Ochsner Journal最新文献_第4页

Novel Treatment for a Completely Extruded Talus. 距骨完全挤压的新治疗方法。

IF 1.3

Ochsner Journal Pub Date : 2024-01-01 DOI: 10.31486/toj.24.0047

Basel Taha, Colin Carroll, Rick Gehlert

{"title":"Novel Treatment for a Completely Extruded Talus.","authors":"Basel Taha, Colin Carroll, Rick Gehlert","doi":"10.31486/toj.24.0047","DOIUrl":"10.31486/toj.24.0047","url":null,"abstract":"Background: Complete talar extrusion is a rare injury that is typically caused by high-energy impact. Treatment for a completely extruded talus is limited and has variable outcomes and complications. Tibiocalcaneal arthrodesis is one of the best treatments for restoring stability and reducing pain in the affected limb. Case Report: A 52-year-old male had complete talar extrusion after a pedestrian vs vehicle accident, and his recovery was complicated by wound dehiscence and recurrent infections of the ankle. Three years after his original injury, the patient was treated with a tibiocalcaneal arthrodesis with tantalum metal cone spacer, autologous bone grafting with tibial reamer irrigator aspirator, and retrograde hindfoot nail. The fusion healed well without signs of nonunion. Following wound healing and recovery, the patient was able to ambulate without any assistive devices. Conclusion: To our knowledge, our case is the first report of the use of a metal spacer in conjunction with autologous bone grafting multiple years after an initial complete talar extrusion injury. The patient's novel treatment resulted in good postoperative outcomes, including significant improvement in pain, ankle stability, and independent ambulation.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"24 4","pages":"314-317"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations. 培训脑血管和神经内血管外科住院医生：系统性文献综述和建议。

IF 1.2

Ochsner Journal Pub Date : 2024-01-01 DOI: 10.31486/toj.23.0118

Tyler Scullen, James Milburn, Mansour Mathkour, Angela Larrota, Oluyinka Aduloju, Aaron Dumont, John Nerva, Peter Amenta, Arthur Wang

{"title":"Training Cerebrovascular and Neuroendovascular Surgery Residents: A Systematic Literature Review and Recommendations.","authors":"Tyler Scullen, James Milburn, Mansour Mathkour, Angela Larrota, Oluyinka Aduloju, Aaron Dumont, John Nerva, Peter Amenta, Arthur Wang","doi":"10.31486/toj.23.0118","DOIUrl":"10.31486/toj.23.0118","url":null,"abstract":"Background: The rapid evolution of neuroendovascular intervention has resulted in the inclusion of endovascular techniques as a core competency in neurosurgical residency training. Methods: We conducted a literature review of studies involving the training of neurosurgical residents in cerebrovascular and endovascular neurosurgery. We reviewed the evolution of cerebrovascular neurosurgery and the effects of these changes on residency, and we propose interventions to supplement contemporary training. Results: A total of 48 studies were included for full review. Studies evaluated trainee education and competency (29.2%, 14/48), neuroendovascular training models (20.8%, 10/48), and open cerebrovascular training models (52.1%, 25/48), with some overlap. We used a qualitative analysis of reviewed reports to generate a series of suggested training supplements to optimize cerebrovascular education. Conclusion: Cerebrovascular neurosurgery is at a crossroads where trainees must develop disparate skill sets with inverse trends in volume. Continued longitudinal exposure to both endovascular and open cerebrovascular surgical fields should be mandated in general resident education, and blended learning tactics using adjunct simulation systems and models should be incorporated with didactics to both optimize learning and alleviate restraints placed by decreased volume and autonomy.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"24 1","pages":"36-46"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10949058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electronic Vapor Products: Alarming Trends in United States Adolescents. 电子蒸汽产品：美国青少年中令人担忧的趋势。

IF 1.3

Ochsner Journal Pub Date : 2024-01-01 DOI: 10.31486/toj.24.0004

Charles H Hennekens, Adedamola Adele, Maria C Mejia, Robert S Levine, Panagiota Kitsantas

