scholarly journals Selective Angiographic Embolization of Blunt Hepatic Trauma Reduces Failure Rate of Nonoperative Therapy and Incidence of Post-Traumatic Complications

2017 ◽  
Vol 23 ◽  
pp. 5522-5533 ◽  
Author(s):  
Han Xu ◽  
Li Jie ◽  
Sun Kejian ◽  
He Xiaojun ◽  
Liu Chengli ◽  
...  
Keyword(s):  
Failure Rate ◽  
Angiographic Embolization ◽  
Hepatic Trauma ◽  
Nonoperative Therapy ◽  
Post Traumatic

Renal pseudoaneurysm after blunt trauma in a 10-year-old girl: A case report

2020 ◽  
pp. 039156031989615
Author(s):  
Simone Sforza ◽  
Giorgio Persano ◽  
Chiara Cini ◽  
Idanna Sforzi ◽  
Antonio Andrea Grosso ◽  
...  
Keyword(s):  
Renal Trauma ◽  
Angiographic Embolization ◽  
Computed Tomography Scan ◽  
Contrast Enhanced ◽  
Traumatic Pseudoaneurysm ◽  
Post Traumatic ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

Introduction: Renal trauma is a relevant cause of morbidity in children older than 1 year. Most patients are currently managed conservatively, even in case of high-grade traumas; nevertheless, harmful complications may occur even in hemodynamically stable patients. We present a case of grade IV blunt renal trauma complicated by post-traumatic pseudoaneurysm. Case description: A 10-year-old girl was referred to our institution for grade IV trauma of the right kidney. During observation she had persistent hematuria that caused anemia. A second contrast-enhanced computed tomography scan revealed a posttraumatic pseudoaneurysm that was successfully treated by angiographic embolization. Conclusions: Although extremely rare after blunt renal trauma, post-traumatic renal pseudoaneurysm may cause severe blood loss and anemia, and angioembolization is therefore indicated. This condition should be suspected and move physicians to investigate further.

Treatment of Post-traumatic Ankle Arthrosis with Bipolar Tibiotalar Osteochondral Shell Allografts

2002 ◽  
Vol 23 (12) ◽  
pp. 1091-1102 ◽  
Author(s):  
Choll W. Kim ◽  
Amir Jamali ◽  
William Tontz ◽  
F. Richard Convery ◽  
Michael E. Brage ◽  
...  
Keyword(s):  
Failure Rate ◽  
Joint Space Narrowing ◽  
Clinical Status ◽  
Joint Space ◽  
Physical Exam ◽  
Viable Alternative ◽  
Maximum Score ◽  
Non Union ◽  
Post Traumatic

We report on tibiotalar osteochondral shell allografts for post-traumatic ankle arthropathy in seven patients. Average follow-up was 148 months (range, 85 to 198). Patients were evaluated by a questionnaire, SF-12 survey, ankle score, physical exam and radiographs. The ankle score increased from 25 preoperatively to 43 at latest follow-up (maximum score 100). SF-12 scores increased from 30 to 38 (Physical Component) and 46 to 53 (Mental Component). The failure rate was 42%. Four of seven patients reported good or excellent results. Five patients stated they would undergo a similar procedure again. Complications included graft fragmentation, poor graft fit, graft subluxation, and non-union. Follow-up radiographs demonstrated joint space narrowing, osteophytes, and sclerosis, even in cases with excellent clinical status. Fresh osteochondral shell allografting may provide a viable alternative for the treatment of post-traumatic ankle arthrosis in selected individuals.

scholarly journals The effectiveness of antibiotic cement-coated nails in post-traumatic femoral and tibial osteomyelitis – comparative analysis of custom-made versus commercially available nails

2021 ◽  
Vol 6 (9) ◽  
pp. 457-466
Author(s):  
Germán Garabano ◽  
Hernán del Sel ◽  
Joaquin Anibal Rodriguez ◽  
Leonel Perez Alamino ◽  
Cesar Angel Pesciallo
Keyword(s):  
Comparative Analysis ◽  
Infection Control ◽  
Failure Rate ◽  
Operating Time ◽  
Consecutive Series ◽  
Antibiotic Cement ◽  
Custom Made ◽  
Initial Injury ◽  
Post Traumatic ◽  
Reoperation Rates

