Further investigation regarding the accuracy and reliability of this test in comparison with the original anterior drawer test is warranted in a patient population with ankle instability.
Surgeons should be vigilant in doing the vertical capsulotomy of the first metatarsophalangeal joint especially if the plantarmedial hallucal nerve is not identified.
Case:
We present a case of progressive paraplegia because of extramedullary hematopoiesis and pathological vertebral fracture in thalassemia patient. The various surgical techniques including larger pedicle screws, bicortical fixation, and convergent direction to improve pullout strength had been used secondary to osteoporotic bone and kyphotic deformity.
Conclusion:
Prompt diagnosis and awareness of the compromised bone quality of the thalassemic patient is essential to guide the proper management and produce the desire outcomes.
Case: We presented a case of extension-distraction spine injury at lumbosacral junction in a patient with fused spine concomitant with a lumbosacral transitional vertebra. Detail of an exceedingly rare case of traumatic lumbosacral hyperextension-distraction fracture in the individual was described and reviewed. Conclusion: Although the occurrence of extension-distraction spine injury at lumbosacral junction is extremely rare, it can occur in some circumstances. Application of damage control spine concept including early definitive stabilization of spine fractures and minimally invasive spine surgery can give satisfactory outcomes in the polytraumatized patient.
Volume 4 -Issue 3 suggested a cephalomedullary device because they have determined improved walking ability [16] and tend to offer a shorter recovery [17]. However, there was some mechanical failure from Proximal Femoral Nail Anti-rotation (PFNA) blade cut-out in clinical practice after osteoporotic hip fracture fixation because of discontinuity of principal tensile trabeculae (lack of bone trabeculae to prevent blade cut-out). A few literatures have identified potential of Polymethylmethacrylate (PMMA) cement-augmented helical PFNA blades to improve implant stability only in human cadaveric study [18,19]. Moreover, they lack data demonstrating PFNA with cement augmented blade in clinical study. Therefore, purpose of our study was to undergo the preliminary study whether PFNA with cement augmented blade reduces the
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