17,745 results match your criteria Nail Surgery


Preliminary results: use of multi-hole injection nails for intramedullary nailing with simultaneous bone cement injection in long-bone metastasis.

Skeletal Radiol 2018 Jun 21. Epub 2018 Jun 21.

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, South Korea.

Objective: For symptomatic metastasis of the long bones, intramedullary nailing has been the most accepted fixation method. Intramedullary nailing has effective control of pain, perioperative bleeding, and local tumor progression by augmentation with bone cement around the nail. Here, we report the preliminary results of a new surgical implant that allows for simultaneous injection of bone cement while inserting a percutaneous, flexible intramedullary nail. Read More

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June 2018
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Prevalence of dermatological complaints in patients undergoing treatment for breast cancer.

An Bras Dermatol 2018 Jun;93(3):362-367

Medical Specialties Outpatient Clinic, Department of Medicine, Universidade do Sul de Santa Catarina, Tubarão, SC, Brazil.

Background: Internal malignancies such as breast cancer, as well as their treatment can often result in skin changes.

Objective: To assess the prevalence of dermatological complaints in patients who are undergoing oncological treatment for breast cancer in a hospital in Tubarão, Santa Catarina, Brazil.

Methods: Observational, cross-sectional study, from October 2015 to February 2016 in which 152 patients with the diagnosis of breast cancer, undergoing treatment with chemotherapy, radiotherapy, hormone therapy and/or surgery, were interviewed and completed a research protocol developed by the author. Read More

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Effects of elastic intramedullary nails composed of low Young's modulus Ti-Nb-Sn alloy on healing of tibial osteotomies in rabbits.

J Biomed Mater Res B Appl Biomater 2018 Jun 19. Epub 2018 Jun 19.

Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

Intramedullary nailing is widely performed for internal fixation of fractures. The applicable elasticity of materials composing intramedullary nails remains unclear. The present study aimed to evaluate the effects of the elastic property of β-type titanium alloy nails on fracture healing compared with conventional Ti-6Al-4V alloy nails using a rabbit tibial osteotomy model. Read More

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A simulation model of nail bed suture and nail fixation: description and preliminary evaluation.

J Surg Res 2018 Aug 11;228:142-146. Epub 2018 Apr 11.

Orthopaedic Surgery, Lenval University Children's Hospital, Nice, France. Electronic address:

Background: Wounds of the finger nail bed represent a frequent injury, especially in children. Residents often learn nail bed repair on patients without prior training. We aimed to develop and evaluate a "low-fidelity" simulation model of nail bed repair. Read More

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Intraoperative sonography may reduce the risk of extensor pollicis longus tendon injury during dorsal entry elastic intramedullary nailing of the radius in children.

Medicine (Baltimore) 2018 Jun;97(24):e11167

Department of Trauma Surgery, University Of Szeged, Hungary.

Extensor pollicis longus tendon (EPL) injury is a potential complication of dorsal entry radial elastic nailing technique in children. The aim of this study was to investigate if intraoperative ultrasonographic guidance can reduce the risk of (EPL) injury.Correlation between sonographic and operative findings were examined first in 6 adult cadavers. Read More

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Suprapatellar versus infrapatellar intramedullary nailing for tibal shaft fractures: A meta-analysis of randomized controlled trials.

Medicine (Baltimore) 2018 Jun;97(24):e10917

Joint Surgery, Hospital affiliated to General Hospital of the Chinese People's Liberation Army, Beijing 100048, P.R. China.

Background And Objective: The aim of this study was to compare the outcome of using tibial nails inserted by the suprapatellar approach with tibial nails inserted by the infrapatellar approach in a meta-analysis of randomized controlled trials (RCTs).

Methods: The following electronic databases were searched: PubMed (1966 to January 2018), EMBASE (1974 to January 2018), Cochrane Library (January 2018), Web of Science (1990 to January 2018). We also used Google Search Engine to search more potentially eligible studies until January 2018. Read More

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June 2018
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Failure of a Rotation Control Gamma 3 Lag Screw Used to Treat a Trochanteric Fracture.

