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[PMID]:29241447
[Au] Autor:Kwak JM; Heo SK; Jung GH
[Ad] Endereço:Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.
[Ti] Título:Six-year survival of reimplanted talus after isolated total talar extrusion: a case report.
[So] Source:J Med Case Rep;11(1):348, 2017 Dec 15.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Open total extrusion of the talus without concomitant fracture is an extremely rare injury. We present 6-year follow-up data of a patient treated using a temporary spanning external fixator and less invasive single K-wire fixation. CASE PRESENTATION: A 55-year-old Asian man who had a totally extruded talus without fracture underwent immediate reimplantation surgery. A spanning external fixator with single antegrade K-wire fixation was applied to maintain the reimplanted talus. During 6 years of follow-up, he could walk without aids and could squat, corresponding to an American Orthopaedic Foot and Ankle Society score of 85. We found that the suspect lesion that was evident at 6 months after surgery had disappeared at 12 months postoperatively on the basis of sequential follow-up magnetic resonance imaging. There was no evidence of osteonecrosis of the dislocated talus at the final follow-up. CONCLUSIONS: In patients with a totally extruded talus, a surgical strategy including immediate reimplantation of the talus and a temporary spanning fixator with single K-wire fixation might be useful to allow early mobilization around the ankle joint and to prevent additional damage of the foot without significant complications.
[Mh] Termos MeSH primário: Traumatismos do Tornozelo/cirurgia
Reimplante/métodos
Tálus/cirurgia
[Mh] Termos MeSH secundário: Traumatismos do Tornozelo/diagnóstico por imagem
Fios Ortopédicos
Fixadores Externos
Seguimentos
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Tálus/diagnóstico por imagem
Tálus/lesões
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1517-7


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[PMID]:29182122
[Au] Autor:Castelein S; Docquier PL
[Ti] Título:Complications associated with bone lengthening of the lower limb by callotasis.
[So] Source:Acta Orthop Belg;82(4):806-813, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The present study aims to assess the incidence of complications related to bone lengthening procedures and to identify factors that may predict these complications. We retrospectively studied 51 lengthening procedures in 39 patients (mean age 13 years) from 2001 to 2015. A circular external fixator was used in 37 procedures and a monolateral fixator in 14 procedures. Duration of distraction, fixator's time, days of treatment, lengthening percentage, bone healing index, distraction regenerate length, distraction index, risk factors and complications were evaluated. The mean follow-up was 5 years. Complications occurred in 84 % of the procedures. Duration of distraction, fixator's time, days of treatment and distraction regenerate length were predictors of complications. Close follow-up is necessary during distraction and healing period and after fixator removal.
[Mh] Termos MeSH primário: Desigualdade de Membros Inferiores/cirurgia
Osteogênese por Distração/métodos
Complicações Pós-Operatórias/epidemiologia
Infecções Relacionadas à Prótese/epidemiologia
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Pinos Ortopédicos
Criança
Pré-Escolar
Depressão/epidemiologia
Fixadores Externos
Feminino
Seguimentos
Seres Humanos
Incidência
Lactente
Masculino
Pneumonia/epidemiologia
Estudos Retrospectivos
Fatores de Risco
Estresse Psicológico/epidemiologia
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29182115
[Au] Autor:Meselhy MA
[Ti] Título:Management of adolescent tibia vara using Taylor spatial frame.
[So] Source:Acta Orthop Belg;82(4):745-753, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Adolescent tibia vara is a multiplanar deformity that can lead to progressive deformity, altered gait, unequal leg lengths, and premature knee arthritis if uncorrected. The purpose of the current study is to report our experience in management of adolescent tibia vara using Taylor Spatial Frame (TSF). MATERIALS AND METHODS: A prospective study of eleven adolescent tibia vara patients managed by proximal tibial osteotomy gradual deformity correction using TSF. RESULTS: The average time in the frame was 123.5 (±25.5) days. At final follow up (average 15 (±2) months), the mean post-operative mPTA was 87 (±4) degrees (range 81 to 93 degrees), where the mean preoperative mean mPTA was 68 (±9) degrees (range 49 to 77 degrees) (p value 0.003). The mean postoperative MAD was 12.2(±11.4) mm, range (-1 to 26 mm), where preoperative mean MAD was 75.7(±14.7 mm), range (60 to 107mm) (p value 0.003). The mean postoperative PPTA was 80(±2) degrees, range (77 to 83 degrees), while the preoperative mean PPTA was 72 (±12) degrees, range (42 to 82 degrees) (p value 0.028). CONCLUSION: Although we have not directly compared the TSF with the Ilizarov fixator, this series serves to highlight the versatility and effectiveness of the TSF in the treatment of complex and often obstinate adolescent tibia vara.
