Bilocal osteosynthesis of the tibia with ring fixators in the treatment of nonunions

Background. Bilocal extra-focal osteosynthesis with ring fixators (RF) of tibial nonunion is a method used by some authors. But there are no systematized guidelines for its implementation. This work is devoted to solving this issue. The purpose was to improve the results of the treatment of nonunions of the shin using RF constructions for bilocal osteosynthesis in complex treatment. Materials and methods. Generalized data of treatment of 17 patients with septic nonunions of the shin bones, in the treatment of which the technology of bilocal osteosynthesis with RF was used. According to the Non-Union Scoring System, all cases required complex specialized medical care with a possible positive result (scores from 51 to 75). Bilocal osteosynthesis was part of a complex surgical procedure. The important parts were as follows. The so-called blood-saving tactic was used. We used a squeezing and hemostatic tourniquet, tranexamic acid, and a topically hemostatic sponge. The rings were mounted on solid rods. Semi-closed osteotomy of the anterior and lateral walls was performed from a small incision in a fan-shaped chisel; the posterior wall of the bone was intersected by the levator with a comminuted fracture. Before comparing the reduced fragment with the fragment, they were processed. Conservative therapy was aimed at preventing infection, improving vascular activity, and normalizing metabolic processes. Conclusions. The obtained result of bilocal osteosynthesis of nonunions of the tibia should be considered encouraging and requires further application and study.

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Evaluation of the Effectiveness of Laser Therapy in Complex Treatment of periodontal Diseases

Acta Balneologica ◽

10.36740/abal202103110 ◽

2021 ◽

Vol 64 (3) ◽

pp. 183-188

Author(s):

Yulia G. Kolenko ◽

Tetiana O. Timokhina ◽

Olesya V. Lynovytska ◽

Nina S. Khrol ◽

Olha O. Tsyzh

Keyword(s):

Conservative Therapy ◽

Periodontal Diseases ◽

Local Treatment ◽

Pain Syndrome ◽

Clinical Analysis ◽

Complex Treatment ◽

X Ray ◽

Highly Active ◽

Chronic Course ◽

Lesion Treatment

Aim: The object of the study is to increase the efficiency of treatment in patients with generalized periodontitis by using a laser in complex treatment. Materials and Methods: Eighty patients underwent for instrumental and X-ray examination of the oral cavity, bacteriological studies of the microbiota of periodontal pockets, clinical analysis of peripheral blood that was taken from the ulnar vein and capillary blood that taken from the gums, as a local treatment carried lesion treatment portion of diode laser. Results: It was determined that opportunistic microflora, dominating before treatment in the contents of periodontal pockets, was not isolated in all patients, but on the 10th day of treatment, the microflora of periodontal pockets had stabilized. Both in the main group and in the comparison group, among neutrophils and monocytes, the populations of phagocytes with a low digesting ability prevailed, however, the proportions of medium- and highly active phagocytes after laser treatment were higher than after treatment with standard conservative therapy. Conclusions: The use of a laser for the therapeutic stage of the complex treatment of patients with generalized periodontitis of the I-II degree, chronic course contributes to the acceleration of reparative processes, a decrease in the degree of destruction in bone tissue, a decrease in the intensity of pain syndrome, a decrease in collateral edema, has an antibacterial effect and a longer stabilization of the periodontal condition.

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Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis

Case Reports in Otolaryngology ◽

10.1155/2012/123825 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Masafumi Ohki

Keyword(s):

Conservative Therapy ◽

Diffuse Idiopathic Skeletal Hyperostosis ◽

Posterior Wall ◽

Laryngeal Edema ◽

Body Sensation ◽

History Of ◽

Vertebral Bodies ◽

Inflammatory Drugs ◽

Bony Mass ◽

Surgical Treatments

Diffuse idiopathic skeletal hyperostosis (DISH) is usually asymptomatic. However, rarely, it causes dysphagia, hoarseness, dyspnea, snoring, stridor, and laryngeal edema. Herein, we present a patient with DISH causing dysphagia. A 70-year-old man presented with a 4-month history of sore throat, dysphagia, and foreign body sensation. Flexible laryngoscopy revealed a leftward-protruding posterior wall in the hypopharynx. Computed tomography and magnetic resonance imaging revealed a bony mass pushing, anteriorly, on the posterior hypopharyngeal wall. Ossification included an osseous bridge involving 5 contiguous vertebral bodies. Dysphagia due to DISH was diagnosed. His symptoms were relieved by conservative therapy using anti-inflammatory drugs. However, if conservative therapy fails and symptoms are severe, surgical treatments must be considered.

