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Journal articles on the topic 'Deformità'

Author: Grafiati

Published: 4 June 2021

Last updated: 21 February 2023

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1

Couturaud, B., S. Alran, F. Reyal, V. Fouchotte, I. Cothier-Savey, and A. Fitoussi. "Chirurgia delle deformità mammarie." EMC - Tecniche Chirurgiche - Chirurgia Generale 15, no. 1 (November 2015): 1–16. http://dx.doi.org/10.1016/s1636-5577(15)74137-4.

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2

Di Filippo, P., S. Latini, D. D’Eramo, D. Tomassini, A. Massarini, A. Gillio, and M. Perrota. "Trattamento della deformità di Haglund." LO SCALPELLO-OTODI Educational 30, no. 3 (December 2016): 181–83. http://dx.doi.org/10.1007/s11639-016-0185-5.

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3

Langlais, T., R. Pietton, R. Laurent, R. Kabbaj, J. Rouissi, P. Mary, and R. Vialle. "Tecniche chirurgiche nel trattamento delle deformità congenite del rachide." EMC - Tecniche Chirurgiche - Chirurgia Ortopedica 18, no. 1 (2022): 1–18. http://dx.doi.org/10.1016/s2211-0801(22)00004-8.

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4

Canepa, G., and A. Renieri. "Erratum to: Atlante elementare delle deformità congenite dello scheletro." La radiologia medica 114, no. 8 (November 19, 2009): 1386. http://dx.doi.org/10.1007/s11547-009-0500-9.

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5

Parisini, P., M. Di Silvestre, G. Bakaloudis, A. Lolli, and K. Martikos. "La correzione chirurgica delle deformità post-traumatiche toraciche e lombari." LO SCALPELLO-OTODI Educational 21, no. 2 (December 2007): 70–73. http://dx.doi.org/10.1007/s11639-007-0066-z.

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6

Mora, R., B. Bertani, G. Tuvo, and L. Pedrotti. "Le fratture diafisarie delle ossa lunghe. Correzione delle deformità post-traumatiche." LO SCALPELLO-OTODI Educational 29, no. 1 (March 4, 2015): 55–61. http://dx.doi.org/10.1007/s11639-015-0104-1.

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7

Rafele, Antonio, and Guerino Bovalino. "Rappresentazioni e implicazioni sociologiche della deformità in Elephant Man di David Lynch." SALUTE E SOCIETÀ, no. 2 (March 2020): 44–55. http://dx.doi.org/10.3280/ses2020-002004.

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8

Giacomini, P. G., S. Rubino, S. Mocella, M. Pascali, and S. Di Girolamo. "Approach to the correction of drooping tip: common problems and solutions." Acta Otorhinolaryngologica Italica 37, no. 4 (August 2017): 295–302. http://dx.doi.org/10.14639/0392-100x-911.

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La punta cadente è una fastidiosa deformità estetica e funzionale del naso. Laspetto della punta è influenzato da aspetti sia statici che dinamici. Per questo motivo, appare logico tenere in considerazione questi fattori nel pianificare la correzione chirurgica di questa deformità. Molti studi hanno affrontato questo argomento, ma il trattamento resta controverso. Per rendere efficace la chirurgia della punta appare indispensabile identificare le caratteristiche anatomiche fondamentali della punta stessa. Diversi angoli e misure possono essere calcolati per definire la posizione della punta tra cui: langolo nasolabiale, lasse della narice, langolo di rotazione della punta in rapporto al piano di Francoforte, langolo columellare-facciale. Lobiettivo di questo studio è focalizzare lattenzione sulla nostra esperienza personale sulle alterazioni anatomiche del naso che meritano una correzione e sulle procedure chirurgiche necessarie per ottenere risultati soddisfacenti nel trattamento della punta cadente. Nel presente studio sono stati presi in considerazione la proiezione e la rotazione della punta pre e post-operatorie. La correzione della punta cadente è stata ottenuta mediante settorinoplastica aperta o chiusa a seconda dei casi. La tecnica prevalentemente usata per riposizionare la punta è risultata essere il raddrizzamento del setto (41/41 casi) e la tecnica Tongue-in-groove (36/41 casi) (87,6%). Lo strut columellare è stato impiegato in 8/41 pazienti (19,51%). Resezioni cefaliche delle cartilagini alari sono state applicate in 29/41 pazienti (70,73%). Suture per ri-orientare le cartilagini alari sono state impiegate in 18/41 casi (43,9%). Il Lateral crural overlay è stato necessario in 2/41 casi (4,8%). Il presente articolo rivaluta le principali varianti anatomiche del naso che meritano correzione e le tecniche chirurgiche utilizzabili per semplificare il processo decisionale preoperatorio.

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9

Laurà, G., M. De Noia, G. Vergottini, and R. Ballis. "Le osteotomie tibiali di addizione nelle gonartrosi e nelle deformità post-traumatiche in valgo: indicazioni, tecnica chirurgica, complicanze, risultati." Archivio di Ortopedia e Reumatologia 124, no. 1-3 (December 2013): 52–53. http://dx.doi.org/10.1007/s10261-013-0066-x.

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10

Rainone, F., T. Arcidiacono, S. Capelli, V. Donghi, M. Di Frenna, S. Mora, G. Weber, and G. Vezzoli. "Iperparatiroidismo primitivo in paziente con rachitismo ipofosforemico." Giornale di Clinica Nefrologica e Dialisi 23, no. 2 (January 24, 2018): 6–12. http://dx.doi.org/10.33393/gcnd.2011.1428.