{"title":"Electronic Vapor Products: Alarming Trends in United States Adolescents.","authors":"Charles H Hennekens, Adedamola Adele, Maria C Mejia, Robert S Levine, Panagiota Kitsantas","doi":"10.31486/toj.24.0004","DOIUrl":"10.31486/toj.24.0004","url":null,"abstract":"Background: The use of electronic vapor products (EVPs) increases the risks of nicotine addiction, drug-seeking behavior, mood disorders, and avoidable premature morbidities and mortality. We explored temporal trends in EVP use among US adolescents. Methods: We used data from the Youth Risk Behavior Survey for school grades 9 through 12 from 2015 (earliest available data) to 2021 (the most recently available data) from the US Centers for Disease Control and Prevention (n=57,006). Results: Daily use of EVPs increased from 2.0% in 2015 to 7.2% in 2019, a greater than 3.5-fold increase. Although the percentage decreased to 5.0% in 2021, it was still a >2.5-fold increase since 2015. In 2015, the percentage of EVP use was significantly higher in boys (2.8%) than girls (1.1%). By 2021, the percentage of EVP use was higher in girls (5.6%) than boys (4.5%), a 1.24-fold increase. In addition, the percentage of EVP use in 2021 was higher in White youth (6.5%) vs Black (3.1%), Asian (1.2%), and Hispanic/Latino (3.4%) youth compared to 2015, but White and Black adolescents had the highest increases of approximately 3.0-fold between 2015 and 2021. Adolescents in grade 12 had the highest percentages of EVP use at all periods. Conclusion: These data show alarming statistically significant and clinically important increases in EVP use in US adolescents in school grades 9 through 12. The magnitude of the increases may have been blunted by coronavirus disease 2019, a hypothesis that requires direct testing in analytic studies. These trends create clinical and public health challenges that require targeted interventions such as mass media campaigns and peer interventions to combat the influences of social norms that promote the adoption of risky health behaviors during adolescence.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"24 2","pages":"103-107"},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative, Controlled, Retrospective Study of Patient-Reported Outcomes After Meniscectomy With Adjunctive Use of Platelet-Rich Plasma or Amniotic Umbilical Cord Tissue 半月板切除术后辅助使用富血小板血浆或羊膜脐带组织的患者报告结果比较、对照、回顾性研究

IF 1.2

Ochsner Journal Pub Date : 2023-12-28 DOI: 10.31486/toj.23.0073

N. Duru, Gerard K. Williams, Eric Assid, Andrew Renshaw, Deryk Jones

引用次数: 0

Vague Presentation of Cat Scratch Disease in a Child 儿童猫抓病的模糊表现

IF 1.2

Ochsner Journal Pub Date : 2023-12-12 DOI: 10.31486/toj.23.0086

Alexander Crowley, B. Desai, Sean Waldron

引用次数: 0

Primary Amelanotic Malignant Melanoma of the Tongue 舌头上的原发性黑色素恶性肿瘤

IF 1.2

Ochsner Journal Pub Date : 2023-12-04 DOI: 10.31486/toj.23.0094

Tarun Kumar, Ruchi Sinha, Amber Parwaiz, Madhu Kumari, Tarique Anwer, Surya Nandan Prasad, J. Pandey

引用次数: 0

Zero to Hero? Reducing the Rate of Acute Kidney Injury in Transcatheter Aortic Valve Replacement: The Low Contrast Approach 从零到英雄？降低经导管主动脉瓣置换术中急性肾损伤的发生率：低对比度方法

IF 1.2

Ochsner Journal Pub Date : 2023-12-04 DOI: 10.31486/toj.23.0103

Manuel Giraldo-Grueso, Ryan S. Bedi, J. Tafur-Soto, Jasmine Su, Stephen M. Spindel

引用次数: 0

Stumped by a Case of Appendicitis After Appendectomy 阑尾切除术后的阑尾炎难题

IF 1.2

Ochsner Journal Pub Date : 2023-12-04 DOI: 10.31486/toj.23.0098

Ami Takei Yuen, Anna Suessman

引用次数: 0

Patellar Tendon Reconstruction Using Tibialis Posterior Allograft for Treatment of Patellar Tendon Rupture After Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction 使用胫骨后肌同种异体移植进行髌腱重建，治疗骨-髌腱-骨前交叉韧带重建后的髌腱断裂

IF 1.2

Ochsner Journal Pub Date : 2023-11-16 DOI: 10.31486/toj.23.0104

MD Andrew Renshaw, MD W. Evans Few, MD Bhumit Desai, MD Brian Godshaw, MD Deryk Jones

