Acta bio-medica : Atenei Parmensis最新文献_第8页

Surgical strategies in pediatric supracondylar humeral fractures: our experience. 小儿肱骨髁上骨折的手术策略：我们的经验。

Acta bio-medica : Atenei Parmensis Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13814

Giuseppe Maccagnano, Giovanni Noia, Michele Coviello, Costantino Stigliani, Giuseppe Danilo Cassano, Daniela Dibello, Vito Pesce, Biagio Moretti

{"title":"Surgical strategies in pediatric supracondylar humeral fractures: our experience.","authors":"Giuseppe Maccagnano, Giovanni Noia, Michele Coviello, Costantino Stigliani, Giuseppe Danilo Cassano, Daniela Dibello, Vito Pesce, Biagio Moretti","doi":"10.23750/abm.v94iS2.13814","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.13814","url":null,"abstract":"Background and aim: Supracondylar humeral fractures are the most common skeletal injury of childhood elbow. Treatment option for Gartland type II-III-IV fractures is based on closed reduction and percutaneous pinning (CRPP) fixation using Kirshner wires. Seldom open reduction is needed. Literature described different method of CRPP. The aim of the study is to report our experience in the surgical management of supracondylar humeral fractures comparing it with the literature, in order to identify useful information for a correct and better approach to reduce complications and improve clinical outcomes.Methods: 148 patients with a mean age of 5.72 ± 2.52 years and with Gartland type II-III-IV humeral supracondylar fractures were treated with CRPP at our Orthopedic Pediatric Unit. They were divided into three groups according to surgical technique. Group A was represented by patients treated with cross pinning (1 medial and 1 lateral pin), Group B represented by 2 lateral pins while Group C represented by 2 lateral and one medial pin. Evaluation criteria are based on Mayo Elbow Performance Index (MEPI); Bauman's and Carrying Angle and Flynn's criteria. Data were recorded at the following times: T0 (before surgical procedure); T1 (one-month post-surgery); T2 (six months post-surgery).Results: The three surgical techniques showed comparable results according to MEPI, Bauman's angle, Carrying's angle and Flynn's criteria from T0 to T1. There is an improvement for all Groups. Group C reported the best MEPI outcome at T2. However, 2 patients in this group did not show excellent results according to Flynn's criteria.Conclusions: There is no single and superior treatment for displaced humeral supracondylar fractures and that each fracture has its own personality.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"94 S2","pages":"e2023170"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405623","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

Use of bone marrow aspirate concentrate (BMAC) in the treatment of delayed unions and nonunions: a single-center case series. 使用骨髓抽吸物浓缩物（BMAC）治疗延迟接合和非接合：单中心病例系列。

Acta bio-medica : Atenei Parmensis Pub Date : 2023-06-23 DOI: 10.23750/abm.v94iS2.13870

Gianluca Canton, Marko Tomic, Luca Tosolini, Luca Di Lenarda, Luigi Murena

{"title":"Use of bone marrow aspirate concentrate (BMAC) in the treatment of delayed unions and nonunions: a single-center case series.","authors":"Gianluca Canton, Marko Tomic, Luca Tosolini, Luca Di Lenarda, Luigi Murena","doi":"10.23750/abm.v94iS2.13870","DOIUrl":"https://doi.org/10.23750/abm.v94iS2.13870","url":null,"abstract":"Background and aim: Surgical treatment of delayed unions and nonunions requires adherence to the principles of mechanical stability, as well as consideration of biological environment. Bone marrow aspirate concentrate (BMAC) provides cellular and growth factor supply acting as an osteoinductive and osteogenic stimulus in bone healing. The aim of the study is to analyze the outcome of delayed unions and nonunions treatment with autologous bone marrow concentrate supplementation at our institution.Methods: Study included all patients treated at the Orthopedic and Traumatology Unit of Cattinara Hospital-ASUGI (Trieste, Italy) between September 2015 and January 2022 for delayed union or nonunion who received bone marrow aspirate concentrate (BMAC) supplementation. Initial treatment, definitive surgical treatment, radiographic healing and complications were retrospectively evaluated. Data collection was conducted by clinical database searching.Results: The study population included 11 patients, F:M 7:4, mean age 61 years. Initial treatment was surgical in 82% of patients. Radiographic healing of the fracture occurred in 100% of cases. None of the patients presented complications.Conclusions: Bone marrow aspirate concentrate (BMAC) has shown encouraging results and a high safety profile. Thus, it could be an effective and safe method in the treatment of delayed unions and nonunion. However, further studies will be needed to clarify its role.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"94 S2","pages":"e2023118"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139405540","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

