Comparison of the inner side and two-sided approaches for iliac crest bone graft harvesting for pediatric pelvic osteotomy

Abstract Background The iliac crest is one of the most used bone graft sources. In this study, we aimed to identify the effects of inner side and two-sided approaches for iliac crest bone harvesting on post-surgery ilium growth in children. Materials and methods We retrospectively analyzed 47 patients who underwent pelvic osteotomy and iliac crest bone graft (ICBG) procedures from January 2015 to September 2018. The patients were divided into an inner table ilium exposure group (group A) and the inner-outer table ilium exposure group (group B) and were followed up with radiography in postoperative months 1, 3, 6, and 12, and the growth areas were measured using PACS software. Complications such as damage to the arteries or nerves, ureteral injury, gastrointestinal hernia, ileus, abnormal cosmetic appearance, sensory disturbances, and functional limitations were recorded based on clinical records. Results There were 22 patients aged 5.3±1.5 years in group A and 25 patients aged 5.9±1.8 years in group B. There were no significant differences in demographics between the two groups, or in growth in the first month. However, bone graft growth at months 3, 6, and 12 was significantly better in group A than in group B. There was no significant difference in complications between the two groups. Conclusion Exposure of only the inner table of the ilium resulted in faster recovery of the bone defect than two-sided exposure in pelvic osteotomy. Therefore, we suggest protecting the outer side of the ilium during surgery. Level of evidence Level III

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Comparison of two methods in the treatment of congenital pseudarthrosis of clavicle: multicenter experience

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02438-x ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Jin Li ◽

◽

Sheng Ping Tang ◽

Hai Bo Mei ◽

Jing Fan Shao ◽

...

Keyword(s):

Surgical Treatment ◽

Bone Graft ◽

Iliac Crest ◽

Iliac Crest Bone Graft ◽

Congenital Pseudarthrosis ◽

Tertiary Teaching ◽

Group A ◽

Radiological Healing ◽

K Wires ◽

Group B

Abstract Background Congenital pseudoarthrosis of the clavicle (CPC) is an uncommon entity. Owing to its scarce presentation, treatment of this disorder has not been well established. This study aimed (1) to compare surgical treatment methods that included excision of pseudoarthrosis and iliac crest bone graft and fixate with either the elastic stable intramedullary nail (ESIN) or K-wires or plate and screws, and (2) to assess the clinical outcomes of two different surgical methods. Methods A multi-central retrospective study was performed between 2013 and 2017 in four tertiary teaching hospitals. Fifteen clavicles of 11 children were identified as CPC. All patients underwent pseudarthrosis resection and iliac crest bone autograft. They were divided into two groups as per the surgical treatment they underwent—plate stabilization as group A and elastic stable intramedullary nailing (ESIN) or K-wires as group B. Nine clavicles in 6 patients in group A and 6 clavicles in 5 patients in group B, were included. The Quick Disabilities of the Arm and Shoulder (QuickDASH) score was used to assess patients’ satisfaction and function following treatment at each follow-up. Results There were eight boys and three girls, with an average age of 4.7 years. All patients, except one with intellectual impairments, had radiological healing. Implant removal time was significantly shorter in group B compared to group A. No statistically significant differences existed in terms of age at surgery, time of radiological healing, complication, and clinical outcome between different groups. Conclusion Surgical resection of pseudoarthrosis with an iliac crest bone graft was an effective means of surgical treatment in CPC. However, ESIN or K-wires can achieve shorter union time compared to the plate. Hence, surgical treatment is recommended for congenital pseudarthrosis of clavicular in pediatric patients. Level of evidence Retrospective comparative study; Level III

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Prophylactic temporary abdominal aortic balloon occlusion for patients with pernicious placenta previa: a retrospective study

BMC Anesthesiology ◽

10.1186/s12871-021-01354-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fei Huo ◽

Hansheng Liang ◽

Yi Feng

Keyword(s):

