scholarly journals Corrective osteotomy for a malunited proximal radius fracture causing radio-capitellar dislocation in a paediatric patient: A case report

2019 ◽  
Vol 12 (5) ◽  
pp. 368-372
Author(s):  
Samuel Haines ◽  
Rouin Amirfeyz
Keyword(s):  
Corrective Osteotomy ◽  
Radius Fracture ◽  
Annular Ligament ◽  
Soft Tissue Reconstruction ◽  
Long Term Outcomes ◽  
Proximal Radius ◽  
Tissue Reconstruction ◽  
Sound Treatment

Background Malunited proximal radius fractures causing dislocation of the radio-capitellar joint are rare. We present a case of a two-year-old female patient with such an injury who was treated with a proximal radius osteotomy with good long-term outcomes. Method/results Case study of a single patient with a malunited proximal radius fracture which was identified as causing radio-capitellar dislocation who underwent corrective osteotomy with a good result. Conclusion Our opinion is that a corrective osteotomy for a malunited proximal radius fracture causing radio-capitellar dislocation is a sound treatment option and that no supplementary soft tissue reconstruction such as annular ligament exploration/reconstruction is necessary.

scholarly journals Tibia Adamantinoma Resection and Reconstruction with a Custom-Made Total Tibia Endoprosthesis: A Case Report with 8-Year Follow-Up

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Gilber Kask ◽  
Toni-Karri Pakarinen ◽  
Jyrki Parkkinen ◽  
Hannu Kuokkanen ◽  
Jyrki Nieminen ◽  
...  
Keyword(s):  
Medial Gastrocnemius ◽  
Soft Tissue Reconstruction ◽  
Muscle Flaps ◽  
Gastrocnemius Flap ◽  
Custom Made ◽  
Tissue Reconstruction ◽  
Multidisciplinary Teamwork

This case study describes a total tibia resection and reconstruction with a custom-made endoprosthetic replacement (EPR) and a long-term, 8-year follow-up. The patient underwent a total tibia adamantinoma resection in 2009. Reconstruction was performed with a custom-made total tibia EPR, where both the knee joint and ankle joint were reconstructed. Two muscle flaps, latissimus dorsi free flap and a pedicled medial gastrocnemius flap, were used for soft tissue reconstruction. The patient returned to normal life as a kindergarten teacher, without complications for eight years. This case demonstrated the importance of successful multidisciplinary teamwork in close collaboration with industry. In our best knowledge, no over 2 years of follow-up of total tibia replacement reports have been published.

scholarly journals Management of Post-Traumatic Osteomyelitis in the Lower Limb: Current State of the Art

2019 ◽  
Vol 52 (01) ◽  
pp. 062-072 ◽  
Author(s):  
James K. K. Chan ◽  
Jamie Y. Ferguson ◽  
Matthew Scarborough ◽  
Martin A. McNally ◽  
Alex J. Ramsden
Keyword(s):  
Lower Limb ◽  
Antimicrobial Treatment ◽  
Soft Tissue Reconstruction ◽  
Long Term Outcomes ◽  
Current State ◽  
Focus Of Infection ◽  
Tissue Reconstruction ◽  
Post Traumatic ◽  
Reconstructive Plastic Surgery

AbstractOsteomyelitis (OM) of the lower limb represents a large unmet global healthcare burden. It often arises from a contiguous focus of infection and is a recognized complication of open fractures or their surgical treatment, arthroplasty, and diabetic foot ulcers. Historically, this debilitating condition is associated with high rates of recurrence and secondary amputation. However, excellent long-term outcomes are now achieved by adopting a multidisciplinary approach with meticulous surgical debridement, skeletal and soft tissue reconstruction, and tailored antimicrobial treatment. This review focuses on the modern evidence-based management of post-traumatic OM in the lower limb from a reconstructive plastic surgery perspective, highlighting the latest developments and areas of controversy.