Intussusception of the bowel in adult women due to bulky inflammatory fibroid polyp treated in emergency. A case report. 成年女性因巨大的炎性纤维息肉引起的肠套叠在急诊中治疗。病例报告。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-10 DOI: 10.23750/abm.v93iS1.11492

Alessio Rollo, Pietro Lugani, Lorenzo Casali, Filippo Montali, Lucia Scaramuzza, Giorgia Gandolfi, Elena Thai, Renato Costi

{"title":"Intussusception of the bowel in adult women due to bulky inflammatory fibroid polyp treated in emergency. A case report.","authors":"Alessio Rollo, Pietro Lugani, Lorenzo Casali, Filippo Montali, Lucia Scaramuzza, Giorgia Gandolfi, Elena Thai, Renato Costi","doi":"10.23750/abm.v93iS1.11492","DOIUrl":"https://doi.org/10.23750/abm.v93iS1.11492","url":null,"abstract":"Introduction: Intussusception represents a rare form of bowel obstruction in the adult, which is defined as the telescoping of a proximal segment of the gastrointestinal tract into the lumen of the adjacent distal segment of the GI tract Case Report: We report the case of a 50-year-old woman was admitted in our hospital with acute bowel obstruction. CT showed intestinal occlusion secondary to intussusception. the patient underwent emergency surgery. Surgery confirmed intussusception at the level of the distal ileum (about 30 cm from the ileocecal valve) due to a 3-4 oval mass of hard consistency that appeared to be suspicious for GIST. Was performed a resection of the ileal segment involved associated with oncologically radical lymphadenectomy. The histological examination reported benign ileal mesenchymal neoformation compatible with inflammatory fibroid polyp. Patient had a regular course Discussion: In adults, 90% of invaginations manifest as a result of an organic lesion caused by benign or malignant tumors. The clinical presentation in adults is generally chronic or nonspecific. The emergence of acute symptoms due to complete intestinal obstruction occours in fewer than 20% of patients. Abdominal computed tomography (CT) is the most sensitive radiologic method to confirm intussusception. As many cases are secondary to organic pathologies with malignant potential, surgical resection of the affected bowel segment with oncological procedures is the primary method of treatment Conclusion: Due to the fact that adult intussusception is often frequently associated with organic lesions, surgical intervention is necessary. Treatment usually requires formal resection of the involved bowel segment. (www.actabiomedica.it).","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022117"},"PeriodicalIF":0.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/50/ACTA-93-117.PMC10510983.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172347","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

What if Valve-in-Valve TAVR fails? Is surgical re-replacement still an option in high-risk patients? A case report. 如果TAVR阀中的阀门发生故障怎么办？手术再次置换仍然是高危患者的一种选择吗？病例报告。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-08 DOI: 10.23750/abm.v93iS1.11705

Luca De Donno, Alan Galligani, Francesco Maestri, Florida Gripshi, Claudia Pattuzzi, Matteo Scarpanti, Elena Adelina Gabor, Arianna Manca, Francesco Nicolini

