SURGICAL TREATMENT OF NONUNION AND AVASCULAR NECROSIS OF THE PROXIMAL PART OF THE SCAPHOID IN ADOLESCENTS

2002 ◽  
Vol 84 (6) ◽  
pp. 915-920 ◽  
Author(s):  
PETER M. WATERS ◽  
SUSAN L. STEWART
2001 ◽  
Vol 36 (2) ◽  
pp. 173
Author(s):  
Won Jong Bahk ◽  
Yang Guk Chung ◽  
Jong Min Sohn ◽  
Seung Koo Rhee ◽  
In Young Ok ◽  
...  

Author(s):  
Brigitte M. Jolles ◽  
Jacky Michel ◽  
Bernard Burnand ◽  
Pierre-François Leyvraz

2021 ◽  
Vol 19 (3) ◽  
pp. 69-74
Author(s):  
A. V. ANTONOV ◽  
◽  
V. E. VOLOVIK ◽  
A. G. RYKOV ◽  
S. N. BEREZUTSKIY ◽  
...  

Avascular necrosis of the femoral head is a complex medical and social problem. The rapid development of the disease, the complexity of diagnosis and the prevalence among young patients leads to impaired hip joint function and further disability. To improve the quality of life of patients, the Orthopedic Department of the Traumatology Center of Khabarovsk developed a method of minimally invasive two-stage decompression. Surgical treatment was performed in 30 cases in patients with ANFH of stages 0, 1, 2 (by ARCO). Evaluation of treatment results was carried out before operative treatment, after 6 and 12 months. 12 months after surgical treatment, positive dynamics was noted, namely, pain reduction, a walking distance increase, abandonment of crutches, opportunity to use public transport, ability to sit for a long time in one and the same position, to put on shoes, and the abandonment of constant intake of non-steroidal anti-inflammatory drugs. The assessment of hip joint function in 20% of cases showed an excellent result, in 26,6% of cases — a good result, in 40% — satisfactory, and in 13,3% (4 people) — unsatisfactory result, which proves the effectiveness of the proposed treatment method and the feasibility of its use.


HAND ◽  
1980 ◽  
Vol os-12 (2) ◽  
pp. 176-178 ◽  
Author(s):  
John H. Newman ◽  
Iain Watt

Avascular necrosis of the proximal part of the capitate is very rare and usually is secondary to a fracture of the waist in association with a scaphoid fracture — the naviculocapitate syndrome. A case is presented in which partial avascular necrosis of the capitate occurred in association with bilateral dorsal dorsi-flexion instability. The authors suggest that this phenomenon represents a form of the naviculocapitate syndrome in which ligamentous laxity altered the line of failure, thus sparing the scaphoid from fracture.


Pulse ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 12-17
Author(s):  
NM Zahangir ◽  
MK Hasan ◽  
RK Basak ◽  
T Meher ◽  
NS Alam ◽  
...  

Objective: The aim of this study was to evaluate the role of surgical treatment for large mediastinal tumors. A retrospective study was done from 6.8.2005 to 11.5.2017. Total 39 patients were included in this study. Age range was from 7 months to 70 years. Male was 24 and female was 15.Background: Most of the tumours were thymoma (12 cases). Others were thymoma with myasthenia gravis in 3 cases, Thymic carcinoma 2 cases, Nodular sclerosing Hodgkin’s lymphoma in 1 case, Schwannoma in 3 cases, Cystic mass in 5 cases, Schwannoma with cystic degeneration in 1 case, Fibromyxoma in 1 case, Dermoid in 4 cases, Teratoma in 3 cases, Fibrosing mediastinitis in thymic mass in 1 case, Lymphoid hyperplasia in 1 case, Malignant Mesenchymal tumour in 1 case, Myxoid Liposarcoma in 1 case.Method: Surgical exposure varies from sternotomy in 22 cases, to clamshell incision in 1 case, posterolateral thoracotomy in 14 cases and anterolateral thoracotomy in 2 cases. Superior Venacava was injured in 1 case, repaired successfully by 6/0 prolene controlled by partial clamp. Some of the mediastinal mass needed careful dissection from lung, pleura, encircling distal aortic arch and proximal part of left subclavian artery, encircling left brachiocephalic vein. 1 case needed reconstruction of sternum with prolene mesh, marsupialization was done in 2 cases, adjacent pleura, fatty tissue, part of pericardium was removed in 5 cases. Lobectomy was needed in 1 case. In 1 case, recurrence of fibrosing mediastinitis needed steroid therapy. Extensive growth of the tumour which involved surrounding vital structures was decided not to proceed for excision in 2 cases.Results: Overall five-years survival rate was 94.87% .2 patients of the series died due to disease process as they were cases of advanced malignant mediastinal mass.Conclusion: Surgical treatment for mediastinal mass specially involving surrounding structures though challenging, gives good outcome.Pulse Vol.10 January-December 2017 p.12-17


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