scholarly journals Hypotrophic Clavicle Pseudoarthrosis Treatment: a Case Report

2021 ◽  
Vol 27 (3) ◽  
pp. 111-118
Author(s):  
Oleg A. Kaplunov ◽  
Sergey A. Demkin ◽  
Kamil F. Abdullaev ◽  
Kirill O. Kaplunov
Keyword(s):  
Surgical Treatment ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Reconstruction Technique ◽  
Flap Reconstruction ◽  
Osteosynthesis Plate ◽  
Fixation Stability ◽  
Post Traumatic ◽  
Fibular Flap ◽  
The Right

Background. The treatment of post-traumatic of the clavicle false joint remains a subject of discussion regarding the technology of the surgical intervention. Recently, the use of vascularized fibular flap reconstruction technique has been popularized, but the potential of the external osteosynthesis remains relevant. Clinical case description. A 70-year-old patient got a fracture of the middle third of the left clavicle diaphysis as a result of a fall. He underwent four surgical treatment options: plate osteosynthesis; plate osteosynthesis + bone autoplasty; plate osteosynthesis + vascularized fibular flap reconstruction; external osteosynthesis. A month after the fourth attempt of surgical treatment, fusion, improvement of the function of the right upper limb and the quality of life of the patient were achieved. Technological inaccuracy, namely, the lack of the fragments fixation stability due to the incorrectly chosen length of the plate, as well as an incomplete assessment of the anamnesis and the identified cognitive behavioral features of the patient, are considered as possible reasons for the treatment failure. Conclusion. Attempts of surgical treatment using plates in combination with bone autoplasty, including vascularized skin-bone flaps, do not always ensure the achievement of clavicle fractures fusion. In such situations, it is advisable to use the potential of external osteosynthesis with the reasonable planning.

scholarly journals Comment to the Article by O.A. Kaplunov et al. “Hypotrophic Clavicle Pseudoarthrosis Treatment: A Case Report”

2021 ◽  
Vol 27 (4) ◽  
pp. 169-172
Author(s):  
Igor G. Belenkiy
Keyword(s):  
Surgical Treatment ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Factors Affecting ◽  
Osteosynthesis Plate ◽  
Fixation Stability ◽  
Clavicle Fractures ◽  
Mechanical Factors ◽  
The Right

In the comment on the article Treatment of Hypotrophic Nonunion of the Clavicle: A Clinical Case, the reasons for the failure of primary and refixation of the clavicle closed fracture are analyzed in detail. A 70-year-old patient got a fracture of the middle third of the left clavicle diaphysis as a result of a fall. He underwent four surgical treatment options: plate osteosynthesis; plate osteosynthesis + bone autoplasty; plate osteosynthesis + vascularized fibular flap reconstruction; external osteosynthesis. A month after the fourth attempt of surgical treatment, fusion, improvement of the function of the right upper limb and the quality of life of the patient were achieved. Technological inaccuracy, namely, the lack of the fragments fixation stability due to the incorrectly chosen length of the plate, as well as an incomplete assessment of the anamnesis and the identified cognitive behavioral features of the patient, are considered as possible reasons for the treatment failure. The author of the comment highlights modern approaches to the treatment of clavicle fractures, and also briefly dwells on the theory of fracture fixation in general. He pays special attention to biological and mechanical factors affecting fractures healing. The author considers the compliance with the basic principles of osteosynthesis to be the main factor in achieving good results in fracture treatment.

scholarly journals Treatment options for iatrogenic bile duct injuries with the loss of confluence

2019 ◽  
Vol 2 (2) ◽  
pp. 10
Author(s):  
A. A. Asadova
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Treatment Options ◽  
Biliary Injury ◽  
Bile Duct Injuries ◽  
The Common ◽  
The Right

Iatrogenic bile duct injuries (IBDI) with the loss of confluence are the most feared types of biliary injury and represent 4% of all IBDI. The loss of confluence understood as when the right and the left hepatic ducts lose continuity with the common bile duct tree and to restore this continuity is a serious surgical challenge. Aim. The aim of this study is to share our results concerning the surgical treatment options of IBDI with the loss of confluence. Material and methods. During in a 10 years period (2008-2018) 105 patients with IBDI were admitted to our centers for surgical treatment. Among these patients there were only 13 patients with the loss of confluence (Strasberg E4 type).

scholarly journals Post-traumatic Late Presentation of Morel–Lavallée: Case Report and Review of Literature

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Mohammad O Boushnak ◽  
Hussein Rabah ◽  
Mohammad H Saleh ◽  
George Al Aaraj ◽  
Samer Hajjar ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Subcutaneous Fat ◽  
Late Presentation ◽  
Deep Fascia ◽  
Incision And Drainage ◽  
Post Traumatic ◽  
Proximal Thigh ◽  
The Right ◽  
Incision Drainage

