191,180 results match your criteria Femoral Neck Fracture
Orthopedics 2018 Dec 11:1-5. Epub 2018 Dec 11.
No study has compared the prevalence of fretting and corrosion at the trunnion of cobalt-chrome (Co-Cr) and zirconia ceramic heads in the same patients. The authors sought to compare the prevalence of fretting and corrosion at the trunnion after total hip arthroplasty with a 32-mm Co-Cr or a 32-mm zirconia ceramic head-on-polyethylene bearing. Isolated revision of the ace-tabular components was performed in 78 patients (156 hips) for polyethylene wear and osteolysis of the acetabulum. Read More
Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.
Femoral nerve palsy with concomitant patellar dislocation is a rare clinical entity that has not previously been well documented. The authors present the case of a 16-year-old female ballet dancer who sustained a patellar dislocation with concomitant femoral nerve palsy. She experienced muscle weakness after the initial injury and developed neuropathic symptoms through the anterior left thigh. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S33-S37
Orthopaedic Trauma Service, Hospital for Special Surgery, New York, NY.
In physiologically young patients with displaced femoral neck fractures, surgical treatment is aimed at achieving fracture union while preserving native hip anatomy and biomechanics. The intracapsular environment, tenuous vascular supply, and unfavorable hip biomechanics contribute to the high complication rates seen after osteosynthesis of these fractures. Conventional fixation methods for osteosynthesis of femoral neck fractures include multiple cancellous screws, fixed-angle dynamic implants, and fixed-angle length-stable constructs. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S27-S32
*Institute for Biomechanics, BG Unfallklinik Murnau, Murnau, Germany; and †Institute for Biomechanics, Paracelsus Medical University Salzburg, Salzburg, Austria.
Fractures of the femoral neck can occur in young healthy individuals due to high loads occurring during motor vehicle accidents, impacts, or falls. Failure forces are lower if impacts occur sideways onto the greater trochanter as compared with vertical loading of the hip. Bone density, bone geometry, and thickness of cortical bone at the femoral neck contribute to its mechanical strength. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S20-S26
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC.
Fixation of young femoral neck fractures represents a challenge in the field of orthopaedic trauma surgery. Conventional methods, including cannulated screw and sliding hip screw constructs, have been studied and found to have similar results with regards to patient outcomes, which has made choosing an optimum fixation strategy difficult. In all of these cases, quality of reduction has been shown to be the most important factor when it comes to creating a favorable environment for fracture healing. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S12-S19
Department of Orthopedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.
Young femoral neck fractures remain challenging fractures to treat. Reduction has repeatedly been shown to be the single most important determinant of patient outcome, and treating surgeons should do all they can to achieve anatomic reduction because this is an outcome variable within the surgeon's control. Whether an open or closed reduction is performed, we hope to provide the reader with reduction strategies when faced with this difficult fracture pattern. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S7-S11
Orthopaedic Trauma Institute, NavicentHealth, Macon, GA.
Femoral neck fractures in young patients are uncommon but are often associated with surgical challenges and complications. The quality of reduction, more than time to surgery, has the most impact on optimizing outcomes and function. There is no consensus in the best fixation construct for these fractures. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S1-S6
Department Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC.
Femoral neck fractures in the physiologically young patient are challenging injuries to manage. A tenuous blood supply and the intrasynovial nature of the fracture create a challenging biological environment. To make matters worse, the biomechanics are equally problematic. Read More
J Orthop Trauma 2019 Jan;33 Suppl 1:S1
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC.
J Pediatr Orthop 2019 Jan;39(1):e12-e17
Children's Healthcare of Atlanta.
Introduction: The insertion of 2 elastic stable intramedullary nails (ESINs) is a common treatment for pediatric femur fractures. However, the use of this technique in length-unstable or metadiaphyseal fractures has historically been associated with higher complication rates. To improve stability, the addition of a third ESIN has been assessed biomechanically and clinically, but the addition of a fourth nail has only been evaluated biomechanically. Read More
JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.
Elite Sports Medicine, Division of Orthopedic Surgery, Connecticut Children's Medical Center, University of Connecticut School of Medicine, Farmington, Connecticut.
