34,983 results match your criteria debridement critical

Effect of silver diamine fluoride on hyperplastic gingivitis in an adult with intellectual disability-A case report.

Spec Care Dentist 2021 Jul 22. Epub 2021 Jul 22.

National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore, Singapore.

Silver diamine fluoride 38% (SDF) may possess therapeutic effects beyond desensitization, caries prevention and arresting. We report the case of a 41-year-old male with intellectual disability. He had generalized gingivitis on a reduced periodontium and presented with enlarged gingiva with mobile teeth, particularly on the upper anterior and upper left. Read More

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Magnetic Resonance Arthrographic Findings After Hip Labrum Resection Versus Refixation.

Orthopedics 2021 Jul-Aug;44(4):e607-e613. Epub 2021 Jul 1.

The aim of this study was to evaluate whether new tissue formation occurs after labral debridement/excision, and, if so, which morphological features are typical for a neo-labrum. The authors further compared the findings after labrum resection with those seen after labrum refixation. Patients with femoroacetabular impingement who underwent hip arthroscopy or surgical hip dislocation to address a labrum pathology were retrospectively included, and postoperative magnetic resonance arthrography studies were assessed. Read More

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Neonatal Fournier's Gangrene: Avoiding Extensive Debridement.

Pediatr Infect Dis J 2021 Jul 20. Epub 2021 Jul 20.

From the Division of Plastic Pediatric Surgery, Pediatric Surgery Department Neonatology Department Pediatric Surgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Fournier's gangrene is a necrotizing fasciitis of the scrotal and inguinal region, associating high mortality and complication rates. It is extremely rare in the neonatal period and may be life threatening. We present an exceptional case of a 24-day-old boy who consulted to the emergency department for fever (39 °C) and an indurated, fluctuating and painful erythema in both groins, left hemiscrotum, left anterior femoral region and perineum for the last 6 hours. Read More

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A Case Report of a 2-Year Follow-up of Minimally Invasive Surgery in Peri-implantitis: Peri-implant Excisional Procedure and Access Surgery (PEAS).

J Oral Implantol 2021 Jul 20. Epub 2021 Jul 20.

Seoul National University School of Dentistry Professor Department of Periodontology and Dental Research Institute 101, Daehak-ro, Jongno-gu KOREA, REPUBLIC OF Seoul Department of Periodontology, School of Dentistry, Seoul National University, Seoul, Republic of Korea. Department of Periodontology, Seoul National University Dental Hospital, Seoul, Republic of Korea. Dental Research Institute, School of Dentistry, Seoul.

This case report describes the treatment of peri-implantitis lesions through a minimally invasive surgical procedure using a peri-implant excisional procedure and access surgery (PEAS). The prosthesis was disconnected and the peri-implant granulation tissue removed following a peri-implant circular incision. Chemical debridement with hydrogen peroxide on a cotton ball and then mechanical debridement with a rotary round titanium brush and tufted brush with titanium bristles were conducted. Read More

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Non-surgical treatment for periodontitis and peri-implantitis: longitudinal clinical and bacteriological findings-A case report with a 7-year follow-up evaluation.

SAGE Open Med Case Rep 2021 5;9:2050313X211029154. Epub 2021 Jul 5.

Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

The aim of this report is to show that periodontitis and peri-implantitis with horizontal bone resorption in a 68-year-old male patient were successfully treated by non-surgical treatment. Scaling with an ultrasonic device was performed for moderate periodontitis around the mandibular left first premolar and moderate peri-implantitis around the maxillary right molar implants. Root planing with a metal curette was performed for the periodontal site, and debridement with a plastic curette was performed for the peri-implant site. Read More

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Exposed versus buried K-wire fixation in paediatric lateral condyle humerus fractures: preliminary communication of a prospective comparative study.

J Pediatr Orthop B 2021 Jul 19. Epub 2021 Jul 19.

Department of Orthopaedics Department of Community Medicine, SCB Medical College and Hospital, Cuttack, Odisha, India.