{"title":"What if Valve-in-Valve TAVR fails? Is surgical re-replacement still an option in high-risk patients? A case report.","authors":"Luca De Donno, Alan Galligani, Francesco Maestri, Florida Gripshi, Claudia Pattuzzi, Matteo Scarpanti, Elena Adelina Gabor, Arianna Manca, Francesco Nicolini","doi":"10.23750/abm.v93iS1.11705","DOIUrl":"https://doi.org/10.23750/abm.v93iS1.11705","url":null,"abstract":"Redo surgical aortic valve replacement has been the gold standard for the treatment of degenerated bioprostheses; however it carries an inherent risk associated with a reoperative open heart surgery. Valve-in-Valve transcatheter aortic valve implantation (ViV-TAVI) has emerged as an alternative approach. Few articles in literature review transcatheter aortic valve replacement's failure rates, complications (i.e., valve dislocation, paravalvular leaks) and their surgical management. The rate of reoperations after a percutaneous approach is expected to increase, with the currently rising number of transcatheter procedures worldwide even in patients with a longer life expectancy. Valve dislocation is a rare but serious complication that can severely impact on the outcome of patients. Paravalvular leaks and structural valve degeneration are the most common causes of surgical re-intervention. We present the case of a complex patient with previous surgical aortic valve and ascending aorta replacement who underwent a transfemoral valve-in-valve TAVI for bioprosthesis degeneration, complicated by valve dislocation requiring surgical reoperation.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022115"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6f/34/ACTA-93-115.PMC10510991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159235","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

Cement Embolism following Vertebroplasty: a case report. 椎体成形术后水泥栓塞1例报告。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-08 DOI: 10.23750/abm.v93iS1.9425

Carmine Siniscalchi, Enrico Epifani, Manuela Basaglia

引用次数: 0

Rapidly progressive ischemic strokes and transient antiphospholipid syndrome during a mild SARS-CoV-2 infection. 轻度严重急性呼吸系统综合征冠状病毒2型感染期间的快速进行性缺血性中风和短暂性抗磷脂综合征。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-07 DOI: 10.23750/abm.v93iS1.12609

Roberto Sartor, Francesca Capozzoli, Sergio Venturini, Massimo Crapis, Paolo Passadore, Mariarosaria Valente

引用次数: 0

Total Knee Replacement in Alkaptonuric Ochronosis. 全膝关节置换术治疗阿尔茨海默病。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-07 DOI: 10.23750/abm.v92iS1.10439

Cesar Pesciallo, German Garabano, Joaquin Rodriguez, German Viale, Fernando Tillet, Hernan Del Sel

{"title":"Total Knee Replacement in Alkaptonuric Ochronosis.","authors":"Cesar Pesciallo, German Garabano, Joaquin Rodriguez, German Viale, Fernando Tillet, Hernan Del Sel","doi":"10.23750/abm.v92iS1.10439","DOIUrl":"https://doi.org/10.23750/abm.v92iS1.10439","url":null,"abstract":"Background and objective: Alkaptonuria is a rare disease characterized by the accumulation of homogentisic acid (HGA). Over time, these patients may develop disabling ochronotic arthropathy. We present 2 cases of patients with end-stage arthropathy treated with total knee arthroplasty (TKA).Methods: Both patients complained of disabling knee pain and reported limited walking distance (200-300 m). One had a history of osteotomy for medial knee arthtritis and ignored his underlying condition. The other presented with valgus gonoarthrosis and diagnosis of alkaptonuria.Results: Intraoperatively, the characteristic dark-blue color in the joint was observed. Both patients evolved favorably after TKA with excellent results according to the Knee Society Scores (KSS) at three years of follow-up.Conclusion: We believe TKA is the right treatment for patients with end-stage disease because it offers considerable relief from pain and allows patients to recover function.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022108"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ef/50/ACTA-93-108.PMC10510968.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148457","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

A case of necrotizing fasciitis from a pedicure: when beauty centers become life-threatening. 足疗引起的坏死性筋膜炎：美容中心会危及生命。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-07 DOI: 10.23750/abm.v93iS1.9492

Mirco Pozzi, Roberto Cuomo, Francesco Ruben Giardino, Cesare Brandi, Giuseppe Nisi, Luca Grimaldi