Case: A 14-year-old adolescent with bilateral discoid menisci who had previously undergone discoid meniscal saucerization presented with pain and mechanical knee symptoms bilaterally. She had a torn left discoid lateral meniscus, a right lateral meniscal deficiency with an associated osteochondral defect, and valgus collapse of the right femur. She underwent successful repair of the left discoid meniscus as well as a femoral osteotomy, a meniscal transplant, and an osteochondral allograft transplantation in the right knee. Read More
Ann Plast Surg 2019 Jan;82(1S Suppl 1):S18-S22
Background: Oxygen free radicals play a central role in diabetic angiopathy. This study investigated whether suppression of oxygen radicals could decrease endothelial damage and increase peripheral tissue circulation in a diabetic rodent model.
Methods: Sprague-Dawley rats were treated using streptozotocin to induce diabetes. Read More
Ann Plast Surg 2019 Jan;82(1):82-84
Greater Baltimore Medical Center, Towson, Maryland.
Background: An estimated 700,000 groin hernia repairs are performed in the United States each year. Studies have shown that up to 50% of patients who undergo groin hernia repair are affected by persistent pain beyond the first few days after surgery. At 2 to 5 years after either open or laparoscopic, mesh or without mesh, 10% to 12% of these patients will have persistent and disabling pain. Read More
Rev Paul Pediatr 2018 Oct-Dec;36(4):457-465
Programa de Pós-graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.
Objective: To compare muscle thickness and subcutaneous fat in cystic fibrosis (CF) patients and healthy controls using ultrasonography (US), and to correlate US findings with nutritional, clinical and functional variables.
Methods: Patients aged 6 to 18 years old with a diagnosis of CF and healthy controls were included. Participants underwent anthropometric measurements, an ultrasonographic evaluation of muscle thickness and subcutaneous fat in the triceps, quadriceps, and gastrocnemius regions, and skinfold thickness measurements. Read More
Adv Ther 2018 Dec 11. Epub 2018 Dec 11.
Pirogov Russian National Research Medical University, Moscow, Russian Federation.
Introduction: The aim of this study was to assess the impact of adding long-term micronized purified flavonoid fraction (MPFF) to standard treatment of femoropopliteal deep vein thrombosis (DVT).
Methods: This pilot, comparative, open-label study with blinded outcome assessor enrolled patients with a first episode of femoropopliteal DVT confirmed by duplex ultrasound scanning (DUS). All participants were randomly allocated to one of two treatment groups: (1) control that received a standard treatment with oral rivaroxaban, and (2) experimental that involved additional treatment with MPFF 1000 mg/day. Read More
Knee Surg Sports Traumatol Arthrosc 2018 Dec 11. Epub 2018 Dec 11.
Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Purpose: The purpose of this study was to reveal the relation between age and the morphological characteristics of the anterior cruciate ligament (ACL) using magnetic resonance imaging (MRI).
Methods: Thirty-seven young subjects who were diagnosed with a meniscus injury without ACL tear using MRI (15 male and 22 female, median age 26, range 15-49), and 33 elderly subjects for whom knee MRI was performed before uni-compartmental knee arthroplasty (11 male and 22 female, median age 77, range 60-83), were included in this study. In the elderly group, healthy ACL gross morphology was confirmed macroscopically during surgery. Read More
Arch Orthop Trauma Surg 2018 Dec 11. Epub 2018 Dec 11.
Public Health and Clinical Epidemiology Service-Iberoamerican Cochrane Centre, IIB Sant Pau. CIBERESP, Barcelona, Spain.
Introduction: We assessed the efficacy of fibrin sealant (FS) and tranexamic acid (TXA) administered topically in patients with a hip fracture treated with prosthetic replacement.
Materials And Methods: Parallel, multicentre, open label, randomised, clinical trial. We compared three interventions to reduce blood loss: (1) 10 ml of FS, (2) 1 g of topical TXA, both administered at the end of the surgery, and (3) usual haemostasis (control group). Read More
Int Orthop 2018 Dec 11. Epub 2018 Dec 11.
Unità Operativa C.A.S.C.O, IRCCS Istituto Ortopedico Galeazzi, 20161, Milan, Italy.
Purpose: The aim of our study is to evaluate the long-term results in patients treated with a fully arthroscopic TruFit system for osteochondral lesions of the femoral condyle, analyzing the clinical and radiological outcomes, survival rate, complications, and correlations.
