1,075 results match your criteria factors anterolateral


Ramp lesion of the medial meniscus.

EFORT Open Rev 2021 May 4;6(5):372-379. Epub 2021 May 4.

Department of Orthopaedics, the Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, China.

Ramp lesion of the medial meniscus used to be completely disregarded in the past.Ramp lesion has been now put under the spotlight by orthopaedic and sport medicine surgeons and requires attention.It is closely associated with anterior cruciate ligament injury. Read More

View Article and Full-Text PDF

Strangulated Spiegel hernia: About a case and literature review.

Ann Med Surg (Lond) 2021 Jun 28;66:102453. Epub 2021 May 28.

Visceral Surgical Emergency Department, Universitary Hospital Center Ibn Rochd, Casablanca, Morocco.

The anterolateral abdominal Hernias are a frequent reason for consultation; Spiegel's hernia is a rare spontaneous abdominal anterolateral hernia (0.12% of abdominal hernias) for patients between 40 and 70 years old, There are risk factors such as intra-abdominal hyperpressure secondary to morbid obesity, multiple pregnancies and chronic cough. The surgery is the standard treatment; whether by raphy or prosthetic mesch. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

Emergency medicine updates: Anaphylaxis.

Am J Emerg Med 2021 May 7;49:35-39. Epub 2021 May 7.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.

Introduction: Anaphylaxis is a potentially deadly condition that requires emergent therapy. While frequently treated in the emergency department (ED), recent evidence updates may improve the diagnosis and management of this condition.

Objective: This paper evaluates key evidence-based updates concerning the diagnosis and management of anaphylaxis for the emergency clinician. Read More

View Article and Full-Text PDF

Low rate of early periprosthetic fractures in cementless short-stem total hip arthroplasty using a minimally invasive anterolateral approach.

J Orthop Traumatol 2021 May 21;22(1):19. Epub 2021 May 21.

Department for Orthopedics and Traumatology, Kepler University Hospital GmbH, Krankenhausstrasse 9, 4020, Linz, Austria.

Purpose: Minimally invasive (MIS) approaches in combination with short stems have gained popularity in recent years in total hip arthroplasty (THA). A decreased risk for periprosthetic femoral fractures (PFFs) is reported for cementless short-stem THA, but in contrast to other approaches, the risk factors for PFFs for short-stem THA using MIS anterolateral approach in supine position are not described in literature.

Methods: A single-center consecutive series of 1052 hips in 982 patients, performed between 2014 and 2019 with a short curved stem and a press fit using an MIS anterolateral approach in supine position, was retrospectively screened for inclusion. Read More

View Article and Full-Text PDF

The Anterolateral Ligament Has Limited Intrinsic Healing Potential: A Serial, 3-Dimensional-Magnetic Resonance Imaging Study of Anterior Cruciate Ligament-Injured Knees From the SANTI Study Group.

Am J Sports Med 2021 May 20:3635465211013015. Epub 2021 May 20.

Hachiya Orthopaedic Hospital, Aichi, Japan.

Background: Recent imaging studies demonstrate that the anterolateral ligament (ALL) is frequently injured at the time of anterior cruciate ligament (ACL) rupture. The intrinsic healing potential of these injuries after ACL reconstruction (ACLR) has not been defined.

Purpose/hypothesis: The primary objective was to evaluate the rate and duration of the healing process of injured ALLs after ACLR using serial 3-dimensional magnetic resonance imaging (3D-MRI). Read More

View Article and Full-Text PDF

Chronic ankle instability has no correlation with the number of ruptured ligaments in severe anterolateral sprain: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc 2021 May 15. Epub 2021 May 15.

NOVA Medical School, Lisbon, Portugal.

Purpose: Despite being a significant public health problem, ankle sprains' prognostic factors are largely unknown. This review aimed to systematically analyze the literature on acute ankle sprains to compare the prognosis of a combined anterior talofibular (ATFL) and calcaneofibular (CFL) ligaments rupture with an isolated ATFL rupture in terms of progression to chronic ankle instability and other clinical outcomes.

Methods: The databases for Pubmed, CENTRAL and Web of Science were searched. Read More

View Article and Full-Text PDF

Good Outcome Scores and Low Conversion Rate to THA 10 Years After Hip Arthroscopy for the Treatment of Femoroacetabular Impingement.