Hip Pelvis 2018 Jun 4;30(2):129-133. Epub 2018 Jun 4.

Department of Orthopaedic Surgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Gamma 3 rotation control lag screws (U-blade) are particularly useful when treating rotational and unstable fractures of the proximal femur. A 93-year-old woman who underwent closed reduction of a trochanteric fracture and internal fixation with a Gamma 3 nail rotation control lag screw. The patient presented with metal failure and U-blade bending following a fall occurring 4 weeks after surgery. Read More

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Comparison of efficacy, complications and TGF-β2 expression between DHS and PFNA in elderly patients with osteoporotic femoral intertrochanteric fracture.

Exp Ther Med 2018 Jul 17;16(1):394-399. Epub 2018 May 17.

Department of Orthopaedics, The Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China.

The aim of the present study was to compare the efficacy and complications of two fixation techniques, namely dynamic hip screw (DHS) and proximal femoral nail antirotation (PFNA), in the treatment of osteoporotic femoral intertrochanteric fracture in elderly patients, and to detect changes in transforming growth factor β2 (TGF-β2) expression in the two groups. A total of 100 elderly patients with femoral intertrochanteric fracture were randomly divided into two groups that were treated with either DHS or PFNA. Peri-operative complications were observed in the patients and ELISA was used to detect TGF-β2 expression levels at 1, 7, 15 and 30 days after surgical treatment. Read More

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Unilateral digital arterial ligation combined with low molecular weight heparins in severed finger without venous anastomosis.

Exp Ther Med 2018 Jul 17;16(1):342-346. Epub 2018 May 17.

Department of Hand Surgery, Wuxi 9th Affiliated Hospital of Soochow University, Wuxi, Jiangsu 214000, P.R. China.

Curative effect of unilateral digital arterial ligation combined with low molecular weight heparins in the treatment of severed finger without venous anastomosis and its influence on venous crisis was studied. A total of 80 patients with distal severed finger treated in Wuxi No. 9 People's Hospital from May 2014 to July 2016 were selected into the study. Read More

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In Situ Nail Unit Melanoma: epidemiological and clinic-pathologic features with conservative treatment and long term follow up.

J Eur Acad Dermatol Venereol 2018 Jun 12. Epub 2018 Jun 12.

Dermatology Department, Bichat-Claude Bernard Hospital, 75018, Paris, France.

Background: Nail unit melanoma (NUM) is a rare melanoma variant, usually associated with a poor prognosis because of a delayed diagnosis. Few data are available concerning the management and long-term outcome of in situ NUM.

Objective: To use a large cohort to provide comprehensive patient data and long-term follow-up information. Read More

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June 2018
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[Analysis on risk factors of functional recovery after intramedullary nail fixation for femoral intertrochanteric fractures in elderly patients].

Zhongguo Gu Shang 2018 May;31(5):408-412

The First Department of Orthopaedics, Zhejiang Hospital, Hangzhou 310013, Zhejiang, China;

Objective: To investigate the risk factors of functional recovery after intramedullary nail fixation for femoral intertrochanteric fracture in elderly patients, and to propose corresponding measures to promote postoperative hip function recovery.

Methods: From June 2012 to June 2015, 74 patients after intramedullary nail fixation surgery were analyzed, including 33 males and 41 females, with an average age of(75.07±7. Read More

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Glove Perforation in Orthopaedics: Probability of Tearing Gloves During High Risk Events in Trauma Surgery.

J Orthop Trauma 2018 May 28. Epub 2018 May 28.

Children's Hospital of Philadelphia, PA.

Objective: To assess the risk of glove perforation during common maneuvers or events in trauma-related orthopedic surgical procedures.

Methods: Four investigators executed six high-risk maneuvers in a simulated laboratory setting. Alternative techniques were also performed for most maneuvers. Read More

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May 2018
2 Reads

Real-life effectiveness of biological drugs on psoriatic difficult-to-treat body regions: scalp, palmoplantar area, and lower limbs.

J Eur Acad Dermatol Venereol 2018 Jun 10. Epub 2018 Jun 10.

Section of Dermatology - Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.