Chronic neuroangiostrongyliasis: case study of chronic presentations in Hawaii

Parasitology ◽  
2020 ◽  
pp. 1-6
Author(s):  
Bernard C. Meyer
Keyword(s):  
Clinical Symptoms ◽  
Personal Relationships ◽  
Long Term Outcomes ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Residual Symptoms ◽  
Common Features ◽  
Muscular Pain

Abstract This paper describes chronic features of neuroangiostrongyliasis (NAS), a long-term outcome of the disease that has not been adequately described. Current and past literature is predominantly limited to acute manifestations of NAS, and mention of chronic, ongoing clinical symptoms is usually limited to brief notes in a discussion of severe cases. This study investigated the long-term outcomes in ten individuals who were diagnosed with acute neuroangiostrongyliasis in Hawaii between 2009 and 2017. The study demonstrates a significant number of persons in Hawaii sustain residual symptoms for many years, including troublesome sensory paresthesia (abnormal spontaneous sensations of skin experienced as ‘burning, pricking, pins and needles’; also described as allodynia or hyperesthesia) and extremity muscle pains. As a consequence, employment and economic hardships, domestic relocations, and psychological impairments affecting personal relationships occurred. The study summarizes common features of chronic disease, sensory paresthesia and hyperesthesia, diffuse muscular pain, insomnia, and accompanying emotional distress; highlights the frequently unsuccessful endeavours of individuals struggling to find effective treatment; proposes pathogenic mechanisms responsible for prolonged illness including possible reasons for differences in disease presentation in Hawaii compared to Southeast Asia.

scholarly journals Perioperative Glucocorticoid Treatment of Soft Tissue Reconstruction in Patients on Long-term Steroid Therapy

2018 ◽  
Vol 81 (3) ◽  
pp. 302-304
Author(s):  
Yong Zhang ◽  
Lu Lu ◽  
Nanhang Lu ◽  
Yanwen Yang ◽  
Jianying Gu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Steroid Therapy ◽  
Soft Tissue Reconstruction ◽  
Glucocorticoid Treatment ◽  
Tissue Reconstruction

SIADH: A Case Review

2001 ◽  
Vol 20 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Lee Shirland
Keyword(s):  
Antidiuretic Hormone ◽  
Blood Volume ◽  
Clinical Course ◽  
Case Review ◽  
Long Term Outcomes ◽  
Circulating Blood Volume ◽  
Neurologic Sequelae ◽  
Effective Circulating Blood Volume

Because the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) can cause neurologic sequelae with the potential to affect long-term outcomes, its prompt recognition and treatment are essential. Normally, antidiuretic hormone (ADH) is secreted when effective circulating blood volume is decreased. SIADH is marked by secretion of ADH in the presence of effective or normal circulating blood volume. This causes plasma hyponatremia simultaneously with plasma hypo-osmolality and inappropriate hyperosmolality of the urine. This article explains the pathophysiology of the syndrome; describes its diagnosis, clinical course, and treatment; and exemplifies the syndrome with a case study.

scholarly journals Long-Term Outcomes of Scaphoid Malunion

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Blake P. Gillette ◽  
Peter C. Amadio ◽  
Sanjeev Kakar
Keyword(s):  
Nonoperative Management ◽  
Corrective Osteotomy ◽  
Nonoperative Treatment ◽  
Long Term Outcomes ◽  
Single Institution ◽  
Surgical Evaluation ◽  
Long Term Follow Up ◽  
The Mean

Background: The optimal treatment of patients with a scaphoid malunion remains controversial. The long-term outcomes of operative and nonoperative management have not been established. Methods: We conducted a retrospective review of the outcomes of all scaphoid malunions treated at single institution over a 30-year period. This included patients who underwent corrective osteotomy, salvage procedures (ie, dorsal cheilectomy, radial styloidectomy, and scaphoidectomy with midcarpal fusion), and those who refused operative intervention. The Mayo Wrist Score was determined at the time of surgical evaluation. Patient-Rated Wrist Evaluation (PRWE) and Disabilities of the Arm, Shoulder and Hand (QuickDASH) surveys were sent to all patients for long-term follow-up. Results: Seventeen patients had follow-up at a mean 21.4 years (range, 12-30 years). The mean initial lateral intrascaphoid angle was 58°. Of the 17 patients, 11 proceeded with surgery and 6 opted for nonoperative management. A corrective osteotomy was performed in 4 patients. Of the remaining 7 surgical patients, 5 patients underwent procedures such as cheilectomy and radial styloidectomy, whereas 2 patients had a scaphoidectomy with midcarpal fusion. The final mean PRWE and QuickDASH scores for corrective osteotomy, salvage procedures, and nonoperative treatment were 23 and 6, 18 and 10, and 33 and 22, respectively. Conclusion: Long-term outcomes were similar between operative and nonoperative management.

Sign in / Sign up

Export Citation Format

Share Document