[Mh] Termos MeSH primário: Doenças do Desenvolvimento Ósseo/cirurgia
Fixadores Externos
Osteocondrose/congênito
Osteotomia/métodos
Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Doenças do Desenvolvimento Ósseo/diagnóstico por imagem
Feminino
Seres Humanos
Masculino
Osteocondrose/diagnóstico por imagem
Osteocondrose/cirurgia
Estudos Prospectivos
Tíbia/diagnóstico por imagem
Fatores de Tempo
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29193926
[Au] Autor:Zierenberg García C; Beaton Comulada D; Pérez López JC; Lamela Domenech A; Rivera Ortiz G; González Montalvo HM; Reyes-Martínez PJ
[Ti] Título:Acute Shortening and re-lengthening in the management of open tibia fractures with severe bone of 14 CMS or more and extensive soft tissue loss.
[So] Source:Bol Asoc Med P R;108(1):89-92, 2016.
[Is] ISSN:0004-4849
[Cp] País de publicação:Puerto Rico
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A traumatic event to the tibia with more than 14 cm of bone and soft tissue loss represents a challenge to most orthopedic surgeons and is considered a limb-threatening condition. Few solutions are available in such clinical situations and among them is the acute shortening and re-lengthening of bone and soft tissue. MATERIALS AND METHODS: Our study presents the management of 7 patients with grade III B open fractures (according to the Gustillo-Anderson classification) of the tibia who underwent resection of all the devitalized tissues, acute limb shortening to close the defect, application of an external fixator, and metaphyseal osteotomy for re-lengthening. The patient outcomes were based on different parameters using the evaluation system established by Paley et al. RESULTS: Results acquired during the study show an average bone loss of 19cm (with a minimum of 14 cm and a maximum of 31.50cm). The average time to full recovery of all patients was 19 months with a minimum of 14 months and a max of 34 months. Patient presented with excellent bony union and none existent or small refractory leg length discrepancy and did not require bone grafts or free flaps. Complications that the patients had were contractures, which required secondary procedures such as Achilles tendon re-lengthening and recurrent infections. DISCUSSION: Overall patients had excellent bone union and were able to perform activities of their daily living. The Ilizarov technique of compression-dis- traction osteogenesis is an elegant treatment option that should be considered in patients suffering such traumatic events providing excellent bony union and good functional outcomes for the patient.
[Mh] Termos MeSH primário: Fraturas Expostas/cirurgia
Desigualdade de Membros Inferiores/cirurgia
Lesões dos Tecidos Moles/etiologia
Fraturas da Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fixadores Externos
Fixação de Fratura/métodos
Consolidação da Fratura/fisiologia
Seres Humanos
Técnica de Ilizarov
Desigualdade de Membros Inferiores/etiologia
Osteotomia/métodos
Recuperação de Função Fisiológica
Lesões dos Tecidos Moles/patologia
Fraturas da Tíbia/complicações
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE


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[PMID]:28904724
[Au] Autor:Osman W; Alaya Z; Kaziz H; Hassini L; Braiki M; Naouar N; Ben Ayeche ML
[Ad] Endereço:Department of Orthopedic Surgery, University College Hospital Sahloul, Tunisia.
[Ti] Título:Treatment of high-energy pilon fractures using the ILIZAROV treatment.