Placenta Previa ◽

Balloon Occlusion ◽

Artery Embolism ◽

Abdominal Aortic ◽

Significant Difference ◽

Group A ◽

Group B ◽

Clinical Records ◽

Group D ◽

Central Placenta Previa

Abstract Background Pernicious placenta previa (PPP) can increase the risk of perioperative complications. During caesarean section in patients with adherent placenta, intraoperative blood loss, hysterectomy rate and transfusion could be reduced by interventional methods. Our study aimed to investigate the influence of maternal hemodynamics control and neonatal outcomes of prophylactic temporary abdominal aortic balloon (PTAAB) occlusion for patients with pernicious placenta previa. Methods This was a retrospective study using data from the Peking University People’s Hospital from January 2014 through January 2020. Clinical records of pregnant women undergoing cesarean section were collected. Patients were divided into two groups: treatment with PTAAB placement (group A) and no balloon placement (group B). Group A was further broken down into two groups: prophylactic placement (Group C) and balloon occlusion (group D). Results Clinical records of 33 cases from 5205 pregnant women underwent cesarean section were collected. The number of groups A, B, C, and D were 17, 16, 5 and 12.We found that a significant difference in the post-operative uterine artery embolism rates between group A and group B (0% vs.31.3%, p = 0.018). There was a significant difference in the Apgar scores at first minute between group A and group B (8.94 ± 1.43 vs 9.81 ± 0.75,p = 0.037),and the same significant difference between two groups in the pre-operative central placenta previa (29.4% vs. 0%,p = 0.044), complete placenta previa (58.8% vs 18.8%, p = 0.032),placenta implantation (76.5% vs 31.3%, p = 0.015). We could also observe the significant difference in the amount of blood cell (2.80 ± 2.68vs.10.66 ± 11.97, p = 0.038) and blood plasma transfusion (280.00 ± 268.32 vs. 1033.33 ± 1098.20, p = 0.044) between group C and group D. The significant differences in the preoperative vaginal bleeding conditions (0% vs 75%, p = 0.009), the intraoperative application rates of vasopressors (0% vs. 58.3%, p = 0.044) and the postoperative ICU (intensive care unit) admission rates (0% vs. 58.3%, p = 0.044) were also kept. Conclusions PTAAB occlusion could be useful in reducing the rate of post-operative uterine artery embolism and the amount of transfusion, and be useful in coping with patients with preoperative vaginal bleeding conditions, so as to reduce the rate of intraoperative applications of vasopressors and the postoperative ICU (intensive care unit) admission. In PPP patients with placenta implantation, central placenta previa and complete placenta previa, we advocate the utilization of prophylactic temporary abdominal aortic balloon placement.

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SOUND EXPOSURE AND WATER SUPPLY MODIFICATION EFFECT TOWARDS THE ROSS BROILERS GROWTH RATE

Jurnal Teknologi ◽

10.11113/jt.v77.6457 ◽

2015 ◽

Vol 77 (17) ◽

Author(s):

Rashidah Ghazali ◽

Herlina Abdul Rahim ◽

Mashitah Shikh Maidin ◽

Shafishuhaza Sahlan

Keyword(s):

Growth Rate ◽

Water Supply ◽

Shear Force ◽

Control Group ◽

Exposure Group ◽

Raw Meat ◽

Sound Exposure ◽

Significant Difference ◽

Group A ◽

Group B

Previous research about the exposure of Mozart music and noise and the effects towards the feeding, growth rate and the stress level of the broilers were explored.Music has the ability to have a relaxing and antidepressant effect on humans, mammals and birds. Reports that music calms animals and improves productivity appear in commercial journals. The present study investigated the growth rate comparisons between the experimented broilers (Group A: water supply modification group; Group B: sound exposure group) and the control broilers (Group C: control group) in terms of weight and raw meat texture measured by shear force. The water supply modification group was given 12 litres of Yasin water twice per day while the sound exposure group were broadcasted with sound of Quran verses. Twenty-seven broilers were randomly selected from each group on Day 24 and weight measurement was carried out every week until the harvest day (Day 39). Group B showed a higher mean weight on Day 24 (1.441 ± 0.013 kg) than Group A and C. Significant difference in the weight on Day 39 existed for both Group A and B compared to Group C (p < 0.05). However, there was no significant (p > 0.05) difference of shear force in the same muscles (breast and drumstick raw meat) of the three groups but the shear force of the breast meat for Group A, B and C broilers was lower (p < 0.05) than that of their drumstick meat. Broadcasting the sound of the Quran verses in the coop and adding Yasin water to the broilers’ drink can be applied to improve the growth rate of broilers for producing better quality poultry.