Clin Orthop Relat Res 2021 04 29. Epub 2021 Apr 29.

P. C. Haefeli, Department of Orthopaedic and Trauma Surgery, Kantonsspital Luzern, Luzern, Switzerland.

Background: Arthroscopic treatment of symptomatic femoroacetabular impingement (FAI) has promising short-term to mid-term results. In addition to treating acute pain or impaired function, the goal of hip-preserving surgery is to achieve a lasting improvement of hip function and to prevent the development of osteoarthritis. Long-term results are necessary to evaluate the effectiveness of surgical treatment and to further improve results by identifying factors associated with conversion to THA. Read More

View Article and Full-Text PDF

Revision ACL Reconstruction: Principles and Practice.

Indian J Orthop 2021 Apr 19;55(2):263-275. Epub 2021 Jan 19.

The Orthopaedic Speciality Clinic, 16 Status Chambers, 1221/A Wrangler Paranjpe Road, Pune, 411004 India.

Introduction: The incidence of anterior cruciate ligament reconstruction (ACLR) surgeries is increasing and so is the number of revision surgeries for a failed ACLR. The spectrum of ACL failure includes symptoms of recurrent instability, pain, and/or stiffness.

Discussion: Factors contributing to ACL failure may be classified as patient-related, surgeon-related, and biological factors. Read More

View Article and Full-Text PDF

The presence of high-grade pivot shift test preoperatively is associated with inferior functional outcomes.

Phys Sportsmed 2021 May 11:1-5. Epub 2021 May 11.

Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India.

: The effect of high-grade preoperative pivot shift test on outcomes of anterior cruciate ligament (ACL) reconstruction surgery is not very well established. The present study was conducted to study the factors associated with high-grade pivot shift test and effect of high-grade preoperative pivot shift test on functional outcomes after ACL reconstruction surgery.: Three hundred and sixty-two patients who underwent primary ACL reconstruction surgery were enrolled in the study. Read More

View Article and Full-Text PDF

Association of Ligamentous Laxity, Male Sex, Chronicity, Meniscal Injury, and Posterior Tibial Slope With a High-Grade Preoperative Pivot Shift: A Post Hoc Analysis of the STABILITY Study.

Orthop J Sports Med 2021 Apr 6;9(4):23259671211000038. Epub 2021 Apr 6.

Investigation performed at the Fowler Kennedy Sport Medicine Clinic, Western University, London, Ontario, Canada.

Background: A spectrum of anterolateral rotatory laxity exists in anterior cruciate ligament (ACL)-injured knees. Understanding of the factors contributing to a high-grade pivot shift continues to be refined.

Purpose: To investigate factors associated with a high-grade preoperative pivot shift and to evaluate the relationship between this condition and baseline patient-reported outcome measures (PROMs). Read More

View Article and Full-Text PDF

Anterior Cruciate Ligament Reconstruction Alone Versus With Lateral Extra-articular Tenodesis With Minimum 2-Year Follow-up: A Meta-analysis and Systematic Review of Randomized Controlled Trials.

Am J Sports Med 2021 Apr 22:3635465211004946. Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Box Hill Hospital, Melbourne, Victoria, Australia.

Background: Lateral extra-articular tenodesis (LEAT) aims to improve anterolateral stability of the injured knee during anterior cruciate ligament reconstruction (ACLR) surgery. Inconclusive evidence surrounding the efficacy and safety of LEAT has propelled clinical interest and ongoing discussions.

Purpose: To establish level 1 evidence by assessing randomized controlled trials (RCTs) with minimum 2-year follow-up that directly compared ACLR with LEAT (LEAT group) and ACLR alone (non-LEAT group) in terms of clinical outcomes and complications. Read More

View Article and Full-Text PDF

Paediatric knee anterolateral capsule does not contain a distinct ligament: analysis of histology, immunohistochemistry and gene expression.

J ISAKOS 2021 03 3;6(2):82-87. Epub 2020 Aug 3.

Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

Objectives: The presence of a discrete ligament within the knee anterolateral capsule (ALC) is controversial. Tendons and ligaments have typical collagens, ultrastructure, transcription factors and proteins. However, these characteristics have not been investigated in paediatric ALC. Read More

View Article and Full-Text PDF

Left-axis deviation in patients with nonischemic heart failure and left bundle branch block is a purely electrical phenomenon.

