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What Is the Prevalence of Cam Deformity After Prophylactic Pinning of the Contralateral Asymptomatic Hip in Unilateral Slipped Capital Femoral Epiphysis? A 10-year Minimum Followup Study.

BACKGROUND: Prophylactic pinning of the asymptomatic and normal-appearing contralateral hip in patients with unilateral slipped capital femo … tients underwent subsequent surgical treatment for cam-type femoroacetabular impingement (FAI), and hardware removal was performed in four hips (11%). The mean alpha angle was 53° ± 8° on the AP radiograph and 49° ± 8° on the lateral view at followup. In total, 10 of 33 hips (30%) had a cam morphology at the femoral head-neck junction and four (12%) were symptomat …

Design of a 3D printed smartphone microscopic system with enhanced imaging ability for biomedical applications.

Portable, low-cost smartphone platform microscopic systems have emerged as a potential tool for imaging of various micron and submicron scale particles in recent years (Ozcan; Pirnstill and Coté; Breslauer et al.; Zhu et al.). In most of the reported works, it involves either the use of sophisticated optical set-ups along with a high-end computational tool for postprocessing of the captured images, or it requires a high-end configured smartphone to obtain enhanced imaging of the sample. Present work reports the working of a low-cost, field-portable 520× optical microscope using a smartphone. T

Acute Correction of Multiplanar Proximal Tibial Deformity Utilizing Fixator-Assisted Intramedullary Nailing.

UNLABELLED: Proximal tibial deformities, particularly varus deformities, are relatively common in adolescents and young adults. The etiology of these deformities is often untreated or undercorrected infantile and adolescent Blount disease. Other less common etiologies include metabolic bone disease-associated deformities, posttraumatic and iatrogenic growth disturbance, and deformity related to surgical treatment or radiation for tumors1-3. We apply the principles of fixator-assisted acute deformity correction, mostly described for use at the distal aspect of the femur, as well as the principl

Prospective Clinical and Radiographic Outcomes After Concomitant Anterior Cruciate Ligament Reconstruction and Meniscal Allograft Transplantation at a Mean 5-Year Follow-up.

BACKGROUND: Concomitant anterior cruciate ligament reconstruction and meniscal allograft transplantation (ACLR/MAT) has demonstrated short-t … urgical procedures. Nineteen patients underwent concomitant procedures, including, most commonly, 9 hardware removals and 9 osteochondral allografts. There were significant improvements in 11 of 14 PRO measures as well as a 50% return-to-sport rate. Knee stability significantly improved in 28 patients who returned for a physical examination, and KT-1000 arthromete …

Comparative Study of Minimally Invasive Plate Osteosynthesis Versus Open Reduction and Internal Fixation in the Treatment of Distal Fibular Fractures.

INTRODUCTION: Minimally invasive plate osteosynthesis (MIPO) has been proven to be better than open reduction and internal fixation (ORIF) for treating various long bone fractures. However, there are not many studies on distal fibula fracture treatment by MIPO. This study compares the clinical and radiological outcomes and quality of life of the MIPO with ORIF in the treatment of fractures of the distal fibula within a 6-month follow-up. MATERIALS AND METHODS: Patients undergoing MIPO (n = 27) and ORIF (n = 30) for distal fibula fractures (Danis-Weber type B and C) treatment from 2023 to 2024

Osteotomy for treating knee osteoarthritis.

BACKGROUND: Patients with unicompartmental osteoarthritis of the knee can be treated with an osteotomy. The goal of an osteotomy is to unloa … ficantly different (low-quality evidence) between groups. The reoperation rate were scored as early hardware removal because of pain and pin track infection due to the external fixator. Risk of reoperation was 2.6 (95% CI 1.5 to 4.5; low-quality evidence) times higher in the aHTO group compared with the CW-HTO group, and this finding was statistically significant. …

Complication Avoidance in Surgical Management of Vertebral Column Tumors.

The surgical management of spinal tumors has grown increasingly complex as treatment algorithms for both primary bone tumors of the spine and metastatic spinal disease have evolved in response to novel surgical techniques, rising complication rates, and additional data concerning adjunct therapies. In this review, we discuss actionable interventions for improved patient safety in the operative care for spinal tumors. Strategies for complication avoidance in the preoperative, intraoperative, and postoperative settings are discussed for approach-related morbidities, intraoperative hemorrhage, wo

Progression of Femoral Osteolytic Metastases after Intramedullary Nailing and Subsequent Salvage Techniques.