[So] Source:Pan Afr Med J;27:199, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:The management of high-energy pilon fractures is still controversial. Open reduction and internal fixation are often associated with serious complications. Various methods have been used to treat these injuries, with variable results. The aim of this retrospective study was to analyze the clinical and radiographic outcome of the ILIZAROV technique in patients with high-energy pilon fractures. Thirty cases of distal tibia epiphysis fractures (pilon fractures) were managed from 1999 to 2012. The study group included 5 cases of open fractures. The mean age was 47 years. According to Rüedi and Algower classification; 11 fractures were type II, and 19 type III. All fractures were a consequence of high-energy trauma. Fractures of the lower fibula were present in 28 of the patients. An external Fixator was applied for open fractures. Closed injuries were operated on 3 to 13 days after injury, with an average of 8 days. The mean follow-up was 48 months. All fractures united. The external fixator was removed after a mean of 22 weeks (10 - 28 weeks). Two patients with a type III fracture had a delayed union and were treated with corticotomy and dynamisation of the ILIZAROV fixator. Only one secondary displacement of a type III fracture was noted after two months and was treated by adjuction of 2 olive wires. There were no cases of osteomyelitis or deep infections. Pin-tract infections occurred in ten patients. We had not any case of nervous injury due to introduction of the pins. Using radiological criteria for assessement of reduction of the articular fragments, there was excellent and good restoration of articular structure in 24 cases. The average American Orthopeadic Foot and Ankle Society ankle-hind foot score was excellent in 16, good in 6, fair in 6 and poor in 2. Soft tissue healing occurred without need for plastic surgery in all cases. The movements of the ankle ranged from 0 to 20° of dorsiflexion and 5° to 40° of plantar flexion. Twenty patients had gone back to their preinjury profession. The ILIZAROV technique is a safe and a very effective treatment for severe pilon fractures with minimum complications and good healing results.
[Mh] Termos MeSH primário: Articulação do Tornozelo/fisiopatologia
Fraturas Expostas/cirurgia
Técnica de Ilizarov
Fraturas da Tíbia/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Fios Ortopédicos
Fixadores Externos
Feminino
Fíbula/lesões
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Amplitude de Movimento Articular
Estudos Retrospectivos
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.199.11066


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[PMID]:28665242
[Au] Autor:Oh A; Sawvel M; Heaner D; Bhatia A; Reisner A; Tubbs RS; Chern JJ
[Ad] Endereço:Departments of 1 Pediatrics and.
[Ti] Título:Changes in use of cervical spine magnetic resonance imaging for pediatric patients with nonaccidental trauma.
[So] Source:J Neurosurg Pediatr;20(3):271-277, 2017 Sep.
[Is] ISSN:1933-0715
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE Past studies have suggested correlations between abusive head trauma and concurrent cervical spine (c-spine) injury. Accordingly, c-spine MRI (cMRI) has been increasingly used in radiographic assessments. This study aimed to determine trends in cMRI use and treatment, and outcomes related to c-spine injury in children with nonaccidental trauma (NAT). METHODS A total of 503 patients with NAT who were treated between 2009 and 2014 at a single pediatric health care system were identified from a prospectively maintained database. Additional data on selected clinical events were retrospectively collected from electronic medical records. In 2012, a clinical pathway on cMRI usage for patients with NAT was implemented. The present study compared cMRI use and clinical outcomes between the prepathway (2009-2011) and postpathway (2012-2014) periods. RESULTS There were 249 patients in the prepathway and 254 in the postpathway groups. Incidences of cranial injury and Injury Severity Scores were not significantly different between the 2 groups. More patients underwent cMRI in the years after clinical pathway implementation than before (2.8% vs 33.1%, p < 0.0001). There was also a significant increase in cervical collar usage from 16.5% to 27.6% (p = 0.004), and more patients were discharged home with cervical collar immobilization. Surgical stabilization occurred in a single case in the postpathway group. CONCLUSIONS Heightened awareness of potential c-spine injury in this population increased the use of cMRI and cervical collar immobilization over a 6-year period. However, severe c-spine injury remains rare, and increased use of cMRI might not affect outcomes markedly.
[Mh] Termos MeSH primário: Vértebras Cervicais/diagnóstico por imagem
Vértebras Cervicais/lesões
Maus-Tratos Infantis/diagnóstico
Imagem por Ressonância Magnética
[Mh] Termos MeSH secundário: Maus-Tratos Infantis/estatística & dados numéricos
Maus-Tratos Infantis/terapia
Pré-Escolar
Traumatismos Craniocerebrais/diagnóstico por imagem
Traumatismos Craniocerebrais/epidemiologia
Traumatismos Craniocerebrais/etiologia
Traumatismos Craniocerebrais/terapia
Bases de Dados Factuais
Fixadores Externos
Feminino
Seres Humanos
Imobilização
Incidência
Lactente
Escala de Gravidade do Ferimento
Imagem por Ressonância Magnética/métodos
Masculino
Estudos Prospectivos
Sistema de Registros
Estudos Retrospectivos
Fatores de Tempo
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171115
[Lr] Data última revisão:
171115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE
[do] DOI:10.3171/2017.2.PEDS16644


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[PMID]:28632593
[Au] Autor:Johnston CE; Tran DP; McClung A
[Ad] Endereço:1Texas Scottish Rite Hospital, Dallas, Texas.