Heart Rhythm 2021 Apr 6. Epub 2021 Apr 6.

Cardio-Thoracic Unit, Bordeaux University Hospital (CHU), Pessac-Bordeaux, France; IHU Liryc, Electrophysiology and Heart Modeling Institute, Fondation Bordeaux Université, Pessac-Bordeaux, France.

Background: Possible mechanisms of left-axis deviation (LAD) in the setting of left bundle branch block (LBBB) include differences in cardiac electrophysiology, structure, or anatomic axis.

Objective: The purpose of this study was to clarify the mechanism(s) responsible for LAD in patients with LBBB.

Methods: Twenty-nine patients with nonischemic cardiomyopathies and LBBB underwent noninvasive electrocardiographic imaging (ECGi), cardiac computed tomography, and magnetic resonance imaging in order to define ventricular electrical activation, characterize cardiac structure, and determine the cardiac anatomic axis. Read More

View Article and Full-Text PDF

Risk factors for infection in fixation of distal tibia fractures.

Injury 2021 Feb 26. Epub 2021 Feb 26.

Trauma Unit. Orthopaedic and Trauma Dept, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Electronic address:

Background: The aim of this study is to evaluate risk factors for infection as well as infection rates after open reduction and internal fixation for distal tibia fractures with a distal tibia locking plate and/or isolated screws.

Methods: This is a retrospective and descriptive study based on 55 patients treated in our Major Trauma Centre from January 2009 to December 2016. All patients were classified by age, sex, open or closed fracture, injury mechanism, comorbidities, fixation and time from injury to surgery. Read More

View Article and Full-Text PDF
February 2021

No clinically meaningful difference in 1-year patient-reported outcomes among major approaches for primary total hip arthroplasty.

Hip Int 2021 Mar 7:1120700021992013. Epub 2021 Mar 7.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA.

Background: Debate continues around the most effective surgical approach for primary total hip arthroplasty (THA). This study's purpose was to compare 1-year patient-reported outcome measures (PROMs) of patients who underwent direct anterior (DA), transgluteal anterolateral (AL)/direct lateral (DL), and posterolateral (PL) approaches.

Methods: A prospective consecutive series of primary THA for osteoarthritis ( = 2,390) were performed at 5 sites within a single institution with standardised care pathways (20 surgeons). Read More

View Article and Full-Text PDF

Lateral Hind-Foot Endoscopic Anterolateral/Posterolateral (LEAP) Subtalar Arthrodesis: An Effective Minimally Invasive Technique to Achieve Subtalar Fusion and Deformity Correction.

Arthrosc Tech 2021 Feb 30;10(2):e423-e429. Epub 2021 Jan 30.

Clinique du Sport, Merignac, Merignac, Bordeaux.

Arthrodesis surgery aims to provide relief for chronic joint pain and correct limb alignment by achieving a stable union between articulating bones. The key factors to achieving sound arthrodesis is adequate debridement of arthritic cartilage and creating well-apposed bleeding subchondral bone surfaces without compromising the surrounding soft tissue envelope. Arthroscopic subtalar arthrodesis is technically demanding but provides better visualization of the articular surfaces and is safer for the surrounding soft tissues compared to the open approach. Read More

View Article and Full-Text PDF
February 2021

Comparison of short-term outcomes of anterolateral supine approach and posterolateral approach for primary total hip arthroplasty: a retrospective study.

J Orthop Traumatol 2021 Feb 27;22(1). Epub 2021 Feb 27.

Department of Orthopaedic Surgery, Surgical Science, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.

Background: This study aims to evaluate postoperative pain and functional and clinical outcomes of anterolateral supine (ALS) and posterolateral (PL) approaches for primary total hip arthroplasty.

Materials And Methods: We retrospectively examined the joints of 110 patients who underwent primary total hip arthroplasty (THA). The ALS group was compared with the PL group using the pain visual analog scale (VAS) and narcotic consumption as pain outcomes. Read More

View Article and Full-Text PDF
February 2021

Predictive Value of the Magnetic Resonance Imaging-Based Coronal Lateral Collateral Ligament Sign on Adolescent Anterior Cruciate Ligament Reconstruction Graft Failure.

