scholarly journals Conversion of a Surgical Elbow Arthrodesis to Total Elbow Arthroplasty

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Dominik Rog ◽  
Lee M. Zuckerman ◽  
Barth Riedel

Arthrodesis of the elbow joint addresses pain due to intra-articular pathology, but with significant functional limitations. Loss of motion at the elbow is not completely compensated by the wrist and shoulder joints and elbow fusion is thus purely a salvage procedure. Advances in joint arthroplasty have allowed surgeons to address the functional limitations of arthrodesis, but despite these advances the elbow is still one of the joint replacements with higher complication rate. Conversion of a joint fusion to arthroplasty has been reported for the hip, knee, shoulder, and ankle. The takedown of a surgically fused elbow was reported in German literature in 2013. We present the first such case report in the English literature with a 49-year-old male whose status is elbow fusion performed for trauma 31 years prior.

2021 ◽  
pp. 1-4
Author(s):  
Kay Scheffler ◽  
Oliver W. Hakenberg ◽  
Peter Petros

A serendipitous cure in a 73-year-old woman of Hunner’s ulcer, urge, nocturia, apical prolapse by a tissue fixation system tensioned minisling (TFS) which reinforced the cardinal, and uterosacral ligaments (USLs) led us to analyse the relationship between Hunner’s ulcer and known pain conditions associated with USL laxity. The original intention was to cure the “posterior fornix syndrome” (PFS), uterine prolapse, and associated pain and bladder symptoms by USL repair. A speculum inserted preoperatively into the posterior fornix alleviated pain and urge symptoms, by mechanically supporting USLs. Hunner’s ulcer, along with pain and other PFS symptoms were cured by USL repair. The concept of USL laxity causing chronic pelvic pain and bladder problems is not new. It was published in the German literature by Heinrich Martius in 1938 and by Petros in the English literature in 1993. These findings raise important questions. As PFS symptoms are identical with those of interstitial cystitis (IC), are PFS and IC similar conditions? If so, then patients with IC who have a positive speculum test are at least theoretically, potentially curable by USL repair. These questions need to be explored.


2000 ◽  
Author(s):  
A. A. Edidin ◽  
S. M. Kurtz

Abstract Around 500,000 total hip and knee arthroplasties are performed each year in the United States, with a comparable number performed annually throughout the rest of the world. Since its development in the 1960s, contemporary total joint arthroplasty has proven to be extremely successful in alleviating pain and restoring joint function. However, for a minority of patients, mechanical and biological sequelae emanating from the breakdown of the ultra-high molecular weight polyethylene (UHMPWE) bearings limit the longevity of the procedures.


Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 429-430
Author(s):  
H. D. Measuria ◽  
T. J. McBride ◽  
S. C. Talwalkar

Metallosis is a well-documented phenomenon in hip and knee arthroplasty from metal on metal bearing joint replacements. However, few cases of metallosis of metacarpophalangeal joint replacements have been reported. We present the case of a 49-year-old lady with rheumatoid arthritis who had previously undergone MCP joint replacements over 20 years ago. The decision was taken to revise her middle MCP joint after she developed pain and ulnar drift. At revision, the joint exhibited severe metallosis presumably arising from the grommet component of the replacement. This required considerable debridement and removal of the components and revision to a new upsized implant without grommets. It is of note that there were no external signs of metallosis with full flexion of the finger and a good roll up.


1997 ◽  
Vol 22 (3) ◽  
pp. 423-424 ◽  
Author(s):  
A. B. DUNKLEY ◽  
I. J. LESLIE

Fungal infections following joint arthroplasty are extremely rare. Only 16 cases of Candida prosthetic infections have been reported, involving the hip, knee or shoulder joints. We report a case of a silicone metacarpophalangeal joint replacement complicated by a Candida albicans infection.


1976 ◽  
Vol 85 (1) ◽  
pp. 101-104 ◽  
Author(s):  
Robert S. Shapiro ◽  
Frank I. Marlowe ◽  
James Butcher

Malignant degeneration in nonirradiated juvenile laryngeal papillomatosis is exceedingly rare. Review of the world literature reveals one case in the English literature and two in the German literature. A 23-year-old patient, representing the youngest reported case in the English literature, is presented.


Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 417-423 ◽  
Author(s):  
Zhitao Guo ◽  
Yuli Wang ◽  
Yacong Zhang

AbstractObjectiveTo evaluate the clinical and radiographic outcomes of a modified Sauve-Kapandji procedure for patients with old fractures in the distal radius.MethodsFifteen patients (10 male and 5 female patients with an average age of 40 years old) were treated by the modified Sauve-Kapandji procedure from January 2014 to April 2016. All patients had undergone at least one previous operation on the involved wrist, and they were still suffering from pain and functional limitations at the time of admission. The postoperative follow-up period was 12-26 months and the average was 20 months. Functional assessment was made at the last follow-up. All patients were evaluated according a Modified Mayo Wrist Score system.ResultsOf the fifteen patients with posttraumatic arthritis, thirteen had excellent results, two had good results, and one had fair results. There were no major complications.ConclusionsThe modified Sauve-Kapandji procedure is a safe and effective surgical alternative for intractable disorders of the distal radioulnar joint and can be recommended as a salvage procedure when previous treatments fail.


2021 ◽  
Vol 1 (193) ◽  
pp. 252-259
Author(s):  
Svitlana Prytoliuk ◽  

The article is devoted to the study of magical realism in German literary criticism, the origins of the term and its conceptual principles are considered. The author of the article relies on the research of German scientists, in particular M. Scheffel, D. Kirchner, H. Roland, T.W. Leine, M. Niehaus, J. Schuster and notes the differences and contradictions in the interpretation of the term, the vagueness of the concept and its heterogeneity. It is emphasized that the period of formation of the magic-realistic method of writing in Germany in the historical perspective generally covers the period from 1920 to 1960 and includes the beginning of the era of National Socialism and the Second World War. In German literature, the term was not immediately established, its assertion and dissemination were hampered by several factors: first, its contradiction, because it combines semantically opposite concepts – “realism”, which directly correlates with reality, the true image of reality, and “magical”, based on the supernatural, fantastic, reaching beyond reality; second, the moment of its origin falls on a rather complex and contradictory period of German history, which is reluctantly mentioned or silenced; third, magical realism has sometimes been mistakenly identified with the notion of “Neue Sachlichkeit”. Analysis of all factors shows that the origin and formation of the magic-realistic method in German literature has its own characteristics and uniqueness and differs from the world-famous examples of Latin American or English literature. As a result, the author notes that German magical realism is historically determined and in many of its examples reflects the traumatic postwar experience with a pronounced inrospectivity and humanistic orientation. As an aesthetic concept, magical realism expands the boundaries of realism: by depicting the objective world in its real dimensions, it focuses its gaze on the unreality hidden behind real objects.


2019 ◽  
Vol 35 (S1) ◽  
pp. 83-84
Author(s):  
Lisa Schell ◽  
Elke Hausner ◽  
Lina Rodenhäuser ◽  
Oliver Assall ◽  
Anke Schulz ◽  
...  

IntroductionCurrently, the Institute for Quality and Efficiency in Health Care (IQWiG) does not restrict literature searches by language. Given limited resources, it is unclear whether the effort put into screening and translating studies published in non-English and non-German (nEnG) languages yields much new information when compared to including only English and German literature. Therefore, we aimed to analyze the impact of nEnG literature on the conclusion of IQWiG's health technology assessments (HTAs).MethodsWe checked for seventy-two IQWiG HTAs (all non-drug intervention HTAs published until August 2018 and three additional HTAs on drugs) whether they included nEnG studies. For all HTAs including at least one nEnG study, we analyzed whether the statistical significance would have changed for any endpoint without the respective nEnG study(ies). If no endpoint was impacted by a nEnG study, we classified the study as non-relevant to the HTA's conclusion and specified a reason for this.ResultsOf seventy-two HTAs, twenty-nine (40 percent) included a total of eighty-three nEnG publications). Three HTAs were impacted by the inclusion of altogether seven Chinese publications. For one HTA on systemic therapy, five endpoints’ conclusions were changed; for the other two HTAs, the statistical significance would have changed for one endpoint each. The remaining seventy-six publications (included in sixty-nine HTAs) were judged as non-relevant to the HTA's conclusion, the most prominent reason being “meta-analysis would have had the same result without respective study” (44 percent of nEnG publications).ConclusionsOnly three of seventy-two HTAs (4 percent) were impacted by nEnG publications, the changes being minimal for two of these. When faced with limited time or personnel resources, searching only for English and German publications may be sufficient, especially when generalizability issues are a possible concern.


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