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Autogenous Bone Graft Versus Bovine Bone Graft in Association With Platelet-Rich Plasma for the Reconstruction of Alveolar Clefts: A Pilot Study

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665618770194 ◽

2018 ◽

Vol 56 (1) ◽

pp. 134-140 ◽

Cited By ~ 3

Author(s):

Bruno Torres Bezerra ◽

John Nadson Andrade Pinho ◽

Fabrício Eneas Diniz Figueiredo ◽

José Renato Moraes Carvalho Barreto Brandão ◽

Lucas Celestino Guerzet Ayres ◽

...

Keyword(s):

Bone Graft ◽

Platelet Rich Plasma ◽

Bone Grafts ◽

Autogenous Bone ◽

Bovine Bone ◽

Alveolar Bone Grafting ◽

Significant Difference ◽

Group A ◽

Autologous Bone ◽

Group B

Objective: To compare the outcomes of 2 different bone graft materials: autogenous bone grafts from mandibular symphysis and bovine bone grafts associated with platelet-rich plasma (PRP). Methods: Twenty individuals met the inclusion criteria and accepted to participate in the study. Group A patients underwent alveolar bone grafting using autologous bone and group B patients using a bovine bone graft associated with PRP. Cone beam computed tomography scans were taken and reconstructed 3-dimensionally for all patients preoperatively and 1 year postoperatively. Results: A significant reduction was detected for area and volume within group A and group B. Between groups, no significant difference was found for area or volume. Conclusions: Bovine grafts associated with PRP are a good option for the reconstruction of alveolar clefts and provide good results such as autologous bone grafts.

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Effectiveness of Platelet Rich Plasma and Bone Graft in the Treatment of Intrabony Defects: A Clinico-radiographic Study

The Open Dentistry Journal ◽

10.2174/1874210601812010133 ◽

2018 ◽

Vol 12 (1) ◽

pp. 133-154 ◽

Cited By ~ 4

Author(s):

Mohammad Jalaluddin ◽

Jayachandran Mahesh ◽

Rethi Mahesh ◽

Ipsita Jayanti ◽

Mohamed Faizuddin ◽

...

Keyword(s):

Statistical Analysis ◽

Bone Graft ◽

Alveolar Bone ◽

Periodontal Regeneration ◽

Periodontal Pocket ◽

Controlled Study ◽

Radiographic Evaluation ◽

Significant Difference ◽

Group A ◽

Group B

Background & Objectives: Periodontal disease is characterized by the presence of gingival inflammation, periodontal pocket formation, loss of connective tissue attachment and alveolar bone around the affected tooth. Different modalities have been employed in the treatment and regeneration of periodontal defects which include the use of bone grafts, PRP and other growth factors.The purpose of this prospective, randomized controlled study was to compare the regenerative efficacy of PRP and bonegraft in intrabony periodontal defects. Methodology: This randomized control trial was carried out in the Department of Periodontics & Oral Implantology, Kalinga Institute of Dental Sciences and Hospital, KIIT University, Bhubaneswar. The study sample included 20 periodontal infrabony defects in 20 patients, 12 males and 8 females. The patients were aged between 25 -45 years(with mean age of 35 years). The 20 sites selected for the study were was randomly divided into 2 groups of 10 sites each. Group A: PRP alone, Group B: Bone Graft. Statistical Anaysis & Results: Statistical Analysis Was Done Using SPSS (Version 18.0): Statistical analysis was done usingpaired ‘t’ tests and ANOVA that revealed a significant reduction ingingival index, plaque index, probing pocket depth and gain in clinical attachment level at various time intervalswithin both the groups. Radiographic evaluation revealed statistically significant defect fill (p<0.001) at the end of 6months within both the groups. However, there was astatistically significant difference seen in group B radiographically, when compared to group A. Conclusion: Both the groups showed promising results in enhancing periodontal regeneration; however the resultswith bonegraftwere comparatively better, although not statistically significant when compared to PRP alone.