Introduction: Morel–Lavallée (MLL) is an uncommon entity that is missed by many physicians, it is the result of a shearing force that leads to degloving of the subcutaneous fat from the underlying deep fascia. Case Report: We present a case of a 15-year-old male patient who presented 3 months after the initial crush injury with a large MLL lesion at the lateral aspect of the right proximal thigh. He was treated with incision and drainage with compressive dressing and a negative pressure drain. Conclusion: Diagnosis of MLL is usually clinical and can be aided with radiological tools like MRI that is the gold standard of imaging in this lesion. Several treatment options are available, ranging from conservative treatment with compressive bandages to percutaneous drainage, injection of sclerotic agents, and surgical treatment with incision, drainage, and debridement. Diagnosis and treatment should be familiar to all caregivers to prevent further complications that could be life or organ-threatening. Keywords: Morel–Lavallée, thigh trauma, chronic Morel–Lavallée, thigh mass.

scholarly journals PERIARTICULAR CYSTS OF FACET JOINTS: ETIOPATHOGENESIS, DIAGNOSIS, METHODS OF SURGICAL TREATMENT. A CLINICAL EXAMPLE

2018 ◽  
Vol 3 (4) ◽  
pp. 61-68 ◽  
Author(s):  
V. A. Byvaltsev ◽  
V. A. Sorokovikov ◽  
A. A. Kalinin ◽  
A. K. Okoneshnikova
Keyword(s):  
Surgical Treatment ◽  
Cauda Equina ◽  
Facet Joints ◽  
Medical Databases ◽  
Current State ◽  
Relevant Topic ◽  
Post Traumatic ◽  
Cauda Equina Roots ◽  
The Right ◽  
Significant Factors

Background. Periarticular cysts (PC) of facet joints is a rare pathology in neurosurgical practice. The concept of PC is applicable for all cysts that are located either pararticularly in the region of facet joints, or start from them.Material and methods. A systematic search was performed in medical databases: Medline, RINC, EMedicine, UMKB, Pubmed on the relevant topic in Russian and English. The search query includes  words: arcuate joint, periarticular cyst, clinic, diagnosis, surgical  treatment. One of the significant factors of PC development is the  instability of the vertebralmotor segment of both degenerative and post-traumatic character.Results. The result of the literature review was the writing of a clinical lecture, the current state of the issue of etiopathogenesis, diagnosis and management of patients with  periarticular cysts of facet joints was studied. The article gives a  clinical example of surgical treatment of a patient with a periarticular cyst at the level of LIV-LV on the right.Conclusion. Periarticular cysts of facet joints are one of the factors of compression of cauda equina roots, with surgical treatment being  a radical and effective way of treatment. A detailed study of this  pathology is a promising direction in spinal neurosurgery. Further  research is required on comparative analysis of clinical and  instrumental efficacy of various methods of surgical treatment of periarticular cysts of facet joints.

scholarly journals Poland’s syndrome

2017 ◽  
Vol 5 (1) ◽  
pp. 63-70
Author(s):  
Olga E. Agranovich ◽  
Igor A. Komolkin ◽  
Alyona Ju. Dimitrieva
Keyword(s):  
Surgical Treatment ◽  
Clinical Features ◽  
Clinical Presentation ◽  
Treatment Options ◽  
The Body ◽  
Poland’S Syndrome ◽  
Poland's Syndrome ◽  
Congenital Condition ◽  
The Right ◽  
Bone Abnormalities

Poland’s syndrome is a rare congenital condition classically characterized by partial or complete absence of chest muscles on one side of the body and usually webbing of the fingers of the hand on the same side. There may also be rib (aplasia or hypoplasia) and chest bone abnormalities, which may be noticeable due to less fat under the skin. Breast and nipple abnormalities may also occur, and underarm hair is sometimes sparse or abnormally placed. In most cases, the abnormalities in the chest area do not cause health problems or affect movement. Poland’s syndrome most often affects the right side of the body and occurs more frequently in males than in females. The etiology is unknown; however, interruption of the embryonic blood supply to the arteries that lie under the collarbone (subclavian arteries) is the prevailing theory. There are many methods of operative correction because of the polymorphic clinical features of this syndrome. We gathered data on the etiology, pathogenesis, and clinical presentation of Poland’s syndrome and reviewed the existing surgical treatment options.

scholarly journals Current indications of mandibular condyle plate osteosynthesis: two cases reports