Abstract. Background: The first objective of this retrospective study was to assess infection control rates in patients with chronic post-traumatic osteomyelitis (CPTO) of the femur or tibia treated with antibiotic cement-coated nails. The second objective was to compare the efficacy of custom-made nails versus commercially available antibiotic-coated nails in terms of infection control and need for reoperation. Methods: We reviewed a consecutive series of CPTO patients treated with antibiotic-coated nails who had a minimum follow-up of 24 months. We recorded the characteristics of the initial injury, the type of nail used, cement–nail debonding, infecting microorganisms, operating time, infection control, need for reoperation, and failure rate. We performed a comparative analysis between nails manufactured in the operating room (i.e., custom-made) and those commercially available. Results: Thirty patients were included. The affected bones were the femur (n=15) and the tibia (n=15). Twenty-one of the 30 initial injuries were open fractures. Staphylococcus aureus was the most frequently isolated microorganism (50 %). Sixteen patients were treated with custom-made nails and 14 with commercially available antibiotic-coated nails. At the time of extraction, four out of five custom-made antibiotic-coated nails experienced cement–bone debonding. Commercial nails were associated with shorter operating times (p<0.0001). The overall infection control rate was 96.66 %. Eight (26.66 %) patients needed reoperation. There was one failure (3.33 %) in the group treated with custom-made antibiotic-coated nails. We did not find significant differences between nail types in terms of reoperation, infection control, and failure rate. Conclusions: The use of antibiotic cement-coated nails proved useful in CPTO treatment. Commercially available nails had significantly shorter operating times and did not present cement–bone debonding during removal. Our results seem to indicate that both nail types are similar in terms of infection control and reoperation rates.

Angiographic embolization of a post-traumatic splenic pseudoaneurysm

2013 ◽  
Vol 85 (3) ◽  
pp. 207-211
Author(s):  
P. Dikaiakos ◽  
N. Paschalidis ◽  
Ch. Markakis ◽  
M. Voultsos ◽  
K. Malagari ◽  
...  
Keyword(s):  
Angiographic Embolization ◽  
Post Traumatic

Angiographic Embolization as the Definitive Treatment of Post-traumatic Hemobilia

1980 ◽  
Vol 20 (8) ◽  
pp. 702-705 ◽  
Author(s):  
RICHARD H. FRANKLIN ◽  
WILLIAM F. BLOOM ◽  
ROBERT O. SCHOFFSTALL
Keyword(s):  
Definitive Treatment ◽  
Angiographic Embolization ◽  
Post Traumatic

scholarly journals The role of arthroscopic capsulo-labral repair in unidirectional post-traumatic shoulder instability in adolescent athletes participating in overhead or contact sports

Joints ◽  
2013 ◽  
Vol 01 (03) ◽  
pp. 108-111 ◽  
Author(s):  
Giacomo Rose ◽  
Mario Borroni ◽  
Alessandro Castagna
Keyword(s):  
Recurrence Rate ◽  
Failure Rate ◽  
Shoulder Instability ◽  
Labral Repair ◽  
Adolescent Athletes ◽  
Contact Sports ◽  
Post Traumatic ◽  
The Mean