{"title":"Patellar Tendon Reconstruction Using Tibialis Posterior Allograft for Treatment of Patellar Tendon Rupture After Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction","authors":"MD Andrew Renshaw, MD W. Evans Few, MD Bhumit Desai, MD Brian Godshaw, MD Deryk Jones","doi":"10.31486/toj.23.0104","DOIUrl":"https://doi.org/10.31486/toj.23.0104","url":null,"abstract":"Background: Bone-patellar tendon-bone (BPTB) autografts are often used to treat anterior cruciate ligament (ACL) tears in young, highly active patients. These grafts are robust and provide adequate stability, allowing for return to sport and optimal functional outcomes in athletes. Patellar tendon rupture following BPTB ACL reconstruction is rare and can be difficult to treat. Case Report: A 19-year-old collegiate wrestler injured his left knee during a match. On evaluation 7 days after the injury, he was foundtohaveincreasedanteriortranslationofthetibiaonLachmantestingandanabnormalpivotshift.Magneticresonanceimag-ing demonstrated a complete tear of the ACL, and he successfully underwent a BPTB ACL reconstruction without complication. He progressed appropriately in the acute postoperative period. Six weeks after his index surgery, the patient reinjured his left knee and was diagnosed with a patellar tendon rupture. The previously reconstructed ACL was intact. A posterior tibialis tendon graft was used to repair the patellar tendon via a transosseous tunnel in the tibial tuberosity. The patient’s recovery was complicated by a superficial wound that resolved with treatment. He achieved full range of motion and was able to return to sport. Conclusion: No technique for treating patellar tendon rupture following BPTB ACL reconstruction has been widely accepted. The treatment of this injury is left to the preference of the surgeon. This case demonstrates that tibialis posterior allografts are a viable option for the treatment of such injuries.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"26 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short-Term Outcomes of Expedited Arthroscopic Tensionable Knotless Biologic Tuberoplasty for Massive Irreparable Rotator Cuff Tears 快速关节镜下可拉伸无结生物结节成形术治疗大量不可修复的肩袖撕裂的短期疗效

Ochsner Journal Pub Date : 2023-11-14 DOI: 10.31486/toj.23.0063

Misty Suri, Arjun Verma, Sarena Matriano Lim, Justin Kim, Gregory Parker, Payton Baum, Jordan Nester

{"title":"Short-Term Outcomes of Expedited Arthroscopic Tensionable Knotless Biologic Tuberoplasty for Massive Irreparable Rotator Cuff Tears","authors":"Misty Suri, Arjun Verma, Sarena Matriano Lim, Justin Kim, Gregory Parker, Payton Baum, Jordan Nester","doi":"10.31486/toj.23.0063","DOIUrl":"https://doi.org/10.31486/toj.23.0063","url":null,"abstract":"<h3></h3> Background: Massive irreparable rotator cuff tears in the nonarthritic patient are challenging because of the high failure rate and technical difficulty of intraoperative repair. We examined the outcomes of expedited arthroscopic tensionable knotless biologic tuberoplasty for massive irreparable rotator cuff tears. Methods: Eleven patients with an average follow-up of 8.2 months were included in the analysis. Patient-reported outcome measures were the visual analog scale (VAS) pain score, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) score, Single Assessment Numeric Evaluation (SANE) score, and Veterans RAND 12-Item Health Survey (VR-12) physical component score and mental component score. Results: In comparison to the preoperative mean, mean VAS pain scores were significantly reduced at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year. The mean VAS pain scores decreased from 6.9 ± 1.3 preoperatively to 0.2 ± 0.4 at 1 year (P<0.001). Mean ASES scores and SANE scores were both significantly improved at 3 months, 6 months, and 1 year. Mean ASES scores increased from 40.3 ± 17 preoperatively to 93.0 ± 5.5 at 1 year (P=0.001), and mean SANE scores increased from 40.7 ± 23.7 preoperatively to 85.6 ± 8.9 at 1 year (P=0.007). The mean VR-12 physical component score was significantly improved at 6 months and 1 year postoperatively. The mean VR-12 mental component score was clinically improved at 6 months and 1 year postoperatively. Conclusion: Arthroscopic tensionable knotless biologic tuberoplasty is an effective treatment for massive irreparable rotator cuff tears and resulted in statistically significant improvements in VAS pain, ASES, SANE, and the VR-12 physical component scores and clinically significant improvements in the VR-12 mental component score in our patient cohort.","PeriodicalId":47600,"journal":{"name":"Ochsner Journal","volume":"61 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134900906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0