Methods: The study included all patients treated with the TruFit system with a full-thickness focal lesion of the knee cartilage (grade IV according to the ICRS classification), entirely arthroscopically with a minimum follow-up of five years. All patients were evaluated clinically prior to surgery (T) and at two consecutive follow-ups (T 36. Read More
Int Orthop 2018 Dec 11. Epub 2018 Dec 11.
Department of Orthopedic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa, 920-0293, Japan.
Purpose: Although studies suggest that subchondral insufficiency fracture of the femoral head may cause rapidly progressive osteoarthritis of the hip, the mechanism of that relationship remains unclear. Our biomechanical study aimed to provide more data in this area by quantifying pressure distribution on the femoral head for normal and inverted hips and by determining the effects of labral inversion on pressure distribution across the joint, focusing on types of fracture under load.
Methods: We tested mid-sized fourth-generation composite femurs at 15° of adduction, and applied 1 mm/min of axial compressive force to the femoral heads until failure. Read More
Int Orthop 2018 Dec 11. Epub 2018 Dec 11.
Department of Orthopaedics and Trauma Surgery, University Hospital Bonn, Sigmund-Freud-Straße 25, 53127, Bonn, Germany.
Purpose: The contact allergens nickel, cobalt, and chromium are often discussed as possible triggers of allergic reactions to orthopedic implants. Additionally, acrylates and polymerization additives in bone cement (e.g. Read More
Int Orthop 2018 Dec 11. Epub 2018 Dec 11.
Orthopaedic and Traumatologic Department, Santo Spirito General Hospital, Rome, Italy.
Introduction: In the last three decades, total hip replacement in young patient became a habitual procedure. Principles of bone preservation are pushing many surgeons to implant conservative femoral components in patient younger than 65 years. Despite an overall good survivorship and clinical outcomes of conservative implants, failed cases are reported and the need to revise a conservative femoral component became an occasional procedure (with high prevalence of failed resurfacing implants). Read More
Orthopade 2018 Dec 11. Epub 2018 Dec 11.
Department of Orthopedic Surgery, Traumatology and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.
Background: Hemiarthroplasty is an established treatment for femoral neck fractures (FNF) in old age; however, approximately 20-30% of patients die within 1 year after surgery. Periprosthetic joint infections (PJI) are one of the severest complications and associated with a high mortality rate. In this retrospective study of aged patients with FNF treated with hemiarthroplasty, the incidence of PJI was evaluated with respect to the influence of the delay to and timing of surgical treatment. Read More
Int J Nanomedicine 2018 22;13:7845-7858. Epub 2018 Nov 22.
Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing, China,
Background: Articular cartilage defects are difficult to treat, but drug-loaded tissue engineering scaffolds provide a possible treatment option for these types of injuries.
Purpose: In this study, we designed a bioactive resveratrol-PLA-gelatin porous nano-scaffold using electrospinning, freeze drying, and uniform dispersion techniques to repair articular cartilage defects, and then investigated the possible mechanism behind the successful repair.
Methods: We established an articular cartilage defect rat model with a 2 mm diameter wound in the middle of the knee joint femoral condyle non-weight-bearing area, with a depth reaching the full thickness of the subchondral bone. Read More
Int J Nanomedicine 2018 21;13:7503-7516. Epub 2018 Nov 21.
Department of Oral & Maxillofacial-Head & Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research, Institute of Stomatology and National Clinical Research Center of Stomatology, Shanghai, China,
Purpose: The purpose of this study was to assess the effects of biomimetic intrafibrillar mineralized collagen (IMC) bone scaffold materials on bone regeneration and the underlying biological mechanisms.
Materials And Methods: A critical-sized bone defect in the rat femur was created; then IMC, extrafibrillar mineralized collagen, and nano-hydroxyapatite bone scaffold materials were grafted into the defect. Ten weeks after implantation, micro-computed tomography and histology were applied to evaluate the bone regeneration. Read More
Indian J Surg Oncol 2018 Dec 18;9(4):585-591. Epub 2018 May 18.
4Department of Radiation Oncology, Lok Nayak Hospital, Delhi, India.
Desmoplastic fibroma is an uncommon locally aggressive benign tumor of the bone. Patients usually present with a long-standing history of pain and swelling. Radiologically and histologically, it can mimic a variety of tumors. Read More
Int J Artif Organs 2018 Dec 11:391398818815479. Epub 2018 Dec 11.