Buried Kirschner's wires (K-wires) following internal fixation of paediatric Lateral condyle fracture of humerus allow them to hold the bone until radiological consolidation but requires another surgical procedure for implant removal. Exposed wires need meticulous pin tract care, earlier implant removal and may carry a higher risk of infection. The objective of this study was to compare the outcomes of buried versus exposed K-wires for these fractures. Read More

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Simulated Wound Care as a Competence Assessment Method for Student and Registered Nurses.

Adv Skin Wound Care 2021 Jul 19. Epub 2021 Jul 19.

At the University of Turku, Finland, Emilia Kielo-Viljamaa, MNSc, RN, is a PhD Candidate; Maarit Ahtiala, RN, is a wound care nurse; Riitta Suhonen, PhD, RN, is Professor and Director of Nursing; and Minna Stolt, PhD, is Lecturer. Acknowledgments: The authors thank the study participants as well as the wound care experts who gave their best efforts and assistance to develop the study instrument. They also thank the Finnish Wound Care Society and the University of Turku for financial support, as well as Mölnlycke Health Care AB for sponsoring some of the wound care products used in the simulations. The authors have disclosed no other financial relationships related to this article. Submitted November 3, 2020; accepted in revised form January 8, 2021.

Objective: To describe the development and use of a wound care simulation assessing registered nurses' and graduating student nurses' practical wound care competence, and to describe observations of participants' wound care competence.

Methods: A descriptive, qualitative design was used. Data were collected in 2019 from 50 health care professionals and students using a simulated wound care situation and an imaginary patient case. Read More

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Nasal screening for methicillin-resistant Staphylococcus aureus does not reduce surgical site infection after primary lumbar fusion.

Spine J 2021 Jul 17. Epub 2021 Jul 17.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts. Electronic address:

Background: Preoperative methicillin-resistant Staphylococcus aureus (MRSA) testing and decolonization has demonstrated success for arthroplasty patients in surgical site infections (SSIs) prevention. Spine surgery, however, has seen varied results.

Purpose: The purpose of this study was to determine the impact of nasal MRSA testing and operative debridement rates on surgical site infection after primary lumbar fusion. Read More

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[Reconstruction in polytraumatized burn patients].

Unfallchirurg 2021 Jul 20. Epub 2021 Jul 20.

Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Replantationszentrum, Schwerbrandverletztenzentrum, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Background: Polytraumatized burn patients represent a rare patient collective and necessitate an individualized treatment concept due to the particular combination of injuries.

Objective: Against the background of this special injury pattern, especially with deep burns overlying the fracture zone, the question of a specific and interdisciplinary treatment algorithm arises.

Material And Methods: This article is based on a PubMed database search and experiences of a trauma center for severely injured burn patients at a university hospital, with presentation of the special therapeutic requirements and goals exemplified by a case report. Read More

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sternoclavicular joint osteomyelitis in an otherwise healthy 55-year-old man.

BMJ Case Rep 2021 Jul 19;14(7). Epub 2021 Jul 19.

Family Medicine, Henry Ford Hospital, Detroit, Michigan, USA.

Sternoclavicular joint osteomyelitis is extremely rare, with only 225 reported cases in the last 45 years. We present an unusual case in an otherwise healthy 55-year-old man with a history of well-controlled type 2 diabetes mellitus and hypertension. He presented to the emergency department after a week of left knee pain that worsened to full-body joint pain with left sternoclavicular swelling. Read More

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A case of cryptococcal necrotizing fasciitis and immune reconstitution inflammatory syndrome in a renal transplantation recipient.

Int J Surg Case Rep 2021 Jul 16;85:106199. Epub 2021 Jul 16.

Center for Infectious Diseases, Nara Medical University Hospital, 840 Shijocho, Kashihara, Nara 634-8522, Japan. Electronic address:

Introduction And Importance: Immunocompromised patients are at high risk of unexpectedly serious infections caused by uncommon bacteria or fungi. We experienced a case of Cryptococcus neoformans-induced necrotizing fasciitis (NF) of the lower extremities. The progress so far has been reported by the urology department [1]. Read More

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Infection after Open Long Bone Fractures: Can we Improve on Prophylaxis?

