Anatomic and Functional Results of Surgical Repair after Total Perineal Rupture at Delivery

1988 ◽  
Vol 43 (10) ◽  
pp. 609-610
Author(s):  
P. M. N. Y. H. GO ◽  
G. A. J. DUNSELMAN
2014 ◽  
Vol 42 (2) ◽  
pp. 114-118 ◽  
Author(s):  
Edward S. Chang ◽  
Christopher C. Dodson ◽  
Fotios Tjoumakaris ◽  
Steven B. Cohen

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Georgios Kalinterakis ◽  
Emmanouil Antonogiannakis ◽  
Arezoo Abdi ◽  
Georgios Demetriades ◽  
Alexandros Koulouktsis ◽  
...  

Multiple carpometacarpal dislocations with a simultaneous fracture of the hamate represent less than 1% of all injuries to the hand and wrist regions, with a scarcity of published cases. These injuries usually require a great force, and diagnosis can be missed or delayed because of the high likelihood of other severe concomitant injuries. We report a case of acute closed dislocation of the third through fifth carpometacarpal joints and an associated fracture of the hamate in a military paratrooper. The injury was caused by a wrong landing technique during parachuting. The patient was managed with primary surgical repair, and after a six-month follow-up, he has excellent functional results. The fact that both this clinical entity and the mechanism of injury are very unusual a high index of suspicion is needed, especially for orthopedic surgeons working in military hospitals. Additionally, given that there is a paucity of published cases and optional treatment is controversial, this study corroborates the superiority of surgical repair in a long-term basis.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Georgios Kalinterakis ◽  
Emmanouil Antonogiannakis ◽  
Ioannis Rampakakis ◽  
Evangelos Tsialogiannis ◽  
Athanasios Syllaios ◽  
...  

Traumatic closed proximal muscle rupture of the biceps brachii has been infrequently cited in the medical bibliography. Early reports of this injury derived from US military during parachute jumps, and it may compromise >4% of injuries at altitude. The mechanism is a direct blow to the upper extremity by static lines. We report a case of traumatic closed proximal rupture of the biceps brachii in a healthy 25 years of age military paratrooper. He was managed with primary surgical repair, and after three years of follow-up, the patient has excellent functional results.


1996 ◽  
Vol 17 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Behiç Tanil Esemenli ◽  
Hakan Gündeş ◽  
Mete Mecikoğlu

Surgical treatment of Achilles tendon ruptures provides excellent functional results in active individuals, although it carries an incidence of wound complications. After experiencing a 25% wound complication rate with the traditional techniques in Achilles tendon ruptures, we modified the Bosworth technique by passing the gastrocsoleus flap percutaneously through the distal stump. This modification eliminated one third of the distal incision, which appears to be the most vulnerable part. We performed the operation in three consecutive cases. At 2-year follow-up there were no wound complications and no reruptures.


2010 ◽  
Vol 3 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Genevieve Chiasson ◽  
Damir B. Matic

The literature on enophthalmos is reviewed to understand its etiology and its prevention following orbital fractures. Specifically, the importance of muscle shape changes in predicting enophthalmos is discussed. The indications for surgical repair of orbital blowout fractures are well established. However, 7 to 10% of patients still develop enophthalmos despite these criteria. Because late repair of enophthalmos is associated with poor esthetic and functional results, the sensitivity and specificity of the current indications need to be further improved. Increased orbital volumes after fracture together with soft tissue displacement and herniation are the two most important factors causing enophthalmos. The loss of both bone and periorbita as supporting structures is seen on coronal computed tomography scan as changes in shape of the extraocular muscles. In floor fractures, the inferior rectus changes from an ellipse to a more rounded shape. The same is true for the medial rectus in medial wall fractures. It is the degree of rounding measured as a ratio of height to width that has been shown to be predictive of enophthalmos. Therefore, because rounding signifies loss of bone and soft tissue support, it may be a more important indication for surgical intervention than fracture size alone.


2020 ◽  
Vol 17 (2) ◽  
pp. 188-195
Author(s):  
Fatih Mehmet Adibelli ◽  
Sevim Soker Cakmak

Purpose: To analyze the outcomes of surgical repair of canalicular lacerations with a round-tipped pigtail probe and silicone tube implantation. Methods: A retrospective review was conducted of the case records of 64 patients who presented to the Ophthalmology Department of Harran University between 2010 and 2015 and underwent surgical repair of canalicular lacerations. Each patient’s age, gender, nationality, mechanism of injury, injured canaliculi, and follow-up time were evaluated. In addition to the anatomical and functional results, complications were also analyzed. Results: A total of 64 patients, 51 (79.7%) males and 13 (20.3%) females, with a mean age at presentation of 14.6 years (range: 1-69 years) were enrolled. Forty-six patients were aged <15 years (71.9%). Forty-two patients (65.6%) had lower canalicular lacerations, and 19 patients had isolated upper canalicular lacerations (29.7%). At the final follow-up (mean: 33.7 months), anatomical success was observed in all patients. Conclusion: Silicone tube implantation using a round-tipped pigtail probe is an effective method that facilitates anatomical and functional success in cases of canalicular laceration.


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