[Ti] Título:Functional and Radiographic Outcomes Following Growth-Sparing Management of Early-Onset Scoliosis.
[So] Source:J Bone Joint Surg Am;99(12):1036-1042, 2017 Jun 21.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In this study, we sought to evaluate radiographic, functional, and quality-of-life outcomes of patients who have completed growth-sparing management of early-onset scoliosis. METHODS: This prospective study involved patients with early-onset scoliosis who underwent growth-sparing treatment and either "final" fusion or observation for ≥2 years since the last lengthening procedure. Demographics, radiographic parameters, pulmonary function test (PFT) values, and scores of patient-reported assessments (Early-Onset Scoliosis Questionnaire [EOSQ] and Scoliosis Research Society [SRS]-30) were obtained. At the most recent follow-up, patients performed 2 additional functional outcome tests: step-activity monitoring and a treadmill exercise-tolerance test. RESULTS: Twelve patients were evaluated as "graduates" of growth-sparing management of early-onset scoliosis (mean of 37 months since the most recent surgery). The major scoliosis curve measurement averaged 88° before treatment and 47° at the most recent follow-up. T1-S1 height increased from a mean of 22.3 cm to 34.7 cm and T1-T12 height, from 13.3 to 22.3 cm. At the most recent follow-up, the mean forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) as a percentage of the predicted volume were 52.1% and 55.3%, respectively, and were essentially unchanged from the earliest PFT that patients could perform (FEV1 = 53.8% of predicted and FVC = 53.5% of predicted). There was no difference between graduates and controls with respect to activity time or total steps in step-activity monitoring, and in the exercise-tolerance test, graduates walked at the same speed but at a higher heart rate and at a significantly higher (p <0.001) VO2 cost (rate of oxygen consumed per distance traveled). The EOSQ mean score was 102.2 of a possible 120 points, and the SRS mean score was 4.1 of a possible 5 points. CONCLUSIONS: A realistic long-term goal for the management of early-onset scoliosis appears to be spine elongation and maintenance of pulmonary function at a level that is no less than the percentage of normal at initial presentation. Functional testing and patient-reported outcomes at a mean of 3 years from the last surgery suggest that activity levels were generally equal to those of controls but required greater physiologic demand. General health and physical function outcomes revealed continued impairment in these domains. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
[Mh] Termos MeSH primário: Escoliose/cirurgia
Fusão Vertebral/métodos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Fixadores Externos
Volume Expiratório Forçado/fisiologia
Seres Humanos
Lactente
Medidas de Volume Pulmonar/métodos
Osteogênese por Distração/instrumentação
Osteogênese por Distração/métodos
Consumo de Oxigênio/fisiologia
Medidas de Resultados Relatados pelo Paciente
Estudos Prospectivos
Escoliose/diagnóstico por imagem
Escoliose/fisiopatologia
Capacidade Vital/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.00796


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[PMID]:28592224
[Au] Autor:Beever L; Giles K; Meeson R
[Ad] Endereço:Queen Mother Hospital for Animals, Department of Clinical Sciences and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire, UK.
[Ti] Título:Postoperative complications associated with external skeletal fixators in cats.
[So] Source:J Feline Med Surg;19(7):727-736, 2017 Jul.
[Is] ISSN:1532-2750
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The objective of this study was to quantify complications associated with external skeletal fixators (ESFs) in cats and to identify potential risk factors. METHODS: A retrospective review of medical records and radiographs following ESF placement was performed. RESULTS: Case records of 140 cats were reviewed; fixator-associated complications (FACs) occurred in 19% of cats. The region of ESF placement was significantly associated with complication development. Complications developed most frequently in the femur (50%), tarsus (35%) and radius/ulna (33%). Superficial pin tract infection (SPTI) and implant failure accounted for 45% and 41% of all FACs, respectively. SPTI occurred more frequently in the femur, humerus and tibia, with implant failure more frequent in the tarsus. No association between breed, age, sex, weight, fracture type (open vs closed), ESF classification, number of pins per bone segment, degree of fracture load sharing, and the incidence or type of FAC was identified. No association between region of placement, breed, age, sex, weight, fracture type (open vs closed), ESF classification, number of pins per bone segment, fracture load sharing and the time to complication development was identified. CONCLUSIONS AND RELEVANCE: Complication development is not uncommon in cats following ESF placement. The higher complication rate in the femur, tarsus and radius/ulna should be considered when reviewing options for fracture management. However, cats appear to have a lower rate of pin tract infections than dogs.