J Surg Res 2021 Jul 16;268:33-39. Epub 2021 Jul 16.

Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA. Electronic address:

Introduction: Current standards recommend antibiotic prophylaxis administered after open fracture injury. The purpose of this study was to assess culture results in patients with open fracture-associated infections, hypothesizing that cultures obtained do not vary by Gustilo-Anderson (GA) classification.

Methods: We examined cultured bacterial species from patients with open long bone fractures that underwent irrigation and debridement at a Level 1 trauma center (2008-2016), evaluating our current and two hypothetical antibiotic protocols to assess whether they provided appropriate coverage. Read More

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Necrotizing Skin and Soft Tissue Infections Admitted to Intensive Care Unit in Reunion Island: A Retrospective Cohort Study.

Am J Trop Med Hyg 2021 Jul 19. Epub 2021 Jul 19.

Intensive Care Unit, Félix Guyon Hospital, University Teaching Hospital of La Réunion, Reunion Island, France.

This retrospective and single-center study in Reunion Island (Indian Ocean) assessed frequency, mortality, causative pathogens of severe necrotizing skin, and necrotizing skin and soft tissue infections (NSSTIs) admitted in intensive care unit (ICU). Sixty-seven consecutive patients were included from January 2012 to December 2018. Necrotizing skin and soft tissue infection represented 1. Read More

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Novel Quantitative Ultrasonic Analysis of Patellar Tendon in Collegiate Athlete Following Bilateral Debridement: A Case Report.

J Athl Train 2021 Jul 19. Epub 2021 Jul 19.

Department of Biological Systems Engineering, University of Nebraska, Lincoln, NE, USA.

An NCAA Division I female basketball athlete (20 years, 190.5 cm, 87 kg) suffered from chronic tendinopathy. After failed conservative treatments, the athlete underwent bilateral open patellar debridement surgery. Read More

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Residual periodontal pocket treatment with Er:YAG laser-assisted comprehensive periodontal pocket therapy: a retrospective study.

Clin Oral Investig 2021 Jul 19. Epub 2021 Jul 19.

Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Objectives: Recently, the application of erbium-doped yttrium aluminum garnet (Er:YAG) laser has been increasing in periodontal therapy. In this retrospective study, we evaluated the safety and effectiveness of a novel pocket therapy using Er:YAG laser in combination with conventional mechanical scaling and root planing treatment (Er:YAG laser-assisted comprehensive periodontal pocket therapy).

Methods: Forty sites in 29 elderly patients having residual periodontal pockets of ≥ 5 mm depth were treated by curette and Er:YAG laser from 2006 to 2009. Read More

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Remote endarterectomy to remove infected Viabahn stent-graft.

J Vasc Surg Cases Innov Tech 2021 Sep 20;7(3):474-477. Epub 2021 May 20.

Division of Vascular Surgery, Department of Surgery, Ouellette Campus, Windsor Regional Hospital, Windsor, Ontario, Canada.

Infection of peripheral arterial vascular grafts and stent-grafts represents a complex surgical scenario, with a number of proposed management strategies. Surgical removal of infected material with adjunctive arterial reconstruction is often required. However, surgical removal is often difficult and complex. Read More

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September 2021

Chronic osteomyelitis caused by following orthopaedic trauma: A case report and review of the literature.

IDCases 2021 29;25:e01211. Epub 2021 Jun 29.

Department of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Sydney, New South Wales, Australia.

Background: is an opportunistic environmental aerobe. In cases where infects humans, it most commonly manifests as bacteraemia in the immunosuppressed. causing chronic osteomyelitis is rare, particularly in the immunocompetent and young. Read More

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Scaphoid Nonunion Volar Plating with Pure Nonvascularized Cancellous Autograft.

