11,077 results match your criteria anterolateral

An Anterior Cruciate Ligament In Vitro Rupture Model Based on Clinical Imaging[Formula: see text].

Am J Sports Med 2021 Jun 11:3635465211017145. Epub 2021 Jun 11.

Biomechanics Group, Mechanical Engineering Department, Imperial College London, London, UK.

Background: Biomechanical studies on anterior cruciate ligament (ACL) injuries and reconstructions are based on ACL transection instead of realistic injury trauma.

Purpose: To replicate an ACL injury in vitro and compare the laxity that occurs with that after an isolated ACL transection injury before and after ACL reconstruction.

Study Design: Controlled laboratory study. Read More

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A case report of takotsubo syndrome complicated by ischaemic stroke: the clinical dilemma of anticoagulation.

Eur Heart J Case Rep 2021 Mar 15;5(3):ytab051. Epub 2021 Mar 15.

Cardiothoracic and Vascular Department, Cardiology Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", Heart Tower-Room 807, Largo Città d'Ippocrate, 84131 Salerno, Italy.

Background: Takotsubo syndrome (TTS) is an acute and transient heart failure syndrome due to reversible myocardial dysfunction characterized by a wide spectrum of possible clinical scenarios. About one-fifth of TTS patients experience adverse in-hospital events. Thromboembolic complications, especially stroke, have been reported, albeit in a minority of patients. Read More

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Lung Ultrasound Score as a Predictor of Mortality in Patients With COVID-19.

Front Cardiovasc Med 2021 25;8:633539. Epub 2021 May 25.

Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Lung injury is a common condition among hospitalized patients with coronavirus disease 2019 (COVID-19). However, whether lung ultrasound (LUS) score predicts all-cause mortality in patients with COVID-19 is unknown. The aim of the present study was to explore the predictive value of lung ultrasound score for mortality in patients with COVID-19. Read More

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Repair of severe peri-knee soft tissue defect using an anterolateral thigh flap with the descending genicular vessels as the recipient pedicle: a case series of 14 patients.

Ann Palliat Med 2021 May;10(5):5341-5350

Department of Orthopaedics, Wuxi No.9 People's Hospital affiliated to Soochow University, Wuxi, China.

Background: The application of free skin flaps to repair severe peri-knee soft tissue defects is a common clinical approach. This article aims to investigate clinical efficacy and precautions of using a free anterolateral thigh flap with the descending genicular vessels as a recipient pedicle for repairing Gustilo IIIB and IIIC soft tissue defects around the knee.

Methods: We retrospectively analyzed the data of the patients with severe peri-knee Gustilo IIIB or IIIC soft tissue defects operated on from January 2015 to December 2019. Read More

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Early Experience with External Negative Pressure Delay in Free Anterolateral Thigh Perforator Flap Reconstruction.

Plast Reconstr Surg Glob Open 2021 Jun 7;9(6):e3606. Epub 2021 Jun 7.

Department of Orthopedic and Plastic Surgery, Emory University School of Medicine, Atlanta, Ga.

Negative pressure therapy has been utilized in the treatment of open and closed wounds to increase blood flow and improve wound healing. More recently, external negative pressure has been shown to induce a noninvasive delay phenomenon in animal models by increasing vessel size and density within a planned flap, leading to improvement in flap survival. Although successful in animal models, this new method of delay has not been demonstrated in clinical practice. Read More

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Management of a primary cardiac leiomyosarcoma in a young woman.

Turk Gogus Kalp Damar Cerrahisi Derg 2021 Apr 26;29(2):267-270. Epub 2021 Apr 26.

Department of Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, Istanbul, Turkey.

Cardiac leiomyosarcoma is an extremely rare tumor with a poor prognosis. An 18-year-old female patient was admitted to our clinic with a left atrial leiomyosarcoma extending to the right lower pulmonary veins. We performed complete tumor excision by the right anterolateral mini-thoracotomy approach using minimally invasive techniques. Read More

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The impact of transition from conventional robot-assisted radical prostatectomy to retzius sparing robot-assisted radical prostatectomy: A retrospective multivariate analysis.

Indian J Urol 2021 Apr-Jun;37(2):140-146. Epub 2021 Apr 1.

Department of Urology, Aster Medcity, Cochin, Kerala, India.

Introduction: To assess the outcomes of Retzius sparing robotic-assisted radical prostatectomy (RS-RARP) in comparison with the conventional RARP.

Materials And Methods: A retrospective analysis of 320 cases of RARP, performed from 2014 April to 2019 April, was performed. The predictor variables included age, body mass index, clinical stage, prostate-specific antigen, Gleason score category in biopsy, D'Amico risk category, presence of the median lobe, prior transurethral resection of the prostate, and the ability to perform the RS-RARP. Read More

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Anterior horizontal rafting plate to treat complex osteoporotic tibial plateau fractures: a technical note.

