scholarly journals Diagnosis and treatment of congenital vertical talus in children under 3 years old (review)

2021 ◽  
Vol 28 (2) ◽  
pp. 63-75
Author(s):  
Ekaterina N. Solovieva ◽  
Maxim A. Vavilov ◽  
Valeriy F. Blandinsky ◽  
Ilya V. Gromov ◽  
Alexandr G. Sokolov
Keyword(s):  
Surgical Techniques ◽  
Diagnosis And Treatment ◽  
Vertical Position ◽  
Present Moment ◽  
Congenital Clubfoot ◽  
Surgical Interventions ◽  
Congenital Vertical Talus ◽  
Advantages And Disadvantages ◽  
Foreign Literature ◽  
Vertical Talus

Congenital vertical ram is a rare pathology, the incidence of it is 1 case per 10 thousand newborns. This anomaly is usually manifested by a severe planovalgus deformity of the foot. Moreover, it is often (in 50% of cases) associated with chromosomal syndromes (arthrogryposis, neurofibromatosis, myelodysplasia, etc.), with spinal, neuromuscular anomalies of development. As a result, it is necessary to focus the attention of pediatric orthopedists and radiologists on the parameters of the diagnosis in order to reduce false diagnoses and unreasonable surgical interventions in children, show options for surgical techniques for the treatment of feet with an inborn vertical position of the talus in children under 3 years. The presented review of domestic and foreign literature demonstrates the main advantages and disadvantages of existing approaches in the treatment of children under 3 years of age with congenital vertical ram. Demonstrate the main advantages and disadvantages of existing approaches in the treatment of this pathology. Analysis of the literature showed that the causes of the formation of the congenital vertical talus are not fully explored. In Russia, up to the present moment, its diagnosis is still difficult. Congenital vertical talus is one of the rare problems in world orthopedic practice in comparison with congenital clubfoot, but doctors who are constantly treating children with deformities of the feet have such patients regularly.

Treatment of the Congenital Vertical Talus: A Retrospective Review of 36 Feet with Long-Term Follow-up

Foot & Ankle ◽  
1987 ◽  
Vol 7 (6) ◽  
pp. 326-332 ◽  
Author(s):  
Larry D. Dodge ◽  
R. Kirklin Ashley ◽  
Robert J. Gilbert
Keyword(s):  
Congenital Abnormality ◽  
Surgical Techniques ◽  
Primary Diagnosis ◽  
Triple Arthrodesis ◽  
Congenital Vertical Talus ◽  
Long Term Follow Up ◽  
Vertical Talus ◽  
Foot Mobility

To ascertain whether one type of treatment of the congenital vertical talus was superior to others, we conducted a retrospective analysis of 36 congenital vertical tali in 21 patients whose average follow-up of 14 years was considered to be unusually lengthy. Ten patients (48%) had an underlying primary diagnosis, and 13 patients (62%) had at least one other secondary congenital abnormality. None of the surgical techniques produced significantly better results than any other one according to criteria involving shoewear, range of motion, and degree of pain. Subtalar and talotibial motion were frequently restricted, with or without prior arthrodesis. Pain generally was not an immediate or long-term problem. To maintain maximal foot mobility, we recommend a one-stage soft tissue correction alone in the child under 3 years of age. In older, untreated children or those in whom conservative treatments have failed, a subtalar or triple arthrodesis may be necessary.

Results of dorsal approach in surgical correction of congenital vertical talus: an Indian experience

2009 ◽  
Vol 18 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Raghav Saini ◽  
Shivinder Singh Gill ◽  
Mandeep Singh Dhillon ◽  
Tarun Goyal ◽  
Emal Wardak ◽  
...  
Keyword(s):  
Surgical Correction ◽  
Dorsal Approach ◽  
Congenital Vertical Talus ◽  
Indian Experience ◽  
Vertical Talus

Congenital Vertical Talus: A Review

2010 ◽  
Vol 27 (1) ◽  
pp. 145-156 ◽  
Author(s):  
Janay Mckie ◽  
Timothy Radomisli
Keyword(s):  
Congenital Vertical Talus ◽  
Vertical Talus

Infectious and inflammatory complications after endoscopic hernioplasty in patients with postoperative ventral hernias: features of diagnosis and treatment strategies