JBJS Essent Surg Tech 2021 Apr-Jun;11(2). Epub 2021 May 27.

Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.

Background: Surgical treatment of scaphoid nonunion has evolved over the years to include a variety of procedures and techniques involving a number of vascularized and nonvascularized bone grafting options and fixation strategies. Volar plating of scaphoid nonunions with use of pure cancellous nonvascularized autograft is a safe and effective treatment method with good functional outcomes and union rates.

Description: Volar plating of the scaphoid nonunion is performed via a volar approach, with debridement and reduction of the nonunion site. Read More

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Radiodermatitis as a consequence of radiation recall induced by acyclovir: case report.

Rep Pract Oncol Radiother 2021 9;26(3):475-480. Epub 2021 Jun 9.

University of Western São Paulo, Presidente Prudente, Brazil.

Background: Radiation recall dermatitis (RRD) is an inflammatory reaction in an area of the skin previously irradiated for cancer treatment. The reaction usually occurs following the administration of a cytotoxic drug. Manifestations range from mild to severe, resulting in tissue necrosis. Read More

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Clinical evaluation of air-polishing with erythritol powder followed by ultrasonic calculus removal versus conventional ultrasonic debridement and rubber-cup polishing for the treatment of gingivitis: a split-mouth randomized controlled clinical trial.

Int J Dent Hyg 2021 Jul 18. Epub 2021 Jul 18.

Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.

Objectives: To evaluate the clinical efficacy in the short-term resolution of gingivitis of a novel protocol involving full-mouth erythritol-powder air-polishing followed by ultrasonic calculus removal.

Methods: 41 healthy patients completed the study. Following a split-mouth design, quadrants 1-4 and 2-3 were randomly allocated to receive air-polishing followed by ultrasonic calculus removal (A+US) or traditional full-mouth ultrasonic debridement followed by polishing with a rubber cup and prophylactic paste (US+P). Read More

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First case of huge classic papillary thyroid cancer rupturing spontaneously leading to ischemic necrosis, perforation and inflammation of overlying skin: Case report and review of the literature.

Int J Surg Case Rep 2021 Jun 29;85:106136. Epub 2021 Jun 29.

Department of General Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.

Introduction: Papillary thyroid cancer (PTC) is the commonest form of well-differentiated endocrine carcinoma. It is categorized into indolent and aggressive, where the indolent subtypes (classic, follicular) rarely demonstrate aggressive behavior. We present a classic PTC presenting with a rapidly growing huge anterior neck mass that subsequently spontaneously ruptured subcutaneously resulting in ischemia, necrosis, and perforation of overlying skin leading to inflammation. Read More

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Aspergillus PJI - A systematic analysis of all known cases and report of a new one.

J Mycol Med 2021 Jul 6;31(4):101141. Epub 2021 Jul 6.

Charitè University Medicine Berlin, Center for Musculoskeletal Surgery, Chariteplatz 1, 10117, Berlin, Germany.

Fungi resemble less than one percent of all periprosthetic joint infections (PJI). While Candida PJI is well described, Aspergillus PJI has only been reported in a few cases without any systematic analysis present at this point. This review aims to systematically summarize and describe all cases of Aspergillus PJI. Read More

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Management of Disastrous Complications of Penile Implant Surgery.

J Sex Med 2021 Jul;18(7):1145-1157

Department of Urology, University College London Hospitals & St Peters Andrology Centre, London, UK.

Rationale: Penile Prosthesis Implantation (PPI) is the definitive treatment for Erectile Dysfunction not responsive to conservative management strategies. Furthermore, it is a staple of surgical treatment of severe Peyronie's Disease (PD) and phallic reconstruction. Expert implantologists occasionally face disastrous complications of penile implant surgery which can prove to be very challenging. Read More

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SLAP tears and return to sport and work: current concepts.

J ISAKOS 2021 Jul 11;6(4):204-211. Epub 2021 Mar 11.