Psoriasis is a chronic, inflammatory disease, often requiring long term therapy. Scalp, nails, palms, and soles have been labeled as "difficult locations" of psoriasis. Indeed, they are usually too sensitive to be treated with potent topical products for long periods, frequently necessitating systemic drugs, possibly are more resistant to therapies respect to other body sites, and tend to show recurrent disease relapse. Read More

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A novel technique for the fixation of inter-trochantieric hip fractures: A telescoping lag screw.

J Orthop 2018 Jun 8;15(2):690-694. Epub 2018 May 8.

Orthopaedic Surgery Specialists, 2625 West Alameda Avenue, Suite 116, Burbank, CA 91505, United States.

One-hundred and three patients with intertrochanteric hip fractures as classified by the OTA 2007 system underwent fixation using the telescoping AOS Galileo lag screw system and ES Nail (a long IM nail). Thirty-one patients (76%) were female and ten (24%) were male, with an average age of 75.70 ± 11. Read More

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Enlarging nodule under the toenail · no history of trauma · unremarkable medical history · Dx?

J Fam Pract 2018 Jun;67(6):374;375;377

Department of Orthopedic Surgery, US Naval Hospital Yokosuka, Japan.

A 28-year-old woman with an unremarkable medical history presented with an enlarging nodule that had been growing under her left great toenail for 6 months. The patient monitored the nodule, hoping that it would resolve on its own, but found that it steadily increased in size and began to displace the nail, causing pain. At the time of presentation, the nodule measured approximately 10 mm in diameter, and there was significant (~80°) superior displacement of the nail. Read More

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Imaging technique for the diagnosis of onychomatricoma.

J Eur Acad Dermatol Venereol 2018 Jun 5. Epub 2018 Jun 5.

Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy.

Onychomatricoma is a rare tumour that derives from the nail matrix and grows within the nail plate. The clinical presentation can mimic many other tumors and conditions and surgical biopsy and histopathological examination are necessary to confirm the diagnosis. Since nail surgery is a painful experience for the patient and sometimes can leave permanent onychodistrophy, more precise preoperative diagnosis is needed to distinguish onychomatricoma from other nail diseases more accurately and to limit surgical interventions. Read More

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Characterization of Lgr6+ Cells as an Enriched Population of Hair Cell Progenitors Compared to Lgr5+ Cells for Hair Cell Generation in the Neonatal Mouse Cochlea.

Front Mol Neurosci 2018 14;11:147. Epub 2018 May 14.

ENT Institute and Otorhinolaryngology Department of Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology, Fudan University, Shanghai, China.

Hair cell (HC) loss is irreversible because only very limited HC regeneration has been observed in the adult mammalian cochlea. Wnt/β-catenin signaling regulates prosensory cell proliferation and differentiation during cochlear development, and Wnt activation promotes the proliferation of Lgr5+ cochlear HC progenitors in newborn mice. Similar to , is also a Wnt downstream target gene. Read More

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May 2018
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Comparison of Atypical and Osteoporotic Femoral Shaft Fractures in the Elderly: A Multicenter Study.

Adv Orthop 2018 16;2018:1068053. Epub 2018 May 16.

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.

Background: In atypical femoral fractures, owing to the high rates of complications and delayed healing that accompany the plate fixation, the most favorable treatment is intramedullary nailing. Although there is insufficient evidence, plate fixation is chosen due to anterolateral bowing of the femur. This study compared the bone healing time and rates of complications in atypical femoral shaft fractures and osteoporotic femoral shaft fractures. Read More

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Is calcium phosphate augmentation a viable option for osteoporotic hip fractures?

Osteoporos Int 2018 Jun 1. Epub 2018 Jun 1.

Department of Orthopaedics, Hanil General Hospital, 308 Uicheon-ro, Dobong-Gu, Seoul, 132-703, South Korea.

The use of calcium phosphate bone cement has been described to allow for retention of reduction. Therefore, we evaluated whether augmentation with resorbable calcium phosphate could improve fracture stability in osteoporotic hip fractures. The results showed that augmentation with calcium phosphate cement significantly improved the stability of intertrochanteric fractures. Read More

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June 2018
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Squamous Cell Carcinomas in Two Cases of Nail Lichen Planus: Is There a Real Association?