2021 ◽  
Vol 23 (3) ◽  
pp. 157-164
Author(s):  
Valery V. Semenov ◽  
Sofya А. Prudyeva ◽  
Alexander A. Kurygin
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Treatment Strategies ◽  
Repeated Administration ◽  
Early Postoperative Period ◽  
Diagnosis And Treatment ◽  
Wound Therapy ◽  
Active Growth ◽  
Surgical Interventions ◽  
Ventral Hernias

An algorithm for the diagnosis and treatment of infectious and inflammatory complications after endovideosurgical hernioplasty in patients with postoperative ventral hernias using traditional and minimally invasive methods of therapy was proposed. The study was based on the treatment results of 177 patients who underwent endovideosurgery for postoperative ventral hernias. Despite the perioperative antibiotic prophylaxis according to the accepted at the S.M. Kirov Military Medical Academy, according to the protocol scheme (first-generation cephalosporin at a dose of 1 g once parenterally 30 min before the operation, followed by repeated administration in case of operation duration of 3 h), course of the early postoperative period on days 35 in 8 (4,5%) patients after endovideosurgical hernioplasty was complicated by suppuration in the intervention area. When analyzing the causes of infectious and inflammatory complications, in both the main and control groups of observations, all suppuration in the area of surgical interventions was diagnosed in patients with metabolic syndrome (stages IIIII obesity and type 2 diabetes mellitus). The use of the negative pressure wound therapy resulted in wound cleansing for 4.1 2.5 days (p 0.05) and was comparable with the traditional method of treatment, but more active growth of granulation tissue prevailed in the wound, which contributed to its accelerated healing. The negative pressure wound therapy is effective in the systemic infectious and inflammatory process, especially after prosthetic hernioplasty of large W3-postoperative hernias. Drainage of abscesses under ultrasound navigation is possible with small (S 10 cm2) delimited purulent processes in the area of the polypropylene implant with the preservation of the latter.

scholarly journals Trends in surgical and catheter interventions for isolated congenital shunt lesions in the UK and Ireland

Heart ◽  
2019 ◽  
Vol 105 (14) ◽  
pp. 1103-1108 ◽  
Author(s):  
Mehreen Farooqi ◽  
John Stickley ◽  
Rami Dhillon ◽  
David J Barron ◽  
Oliver Stumper ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Surgical Techniques ◽  
Foramen Ovale ◽  
Patient Age ◽  
Surgical Interventions ◽  
Patient Âgé ◽  
Duct Ligation ◽  
The Uk

ObjectiveTo evaluate time trends in the use of catheter and surgical procedures, and associated survival in isolated congenital shunt lesions.MethodsNationwide, retrospective observational study of the UK National Congenital Heart Disease Audit database from 2000 to 2016. Patients undergoing surgical or catheter procedures for atrial septal defect (including sinus venosus defect), patent foramen ovale, ventricular septal defect and patent arterial duct were included. Temporal changes in the frequency of procedures, and survival at 30 days and 1 year were determined.Results40 911 procedures were performed, 16 604 surgical operations and 24 307 catheter-based interventions. Transcatheter procedures increased over time, overtaking surgical repair in 2003–2004, while the number of operations remained stable. Trends in interventions differed according to defect type and patient age. Catheter closure of atrial septal defects is now more common in children and adults, although surgical interventions have also increased. Patent foramen ovale closure in adults peaked in 2009–2010 before falling significantly since. Surgery remains the mainstay for ventricular septal defect in infants and children. Duct ligation is most common in neonates and infants, while transcatheter intervention is predominant in older children. Excluding duct ligation, survival following surgery was 99.4% and ≈98.7%, and following catheter interventions was 99.7% and ≈99.2%, at 30 days and 1 year, respectively.ConclusionsTrends in catheter and surgical techniques for isolated congenital shunt lesions plot the evolution of the specialty over the last 16 years, reflecting changes in clinical guidelines, technology, expertise and reimbursement, with distinct patterns according to lesion and patient age.

