scholarly journals Surgical management for primary osteoarthritis of the elbow

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902098817
Author(s):  
Jae-Man Kwak ◽  
In-Ho Jeon
Keyword(s):  
Elderly Patients ◽  
Surgical Management ◽  
Surgical Techniques ◽  
Distraction Arthroplasty ◽  
Prosthetic Implants ◽  
Primary Osteoarthritis ◽  
Elbow Osteoarthritis ◽  
Surgical Options ◽  
End Stage ◽  
Active Patients

The objective of this review is to summarize the surgical options for primary osteoarthritis of the elbow, reported clinical outcomes, and suggested indications in previous literatures. The surgical management of primary elbow arthritis has evolved because of an improved understanding of pathologic mechanisms and manifestations as well as the development of novel surgical techniques and devices. Osteocapsular arthroplasty (OCA), elbow debridement, distraction arthroplasty, and total elbow arthroplasty (TEA) have been employed for managing elbow osteoarthritis. Elbow debridement and OCA can be helpful in most cases of symptomatic elbow arthritis. TEA is usually recommended for end-stage arthritis in elderly patients after prosthetic implants have been in place for long periods or after complications. Distraction arthroplasty might find a place in the treatment of younger, active patients with end-stage arthritis.

scholarly journals Emerging Concepts in the Surgical Management of Peri-Acetabular Metastatic Bone Disease

2021 ◽  
Vol 28 (4) ◽  
pp. 2731-2740
Author(s):  
Aaron Gazendam ◽  
Daniel Axelrod ◽  
David Wilson ◽  
Michelle Ghert
Keyword(s):  
Surgical Management ◽  
Bone Disease ◽  
Surgical Techniques ◽  
Metastatic Bone Disease ◽  
Complication Rates ◽  
Surgical Morbidity ◽  
Porous Tantalum ◽  
Pain Disability ◽  
Pathologic Fractures ◽  
Surgical Options

The pelvis is a common site of metastatic bone disease. Peri-acetabular lesions are particularly challenging and can cause severe pain, disability and pathologic fractures. Surgical management of these lesions has historically consisted of cementoplasty for contained lesions and Harrington reconstructions for larger, more destructive lesions. Due to the limitations of these procedures, a number of novel procedures have been developed to manage this challenging problem. Percutaneous techniques—including acetabular screw fixation and cementoplasty augmented with screws—have been developed to minimize surgical morbidity. Recent literature has demonstrated a reliable reduction in pain and improvement in function in appropriately selected patients. Several adjuncts to the Harrington procedure have been utilized in recent years to reduce complication rates. The use of constrained liners and dual mobility bearings have reduced the historically high dislocation rates. Cage constructs and porous tantalum implants are becoming increasingly common in the management of large bony defects and destructive lesions. With novel and evolving surgical techniques, surgeons are presented with a variety of surgical options to manage this challenging condition. Physicians must take into account the patients’ overall health status, oncologic prognosis and anatomic location and extent of disease when developing an appropriate surgical plan.

Hip dysplasia: understanding the options (surgical management)

2019 ◽  
Vol 24 (5) ◽  
pp. 249-256
Author(s):  
Philip Georg Witte
Keyword(s):  
Surgical Management ◽  
Hip Dysplasia ◽  
Surgical Techniques ◽  
Individual Case ◽  
Developmental Dysplasia ◽  
Human Infants ◽  
Surgical Interventions ◽  
Surgical Options ◽  
The Individual ◽  
Canine Hip Dysplasia

The majority of vets in practice will be familiar with options for conservative management of canine hip dysplasia. However, there may be less familiarity with the various surgical options. Knowledge of the reported surgical techniques; selection criteria for these options; and their outcomes and potential complications provide the basis for an evidence-based approach to management of the individual case. In this article a brief comparison with developmental dysplasia of the hips in human infants is given by way of an introduction to surgical options, since there is some overlap with options for hip dysplasia in dogs. A description of the surgical interventions that have been reported for canine hip dysplasia is presented, and, where possible, the evidence regarding outcomes is summarised. It is hoped this article will help the general practitioner giving advice regarding surgical management of canine hip dysplasia.

scholarly journals Characteristics of Moyamoya Disease in the Older Population: Is It Possible to Define a Typical Presentation and Optimal Therapeutical Management?

