Madelung Deformity: Surgical Prophylaxis (Physiolysis) During the Late Growth Period by Resection of the Dyschondrosteosis Lesion

1992 ◽  
Vol 17 (4) ◽  
pp. 401-407 ◽  
Author(s):  
D VICKERS ◽  
G. NIELSEN
Keyword(s):  
Growth Period ◽  
Late Childhood ◽  
Surgical Prophylaxis ◽  
Autologous Fat ◽  
Madelung Deformity ◽  
Late Growth

The majority of cases of Madelung deformity are caused by hereditary dyschondrosteosis at the wrist. The principal lesion in the ulnar zone of the distal radial physis retards growth asymmetrically, especially in late childhood. Resection of this zone and its replacement with autologous fat (Langenskiöld procedure, or physiolysis) restores growth and minimizes deformity. The resection of an abnormal ligament tethering the lunate proximally may assist carpal advancement. A series of 17 patients (24 wrists) treated over a 12-year period is presented, with sufficient follow-up for evaluation of 11 patients (15 wrists). The results of this prophylactic procedure are encouraging, and, if it is performed early, the authors believe that Madelung deformity may be preventable, or at least controllable.

scholarly journals Treatment of isolated talonavicular coalition: Case report and literature review

2018 ◽  
Vol 46 (12) ◽  
pp. 5322-5330
Author(s):  
Xiaojun Duan ◽  
Liu Yang
Keyword(s):  
Growth Period ◽  
Nonoperative Treatment ◽  
Ankle Arthritis ◽  
Ankle Pain ◽  
Tarsal Coalition ◽  
Talocalcaneal Coalition ◽  
First Case ◽  
Tarsal Bones ◽  
Late Growth

Tarsal coalition refers to an abnormal fibrous, cartilaginous, or bony connection that develops between two or more tarsal bones. Talocalcaneal coalition and calcaneonavicular coalition account for more than 90% of all cases of tarsal coalition. Coalition exists early at birth, but bony connection usually develops during the patient’s late growth period. Isolated cases of talonavicular coalition have rarely been reported. We herein report a case involving an 11-year-old patient with an isolated talonavicular coalition from a soft tissue to bony connection who was treated with arthroscopy for ankle arthritis. To our knowledge, this is the first case in which the whole formation of the talonavicular coalition was observed with a series of radiographic and magnetic resonance imaging examinations. The pain caused by the talonavicular coalition was managed by nonoperative treatment, while the ankle pain caused by the arthritis was relieved after ankle arthroscopy. At 6 years postoperatively, the patient remained pain-free while walking for 30 minutes and was satisfied with the operative outcome. Continuous follow-up confirmed that after the formation of talonavicular coalition, the coalition can continue to progress, forming bony talocalcaneal coalition and calcaneocuboid coalition.

Long-term outcomes after corrective cartilaginous joint resection based on arthrographic findings of duplicated thumbs

2021 ◽  
Vol 46 (4) ◽  
pp. 367-372
Author(s):  
Kousuke Iba ◽  
Akira Saito ◽  
Megumi Hanaka ◽  
Toshihiko Yamashita
Keyword(s):  
Growth Period ◽  
Joint Space ◽  
Type Ii ◽  
Scoring Method ◽  
Joint Congruency ◽  
Thumb Duplication ◽  
Age At Surgery ◽  
Joint Connection

We report greater than 10-year outcomes in duplicated thumbs following corrective cartilaginous resection during the growth period. We have undertaken corrective resection of cartilaginous joint connections based on intraoperative arthrographic findings to reconstruct favourable alignment in six Wassel Type II and IV thumb duplication in six patients. The age at surgery was 13 months (range 10–15), and the average post-surgical follow-up was 134 months (range 120–160). We observed five excellent and one good outcome using the Japanese Society for Surgery of the Hand scoring method. Favourable joint congruency and alignment were preserved, and no growth plate arrest or joint space narrowing was present more than 10 years after surgery. We conclude that corrective resection of the cartilaginous joint based on intraoperative arthrographic findings has long-term reliability for duplicated thumbs, especially those of Wassel Type II and IV, which have a cartilaginous joint connection. Levels of evidence: IV

Autologous Fat Grafts by Injection-Ten Years' Experience

1992 ◽  
Vol 9 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Gerald Johnson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Augmentation ◽  
Recipient Site ◽  
Autologous Fat ◽  
Abdominal Skin ◽  
Fat Grafts ◽  
Microscopic Evaluation ◽  
Autologous Grafts ◽  
Fat Survival

The use of surgically excised/mechanically fragmented dermal fat grafts by injection led to the use of suction-aspirated fat for autologous grafts by injection. Efforts to scientifically evaluate the fat survival began with a microscopic evaluation of the integrity of the aspirated fat in a series of patients. The next study consisted of injection of dye-stained fat into the abdominal skin/fat followed by removal and microscopic evaluation of the grafts from 3 months to 1 year later. Also, different sized cannulas for removal and different sized needles for injection of fat were used, with the abdominal skin/fat used as the recipient site. Studies were also done to compare washing versus nonwashing of the fat. These studies and 10 years of clinical evaluation and follow-up has led us to conclude that fat, properly aspirated, properly prepared, and properly injected, is an excellent and permanent substance for soft tissue augmentation.