Dermatol Ther (Heidelb) 2018 May 31. Epub 2018 May 31.

Section of Dermatology, Department of Clinical Medicine and Surgery, Dermatology Unit, University of Naples Federico II, Naples, Italy.

Lichen planus (LP) is a chronic inflammatory disease that affects the skin and oral mucosa. Although its etiology is unknown, its potential for cancerization has been confirmed. We herein report the cases of a brother and sister, both with a 15-year history of nail lichen planus of the fingers and toes, who developed squamous cell carcinomas of the nail bed and matrix. Read More

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Reduction techniques for difficult subtrochanteric fractures.

Eur J Orthop Surg Traumatol 2018 May 31. Epub 2018 May 31.

Department of Orthopaedics, University of Patras, School of Medicine, Rio-Patras, Greece.

Subtrochanteric fractures can result from high-energy trauma in young patients or from a fall or minor trauma in the elderly. Intramedullary nails are currently the most commonly used implants for the stabilization of these fractures. However, the anesthetic procedure for the patients, the surgical reduction and osteosynthesis for the fractures are challenging. Read More

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Epidemiology of Psoriasis and Psoriatic Arthritis in Italy-a Systematic Review.

Curr Rheumatol Rep 2018 May 30;20(7):43. Epub 2018 May 30.

Rheumatology Division, Hospital of Prato, Prato, Italy.

Purpose Of Review: Understanding prevalence of diseases within specific regions of a country is important for optimal allocation of healthcare resources/funds. We performed a systematic review to obtain a clearer picture of the epidemiology of psoriasis and psoriatic arthritis across and within specific regions of Italy.

Recent Findings: Prevalence of psoriasis in specific regions showed more variability (0. Read More

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May 2018
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Hip resurfacing in patients with severe osteoarthritis and blocked medullary canal.

Hip Int 2018 May 1:1120700018778537. Epub 2018 May 1.

Wyss Hip and Pelvis Center, Seattle, WA, USA.

Introduction: This study evaluated the effectiveness of hip resurfacing in patients with femoral deformities or retained femoral implants. Implant removal and conversion total hip replacement (CTHR) have been associated with increased operative time, blood loss, and cost. Removing intramedullary nails in particular can be difficult and can result in a more difficult recovery and/or complications. Read More

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May 2018
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Bosworth Dislocation without Associated Fracture.

Case Rep Orthop 2018 1;2018:7284643. Epub 2018 Apr 1.

Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center, 3601 4th St. MS 9436, Lubbock, TX 79430, USA.

One of the rarest ankle injuries is the Bosworth fracture-dislocation, whereby the distal fibula fractures and is lodged behind the tibia and is often unable to be reduced in a closed fashion. Even more rarely, a Bosworth dislocation without any accompanying fractures may occur. In this case, a 19-year-old male presented with a Bosworth dislocation, with the ipsilateral tibia having previously undergone intramedullary nailing. Read More

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[A clinical study on the relationship of the tail femur distance and the lag screw migration or cutting-out after the third generation of Gamma nail fixation of intertrochanteric fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):40-44

Department of Spinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038,

Objective: To confirm the association between tail femur distance (TFD) and lag screw migration or cutting-out in the treatment of intertrochanteric fracture with the third generation of Gamma nail (TGN).

Methods : The clinical data of 124 cases of intertrochanteric fracture treated with TGN internal fixation and followed up more than 18 months between January 2012 and December 2015 were reviewed and analyzed. There were 52 males and 72 females, with an age of 46-93 years (mean, 78. Read More

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January 2018

[Treatment of femur re-fracture with occult infection by using non-contact locking plate under deep fascia].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):25-30

Department of Orthopaedic Trauma, Lanzhou General Hospital of Lanzhou Military District, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness on the re-fracture of the femur with occult infection by using non-contact locking plate which was placed under the deep fascia.