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Il rachitismo ipofosforemico comprende un gruppo di rare patologie ereditarie caratterizzate da un deficit di riassorbimento renale del fosfato, ipofosfatemia e deformazioni ossee. Le forme più comuni sono il rachitismo ipofosforemico a trasmissione X-linked dominante e il rachitismo ipofosforemico autosomico dominante (AD). Il caso che vi proponiamo è quello di una donna con una diagnosi clinica e biochimica di rachitismo ipofosforemico. La nostra discussione verterà sull'uso della terapia con vitamina D e fosfati che, nel bambino è codificata da oltre 20 anni e ha lo scopo di correggere e prevenire le deformità scheletriche, mentre nel paziente adulto non è uno standard condiviso ed è controverso se sia opportuno proseguirla. L'obiettivo terapeutico nell'adulto è quello di contrastare l'astenia, i dolori ossei, la perdita di massa ossea e l'osteomalacia. Tuttavia è difficile definire criteri sicuri di riferimento e la dose di 1,25 (OH)2D e fosfati capace di raggiungere tali obiettivi. La terapia con fosfato, inoltre, stimola la produzione di PTH ed espone al rischio di iperplasia paratiroidea. È questo il caso della paziente da noi seguita, che dopo un lungo periodo di iperparatiroidismo secondario ha sviluppato un adenoma paratiroideo. Questo caso clinico conferma che l'iperparatiroidismo è una complicanza del trattamento del rachitismo ipofosforemico e indica nel calciomimetico un utile presidio per la sua gestione in questi pazienti.

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11

Laurà, G., M. De Noia, G. Vergottini, R. Compagnoni, and W. Albisetti. "Protesizzazione del ginocchio con accesso laterale e distacco della TTA nelle deformità in valgo e nelle displasie della femoro-rotulea: indicazioni, tecnica, risultati, complicanze." Archivio di Ortopedia e Reumatologia 120, no. 2 (October 2009): 14–17. http://dx.doi.org/10.1007/s10261-009-0035-6.

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12

Kim, Bom Soo. "Reconstruction of Cavus Foot: A Review." Open Orthopaedics Journal 11, no. 1 (July 31, 2017): 651–59. http://dx.doi.org/10.2174/1874325001711010651.

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Cavus foot ranges from flexible subtle to rigid severe deformities, and is related to many pathological conditions of the foot and ankle. Understanding the deformity and the deforming force is essential in treating the cavus foot as well as the associated comorbidities. Since every deformity is different, surgical plans should be customized to each patient.

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13

Hafiz, Al, Effy Huriyati, Bestari J. Budiman, and Jacky Munilson. "PARAMEDIAN FOREHEAD FLAP FOR RECONSTRUCTION OF THE NOSE." Majalah Kedokteran Andalas 38, no. 2 (December 8, 2015): 147. http://dx.doi.org/10.22338/mka.v38.i2.p147-154.2015.

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AbstrakPenutupan defek yang ditimbulkan akibat operasi di daerah kepala dan leher umumnya dapat dilakukan dengan penjahitan langsung. Untuk defek yang lebih luas, atau apabila metode penjahitan langsung tidak memungkinkan untuk dilakukan, maka dapat digunakan flap kulit. Laporan kasus ini bertujuan untuk mendemonstrasikan ke ahli THT-KL, bagaimana forehead flap dapat memperbaiki estetika dan fungsi hidung pada kasus deformitas hidung. Satu kasus deformitas pada hidung, seorang laki-laki berusia 69 tahun dengan riwayat basalioma di daerah hidung. Pada pasien dilakukan rekonstruksi hidung dengan menggunakan forehead flap. Rekonstruksi hidung menggunakan forehead flap dapat mengurangi defek pada deformitas hidung. Diperlukan analisis wajah terutama daerah hidung untuk menentukan jenis dan posisi dari flap kulit yang tepat.AbstractA Defect following head and neck surgery can often be closed using the technique of direct suture. For larger defects or in situations where direct suture is neither applicable, surgical defect in the head and neck especially at the nose, can be filled by local skin flaps. The case was reported in order to demonstrate to Otorhinolaryngology Head and Neck surgeons on how the forehead flap could restore the aesthetic and function of the nose in nasal deformity case. One case of the nasal deformity was reported in a 69 years old man with history of basal cell carcinoma on the nose. This patient was managed using the forehead flap for nasal reconstruction purpose. The employment of this technique could reduce the defects of nasal deformity. Facial analysis particularly nasal area is necessary to determine the exact kind and position of skin flap.

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14

Usol’tsev, I. V., S. N. Leonova, and M. A. Kosareva. "Surgical Treatment of Severe Forefoot Deformity." N.N. Priorov Journal of Traumatology and Orthopedics 22, no. 3 (September 15, 2015): 84–85. http://dx.doi.org/10.17816/vto201522384-85.

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Treatment results of 61 years old patient with severe forefoot deformity - right-side transverse-longitudinal stage II platypodia: right-side II-III degree deforming arthrosis of 1st metatarsophalangeal joint, hallus valgus with subluxation, combined 1st metatarsophalangeal joint contracture, pain syndrome, are presented. Surgical treatment included operation by Schede, lateral release of 1stmetatarsophalangeal joint, SCARF osteotomy of 1st metatarsal bone, Akin osteotomy of proximal hallux phalanx and tenoplasty of dorsal hallux flexor. As a result correction of right forefoot deformity was achieved, pain syndrome was arrested and weight bearing ability of the right foot was restored.

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15

Tenilin, N. A., A. B. Bogos'ayn, and D. S. Karataeva. "Forty-Year Experience in Application of Correction Osteotomies for Blount Disease Treatment." N.N. Priorov Journal of Traumatology and Orthopedics 19, no. 3 (September 15, 2012): 3–8. http://dx.doi.org/10.17816/vto2012033-8.

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Long-term results (up to 40 years) of surgical treatment using different types of correction osteotomy in 51 children with Blount disease showed that the operation was necessary but a delayed measure. The authors showed that when deformity achieved the degrees requiring surgical intervention with bone transaction the deforming gonarthrosis inevitably developed at terms up to 10 years after operation. The main causes of varus deformity recurrence were determined, i.e. presence of active but disturbed growth and ossification processes, distal osteotomy level, absence of intraoperative hypercorrection, inobservance of postoperative orthopedic regimen. The only way to achieve good results is early operative intervention directed to growth normalization and formation of proximal tibia with spontaneous deformity correction during the period of child's growth.

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16

TONKIN, M. A., N. C. HATRICK, J. R. T. ECKERSLEY, and G. COUZENS. "Surgery for Cerebral Palsy Part 3: Classification and Operative Procedures for Thumb Deformity." Journal of Hand Surgery 26, no. 5 (October 2001): 465–70. http://dx.doi.org/10.1054/jhsb.2001.0601.