Acta Orthop Traumatol Turc 2021 May;55(3):271-276

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang China.

Complex tibial plateau fractures in elderly patients exhibiting severe osteoporosis and articular surface collapse are challenging. Decision-making is difficult when the posterior column is involved. Open reduction and internal fixation of complex tibial plateau fractures in patients with severe osteoporosis are prone to failure. Read More

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Totally endoscopic surgical resection for a blood cyst originated from mitral valve: a case report.

J Cardiothorac Surg 2021 Jun 7;16(1):164. Epub 2021 Jun 7.

Department of Cardiovascular Surgery, Chinese PLA General Hospital, No.28. Fuxing Road, Haidian District, Beijing, 100853, China.

Background: Intracardiac blood cysts are very rare primary cardiac tumors. Blood cysts originated from the mitral valve represent a minority of cases, and previous cases have been mainly treated with conventional surgery through median sternotomy. When the tumor involves heart valves and histopathological diagnosis remains unknown preoperatively, minimally invasive surgical resection of an intracardiac tumor can be challenging, especially through an endoscopic approach. Read More

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The Relationship Between Arm Abduction Position and the Risk of Iatrogenic Anterior Branch of the Axillary Nerve Injuries: A Cadaveric Study.

Orthop J Sports Med 2021 May 20;9(5):23259671211008834. Epub 2021 May 20.

Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.

Background: The axillary nerve is at risk for iatrogenic injuries in surgical procedures involving the lateral aspect of the shoulder joint. To date and to our knowledge, there have been no studies that have compared the relevant distances in the common arm abduction positions used in these types of surgery as well as the relative risks of each position.

Purpose: To evaluate the effect of arm abduction position on the distance from the acromion process to the axillary nerve in the common abducted arm positions. Read More

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Tracheobronchopathia osteochondroplastica-stalactite of airways.

Respirol Case Rep 2021 Jul 27;9(7):e00790. Epub 2021 May 27.

Department of Respiratory Medicine Penang General Hospital Penang Malaysia.

A case of tracheobronchopathia osteochondroplastica (TO) was diagnosed in a 53-year-old man, who presented with prolonged cough and recurrent respiratory tract infection. Bronchoscopy revealed exostosis over the anterolateral wall of trachea and main bronchi sparing the posterior membranous wall. The endobronchial biopsy subsequently revealed ossification of the cartilage. Read More

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Acute coronary syndrome secondary to cardiac infiltration and coronary occlusion of chronic lymphocytic leukemia - A case report.

J Cardiol Cases 2021 Jun 11;23(6):257-260. Epub 2020 Dec 11.

Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, United Kingdom.

A 72-year-old male with a history of chronic lymphocytic leukemia (CLL) was admitted to hospital with a productive cough and an episode of diarrhea and vomiting. He was initially treated for pneumonitis and sepsis. On the 12th day of his admission, he reported chest pain. Read More

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Editorial Commentary: Timing of the Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction: Still a Debatable Issue.

Yong Seuk Lee

Arthroscopy 2021 Jun;37(6):1918-1919

Seoul National University College of Medicine, Seoul National University Bundang Hospital.

Anterior cruciate ligament (ACL) injuries frequently occur as the results of twisting injury of the knee. Accompanying damages to other structures at the time of injury determine the severity of the injury, subsequent surgical procedures, and hence, clinical outcomes. Anterolateral ligament (ALL) seems to act as a side-bar of the ACL rather than a major ligament that should be reconstructed separately. Read More

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Unilateral premature osteoarthritis of the hip with excessive anteversion of the femoral neck developing in the early second decade: two surgical cases.

BMC Musculoskelet Disord 2021 Jun 5;22(1):517. Epub 2021 Jun 5.

Department of Paediatric Orthopaedics and Orthopaedic Surgery, Jichi Children's Medical Center Tochigi, Tochigi Prefecture, Shimotsuke, Japan.

Background: Osteoarthritis (OA) of the hip rarely develops in the early second decade. As the incidence of this disease is low, no treatment method has been established. We report two patients with unilateral OA in their early teens in whom the anteversion angle of the femoral neck on the affected side was greater than that on the unaffected side. Read More

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Partial upper sternotomy is a safe alternative in mitral annulus decalcification.

Semin Thorac Cardiovasc Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Cardiac Surgery, Medical University of Innsbruck, Austria.

In patients with major annulus calcifications (MAC) requiring en-bloque decalcification anterolateral minithoracotomy (MT) is not suitable for safe and reproducible mitral valve surgery (MVS) procedures. In these cases, full sternotomy (FS) is still the preferred approach. Alternatively, less invasive MVS via partial upper sternotomy (PS) and transseptal access can be used in experienced centers. Read More

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Comparison between cotton test and tap test for the assessment of coronal syndesmotic instability: A cadaveric study.