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TIBIAL BONE NONUNION PLASTIC WITH THE USE OF MONOLOCAL OSTEOSYNTHESIS BY RING FIXATORS

The problems of traumatology and osteosynthesis ◽

10.51309/2411-6858-2021-20-1-34-46 ◽

2021 ◽

pp. 34-46

Author(s):

A.K. Rushai ◽

Y.S. Lisaychuk ◽

O.O. Martinchuk ◽

M.V. Baida

Keyword(s):

Evaluation System ◽

Soft Tissues ◽

Non Union ◽

Results Of Treatment ◽

Condi Tions ◽

Bone Nonunion ◽

Tibial Nonunion ◽

Technical Features ◽

Aseptic Nonunion ◽

Local Stimulation

Abstract. Actuality. Monolocal extrafocal osteosynthesis by ring fixators (RF) of tibial nonunion is not a generally accepted method, there are no systematic guidelines for its implementation. These issues need to be further studied. Task. Formulate situational predominant properties of RF; features of application in different condi-tions. To offer a method of nonunion plastics and features of monolocal osteosynthesis of RF and to study its efficiency. Materials and methods. The data of treatment of 16 patients with aseptic nonunion of tibia, who required complex comprehensive specialized medical care with a possible positive result (scores from 51 to 75 according to the evaluation system Non-Union Scoring System - NUSS). Implementation of monolocal extrafocal osteosynthesis of RF nonunion of shin bones after fractures was performed by us taking into account the features that distinguished it from that by fractures. The principal requirement of surgical intervention was the need to treat the center of nonunion, local stimulation of repara-tive processes. The technical features of all components of the intervention in the future were of great im-portance. The so-called blood-saving tactics were used, which were carried out using squeezing and hemostatic tourniquets, tranexamic acid. The results obtained. The results of treatment of victims with nonunion of the tibia with the use of RF in monolocal mode were as follows. Taking in consideration the severity of the lesion, we consider this result to be good. Given the insufficient number of observations, it is necessary to continue the use of the proposed method of treatment and to investigate its effectiveness. Conclusions. 1. The use of monolocal RF in patients with nonunion of tibia after fractures has the advantage of use in cases with episodes of septic inflammation in the past, extensive scarring of soft tissues, short distal fragment and osteoporosis. 2. The peculiarities of monolocal osteosynthesis of RF were the use of thick Ilizarov needles Ø 2.0 mm with their conduction at an angle of two planes. The obtained results of treatment of victims with nonunion of the tibia with the use of RF in the monolocal mode should be considered encouraging.

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VARIOUS MANIFESTATIONS OF HYPERPLASIA OF PERIODONTAL TISSUES IN CHILDREN

The actual problems in dentistry ◽

10.18481/2077-7566-2013-0-3-56-62 ◽

2013 ◽

Vol 9 (3) ◽

pp. 56-62

Author(s):

Т. Закиров ◽

T. Zakirov ◽

Е. Бимбас ◽

E. Bimbas ◽

Т. Стати ◽

...

Keyword(s):

Extracellular Matrix ◽

Oral Hygiene ◽

Conservative Therapy ◽

Genetic Disorder ◽

Gingival Hyperplasia ◽

Complex Treatment ◽

Connective Tissues ◽

Drug Induced ◽

Gingival Overgrowth ◽

Periodontal Tissues

There are many reasons for gingival hyperplasia in children. Mostly, proper oral hygiene is sufficient to achieve normal healthy gingiva. In some situations, however, gingival hyperplasia is drug induced or can be a manifestation of a genetic disorder. In the latter, it may exist as an isolated abnormality or as part of a syndrome. Gingival overgrowth is characterized by the accumulation of extracellular matrix in gingival connective tissues, particularly collagenous components with various degrees of inflammation. The complex treatment of gingival overgrowth can include conservative therapy and traditional or laser gingivectomy

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Indomethacin Prophylaxis for Heterotopic Ossification after Acetabular Fracture Surgery Increases the Risk for Non-Union of the Posterior Wall

Journal of Orthopaedic Trauma ◽

10.1097/01.bot.0000445602.76482.2a ◽

2014 ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

H. Claude Sagi ◽

Charles J. Jordan ◽

David P. Barei ◽

Rafael Serrano-Riera ◽

Barbara Steverson

Keyword(s):

Heterotopic Ossification ◽

Acetabular Fracture ◽

Posterior Wall ◽

Non Union ◽

Fracture Surgery

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MANIFESTATIONS OF IHTIOSIS IN THE EYE IN CHILD (CLINICAL CASE)