Methods: Clinical data of 12 cases of occult infective re-fracture after femoral fracture operation were retrospectively analysed between January 2010 and December 2014. There were 8 males and 4 females with an age of 28-69 years (mean, 42. Read More

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January 2018

[Application of skin stretcher for repair of postoperative skin and soft tissue defects in tibial fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 May;32(5):596-600

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To discuss the efficacy of skin stretcher applied for repair of postoperative skin and soft tissue defects in tibial fractures.

Methods: Between April 2016 and March 2017, 15 cases with skin and soft tissue defects after tibial fractures fixation were treated with the skin stretcher. There were 11 males and 4 females with an age of 24-59 years (mean, 37. Read More

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[Effectiveness comparison of titanium elastic nail and locking compression plate fixation in treating femoral subtrochanteric fractures in older children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1184-1189

Department of Bone and Joint Surgery, the Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China.

Objective: To compare the effectiveness of titanium elastic nail (TEN) and locking compression plate fixation in treating femoral subtrochanteric fracture in older children.

Methods: Between April 2015 and September 2016, 35 older children (aged 7-13 years) with femoral subtrochanteric fractures were treated, the clinical data were retrospectively reviewed. TEN fixation was used in 19 cases (group A) and locking compression plate fixation in 16 cases (group B). Read More

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October 2017
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[Comparative study of proximal femoral shortening after the third generation of Gamma nail versus proximal femoral nail anti-rotation in treatment of intertrochanteric fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):338-345

Department of Spinal Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, P.R.China.

Objective: To explore the difference of the proximal femoral shortening (PFS) between the third generation of Gamma nail (TGN) and the proximal femoral nail anti-rotation (PFNA) in treating intertrochanteric fracture of femur.

Methods: The clinical data of 158 patients with intertrochanteric fracture of femur who were treated with TGN internal fixation or PFNA internal fixation between January 2014 and December 2015 were retrospectively analysed. The patients were divided into TGN group (69 cases) and PFNA group (89 cases) according to surgical operation. Read More

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Complications in patients with intramedullary nails: a case series from a single Cambodian surgical clinic.

Int Orthop 2018 May 28. Epub 2018 May 28.

Children's Surgical Centre, Phnom Penh, Cambodia.

Purpose: Since its development in 1999, the SIGN nail has been used in over 190,000 surgeries spanning 55 countries. To date, however, evaluation of SIGN nail outcomes has been limited to small prospective studies or large retrospective studies using SIGN's online database. This study uses the experience of a single, independent Cambodian surgical clinic to characterize common complications, provide commentary on ways to reduce the risk of those complications, and determine whether several observed nail fractures were due to metallurgic defects. Read More

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Nail or plate fixation for A3 trochanteric hip fractures: A systematic review of randomised controlled trials.

Injury 2018 May 22. Epub 2018 May 22.

Department of Orthopaedic Surgery, Haukeland University Hospital, Department of Surgical Sciences, University of Bergen, Bergen, Norway. Electronic address:

Continuing controversy exists for the choice of implant for treating A3 trochanteric hip fractures so we undertook a systematic review of randomised controlled trials from the year 2000 onwards that have compared an intramedullary nail with an extramedullary fixation implant for the treatment of these fractures. Data on the occurrence of any fracture healing complications was extracted and the results combined to calculate Peto odd ratio. Nine studies involving 370 fractures were identified. Read More

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Treatment of infra-isthmal femoral fracture with an intramedullary nail: Is retrograde nailing a better option than antegrade nailing?

Arch Orthop Trauma Surg 2018 May 24. Epub 2018 May 24.

Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongduk-ro, Jung-gu, Daegu, 41944, South Korea.

Introduction: Antegrade intramedullary (IM) nailing is ideal for femoral shaft fractures, but fixing the fracture distal to the isthmal level may be difficult because of medullary canal widening and the proximity of fracture location from the distal femoral joint line. This study aimed to compare treatment results between antegrade and retrograde nailing for infra-isthmal femoral shaft fracture, and to identify influencing factors of nonunion and malalignment.