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Spastic thumb deformity is the result of imbalance between intrinsic and extrinsic forces acting across unstable joints. This paper presents a classification of spastic thumb deformity based on the accurate assessment of the deforming forces, outlines methods for their correction and reviews the results of our surgery. Thumb reconstruction procedures were performed in 32 patients with 33 spastic thumb deformities. All patients were assessed pre- and postoperatively using the same functional assessment system which was performed by the same team. The thumb was maintained out of the palm in 29 patients and lateral pinch was established in 26 patients.

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17

P, Sakthivel. "Andy Gump deformity." Journal of Clinical, Medical and Experimental Images 1, no. 1 (2017): 046–47. http://dx.doi.org/10.29328/journal.jcmei.1001008.

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18

Fuller, David A., Mary Ann E. Keenan, Alberto Esquenazi, John Whyte, Nathaniel H. Mayer, and Rebecca Fidler-Sheppard. "The Impact of Instrumented Gait Analysis on Surgical Planning: Treatment of Spastic Equinovarus Deformity of the Foot and Ankle." Foot & Ankle International 23, no. 8 (August 2002): 738–43. http://dx.doi.org/10.1177/107110070202300810.

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Background: Despite the logic behind instrumented gait analysis, its specific contribution to clinical and surgical decision making is not well known. Our purpose in this study was to determine the influence of gait analysis with dynamic electromyography upon surgical planning in patients with upper motor neuron syndrome and gait dysfunction. Methods: Two surgeons prospectively evaluated 36 consecutive adult patients with a spastic equinovarus deformity of the foot and ankle. After an initial history and physical exam, each surgeon independently formulated a surgical plan. Surgical treatment options for each individual muscle/tendon unit crossing the ankle included lengthening, transfer, release or no surgery. After the initial clinical evaluation and surgical planning, all patients then underwent instrumented gait analysis collecting kinetic, kinematic and poly-EMG data using a standard protocol by a single experienced physiatrist. Each surgeon reviewed the gait studies and patients independently and again formulated a surgical plan. The surgical plans were compared for each surgeon before and after gait study. The agreement between the two surgeon's surgical plans was also compared before and after gait study. Each patient was evaluated for the clinical outcome of surgery. Results: Overall a change was made in 64% of the surgical plans after the gait study. The frequency of changing the surgical plan was not significantly different between the more and less experienced surgeons. The agreement between surgeons increased from 0.34 to 0.76 (p = 0.009) after the gait study. The number of surgical procedures planned by each surgeon converged after the gait studies. Correction of the varus deformity was seen in all patients that underwent surgical treatment. Conclusion: Instrumented gait analysis alters surgical planning for patients with equinovarus deformity of the foot and ankle and can produce higher agreement between surgeons in surgical planning. Clinical Relevance: The equinovarus deformity is due to a variety of deforming forces and a single, best operation does not exist to correct all equinovarus deformities. Rather, a muscle specific approach that identifies the deforming forces will produce the best outcomes when treating the spastic equinovarus deformity.

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19

Wu, Ziying, Wei Yao, Shiyi Chen, and Yunxia Li. "Outcome of Extracorporeal Shock Wave Therapy for Insertional Achilles Tendinopathy with and without Haglund’s Deformity." BioMed Research International 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/6315846.

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Purpose.To compare the results of extracorporeal shock wave therapy (ESWT) for insertional Achilles tendinopathy (IAT) with or without Haglund’s deformity.Methods.Between September 2014 and May 2015, all patients who underwent ESWT were retrospectively enrolled in this study. A total of 67 patients were available for follow-up and assigned into nondeformtiy group (n=37) and deformtiy group (n=30). Clinical outcomes were evaluated by VISA-A Score and 6-point Likert scale.Results.The VISA-A score increased in both groups, from49.57±9.98at baseline to83.86±8.59at14.5±7.2months after treatment in nondeformity group (P<0.001) and from48.70±9.38at baseline to67.78±11.35at15.3±6.7months after treatment in deformity group (P<0.001). However, there was a greater improvement in VISA-A Score for the nondeformity group compared with deformity group (P=0.005). For the 6-point Likert scale, there were decreases from3.92±0.80at baseline to1.57±0.73at the follow-up time point in nondeformity group (P<0.001) and from4.0±0.76at baseline to2.37±1.03at the follow-up time point in deformity group (P<0.001). There was no significant difference in improvement of the 6-point Likert scale between both groups (P=0.062).Conclusions.ESWT resulted in greater clinical outcomes in patients without Haglund’s deformity compared with patients with Haglund’s deformity.

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20

BREVI, B., A. DI BLASIO, C. DI BLASIO, F. PIAZZA, L. D’ASCANIO, and E. SESENNA. "Quale analisi cefalometrica per la chirurgia maxillo-mandibolare in pazienti con sindrome delle apnee ostruttive notturne?" Acta Otorhinolaryngologica Italica 35, no. 5 (October 2015): 332–37. http://dx.doi.org/10.14639/0392-100x-415.

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L’avanzamento maxillo-mandibolare (AMM) è un trattamento efficace per pazienti affetti da sindrome delle apnee ostruttive notturne (OSAS) di grado severo. Sebbene il miglioramento dell’OSAS sia l’obiettivo principale di tale chirurgia, è necessario evitare un avanzamento maxillo-mandibolare eccessivo per garantire un gradevole risultato in termini di estetica facciale. A tale scopo, è necessario programmare preoperatoriamente l’entità dell’AMM mediante un’analisi estetica e cefalometrica. Le analisi cefalometriche di Steiner e Delaire vengono comunemente impiegate nella programmazione della chirurgia ortognatica per deformità dentofaciali, tuttavia resta controverso il ruolo di tali analisi nei pazienti con OSAS candidati a AMM. Quarantotto pazienti con OSAS severa sono stati sottoposti a AMM. Abbiamo effettuato le analisi cefalometriche di Steiner e Delaire in tutti i soggetti. Per il tracciato di Steiner, abbiamo misurato la variazione degli angoli SNA e SNB, mentre per l’analisi di Delaire, abbiamo misurato la variazione degli angoli C3/FM-CPA e C3/ FM-Me. L’AMM medio è stato di 6,9 + 3,8 mm per il mascellare superiore e 13,6 + 5 mm per la mandibola. Dopo l’intervento abbiamo riscontrato un miglioramento dell’Indice di Apnea-Ipopnea (40,47 + 7,64 preoperatoriamente vs. 12,56 + 5,78 postoperatoriamente). In tutti i pazienti, entrambe le tecniche cefalometriche hanno dimostrato una retrusione bimascellare preoperatoria. Dopo l’intervento, l’angolo SNA medio è aumentato da 78,18° a 85,58° (p < 0,001), mentre l’angolo C3/FM-CPA medio è aumentato da 81,19° a 89,71° (p < 0,001). Il valore medio dell’angolo SNB è aumentato da 74,33° a 80,73° (p < 0,001), mentre l’angolo medio C3/FM-CPA è passato da 80,10° a 87,29° (p < 0,001). Postoperatoriamente, sia il mascellare superiore che la mandibola risultavano in una posizione più protrusa (p < 0,001) se analizzati secondo l’analisi di Steiner rispetto al tracciato di Delaire. L’utilizzo dell’analisi cefalometrica di Delaire nella programmazione dell’AMM in pazienti con OSAS comporta un avanzamento maxillo-mandibolare superiore rispetto al tracciato di Steiner. È opportuno considerare le conseguenze di tale risulto sull’estetica facciale durante la programmazione chirurgica e nel consenso informato preoperatorio in pazienti con OSAS candidati a AMM.