Purpose: this study was performed to identify the role of arthroscopic capsulo-labral repair (ACR) in unidirectional post-traumatic shoulder instability in adolescent athletes participating in overhead or contact sports. Methods: sixty-five adolescent patients (aged 13 to 18 years) with post-traumatic shoulder instability submitted to arthroscopic surgery were selected from our database. The mean follow-up duration was 63 months. Shoulder range of motion and functional outcomes were evaluated preoperatively and postoperatively using the Single Assessment Numeric Evaluation (SANE), Rowe, and American Shoulder and Elbow Surgeons (ASES) scores. In addition, details in the database on the type of sport practiced, time until surgery, and number of dislocations were analyzed to look for possible correlations with the recurrence rate. Results: at the final follow-up, the mean SANE score was 87.23% (range: 30% to 100%) (preoperative mean score: 46.15% [range, 20% to 50%]); the mean Rowe score was 85 (range: 30 to 100) (preoperative mean score: 35.9 [range: 30 to 50]); and the mean ASES score was 84.12 (range: 30 to 100) (preoperative mean score: 36.92 [range: 30 to 48]). Mean forward flexion and external rotation with the arm at 90° abduction did not show changes compared with preoperative values; 81.5% of the patients returned to their pre-injury level of sports activities, and the failure rate was 21.5%. The recurrence rate was not related to the postoperative scores (p = 0.556 for SANE, p = 0.753 for Rowe, and p = 0.478 for ASES), number of preoperative episodes of instability (p = 0.59), or time that elapsed between the first instability episode and the surgery (p = 0.43). A statistically significant association (p = 0.0021) was found between recurrence and the type of sport practiced. Conclusions: ACR is a reasonable surgical option in an adolescent population participating in sports. It has a role in restoring shoulder stability with very low morbidity; however, the failure rate is higher than in the adult population and both the young patients and their relatives must be properly informed about the expected outcome of the procedure. Level of Evidence: level IV, therapeutic case series.

scholarly journals Blunt Hepatic Trauma: Suggested Algorithm for Surgical and Nonoperative Management

2015 ◽  
Vol 4 (1) ◽  
pp. 1-5
Author(s):  
Camila Issa Azevedo ◽  
Aparecida Andrade Ribeiro Franciscani ◽  
Amanda Baraldi Souza ◽  
Fabio Mendes Botelho Filho ◽  
Sizenando Vieira Starling
Keyword(s):  
Failure Rate ◽  
Nonoperative Management ◽  
Standard Of Care ◽  
Inclusion Criteria ◽  
Hepatic Trauma ◽  
Suggested Algorithm ◽  
Liver Injuries ◽  
Grade Ii ◽  
Belo Horizonte ◽  
A Prospective Study

ABSTRACT Objective This study aims to analyze the outcomes of blunt hepatic trauma, and compare operative treatment (OT) and nonoperative management (NOM) emphasizing the stratified results by grade of injury and failure rate. Materials and methods This is a prospective study of cases admitted to João XXIII Hospital, located in Belo Horizonte, Brazil, from January 2013 to December 2013. Patients were admitted with blunt hepatic trauma on emergency room (ER) and were divided into two groups. One group contained patients who met the criteria for NOM, and the other group was formed by patients with surgical indication. Results During the study period, 47 patients were admitted with blunt liver injury and 43 (91.4%) met the inclusion criteria for NOM. The rate of NOM failure was 9.3%: 50% of them had grade II injury and 50% had grade V. The patients with grade II injury had also extrahepatic lesions and, in those with grade V, the failure was due to bleeding. Conclusion Nonoperative management has become the standard of care for patients with blunt liver injuries in trauma centers. However, as grade V injuries have a higher failure rate, they might receive special attention from the surgical team. How to cite this article Azevedo CI, Franciscani AAR, Souza AB, Filho FMB, Starling SV, Drumond DAF. Blunt Hepatic Trauma: Suggested Algorithm for Surgical and Nonoperative Management. Panam J Trauma Crit Care Emerg Surg 2015;4(1):1-5.

Selective angiographic embolization of blunt splenic traumatic injuries in adults decreases failure rate of nonoperative management

2012 ◽  
Vol 72 (5) ◽  
pp. 1127-1134 ◽  
Author(s):  
Indermeet S. Bhullar ◽  
Eric R. Frykberg ◽  
Daniel Siragusa ◽  
David Chesire ◽  
Julia Paul ◽  
...  
Keyword(s):  
Failure Rate ◽  
Nonoperative Management ◽  
Angiographic Embolization ◽  
Traumatic Injuries

Successful management of severe blunt hepatic trauma by angiographic embolization

2011 ◽  
Vol 64 (4) ◽  
pp. 303-306 ◽  
Author(s):  
Meletios A. Kanakis ◽  
Theodoros Thomas ◽  
Vassilios G. Martinakis ◽  
Elias Brountzos ◽  
Nicholas Varsamidakis
Keyword(s):  
Angiographic Embolization ◽  
Hepatic Trauma ◽  
Successful Management
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