Materials And Methods: Sixty patients with infra-isthmal femoral shaft fractures treated with IM nailing and followed-up for > 1 year were enrolled in this retrospective study, 38 in the antegrade nailing group, and 22 in the retrograde nailing group. Read More

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[Comparative study on treatment of thoracolumbar burst fractures with bone grafting by transpedicular approach and by interlaminal small fenestration].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Jun;31(6):670-676

Department of Spine Surgery, the First Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To investigate the effectiveness and long-term stability of small fenestration vertebral bone grafting and transpedicular bone grafting in the treatment of Denis types A and B thoracolumbar burst fractures.

Methods: Between January 2012 and February 2014, 50 patients with Denis type A or B thoracolumbar burst fractures were treated with vertebroplasty and pedicle screw rod fixation system, and the clinical data were retrospectively analyzed. Small fenestration vertebral bone grafting by trans-interlaminar approach was used in 30 cases (group A), and bone grafting by unilateral transpedicular approach was used in 20 cases (group B). Read More

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[Development and clinical application of a new type of intramedullary nail tail cap].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Apr;31(4):392-396

Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China.

Objective: To develop a new type of tail cap for closing the tail of the central hole of the interlocking intramedullary nail so as to reduce difficulty in implantation of the tail cap into intramedullary nail, and ensure the accuracy of implantation, as well as reduce unnecessary operation time.

Methods: In 2014, the new type of intramedullary nail tail cap ("new tail cap" for short) was successfully developed, and has been granted national utility model patent. A randomized controlled clinical trial was conducted in 34 patients with non pathological femoral shaft fractures treated between August 2014 and March 2016. Read More

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[Application of three-dimensional printing technology for closed reduction and percutaneous cannulated screws fixation of displaced intraarticular calcaneus fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Nov;31(11):1316-1321

Department of Orthopedics, Laboratory of Tissue and Transplant in Anhui Province, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233003, P.R.China.

Objective: To evaluate the effectiveness of three-dimensional (3-D) printing assisting minimally invasive for intraarticular calcaneal fractures with percutaneous poking reduction and cannulate screw fixation.

Methods: A retrospective analysis was performed of the 19 patients (19 feet) with intraarticular calcaneal fracture who had been treated between March 2015 and May 2016. There were 13 males and 6 females with an average age of 38. Read More

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November 2017
4 Reads

The Resolution Axis Method (RAM) for lengthening of the femur with or without associated frontal plane deformity (a new method).

Authors:
Sherif Galal

Strategies Trauma Limb Reconstr 2018 May 24. Epub 2018 May 24.

Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, 11559, Egypt.

Introduction: Femoral lengthening with or along intramedullary (IM) nails will occur along the axis of the nail coincident with the anatomical axis of the bone. In the femur particularly, such lengthening often creates lateral mechanical axis deviation as the knee is driven medially. In cases where shortening is associated with frontal plane deformity the surgeon needs to correct the deformity intra-operatively, however, subsequent lengthening along the anatomical axis will create deformity. Read More

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Acute femoral shortening for reconstruction of a complex lower extremity crush injury.

Strategies Trauma Limb Reconstr 2018 May 23. Epub 2018 May 23.

Department of Orthopaedic Surgery, University of California, Irvine, 101 The City Drive South, Orange, CA, 92868, USA.

Traumatic through-knee or transfemoral amputations with concomitant ipsilateral femoral fractures are extremely rare injuries. The initial goal of management is patient resuscitation and stabilization. Subsequent interventions focus on limb salvage and the creation of a residual limb that can be fitted successfully for a functional lower extremity prosthesis. Read More

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Recommendation of use of checklists in tibial intramedullary nail removal: Retrospective study of mechanical complications related to nail removal.

Injury 2018 May 21. Epub 2018 May 21.

Department of Orthopedics and Traumatology, University of Helsinki and Helsinki, University Hospital, PO Box 266, FI-00026 HUS Finland.

Background: The removal of implants such as intramedullary nails is one of the most common operations in orthopedic surgery. The indications for orthopedic implants removal will always remain a subject of conversation and hardly supported by literature. The aim of this study to report injuries of treatment in tibial nail removal and to determine if there are fracture characteristics, patient demographics, or surgical details that may predict a complication. Read More

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Sub-Trochanteric Hip Fracture Following Core Decompression for Osteonecrosis in a Patient with a Pre-Existing Contralateral Occult Femoral Neck Fracture.

