Surgical Treatment Options for Unstable Mallet Fractures

Over the decades, the Frozen Elephant Trunk (FET) technique has gained immense popularity allowing simplified treatment of complex aortic pathologies. FET is frequently used to treat aortic conditions involving the distal aortic arch and the proximal descending aorta in a single stage. Surgical preference has recently changed from FET procedures being performed at Zone 3 to Zone 2. There are several advantages of Zone 2 FET over Zone 3 FET including reduction in spinal cord injury, visceral ischemia, neurological and cardiovascular sequelae. In addition, Zone 2 FET is a technically less complicated procedure. Literature on the comparison between Zone 3 and Zone 2 FET is scarce and primarily observational and anecdotal. Therefore, further research is warranted in this paradigm to substantiate current surgical treatment options for complex aortic pathologies. In this review, we explore literature surrounding FET and the reasons for the shift in surgical preference from Zone 3 to Zone 2.

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The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

BioMed Research International ◽

10.1155/2018/6832685 ◽

2018 ◽

Vol 2018 ◽

pp. 1-12 ◽

Cited By ~ 3

Author(s):

Jin-Jiao Li ◽

Jacqueline P. W. Chung ◽

Sha Wang ◽

Tin-Chiu Li ◽

Hua Duan

Keyword(s):

Surgical Treatment ◽

Minimally Invasive ◽

Treatment Options ◽

Management Strategies ◽

Definitive Treatment ◽

Surgical Approaches ◽

Child Bearing ◽

Fertility Sparing

The management of adenomyosis remains a great challenge to practicing gynaecologists. Until recently, hysterectomy has been the only definitive treatment in women who have completed child bearing. A number of nonsurgical and minimally invasive, fertility-sparing surgical treatment options have recently been developed. This review focuses on three aspects of management, namely, (1) newly introduced nonsurgical treatments; (2) management strategies of reproductive failures associated with adenomyosis; and (3) surgical approaches to the management of cystic adenomyoma.

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Surgical Treatment Options of Breast Cancer-Related Lymphedema

Current Surgery Reports ◽

10.1007/s40137-021-00286-6 ◽

2021 ◽

Vol 9 (3) ◽

Author(s):

Summer E. Hanson ◽

Carrie K. Chu ◽

Edward I. Chang

Keyword(s):

Breast Cancer ◽

Surgical Treatment ◽

Treatment Options ◽

Breast Cancer Related Lymphedema

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Aneurysmal degeneration of blalock-taussig shunts: Identification and surgical treatment options

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(84)80188-6 ◽

1984 ◽

Vol 3 (5) ◽

pp. 1277-1281 ◽

Cited By ~ 2

Author(s):

William C. Scott ◽

Hong-Xu Zhao ◽

Margaret Allen ◽

Ducksoo Kim ◽

D. Craig Miller

Keyword(s):

Surgical Treatment ◽

Treatment Options

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Midcarpal instability

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415617756 ◽

2015 ◽

Vol 41 (1) ◽

pp. 86-93 ◽

Cited By ~ 10

Author(s):

D. G. Hargreaves

Keyword(s):

Surgical Treatment ◽

Treatment Options ◽

Case Series ◽

Definite Diagnosis ◽

Stress Tests ◽

Functional Instability ◽

Painful Wrist ◽

Relative Rarity ◽

Passive Stress

Midcarpal instability is a collective term for a number of conditions where the instability of the wrist is predominantly between the proximal and distal carpal rows. It has been regarded as relatively rare and infrequently requires surgical treatment. Palmar midcarpal instability is the most commonly found type of midcarpal instability and can be responsible for causing a clunking and painful wrist. The diagnosis is made on clinical grounds using the midcarpal instability provocative tests. Standard imaging and arthroscopic inspection do not usually confirm a definite diagnosis, but are important in excluding other pathologies. The classification and staging has been described using the extent of palmar translocation of the distal carpal row, which is elicited on passive stress tests. As this is a functional instability, it may be that a functional staging description might be better, and a proposed scheme is described. Treatment options including partial wrist fusions, tenodesis stabilizations and arthroscopic capsular shrinkage have been described in small case series with limited follow-up. There are no comparative series or randomized studies because of the relative rarity of this condition.

