scholarly journals Talar Neck Fracture after United Tibiotalar Fusion

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
W. Platt ◽  
M. Welck ◽  
B. Rudge
Keyword(s):  
Clinical Case ◽  
Early Postoperative Period ◽  
High Demand ◽  
Stress Risers ◽  
Neck Fracture ◽  
Tibiotalar Arthrodesis ◽  
Original Case ◽  
Ankle Trauma ◽  
Foot Trauma ◽  
Established Treatment

Tibiotalar arthrodesis is a well-established treatment for tibiotalar arthritis, for example, in younger high demand patients. Talar neck fractures are less common though well-recognised sequelae of foot ankle trauma. Here we present the clinical case of a 69-year-old male who presented to our institution with a nonunion of a talar neck fracture, having undergone a left tibiotalar fusion 24 years previously. To the authors’ knowledge, this injury has only been described once previously in the literature. However, the original case described a fracture sustained in the very early postoperative period following tibiotalar fusion, postulated to be secondary to postimmobilisation osteopaenia or stress risers from metalwork. The aetiology in this case is likely due to axial compression transmitted to the talar neck via the calcaneus. The predisposing factors for nonunion are discussed, highlighting the importance of vigilance for this injury in any patient with concomitant tibiotalar fusion and foot trauma. The management of this patient is discussed.

The inconsistencies between conventional and global lab tests in cardiosurgeric patient (a clinical case)

2020 ◽  
Vol 1 (1) ◽  
pp. 68-70
Author(s):  
Eugene Roitman ◽  
◽  
Keyword(s):  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
The Other ◽  
Laboratory Methods ◽  
Hemostatic System

The clinical case demonstrates inconsistencies between the results of thromboelastography and conventional coagulation lab tests at the early postoperative period of patient undergoing cardiosurgery. The analyzing of the revealed discrepancy proves that the opposition of laboratory methods as 'one against the other' for studying the hemostatic system is unacceptable.

scholarly journals Uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented

2020 ◽  
Vol 26 (4) ◽  
pp. 53-58
Author(s):  
E. B. Kropotkin ◽  
E. A. Ivanitsky ◽  
A. Yu. Cheremisina ◽  
O. V. Kostyleva ◽  
V. A. Sakovich
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
Inappropriate Shock ◽  
Subcutaneous Defibrillator ◽  
Close Proximity

Clinical case report of uncommon inappropriate shock of subcutaneous defibrillator in early postoperative period due to air in close proximity of shock electrode is presented.

scholarly journals Total Hip Arthroplasty in Patient with Melorheostosis (Case Report)

2019 ◽  
Vol 25 (3) ◽  
pp. 135-142
Author(s):  
V. V. Kuzin ◽  
K. A. Egiazaryan ◽  
A. P. Raksha ◽  
A. P. Ratyev ◽  
A. V. Kuzin ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Clinical Case ◽  
Soft Tissues ◽  
Proximal Part ◽  
Early Postoperative Period ◽  
X Rays ◽  
Total Hip ◽  
Lower Back

Melorheostosis is a rare mesenchymal dysplasia of bone manifesting as regions of sclerosing and thickening of bone tissue. This disease may involve the adjacent soft tissues and lead to joint pain, limitation of joint motion, stiffness resulting from abnormal ossification and soft-tissue contractures due to periarticular fibrosis. The paper describes a clinical case of a patient who presented with pain and stiffness in the proximal part of the left hip which patient suffered for the last 10 years. At first the patient had intermittent pain in the lower back and left hip during and after walking. Radiographs revealed dense sclerotic and wavy cortex and hyperostosis involving the left iliac crest, the acetabulum, and the femur. CT angiography with contrast was performed for preoperative planning. During the procedure the authors performed total hip arthroplasty of the left hip with excision of fibro-ossifications in the left ilioinguinal area. Severe periarticular fibrosis of the soft tissue was observed intraoperatively and cartilage-like formation was visible around the joint. A sample of the ossification bone was resected for histologic confirmation of the diagnosis; extensive cortical sclerosis with varying thickness typical of melorheostosis was found. Early postoperative period went without complications following routine post-THR protocol. Postoperative X-rays at 6, 12, 24 months did not reveal any complications or new ossifications. Full ROM and pain-free function were achieved in the left hip and lower back of the patient. The present clinical case of total hip arthroplasty with excision of fibroossifications provided good clinical outcome for melorheostosis of the left hip.

