scholarly journals Surgical treatment of synovial osteochondromatosis of the hip using a modified-Hardinge approach with a Z-shaped capsular incision

2015 ◽  
Vol 7 (4) ◽  
Author(s):  
Yu Takeda ◽  
Shigeo Fukunishi ◽  
Shoji Nishio ◽  
Yuki Fujihara ◽  
Tomokazu Fukui ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Great Trochanter ◽  
Rare Condition ◽  
Complete Removal ◽  
Modified Technique ◽  
Non Union ◽  
Synovial Osteochondromatosis ◽  
Surgical Dislocation ◽  
Capsular Incision

Synovial osteochondromatosis of the hip is a rare condition, and the surgical treatment approach for this condition requires complete removal of loose bodies combined with synovectomy. While these, procedures are generally accepted as the optimal treatment method, this is still controversial topic. Recent studies have reported that open surgical procedures remain acceptable for synovial osteochondromatosis of the hip. These procedures include the dislocation of the femoral head, and complications such as femoral head necrosis and bursitis or great trochanter non-union due to trochanteric osteotomy have been reported. The present study reports a modified technique for surgical dislocation through a Z-shaped capsular incision without trochanteric flip osteotomy for the treatment of synovial osteochondromatosis of the hip.

Repair of Femoral Capital Physeal Injuries in Cats -14 Cases

1996 ◽  
Vol 09 (04) ◽  
pp. 182-185 ◽  
Author(s):  
A. P. Black ◽  
K. F. Lorkin ◽  
W. A. Bradley ◽  
J. A. Culvenor
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Head And Neck ◽  
Open Reduction ◽  
Functional Result ◽  
Clinical Results ◽  
Non Union ◽  
Physeal Fractures

SummaryFemoral capital physeal fractures (CPF) are common injuries in the immature cat. Fractures of the femoral head and neck have been classified by Daly (1) as capital, physeal, subcapital and transcervical. Physeal fractures may also be classified according to Salter (2) and those covered in this paper are Salter I and II.Perez-Aparicio and Fjeld (2) found that many cats become functional without surgical treatment although most developed malunion or non-union. Some of the untreated cats had persistent lameness.While femoral head and neck ostectomy (3), is often recommended and will usually lead to a functional result, particularly in the cat, open reduction and internal fixation is preferred (5, 6) as is recommended in the dog (8, 21).Fourteen femoral capital physeal fractures in 13 cats were repaired with fine pins. The surgical technique and clinical results are described. The authors feel that the ease of the technique and the clinical results make this the treatment of choice for injuries of this type in cats.

Drilling and plombage (core decompression) of a femoral head avascular necrosis

2010 ◽  
Vol 19 (01) ◽  
pp. 36-39 ◽  
Author(s):  
P. Chládek ◽  
V. Havlas ◽  
T. Trc
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Core Decompression ◽  
Effective Treatment Option ◽  
Simple Method ◽  
X Ray ◽  
Large Femoral Head ◽  
Press Fit ◽  
Round Shape ◽  
Late Stages

SummaryThe treatment of femoral head necrosis of adults is still rather problematic. Conservative treatment has been reported relatively unsuccessful and surgical treatment does not show convincing results either. The most effective seems to be a surgical treatment in early stages of the disease, however, the diagnosis still remains relatively complicated. For the late stages (2B and above) the most effective treatment option is represented by core decompression and vascular grafting. However, drilling and plombage (especially when using press-fit technique) seems to be successful, although not excellent. The authors describe their own method of drilling and plombage of the necrotic zone of the femoral head in 41 patients with X-ray detected necrotic changes of the femoral head. The pain measured by VAS was seen to decrease after surgery in all patients significantly. The Jacobs score was also observed to have increased (from fair to good outcome). We have not observed any large femoral head collapse after surgery, moreover, in some cases an improvement of the round shape of the femoral head was seen. It is important to mention that in all cases femoral heads with existing necrotic changes (flattening or collapse) were treated. Although the clinical improvement after surgery was not significantly high, the method we describe is a safe and simple method of diminishing pain in attempt to prepare the femoral head for further treatment in a future, without significant restriction of the indication due to necrosis (osteochondroplasty, resurfacing, THR).

