scholarly journals Cirugía de acortamiento por dismetría tras artroplastia total de cadera

2021 ◽  
Vol 4 (Number 4) ◽  
pp. 35-44
Author(s):  
Raquel Garrido-Rojo ◽  
Jose Aracil-Silvestre ◽  
Vicent Simón-Pérez ◽  
Julio Deserio-Cuesta ◽  
Marta García-Chamorro
Keyword(s):  
Fascia Lata

: Introducción; Doctor, ¿por qué tengo la pierna más larga? Durante una ATC es frecuente que ocurra un alargamiento del miembro para compensar la tendencia que existe a la inestabilidad posterior, mediante el uso de componentes de cuello más largos y con más offset. Es importante planificar un buen balance, ya que en general una dismetría de más de 7-10 mm es mal tolerada y es la causa más frecuente de litigios post PTC en EEUU. Material y métodos; Realizamos una revisión de tres pacientes que presentaban una dismetría mayor de 1 cm tras ATC y se sometieron a cirugía de corrección en nuestro hospital. Se valoró la sintomatología mediante la escala HHS y se midió la dismetría mediante el método de Woolson en la radiografía de pelvis. Resultados; En el primer paciente se realizó un recambio de cabeza más corta y un mallado de fascia lata; en el segundo se realizó un recambio a un cotilo de doble movilidad; en el tercero se decidió el recambio del vástago asociado a una osteotomía y descenso del trocánter mayor. En todos los casos los resultados fueron satisfactorios. Conclusión; En un paciente que presenta una dismetría no aceptable debemos valorar el riesgo/beneficio a la hora de planificar una corrección quirúrgica, ya que el acortamiento de un miembro va a conllevar un aumento de la inestabilidad de la prótesis. Existen diversas opciones terapéuticas pero escasa bibliografía sobre los resultados, y así mismo bastante contradictorios. Hoy día el mejor tratamiento es la prevención, mediante el uso de marcadores pre y perioperatorios, la navegación y/o la escopia intraoperatoria.

1288: Outcomes of Rectocele Repair with Chemically Processed (Tutoplast®) Fascia Lata

2007 ◽  
Vol 177 (4S) ◽  
pp. 424-424
Author(s):  
Hassan A. Abdelbaky ◽  
Mostafa M. Elmissiry ◽  
Gamal M. Ghoniem
Keyword(s):  
Fascia Lata ◽  
Rectocele Repair

An in vitro Comparison of Two Replacement Techniques Utilizing Fascia Lata after Cranial Cruciate Ligament Transection in the Dog

1993 ◽  
Vol 06 (02) ◽  
pp. 85-92 ◽  
Author(s):  
G. L. Coetzee
Keyword(s):  
Femoral Condyle ◽  
Cruciate Ligament ◽  
Maximum Load ◽  
Fascia Lata ◽  
Patellar Ligament ◽  
Cross Sectional ◽  
Cranial Cruciate Ligament ◽  
Replacement Technique ◽  
Over The Top

SummaryThe immediate postoperative biomechanical properties of an “underand-over” cranial cruciate ligament (CCL) replacement technique consisting of fascia lata and the lateral onethird of the patellar ligament, were compared with that of a modified intra- and extracapsular “under-and-over-the-top” (UOTT) method. The right CCL in twelve adult dogs was dissected out and replaced with an autograft. The contralateral, intact CCL served as the control. In group A, the graft was secured to the lateral femoral condyle with a spiked washer and screw. In group B the intracapsular graft was secured to the lateral femoro-fabellar ligament, and the remainder to the patellar tendon. Both CCL replacement techniques exhibited a 2.0 ± 0.5 mm anterior drawer immediately after the operation. After skeletonization of the stifles, the length and cross-sectional area of the intact CCL and CCL substitutes were determined. Each bone-ligament unit was tested in linear tension to failure at a fixed distraction rate of 15 mm/s with the stifle in 120° flexion. Data was processed to obtain the corresponding material parameters (modulus, stress and strain in the linear loading region, and energy absorption to maximum load).The immediate postoperative structural and material properties of the “under-and-over” cranial cruciate ligament replacement technique with autogenous fascia lata, were compared to that of a modified intra- and extracapsular “under-and-over-the-top” (UOTT) method. The combined UOT T technique was slightly stronger (6%), but allowed 2.8 ± 0.9 mm more cranial tibial displacement at maximum linear force.

Poupart-szalag rekonstrukciója autológ fascia lata lebennyel. Az első ismertetett hazai eset

2017 ◽  
Vol 70 (2) ◽  
pp. 151-154
Author(s):  
Gábor Bognár ◽  
Loránd Barabás ◽  
Enikő Tóth ◽  
Andrea Schöller ◽  
Gábor István
Keyword(s):  
Fascia Lata ◽  
Vena Femoralis

Absztrakt Bevezetés: A Poupart-szalag fascia lata felhasználásával végzett rekonstrukcióját ismertetjük. Esetismertetés: Egy 66 éves nőbeteg esetét ismertetjük, akinek anamnézisében kizáródott lágyéksérv műtétje kapcsán szerzett vena femoralis sérülés miatti érsebészeti beavatkozás, majd többszöri rekonstrukciós műtétek szerepelnek. A Poupart-szalag helyreállításakor a fascia lata egy 15 × 3 cm-es csíkját használtuk, amit a spina iliaca anterior superiorra nyeleztünk. Ezt transzponáltuk subcutan tunnelen és varrtuk a tuberculum pubicumhoz, fedve így az iliacalis ereket. A hasfal musculoaponeuroticus részét szabott, 15 × 13 cm-es polipropilén hálóval rekonstruáltuk, amelyet subfascialisan a hasfal izomrétegéhez és a „neo-Poupart-szalaghoz” varrtunk. Megbeszélés: A Poupart-szalag teljes destrukciója ritka, de többszöri műtétet vagy traumát követően kialakulhat. A szalag rekonstrukciójában csak szintetikus háló használata volt ismert. Egy publikáció született autológ szövet és polipropilén háló használatával végzett rekonstrukcióról. Az általunk ismertetett műtéti technika ennek módosítása és első a hazai szakirodalomban. Következtetés: Ez az új technika hasznos eszköze lehet mind a plasztikai, mind a sérvsebészettel foglalkozó általános sebészek armamentáriumának.

