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Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.

CONCLUSIONS: Use of an IJS allows for early, congruent, and stable ulnohumeral and radiocapitellar range of motion in instances of persistent elbow instability.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
PMID: 30717829 [PubMed - in process] (Source: Hand Surgery)

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https://medworm.com/665686739/treatment-of-traumatic-elbow-instability-with-an-internal-joint-stabilizer/

Hand-assisted laparoscopic surgery versus endovascular repair in abdominal aortic aneurysm treatment.

CONCLUSIONS: This retrospective, single-center study shows that, within a population of similar clinical and anatomic characteristics, treatment of AAA with EVAR or HALS does not result in significant differences in early morbidity and mortality. EVAR presents significantly shorter hospital and intensive care unit length of stay, whereas HALS presents a lower aneurysm-related reintervention rate and lower perioperative cost. The strict patient selection in this trial, as is generally the case with AAA treatment, is likely the key to success for both of these techniques.
PMID: 30718111 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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https://medworm.com/665686738/hand-assisted-laparoscopic-surgery-versus-endovascular-repair-in-abdominal-aortic-aneurysm-treatment/

Novel Technique for Toe-to-Hand Transplantation: The Fourth-toe as an Alternative Option for Toe-to-Hand Transplantation for Pediatric Patients.

Authors: Ozols D, Zarins J, Petersons A
Abstract
The first toe-to-hand transplantation was done in 1898 by Nicoladoni. It was a staged procedure and the toe flap was based on a pedicle. With advancement of optical instruments and microsurgeons' skills in 1964 the first microvascular toe-to-hand transplantation on a rhesus monkey was done. The technique's development has not stopped, many authors have modified it to achieve better outcomes for both traumatic and congenital hand defects. The most commonly used toes for transplantation are first, second, and second to third toe block. Well described plantar and dorsal vascular systems for first web space vessels as well as possibility to perform successful perforator anastomosis allows us to improve toe-to-hand transplantation further...

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https://medworm.com/665686735/novel-technique-for-toe-to-hand-transplantation-the-fourth-toe-as-an-alternative-option-for-toe-to-/

Management of Iatrogenic Nerve Injuries.

Authors: Pulos N, Shin EH, Spinner RJ, Shin AY
Abstract
Iatrogenic peripheral nerve injuries from orthopaedic surgery can occur via many scenarios, including direct injury to the nerve during surgery, indirect injury via retraction or compartment syndrome, and injury from nonsurgical treatments such as injections and splinting. Successful management of iatrogenic nerve injuries requires an accurate diagnosis and timely, appropriate treatment. All orthopaedic surgeons must understand the preclinical study of nerve injury and the evaluation and treatment options for iatrogenic nerve injuries. Although a sharply transected nerve can be repaired immediately in the operating room under direct visualization, many injuries are not appreciated until the postoperative period. Advances in di...

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https://medworm.com/665686734/management-of-iatrogenic-nerve-injuries/

Hand-assisted Laparoscopic Splenectomy Advantages Over Complete Laparoscopic Splenectomy For Splenomegaly.

CONCLUSIONS: HALS can maximize the benefits for patients, while maintaining the advantages of LS and open splenectomy. It is the ideal surgical treatment for splenomegaly.
PMID: 30720697 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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https://medworm.com/665686733/hand-assisted-laparoscopic-splenectomy-advantages-over-complete-laparoscopic-splenectomy-for-splenom/

Reply to the letter: "Reply to: Enhancement of Progenitor Cells by Two-Step Centrifugation of Emulsified Lipoaspirates".

Reply to the letter: "Reply to: Enhancement of Progenitor Cells by Two-Step Centrifugation of Emulsified Lipoaspirates".
Plast Reconstr Surg. 2019 Feb 01;:
Authors: Pallua N, Kim BS
PMID: 30707156 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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https://medworm.com/664385515/reply-to-the-letter-reply-to-enhancement-of-progenitor-cells-by-two-step-centrifugation-of-emulsi/

Near-infrared fluorescence image-guidance in anastomotic colorectal cancer surgery and its relation to serum markers of anastomotic leakage: a clinical pilot study.

CONCLUSION: Both subjective and measured FI seem to be related to AL. In this study, no relation between FI and inflammatory serum markers could yet be found.
PMID: 30710314 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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https://medworm.com/664385513/near-infrared-fluorescence-image-guidance-in-anastomotic-colorectal-cancer-surgery-and-its-relation-/

Outcomes of Primary Reverse Total Shoulder Arthroplasty in Patients Younger Than 65 Years Old.

CONCLUSIONS: An RTSA in patients 65 years old or younger improves ROM comparably with patients 70 years old or older. Younger patients have lower functional scores before and after surgery. An RTSA in younger patients improves pain and function but is associated with worse perceived outcomes.
TYPE OF STUDY AND LEVEL OF EVIDENCE: Therapeutic III.
PMID: 30712650 [PubMed - in process] (Source: Hand Surgery)

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https://medworm.com/665686745/outcomes-of-primary-reverse-total-shoulder-arthroplasty-in-patients-younger-than-65-years-old/

The naked capitellum: a surgeon's guide to intraoperative identification of posterolateral rotatory instability.

CONCLUSIONS: The elbow's lateral capsuloligamentous complex plays an important role in preventing PLRI. Larger degrees of elbow laxity are associated with further peel back of the capsuloligamentous complex despite an intact CEO. The surgeon must retract the extensor origin intraoperatively to assess for lateral ulnar collateral ligament and/or lateral capsule disruption to prevent a missed case of PLRI.
PMID: 30713062 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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https://medworm.com/665686744/the-naked-capitellum-a-surgeons-guide-to-intraoperative-identification-of-posterolateral-rotatory-/

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