Am J Sports Med 2021 03 22;49(4):935-940. Epub 2021 Feb 22.

Division of Orthopaedic Surgery, Rady Children's Hospital, San Diego, California, USA.

Background: The coronal lateral collateral ligament (LCL) sign is the presence of the full length of the LCL visualized on a single coronal magnetic resonance imaging (MRI) slice at the posterolateral corner of the knee. The coronal LCL sign has been shown to be associated with elevated measures of anterior tibial translation and internal rotation in the setting of anterior cruciate ligament (ACL) tear.

Hypothesis: The coronal LCL sign (with greater anterior translation, internal rotation, and posterior slope of the tibia) will indicate a greater risk for graft failure after ACL reconstructive surgery. Read More

View Article and Full-Text PDF

Axial But Not Sagittal Hinge Axis Affects Posterior Tibial Slope in Medial Open-wedge High Tibial Osteotomy: A Three-dimensional Surgical Simulation Study.

Arthroscopy 2021 Feb 11. Epub 2021 Feb 11.

Department of Orthopaedic Surgery, Kyushu University, Kasuya-gun, Fukuoka, Japan.

Purpose: The purpose of this 3-dimensional (3D) surgical simulation study was to investigate the effects of axial and sagittal hinge axes (hinge axes in the axial and sagittal planes) on medial and lateral posterior tibial slope (PTS) in medial open-wedge high tibial osteotomy (OWHTO), and evaluate the quantitative relationship between hinge axis and PTS change.

Methods: Preoperative computed tomography data from patients with varus knee deformity were collected. A standard hinge axis (0°) and 12 different hinge axes (6 axial hinge axes and 6 sagittal hinge axes: ±10°, ±20°, and ±30°) were defined in a 3D surgical simulation of OWHTO using a bone model. Read More

View Article and Full-Text PDF
February 2021

Prognosis for Peripheral Nerve Injuries after Hip Joint Arthroplasty.

Ortop Traumatol Rehabil 2020 Oct;22(5):319-326

Klinika Ortopedii i Ortopedii Dziecięcej Uniwersytetu Medycznego w Łodzi, Polska / Department of Orthopaedics and Paediatric Orthopaedics of the Medical University of Lodz, Poland.

Background: Peripheral nerve damage is a rare complication of hip replacement surgery that severely impairs the therapeutic outcome. The aim of the present study was to determine the time needed for nerve recovery and re-storation of activity following iatrogenic damage during a primary or revision hip arthroplasty from an anterolateral approach and its relationship with the severity of damage.

Materials And Methods: A prospectively collected database of 1107 patients treated with primary arthroplasty and 303 patients following revision arthroplasty (mean age 63 years, range 53 to 72 years) was analysed. Read More

View Article and Full-Text PDF
October 2020

Evaluating CNVII Recovery after Reconstruction with Vascularized Nerve Grafts: A Retrospective Case Series.

Plast Reconstr Surg Glob Open 2021 Jan 22;9(1):e3374. Epub 2021 Jan 22.

Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Few studies have evaluated vascularized nerve grafts (VNGs) for facial nerve (CNVII) reconstruction. We sought to evaluate long-term outcomes for CNVII recovery following reconstruction with VNGs. A retrospective review of all patients at a tertiary centre who underwent radical parotidectomy and immediate CNVII reconstruction with VNGs was performed (January 2009-December 2019). Read More

View Article and Full-Text PDF
January 2021

Characteristics of antegrade-only accessory pathways in children and adolescents.

Cardiol Young 2021 Jan 25:1-5. Epub 2021 Jan 25.

The Division of Cardiology, Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, CA, USA.

There is minimal data regarding antegrade-only accessory pathways in young patients. Given evolving recommendations and treatments, retrospective analysis of the clinical and electrophysiologic properties of antegrade-only pathways in patients <21 years old was performed, with subsequent comparison of electrophysiology properties to age-matched controls with bidirectional pathways. Of 522 consecutive young patients with ventricular pre-excitation referred for electrophysiology study, 33 (6. Read More

View Article and Full-Text PDF
January 2021

[Anterolateral approach to femoral neck fractures in children].