MODIFIED LAMINOPLASTY AFTER EXCISION OF CERVICAL SCHWANNOMA WITH LARGE EXTRAVERTEBRAL EXTENSION

2018 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Muhammad Faris ◽  
Abdul Hafid Bajamal ◽  
Zaky Bajamal ◽  
Krisna Tsaniadi Prihastomo
Keyword(s):  
Surgical Treatment ◽  
Spinal Canal ◽  
Conventional Technique ◽  
Modified Technique ◽  
Younger Patients ◽  
Knowing That ◽  
Anteroposterior Diameter ◽  
Intradural Extramedullary ◽  
Intradural Extramedullary Tumour

Tumour excision and laminoplasty are commonly performed as surgical treatment of extra vertebral extension of cervical schwannoma. It is worth knowing that the conventional technique of multilevel laminectomy may hinder younger patients in the long-term. This article reports a 30-year old man with an intradural-extramedullary tumour which extended from C4 to T1 that underwent modified laminoplasty.  This modified technique is preferable in maintaining the anteroposterior diameter of spinal canal as well as reducing the displacement of guttered laminae

Improvements in Muller’s Muscle Resection Through the Use of Tenotomy Scissors and Dissolvable Suture

2019 ◽  
Vol 37 (2) ◽  
pp. 61-64
Author(s):  
Michael K. Paap ◽  
Rona Z. Silkiss
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Chart Review ◽  
Adult Patients ◽  
Patient Comfort ◽  
Modified Technique ◽  
Corneal Abrasion ◽  
Müller’S Muscle

Muller’s muscle resection is a straightforward and effective surgical treatment for acquired blepharoptosis. The authors describe a novel modification of this procedure that reduces risk of corneal complications using dissolvable suture and tenotomy scissors in place of scalpel excision. In all, 122 consecutive adult patients with mild to moderate acquired eyelid ptosis treated with this modified technique were identified through chart review. In this cohort, all patients were satisfied with the result, none required reoperation, and none sustained postoperative complications. This technique modification maintains procedural efficacy and efficiency while improving patient comfort and decreasing the risk of inadvertently cutting a suture and inducing a corneal abrasion or incision dehiscence.

Result of Surgical Treatment for the Femoral Head Fracture

2014 ◽  
Vol 27 (3) ◽  
pp. 198
Author(s):  
Joon Soon Kang ◽  
Kyoung Ho Moon ◽  
Tong Joo Lee ◽  
Jong Hyuck Yang
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Femoral Head Fracture

scholarly journals Secondary venous aneurysm following intravenous drug abuse: A case report

2016 ◽  
Vol 73 (5) ◽  
pp. 500-503 ◽  
Author(s):  
Miroslav Markovic ◽  
Marko Dragas ◽  
Igor Koncar ◽  
Igor Banzic ◽  
Sinisa Pejkic ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Drug Application ◽  
Rare Condition ◽  
Intravenous Drug ◽  
Venous Aneurysm ◽  
General Surgeon ◽  
Venous Flow

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.

scholarly journals Prevention of pain syndrome and immediate postoperative complications in the surgical treatment of chronic hemorrhoids

2020 ◽  
pp. 68-71
Author(s):  
V. N. Ishchenko ◽  
A. E. Krasnobaev ◽  
A. A. Grigoryuk
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Surgical Intervention ◽  
Pain Syndrome ◽  
Modified Technique ◽  
Postoperative Urinary Retention ◽  
Clinical Comparison ◽  
Suggested Technique

Objective: To assess the efficacy of hemorrhoidectomy with Milligan-Morgan technique in the author’s modification.Methods: Results of surgical treatment of 558 patients aged 21–72 years with complicated hemorrhoids of III–IV stage were analyzed. The group of clinical comparison (207 patients) was operated according to standard scheme, the main group (351 patients) – according to author’s technology with modified technique for treating the hemorrhoid bolus using betamethasone.Results: When using the author’s technique, a more significant decrease in postoperative pain syndrome severity was achieved: injection analgesics were not required already in a day, and after 6 days the pain syndrome was stopped in all cases. Only three patients (0.9%) demonstrated an acute urinary retention up to two days. The group of clinical comparison maintained a longterm (up to three months) pain syndrome; postoperative urinary retention was registered in 38 cases (18.4%); 9 patients (4.3%) developed blood loss in the area of surgical intervention.Conclusions: Suggested technique of surgical treatment for hemorrhoids is quite effective, simple and can be implemented in any surgical inpatient facility. 

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