Injury 2021 Feb 26. Epub 2021 Feb 26.

Hospital Israelita Albert Einstein, Av. Albert Einstein, 627, São Paulo, SP 05652-900, Brazil; Lab. Prof. Manlio Mario Marco Napoli, Faculdade de Medicina, Universidade de São Paulo, R. Ovidio Pires de Campos, 333, São Paulo, SP 05403-010, Brasil. Electronic address:

Introduction: In surgically treated rotational malleolar fractures, residual syndesmotic instability is typically assessed following fixation with the widely used intraoperative Cotton test. However, due to its dynamic nature, there are inconsistencies of the magnitude and direction of the distraction force when attempting to pull the fibula away from the tibia using a bone hook. The novel Tap test advances a cortical tap through a drilled hole in the fibula with a stable, unidirectional distraction force applied to the tibia. Read More

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February 2021

Treatment of femur pseudoarthrosis using wave plate: Evaluation of consolidation and its relationship with graft type.

Injury 2021 Feb 15. Epub 2021 Feb 15.

Senior Counselor of the Pedriatic Trauma Group of Santa Casa de São Paulo.

Introduction: In the pathogenesis of femoral pseudoarthrosis, the arched shape of the bone is important when determining traction force on the anterolateral face and posteromedial compression. In plate osteosynthesis, flexion forces affect the implant and can determine its breakdown and osteosynthesis failure. The wave plate seeks to solve the problem by transferring the support to the cortical under the plate or creating the resistance of a leaf spring. Read More

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February 2021

Anterior cervical surgery to treat diffuse idiopathic skeletal hypertrophic combined with cervical disc herniation: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26097

Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, China.

Rationale: Diffuse idiopathic skeletal hyperostosis (DISH) is a skeletal disease characterized by calcification of anterolateral ligaments of the spine and the rest of the body. DISH combined with disc herniation induces complex symptoms and is more difficult to treat. Here, we describe a complicated case of a patient diagnosed with DISH as well as cervical disc herniation that was successfully treated using anterior cervical surgery. Read More

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High Rate of Initially Overlooked Kaplan Fiber Complex Injuries in Patients With Isolated Anterior Cruciate Ligament Injury.

Am J Sports Med 2021 Jun 4:3635465211015682. Epub 2021 Jun 4.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.

Background: Injuries to the Kaplan fiber complex (KFC) are not routinely assessed for in the anterior cruciate ligament (ACL)-deficient knee during preoperative magnetic resonance imaging (MRI). As injuries to the KFC lead to anterolateral rotatory instability (ALRI) in the ACL-deficient knee, preoperative detection of these injuries on MRI scans may help surgeons to individualize treatment and improve outcomes, as well as to reduce failure rates.

Purpose: To retrospectively determine the rate of initially overlooked KFC injuries on routine MRI in knees with isolated primary ACL deficiency. Read More

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Posterior cruciate ligament reconstruction using a septum-preserving technique.

Oper Orthop Traumatol 2021 Jun 3. Epub 2021 Jun 3.

Department of Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany.

Objective: Description of a reproducible surgical technique for single-bundle anterolateral reconstruction of the posterior cruciate ligament (PCL) based on a septum-sparing approach. This technique is less traumatic than the trans-septum approach. The article illustrates surgical steps to simplify the technical aspects of the procedure. Read More

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Flow-through Anterolateral Thigh Flaps: Report of 3 Consecutive Cases and Review of its Utility.

Plast Reconstr Surg Glob Open 2021 May 27;9(5):e3584. Epub 2021 May 27.

Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, UT Health San Antonio, San Antonio, Tex.

In the field of plastic and reconstructive surgery, soft tissue reconstruction of Gustilo 3B with peripheral vascular disease or 3C fractures is a complex treatment algorithm. The concomitant issue of soft tissue coverage with vascular reconstruction is the main challenge when opting for free tissue transfer. The flow-through flap offers the surgeon the ability to treat a vascular injury or high-grade stenosis to maintain distal perfusion, while also providing soft tissue coverage. Read More

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A single-surgeon experience in reconstruction of femoro-acetabular offset and implant positioning in direct anterior approach and anterolateral MIS approach with a curved short stem.

Arch Orthop Trauma Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Orthopaedics and Traumatology, Kepler University Hospital Linz, Krankenhausstrasse 9, 4020, Linz, Austria.

Purpose: Minimally invasive surgery using short stems in total hip arthroplasty gained more popularity. The differences in change of hip offset and implant positioning in minimally invasive approaches are not fully known. Therefore, this study was conducted to evaluate the difference in reconstruction of hip offset and implant positioning in direct anterior approach (DAA) and minimally invasive anterolateral approach (AL MIS). Read More

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An accessory iliotibial band insertion: a unique anatomical variant.

Skeletal Radiol 2021 Jun 1. Epub 2021 Jun 1.

Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, Middlesex, UK.

The iliotibial band (ITB) is considered an important anterolateral knee joint stabiliser. Its exact anatomy remains unclear with inconsistency owing to relative paucity of detailed cadaveric studies. Multiple ITB distal insertional sites have been reported, the most common and well known being a direct attachment onto Gerdy's tubercle of the anterolateral tibia. Read More

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Total Denervation of the Elbow: Cadaveric Feasibility Study.

J Hand Surg Am 2021 May 29. Epub 2021 May 29.

Department of Orthopaedic Surgery, Hôpital Pierre-Paul Riquet, Toulouse, France.

Purpose: Total elbow arthroplasty for the treatment of patients with severe elbow osteoarthritis is associated with postoperative activity limitations and risk of midterm complications. Elbow denervation could be an attractive therapeutic option for young, active patients. The aim of our study was to assess the feasibility of selective total elbow denervation via 2 anteriorly based approaches. Read More

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Clinical and Neuroimaging Features in Charcot-Marie-Tooth Patients with Mutations.

Life (Basel) 2021 May 28;11(6). Epub 2021 May 28.

Departments of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.

Charcot-Marie-Tooth disease (CMT) is the most common inherited peripheral neuropathy. Mutations in the gene cause dominant intermediate CMT type F (CMTDIF). The aim of this study is to investigate phenotypic heterogeneities and characteristics of CMT patients with mutations. Read More

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Electromyographic Assessment of Anterior Cruciate Ligament Injury Risk in Male Tennis Players: Which Role for Visual Input? A Proof-of-Concept Study.

Diagnostics (Basel) 2021 May 30;11(6). Epub 2021 May 30.

Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy.

Anterior cruciate ligament (ACL) injury incidence is often underestimated in tennis players, who are considered as subjects conventionally less prone to knee injuries. However, evaluation of the preactivation of knee stabilizer muscles by surface electromyography (sEMG) showed to be a predictive value in the assessment of the risk of ACL injury. Therefore, this proof-of-concept study aimed at evaluating the role of visual input on the thigh muscle preactivation through sEMG to reduce ACL injury risk in tennis players. Read More

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The Direct Anterior Approach to Primary Total Hip Replacement: Radiological Analysis in Comparison to Other Approaches.

J Clin Med 2021 May 21;10(11). Epub 2021 May 21.

Department of Orthopaedics and Rehabilitation, Medical University of Warsaw, 02-091 Warszawa, Poland.

Total hip arthroplasty (THA) is currently considered the most effective treatment for end-stage hip osteoarthritis (OA). The surgery can be performed via a number of different approaches, including direct anterior (DAA; Smith-Petersen; Hueter), anterolateral (ALA; Watson-Jones), direct lateral (LA; Bauer), posterior (PA; Kocher-Langenbeck), and posterolateral (PLA). There is still a dispute over the optimal technique. Read More

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Subtraction ictal SPECT co-registered to MRI (SISCOM) patterns in children with temporal lobe epilepsy.

Epilepsy Behav 2021 May 29;121(Pt A):108074. Epub 2021 May 29.

Comprehensive Epilepsy Center, Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Objective: We evaluated SISCOM patterns and their relationship with surgical outcome in children with temporal lobe epilepsy (TLE) who had undergone a temporal lobe surgery.

Methods: This was an observational study evaluating SISCOM patterns in 40 children with TLE. We classified SISCOM patterns into 4 categories; (i) unilateral anteromesial and/or anterolateral temporal pattern; (ii) unilateral anteromesial and/or anterolateral temporal plus posterior extension pattern; (iii) bilateral anteromesial and/or anterolateral temporal pattern; and (iv) atypical pattern. Read More

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Orthoplastic management of open tibial fractures in children : a consecutive five-year series from a paediatric major trauma centre.

Bone Joint J 2021 Jun;103-B(6):1160-1167

Bristol Royal Hospital for Children, Bristol, UK.

Aims: Open tibial fractures are limb-threatening injuries. While limb loss is rare in children, deep infection and nonunion rates of up to 15% and 8% are reported, respectively. We manage these injuries in a similar manner to those in adults, with a combined orthoplastic approach, often involving the use of vascularised free flaps. Read More

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Incidence of posterolateral and retrorenal colon in supine and prone position in percutaneous nephrolithotomy.

Urolithiasis 2021 May 31. Epub 2021 May 31.

Department of Urology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.

Colon injury is a distressing complication during percutaneous nephrolithotomy (PCNL). Posterolateral colon (PLC) and retrorenal colon (RRC) are known to be the risk factors of colonic injury during PCNL. We evaluated the incidence of PLC and RRC in both supine and prone position of patients who underwent PCNL in our institution, and determined the risk factors of PLC and RRC through a review of computed tomography (CT) scan. Read More

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