• Title/Summary/Keyword: Orthopaedics

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Turrets Exostosis with Swan Neck Deformity: An Unusual Occurrence

  • Mruthyunjaya, Mruthyunjaya;Nekkanti, Supreeth;Venkateshaiah, Sheshagiri;Siddartha, Arunodhaya;Thottimane, Pramod;Pimpale, Tushar
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.277-280
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    • 2018
  • Turrets exostosis are extremely rare to occur. Benign bony outgrowths from the dorsum of the phalanges following trauma are termed Turrets exostosis. We report an unusual case of Turrets exostosis of the fourth finger with no preceding trauma which has never been reported before. A 50-year-old female patient presented to us with a bony swelling on the dorsum of the fourth finger of her right hand in one year. The swelling was dormant initially and started to progress in size since three months leading to pain, restriction of movements and deformity of the finger. Turrets exostosis are very rare to occur. A preceding history of trauma is not necessary for it to occur as described in the literature. Surgical excision yields good results and is indicated when the bony mass causes a progressive deformity of the finger and restriction of movements of the finger.

Discovery Elbow System arthroplasty polyethylene bearing exchange: outcomes and experience

  • Daniel L J Morris;Katherine Walstow;Lisa Pitt;Marie Morgan;Amol A Tambe;David I Clark;Timothy Cresswell;Marius P Espag
    • Clinics in Shoulder and Elbow
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    • v.27 no.1
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    • pp.18-25
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    • 2024
  • Background: The Discovery Elbow System (DES) utilizes a polyethylene bearing within the ulnar component. An exchange bearing requires preoperative freezing and implantation within 2 minutes of freezer removal to allow insertion. We report our outcomes and experience using this technique. Methods: This was an analysis of a two-surgeon consecutive series of DES bearing exchange. Inclusion criteria included patients in which exchange was attempted with a minimum 1-year follow-up. Clinical and radiographic review was performed 1, 2, 3, 5, 8 and 10 years postoperative. Outcome measures included range of movement, Oxford Elbow Score (OES), Mayo Elbow Performance Score (MEPS), complications and requirement for revision surgery. Results: Eleven DESs in 10 patients were included. Indications were bearing wear encountered during humeral component revision (n=5); bearing failure (n=4); and infection treated with debridement, antibiotics and implant retention (DAIR; n=2). Bearing exchange was conducted on the first attempt in 10 cases. One case required a second attempt. One patient developed infection postoperatively managed with two-stage revision. Mean follow-up of the bearing exchange DES was 3 years. No further surgery was required, with no infection recurrence in DAIR cases. Mean elbow flexion-extension and pronosupination arcs were 107°(±22°) and 140° (±26°). Mean OES was 36/48 (±12) and MEPS was 83/100 (±19). Conclusions: Our results support the use of DES bearing exchange in cases of bearing wear with well-fixed stems or acute infection. This series provides surgeons managing DES arthroplasty with management principles, successful and reproducible surgical techniques and expected clinical outcomes in performing DES polyethylene bearing exchange. Level of evidence: IV.

Socket Pressure Distribution of the Uni-Lateral Trans-Femoral Amputee with a Suction Socket (흡착식 소켓을 착용한 일측 대퇴절단환자의 소켓내부압력분포)

  • Chang, Y.H.;Kim, Y.H.;Yang, G.T.;Lim, S.H.;Mun, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.249-252
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    • 1997
  • A study on static and dynamic socket pressure distributions on a trans-femoral amputee with a suction socket was performed in order to assess an optimal socket fitting and function. Even for the amputee's static neutral position, pressure concentrations were observed in the lateral, medial, and posterior planes of the socket. During free walking, a significant movement of pressure concentration areas was observed. Large socket pressure was observed in the lateral, medial-anterior and posterior walls during mid-stance or push-off period. Socket pressure measurement will be one of the good tool to determine the optimal socket-limb interface.

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Plantar-Pressure Distributions on Hallux Valgus Patients (엄지발가락외반증 환자의 발바닥압력분포)

  • Yang, G.T.;Kim, Y.H.;Park, Si-Bog;Lim, S.H.;Chang, Y.H.;Mun, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.241-244
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    • 1997
  • 23 hallux valgus patients were evaluated with clinical examinations and plantar pressure distribution measurements. A masking method for detailed plantar pressure distribution analyses was suggested. With higher grade of hallux valgus, pressure, contact length & area, and impulse on metartasus were significantly increased. Localized pressure concentration is very important in foot diseases and appropriate plantar pressure distributions should be considered on any shoe design.

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