Osteosynthesis of the femoral neck in a patient with osteopoikylosis

2021 ◽  
Vol 19 (3) ◽  
pp. 116-118
Author(s):  
Yu. A. BOGOLYUBSKIY ◽  
◽  
A. M. FAYN ◽  
A. Yu. VAZA ◽  
S. F. GNETETSKIY ◽  
...  
Keyword(s):  
Bone Density ◽  
Femoral Neck ◽  
Clinical Case ◽  
Bone Fractures ◽  
Clinical Manifestations ◽  
Cannulated Screws ◽  
Careful Monitoring ◽  
X Ray ◽  
Neck Fracture ◽  
Surgical Aspects

Osteopoikylosis is a rare osteochondropathy that does not have specific clinical manifestations. The literature does not sufficiently cover the issues of surgical aspects of the treatment of patients with bone fractures in this pathology. A clinical case of a femoral neck fracture in a 30-year-old patient with a diagnosis of osteopoikylosis established in childhood is considered. In addition to the fracture, the X-ray examination revealed characteristic changes in the proximal metaepiphyses of the femurs and pelvic bones. The patient underwent osteosynthesis of the femoral neck with cannulated screws. During the operation, a number of features associated with changes in bone density were noted. There were no peculiarities of the postoperative period. Osteosynthesis of the femoral neck in a patient with osteopoikylosis is technically possible. The presence of osteosclerosis foci requires more careful monitoring of the trajectory of the guide spokes.

scholarly journals Severe Growing-Up Phobia, a Condition Explained in a 14-Year-Old Boy

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Laurencia Perales-Blum ◽  
Myrthala Juárez-Treviño ◽  
Daniela Escobedo-Belloc
Keyword(s):  
Depressive Symptoms ◽  
Food Restriction ◽  
Clinical Case ◽  
Separation Anxiety ◽  
Growing Up ◽  
Maturation Process ◽  
Body Development ◽  
History Of ◽  
Negative Feelings ◽  
Established Treatment

We present the clinical case of a 14-year-old boy with gerascophobia or an excessive fear of aging, who felt his body development as a threat, to the point where he took extreme measures to stop or otherwise hide growth. He had a history of separation anxiety, sexual abuse, and suffering bullying. He presented with anxious and depressive symptoms and food restriction, criticized his body image, had negative feelings towards the maturation process, suffered at the thought of being rejected, and was preoccupied with certain physical characteristics. We conducted an analysis of biological, psychological, and environmental factors and their possible interactions and established treatment with psychotherapy and fluoxetine. Because of the favorable results, this approach could be considered a good option in such cases.

scholarly journals Q-wave myocardial infarction of lower left ventricular in a female patient in the early postoperative period after lung resection due to tuberculoma

2020 ◽  
Vol 98 (4) ◽  
pp. 53-57
Author(s):  
V. L. Dobin ◽  
A. N. Nikolaev ◽  
N. A. Аrkhipochkina ◽  
M. A. Muravieva ◽  
L. M. Kryukova
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Female Patient ◽  
Postoperative Period ◽  
Clinical Case ◽  
Lung Resection ◽  
Clinical Manifestations ◽  
Left Ventricular ◽  
Early Postoperative Period ◽  
The Right

The article presents a clinical case of myocardial infarction in the early postoperative period after lung resection due to tuberculosis in a 51-year-old patient; clinical manifestations, diagnosis, management tactics and successful treatment are described. In 24 hours after the diagnosis was made, the patient underwent emergency stenting of the right coronary artery in the cardiologic dispensary.The authors state that they have no conflict of interests.

scholarly journals CASE OF SUCCESSFUL CURE OF PROXIMAL TRANSECTION PANCREATIC INJURY IN A 6 YEARS CHILDREN

2019 ◽  
Vol 23 (1) ◽  
pp. 38-39
Author(s):  
A. A. Baulin ◽  
L. I. Pogozhev ◽  
N. A. Popov ◽  
V. P. Shishkanov ◽  
V. V. Sretenskii ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pancreatic Duct ◽  
Postoperative Period ◽  
Main Pancreatic Duct ◽  
Clinical Case ◽  
Pancreatic Injury ◽  
Early Postoperative Period ◽  
Complete Rupture

The article presents a clinical case of a traumatic complete rupture of the pancreas at the level of the isthmus in a 6-year-old child. Twelve hours after the injury, laparoscopy, laparotomy, a pancreas rupture at the level of the isthmus was performed. Surgical treatment consisted in stenting the main pancreatic duct with a catheter, carrying the latter through a large duodenal nipple, sealing the parenchyma of the gland, and draining the gland bag. In the early postoperative period, no complications were noted. The stent is removed 5 weeks after the operation. The catamnesis was followed for about a year, complications were not observed.

scholarly journals Levosimendan in lung transplant recipients on VA‑ECMO

2020 ◽  
Vol 22 (1) ◽  
pp. 118-122
Author(s):  
S. V. Zhuravel ◽  
V. E. Aleksandrova ◽  
I. I. Utkina ◽  
N. K. Kuznetsova ◽  
E. A. Tarabrin
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Lung Transplantation ◽  
Lung Transplant ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
Transplant Recipients ◽  
Venoarterial Extracorporeal Membrane Oxygenation ◽  
Lung Transplant Recipients ◽  
Va Ecmo