2020 ◽  
Vol 27 (1) ◽  
pp. 13
Author(s):  
Louis Saussier ◽  
Maud Choplin ◽  
Guy Le Toux
Keyword(s):  
Bone Erosion ◽  
Plate Osteosynthesis ◽  
Mandibular Condyle ◽  
Reconstruction Technique ◽  
Heterotopic Bone ◽  
Immediate Reconstruction ◽  
Osteosynthesis Plate ◽  
Fibular Free Flap ◽  
And Function

Introduction: Certain benign or malignant pathologies may require a mandibulectomy with resection of the condyle. The gold standard for this type of reconstruction is the microanastomosed fibular free flap. An immediate reconstruction technique using an osteosynthesis plate with condyle can be proposed. The aim of this article is to evaluate the indications and describe the complications of osteosynthesis plates with condyle, through the presentation of two clinical cases. Observation: Two patients were treated by radical hemi-mandibulectomy, with cervical curage, placement of an osteosynthesis plate with condyle, and coverage with flap of pectoralis major. Then they received radiation therapy with or without chemotherapy. No cases of erosion of the glenoid fossa or tympanal bone were found. Comments: Condyle osteosynthesis plates are an interesting alternative when a fibular flap cannot be performed for local (arteriopathy), carcinologic (poor prognosis), or general and anesthesic reasons. A tissue preservation protocol, with conformation and coverage of the plate must be undertaken to limit the risk of complications (infections, exposure and fracture of the plate, temporal bone erosion, heterotopic bone formations). Conclusion: Condyle osteosynthesis plates restore aesthetic and function immediately, temporarily or even permanently. Clinical and radiological follow-up must be established following this type of reconstruction.

scholarly journals RESULTS OF SURGICAL TREATMENT OF FIRE WOUNDS OF COLON

2021 ◽  
pp. 52-56
Author(s):  
K. V. Gumeniuk ◽  
I. P. Marcinkovsky ◽  
G. L. Bogush ◽  
V. G. Verdesh
Keyword(s):  
Surgical Treatment ◽  
Medical Center ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Gunshot Wounds ◽  
Multi Stage ◽  
Post Traumatic ◽  
Adhesive Intestinal Obstruction ◽  
The Right ◽  
Colon Injuries

The aim of the study. Evaluate the results of surgical treatment of wounded with gunshot wounds of the colon. Materials and methods of research. A retrospective analysis of the results of surgical treatment of 32 wounded with gunshot wounds of the colon, who were treated in the Central Medical Center and area of responsibility (II–IV level of medical care) from 2014 to 2017. Damage to the right half of the colon was observed in 12 wounded (37.4 %), the left half — in 17 (53.2 %), the rectum — in 3 (9.4 %). A differentiated approach to surgical treatment of colon injuries of different localization is applied. Results and discussion. The method of multi-stage surgical treatment “Damage Control Surgery” was used in 12.5 % of patients. The most common complications of the injury were adhesive intestinal obstruction in 6.3 % of cases, the formation of intestinal abscesses — in 6.3 %, the development of post-traumatic pneumonia in 25 % of patients. Conclusions. If the tactics of “Damage Control Surgery” are followed, it is possible to improve the results of surgical treatment of colon injuries in severe and extremely severe patients.

Surgical treatment of post-traumatic false aneurysm of the right atrium

2016 ◽  
Vol 9 (3) ◽  
pp. 88
Author(s):  
V. A. Ivanov ◽  
E. P. Evseev ◽  
Ya. A. Aydamirov ◽  
S. V. Fedulova
Keyword(s):  
Surgical Treatment ◽  
Right Atrium ◽  
False Aneurysm ◽  
Post Traumatic ◽  
The Right

scholarly journals Vesicoureteral reflux: From prophylaxis to surgery

2017 ◽  
Vol 11 (1-2S) ◽  
pp. 13 ◽  
Author(s):  
Anne-Sophie Blais ◽  
Stéphane Bolduc ◽  
Katherine Moore
Keyword(s):  
Surgical Treatment ◽  
Vesicoureteral Reflux ◽  
Active Surveillance ◽  
Treatment Options ◽  
Treatment Algorithm ◽  
Surgical Techniques ◽  
Treatment Decision ◽  
Pediatric Urology ◽  
The Right

Vesicoureteral reflux (VUR) is one of the most common pathologies encountered in pediatric urology. Better understanding of the evolution of VUR and new endoscopic surgical techniques in the last decades have led to major changes in the management of this pathology. However, the treatment algorithm remains complex and is composed of a wide variety of options, from active surveillance to surgical treatment. Herein, we propose to review treatment options for VUR in order to help clinicians make the right treatment decision for the right patient.

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