Surgical angiogenesis for scaphoid non-union: a literature review

Abstract Introduction The current treatment concepts of fracture-related infection (FRI) [Consensus Conference (Anti-Infection Task Force (AITF)) on the definition of acute or chronic osteomyelitis (cOM)] are associated with unsolved challenges and problems, underlining the need for ongoing medical research. Method Literature review of treatments for FRI and description of own cases. Results We could include eight papers with 394 patients reporting treatments and outcome in FRI. The infection was resolved in 92.9% (mean) of all treatments. The mean follow-up was 25 months with a persistent non-union in 7% of the patients. We diagnosed 35 (19f/16m; 56.4 ± 18.6 years) patients with bone infections anatomically allocated to the proximal and distal femur (12×), the pelvis (2×), distal tibia (3×), tibial diaphysis (11×), the ankle joint (4×) and calcaneus (3×). These 35 patients were treated (1) with surgical debridement; (2) with antibiotic-eluting ceramic bone substitutes; (3) bone stabilization (including nail fixation, arthrodesis nails, plates, or external ring fixation), (4) optionally negative pressure wound therapy (NPWT) and (5) optionally soft tissue closure with local or free flaps. The mean follow-up time was 14.9 ± 10.6 months (min/max: 2/40 month). The overall recurrence rate is low (8.5%, 3/35). Prolonged wound secretion was observed in six cases (17.1%, 6/35). The overall number of surgeries was a median of 2.5. Conclusion The results in the literature and in our case series are explicitly promising regarding the treatment of posttraumatic fracture-related infection.

Download Full-text

Asymptomatic fibrous non-union of displaced sternoclavicular epiphyseal fractures: Case report and literature review

Injury Extra ◽

10.1016/j.injury.2004.12.055 ◽

2005 ◽

Vol 36 (7) ◽

pp. 297-299 ◽

Cited By ~ 3

Author(s):

C. Oyekanmi ◽

G. Higgins ◽

I.A. Nwachukwu

Keyword(s):

Case Report ◽

Literature Review ◽

Non Union ◽

Epiphyseal Fractures

Download Full-text

Claviculectomía total como procedimiento de rescate. Reporte de un caso y revisión bibliográfica. [Total claviculectomy as a rescue procedure. Case report and literature review.]

Revista de la Asociación Argentina de Ortopedia y Traumatología ◽

10.15417/issn.1852-7434.2018.83.2.734 ◽

2018 ◽

Vol 83 (2) ◽

pp. 124

Author(s):

Santiago Argüelles ◽

Martin Rodriguez ◽

Enrique Pereira

Keyword(s):

Case Report ◽

Literature Review ◽

Thoracic Outlet Syndrome ◽

Symptom Relief ◽

Functional Results ◽

Therapeutic Options ◽

Brachial Plexopathy ◽

Literature Analysis ◽

Non Union ◽

Rescue Procedure

La pseudoartrosis de clavícula es una causa infrecuente de síndrome de opérculo torácico. En el presente artículo describimos un caso de plexopatía braquial por pseudoartrosis previamente infectada de clavícula en el cual se realizó claviculectomía total para el alivio de los síntomas. Realizamos una revisión bibliográfica del tema. Escasos artículos han sido publicados. Del análisis de la literatura citada concluimos que la claviculectomía total es una opción a ser tenida en cuenta cuando se han agotado las opciones terapéuticas. Los resultados funcionales pueden ser satisfactorios cuando la indicación es por infección, plexopatía o por sarcoma. Abstract Clavicle non-union is an uncommon cause of thoracic outlet syndrome. A case of brachial plexopathy by previously infected clavicle pseudarthrosis is described. Total claviculectomy was performed for symptom relief. From literature analysis we conclude that total claviculectomy is an option to be taken into account when therapeutic options have exhausted. Functional results could be adequate when total claviculectomy is indicated in cases of infection, plexopathy or sarcoma.

Download Full-text

Effect of Computerized Auditory Training on Speech Perception of Adults With Hearing Impairment

Perspectives on Aural Rehabilitation and Its Instrumentation ◽

10.1044/arri20.3.91 ◽

2013 ◽

Vol 20 (3) ◽

pp. 91-106 ◽

Cited By ~ 6

Author(s):

Rachel Pizarek ◽

Valeriy Shafiro ◽

Patricia McCarthy

Keyword(s):

Hearing Loss ◽

Speech Perception ◽

Literature Review ◽

Low Cost ◽

Experimental Designs ◽

Auditory Training ◽

Hearing Impairments ◽

Communicative Disorders ◽

And Training

Computerized auditory training (CAT) is a convenient, low-cost approach to improving communication of individuals with hearing loss or other communicative disorders. A number of CAT programs are being marketed to patients and audiologists. The present literature review is an examination of evidence for the effectiveness of CAT in improving speech perception in adults with hearing impairments. Six current CAT programs, used in 9 published studies, were reviewed. In all 9 studies, some benefit of CAT for speech perception was demonstrated. Although these results are encouraging, the overall quality of available evidence remains low, and many programs currently on the market have not yet been evaluated. Thus, caution is needed when selecting CAT programs for specific patients. It is hoped that future researchers will (a) examine a greater number of CAT programs using more rigorous experimental designs, (b) determine which program features and training regimens are most effective, and (c) indicate which patients may benefit from CAT the most.

Download Full-text

Taking Care of Children After Traumatic Brain Injury

Perspectives on School-Based Issues ◽

10.1044/sbi13.3.79 ◽

2012 ◽

Vol 13 (3) ◽

pp. 79-86 ◽

Cited By ~ 1

Author(s):

Julie Haarbauer-Krupa

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Literature Review ◽

School Setting ◽

Leadership Role ◽

Speech Language Pathologists ◽

Educational Information ◽

Taking Care

AbstractPurpose: The purpose of this article is to inform speech-language pathologists in the schools about issues related to the care of children with traumatic brain injury.Method: Literature review of characteristics, outcomes and issues related to the needs serving children.Results: Due to acquired changes in cognition, children with traumatic brain injury have unique needs in a school setting.Conclusions: Speech-Language Pathologists in the school can take a leadership role with taking care of children after a traumatic brain injury and coordination of medical and educational information.

Download Full-text