Irrigation of kenaf (Hibiscus cannabinus L.) in the Sudan

1981 ◽  
Vol 96 (3) ◽  
pp. 569-578
Author(s):  
S. M. Farah
Keyword(s):  
Previous Experiment ◽  
Growth Period ◽  
Early Growth ◽  
Hibiscus Cannabinus ◽  
The Other ◽  
Stages Of Growth ◽  
Early Maturing ◽  
Late Stages ◽  
Infiltration Method ◽  
Late Growth

SUMMARYIn one experiment during 1972 and 1973 five irrigation regimes of every 4, 6, 8 and 10 days and according to stomatal opening, as estimated by the infiltration method, were compared, using an early-maturing variety Zankawa and a late-maturing variety G51. In both experiments early crop growth was checked by the shortest and the longest irrigation intervals.Late growth, on the other hand, was promoted by the shortest intervals in both seasons. Thus the highest yield in 1972 was obtained from the 4–day regime, followed by the infiltration method, then progressively greater yields with shorter intervals. In 1973, however, the shortest interval resulted in the lowest yield, which was significantly less than the other treatments, which showed a similar trend to those of 1972.In a second experiment during 1974 and 1975 a medium-maturing variety 22/9/1 and a late–maturing variety 44/E were added to those of the previous experiment. Watering every 4 and 6 days were eliminated and watering every 12 days added, during the early growth period. Each of these regimes was given irrigation every 6, 8, 10 and 12 days during the late growth period. The early-maturing varieties yielded best when irrigated every 12 days in the early stages, and every 10 days in the late stages, whereas the late-maturing varieties yielded best when irrigated every 10–2 and 8 days in the early and late stages of growth, respectively.

scholarly journals Autologous fat grafting in breast reconstruction: implications for follow-up and surveillance

Gland Surgery ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 487-493
Author(s):  
Summer E. Hanson ◽  
Sahil K. Kapur ◽  
Rosa F. Hwang ◽  
Mark S. Dryden
Keyword(s):  
Breast Reconstruction ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat

scholarly journals Evaluation of prescription pattern of antibiotics for surgical prophylaxis in secondary care hospital

2017 ◽  
Vol 6 (8) ◽  
pp. 1969
Author(s):  
Devesh Kumar Joshi ◽  
Mohd Rizwan ◽  
Preeti Kothiyal ◽  
Yogesh Joshi
Keyword(s):  
Antibiotic Prophylaxis ◽  
Prospective Observational Study ◽  
Psychiatric Disease ◽  
Care Hospital ◽  
Age Group ◽  
Surgical Prophylaxis ◽  
Inform Consent ◽  
Spectrum Activity ◽  
Rational Use Of Antibiotics

Background: Antibiotic prophylaxis is the prevention and in incidence of surgical site infection. This study evaluates the rational use of antibiotics prophylaxis prior to surgery amongst hospitalized patients. Objectives of the study were to investigate the utilization and evaluation pattern of antibiotics for surgical prophylaxis in surgery department.Methods: A prospective observational study was conducted on 100 patients receiving antibiotics in the Department of Surgery of Brijesh Hospital Ramnagar (Nainital) Uttarakhand. Patient undergoing antibiotic prophylaxis treatment were included in the study, exclusion of those patients who had age less than 18, patients with psychiatric disease and those patients not willing to sign on inform consent form.Results: The result observed in 100 patients follow up 8 weeks and evaluate the appropriate use of prophylaxis of antibiotics majority of patients were age group 18-30 years, followed by 41-50 years, 51-60 years, majority were reported in female patients than male, higher utilization of cephalosporins were commonly prescribed due to their relatively lower toxicity and broader spectrum activity and broader coverage of organism for several serious gram negative infection 30 (30%) patients were prescribed penicillin with aminoglycosides, 10 (10%) patients were prescribed with nitroimidazole antibiotics.Conclusions: The overall scenario of antibiotic usage in a Hospital was as per standard recommendations and all the antibiotics used were according to their standard adult and titrated doses and frequencies. In this study we found that Cephalosporines, Penicillins, Aminoglycosides and Nitroimidazole were mostly used classes of drug. Adverse Drug Reactions were minor and well managed.

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