scholarly journals CLINICAL OUTCOMES OF ANTERIOR BRIDGE PLATING FOR HUMERUS SHAFT FRACTURES BY MINIMAL INVASIVE TECHNIQUE

Author(s):  
Dr. Arun Kumar

Near normal acceptable reduction and rigid stable fixation has its biological advantage as compare to absolute anatomical reduction with compromising soft tissue and vascularity. Biological fixation of fractures with soft tissue preservation and near acceptable reduction is becoming a more acceptable entity. However it is to be evaluated. For a satisfactorily outcome only union is not the only requirement but early and acceptable functional usage of the limb is the goal. Therefore concept of biological fixation was developed over a stable mechanical fixation. This has evolved the development and improvement in the techniques of biological fracture fixation and stabilization systems. From conservative cast and braces to internal fixation with intramedullary interlocking nailing, ORIF with plate and screw. Treatment of humeral fracture has evolved a lot with their complications. Studies are still going on to prove superiority of one over another. Minimally invasive technique for humerus shaft fracture has shown promising results recently. The present study was planned in Department of Orthopaedic, Sri Krishna Medical College and Hospital (SKMCH), Muzaffarpur, Bihar from jan 2017 to Oct 2017. Total 10 cases with fractures of humerus shaft were treated with Minimum invasive Anterior Bridge plating techniques were evaluated in the present study. The data generated from the present study concludes that though the technique is very promising, it has a steep learning curve involved. The greatest advantage is minimally invasive, minimal soft tissue stripping, smaller incisions, minimal blood loss, shorter operative time and early rehabilitation. In conclusion anterior bridge plating (ABP) is very good technique in treating midshaft humeral fractures with minimal soft tissue dissection, smaller scars, and early return to overhead activities. Keywords: Anterior bridge plate, humerus fracture, minimal invasive technique, minimal invasive procedure, etc.

2019 ◽  
Vol 5 (3) ◽  
pp. 122-125
Author(s):  
Dr. Yash Mohan Lal ◽  
Dr. Aditya Kumar Mishra ◽  
Dr. Akhilesh Singh Kushwaha ◽  
Dr. Navneet Badoni

Hand Surgery ◽  
2006 ◽  
Vol 11 (03) ◽  
pp. 153-157 ◽  
Author(s):  
Yury Slesarenko

A minimal invasive technique for finger flexor pulley is described. The technique is compared biomechanically to a "single loop" tendon graft technique using a cadaveric model.


2021 ◽  
Vol 260 ◽  
pp. 278-283
Author(s):  
Emrah Aydın ◽  
Nilhan Torlak ◽  
Alkim Yildirim ◽  
Elif Gökçen Bozkurt

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Federico De Iure ◽  
Michele Cappuccio ◽  
Stefania Paderni ◽  
Giuseppe Bosco ◽  
Luca Amendola

We studied 122 patients with 163 fractures of the thoracic and lumbar spine undergoing the surgical treatment by percutaneous transpedicular fixation and stabilization with minimally invasive technique. Patient followup ranged from 6 to 72 months (mean 38 months), and the patients were assessed by clinical and radiographic evaluation. The results show that percutaneous transpedicular fixation and stabilization with minimally invasive technique is an adequate and satisfactory procedure to be used in specific type of the thoracolumbar and lumbar spine fractures.


2020 ◽  
Vol 65 (No. 2) ◽  
pp. 49-55
Author(s):  
S Manfredi ◽  
G Covi ◽  
M Bonazzi ◽  
G Gnudi ◽  
M Fumeo ◽  
...  

Foreign bodies (FBs) retained in the subcutaneous tissues are a common reason for medical consultation. In small animals, FBs usually consist of vegetal materials, especially grass awns. Failure to remove the FBs is likely to give rise to acute or late complications. The surgical removal of the FBs can be invasive, costly and technically challenging. Ultrasound has become a mainstay in the detection of FBs and it can be used to guide the extraction of the FBs with a minimally invasive technique. This study describes the detection and extraction of soft-tissue FBs in small animals. One hundred-sixty-two patients, presenting at two veterinary clinics with suspected FBs retained in the soft tissues of various body districts, were considered. Once an ultrasound diagnosis was established, the ultrasound-guided removal of the FB was performed. A high-frequency linear transducer, a skin disinfection, sedation or anaesthesia was used when needed and a scalpel and some Hartmann forceps were also used. One hundred-eighty-two FBs were successfully removed in all the patients. In six cases, the FB was identified during a second ultrasonographic examination, after recurrence of the fistula. No complications were reported after the procedure. The extraction of the FB was performed in an echographic suite in 138 cases and in a surgery room with surgical intervention in 24 cases. In the latter situation, the surgical minimally invasive dissection of tissues under ultrasound guidance was performed before the removal of the FB. In conclusion, the ultrasound-guided removal of the FBs retained in the superficial soft tissue can be considered a good alternative to surgery. However, failure to remove a FB does not preclude the removal by traditional surgery.


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