Russian Pediatric Ophthalmology ◽

10.18821/1993-1859-2018-13-1-54-56 ◽

2018 ◽

Vol 13 (1) ◽

pp. 54-56

Author(s):

Lola Salimovna Khamraeva ◽

L. Yu Bobokha ◽

Ch. K Abdurakhmanova ◽

D. B. Kalankhodzhaeva ◽

Z. A Makhmudova

Keyword(s):

Positive Result ◽

Plastic Surgery ◽

Clinical Case ◽

Corneal Ulcer ◽

Main Diagnosis ◽

Complex Treatment ◽

Facial Skin ◽

Upper Eyelid

A clinical case of observation of patient B-go K., was presented, 9 years old with the main diagnosis: OU-spastic eversion of the eyelids. OS-purulent corneal ulcer. Shortening ofthe upper eyelid and upper arch of the conjunctival cavity; concomitant diagnosis: vulgar ichthyosis. From the side of theeye changes were associated with hyperkeratosis,which led to the contraction of the facial skin resulting in cicatrical eversion of eyelids, xerosis, leading to abscess and ulcer of the cornea. As a result of the complex treatment (antibacterial, trophic therapy, plastic surgery of the eyelids) it was possible to achieve a positive result.

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Safe and simple method for secondary tracheoesophageal puncture using curved forceps

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002715 ◽

2008 ◽

Vol 123 (10) ◽

Cited By ~ 3

Author(s):

N P Trivedi ◽

V Kekatpure ◽

M A Kuriakose ◽

S Iyer

Keyword(s):

Surgical Technique ◽

Complication Rate ◽

Guide Wire ◽

Posterior Wall ◽

Neck Extension ◽

Simple Method ◽

Small Incision ◽

Operative Complications ◽

Tracheoesophageal Puncture ◽

Made In

AbstractIntroduction:Secondary tracheoesophageal puncture is sometimes difficult and has a higher complication rate. In the irradiated neck, where neck extension is difficult, the traditional tracheoesophageal puncture method of insertion with a rigid endoscope is not possible. We describe a simple, safe and effective alternative method of tracheoesophageal puncture using curved forceps (Kocher's curved intestinal clamp forceps or Mixter forceps).Surgical technique:The procedure is performed under local or general anaesthesia with equal ease. Maximum neck extension is achieved. The curved intestinal forceps are passed through the mouth into the oesophageal lumen. The instrument tip can easily be seen or felt at the posterior wall of the tracheostoma. A small incision is made in the mucosa to allow the forceps tip to emerge, and a guide wire is passed through this incision out of the mouth. The prosthesis can be guided over the guide wire, in retrograde fashion, to fit the puncture hole.Results:Secondary tracheoesophageal puncture was performed in five cases with severe neck fibrosis. In all cases, valve insertion was easily achieved after secondary tracheoesophageal puncture, without any peri-operative complications.Conclusion:This is a safe, simple and effective method for secondary tracheoesophageal puncture. It can be performed easily in any setting and is not associated with any complications.

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Microvasculature and structure of hemal lymph nodes in the wall of the rabbit bladder: a vascular corrosion casting and EM study

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100141743 ◽

1995 ◽

Vol 53 ◽

pp. 1074-1075

Author(s):

F.E. Hossler ◽

M.I. McKamey ◽

F.C. Monson

Keyword(s):

Lymph Nodes ◽

Light Microscopy ◽

Corrosion Casting ◽

Fixed Tissue ◽

Infusion Pressure ◽

India Ink ◽

Cacodylate Buffer ◽

Rabbit Bladder ◽

Lateral Walls ◽

Comprehensive Study

A comprehensive study of the microvasculature of the normal rabbit bladder, revealed unusual "capillary glomeruli" along the lateral walls. Here they are characterized as hemal lymph nodes using light microscopy, SEM, TEM, ink injection, and vascular casting.Bladders were perfused via a cannula placed in the abdominal aorta with either 2% glutaraldehyde in 0.1M cacodylate buffer (pH 7.4) for fixation, 10% India ink in 0.9% saline and 0.1M phosphate (pH 7.4) for vessel tracing, or resin (Mercoximethylmethacrylate: catalyst, 4:1:0.3; Ladd Research Industries) for vascular corrosion casting. Infusion pressure was 100mm Hg. Fixed tissue was sectioned from epon-araldyte resin, and stained with toluidine blue for light microscopy, and lead and uranium for TEM. Ink injected tissue was photographed directly from saline-filled bladders illuminated from below. Resin-filled tissue was macerated in 5% KOH and distilled water. Casts were critical point dried, sputter coated with goldpalladium, and examined by routine SEM at 10 KV.

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