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21

Rajasekaran, S., Sundararajan Silvampatti, and HS Nagaraja. "Midfoot Charcot Arthropathy: Overview and Surgical Management." Journal of Foot and Ankle Surgery (Asia Pacific) 3, no. 2 (2016): 97–106. http://dx.doi.org/10.5005/jp-journals-10040-1056.

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ABSTRACT Midfoot Charcot arthropathy is a progressive deforming condition characterized by recurrent ulceration leading to high morbidity and amputation with lack of timely intervention. Nonoperative treatment is largely reserved for acute phase disease. Recent trend in management is early surgical interventions which could alter deforming forces and prevent deformity progression, as well as surgeries which provide osseously stable plantigrade foot. However, there are no clear-cut evidencebased guidelines regarding timing of interventions and method of techniques in surgical stabilization. This study discusses about surgical technique in the management of midfoot Charcot. How to cite this article Silvampatti S, Nagaraja HS, Rajasekaran S. Midfoot Charcot Arthropathy: Overview and Surgical Management. J Foot Ankle Surg (Asia-Pacific) 2016;3(2):97-106.

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22

Özkan, Cenk, and Akif Mirioğlu. "Bilgisayar destekli deformite analizi." TOTBİD Dergisi 22, no. 1 (January 1, 2022): 40–45. http://dx.doi.org/10.5578/totbid.dergisi.2022.08.

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23

Zykin, A. A., E. E. Malyshev, D. V. Pavlov, and S. B. Korolyov. "Total Knee Arthroplasty Outcomes Depending on the Degree 11 of Angular Deformity." Vestnik travmatologii i ortopedii imeni N.N. Priorova, no. 3 (September 30, 2016): 11–15. http://dx.doi.org/10.32414/0869-8678-2016-3-11-15.

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The analysis of total knee arthroplasty results was performed in 106 patients operated on for III stage of deforming gonarthrosis. All patients were divided into 2 groups depending on the presence of the angular extremity axis deformity. Clinical and functional assessment was performed using visual analog scale, Joseph & Kaufman scale, SF-36 questionnaire. Treatment results were evaluated in 3, 6 months and 1, 3, 5 years after intervention. In the group of patients with axial leg deformity the duration of surgical intervention, intraoperative blood loss and postoperative hospitalization period were higher than in patients with normal leg axis but the differences were not significant. The height of the implant insert was 12 (8-14) mm with normal axis and 14 (14-15) mm with axial deformity ( p =0.000187). Correction of the leg axis during arthroplasty required larger bone cuts and soft tissue release but the parameters characterizing leg axis normalization did not differ statistically significant between the groups. However in 5 years after intervention the patients with normal lower extremity axis showed reliably better results by all scales and questionnaires.

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Zykin, A. A., E. E. Malyshev, D. V. Pavlov, and S. B. Korolyov. "Total Knee Arthroplasty Outcomes Depending on the Degree 11 of Angular Deformity." N.N. Priorov Journal of Traumatology and Orthopedics 23, no. 3 (September 15, 2016): 11–15. http://dx.doi.org/10.17816/vto201623311-15.

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The analysis of total knee arthroplasty results was performed in 106 patients operated on for III stage of deforming gonarthrosis. All patients were divided into 2 groups depending on the presence of the angular extremity axis deformity. Clinical and functional assessment was performed using visual analog scale, Joseph & Kaufman scale, SF-36 questionnaire. Treatment results were evaluated in 3, 6 months and 1, 3, 5 years after intervention. In the group of patients with axial leg deformity the duration of surgical intervention, intraoperative blood loss and postoperative hospitalization period were higher than in patients with normal leg axis but the differences were not significant. The height of the implant insert was 12 (8-14) mm with normal axis and 14 (14-15) mm with axial deformity ( p =0.000187). Correction of the leg axis during arthroplasty required larger bone cuts and soft tissue release but the parameters characterizing leg axis normalization did not differ statistically significant between the groups. However in 5 years after intervention the patients with normal lower extremity axis showed reliably better results by all scales and questionnaires.

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25

Singh, Chander Mohan, Mohit Thapa Magar, and Ajay Deep Sud. "Osteochondroma of the Distal Tibia Leading to Deformity and Stress Fracture of the Fibula - A Case Report." Medical Journal of Shree Birendra Hospital 20, no. 2 (September 6, 2021): 173–76. http://dx.doi.org/10.3126/mjsbh.v20i2.32856.

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Osteochondromas seldom arise from the interosseous border of the distal tibia and may progress to involve the distal fibula. We present the case of a 14-year-old teenager with a stress fracture of the distal fibula, secondary to an osteochondroma arising from the distal tibia. Early excision of this deforming distal tibial osteochondroma was necessary in order to avoid a progressive deformity which would affect the biomechanics of the ankle joint resulting in gait disturbances.