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Helping Women with Breast Cancer Choose between Surgical Treatment Options

10.25302/06.2021.cdr.151132975 ◽

2021 ◽

Author(s):

Marie-Anne Durand ◽

Renata West Yen ◽

James O’Malley ◽

Danielle Schubbe ◽

Mary C. Politi ◽

...

Keyword(s):

Breast Cancer ◽

Surgical Treatment ◽

Treatment Options

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TREATMENT OPTIONS FOR NEGLECTED ACHILLES TENDON RUPTURED: WETHER SPONTANEOUS HEALING IS POSSIBLE?

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2018-24-2-59-69 ◽

2018 ◽

Vol 24 (2) ◽

pp. 59-69

Author(s):

A. P. Sereda

Keyword(s):

Surgical Treatment ◽

Achilles Tendon ◽

Treatment Outcomes ◽

Plantar Flexion ◽

Treatment Options ◽

Tendon Healing ◽

Spontaneous Healing ◽

Minimal Incision ◽

Better Than

The paper considers cases of spontaneous healing of achilles tendon with elongation. In such condition the tendon defect is not palpable, active plantar flexion is preserved and patients are complaining for strength diminution.Purpose— to study features of spontaneous achilles tendon healing with elongation and to analyze the shortening tenoplasty option as a procedure primarily aimed at restoration of strength for gastrocnemius-soleus complex.Material and Methods.The paper presents features and outcomes of surgical treatment of 25 patients who underwent a shortening tenoplasty of various types: crimping (3 patients), Z-type (2 patients), oblique (1 patient) and transverse (19 patients).Results.No re-ruptures or other serious complications were observed in the patients of the present study. Treatment outcomes were evaluated by j. leppilahti scale in 304,7±8,9 days after the procedure. postoperative leppilahti scores were statistically significantly better than prior to surgery — 82,4±5,6 and 62,2±7,7, respectively, (p<0,0001). Conclusion. Shortening tenoplasty can be indicated in cases of spontaneous achilles tendon healing with elongation. at relatively early stages of the injury with rather elastic scars the crimping tenoplasty can be applied. At later stages a resection shortening tenoplasty is recommended through a minimal incision with transverse resection of tendon and removal of scar block.

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Surgical treatment options in patellofemoral disorders

Current Opinion in Orthopedics ◽

10.1097/00001433-200104000-00015 ◽

2001 ◽

Vol 12 (2) ◽

pp. 167-173 ◽

Cited By ~ 7

Author(s):

Simon C. Mears ◽

Andrew J. Cosgarea

Keyword(s):

Surgical Treatment ◽

Treatment Options

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Spinal lipomas: clinical spectrum, embryology, and treatment

Neurosurgical FOCUS ◽

10.3171/foc-07/08/e10 ◽

2007 ◽

Vol 23 (2) ◽

pp. 1-12 ◽

Cited By ~ 50

Author(s):

Michael A. Finn ◽

Marion L. Walker

Keyword(s):

Surgical Treatment ◽

Clinical Presentation ◽

Wide Spectrum ◽

Spinal Dysraphism ◽

Treatment Options ◽

Conus Medullaris ◽

Clinical Spectrum ◽

Pathological Features ◽

Occult Spinal Dysraphism ◽

Pathological Mechanism

✓Spinal lipomas, particularly lipomas of the conus medullaris and terminal filum, are the most common form of occult spinal dysraphism and represent a wide spectrum of disease with regard to anatomy, clinical presentation, and treatment options. These lesions, however, are united by a similar embryology and pathological mechanism by which symptoms arise. Recently, the treatment of these lesions has generated much controversy, with some physicians advocating surgical treatment for all patients regardless of symptoms and others proposing that surgery be withheld until symptoms develop. The authors discuss lumbosacral spinal lipomas, with particular attention to the theories of their origin, anatomical and pathological features, and treatment options, including a review of current controversies.

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