Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jun 2011
Percutaneous endoscopic lumbar discectomy and interbody fusion with B-Twin expandable spinal spacer.
Posterior lumbar interbody fusion (PLIF) is biomechanically sound as it ablates the degenerated disc, restores the intervertebral height, relieves foraminal stenosis, and positions the bone graft along the weight-bearing axis. But this conventional procedure also results in significant traction on the dural sac and the cauda equina and is thereby a potential source of neurologic damage. Therefore, we performed a minimally invasive technique: percutaneous endoscopic discectomy and interbody fusion (PEDIF) with B-Twin expandable spinal spacer (B-twin ESS) to treat symptomatic lumbar degenerative disc disease and explored the clinical outcome. ⋯ The PEDIF technique provided an option for percutaneous interbody fusion similar to that in open surgery while minimizing destruction to adjacent tissues. This technique was safe and exhibited a trend toward decreased intraoperative blood loss, length of stay and the risk of neurological complications.
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Arch Orthop Trauma Surg · Jun 2011
The interspinous ligament should be removed for the decompression surgery with the case of lumbar spinal canal stenosis.
Retrospective clinical study has done concerning the outcomes of lumbar spinal stenosis (LSS) patients treated with trans-interspinous ligament approach method. The object is to determine the efficacy of this procedure and to confirm that the interspinous ligament could be removed for the decompression surgery. ⋯ The trans-interspinous ligament procedure is a simple decompression method completed quickly and accomplishes absolute decompression for LSS. The interspinous ligament should be removed for decompression with a case of lumbar spinal canal stenosis.
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Arch Orthop Trauma Surg · Jun 2011
Relation between alignments of upper and subaxial cervical spine: a radiological study.
To reveal the relation between alignments of upper and subaxial cervical spine and deduce the optimal atlantoaxial fusion angle by a radiological study. ⋯ There were negative correlations between C1-C2 angle and C2-C7 angle as well as between Oc-C2 angle and C2-C7 angle, and the former correlation was stronger. C1-C2 fixation angle was the key to regulate postoperative subaxial alignment in atlantoaxial arthrodesis. The optimal atlantoaxial fusion angle may be between 25° and 30°.
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Arch Orthop Trauma Surg · Jun 2011
Case ReportsSevere frostbite injury in a 19-year-old patient requiring amputation of both distal forearms and lower legs due to delayed rescue: a need for advanced accident collision notification systems?
Frostbite injury is a rare but severe injury especially when rescue triage is prolonged. We here report the case of a 19-year-old male patient with severe frostbite injuries requiring amputation of both distal forearms and both lower legs due to delayed admission to medical care. This case demonstrates that even mild ambient temperatures can cause deleterious injuries if the exposure time is long enough paralleling our knowledge of burn trauma. Immediate admission to medical care is, therefore, paramount and GPS-based automated accident collision notification systems would therefore be of great benefit especially in rural areas.
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On March 23, 2010, we successfully treated a boy with synpolydactyly who had a total of 31 fingers and toes. Although there was bone syndactyly both the hands of the boy, one-step correction of four extremities was successful, this operation lasted 5 h and 20 min and intraoperative bleeding was about 50 ml. Skin grafting was successful after operation and all incisions healed well. The appearance and function of hands and feet were satisfactory.