures ◽  
Cochrane Library ◽  
Surgical Approaches ◽  
Complication Rates

Humeral fractures have an incidence of 3-5% and a bimodal age distribution. They may occur in young patients after highenergy traumas or in elderly osteoporotic patients after low-energy injuries. In nondisplaced fractures or in elderly patients, humeral fractures are treated by conservative methods. Open reduction and internal fixation (ORIF) should be the treatment of choice in case of multi-fragmentary fractures associated with radial nerve palsy or not. ORIF is usually regarded as the gold standard treatment, but, depending on the different types of fracture, the surgical approach can change. In this review, we compare results and complication rates between lateral and posterior surgical approaches in the management of extraarticular distal humeral shaft fractures. An internet-based literature research was performed on Pubmed, Google Scholars and Cochrane Library. 265 patients were enrolled: 148 were treated by lateral or antero-lateral approach, while 117 by posterior or postero-lateral approach. The literature shows that no differences between the posterior and lateral approach exist. Certainly, the posterior approach offers undoubted advantages in terms of exposure of the fracture and visualization of the radial nerve. In our opinion, the posterior approach may also allow better management of complex and multi-fragmentary fractures.

Surgical Approach to the Hip: Direct Lateral Approach

2009 ◽  
Vol 21 (4) ◽  
pp. 283
Author(s):  
Dong Ok Kim ◽  
Wan Lim Kim ◽  
Kang Sup Yoon
Keyword(s):  
Surgical Approach ◽  
Lateral Approach ◽  
Direct Lateral Approach

scholarly journals Instability in Patients with Lumbar Spine Disease or Fusion Undergoing Posterior Approach vs. Lateral Approach Primary Total Hip Arthroplasty

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Amritdev Parihar ◽  
Evan R. Deckard ◽  
Leonard T. Buller ◽  
R. Michael Meneghini
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Posterior Approach ◽  
Lateral Approach ◽  
Spine Pathology ◽  
Direct Lateral Approach ◽  
Postoperative Dislocation ◽  
Spine Disease

Background and Hypothesis:  Dislocation rates after total hip arthroplasty (THA) in patients with fixed spinopelvic motion due to lumbar spine disease or fusion have been reported as high as 20%. Few studies exist that compare dislocation rates in patients with spine pathology undergoing THA via different surgical approaches. The purpose of this study was to compare postoperative dislocation rates in patients with lumbar spine disease or fusion between those undergoing a primary THA using a posterior versus direct lateral surgical approach.    Experimental Design or Project Methods:  With IRB approval, 1,205 primary THAs performed by two surgeons were retrospectively reviewed. One surgeon routinely performs THAs with a posterior approach while the other surgeon routinely uses a direct lateral approach. Chart review from the electronic medical record was conducted to identify patients who have lumbar spine disease or a lumbar spine fusion. Dislocations for patients with and without lumbar spine disease were compared by posterior approach and direct lateral approach.    Results:   767 posterior approach and 431 direct lateral approach THAs were available for analysis.  43.6% of all THAs had lumbar spine pathology (337/767 posterior and 185/431 direct lateral). The overall dislocation rate was 1.26% (15/1195).  The main predictors of dislocation in binary logistic regression were the presence of lumbar spine pathology (OR 5.24, 95% CI: 1.47–18.69, p=0.018) and posterior surgical approach (OR 7.93, 95% CI: 1.04–60.6, p=0.046).  The dislocation rate for direct lateral approach THAs with lumbar spine pathology was significantly lower compared to posterior approach THAs with lumbar spine pathology (0.0% vs 3.6%, p=0.011).    Conclusion and Potential Impact:   Although there were few dislocations, the study results suggest a direct lateral approach for primary THA may be beneficial to reduce postoperative dislocation for patients with limited spinopelvic motion due to lumbar spine pathology. 

scholarly journals Schwannoma of the craniocervical junction: surgical approach of two cases

2003 ◽  
Vol 61 (3A) ◽  
pp. 639-641 ◽  
Author(s):  
Manoel Baldoino Leal Filho ◽  
Guilherme Borges ◽  
Arnaldo Ferreira ◽  
Daniel França ◽  
Patricia Mello
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Craniocervical Junction ◽  
Lateral Approach ◽  
Special Focus ◽  
Sitting Position ◽  
Far Lateral Approach ◽  
Far Lateral

We report two cases of craniocervical junction schwannomas with a special focus on the surgical approach. The patients underwent a far-lateral approach in the sitting position that facilitated the lesion removal. This report is meant to improve the understanding of this surgical technique as well as improve awareness of its usefulness for similar cases.

scholarly journals Posterior Approach to Optimise Patient-Reported Outcome from Revision Hip Arthroplasty

2016 ◽  
Vol 27 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Julia Blackburn ◽  
Diana Lim ◽  
Ian Harrowell ◽  
Michael C. Parry ◽  
Ashley W. Blom ◽  
...  
Keyword(s):  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Revision Surgery ◽  
Posterior Approach ◽  
Short Form ◽  
Lateral Approach ◽  
Revision Hip Arthroplasty ◽  
Satisfaction Scale ◽  
Patient Reported ◽  
Revision Tha

Introduction Most total hip arthroplasties (THAs) in the UK are performed through a posterior or lateral surgical approach. We aimed to investigate any difference in outcome from revision THA according to the approach at primary and revision THA surgery. Methods A retrospective cohort study of 205 patients who underwent revision THA for aseptic loosening. Patients rated their pain from 0-10 and completed the Self-Administered Patient Satisfaction Scale (SAPS), Oxford Hip Score (OHS), WOMAC and Short form-12 questionnaires. Results 205 patients (209 hips) from a cohort of 238 patients (243 hips, 86%) were available for analysis. The mean follow-up was 5 years (SD 1.71). Grouping by approach 20% (43/209) had both primary and revision procedures via a lateral approach, 20% (43/209) had their primary surgery via a lateral approach and their revision surgery via a posterior approach, whilst 60% (123/209) had both procedures via a posterior approach. The WOMAC and OHS were significantly better in patients who had a posterior approach for both primary and revision surgery, compared to those that did not (OHS p = 0.028, WOMAC p = 0.026). We found no significant differences in pain, satisfaction or health-related quality of life between the groups. Discussion Choice of approach for revision hip arthroplasty is influenced by a number of factors, but in clinical situations where either a lateral or posterior approach could be used, the posterior approach appears to be associated with better joint-specific outcomes. Registry data may help further explore the associations between surgical approach and the outcome from revision THA.

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