Current Issue : April - June Volume : 2020 Issue Number : 2 Articles : 5 Articles
Introduction. ACTS secondary to amyloidosis is a very rare situation in the literature, and here, we present a unique case of ACTS\nsecondary to amyloidosis. Case Report. A 61-year-old male patient was admitted to our hospital with complaints of numbness in the\nlateral half of his 1, 2, 3, and 4 fingers of his right hand. These complaints started acutely, and the patient did not have a history of\ntrauma. His clinical examination was suitable for acute carpal tunnel syndrome. Discussion. Carpal tunnel syndrome, as well as\nacute carpal tunnel syndrome, may occur based on different causes. ACTS is very rare, especially when it is not caused by a\ntrauma. Here, we presented a unique case of ACTS based on amyloidosis. Conclusion. It should be kept in mind when ACTS\nmay occur in patients with the diagnosis of amyloidosis....
Objective. Joint torque differences between healthy and rehabilitated legs are often measured as a clinical index of recovery\nfrom muscle strain injury. Unfortunately, it should be noted that this is a questionable evaluation measure of the muscle\nafter injury because it is a composite value including related cooperating muscles. Meanwhile, the use of ultrasound\nelastography for the measurement of individual muscle mechanical properties (i.e., muscle hardness) has recently expanded.\nThe purpose of this study was to examine, using ultrasound elastography, the differences in the linear relationship between\nmuscle contraction intensity and muscle hardness during knee extension in athletes who had recovered from grade II\nrectus femoris muscle strain injury through comparison of the healthy and rehabilitated legs. Methods. Six athletes\nparticipated. Rectus femoris muscle hardness, determined during isometric contraction at 10%, 20%, 30%, and 40% of\nmaximum voluntary contraction, was evaluated using ultrasound strain elastography. Results and Conclusion. The results\nindicated that for the healthy legs, the strain ratios, as indicated by muscle hardness, decreased linearly (became harder)\nwith contraction intensity, but the strain ratios for the rehabilitated legs decreased nonlinearly. These results show the\ndanger of judging the recovery period using only the difference between healthy and rehabilitated muscle strengths and the\nimportance of evaluating individual muscles....
Background: There is no consensus as to the choice of grafts for primary anterior cruciate ligament (ACL)\nreconstruction. The purpose of this study was to compare the clinical and second-look arthroscopic outcomes after\nACL reconstruction by use of autograft, hybrid graft, and Gamma-irradiated allograft.\nMethods: Ninety-seven patients who underwent second-look arthroscopy after ACL reconstruction with autografts\n(28 patients, hamstring autograft), hybrid grafts (32 patients, hamstring autograft augmented with Gamma-irradiated\ntibialis anterior tendon allograft), or Gamma-irradiated allografts (37 patients, tibialis anterior tendons) were included in this\nstudy. The clinical outcomes were compared by using Lysholm score, International Knee Documentation\nCommittee (IKDC) score, and Tegner activity score, and the side-to-side differences of KT-1000 measurement.\nSecond-look arthroscopic findings were compared in terms of synovial coverage and graft tension.\nResults: There were no statistical significances among the three groups in Lysholm score, IKDC score, or Tegner\nactivity score (P > 0.05). The KT-1000 examination showed more anterior laxity in the Gamma-irradiated allograft group\nthan in the autograft or hybrid graft groups (P = 0.006, and P = 0.013, respectively). Two patients in the autograft\ngroup, 2 patients in the hybrid graft group and 4 patients in the allograft group were evaluated as graft failure on\nsecond-look arthroscopy. The synovial coverage was superior in the autograft group than that in the hybrid graft\ngroup or the allograft group (P = 0.013 and P = 0.010, respectively), and was comparable between the hybrid graft\ngroup and allograft group (P = 0.876). With regard to graft tension, the autograft group and hybrid group were\ncomparable (P = 0.883) but showed better results than the allograft group (P = 0.011 and P = 0.007, respectively).\nConclusion: The hamstring autografts and hybrid grafts used for ACL reconstruction produced equal efficacy but\nprovided better knee stability than allografts. In addition, the hamstring autografts showed better synovial coverage\nthan the other two graft types....
Background: Geriatric hip fracture is a common type of osteoporotic fracture with high mortality and disability;\nsurgical site infection (SSI) can be a devastating complication of this injury. By far, only a few studies identified\neasily remediable factors to reduce infection rates following hip fracture and less researches have focused on\ngeriatric patients. The objective of this study was to identify potentially modifiable factors associated with SSI\nfollowing geriatric hip fracture surgery.\nMethods: This retrospective, multicenter study involves three level I hospitals. A total of 1240 patients (60 years or\nolder) underwent hip surgery with complete data were recruited between January 2016 and June 2018.\nDemographics information, medications and additional comorbidities, operation-related variables, and laboratory\nindexes were extracted and analyzed. Receiver operating characteristic (ROC) analysis was performed to detect the\noptimum cut-off value for quantitative data. Univariate and multivariate logistic analysis model were performed\nrespectively to identify the independent predictors.\nResults: Ninety-four (7.58%) patients developed SSI in this study, and 76 (6.13%) had superficial infection, while 18\n(1.45%) were diagnosed with deep infection. Results of univariate and multivariate analysis showed age > 79 years\n(OR, 2.60; p < 0.001), BMI > 26.6 kg/m2 (OR, 2.97; p < 0.001), operating time > 107 min (OR, 2.18; p = 0.001), and ALB\n< 41.6 g/L (OR, 2.01; p = 0.005) were associated with an increased incidence of SSI; drainage use (OR, 0.57; p = 0.007)\ncould reduce the incidence of wound infection for patients after geriatric hip fracture.\nConclusion: Accurate modifiable variables, operating time > 107 min, serum albumin < 41.6 g/L, BMI > 26.6 kg/m2,\nand age > 79 years could be applied to distinguish geriatric patients with high-risk of postoperative surgical site\ninfection....
The subtrochanteric fractures are relatively rare in the child and they constitute\na therapeutic problem. The pseudarthrosis of this fracture in the child is\noften the complication of a subtrochanteric fracture treated orthopedically.\nWe report the case of a subtrochanteric pseudarthrosis in a 5 year-old child\noccurred following an orthopedic treatment. After surgical treatment by\nbloody reduction and pinning, the pseudarthrosis consolidated in 10 months\nwith satisfactory functional results....
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