Publications by authors named "Charles Zierenberg"

3 Publications

  • Page 1 of 1

Anterior tibialis artery pseudoaneurysm after minimally invasive plate osteosynthesis in the proximal tibia: a case report.

J Surg Case Rep 2020 Aug 26;2020(8):rjaa168. Epub 2020 Aug 26.

Orthopaedic Surgery Department, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.

Tibial plateau fractures are common fractures associated with high-energy trauma. The treatment of these fractures remains a challenge today. Recent management of fractures has moved from open surgery toward minimally invasive surgery to reduce complications and improve functional outcomes. Nevertheless, such a minimalistic approach makes visualization of neurovascular structures difficult, placing them at risk. We report the case of a 39-year-old male who developed a pseudoaneurysm of the anterior tibial artery following minimally invasive plate osteosynthesis of the right proximal tibia. Diagnosis was made through noninvasive duplex ultrasound and was referred to endovascular service. Understanding of the anatomy of the surgical site is vital to minimize complications. In addition, proper postsurgical patient evaluation is important to monitor the insurgence of such complications.
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http://dx.doi.org/10.1093/jscr/rjaa168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7449390PMC
August 2020

Hemostatic matrix application after open synovectomy in a hemophilic patient.

Am J Orthop (Belle Mead NJ) 2012 Apr;41(4):179-81

Department of Orthopaedic Surgery, University of Puerto Rico, School of Medicine, San Juan, Puerto Rico.

Recurrent, spontaneous bleeding is common in patients with hemophilia. The joints are commonly and repeatedly affected, and this can result in chronic synovitis and joint damage. Synoviorthesis or synovectomy are indicated after failure of appropriate medical management. Hemostasis in the perioperative period is paramount in these patients. We report a case study of a patient with hemophilia A inhibitors undergoing open synovectomy complicated by postoperative bleeding. In addition to an infusion of bypassing agents due to the presence of inhibitors, a topical hemostatic agent, FLOSEAL, and absorbable Gelfoam were applied. Hemostasis was achieved rapidly. The patient recovered without complications.
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April 2012

Musculoskeletal trauma in four-wheeled all-terrain vehicles.

Orthopedics 2002 Oct;25(10):1079-82

Department of Orthopedic Surgery, University of Puerto Rico, School of Medicine, San Juan 00935-5067, USA.

A longitudinal study of four-wheeled all-terrain vehicle-related musculoskeletal injuries requiring orthopedic surgery was performed. Avoidable risk factors such as alcohol intake, lack of helmets, inexperience, and excess speed were identified. This study also shows that the quantity, severity, cost, and frequency of preventable accidents while riding continue to be the same as prior to a Consent Decrees issued by the Consumer Products Safety Commission > 10 years ago.
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October 2002
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