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals OPTIMIZATION OF DIAGNOSIS AND TREATMENT FOR PERIPROSTHETIC KNEE INFECTION

2017 ◽  
pp. 14-19
Author(s):  
S. P. Shpinyak ◽  
A. P. Barabash ◽  
Yu. A. Barabash
Keyword(s):  
Public Health ◽  
Periprosthetic Infection ◽  
Public Health System ◽  
Diagnosis And Treatment ◽  
Surgical Interventions ◽  
Knee Infection ◽  
Long Period ◽  
Periprosthetic Knee Infection

Purpose of study: to analyze the modern approaches to classification of large joints periprosthetic infection (PPI) and evaluate the results of revision surgical interventions in patients with deep PPI of the knee. Patients and methods. One hundred fifty three patients, 51 men and 102 women (mean age 57.3±12.4 years), with deep PPI were operated on. Treatment tactics was determined by the term after primary operation. In early PPI (n=31) sanitation interventions with implant preservation and in late PPI (n=122) – two step interventions with long period between the operations (over 4 weeks) were performed. Results. Follow up made up from 2 to 5 years. Sanitation interventions with implant preservation were successful in71% of patients. In group of patients with late PPI satisfactory results were achieved in 89.6% of cases. On the basis of the obtained data the variants of diagnosis and treatment tactics optimization as well as its adaptation to domestic public health system were proposed.

scholarly journals Radical Dorsal Interventions in Treatment of Kyphotic Deformities (Literature Review)

2015 ◽  
Vol 22 (2) ◽  
pp. 66-75
Author(s):  
M. V Mikhailovskiy ◽  
V. V Novikov ◽  
I. G Udalov
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Vertebral Column ◽  
Surgical Techniques ◽  
Pedicle Subtraction Osteotomy ◽  
Treatment Results ◽  
Vertebral Column Resection ◽  
Surgical Interventions ◽  
Ponte Osteotomy ◽  
Spine Deformities

Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.

scholarly journals Modern therapeutic options in the treatment of bacterial vaginosis

2020 ◽  
Vol 69 (3) ◽  
pp. 39-45
Author(s):  
Evgeny F. Kira ◽  
Yulia V. Khalturina
Keyword(s):  
Bacterial Vaginosis ◽  
Therapeutic Options ◽  
Diagnosis And Treatment ◽  
Therapeutic Approaches ◽  
Advantages And Disadvantages ◽  
Modern Methods

This article reviews the pathogenetic aspects of bacterial vaginosis and modern methods of diagnosis and treatment of vaginal microbiocenosis disorders. The advantages and disadvantages of the available therapeutic approaches are discussed, and new opportunities and prospects in the treatment of bacterial vaginosis are highlighted.

scholarly journals The application of C2 transpedicular screw, C1 laminar hook fixation and bone graft in the atlantoaxial instability

2021 ◽  
Vol 38 (2) ◽  
pp. 94-98
Author(s):  
Şükrü ORAL
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Surgical Techniques ◽  
Atlantoaxial Instability ◽  
Posterior Arch ◽  
X Rays ◽  
Advantages And Disadvantages ◽  
Transpedicular Screw ◽  
Flexion Extension ◽  
Laminar Hooks

Traumatic atlantoaxial instability usually results from a motor vehicle accident, falls and motorcycle accidents. Atlantoaxial instability can lead to spinal cord compression and neck pain, but, spasticity and radicular symptoms as well. The purpose of surgery is to remove the compression and stabilize the joint permanently. To date, several surgical techniques have been described to remedy C1-C2 instability. In this study, the clinical and radiological outcomes of patients who operated with the C1 (Atlas bone) laminar hooks fixation and bilateral C2 (Axis bone) trans-pedicular screw technique were shown. Also, the advantages and disadvantages of this technique are discussed. From March 2010 to December 2017, 12 patients who have atlantoaxial instability were surgically treated by modified fixation technique which consists C1 laminar hooks fixation and bilateral C2 transpedicular screw. Twelve patients were operated with this procedure from March 2010 to December 2017. All the patients were checked with flexion-extension x-rays at the end of the twelfth week. The posterior bony fusion formation was observed on imaging in all patients. C2 bilateral pedicle screw combined with C1 laminar hook system is a good method for atlantoaxial instability in the conditions which is not convenient for insertion of C1 lateral mass and C2 trans-articular screw. However, this method may not be available in some cases such as traumatic, infection, neoplastic or degenerative pathologies in which the posterior arch of the atlas is damaged.

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