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26

Ushakov, S. A., A. V. Bazhenov, P. A. Ovchinnikov, and E. V. Bojar. "Corrective osteotomies in the treatment of lower limb deformities in deforming osteoarthritis of the knee joint." Ural Medical Journal 21, no. 2 (May 7, 2022): 71–74. http://dx.doi.org/10.52420/2071-5943-2022-21-2-71-74.

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The paper presents the medium-term results of the use of periarticular osteotomies of the tibia and femur in the treatment of deforming knee arthrosis (KA) against the background of lower limb deformities. The aim of the study was to evaluate the effectiveness of osteotomy combined with one-stage endoscopic organ-sparing interventions in the treatment of gonarthrosis. The object of the study was 74 patients with deforming osteoarthritis (DOA) of KA II-III degrees. Selection criteria: changes in the load axis of the limb in the frontal and sagittal planes, degenerative changes of the joint predominantly in one department (medial, lateral), the presence of contracture not more than 10˚. The study group did not include patients with degenerative damage to two parts of the knee joint, pronounced patellofemoral arthrosis, and flexion contracture of more than 10°. Preoperative planning and selection were performed on the basis of clinical examination, radiography, MRI, and CT scan data. Surgical treatment was performed in one surgical session: when correcting a varus deformity, osteotomy was performed first, and arthroscopic intervention, including ligament plasty, was performed second; when correcting a valgus deformity with femoral osteotomy, primary KA arthroscopy followed by osteotomy was optimal. As a result of the treatment, excellent and good results were achieved in the majority of patients in the medium-term period.

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27

Altunatmaz, K., and S. Ozsoy. "Carpal flexural deformity in puppies." Veterinární Medicína 51, No. 2 (March 19, 2012): 66–70. http://dx.doi.org/10.17221/5521-vetmed.

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Carpal flexural deformity was determined in a total of 31 puppies, of which 28 were brought to our clinic, and 3 were reported by a practicing veterinary surgeon. Ages of the puppies ranged between 6–24 weeks. The dogs belonged to 10 different breeds. Following clinical and radiological examination of the puppies, blood samples were taken and calcium (Ca), phosphorus (P) and magnesium (Mg) values were recorded. Slight increases in these mineral values were determined in some of the patients. A splint with a caudal aluminium support, padded with a large amount of cotton, was applied to all puppies with deformity. This splint was kept on for 10 days, and repeated in some cases. The diets of the puppies were planned.

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Popovski, V., A. Benedetti, D. Popovic-Monevska, A. Grcev, A. Stamatoski, and J. Zhivadinovik. "Spinal accessory nerve preservation in modified neck dissections: surgical and functional outcomes." Acta Otorhinolaryngologica Italica 37, no. 5 (October 2017): 368–74. http://dx.doi.org/10.14639/0392-100x-844.

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Durante la chirurgia del collo, ci si imbatte frequentemente nel nervo accessorio spinale (SAN) o XI nervo cranico che, pertanto, è a rischio di lesione iatrogena con conseguente sindrome della spalla. La dissezione del collo modificata con preservazione del SAN è basata sullintento di minimizzare le deformità funzionali causate dalla sezione dellundicesimo nervo. Lobiettivo di questo studio è quello di descrivere le varianti intraoperatorie del nervo accessorio spinale e valutare la disfunzione della spalla nel postoperatorio. Lo studio osservazionale trasversale è stato creato analizzando retrospettivamente 165 pazienti consecutivi che sono stati sottoposti a dissezione del collo presso il nostro istituto negli ultimi 5 anni, ponendo particolare attenzione ai reperti preoperatori derivanti da ecografia e risonanza magnetica, al tipo di dissezione del collo, al tipo di identificazione e dissezione del SAN, ai dati postoperatori di morbilità e sopravvivenza. La più sicura identificazione del SAN avviene nel triangolo posteriore del collo, dove potrebbe essere riconosciuto in quanto emerge dal margine posteriore del muscolo sternocleidomastoideo, a livello del cosiddetto punto di Erb. Per un corretto planning preoperatorio, ecografia e risonanza magnetica sono superiori nel determinare lesatta posizione dellundicesimo nervo cranico. La distanza media tra il nervo grande auricolare e il SAN è stata di circa 0,90 cm. La lunghezza media del tronco nervoso dal punto di Erb fino al punto in cui esso penetra nel muscolo trapezio è stata di circa 5,1 cm, con un range da 4,8 e 5,4 cm. La diversità nel decorso dal bordo posteriore dello muscolo sternocleidomastoideo attraverso il triangolo posteriore del collo è stata riscontrata in 9 casi (15%), soprattutto a livello dellingresso nel triangolo posteriore del collo. La frequenza di lesione postoperatoria del SAN è stata del 46,7% per le dissezioni radicali del collo, del 42,5% per le dissezioni selettive, e del 25% per le dissezioni modificate. Per ciascun tipo di svuotamento, sono stati inclusi differenti sottotipi. Lidentificazione del SAN, step fondamentale nella chirurgia del collo, è assolutamente dipendente da un corretto studio preoperatorio attraverso la diagnostica per immagini. La dissezione del collo modificata ha percentuali di controllo regionale simili a quelle di operazioni più demolitive in pazienti accuratamente selezionati, e riduce significativamente il rischio di disturbi funzionali.

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Cervelli, D., G. Gasparini, A. Moro, S. Pelo, E. Foresta, F. Grussu, G. DAmato, P. De Angelis, and G. Saponaro. "ACTA OTORHINOLARYNGOLOGICA ITALICA." Acta Otorhinolaryngologica Italica 36, no. 5 (October 2016): 368–72. http://dx.doi.org/10.14639/0392-100x-857.

