OPYT PRIMENENIYa KOMPOZITsIONNYKh BIOSOVMESTIMYKh IMPLANTATOV V KLINIKE DETSKOY I PODROSTKOVOY ORTOPEDII

2003 ◽  
Vol 10 (1) ◽  
pp. 78-83
Author(s):  
O A Malakhov ◽  
G A Krasnoyarov ◽  
S I Belykh ◽  
O V Kozhevnikov ◽  
A V Ivanov ◽  
...  
Keyword(s):  
Experimental Study ◽  
Medical Technology ◽  
Surgical Intervention ◽  
Hip Dislocation ◽  
Varus Deformity ◽  
Functional Results ◽  
Lower Limbs ◽  
Femur Head ◽  
Congenital Hip Dislocation

Specialists from Children Orthopedic Clinic (CITO) and Institute of Medical Technology elaborated therapeutically active implants on the base of N-vinilpirrolidone and methylmethacrylate with different additives. Those implants were successfully applied in clinical practice. Experimental study on rabbits showed the possibility of implants to stimulate osteogenesis. Various types and shapes of implants were elaborated using different combinations of additives. Minimum invasive surgical intervention and indications to implants' application were worked out. From 1987 to 2001 one hundred thirteen patients with various pathology (obstetrical paresis, clubfoot, juvenile femur head ephiphysiolysis, congenital hip dislocation, funnel-shaped deformity of thorax, dystrophic varus deformity of femur head, osteochondropathy of lower limbs) were treated surgically using new implants. At 3-5 years follow up good and excellent anatomic and functional results were noted in 89% of cases.

Porous tantalum acetabular cups for reconstructions after peri-acetabular resections of primary bone tumours

2021 ◽  
pp. 112070002110015
Author(s):  
Riccardo Zucchini ◽  
Andrea Sambri ◽  
Claudio Giannini ◽  
Michele Fiore ◽  
Carlotta Calamelli ◽  
...  
Keyword(s):  
Bone Tumour ◽  
Hip Dislocation ◽  
Functional Results ◽  
Bone Tumours ◽  
Harris Hip Score ◽  
Porous Tantalum ◽  
Term Survival ◽  
Primary Bone ◽  
Primary Bone Tumours

Introduction: Periacetabular reconstruction after resection of primary bone tumour is a very demanding procedure. They are frequently associated with scarce functional results and a high rate of complications. We report a series of patients with periacetabular resections for primary bone tumours and reconstruction with a porous tantalum (PT) acetabular cup (AC). Materials and methods: 27 patients (median age 30 years) were included, being affected by primary bone tumours of the pelvis and treated with peri-acetabular resection and reconstruction with a PT AC. The diagnoses were 13 osteosarcomas, 7 chondrosarcomas and 7 Ewing sarcomas. Function was assessed with the Harris Hip Score and complications were classified according to Zeifang. Results: The median follow-up was 70 months. 1 patient required removal of the PT AC because of implant associated infection 55 months after surgery. There was 1 hip dislocation and no case of aseptic loosening. At final follow-up, the median HHS was 81 points (range 48–92). Conclusions: The used PT AC had good medium-term survival rates and good functional results. This technique is a viable reconstructive option after resections of periacetabular primary bone sarcomas.

scholarly journals Congenital Hip Dislocation with a Genu Recurvatum in Togo: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 72-76
Author(s):  
Agbeko FY ◽  
Fiawoo M ◽  
Djomaleu RA ◽  
NZonou M ◽  
Talboussouma S ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Black Population ◽  
Lower Limbs ◽  
Sub Saharan Africa ◽  
Congenital Dislocation ◽  
Congenital Hip Dislocation ◽  
Genu Recurvatum ◽  
Ultrasound Of The Hip ◽  
The Right ◽  
Dislocation Of The Hip

Introduction: CHD is a condition, which is frequent in pediatrics in the Caucasian population, remains rare in the Black population, and exceptional in sub-Saharan Africa. The Patient: We report this first Togolese case of bilateral congenital dislocation of the hip associated with genu recurvatum observed in a newborn received on the second day of life. The Primary Diagnoses, Interventions, and Outcomes: The pediatric examination had noted extension of lower limbs. The thighs were in adduction with a stiff bilateral genu recurvatum. The abduction of the thighs on the pelvis was considerably limited. The Barlow and Ortolani maneuvers showed a protrusion. There was also a camptodactyly of the thumbs and a cleft palate. The rest of the examination was normal. Ultrasound of the hip showed a bilateral congenital dislocation of the hip with an estimated acetabular fundus of 7 mm on both the right and left sides. Ultrasound and radiography of the knees were normal. Conclusion: Clinical examination at birth is the key step in diagnosis of congenital hip dislocation. In situations where diagnosis is difficult, ultrasound is of capital importance. Treatment is in the majority of cases orthopedic.

scholarly journals Twenty year Follow Up Results of Treatment of Congenital Hip Dislocation

