Pub Date : 2020-03-31DOI: 10.31487/j.jsr.2020.01.03
S. Jang, Y. Seo
{"title":"Injury of the Dentato-Rubro-Thalamic Tract in a Patient with Thalamic Infarct","authors":"S. Jang, Y. Seo","doi":"10.31487/j.jsr.2020.01.03","DOIUrl":"https://doi.org/10.31487/j.jsr.2020.01.03","url":null,"abstract":"<jats:p />","PeriodicalId":210865,"journal":{"name":"Journal of Surgery and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128153600","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}
Pub Date : 2020-01-30DOI: 10.31487/j.jsr.2019.01.08
N. Ismail, A. Koko, B. Shehu, A. Lasseini
Anterior encephalocele is unusual neurosurgical condition seen worldwide. We managed two cases of anterior encephalocele: a five-day old neonate that presented with fronto-ethmoidal swelling noticed since birth. Clinical and radiological evaluations (computerised tomography scan) were in keeping with frontoethmoidal encephalocele. The patient had excision and duroplasty via an extracranial-lesional approach. There was excellent post-operative recovery and good cosmetic appearance. The second case was a 6- month-old infant who was diagnosed with ethmoidal encephalocele and congenital hydrocephalus, had ventriculoperitoneal shunt, excision and repair of encephalocele and cranioplasty using autogenous bone graft had remarkable post-operative recovery and was discharged home.
{"title":"Surgical Outcome of Anterior Encephalocele: Report of Two Cases and Review of Literature","authors":"N. Ismail, A. Koko, B. Shehu, A. Lasseini","doi":"10.31487/j.jsr.2019.01.08","DOIUrl":"https://doi.org/10.31487/j.jsr.2019.01.08","url":null,"abstract":"Anterior encephalocele is unusual neurosurgical condition seen worldwide. We managed two cases of\u0000anterior encephalocele: a five-day old neonate that presented with fronto-ethmoidal swelling noticed since\u0000birth. Clinical and radiological evaluations (computerised tomography scan) were in keeping with frontoethmoidal encephalocele. The patient had excision and duroplasty via an extracranial-lesional approach.\u0000There was excellent post-operative recovery and good cosmetic appearance. The second case was a 6-\u0000month-old infant who was diagnosed with ethmoidal encephalocele and congenital hydrocephalus, had\u0000ventriculoperitoneal shunt, excision and repair of encephalocele and cranioplasty using autogenous bone\u0000graft had remarkable post-operative recovery and was discharged home.","PeriodicalId":210865,"journal":{"name":"Journal of Surgery and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125606988","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}
Pub Date : 2019-07-20DOI: 10.31487/J.JSR.2019.01.05
Iciar M. Dávila Castrodad, J. Ehiorobo, Ethan A. Remily, James Nace, N. Mohamed, N. George, R. Delanois, Wayne A. Wilkie
Background: The risk of periprosthetic joint infection following revision total knee arthroplasty is high, as is the cost of care. Decreasing periprosthetic joint infection risk may include utilization of calcium sulfate beads. Calcium sulfate beads have been gaining momentum in treating infected joints because of their potential advantages, including antibiotic elution and dissolvability. However, literature documenting their utilization in aseptic revision is sparse. This study compares: 1) infection rates; 2) length of stay; 3) subsequent infection procedures; and 4) final surgical outcome between one-stage aseptic revision total knee arthroplasty patients who received calcium sulfate beads and those who did not. Methods: We performed a retrospective chart review to identify patients who underwent aseptic one-stage revision total knee arthroplasty between January 2013 and December 2017. Outcomes collected included postoperative infection rate, length of stay, subsequent irrigation and debridement, and final surgical outcome, classified as a successful total knee arthroplasty reimplantation, a retained antibiotic spacer, or an above knee amputation. Chi-square analysis was used to analyze all categorical variables, while Student’s t-testing was used for continuous variables. A p-value of 0.5 was set as the threshold for statistical significance. Results: Calcium sulfate bead patients did not differ from non-calcium sulfate bead patients with regard to the number of postoperative infections (p=0.103), lengths of stay (p=0.210), irrigation and debridement procedures (p=0.063) and surgical outcome (p=0.085). Conclusion: Patients who received calcium sulfate beads had analogous surgical outcomes and infection rates to non-calcium sulfate bead patients. The use of calcium sulfate beads in aseptic one-stage revision total knee arthroplasty may not be beneficial in preventing infection and reducing costs.
{"title":"Total Knee Arthroplasty: The Efficacy of Calcium Sulfate Beads in One-Stage Aseptic Revision","authors":"Iciar M. Dávila Castrodad, J. Ehiorobo, Ethan A. Remily, James Nace, N. Mohamed, N. George, R. Delanois, Wayne A. Wilkie","doi":"10.31487/J.JSR.2019.01.05","DOIUrl":"https://doi.org/10.31487/J.JSR.2019.01.05","url":null,"abstract":"Background: The risk of periprosthetic joint infection following revision total knee arthroplasty is high, as\u0000is the cost of care. Decreasing periprosthetic joint infection risk may include utilization of calcium sulfate\u0000beads. Calcium sulfate beads have been gaining momentum in treating infected joints because of their\u0000potential advantages, including antibiotic elution and dissolvability. However, literature documenting their\u0000utilization in aseptic revision is sparse. This study compares: 1) infection rates; 2) length of stay; 3)\u0000subsequent infection procedures; and 4) final surgical outcome between one-stage aseptic revision total knee\u0000arthroplasty patients who received calcium sulfate beads and those who did not.\u0000Methods: We performed a retrospective chart review to identify patients who underwent aseptic one-stage\u0000revision total knee arthroplasty between January 2013 and December 2017. Outcomes collected included\u0000postoperative infection rate, length of stay, subsequent irrigation and debridement, and final surgical\u0000outcome, classified as a successful total knee arthroplasty reimplantation, a retained antibiotic spacer, or an\u0000above knee amputation. Chi-square analysis was used to analyze all categorical variables, while Student’s\u0000t-testing was used for continuous variables. A p-value of 0.5 was set as the threshold for statistical\u0000significance.\u0000Results: Calcium sulfate bead patients did not differ from non-calcium sulfate bead patients with regard to\u0000the number of postoperative infections (p=0.103), lengths of stay (p=0.210), irrigation and debridement\u0000procedures (p=0.063) and surgical outcome (p=0.085).\u0000Conclusion: Patients who received calcium sulfate beads had analogous surgical outcomes and infection\u0000rates to non-calcium sulfate bead patients. The use of calcium sulfate beads in aseptic one-stage revision\u0000total knee arthroplasty may not be beneficial in preventing infection and reducing costs.","PeriodicalId":210865,"journal":{"name":"Journal of Surgery and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133625897","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}
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