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Investigation of The Optimal Surgical Approach to Brucella Lumbar Spondylitis Treatment: A Comparative Study

10.21203/rs.3.rs-62384/v1 ◽

2020 ◽

Author(s):

Chenguang Jia ◽

Jianguo Gao ◽

Zhuo Li ◽

Zhaoliang Dong ◽

Liming Yao ◽

...

Keyword(s):

Blood Loss ◽

Bone Graft ◽

Surgical Approach ◽

Anterior Approach ◽

Intraoperative Blood Loss ◽

One Stage ◽

Significant Difference ◽

Before And After ◽

Group A ◽

Group B

Abstract Background: The optimal surgical approach in treating lumbar brucellosis (LBS) has not been determined. This study aims to compare the surgical efficacy of anterior approach and combined posterior and anterior approach in treating LBS.Method: A retrospectively cohort study included LBS patients undergoing lumber surgery in the Department of Orthopedics, Department of Orthopedics, Hebei Province from June 2012 to June 2016. According surgical approach, patients were divided into two groups; patients with one-stage anterior approach were classified into group A, and the rest of patients with combined posterior and anterior approach were group B. The operative time, intraoperative blood loss and, hospitalization stay were recorded to compare the surgical risk of two groups. In terms of treatment efficacy, visual analogue scale (VAS), bone graft fusion, erythrocyte sedimentation rate (ESR) and Oswestry disability index (ODI) were assessed and compared before and after surgery.Results: Eight-nine patients with LBS were included into the study. Fifty cases were males, and 39 patients were female. The mean age of this cohort was 61.9 ± 12 years, ranging from 23 to 78 years. Forty-nine patients were divided into group A, undergoing anterior debridement and bone graft fusion. Forty patients underwent posterior fixation combined with anterior approach (group B). The operation time of group A was 30 minutes shorter than that of group B. Group A had less intraoperative blood loss (800 vs. 900 ml; P <0.001). Hospital stay was four days shorter in group A. At the last follow-up, all patients were in good condition with ASIA Level E and ESR returned to normal. The bone fusion rate of Bridwell bone was 89.29% (45/49) and 80.00% (38/40) of group A and group B, respectively. In terms of surgical efficacy, there was no significant difference in VAS score between the two groups before and after operation (P > 0.05). Conclusions: One-stage anterior approach and combine posterior-anterior approach had no significant difference in terms of clinical efficacy. Individualized surgical treatment should be suggested in patients with complicated LBS and ineffective therapeutic treatment. Trial registration: This study has been retrospectively registered in local ethical Institution Review Board(No:[2020]068).

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A Comparative Study between Single Dose of Ceftriaxone, Metronidazole and Gentamicine as a Prophylaxis versus Conventional Dose Antibiotic in Hysterectomy in BSMMU

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v32i3.26053 ◽

2015 ◽

Vol 32 (3) ◽

pp. 149-152

Author(s):

Salma Akter Munmun ◽

Rowson Ara ◽

Shiuly Chowdhury ◽

Mst. Manjumun Ara Sarkar ◽

Saleha Begum Chowdhury ◽

...

Keyword(s):