1980 ◽  
Vol 28 (3) ◽  
pp. 306-310
Author(s):  
M. Tanaka ◽  
K. Masuzaki ◽  
Y. Takeda ◽  
A. Kuwabata ◽  
Y. Yokomine ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation ◽  
Results Of Treatment

scholarly journals Follow up Study of Bilateral Congenital Hip Dislocation

1986 ◽  
Vol 34 (4) ◽  
pp. 1414-1421
Author(s):  
Sadamichi Ikeda ◽  
Katsuro Iwasaki ◽  
Yoshimichi Yamane ◽  
Kenji Yamada
Keyword(s):  
Hip Dislocation ◽  
Congenital Hip Dislocation ◽  
Follow Up Study

scholarly journals THE PLACE OF VASCULAR SURGERY IN TREATMENT OF DIABETIC PATIENTS

2012 ◽  
Vol 67 (1) ◽  
pp. 27-30
Author(s):  
А. V. Pokrovskiy
Keyword(s):  
Surgical Intervention ◽  
Surgical Techniques ◽  
Vascular Complications ◽  
Lower Limbs ◽  
Diabetic Patients ◽  
Critical Ischemia ◽  
X Ray ◽  
Latent Stage ◽  
Main Tendency

This article is dedicated to diagnostics, prevention and surgical treatment of vascular complications of diabetes mellitus, particularly prevention of ischemic strokes and treatment of critical ischemia of lower limbs. The main tendency in treatment of brachiocephalic artery lesions nowadays is a surgical intervention in the latent stage of the disease. X-ray endovascular surgical techniques are being increasingly used to treat lesions of lower limbs arteries. Limb preservation is impossible without cooperation of many specialists. It’s essential to perform careful out-patient follow up of the patient after vascular reconstructive surgery.

scholarly journals Long-term treatment results of congenital hip disease in adolescents

2020 ◽  
Vol 7 (4) ◽  
pp. 87-96
Author(s):  
Ali A. Abakarov ◽  
Abakar A. Abakarov
Keyword(s):  
Hip Replacement ◽  
Hip Dislocation ◽  
Term Treatment ◽  
Treatment Results ◽  
Congenital Hip Dislocation ◽  
Total Hip ◽  
Long Term Treatment ◽  
Dislocation Of The Hip

Backgrоund. An analysis of modern literature reveals that presently, there are no algorithms for determining the correct method of surgical treatment for adolescents with high congenital hip dislocation; few publications are devoted to the treatment of adolescents with this pathology. Children are treated by podiatrists until the age of 18 before transferring to adult specialists. There remain debatable issues of total hip replacement in adolescents because there are time limits for hip preservation. The search for improved treatment methods for adolescents with this pathology by preserving their own bone structures continues to be relevant. Aim. To evaluate the long-term results of the treatment of adolescents with complete congenital hip dislocation after intertrochanteric osteotomy using the authors technique. Materials and methods. From 19902006, in the Republican Orthopedic and Traumatological Center of the Republic of Dagestan and the clinic of the Department of Traumatology and Orthopedics of the Dagestan State Medical University, 37 patients with high congenital dislocation of the hip underwent 49 operations using the method developed by the authors. The surgeries were performed by a single orthopedist and were presented as an angulatory lengthening by transtrochantiс osteotomy of the femur by fixation with a fingered plate. All patients underwent clinical, radiographical, biomechanical, and statistical evaluation before and after surgery using the Harris and VAS scales. The results of the study were processed using the Student, Pearson, and Kolmogorov coefficients and confidence intervals. Results. Over a long-term treatment period of up to 10 years, the average Harris score increased from 44.2 (95% CI 38.747.9) to 80.5 (95% CI 77.185.3). After the 10-year follow-up period (1015 years after surgery), the scores gradually dropped to 72.4 (95% CI 70.178.3). Unsatisfactory treatment results were found in 13.5% of cases and were mainly associated with an unsuccessful choice of support point under the pelvis and the preservation of uncompensated shortening of the limb. The alignment of the created degree of angulation of the hip in terms of adolescent age groups was not established. Differences in treatment results (depending on the inter-operation time for the bilateral dislocation of the hip) were not established. At follow-up periods of 1015 years after surgery, total hip replacement was performed in 21 joints (56.7%). Conclusions. The proposed method of surgical treatment of congenital hip dislocation in adolescents improves the staticdynamic capabilities of the hip joint and remains effective over the following 15 years of life. The duration of inpatient treatment is reduced and does not interfere with subsequent total hip arthroplasty.

scholarly journals The Use of Iliac Stem Prosthesis for Acetabular Defects following Resections for Periacetabular Tumors

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Massimiliano De Paolis ◽  
Alessio Biazzo ◽  
Carlo Romagnoli ◽  
Nikolin Alì ◽  
Sandro Giannini ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Functional Results ◽  
Musculoskeletal Tumor ◽  
Bone Allografts ◽  
Complex Anatomy ◽  
Common Diagnosis ◽  
Alive With Disease ◽  
Long Term Follow Up ◽  
Acetabular Defects