Intramedullary nailing insertion from the proximal-to-distal femur is frequently performed for impending and complete pathological femur fractures due to osteolytic metastases. After nailing through cancer-laden bone, residual chemotherapy- and/or radiation-resistant tumor may progress. Progression of osteolysis risks future nail failure or pathological fractures. This study assesses the incidence of cancer progression following intramedullary nailing in a femur-only cohort and describes a percutaneous rod-retaining salvage technique. A single-institution, retrospective study was conducted to

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… Avoidance of this is imperative as open surgery for hardware removal may be contraindicated in advanced-stage cancer patients, expose high-risk patients to bleeding and surgical complications, and delay life-saving chemotherapies. … Hardware removal and additional reconstruction may be contraindicated in advanced-stage cancer patients and place them at risk of excessive blood loss, extended hospital stay, long recovery times, and impaired wound healing. …

Outcomes of Conservative Versus Surgical Treatment of Dropped Head Syndrome in a Single Institution: A Case Series and Review of the Literature.

Dropped head syndrome (DHS), also known as camptocephalia, is characterized by a mobile chin-on-chest deformity from hypotonia of the cervical extensor muscle or hypertonia of the anterior neck muscles. There remains a paucity of quality published literature on this topic, particularly its management. The objective of this study is to identify radiographic and clinical outcomes of surgery as compared to nonsurgical treatment, to summarize the literature, and to create a decision-making paradigm for managing patients with DHS. As such, we report outcomes of our retrospective chart review series

Виртуальная реальность как инструмент оценки в области нейрореабилитации: аналитический обзор текущих данных и направлений будущей деятельности.

ОБЗОР: Виртуальная реальность (ВР) технологии все чаще применяются в нейрореабилитации, но большинство исследований сосредоточено на их терапевтических применениях, а не на потенциале оценки. ЦЕЛЬ: Цель данного обзора было отобразить доказательства по ВР-инструментам оценки в нейрореабилитации, включая типы инструментов, целевые нейрологические состояния, технические спецификации и пробелы в исследованиях. МЕТОДЫ: Был проведен обзор по обзору в соответствии с PRISMA-ScR. Протокол был заранее зарегистрирован в PROSPERO (CRD420251113260). Поиски в PubMed, Scopus, Web of Science, The Cochrane Cen

[Comparison of Clinical Outcomes of Displaced Diaphyseal Clavicle Fractures].

PURPOSE OF THE STUDY The aim of this retrospective study was to assess the subjective evaluation of treatment by patients with respect to their return to work and recreational sport following the fracture of clavicle diaphysis with posttraumatic shortening of 1.5 cm, or more, treated non-operatively and surgically. MATERIAL AND METHODS Our group of patients consisted of 51 patients (14 females, 37 males) aged between 18 and 89 years (average age 46 years). We concentrated on the parameters of sex, age, side of injury, extent of posttraumatic shortening, method of treatment, return to work or r

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… removal following pediatric fracture fixation Vineet Desai, Scott J. … Rathjen Scottish Rite for Children, Dallas, TX, USA OP-111 10:25 AM–10:29 AM Predictors of complication in pediatric hardware removal Pablo Coello, David A. Hsiou, Luke Austin Nordstrom, Todd Phillips, Rachel Silverstein , Scott B. …

Safety and Efficacy of Anterior Cervical Corpectomy and Reconstruction With Expandable Cages for Treatment of Cervical Myelopathy-Focusing on Stand-Alone Cages: A Systematic Review and Meta-Analysis.

Study DesignSystematic review and Meta-analysis.ObjectivesThis study aims to evaluate the efficacy, postoperative outcomes, and potential complications of using expandable cages in cervical spine surgery.MethodsA comprehensive search was performed across Medline, Scopus, Web of Science, Cochrane, and Embase up to May 22, 2023. Meta-analyses and subgrouping analyses were performed using "OpenMetaAnalyst" and R software to analyze efficacy outcomes and complications. The assessment of heterogeneity utilized the i2 and chi-squared tests, applying the random effect model.ResultsThirty studies were

Оценка киберзаболевания в бессмертных виртуальных средах: систематический обзор с последствиями для неврологической реабилитации.