Wound Infection ◽

Abdominal Hysterectomy ◽

Economic Benefits ◽

Conventional Dose ◽

Number Of Patients ◽

Significant Difference ◽

Group A ◽

Group B ◽

Clinical Records ◽

Operative Wound

A prospective study was done in the Department of Obstetrics & Gynaecology, BSMMU, Dhaka from January 2006 to December 2006. Hundred cases were studied during this period. The patients admitted for hysterectomy operation were divided into group A and group B. In group A 50 patients received prophylactic injectable 1 gm ceftriaxone, 500 mg metronidazole and 80 mg gentamicine one hour before operation. In group B 50 patients received conventional antibiotic comprising ciprofloxacin for 7 days (both I.V and Oral), metronidazole for 5 days (both I.V and oral) and gentamicine for 3 days (I.V / I.M). After fulfilling the inclusion and exclusion criteria the patients were randomly assigned to receive either parenteral loading dose of 1 gm Ceftriaxone, 500 mg Metronidazole and 80 mg Gentamicine (Group-A) pre-operatively or conventional dose of antibiotic (Group- B). Relevant careful clinical records and data were kept on predesigned proforma. Incidence of post-operative complications, operative time and hospital stay were recorded for each patient. Data was analyzed using SPSS program with the consultation of the statistician. Because of nature of the analysis, only chi-squire(X2) test was applied. Most of the patients (64% in Group-A and 67% in Group-B) were from low socio-economic class. Significant number of patients were anaemic (Hb% between 50-55%) and duration of operation was within 60-89 minutes in most of the cases. There were 3(6%) post operative wound infection in Group- A and 2(4%) post operative wound infection in Group-B after abdominal hysterectomy. 1 patient of Group-A and 1 patient of Group-B developed wound infection after vaginal hysterectomy operation. So, there was no significant difference in post-operative wound infection between Group- A and Group-B. Length of post-operative hospital stays in both groups were within 5-9 days (Group-A 90% and Group- B 92%). The study demonstrates that there is no significant difference regarding surgical outcome between Group-A and Group-B. Moreover the patient of Group-A needs antibiotic cost only Tk. 220 and Group-B needs of about Tk. 640, so that it saves about Tk. 420 which supports the economic benefits for Group-A and cost effectiveness.J Bangladesh Coll Phys Surg 2014; 32: 149-152

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Comparison between bundled multi-segment rib graft and titanium mesh bone graft in the treatment of thoracic and lumbar spinal tuberculosis

10.21203/rs.2.15387/v1 ◽

2019 ◽

Author(s):

Yifan Wang ◽

Shiyuan Shi ◽

Qi Zheng ◽

Mingfeng Zheng ◽

Yanghui Jin

Keyword(s):

Bone Graft ◽

Bone Grafting ◽

Spinal Tuberculosis ◽

Operation Time ◽

Titanium Mesh ◽

Significant Difference ◽

Group A ◽

Group B ◽

Lumbar Spinal

Abstract Background: To investigate the two different methods including bone grafting with bundled multi-segment ribs and titanium mesh bone grafting through posterior approach in patients with thoracic and lumbar spinal tuberculosis. Methods: 38 patients with thoracic spinal tuberculosis in our hospital were divided into group A (19 cases of titanium mesh bone grafting) and group B (19 cases of bone grafting with bundled multi-segment ribs). The transverse costal process approach was firstly initiated, then the necrotic tissue of tuberculosis lesions was removed thoroughly. Finally, titanium mesh bone grafting and bone grafting with bundled multi-segment ribs was applied, respectively. Results: The data demonstrated that 12 to 24 months of follow-up revealed that the operation time of Titanium mesh bone grafting in group A was 21.2+2.3 min, and that of bundled rib bone grafting in group B was 7.2+2.4 min. Compared to group A, the time in group B was significantly shorter. The amount of bleeding in group A not distinct from that in group B. There was no significant difference in Cobb angle. The fusion time in the two groups was similar. There was no significant difference in Oswestry dysfunction index between the two groups at the last follow-up. Conclusions: Bone grafting with bundled multi-segment ribs could stable the function quickly after thoracic tuberculosis lesion clearance, indicating as an alternative and development prospects of bone graft strategy.

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Anterior Debridement, Bone Grafting And Fixation For Cervical Spine Tuberculosis :Iliac Bone Graft Versus Structural Manubrium Graft

10.21203/rs.3.rs-558340/v1 ◽

2021 ◽

Author(s):

Shuang Xu ◽

Yueming Song ◽

Qing Wang ◽

Gaoju Wang ◽

Jin Yang ◽

...