Surg Technol Int 2018 Jun;32:361-365

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

We present a unique case of a 62-year-old patient with bilateral osteonecrosis of the femoral heads secondary to corticosteroid use. She presented with an occult right femoral neck fracture and was treated with percutaneous pinning of the right femoral neck and a left-sided percutaneous drilling. Despite apparent appropriate technique, the patient sustained a left sub-trochanteric hip fracture while shifting in bed in the postoperative care unit and was taken back for cephalo-medullary nail fixation. Read More

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June 2018
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Intramedullary nail fixation versus locking plate fixation for adults with a fracture of the distal tibia: the UK FixDT RCT.

Health Technol Assess 2018 May;22(25):1-148

Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Background: The best treatment for fractures of the distal tibia remains controversial. Most of these fractures require surgical fixation, but the outcomes are unpredictable and complications are common.

Objectives: To assess disability, quality of life, complications and resource use in patients treated with intramedullary (IM) nail fixation versus locking plate fixation in the 12 months following a fracture of the distal tibia. Read More

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May 2018
3 Reads

Ex vivo confocal microscopy: an emerging technique in dermatology.

Dermatol Pract Concept 2018 Apr 30;8(2):109-119. Epub 2018 Apr 30.

Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy.

This review aims to give an overview of the current available applications of ex vivo confocal microscopy (EVCM) in dermatology. EVCM is a relatively new imaging technique that allows microscopic examination of freshly excised unfixed tissue. It enables a rapid examination of the skin sample directly in the surgery room and thus represents an alternative to the intraoperative micrographic control of the surgical margins of cutaneous tumors by standard microscopic examination on cryopreserved sections during Mohs surgery. Read More

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The influence of nail blocking conditions in cattle femoral fractures.

Res Vet Sci 2018 May 7;119:27-36. Epub 2018 May 7.

Department of Clinical and Veterinary Surgery. Federal University of Minas Gerais, Av. Antônio Carlos, 6627. 31270-901 Belo Horizonte, Minas Gerais, Brazil.

Background: To investigate the effect of different fixation strategies of the intramedullary interlocking nail (IIN) on the mechanical behavior of a polymeric implant applied for femoral fracture fixation in calves, and to evaluate the performance of a glass fiber-reinforced polymer applied in a bovine femoral fracture reduction system, five Holstein male animals with a mean weight (±SD) of 62.8 ± 20.4 kg and aged 74 ± 15 were used to generate biomechanical parameters for this study. Read More

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Cortical erosion after elastic stable intramedullary nail fixation for pediatric long bone fractures: Case series according to the site.

Int J Surg 2018 May 18;55:60-65. Epub 2018 May 18.

Division of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, 14068, Republic of Korea. Electronic address:

Background: Elastic stable intramedullary nail (ESIN) is widely used for treatment of long bone fractures in children. However, migration of the nail or cortical bone erosion in children has been reported. This study was conducted to investigate the incidence of cortical erosion according to the site and cortical erosion type. Read More

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Occurrence of perfluoroalkyl substances in matched human serum, urine, hair and nail.

J Environ Sci (China) 2018 May 1;67:191-197. Epub 2017 Sep 1.

The Key Laboratory of Food Safety Risk Assessment, Ministry of Health, China National Center for Food Safety Risk Assessment, Beijing 100021, China.

The purpose of this study was to determine perfluoroalkyl substances (PFASs) in human serum, urine, hair and nail from general populations, and to investigate the possibility for human urine, hair and nail used as the biomonitoring sample for PFASs exposure. We detected the concentrations of PFHxA, PFOA, PFNA, PFDA, PFUnDA, PFDoA, PFHxS and PFOS in 39 matched human serum, urine, hair and nail samples from Shenzhen in China. The detection frequency and the median level of PFOS were all higher than that of the other PFASs in four matrices. Read More

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May 2018
2 Reads

Vitamin E Phosphate Coating Stimulates Bone Deposition in Implant-related Infections in a Rat Model.