Введение. Распространение виртуальных технологий виртуальной реальности (ВР) изменило характер взаимодействия людей с цифровой средой, открывая беспрецедентные возможности в различных областях: от развлечений и образования до здравоохранения и лечения психических заболеваний. Велосипедный VR все чаще внедряется в моторные и когнитивные программы в нейро-абилитации, где крайне важно обеспечить безопасность пациентов и соблюдение курса лечения. Несмотря на свою актуальность, концептуализация и измерение киберболезни (КШ) остаются фрагментированными в разных дисциплинах, при этом различные инстру

The Role of Minimal Access Surgery in the Treatment of Spinal Metastatic Tumors.

Study designLiterature review.ObjectiveTo provide an overview of the recent advances in minimal access surgery (MAS) for spinal metastases.MethodsLiterature review.ResultsExperience gained from MAS in the trauma, degenerative and deformity settings has paved the road for MAS techniques for spinal cancer. Current MAS techniques for the treatment of spinal metastases include percutaneous instrumentation, mini-open approaches for decompression and tumor resection with or without tubular/expandable retractors and thoracoscopy/endoscopy. Cancer care requires a multidisciplinary effort and adherence

Application of deformity principles in the management of spinal neoplasms: A Primer.

BACKGROUND: With advances in surgical techniques, radiation, and systemic therapy, prognoses and quality of life have improved amongst patients with primary and metastatic vertebral column tumors. Sagittal deformity is known to have an adverse impact on patient quality of life but has been largely ignored in this study population. METHODS: A comprehensive literature review was conducted, focusing on articles germane to the study of spinal deformity in the context of oncologic disease. Articles included those focusing on bone health, the association of spinal deformity with oncologic spine dis

Anterior Corpectomy Versus Posterior Pedicle Screw Fixation With 5.5-mm Rods for Metastatic Spinal Tumor Located in the Cervicothoracic Junction.

OBJECTIVE: This study compared the efficacy of posterior pedicle screw fixation with 5.5-mm rods (PPSF5.5) with anterior corpectomy (AC) for metastatic cervicothoracic junction (CTJ) tumors. METHODS: This retrospective analysis included patients with CTJ tumors who underwent PPSF5.5 or AC from January 2000 to December 2023. Data collected included demographics, surgical details, clinical outcomes (visual analogue scale scores for neck or back pain, Spinal Instability Neoplastic Scale score, McCormick scale, Nurick grade, and Eastern Cooperative Oncology Group score), radiologic results (cervi

Local surgical complication rates in patients receiving surgery without immediate post-operative radiation therapy for lower extremity bone metastases.

PURPOSE: Pathological metastatic fractures in lower-extremity weight bearing bones often require surgical reconstruction. Post-operative radiation is routinely recommended following surgical reconstruction. This study evaluated the clinical outcomes of patients that undergo surgical fixation of an established or an impending pathologic lower extremity fracture without post-operative radiation. MATERIALS AND METHODS: A retrospective chart review of patients at Sunnybrook Health Sciences Center between 2007 and 2019 was performed. Descriptive statistical analyses were performed. RESULTS: A tot

Сочетание осаждения железа при повреждении MS с способностью к ремиилюции с использованием дисперсионного разделения источников MRI.

ЦЕЛИ: СВЯЗАННОСТЬ между источниками и разделением источников в центральной нервной системе, что может привести к выявлению патологии, связанной с миелином и железом, при множественных повреждениях склероза (MS) (например, обезвоживание, ремиелинация и образование микрогли/макропатии, порождаемых железом). Цель этого исследования заключается в наблюдении за продольными изменениями сигналов Δpara и Δdia в MS-повреждениях с использованием Δ-сепарации и в оценке связи между способностью к рассеиванию железа и ремиелиции.МЕТОДЫ: Fifty Участники, имеющие MS (PwMS), ежегодно следовали за ними в течен

Radiographic Rate and Clinical Impact of Pseudarthrosis in Spine Radiosurgery for Metastatic Spinal Disease.

Purpose Pseudarthrosis within the spine tumor population is increased from perioperative radiation and complex stabilization for invasive and recurrent pathology. We report the radiographic and clinical rates of pseudarthrosis following multiple courses of instrumented fusion and perioperative stereotactic radiosurgery (SRS). Methods We performed a single institution review of 418 patients treated with non-isocentric SRS for spine between October 2002 and January 2013, identifying those with spinal instrumentation and greater than six months of follow-up. Surgical history, radiation planning,