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Le asimmetrie maxillo-mandibolari riconoscono numerose eziologie: congenita, traumatica, iatrogena e post resezione oncologica. I pazienti affetti da malformazioni congenite vengono generalmente sottoposti a chirurgia ortognatica con o senza procedure aggiuntive (genioplastica, impianti alloplastici) con risultati soddisfacenti. Tuttavia, nonostante il raggiungimento della simmetria scheletrica può esitare una asimmetria residua più o meno evidente. Lo studio presentato è stato effettuato su 45 pazienti (29 femmine e 16 maschi), trattati chirurgicamente tra Dicembre 2012 e Giugno 2014. Tutti i pazienti erano affetti da asimmetria maxillo-mandibolare e sono stati sottoposti a chirurgia ortognatica per la correzione ossea della deformità. Le alterazioni residue sono state trattate con lipofilling. In tutti i casi si è osservato un buon attecchimento del grasso a livello del sito ricevente. Lanalisi retrospettiva della documentazione fotografica ha dimostrato un progressivo decremento dei volumi raggiunti in seguito al trattamento con lipofilling fino a sei mesi dalla procedura, dopodiché i volumi sono rimasti invariati. Non sono state riportate complicanze significative sia a livello del sito donatore sia del ricevente. Un lieve edema ecchimotico è stato osservato frequentemente nella prima settimana post-operatoria, non sono stati riportati casi di ematoma, infezioni, danni nervosi o vascolari. 24 pazienti hanno avuto necessità di ulteriori applicazioni, una seconda applicazione si è resa necessaria in 22 pazienti ed una terza in 2 pazienti. (totale di 69 procedure). Sulla base dei risultati di questo studio la metodica del lipofilling si è dimostrata semplice, efficace e facilmente riproducibile, mostrando un alto indice di soddisfazione da parte dei pazienti e una scarsa incidenza di svantaggi e complicanze. Abbiamo inoltre dimostrato come il successo del riempimento con grasso autologo sia dipendente dalla subunità del viso che viene trattata. Le regioni malare e della guancia hanno mostrato i migliori risultati mentre le subunità corrispondenti al labbro inferiore e superiore hanno mostrato uno scarso attecchimento del grasso innestato, con una conseguente maggiore perdita di volume. In conclusione si può dire che le procedure composite, che prevedono lutilizzo congiunto della correzione chirurgica delle basi scheletriche e un successivo ritocco per mezzo di innesto di grasso autologo, costituiscono una opzione addizionale e personalizzabile per i pazienti affetti da malformazioni maxillo-mandibolari.

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MA, Kumar. "Methodical clinical measurement of knee deformity." Orthopaedics and Surgical Sports Medicine 01, no. 02 (October 30, 2018): 01–03. http://dx.doi.org/10.31579/2641-0427/008.

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Samkov, A. S., V. T. Zeynalov, A. N. Levin, N. A. Koryshkov, A. M. Dzyuba, A. S. Khodzhiev, and K. A. Sobolev. "Low Invasive Subtalar Joint Arthrodesis." N.N. Priorov Journal of Traumatology and Orthopedics 20, no. 4 (December 15, 2013): 45–49. http://dx.doi.org/10.17816/vto20130445-49.

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At present arthrodesis of subtalar joint is recognized to be the most common and effective technique for the treatment of patients with malunited fractures of talus and calcaneal bones, deforming subtalar joint arthroses and posterior foot deformity. From 2010 through 2012 twenty patients with posttraumatic arthroses of subtalar joint accompanied by marked pain syndrome and no significant deformities in the posterior foot segment. New low invasive treatment technique was applied. Examinations and treatment were performed at outpatient clinic. Follow up period ranged from 1 to 2 years. All results were recognized as good. No intra- and postoperative complications were noted.

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32

Mowlavi, Arian, Jason Farrell, Armin Talle, Mariam Berri, and Grant Hamlet. "Ultrasound-Assisted Liposuction and Helium-Activated Radiofrequency Skin Tightening for Treatment of Paradoxical Adipose Hyperplasia After Cryolipolysis." American Journal of Cosmetic Surgery 37, no. 4 (March 8, 2020): 168–73. http://dx.doi.org/10.1177/0748806820909233.

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Paradoxical adipose hyperplasia (PAH) following cryolipolysis is a rare but deforming complication. This likely underreported adverse event has been described as being refractory to both traditional tumescent liposuction and repeated cryolipolysis treatments. Here, we present 3 isolated cases with PAH deformity created by cryolipolysis. Management of PAH on the abdomen and flanks involved 2 key elements: ultrasound-assisted liposuction (UAL) technology and helium-activated radiofrequency (RF) energy subdermal coagulation. We observed complete resolution and definitive correction of PAH deformities at 2 weeks, 1 month, and 3 months postoperatively. UAL combined with helium-activated RF subdermal coagulation is a viable surgical modality to correct contour irregularities seen in PAH following cryolipolysis.

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Agranovich, Olga E., Anatoly B. Oreshkov, and Evgeniya F. Mikiashvili. "Treatment approach to shoulder internal rotation deformity in children with obstetric brachial plexus palsy." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 6, no. 2 (June 22, 2018): 22–28. http://dx.doi.org/10.17816/ptors6222-28.

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Introduction. Shoulder internal rotation contracture is the most common deformity affecting the shoulder in patients with obstetric brachial plexus palsy because of the subsequent imbalance of the musculature and the abnormal deforming forces that cause dysplasia of the glenohumeral joint. Aim. To assess the effects of tendon transfers in children with shoulder internal rotation deformity due to obstetric brachial plexus palsy. Materials and methods. From 2015 to 2017, we examined and treated 15 patients with shoulder internal rotation deformity caused by obstetric brachial plexus palsy. The children ranged in age from 4 to 17 years. We used clinical and radiographic examination methods, including magnetic resonance imaging, electromyography, and electroneuromyography, of the upper limbs. Results. According to the level of plexus brachialis injury, the patients were divided into 3 groups: level С5–С6 (9 patients), level C5–C7 (5 children), level С5–Th1 (1 patient). All children had secondary shoulder deformities: glenohumeral dysplasia type II, 6 (40%); type III, 5 (34%); type IV, 1 (6%); and type V, 3 (20%). The Mallet score was used for estimation of upper limb function. Surgical treatment was performed in 15 children. After treatment, all patients showed improvement in activities of daily living. Conclusion. Tendon transfers in patients with shoulder internal rotation deformities due to obstetric brachial plexus palsy improved upper limb function and provided satisfactory cosmetic treatment results without of remodeling of the glenohumeral joint.

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Gupta, Gunjan, Vishal Sambyal, Kunal Mahajan, and Sanjay Rathour. "Lupus Vulgaris Leading to Extensive Nasal Deformity." International Journal of Innovative Research in Medical Science 02, no. 01 (February 2, 2016): 469–70. http://dx.doi.org/10.23958/ijirms/vol02-i01/05.