{"title":"A case of necrotizing fasciitis from a pedicure: when beauty centers become life-threatening.","authors":"Mirco Pozzi, Roberto Cuomo, Francesco Ruben Giardino, Cesare Brandi, Giuseppe Nisi, Luca Grimaldi","doi":"10.23750/abm.v93iS1.9492","DOIUrl":"https://doi.org/10.23750/abm.v93iS1.9492","url":null,"abstract":"Introduction: in a historical moment where there is an increasing use of beauty center, we report a case of necrotizing fasciitis occurred after a pedicure, with the aim of clarifying the safety of these aesthetic treatments.Case report: we discuss a case of left foot necrotizing fasciitis as consequence of removing a plantar callus. The patient is a 49 years old man; he is hypertensive, and diabetic not controlled. We report our experience showing the clinical manifestation and the tricky profile of the patient; then we reflect on the safety profiles of these aesthetic treatments.Discussion: some bacterial infections of soft tissue after pedicure and manicure are reported in Literature. Mycobacteria seems to play a prevalent role, mostly after a peculiar practice of \"fish pedicure\". Our experience shows how the combination between a patient with complicated profile and poor hygienic measures can have catastrophic consequences.Conclusion: the aim of this article is to raise awareness on the serious consequences that can arise from banal aesthetic procedures. Furthermore, we want to recommend more control over these treatments performed in Beauty Salon, considering the large turnout of people, even clinically sensitive.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022126"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/c9/ACTA-93-243.PMC10510979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161415","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

Preoperative sonographic assessment of a leiomyoma of the round ligament. 圆韧带平滑肌瘤的术前超声评估。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-07 DOI: 10.23750/abm.v93iS1.11717

Francesca Arezzo, Gerardo Cazzato, Vera Loizzi, Viviana Cataldo, Michele Mongelli, Claudio Lombardi, Gennaro Cormio

引用次数: 0

Platypnea-orthodeoxia syndrome in SARS-CoV-2 related ARDS: a case report. 严重急性呼吸系统综合征冠状病毒2型相关ARDS患者的呼吸暂停综合征：一例报告。

Acta bio-medica : Atenei Parmensis Pub Date : 2022-06-07 DOI: 10.23750/abm.v93iS1.12824

Concetta Aprea, Simona Imbriani, Giovanna Cirigliano, Klodian Gjeloshi, Luciana Agnese Meo, Andrea Padula, Roberta Ranieri, Carmen Ricozzi, Carolina Ruosi, Domenico Cozzolino, Luigi Elio Adinolfi, Riccardo Nevola

{"title":"Platypnea-orthodeoxia syndrome in SARS-CoV-2 related ARDS: a case report.","authors":"Concetta Aprea, Simona Imbriani, Giovanna Cirigliano, Klodian Gjeloshi, Luciana Agnese Meo, Andrea Padula, Roberta Ranieri, Carmen Ricozzi, Carolina Ruosi, Domenico Cozzolino, Luigi Elio Adinolfi, Riccardo Nevola","doi":"10.23750/abm.v93iS1.12824","DOIUrl":"https://doi.org/10.23750/abm.v93iS1.12824","url":null,"abstract":"Platypnea-Orthodeoxia Syndrome (POS) is an often misdiagnosed clinical condition characterized by dyspnea and hypoxia in sitting or semi-sitting position, reversible in supine position. Although POS is typically associated with intracardiac shunts, it seems frequent also in SARS-CoV-2 related Acute Respiratory Distress Syndrome (ARDS). In fact, the prevalent involvement of the lung bases due to interstitial pneumonia can determine refractory positional hypoxemia, with marked desaturation in the sitting position and regression or improvement in the supine position, configuring the clinical picture of the POS. We present a clinical case of POS associated with acute respiratory distress from SARS-CoV-2 pneumonia in which refractory hypoxia would have required support by invasive mechanical ventilation if the syndrome had not been identified.","PeriodicalId":93849,"journal":{"name":"Acta bio-medica : Atenei Parmensis","volume":"93 S1","pages":"e2022102"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/e6/ACTA-93-102.PMC10510975.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163860","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: 2