Aaenandrews4860
OCT has a strong potential to display and assess dental plaque and gingiva in a clinical setting. Meanwhile, technological challenges remain to perform systematic longitudinal tracking and comparative analyses.
OCT has a strong potential to display and assess dental plaque and gingiva in a clinical setting. Meanwhile, technological challenges remain to perform systematic longitudinal tracking and comparative analyses.
Massive and irreparable rotator cuff injury is a clinical problem that results in loss of shoulder function and merits timely intervention that helps preserve it as long as possible before arthropathy. The option of repair of the superior capsule with autograft of Fascia Lata in the massive and irreparable rupture of the rotator cuff, is a technique proposed by Mihata, which has demonstrated an improvement of function in the short and medium term.
Female of 51 years old with irreparable tear of supraspinatus and infraspinatus, failure in conservative treatment, clinically with intolerable shoulder pain, subjective dysfunction without signs of moderate to severe arthropathy, no bone defects, stiffness or dysfunction of Deltoid, Latissimus Dorsi and Pectoralis Major. Superior capsule reconstruction was performed with autograft of fascia Lata in August 2018, with follow-up for the first 12 weeks. The result of this procedure showed improvement of the SST 58.33 and QD 20.45 scales compared to pre-surgical evaluation (SST 33.3 and QD 27.7). Full active mobilization in abduction, flexion, extension and internal rotation. The external rotation of the shoulder has no functional improvement.
Female of 51 years old with irreparable tear of supraspinatus and infraspinatus, failure in conservative treatment, clinically with intolerable shoulder pain, subjective dysfunction without signs of moderate to severe arthropathy, no bone defects, stiffness or dysfunction of Deltoid, Latissimus Dorsi and Pectoralis Major. Superior capsule reconstruction was performed with autograft of fascia Lata in August 2018, with follow-up for the first 12 weeks. The result of this procedure showed improvement of the SST 58.33 and QD 20.45 scales compared to pre-surgical evaluation (SST 33.3 and QD 27.7). Full active mobilization in abduction, flexion, extension and internal rotation. The external rotation of the shoulder has no functional improvement.
Anterolateral transpsoas approach is considered as safe access to the retroperitoneum with low risk of complications. The most frequent described complications due to this approach were nerve, bowel, urethral and kidney injury. An incisional hernia is a rare complication in anterolateral approach, as a result of a nonhealing surgical wound or late disruption of the fascia; it occurs in 1% of the incisions after primary closure.
We report a 75-year-old woman who underwent spinal surgery with a double approach, consisting of an anterolateral transpsoas approach and posterior lumbar approach. Two months post-surgery, the patient developed a lateral abdominal tumor at the surgical site.
To prevent incisional hernia, a meticulous dissection must be performed to avoid muscle denervation and weakening of the abdominal wall, as well as proper repair of the fascia its critical to ensure an adequate closure of the wound.
To prevent incisional hernia, a meticulous dissection must be performed to avoid muscle denervation and weakening of the abdominal wall, as well as proper repair of the fascia its critical to ensure an adequate closure of the wound.
Medial Collateral Ligament (LCM) instability is associated with multi-ligamentary lesions. There are several procedures for the reconstruction of MCL, we present a percutaneous technique of augmentation. Our goal is to describe a new technique of reconstruction of the LCM by grafting and fixing with biocomposite screws.
We present the technique in a total of 21 consecutive patients with MCL injury operated in the period of December 2011 to October 2014. Reconstruction of MCL was performed with long, tibial or long hallux tendon allografts in 18 patients and only one patient was used autograft. Eighteen of the 20 patients had associated lesions 5 with medial meniscus injury, 8 with anterior cruciate ligament injury, (ACL), 8 with condral injury and 1 with lateral meniscus injury.
The surgical technique presented is simple to perform, without damage to other structures and with a strong fixation.
The surgical technique presented is simple to perform, without damage to other structures and with a strong fixation.
The anterior hip approach was described since 1881, since then several studies have been conducted that have shown significant advantages over the posterior and lateral direct approaches of the hip.
We conducted a descriptive study with continuous non-probabilistic cases at the Institute of Forensic Sciences from October 2015 to July 2017. find more Anatomy and distances were described to the neurovascular bundles. Correlation of Spearmans Pearson and Rho was performed.
22 dissections were made, the Femorocutaneous Nerve was identified in 9 specimens, the average lateral Femorocutaneous Nerve distance at Smith-Petersen interval was 11.4 mm, We identified the Ascending Lateral Circumflex artery under the femoral rectum towards the central region of the approach, the separators could be placed around the coxofemoral joint without injuring vital structures, the riskier separator we place it in the anterior wall of the acetabulum, below the Psoasyland with an average distance 28.25 mm to the femoral package. The older you go, the longer the neurovascular bundles were located p 0.05.
High level of safety of the previous approach for hip replacement, distances to vital structures have a reasonable margin, hip replacement offers adequate joint exposure, direct acetabulum vision and atraumatic surgical dissection.
High level of safety of the previous approach for hip replacement, distances to vital structures have a reasonable margin, hip replacement offers adequate joint exposure, direct acetabulum vision and atraumatic surgical dissection.Recurrent glenohumeral dislocation is usually associated with bone loss of the glenoid portion, with the anteroinferior location being the most affected. The understanding of the related structures, as well as the use of current imaging studies such as computed axial tomography and magnetic resonance imaging, have made progress in understanding the pathology, as well as the development of surgical materials and minimally invasive tools, they allow us to continue innovating with respect to the previously described treatments, being possible to intervene in technical details with the intention of improving the results. That is why we have done what described by Eden-Hybinette, using tricortical cadaveric graft and as fixation method, limiting the comorbidities associated with the autograft taking, resulting a wide benefit for the patient, during the surgical procedure and in the recovery period.