5 Department of Mechanical and Control Engineering, Tokyo Institute of Technology, Tokyo, Japan.
Introduction:: There are several commercially available hip implant systems. However, for some cases, custom implant designed based on patient-specific anatomy can offer the patient the best available implant solution. Currently, there is a growing trend toward personalization of medical implants involving additive manufacturing into orthopedic medical implants' manufacturing. Read More
Diab Vasc Dis Res 2018 Dec 11:1479164118815279. Epub 2018 Dec 11.
1 School of Kinesiology, Western University, London, ON, Canada.
Vascular insulin resistance often precedes endothelial dysfunction in type 1 diabetes mellitus. Strategies to limit vascular dysfunction include intensive insulin therapy (4-9 mM) and aerobic training. To avoid the risk of hypoglycaemia, individuals often prescribed conventional insulin therapy (9-15 mM) and participate in resistance training. Read More
J Cardiol Cases 2014 May 21;9(5):196-199. Epub 2014 Feb 21.
Centro Cardiologico Monzino, IRCCS, Department of Cardiovascular Sciences, Milan, Italy.
Purpose: To describe a case of early superficial femoral artery (SFA) thrombosis after stenting in an aspirin low-responsive patient successfully treated with percutaneous mechanical thrombectomy.
Clinical And Interventional Summary: Early SFA stent thrombosis occurred in a 65-year-old man treated with multiple stent implantation for chronic total occlusion of the left SFA. The potential cause for thrombosis was a suboptimal PTA [percutaneous transluminal angioplasty] result characterized by no-flow limiting residual linear dissection left untreated and which was associated with low responsiveness to aspirin. Read More
J Cardiol Cases 2015 Feb 4;11(2):39-41. Epub 2014 Nov 4.
Department of Vascular Surgeon, Kokura Memorial Hospital, Japan.
A 76-year-old man presented with right critical limb ischemia. An angiography revealed right SFA occlusion. Therefore, two paclitaxel-eluting stents (Zilver PTXs 6. Read More
J Cardiol Cases 2014 Nov 28;10(5):196-199. Epub 2014 Aug 28.
Division of Orthopedics, Nagoya City East Medical Center, Nagoya, Japan.
Although vascular injuries associated with primary and revision total hip arthroplasty are infrequent, these complications can have devastating effects that can lead to morbidity and even mortality. A few previous reports have described embolic distal limb ischemia secondary to a failed and migrated acetabular implant in discontinuity with the pelvis. We present a rare case in which a support ring from a failed and migrated acetabular cage construct led to injury of the common femoral artery. Read More
J Cardiol Cases 2013 May 4;7(5):e126-e128. Epub 2013 Feb 4.
Department of Cardiac Surgery, M. Topchubashov Surgical Center, Baku, Azerbaijan.
An anomalous right coronary artery (RCA) with a high anterior take-off from ascending aorta is an uncommon and technically challenging vessel to cannulate. There are only a few reports in the literature describing this anomaly. Some of them consider it as a "very rare" or even "extremely rare" anomaly. Read More
J Cardiol Cases 2013 May 12;7(5):e123-e125. Epub 2013 Feb 12.
Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.
Aortic thrombosis is rare, especially in non-atherosclerotic aortae. A 51-year-old woman presented with intermittent claudication in the right lower extremity. She was diagnosed as having peripheral artery disease on ultrasound. Read More
J Cardiol Cases 2013 Feb 6;7(2):e53-e56. Epub 2012 Dec 6.
Departments of Cardiology, Kyoto First Red Cross Hospital, Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan.
Background: Downsized devices for less invasive endovascular treatment are gaining more attention.
Case Report: An 82-year-old woman was admitted to our hospital with pain and swelling in left lower extremity. Ultrasonography showed much thrombus at the left common femoral, superficial femoral, and popliteal veins, confirming a diagnosis of acute deep vein thrombosis (DVT). Read More
J Cardiol Cases 2012 Aug 13;6(2):e55-e58. Epub 2012 Jun 13.
Department of Cardiovascular Medicine and Advanced Cardiovascular Center, Shinshu University Graduate School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.
Percutaneous cardio-pulmonary support (PCPS) system is a powerful life support system for acute circulation failure. This life support system requires more than a fourteen-French cannula to the artery. Insertion with such a large tube sometimes induces damage to the peripheral circulation. Read More
J Cardiol Cases 2011 Dec 9;4(3):e160-e162. Epub 2011 Sep 9.