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

Superior labrum, anterior and posterior (SLAP) lesions are common and identified in up to 26% of shoulder arthroscopies, with the greatest risk factor appearing to be overhead sporting activities. Symptomatic patients are treated with physical therapy and activity modification. However, after the failure of non-operative measures or when activity modification is precluded by athletic demands, SLAP tears have been managed with debridement, repair, biceps tenodesis or biceps tenotomy. Read More

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Treatment and outcome of eight horses with limb cellulitis and septic tendonitis or desmitis.

Vet Surg 2021 Jul 16. Epub 2021 Jul 16.

New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania, USA.

Objective: To report the clinical features, treatment, and outcome in horses with cellulitis and concurrent septic tendonitis and/or desmitis.

Study Design: Short case series.

Methods: Medical records from 2000 to 2019 were reviewed, identifying horses with cellulitis and concurrent septic tendonitis and/or desmitis based on sonographic examination and positive bacterial culture. Read More

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Breast gangrene: Tale of two similar cases with two different outcomes.

Trop Doct 2021 Jul 16:494755211031386. Epub 2021 Jul 16.

Professor, Department of General Surgery, Safdarjung Hospital, Vardhman Mahavir Medical College, New Delhi, India.

Breast gangrene is rare in surgical practice. Its aetiology is variable and multifactorial. Debridement and appropriate antibiotic treatment are the mainstay of management. Read More

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Extracapsular subcutaneous endoscopic treatment for refractory lateral epicondylalgia: technique, retrospective results, and prognostic factors.

Ann Transl Med 2021 May;9(9):782

Institute of Sports Medicine, Peking University Third Hospital, Beijing, China.

Background: The extracapsular subcutaneous endoscopic treatment is a new and under-researched approach to the endoscopic treatment of refractory lateral epicondylalgia. We aimed to introduce the techniques of the method and the mid-long term clinical effects. Furthermore, we intended to identify demographic and surgical-related factors correlated with prognosis of extracapsular subcutaneous method. Read More

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Timing of Flap Coverage With Respect to Definitive Fixation in Open Tibia Fractures.

J Orthop Trauma 2021 Aug;35(8):430-436

Strong Memorial Hospital, Rochester, NY.

Objectives: We conducted a large, U.S wide, observational study of type III tibial fractures, with the hypothesis that delays between definitive fixation and flap coverage might be a substantial modifiable risk factor associated with nosocomial wound infection.

Design: A retrospective analysis of a multicenter database of open tibial fractures requiring flap coverage. Read More

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When acral malignant melanoma facades as diabetic foot!

BMJ Case Rep 2021 Jul 15;14(7). Epub 2021 Jul 15.

Department of Diabetes and Endocrinology, The Dudley Group NHS Foundation Trust, Dudley, West Midlands, UK.

An 85-year-old Indian man presented with non-healing foot ulcer over the left heel. There was initial response to wound size with standard treatment including offloading, debridement and antibiotic therapy. However, subsequently, there was no progress noted. Read More

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Better Outcomes but no Difference in Joint Space Narrowing at Five Years among Patients without Unstable Chondral Lesions versus those with Unstable Chondral Lesions (Left In Situ) at the time of Arthroscopic Partial Meniscectomy.

Arthroscopy 2021 Jul 12. Epub 2021 Jul 12.

Department of Biostatistics and Medical Informatics, University of Wisconsin Madison, Madison, WI.

Purpose: To compare 5-year outcomes among patients with and without unstable chondral lesions undergoing APM.

Methods: Using data from the Chondral Lesions And Meniscal Procedures (ChAMP) Trial, we compared outcomes for patients with unstable chondral lesions found at the time of APM and left in situ (CL-noDeb, N=71) versus patients without unstable chondral lesions (NoCL, N=47) at 5 years after APM. Outcomes included the Western Ontario and McMaster Universities Arthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS), visual analog pain scale (VAS), Short-form Health Survey (SF-36), physical knee measurements, progressive joint space narrowing on radiographs, and the rate of additional knee surgery. Read More

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