2021 ◽  
Vol 10 (11) ◽  
pp. 2287
Author(s):  
Ignazio G. Vetrano ◽  
Anna Bersano ◽  
Isabella Canavero ◽  
Francesco Restelli ◽  
Gabriella Raccuia ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Perioperative Complications ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Brain Perfusion ◽  
Temporal Artery ◽  
Minimal Invasive ◽  
Operative Complications ◽  
Surgical Options ◽  
Post Operative Complications

Whereas several studies have been so far presented about the surgical outcomes in terms of mortality and perioperative complications for elderly patients submitted to neurosurgical treatments, the management of elderly moyamoya patients is unclear. This review aims to explore the available data about the clinical manifestation, characteristics, and outcome after surgery of older patients with moyamoya arteriopathy (MA). We found only two articles strictly concerning elderly patients with MA. We have also evaluated other reported adult series of moyamoya patients, including elderly cases in their analysis. Patients with MA above 50 years old may be considered a peculiar subset in which patients are often presenting with ischemic symptoms and a higher Suzuki grade. Conservative treatment may be proposed in asymptomatic or stable cases due to their fragility and possible increase of post-operative complications, while the best surgical options in symptomatic cases are still under investigation, although we believe that a minimal invasive superficial temporal artery—middle cerebral artery bypass could be considered the treatment of choice for the immediate effect on brain perfusion with a limited rate of post-operative complications.

Heart and Heart-Lung Transplantation: An Update

1996 ◽  
Vol 4 (1) ◽  
pp. 4-13
Author(s):  
David D Yuh ◽  
Robert C Robbins ◽  
Bruce A Reitz
Keyword(s):  
Lung Transplantation ◽  
Postoperative Care ◽  
Organ Preservation ◽  
Surgical Techniques ◽  
Organ Shortage ◽  
Transplant Recipients ◽  
Donor Organ ◽  
The West ◽  
Thoracic Transplantation ◽  
End Stage

Heart and heart-lung transplantation have been established as effective treatments for a wide variety of end-stage cardiopulmonary diseases. Recent years have seen refinements in surgical techniques for cardiopulmonary replacement as well as the selection and postoperative care of thoracic transplant recipients. Despite substantial clinical progress, however, significant problems remain, particularly donor organ shortage, graft rejection, opportunistic infection, and limited organ preservation techniques. Basic and clinical research are currently addressing these problems. In this brief review, we provide an update of our experiences with heart and heart-lung transplantation in the West (particularly at Stanford University), an outline of the active issues in the field, and some thoughts about the development of thoracic transplantation in Asia.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

Response to Comment on “Lung Transplantation for Elderly Patients with End-stage COVID-19 Pneumonia”

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Weili Han ◽  
Manhua Zhu ◽  
Jun Chen ◽  
Jing Zhang ◽  
Shengmei Zhu ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Lung Transplantation ◽  
End Stage

scholarly journals Skin-, nipple-, and areola-sparing mastectomy

2008 ◽  
Vol 11 (12) ◽  
Author(s):  
E. M. Umoh ◽  
N. Arora ◽  
R. M. Simmons
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Clinical Outcome ◽  
Surgical Management ◽  
Surgical Techniques ◽  
Oncologic Outcomes ◽  
Cancer Management ◽  
Breast Cancer Management ◽  
Feasible Option

AbstractSurgical management of breast carcinoma has evolved to include more breast conserving techniques such as skin-, nipple-, and areola-sparing mastectomies, as improved cosmesis becomes an increasing concern. However, the oncologic risk of these procedures must be strongly considered before such techniques can be widely adopted. Here we review available literature on these techniques and their associated clinical outcome. From our own experience, as well as from that reported, we conclude that nipple-, skin-, and areola-sparing mastectomies in carefully selected patients can have safe oncologic outcomes comparable to more traditional surgical techniques and therefore may be a feasible option for breast cancer management.

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