Pediatric Cardiology, Dr. Sami Ulus Maternity and Children's Hospital, Dr. Sami Ulus Çocuk Hastanes Babür Caddesi No: 44, Ankara 06080, Turkey.
We report the case of a 9-month-old girl with a Scimitar syndrome which was feeding via an anomalous vessel dividing into three tortuous branches and supplying blood to a localized region of the right lower lobe which was successfully occluded using an Amplatzer Vascular Plug 4 (AGA Medical, Golden Valley, MN, USA). The percutaneous procedure performed via femoral artery, provided an immediate closure of the vessel, excluding the need for surgical repair. This new device is found to be safe and effective for occlusion of the collaterals, especially large ones in pediatric ages. Read More
J Cardiol Cases 2011 Oct 19;4(2):e115-e120. Epub 2011 Aug 19.
Second Department of Internal Medicine, Kansai Medical University, Moriguchi City, Japan.
A 79-year-old female had paroxysmal supraventricular tachycardia. However, she was implanted with an inferior vena cava filter and her descending aorta had significant meandering. It was thought that the insertion of the catheters would be difficult from the femoral vessels. Read More
J Cardiol Cases 2011 Oct 11;4(2):e76-e79. Epub 2011 Aug 11.
Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Behçet's disease is a chronic, relapsing, multi-systemic inflammatory disorder characterized by recurrent orogenital aphthous ulcers, uveitis, and skin lesions. Vascular involvement affects the veins more commonly than the arteries of these patients. Arterial involvement may include aneurysm formation, occlusive disease, and stenosis, with the most common sites being the abdominal aorta and femoral and pulmonary arteries. Read More
J Cardiol Cases 2010 Oct 6;2(2):e78-e82. Epub 2010 May 6.
Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center 5-3-1 Chikami, Kumamoto-city, 861-4193, Japan.
A 70-year-old man complained of abdominal angina after endovascular aneurysm repair (EVAR). He had a history of successful treatment of abdominal aortic aneurysm with Zenith endovascular graft 12 months prior to the index abdominal symptoms. The endovascular graft had been placed with special attention for keeping blood flow of major abdominal branches to the intestine. Read More
Acta Biomater 2018 Dec 8. Epub 2018 Dec 8.
Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands.
Recent advances in additive manufacturing (AM) have enabled the fabrication of functionally graded porous biomaterials (FGPBs) for application as orthopedic implants and bone substitutes. Here, we present a step-wise topological design of FGPB based on diamond unit cells to mimic the structure of the femoral diaphysis. The FGPB was manufactured from Ti-6Al-4V powder using the selective laser melting (SLM) technique. Read More
Catheter Cardiovasc Interv 2018 Dec 7. Epub 2018 Dec 7.
Division of Cardiology, Aultman Hospital, Canton, Ohio.
Background: The mid-femoral head (F ) is a common fluoroscopic target for common femoral artery (CFA) puncture during cardiac catheterization. Punctures above the inguinal ligament (marking the proximal end of CFA) increase the risk of retroperitoneal hemorrhage and are classified as high punctures.
Methods: We retrospectively analyzed 114 CT angiograms for the anatomic relationship of the inguinal ligament to the femoral head (FH) and inferior epigastric artery (IEA). Read More
Exp Physiol 2018 Dec 11. Epub 2018 Dec 11.
Department of Kinesiology, University of Virginia, Charlottesville, VA.
Background People with prediabetes have elevated risk for cardiovascular disease (CVD) in part due to low insulin sensitivity mediated arterial stiffness. However, the effect of short-term exercise training intensity, and/or amount (i.e. Read More
Catheter Cardiovasc Interv 2018 Dec 7. Epub 2018 Dec 7.
Department of Cardiovascular Medicine, St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Isolated atherosclerotic lesions of the common femoral artery (CFA) are rare but can produce significant claudication and critical limb ischemia. To date, the "gold standard" treatment for this entity has been common femoral endarterectomy (CFE) with or without patch angioplasty. However, surgery does have significant early postoperative complications, with a 15% combined mortality/morbidity. Read More
J Orthop Res 2018 Dec 11. Epub 2018 Dec 11.