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C, Dr Jose Francis. "Use of Ilizarov Fixator in Deformity Correction." Journal of Medical Science And clinical Research 05, no. 03 (March 4, 2017): 18466–68. http://dx.doi.org/10.18535/jmscr/v5i3.31.

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36

F Murphy, Robert. "Rib-Based Anchors are Associated with Proximal Translational Deformity in Early Onset Spinal Deformity Patients undergoing Growth-Friendly Surgical Treatment." Journal of Orthopaedics & Bone Disorders 4, no. 2 (2020): 1–5. http://dx.doi.org/10.23880/jobd-16000202.

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Objective/Background: No studies to date have evaluated the the effect of rib-based anchors on the translational relationship between the rib and spine. We hypothesized that there would be an increase in the translational distance between the rib anchor and anterior vertebral body in early onset spinal deformity patients managed with long-term rib-based anchors. Methods: All patients with EOSD from a single tertiary level institution treated with a growth-friendly technique surgery utilizing proximal rib-based anchors from 2006-2015 with a minimum of 2-year follow-up were included. Thoracic kyphosis and the translational distance from the rib anchor to the corresponding anterior vertebral body were measured. Results: Twenty-seven patients (13 female, 14 male) qualified for inclusion. Mean age at implantation of the index proximal rib-based construct was 5±1.9 years (range, 1-9). EOSD etiology was congenital: 3, neuromuscular: 17, syndromic: 3, and idiopathic: 4. Mean kyphosis improved from 31±33° preoperatively to 25±20° immediately post-operatively. No significant changes in kyphosis were noted over 1 and 2 year follow-up (p=0.3). Twenty-one (78%) patients demonstrated an increase in translational distance from the rib anchors to the adjacent anterior vertebral body. Immediately post-operatively, mean distance was 25±1 mm and increased at 1-year (26±1 mm) and significantly at 2-year (29±1 mm) follow-up (p=0.005). Conclusion: The use of long term rib-based anchors may lead to an increase in the distance between the rib utilized for proximal fixation and the associated vertebral body, generating what appears to be increased anterior translation of the spine. This translation, in conjunction with increased or increasing overall thoracic kyphosis, may be the source of unexpected obstacles at the time of future surgical procedures for revision or final fusion.

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Kozhevnikov, Oleg V., Svetlana E. Kralina, and Alexey V. Ivanov. "Fibrous hip ankylosis in adolescents: non-standard approach to treatment (clinical observation)." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 6, no. 3 (September 28, 2018): 70–77. http://dx.doi.org/10.17816/ptors6370-77.

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The development of secondary deforming coxarthrosis in childhood and adolescence, as a rule, is accompanied by the formation of a pronounced deformity of the hip joint, up to ankylosis, which significantly limits the function of the lower limb and leads to early disability. In most patients, hip ankylosis develops in a vicious position with the resulting flexion-intracavity installation of the lower limb. If such a condition is encountered in childhood and adolescence, treatment currently remains debatable. Various methods are used, ranging from arthroplastic organ-preserving interventions and corrective osteotomies to joint replacement. In this report, we present a clinical case of children treated with post-infectious secondary deforming coxarthrosis with fibrous ankylosis of the hip joint in a vicious position. We applied a coherent combination of modern treatment methods: distraction in the apparatus, arthroscopy, intra-articular injections, physiotherapy, and other rehabilitation. The treatment results were evaluated over a two-year period. In this case, the rational use of a consistent set of remedial measures helped to improve joint function, socialize the patient, and postpone surgery for joint replacement for at least 2 years.

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Mironov, S. P., N. P. Omelianenko, A. K. Orletsky, Yu A. Markov, and I. N. Karpov. "Osteoarthritis: current state of the problem (analytical review)." N.N. Priorov Journal of Traumatology and Orthopedics 8, no. 2 (February 2, 2022): 96–99. http://dx.doi.org/10.17816/vto98472.

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Joint diseases are widespread throughout the world. Up to 55% of the structure of articular pathology is due to osteoarthritis (deforming arthrosis) [8]. Many foreign authors define this pathological process as osteoarthritis [9, 36]. According to most researchers, osteoarthritis (OA) is a polyetiological disease of the joints, characterized by impaired function, pain, deformity, and degenerative-destructive changes in tissue components [15]. In the United States, OA is considered one of the most common forms of joint disease [27]. In the period 1990-2020. the number of cases in the age group over 50 years is expected to double [46]. The problem of OA is of great social importance: the disease leads to disability and disability, mainly due to limited range of motion, in 2030% of patients [33].

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39

Shapiro, Barry M., Arnold Komisar, Carl Silver, and Berish Strauch. "Primary Reconstruction of Palatal Defects." Otolaryngology–Head and Neck Surgery 95, no. 5 (December 1986): 581–85. http://dx.doi.org/10.1177/019459988609500510.

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Removal of the soft palate can cause marked functional deficit in deglutition and phonation. Most commonly, treatment of this deformity with prosthetic obturation has been less than ideal. Numerous reconstructive techniques have met with only partial success, while deforming distant structures. We will present a technique of reconstruction of the soft palate by use of a superiorly based pharyngeal flap. It has been used successfully in five patients who underwent soft palatectomy for malignant disease. The flaps have been the full width of the pharynx and extended down to the esophageal inlet. Viability of the flap is excellent, and the donor site is allowed to heal by secondary intention. Excellent function has been achieved in all cases with no compromise of oncological principles.

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Yun, Xin Bing, Xu Chen, Ying Zhao, Zhi Xin Fan, and Bao Yun Song. "Effect of the Die and Tool Structure on Continuous Extrusion Expansion Forming of Copper ." Materials Science Forum 704-705 (December 2011): 196–202. http://dx.doi.org/10.4028/www.scientific.net/msf.704-705.196.