Chronic heart failure is one of the most dreadful complications in the early postoperative period following lung transplantation. At the same time, the effect of using levosimendan in the early post-lung transplant period is currently insignificant and remains debatable. This paper presents a clinical case where levosimendan was successfully used in a patient with right ventricular heart failure during lung transplantation undergoing central venoarterial extracorporeal membrane oxygenation (VA-ECMO).

scholarly journals A CLINICAL CASE OF SURGICAL TREATMENT OF PEPTIC ULCER OF GASTROENTEROANASTOMOSIS

2021 ◽  
Vol 9 (1) ◽  
pp. 101-106
Author(s):  
S.V. Leonchenko ◽  
◽  
V.N. Petyushkin ◽  
A.P. Motin ◽  
A.A. Dyomin ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Decisive Role ◽  
Pain Syndrome ◽  
Gastric Surgery ◽  
Early Postoperative Period ◽  
Actual Problem ◽  
Long Time

In the article a clinical case of surgical treatment of peptic ulcer of gastroenteroanastomosis complicated with perforation and gastrointestinal bleeding, is described. The patient was observed with the diagnosis: cholelithiasis, chronic calculous cholecystitis, for which planned laparoscopic cholecystectomy with draining of the abdominal cavity was performed. According to the discharge record, the operation ran without peculiarities. Later the patient was rehospitalized with complaints of weakness, nausea, vomiting, pain in the upper parts of the abdomen; he was diagnosed with ulcer of gastroenteroanastomosis and continuing bleeding that were indications for the surgical intervention for life-saving indications. From the patient words, a part of the stomach was resected more than 20 years before for gastric ulcer. Until the latest time, the patient felt satisfactory, but within 6 months pain in the abdomen reappeared, however, on examination cholelithiasis was identified, and the pain syndrome was attributed to this pathology. Assumably, after the first operation performed in 1995, a complication developed in the early postoperative period in the form of obstruction of gastroenteroanastomosis (anastomositis?), and additional gastroenteroanastomosis was applied. Conclusion. Peptic ulcer of anastomosis is an actual problem of the gastric surgery which may not only appear long time after the operation, but may give the same complications as «essential» peptic ulcer, and really threaten the life of patients. It should be noted that in some cases the intraoperative picture, experience and sensations of a surgeon play a decisive role in the diagnosis of surgical pathology even if they differ from the data of additional methods of examination.

Problems of localization of an intraocular impacted foreign body. Clinical case

2021 ◽  
pp. 230-233
Author(s):  
A.V. Tereshchenko ◽  
◽  
N.N. Yudina ◽  
D.K. Solovev ◽  
◽  
...  
Keyword(s):  
Foreign Body ◽  
Clinical Case ◽  
Posterior Wall ◽  
Detailed Examination ◽  
Early Postoperative Period ◽  
Intraocular Foreign Body ◽  
X Ray ◽  
Impacted Foreign Body ◽  
Scan Data ◽  
Electrophysiological Examination

The article describes a clinical case of an eye injury with presence an intraocular foreign body (IFB), the localization of which was problematic. Patient T was 28 years old, was admitted with complaints of lack of vision, redness and lacrimation from the left eye. From the anamnesis – while working, he hit metal with a hammer, and the scale flew off into the left eye. In addition to the standard ophthalmologic examination, electrophysiological examination, B-scan and UBM were performed. According to the B-scan data, high optical density IFB was detected in the shells 9 mm from the upper border of the optic disc, in the 1-hour meridian, approximately 3.5 mm long. According to the X-ray data of the orbit in 2 projections, an X-ray contrast shadow, metal density, up to 3.0 mm in size was revealed. Radiography of Baltin–Comberg was not performed due to the lack of technical capability. During a standard three-port vitrectomy in the area of possible foreign body occurrence, the retina was damaged, there was a local detachment, but the foreign body itself was not visualized. In addition, during a thorough, detailed examination using a sclerocompressor, no visible defects of the sclera were found transvitreally. In the early postoperative period, the patient was performed with a computed tomogram, where the presence of a foreign body was confirmed, which was adjacent to the posterior wall of the eyeball for 1 hour with clear contours, measuring 3х3 mm. Taking into account the non-standard situation, the absence of a foreign body in the vitreous cavity, it was decided to re-search and remove the foreign body by using of the diascleral method. For a clearer contrast, diaphanoscopy was used, which made it possible to visualize and accurately localize a foreign body in the layers of the sclera. Conclusion. In the presence of IFB for search and precise localization, it is first of all necessary to perform the radiological Baltin-Comberg method. In cases when FB is not visualized intraoperatively, is impaled into the layers of the eye and the radiological Baltin-Comberg method has not been performed, diaphanoscopy of the eye is the optimal auxiliary method for searching for «hidden» foreign bodies. Key words: intraocular foreign body, radiological method of Baltin-Comberg, diaphanoscopy of the eye.

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