Comparative study of temporalis fascia graft, tragal cartilage graft and fascia lata in tubotympanic type of CSOM

2019 ◽  
Vol 9 (1) ◽  
pp. 37-40
Author(s):  
Sonali Uttamrao Landge ◽  
◽  
Prafful V Jatale ◽  
Vilas Kirdak ◽  
Sambhaji Chintale ◽  
...  
Keyword(s):  
Comparative Study ◽  
Fascia Lata ◽  
Cartilage Graft ◽  
Temporalis Fascia ◽  
Fascia Graft

scholarly journals Comparative study between fascia lata and temporalis fascia in myringoplasty

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ayman Ali Abdel Fattah ◽  
Abdel Hay Rashad Elasy ◽  
Ahmed Helmy Hoseini ◽  
Tarek Abdel Rahman Abdel Hafez
Keyword(s):  
Tympanic Membrane ◽  
Good Alternative ◽  
Fascia Lata ◽  
The Body ◽  
Temporalis Fascia ◽  
Fascia Graft ◽  
Fascia Lata Graft ◽  
Group A ◽  
The Mean ◽  
Group B

Abstract Background Repair of a perforated tympanic membrane (myringoplasty) can facilitate normal middle ear function, resist infection, and help re-establish normal hearing. Autogenous graft materials are the most popular graft materials used in myringoplasty because of their easy acceptability by the body. This study is conducted to compare between temporalis fascia graft and fascia lata graft in myringoplasty for patients with tubo-tympanic dry perforation. Results A total of 60 patients with persistent dry tympanic membrane perforation were included in our study during the period from January 2018 to May 2020. Patients underwent myringoplasty with temporalis fascia (30 patients as group A) or fascia lata (30 patients as group B). Patients were scheduled for follow-up visits concerning graft status, ear discharge, and audiograms. The mean postoperative air-bone gap in group A was 17.5 ± 4 after 1 month and 8.6 ± 6.9 after 3 months, while in group B, the mean postoperative air-bone gap was 17.6 ± 4.9 after 1 month and 9.4 ± 7.5 after 3 months. There was 90% success in graft uptake in group A, while there was 80% success in group B. Conclusion Using temporalis fascia is still the best and most trustworthy technique of myringoplasty compared to fascia lata graft. However, fascia lata can be a good alternative to temporalis fascia especially in cases of revision myringoplasty, ears having large perforation, or near-total perforation where the chances of residual perforation are high because of the limited margin of remnant tympanic membrane overlapping the graft.

scholarly journals Double Rectangle Fascia Lata Frontalis Sling: A Rationale Approach for Ptosis

2021 ◽  
Vol 54 (01) ◽  
pp. 058-062
Author(s):  
Pawan Agarwal ◽  
Dhananjaya Sharma ◽  
Vikesh Agrawal ◽  
Swati Tiwari ◽  
Rajeev Kukrele
Keyword(s):  
Retrospective Study ◽  
Surgical Outcomes ◽  
Functional Outcomes ◽  
Fascia Lata ◽  
Modified Technique ◽  
Eyelid Margin ◽  
Upper Eyelid ◽  
Light Reflex ◽  
Straight Line

AbstractBackground The purpose of this study was to evaluate the functional outcomes of a modified technique of double rectangle pattern for correction of severe ptosis.Methods This is a retrospective study over a period of 8 years including patients who underwent correction of ptosis by double rectangle using autologous fascia lata sling. Surgical outcomes were assessed postoperatively by distance from the corneal light reflex to the upper eyelid margin (MRD1) and levator function.Results Twenty-six eyelids were operated in 20 patients. There were 9 males and 11 females, with age ranging from 4 to 35 years. Preoperatively, all patients had poor MRD1 and poor levator function. Postoperative MRD1 was good in 13 patients (17 eyelids), fair in 5 (7eyelids), and poor in 2 patients (2 eyelids). Postoperative levator function was excellent in 12 patients (15 eyelids), good in 6 (9 eyelids), and fair in 2 patients (2 eyelids). At a mean follow-up of 12 months, adequate correction was achieved in 24 eyelids, and 2 eyelids had undercorrection.Conclusion Frontalis sling with a double rectangle is simple and more efficient, as it provides a straight line of pull to the eyelid for correction of severe ptosis.

scholarly journals Arthroscopic Superior Capsule Reconstruction Using Autologous Fascia Lata and Biceps Tendon Augmentation

2021 ◽  
Author(s):  
Chen-Heng Hsu ◽  
Chih-Hao Chiu ◽  
Chun-Jui Weng ◽  
Kuo-Yau Hsu ◽  
Yi-Sheng Chan ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Fascia Lata ◽  
Superior Capsule Reconstruction
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