Oper Orthop Traumatol 2021 Feb 19;33(1):23-35. Epub 2021 Jan 19.

Kindertraumatologie, BG Unfallklinik Murnau, Prof.-Küntscher-Str. 8, 82418, Murnau am Staffelsee, Deutschland.

Objective: Anatomic reduction and stable fixation of pediatric femoral neck fractures.

Indications: All unstable and displaced femoral neck fractures (AO classification 31-E/1.1, 31-E/1. Read More

View Article and Full-Text PDF
February 2021

Volumetric changes of transferred free anterolateral thigh flaps in head and neck lesions.

Auris Nasus Larynx 2021 Aug 16;48(4):751-757. Epub 2021 Jan 16.

Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, 1-1, 3-chome, Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

Objective: The purpose of this study was to clarify sequential volumetric changes of anterolateral thigh (ALT) flaps transferred to head and neck lesions.

Patients And Methods: We retrospectively analyzed volumetric changes in fat and muscle of 22 ALT flaps. We assessed "true" flap volume using the water-displacement method intraoperatively. Read More

View Article and Full-Text PDF

Influence of time interval between endovascular intervention and free flap transfer on flap outcomes in critical limb-threatening ischemia: A retrospective analysis of 64 consecutive cases.

J Plast Reconstr Aesthet Surg 2020 Dec 26. Epub 2020 Dec 26.

Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do 16499, Republic of Korea. Electronic address:

Background: Arterial revascularization and free flap reconstruction is safe and effective for limb salvage in patients with critical limb-threatening ischemia (CLTI). This study aimed to determine whether reconstruction outcomes were affected by the time interval between endovascular treatment and free flap transfer in lower extremity reconstruction for critical limb ischemia.

Methods: Patients who underwent endovascular intervention and subsequent free flap reconstruction with >6 months of follow-up were reviewed. Read More

View Article and Full-Text PDF
December 2020

Resuming Oral Feeding in Patients With Oral Squamous Cell Carcinoma With Free Anterolateral Thigh Flap Reconstruction.

Ann Plast Surg 2021 02;86(2S Suppl 1):S108-S112

From the Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital.

Background: Quality of life and functional improvement have emerged as important goals for patients with oncologic disease. For patients with head and neck cancer, free anterolateral thigh (ALT) flaps serve as reliable reconstruction and provide functional restoration. Nevertheless, factors affecting the resumption of oral feeding are rarely described. Read More

View Article and Full-Text PDF
February 2021

Prevalence and risk factors of scapular stress fracture after reverse shoulder arthroplasty: a multicentric retrospective study.

Int Orthop 2021 01 13;45(1):209-216. Epub 2020 Nov 13.

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, Corneel Heymanslaan 10, B-9000, Ghent, Belgium.

Purpose: Scapular stress fracture (sSF) is a difficult complication to treat after reverse total shoulder arthroplasty (RSA). The aim of this study was to identify the prevalence and possible risk factors in a large population.

Methods: A total of 2165 RSAs that were implanted between January 2006 and October 2017 in five hospitals were evaluated. Read More

View Article and Full-Text PDF
January 2021

Recipient vessel selection for head and neck reconstruction: A 30-year experience in a single institution.

Arch Craniofac Surg 2020 Oct 20;21(5):269-275. Epub 2020 Oct 20.

Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Seoul, Korea.

Background: The advance in microsurgical technique has facilitated a proper approach for reconstruction of extensive head and neck defects. For the success of free tissue reconstruction, selection of the recipient vessel is one of the most important factors. However, the vascular anatomy of this region is very complex, and a clear guideline about this subject is still lacking. Read More

View Article and Full-Text PDF
October 2020

Because I Got High: Marijuana Induced Pseudo-Wellen's Syndrome.

Cureus 2020 Sep 11;12(9):e10390. Epub 2020 Sep 11.

Internal Medicine, University of Florida Health-Jacksonville, Jacksonville, USA.

Wellen's syndrome is a pattern on ECG that signifies impending acute myocardial infarction (MI) of the proximal left anterior descending (LAD) artery. This same pattern can also be noted in several benign diseases that may mimic Wellen's syndrome. Here we discuss a 36-year-old patient with no cardiac risk factors who presented with typical angina shortly after smoking marijuana. Read More

View Article and Full-Text PDF
September 2020