[Mh] Termos MeSH primário: Gatos/lesões
Gatos/cirurgia
Fixadores Externos/veterinária
Fraturas Ósseas/veterinária
Infecções Relacionadas à Prótese/veterinária
[Mh] Termos MeSH secundário: Animais
Fixadores Externos/efeitos adversos
Fixadores Externos/microbiologia
Fraturas Ósseas/microbiologia
Fraturas Ósseas/cirurgia
Incidência
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1177/1098612X17699466


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[PMID]:28522382
[Au] Autor:Lopes A; Andrade A; Silva I; Paiva W; Brock R; Teixeira M
[Ad] Endereço:Hospital das Clínicas FMUSP, São Paulo, Brazil. Electronic address: arthurjlopes@gmail.com.
[Ti] Título:Brain Abscess After Halo Fixation for the Cervical Spine.
[So] Source:World Neurosurg;104:1047.e7-1047.e11, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Halo fixation is one of the possible treatments for cervical spine fractures. However, improper use of these devices may lead to many complications, such as pin loosening, halo dislocation, pin site infection, and intradural penetration. CASE DESCRIPTION: We report the case of a 43-year-old man who first presented with a seizure and an altered level of consciousness 5 months after halo-vest placement for an odontoid fracture. Brain imaging showed a brain abscess, under the previous left parietal pin. The patient underwent abscess drainage and antibiotics were administered for 12 weeks. On hospital discharge, he presented with only mild impairments. CONCLUSIONS: Misapplication of halo fixation devices may lead to serious complications, including intracranial pin penetration and brain abscesses. Proper use of the recommended technique may decrease the risk for complications related to the procedure.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Abscesso Encefálico/terapia
Drenagem
Fixadores Externos/efeitos adversos
Processo Odontoide/lesões
Complicações Pós-Operatórias/terapia
Infecções Relacionadas à Prótese/terapia
Fraturas da Coluna Vertebral/cirurgia
Infecções Estafilocócicas/terapia
[Mh] Termos MeSH secundário: Adulto
Abscesso Encefálico/diagnóstico por imagem
Abscesso Encefálico/etiologia
Fixação de Fratura
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Complicações Pós-Operatórias/diagnóstico por imagem
Complicações Pós-Operatórias/etiologia
Infecções Relacionadas à Prótese/diagnóstico por imagem
Infecções Relacionadas à Prótese/etiologia
Convulsões/etiologia
Infecções Estafilocócicas/diagnóstico por imagem
Infecções Estafilocócicas/etiologia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170520
[St] Status:MEDLINE


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[PMID]:28484130
[Au] Autor:Yamagishi N; Kajiwara A; Shibano KI; Aoki T; Itoh M; Hatate K; Iino K
[Ad] Endereço:Department of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Inada, Obihiro, Hokkaido 080-8555, Japan.
[Ti] Título:Humeral fracture in a Japanese Black calf repaired by closed approach and two methods of external skeletal fixation.
[So] Source:J Vet Med Sci;79(6):1056-1060, 2017 Jun 16.
[Is] ISSN:1347-7439
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A healthy 71-day-old female Japanese Black calf was evaluated for fracture of the left humerus. The left humeral fracture was treated by closed repair and unilateral external skeletal fixation (ESF) with an epoxy putty fixator. The calf was active, and eight days after surgery slipped and fell, resulting in breakage of the ESF. The calf underwent repair by transfixation pinning and casting (TPC), which is an alternative to the ESF method. The TPC was removed 37 days after the first surgery, and the calf could bear weight on the left forelimb while walking. This case suggests that recovery after closed repair with TPC for a humeral fracture in an active calf can be successfully managed on the farm.
[Mh] Termos MeSH primário: Bovinos/lesões
Redução Fechada/veterinária
Fixadores Externos/veterinária
Fraturas do Úmero/veterinária
[Mh] Termos MeSH secundário: Animais
Pinos Ortopédicos
Bovinos/cirurgia
Redução Fechada/métodos
Feminino
Fraturas do Úmero/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1292/jvms.17-0017



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