Introduction. The management of pelvic tumors is a challenge for orthopaedic oncologists due to the complex anatomy of the pelvis and the need to have extensive exposure. Various reconstructive techniques have been proposed with poor functional results and a high percentage of complications. Our purpose is to determine the functional results and the rate of complications of iliac stem prosthesis for acetabular defects following resections for periacetabular tumors.Materials and Methods. Between 1999 and 2012, 45 patients underwent pelvic resections for periacetabular bone tumors followed by reconstruction with stem cup prosthesis. The most common diagnosis was CS (chondrosarcoma, 29 cases), followed by OS (osteosarcoma, 9 cases) and metastasis (3 cases). In 33 cases, this implant was associated with massive bone allografts. Minimum follow-up required to evaluate functional outcome was 2 years. We classified pelvic resections according to Enneking and Dunham’s classification and we used MSTS (musculoskeletal tumor system) score to evaluate functional outcomes.Results and Discussion. Sixteen patients died of their disease, three were lost to follow-up, four are alive with disease, and twenty-two are alive with no evidence of disease. Fifteen patients had local recurrence. Sixteen patients had bone or lung metastasis. We have had 6 infections, 2 aseptic loosening, and 2 cases of hip dislocation. Iliac sovracetabular osteotomy was fused in all cases at 10 months from surgery. Functional results were good or excellent in 25 of 31 patients with long-term follow-up (77%), with a percentage similar to that reported in the literature.Conclusion. The use of iliac stem prosthesis is a simple reconstructive technique that reduces operative times and risk of infection. It allows having good results and low rate of complications, but it should be performed in selected cases and centres of reference.

scholarly journals Persistence of the embryonic lateral marginal vein: report of two cases

2001 ◽  
Vol 56 (5) ◽  
pp. 159-162 ◽  
Author(s):  
Raúl Rojas Martinez ◽  
Pedro Puech-Leão ◽  
Guimarães Paulo Motta ◽  
Muraco Netto Baptista
Keyword(s):  
Surgical Intervention ◽  
Venous Malformation ◽  
Lower Limbs ◽  
Surgical Removal ◽  
Marginal Vein ◽  
Vascular Surgeon ◽  
Aesthetic Results ◽  
Rare Malformation ◽  
The Right

PURPOSE: Congenital venous malformations of the lower limbs represent a particular challenge for the vascular surgeon. Persistence of fetal veins is a rare malformation, and the most common is the persistence of the lateral marginal vein usually observed in patients with Klippel-Trenaunnay Syndrome. The persistence of this embryonic vein as an isolated venous malformation without the other characteristics of the Klippel-Trenaunnay Syndrome has not yet been reported. This paper describes two cases. METHODS: Two patients, a 17-year-old male patient and a 16-year-old female, have had since their birth a large venous trunk in the lateral aspect of the right leg and thigh. The limbs underwent duplex scanning and phlebography. The surgical removal of the lateral marginal vein was performed. RESULTS: Surgical treatment resulted in very good functional and aesthetic results. Follow-up at 26 months showed no evidence of varicose vein recurrence. CONCLUSIONS: To achieve good results, surgical intervention may be indicated in cases of orthopedic deformity, hemorrhage, symptomatic, and unaesthetic lesions.

scholarly journals Mandibular Reconstruction using AO/ASIF Stainless Steel Reconstruction Plate: A Retrospective Study of 36 Cases

2012 ◽  
Vol 13 (1) ◽  
pp. 75-79 ◽  
Author(s):  
V Sridhar Reddy ◽  
G Harsha ◽  
S Ganesh Kumar Reddy ◽  
Sunil Talasila ◽  
S Abdus Salaam ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Retrospective Study ◽  
Surgical Intervention ◽  
Functional Results ◽  
Mandibular Reconstruction ◽  
Reconstruction Plate ◽  
Patient Tolerance ◽  
Patients With Poor Prognosis

ABSTRACT Aim The study was aimed at esthetic and functional results as well as patient tolerance after reconstruction with reconstruction plate. The follow-up ranged from 1 to 4 years. Materials and methods A retrospective study of 36 patients who had mandibular reconstruction with AO/ASIF stainless steel reconstruction plates after oncologic resection was evaluated. The indications and postoperative outcomes were studied. Results At the end of study, 24 of 36 patients (67%) still had the plate in place. Around three (8%) plates were fractured. Nine (25%) plates got exposed leading to surgical intervention. Surgical results were satisfying, particularly when looking at delayed healing or long-term tolerance. Esthetic (79% rated results as good or acceptable) and functional results of this reconstruction were satisfying. Conclusion We conclude by saying that reconstruction plate provides a solution for safe and rapid mandibular reconstruction for patients with poor prognosis or poor condition. This method also preserves the possibility of secondary reconstruction. Clinical significance The reconstruction plate may be a good clinical choice for safe and rapid mandibular reconstruction. How to cite this article Harsha G, Reddy SGK, Talasila S, Salaam SA, Srinivasulu M, Reddy VS. Mandibular Reconstruction using AO/ASIF Stainless Steel Reconstruction Plate: A Retrospective Study of 36 Cases. J Contemp Dent Pract 2012;13(1):75-79.

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