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Continuous extrusion expansion deforming is an advanced forming process for manufacturing copper bus-bar, die and tool structure is important effect factor of deformation. Based on the characteristics of the forming process, the model of rigid-plastic finite element (FE) on DEFORMT is established and the numerical simulation of continuous extrusion expansion forming process of the copper bus-bar is carried, The metal flow regularity and the mean-square deviation of velocity (SDV) with the different structure of expansion chamber and port hole and die assembled pattern is analyzed. The result show that when using the drum expansion chamber, the trapezium of port hole without transition surface and the die fitted in reverse, the variance of flow velocity is the minimum and deformation is the most homgeneous, the SDV is 0.62. The simulation results provide a theoretical direction for optimization design of die and tool structure of the continuous extrusion expansion forming. Keywords: copper bus-bar, continuous extrusion expansion deforming, die and tool structure optimization, numerical simulation

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41

Hyer, Christopher F., Antonio M. Malloy McCoy, John M. Thompson, Mitchell Thompson, and Devon Consul. "Coronal Plane Deformity and Total Ankle Replacement: When to Stage with Cement Spacer Ankle Arthroplasty for Deformity Correction." Foot & Ankle Orthopaedics 7, no. 1 (January 2022): 2473011421S0025. http://dx.doi.org/10.1177/2473011421s00256.

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Category: Ankle Arthritis Introduction/Purpose: Degenerative ankle joint disease is a debilitating condition that causes significant pain, adversely affects function and quality of life. Though primary arthritis of the ankle can occur without deformity, frequently soft tissue imbalances or joint deformities complicate the clinical picture. Often, additional procedures are required to balance the foot and ankle during the index total ankle replacement procedure. When large deformities exist a staged approach to first, align the ankle joint to neutral as stage one and then implantation of the TAR as stage two can be deployed. This paper will further popularize the cement spacer staged TAR technique in correction of coronal deformities, share a clinical algorithm on approach, and depict a case series demonstrating its application. Methods: A case series was performed of 7 patients and 8 ankles, who underwent staged primary TAR utilizing a cement spacer to assist with deformity correction, between the years 2016-2019. Results: Patients' mean age 58.5 yrs., preoperative varus coronal plane deformity mean 19.1 degrees, preoperative valgus coronal plane mean 10.25 degrees. Mean time from stage 1 till 2 was 163.5, +-140.2 days. Stage 1 soft tissue procedures: Chrisman-Snook procedure with synthetic ligament graft, Brostrum-Gould with synthetic graft, Brostrum-Gould without graft, FDL transfer, and isolated medial release/peel. Osteotomies performed during stage one: Dwyer, MDCO, Cotton, and MDCO with medial malleolus osteotomy. Fusions performed during stage one consisted: Subtalar joint, talonavicular joint (TNJ), and STJ with 1st Metatarsophalangeal joint (MTPJ). Seven ankles were replaced with Cadence Total Ankle System (Integra), and one with INBONE II (Wright Medical Technology). Average follow-up time for included patients was 290.75 days (9.7 months). One revision was performed following index TAR procedure. Conclusion: This paper describes a cement wedge spacer staged total ankle arthroplasty technique for correction and stabilization of deforming forces at the ankle joint. While not all ankle deformities necessitate a staged approach, the complexity of the malalignment and the extent of tissue disruption needed to achieve a neutral ankle should be considered when correcting a given deformity with a staged or non-staged approach.

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42

Satya Sueningrat, Anak Agung Ngurah Bagus. "Diagnosis dan Penanganan Kraniosinostosis." Cermin Dunia Kedokteran 48, no. 12 (December 8, 2021): 718. http://dx.doi.org/10.55175/cdk.v48i12.1578.

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<p>Kraniosinostosis mengacu pada penutupan prematur satu atau lebih sutura tulang tengkorak. Akibatnya terjadi deformitas bentuk kepala karena kompensasi pertumbuhan sejajar dengan sutura yang menyatu. Insiden kraniosinostosis primer sekitar 1 per 2.000 kelahiran; penyebabnya sebagian besar belum diketahui. Diagnosis berdasarkan gambaran klinis yaitu mengecilnya ukuran tengkorak dan adanya perubahan bentuk tengkorak seiring dengan fusi sutura.</p><p>Craniosynostosis refers to the premature closure of one or more sutures that normally divide the skull bones. The result is a deformity of the head shape due to compensated growth parallel to the fused sutures. The incidence of primary craniosynostosis is approximately 1 per 2,000 births and the cause is mostly still unknown. Diagnosis is based on clinical features of skull size decrease and changes in skull shape with suture fusion.</p>

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Mosawi, Aamir Jalal. "Mowat Wilson Syndrome Associated With Pseudo Rocker Bottom Feet Deformity." Journal of Clinical Research and Reports 2, no. 3 (February 5, 2020): 01–06. http://dx.doi.org/10.31579/2690-1919/016.

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Amin, Md Robed, and Md Azizul Kahhar. "Madelung Deformity." Bangladesh Journal of Medicine 23, no. 2 (May 17, 2013): 85. http://dx.doi.org/10.3329/bjmed.v23i2.14993.

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45

Coons, Matthew S., and Steven M. Green. "BOUTONNIERE DEFORMITY." Hand Clinics 11, no. 3 (August 1995): 387–402. http://dx.doi.org/10.1016/s0749-0712(21)00060-3.

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46

Carter, Peter R., and Marybeth Ezaki. "MADELUNG'S DEFORMITY." Hand Clinics 16, no. 4 (November 2000): 713–21. http://dx.doi.org/10.1016/s0749-0712(21)00229-8.

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47

Moon, Myung-Sang, Bong-Jin Lee, and Sung-Soo Kim. "Spinal deformity." Indian Journal of Orthopaedics 44, no. 2 (2010): 123. http://dx.doi.org/10.4103/0019-5413.61725.

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48

Cohen, Bruce E., and Christopher W. Nicholson. "Bunionette Deformity." Journal of the American Academy of Orthopaedic Surgeons 15, no. 5 (May 2007): 300–307. http://dx.doi.org/10.5435/00124635-200705000-00008.

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49

Ghatan, Andrew C., and Douglas P. Hanel. "Madelung Deformity." Journal of the American Academy of Orthopaedic Surgeons 21, no. 6 (June 2013): 372–82. http://dx.doi.org/10.5435/00124635-201306000-00007.

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50

Ghatan, A. C., and D. P. Hanel. "Madelung Deformity." Journal of the American Academy of Orthopaedic Surgeons 21, no. 6 (May 31, 2013): 372–82. http://dx.doi.org/10.5435/jaaos-21-06-372.

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