Department of General Medical Services, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Infrapatellar fat pad has been implicated in knee osteoarthritis. We examined whether infrapatellar fat pad volume is associated with quantitative cartilage changes using magnetic resonance imaging T1ρ mapping. Fifty-eight knees of knee pain patients (19 men, 39 women, mean age 57. Read More
J Bone Miner Res 2018 Dec 7. Epub 2018 Dec 7.
Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.
An ASBMR task force recommends a drug holiday for certain women treated for ≥5 years with oral alendronate or ≥3 years with intravenous zoledronic acid, with reassessment 2-3 years later. It is not known whether changes in BMD or bone turnover markers differ after oral or intravenous therapy. Our goal was to compare changes in BMD and procollagen type I N propeptide, PINP, after oral or intravenous bisphosphonate use. Read More
Catheter Cardiovasc Interv 2018 Dec 11. Epub 2018 Dec 11.
Department of Cardiology, American Hospital of Paris and Hôpital Foch, Suresnes, France.
Since its introduction by Lucien Campeau three decades ago, percutaneous radial artery approach at the forearm has been shown to provide advantages over the femoral approach and has become the standard approach for coronary angiography and intervention. Though infrequent, vascular complications still remain, mainly radial artery occlusion. Therefore, a more distal radial approach at the snuffbox or at the dorsum of hand has been suggested, initially by anethesiologists for perioperative patient monitoring, and more recently by Babunashvili et al. Read More
Catheter Cardiovasc Interv 2018 Dec 10. Epub 2018 Dec 10.
Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, Paris, France.
Objective: This study sought to assess the potential benefits of the transradial approach (TRA) as an alternative vascular access to the classical contralateral femoral approach for transcatheter aortic valve replacement (TAVR).
Background: Vascular and bleeding complications in TAVR have gradually decreased owing to operator experience and downsizing of the delivery system. However, about 1/4 of vascular access site complications are related to the transfemoral (TF) secondary access. Read More
Diabet Med 2018 Dec 7. Epub 2018 Dec 7.
Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Key Laboratory of Diabetes, Metabolic Diseases Biobank, Department of Endocrinology and Metabolism.
Aims: To investigate the associations among heteroplasmy levels (i.e. the proportions of mutant and wild-type mitochondrial DNA in the same cell), mitochondrial function and clinical severity of the m. Read More
Artif Organs 2018 Dec 8. Epub 2018 Dec 8.
Department of Cardiopulmonary Bypass, State key laboratory of Cardiovascular Medicine, Fuwai Hospital, National center for Cardiovascular disease, Chinese Academy of Medical science and Peking Union Medical College, Beijing, China.
Brain injury associated with deep hypothermic circulatory arrest (DHCA) has been recognized in patients with congenital heart diseases and those undergoing aortic arch surgeries. However, the preclinical investigation of long-term cerebral injury and recovery mechanisms related to DHCA has been restricted to a satisfactory recovery animal model with a determined recovery time. This study aimed to evaluate the feasibility of a long-term surviving DHCA model without blood priming in rats, in order to investigate the pathophysiology of long-term complications in further studies. Read More
Hernia 2018 Dec 7. Epub 2018 Dec 7.
Department of Surgical Sciences, Uppsala University, 75185, Uppsala, Sweden.
Purpose: de Garengeot's hernia is a rare entity in which the appendix is located within a femoral hernia and is almost invariably encountered incarcerated in an emergency setting with concomitant appendicitis. In the literature, there are mostly single-case reports. The purpose of the present study was to perform a review of the literature to study the incidence, pathogenesis, demographics, clinical presentation, laboratory and radiological investigations, differential diagnosis, delay in diagnosis and treatment, operative findings, surgical technique, histological findings, the postoperative course, use of antibiotics, and complications regarding de Garengeot's hernia. Read More
Knee Surg Sports Traumatol Arthrosc 2018 Dec 8. Epub 2018 Dec 8.
Department of Orthopaedic Surgery, Kochi Medical School, Kochi University, 185-1 Oko-cho Kohasu, Nankoku, 783-8505, Japan.
Purpose: Multimodal analgesia has become an important concept in current pain management following total knee arthroplasty (TKA). However, controversy remains over what is the most accepted combination. In this study, the additional benefits of local infiltration of analgesia to femoral nerve block were evaluated. Read More