加长型鞘在MPCNL治疗嵌顿性输尿管上段结石中的应用

目的：探讨加长型鞘在MPCNL术治疗嵌顿性输尿管上段结石中的应用效果。方法：回顾性分析本院2010年1月-2013年12月经MPCNL治疗嵌顿性输尿管上段结石112例患者的临床资料，其中2010年1月-2012年2月的60例作为对照组，术中仅用普通peel-away鞘，2012年3月-2013年12月的52例作为加长型鞘组，在普通peel-away鞘基础加用加长型鞘，观察比较两组患者的手术时间、术中出血量、术后并发症发生情况。结果：加长型鞘组的手术时间、术中出血量均明显少于对照组，术后并发症发生率明显低于对照组，差异均有统计学意义（P〈0.05）。结论：应用加长型鞘能明显提高MPCNL治疗嵌顿性输尿管上段结石的有效率，且安全性更高，值得临床推广应用。     

Rupture of Flexor Tendons After Arthrodesis of the Basal Joint of the Thumb

We report a case of rupture of the flexor tendons to the index finger after arthrodesis of the basal joint of the thumb. The tendons ruptured as a result of the Kirschner wires having penetrated in the carpal tunnel. This unusual complication was treated by tendon graft of the palmaris longus tendon.     

Efficacy of the "Salento technique", a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysis

IntroductionThe biceps brachii lesion needs to be treated surgically. A modified two incisions technique is proposed and reviewed. Material and Methods: All patients were treated with the same technique. The outcomes were measured with the Quick-DASH Score (QDS), and the Mayo Elbow Performance Score (MEPS). Postoperative complications and distal biceps tendon strength were registered also.ResultsAt one year from the trauma, the QDS and the MEPS were excellent in all patients. 72.97% fully recovered and returned to work after 6 months from the trauma.DiscussionThis technique, thanks to its preservation of anatomical structures, provides great outcomes.     

Distal radius fracture after Sauvé-Kapandji procedure in a rheumatoid arthritis patient

Abstract

We report a case of distal radius fracture after a Sauvé-Kapandji procedure combined with synovectomy and tendon transfer in a rheumatoid arthritis patient. This case shared several unusual features that were also seen in a previously reported case. Based on these features, we discuss favorable surgical treatment for the rheumatoid wrist with extensor tendon rupture, and also the optimal treatment for distal radius fracture after such procedures.     

视神经鞘超声评估颅内高压的研究进展

颅内高压是临床常见的危重急症之一，严重影响患者脑功能甚至危及患者生命。故需迅速、准确的颅内压评估方法以及时采取临床干预和对后续治疗效果的评估。有创监测仍然是评估颅内压的金标准,然而,该方法存在如感染和出血等潜在风险。以往文献报道视神经鞘超声检查可以无创评估颅内高压。本文就此综述如下。     

Reprint: Sehnentransfers in der Vorfußchirurgie

The aim of the current forefoot surgery is to retain function or to restore lost function. In contrast, in the past resection arthroplasty or amputation of the lesser toes were common. Included in the repertoire of every specialist are different operation techniques especially the tendon surgery, in addition to experience in indication and rehabilitation. It is important, that the focus during history taking, clinical examination and choice of treatment should not only be on the forefoot but also on the axis of the leg and the hindfoot position and function. As an example, the recruitment of the extensor digitorum longus – meaning the excessive support by the toe extension for forefoot extension – over time results in hammer toes. In some cases this excessive recruitment is the result of the rupture of the tibialis anterior tendon. Therefore, one should address the cause and repair the tibialis anterior tendon by suture and/or augmentation and not operate on the hammer toes in isolation.