Percutaneous fixation of impending fracture of the hip

Author(s):  
Charles Roux ◽  
Lambros Tselikas ◽  
Alexandre Delpla ◽  
Steven Yevich ◽  
Christophe Teriitehau ◽  
...  
2018 ◽  
Vol 35 (04) ◽  
pp. 238-247 ◽  
Author(s):  
Steven Yevich ◽  
Guillaume Gravel ◽  
Charles Roux ◽  
Antoine Hakime ◽  
Thierry de Baère ◽  
...  

AbstractInterventional radiology expertise in image guidance has expanded the treatment options for cancer patients with unstable osseous disease. Percutaneous fixation by internal cemented screw (FICS) describes the technique by which the interventional radiologist stabilizes a fracture or impending fracture with the percutaneous placement of a cannulated screw that is locked in position by polymethyl methacrylate cement. The durable metallic screws provide added resistance to torque and tension stresses that complement the axial compression resistance of cement. Compared with cementoplasty alone, the procedure has been advanced as a more durable and precise technique for stabilization of osseous disease for certain disease presentations in cancer patients. The application of advanced image guidance techniques improves upon existing percutaneous surgical techniques to facilitate approaches that would otherwise prove quite challenging, particularly with stabilization of the pelvic flat bones. This article examines the applications of percutaneous FICS procedures for the treatment of unstable osseous disease in cancer patients. Indications, techniques, and follow-up care are reviewed. Case examples in which FICS can be performed in unstable pathology are detailed.


2014 ◽  
Vol 96 (7) ◽  
pp. e36-e38 ◽  
Author(s):  
ME Shenouda ◽  
A Mohan ◽  
T Sarkhel

We present the case of a 23-year-old man with a combined scaphoid fracture and comminuted trapezium fracture, treated surgically with percutaneous fixation of the scaphoid fracture and concomitant Arthrex Mini TightRope® stabilisation of base of thumb metacarpal to base of index finger metacarpal. The patient made a good functional recovery, returning to usual activities within six weeks. We suggest that this technique could be used to treat complex trapezium fractures that cannot be reconstructed with surgery.


2013 ◽  
Vol 18 (4) ◽  
pp. 659-666 ◽  
Author(s):  
Mohammad Ibrahim ◽  
Hidetomi Terai ◽  
Kentaro Yamada ◽  
Akinobu Suzuki ◽  
Hiromitsu Toyoda ◽  
...  

2018 ◽  
Vol 22 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Nebojsa Jovanovic ◽  
Ehab Aldlyami ◽  
Basem Saraj ◽  
Mohamed FM Seidam ◽  
Hamed Badawi ◽  
...  

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1583139-s-0036-1583139
Author(s):  
Hussien El-Maghraby ◽  
Radu Bletechi ◽  
Sanjoy Nagaraja

2007 ◽  
Vol 129 (4) ◽  
pp. 770-779 ◽  
Author(s):  
Christopher A. Suprock ◽  
Joseph J. Piazza ◽  
John T. Roth

Tracking the health of cutting tools under typical wear conditions is advantageous to the speed and efficiency of manufacturing processes. Existing techniques monitor tool performance through analyzing force or acceleration signals whereby prognoses are made from a single sensor type. This work proposes to enhance the spectral output of autoregressive (AR) models by combining triaxial accelerometer and triaxial dynamometer signals. Through parallel processing of force and acceleration signals using single six degree of freedom modeling, greater spectral resolution is achieved. Two entirely independent methods of tracking the tool wear are developed and contrasted. First, using the discrete cosine transform, primary component analysis will be applied to the spectral output of each AR auto and cross spectrum (Method 1). Each discrete cosine transform of the six-dimensional spectral data is analyzed to determine the magnitude of the critical (primary) variance energy component of the respective spectrum. The eigenvalues of these selected spectral energies are then observed for trends toward failure. The second method involves monitoring the eigenvalues of the spectral matrices centered at the toothpass frequency (Method 2). The results of the two methodologies are compared. Through the use of the eigenvalue method, it is shown that, for straight and pocketing maneuvers, both methods successfully track the condition of the tool using statistical thresholding. The techniques developed in this work are shown to be robust by multiple life tests conducted on different machine platforms with different operating conditions. Both techniques successfully identify impending fracture or meltdown due to wear, providing sufficient time to remove the tools before failure is realized.


Sign in / Sign up

Export Citation Format

Share Document