Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Feb 2009
Case ReportsForeign body reaction after usage of tissue adhesives for skin closure: a case report and review of the literature.
The usage of tissue adhesives such as 2-octyl cyanoacrylate is a standard tool for closure of superficial wounds of the body. The benefits using 2-octyl cyanoacrylate are well known and appreciated by surgeons world wide. Especially in superficial or small wounds in children where no surgical procedure is wanted this technique is commonly used. However, so far the risks and possible complications after using 2-octyl cyanoacrylate are not sufficiently published and discussed. ⋯ The use of 2-octyl cyanoacrylate for the closure of superficial and small wounds or lacerations is a simple, quick and comfortable method. However, there is clinical evidence that in some cases the use of this type of tissue adhesive may lead to foreign body reaction. We suggest that each patient who is treated by this type of wound closure technique should be mandatory informed on the potential risk of a foreign body reaction.
-
Arch Orthop Trauma Surg · Feb 2009
Case ReportsRemoval of broken distal intramedullary nail with a simple method: a case report.
Breakage of the intramedullary nail has long been recognized as an uncommon complication of intamedullary nailing of long bones. Retrieval of the distal fragment of a broken nail is a challenging problem. The surgeon needs to be familiar with as many methods of distal fragment extraction as possible. Herein we report a case of broken intramedullay nail, which was removed with a small reamer, wedged into the distal segment of the nail.
-
Arch Orthop Trauma Surg · Feb 2009
The efficacy of erythropoietin on acute spinal cord injury. An experimental study on a rat model.
The accumulated knowledge of erythropoietin (EPO) interaction in neural injury has led to potentially novel therapeutic strategies. Previous experimental studies of recombinant human EPO (rhEPO) administration have shown favorable results after central and peripheral neural injury. In the present study we used the aneurysmal clip model to evaluate the efficacy of two different regimes of rhEPO administration on the functional outcome after severe acute spinal cord injury (ASCI). ⋯ Our study supports current knowledge, that EPO administration has a positive effect on functional recovery after experimental ASCI. These data reflect the positive impact of EPO on the pathophysiologic cascade of secondary neural damage. However, we observed a dose-related effect on functional recovery. Interestingly, large doses do not seem to favor the neurological recovery as lower doses do.