Clin Orthop Relat Res 2018 Jun;476(6):1324-1338

A. B. Lovati, M. Bottagisio, Cell and Tissue Engineering Laboratory, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy S. Maraldi, C. L. Romanò, Dipartimento di Chirurgia Ricostruttiva e delle Infezioni Osteo-articolari, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy M. B. Violatto, P. Bigini, Nanobiology Unit, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy M. Bortolin, E. De Vecchi, L. Drago, Laboratory of Clinical Chemistry and Microbiology, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy L. Drago, Department of Biomedical Science for Health, University of Milan, Milan, Italy.

Background: Implant-related infections are associated with impaired bone healing and osseointegration. In vitro antiadhesive and antibacterial properties and in vivo antiinflammatory effects protecting against bone loss of various formulations of vitamin E have been demonstrated in animal models. However, to the best of our knowledge, no in vivo studies have demonstrated the synergistic activity of vitamin E in preventing bacterial adhesion to orthopaedic implants, thus supporting the bone-implant integration. Read More

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June 2018
2 Reads

Angle Stable Interlocking Intramedullary Nails for Tibial Plateau Fractures.

Orthop Surg 2018 May 16;10(2):115-120. Epub 2018 May 16.

Department of Orthopedics, The Fourth Central Clinical College, Tianjin Medical University, Tianjin, China.

Objective: Angle stable interlocking intramedullary nail (ASIN), a novel technique, has rarely been used for treatment of tibial plateau fractures (TPF). This retrospective study was designed to introduce this novel technique, ASIN, as well as to describe the initial experience and verify the effectiveness when ASIN was used for the management for TPF.

Methods: A cohort of 19 cases with closed TPF aged from 18-70 years with at least 23 months follow-up from November 2008 to September 2013 was analyzed retrospectively. Read More

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May 2018
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Efinaconazole 10% Topical Solution: Case Review of Onychomycosis Patients Who Were Completely Cured at Week 24.

Skin Appendage Disord 2018 Apr 10;4(2):67-70. Epub 2017 Aug 10.

Valeant Pharmaceuticals North America LLC, Bridgewater, NJ, USA.

Background: Clinical studies with topical onychomycosis agents typically involve daily application over 48 weeks. Some patients are cured earlier; however, individual data are limited.

Objective: The aim of this study was to assess baseline demographics/disposition of onychomycosis patients completely cured at week 24 following daily efinaconazole treatment. Read More

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Joint-preserving palliative surgery using self-locking screws of intramedullary nail and percutaneous cementoplasty for proximal humeral metastasis in the advanced cancer patients.

World J Surg Oncol 2018 May 15;16(1):93. Epub 2018 May 15.

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Republic of Korea.

Background: We introduced a palliative joint-preserving surgery using proximal self-locking screws of intramedullary (IM) nail and percutaneous cementoplasty (PC) in patients with proximal humeral metastases, including the head and neck, and evaluated the outcome of the surgical method.

Methods: Twenty-three patients (mean age = 63.0 ± 11. Read More

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May 2018
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Surgical Complications Associated With Atypical Femur Fractures Attributed to Bisphosphonate Use.

J Surg Orthop Adv 2018 ;27(1):14-20

Department of Orthopaedics, Medical University of South Carolina.

Complications of atypical femur fractures (AFFs) are common. AFFs often receive the same treatment as other femoral fractures; however, there appears to be a higher rate of adverse outcomes. Nine patients sustained a total of 13 AFFs, had documented bisphosphonate use before fracture, and had surgery between 2006 and 2012. Read More

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January 2018
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Subungual Amelanotic Melanoma Masquerading as Onychomycosis.

Cureus 2018 Mar 11;10(3):e2307. Epub 2018 Mar 11.

Dermatology, Derm Surgery Associates, PA.

Subungual amelanotic melanoma is rare. In addition, amelanotic melanoma can mimic non-melanocytic tumors. A 67-year-old woman had a four-year history of dystrophy of the left fourth fingernail. Read More

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