Keyword(s):

Bone Graft ◽

Donor Site ◽

Spinal Tuberculosis ◽

Bone Grafts ◽

Iliac Bone ◽

Graft Material ◽

Anterior Debridement ◽

Significant Difference ◽

Group A ◽

Group B

Abstract Background The purpose of this retrospective study was to compare the clinical outcomes of anterior surgical management for cervical spinal tuberculosis by iliac bone grafts versus structural manubrium graft.Methods From January 2009 to September 2018, 23 patients with cervical spinal tuberculosis were treated with anterior debridement,autogenous structural bone graft and fixation at our spinal department. The patients were divided into 2 groups according to the different graft material,including iliac crest bone grafts in group A, structural manubrium grafts in group B. The clinical and radiographic results for the 2 groups were analyzed and compared. Results The mean duration of follow-up was 24 months. Bony fusion was achieved in all cases without failure of internal fixation. There were no significant differences between groups regarding the the operation time,blood loss,fusion time,neurological outcomes,and postoperative local Cobb angle (P>.05).However,the donor site complication rate of Group A was more than that of Group B. Postoperative ambulation time in group A was later than that of group B.The mean visual analog scale (VAS) for donor-site pain in group A was higher than group B at a week after surgery (P < 0.05).However,there was no significant difference between the 2 groups at last visit (P>.05).Conclusion Both iliac bone grafts and sternal manubrium grafts can effectively reconstruct anterior column defects in anterior surgery. However,structural sternal manubrium autografts has less complications associated with donor site morbidities than that of iliac bone.

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DeVega versus ring annuloplasty in severe functional tricuspid insufficiency and their impact on the right ventricle

The Egyptian Cardiothoracic Surgeon ◽

10.35810/ects.v1i4.89 ◽

2019 ◽

Vol 1 (4) ◽

pp. 133-139

Author(s):

Yasser Hamdy ◽

Mohammed Mahmoud Mostafa ◽

Ahmed Elminshawy

Keyword(s):

Right Ventricular ◽

Tricuspid Valve ◽

Tricuspid Regurgitation ◽

Early Postoperative Period ◽

Tricuspid Valve Repair ◽

Ring Annuloplasty ◽

Significant Difference ◽

Group A ◽

Group B ◽

The Right

Background: Functional tricuspid valve regurgitation secondary to left-sided valve disease is common. DeVega repair is simple, but residual regurgitation with subsequent impairment of the right ventricular function is a concern. This study aims to compare tricuspid valve repair using DeVega vs. ring annuloplasty and their impact on the right ventricle in the early postoperative period and after six months. Methods: This is a prospective cohort study of 51 patients with rheumatic heart disease who underwent tricuspid valve repair for secondary severe tricuspid regurgitation. Patients were divided into two groups: group A; DeVega repair (n=34) and group B; ring annuloplasty repair (n=17). Patients were assessed clinically and by echocardiography before discharge and after six months for the degree of tricuspid regurgitation, right ventricular diameter and tricuspid annular plane systolic excursion (TAPSE). Results: Preoperative echocardiographic assessment showed no difference in left ventricular end-systolic diameter, end-diastolic diameter, ejection fraction and right ventricular diameter, however; group A had significantly better preoperative right ventricular function measured by TAPSE (1.96 ± 0.27 vs1.75 ± 0.31 cm; p=0.02). Group B had significantly longer cardiopulmonary bypass time (127.65 ± 13.56 vs. 111.74 ± 18.74 minutes; p= 0.003) and ischemic time (99.06 ± 11.80 vs. 87.15 ± 16.01 minutes; p= 0.009). Pre-discharge, there was no statistically significant difference in the degree of tricuspid regurgitation, but the right ventricular diameter was significantly lower in group B (2.66 ± 0.41 and 2.40 ± 0.48 cm; p=0.049). After six months of follow up, the degree of tricuspid regurgitation (p= 0.029) and the right ventricular diameter were significantly lower in the ring annuloplasty group (2.56 ± 0.39 and 2.29 ± 0.44 cm; p=0.029). Although there was a statistically significant difference in preoperative TAPSE, this difference disappeared after six months. Conclusion: Both DeVega and ring annuloplasty techniques were effective in the early postoperative period, ring annuloplasty was associated with lesser residual regurgitation and better right ventricular remodeling in severe functional tricuspid regurgitation than DeVega procedure after 6-months of follow up.

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