According to recent research, percutaneous sclerotherapy for the treatment of aneurysmal bone cysts provides a secure substitute for surgery. We share our first-hand knowledge of this approach. Ten patients who received polidocanol injections repeatedly were examined. Polidocanol was injected in doses of 2 mg per kilogram of body weight. Clinical and radiological evaluations were done up to healing. After a mean of 4.7(1-11) injections, all cysts had healed. 1 individual had a small amount of local inflammation. Our findings demonstrate the high efficacy of percutaneous sclerotherapy with polidocanol in the treatment of ABCs, as well as its low frequency of adverse effects. Our results support the information provided in earlier publications. Since surgery is associated with significant morbidity in ABCs of the pelvis and sacrum, we think the approach will be especially helpful in these cases.
Background: Elderly people who have hip fractures frequently need blood transfusions. The purpose of this study was to ascertain whether tranexamic acid (TXA) usage in hip fracture patients lowers intraoperative and postoperative blood loss. For a year, patients with hip fractures were the subjects of the study. Two groups of patients were formed, with one getting TXA and the other receiving a placebo (1:1). Both the amount of drainage during the 48-hour postoperative period and the amount of blood lost during the procedure were measured. Patients who received TXA experienced a 1.4 fold reduction in total blood loss (368.61 vs.529.24 mL of blood). Thus the use of TXA in patients with per trochanteric fractures significantly reduces intraoperative and postoperative blood loss.
<p>Fractures in the distal third of the humerus shaft usually are associated with complete or incomplete radial nerve lesions which may be caused due to traction, entrapment or compression between bony fragments. We managed these patients by bridge plating using minimally invasive percutaneous plate osteosynthesis. A total of 5 patients were operated on and all showed full functional recovery of radial nerve. Fracture united in all cases and no patient developed any complication.</p>
<p>There are numerous approaches for closed reduction of posterior hip dislocations, but the most call for strong and prolonged traction, help stabilizing the pelvis, and difficult placement of the doctor and/or patient. A novel closed reduction procedure that only requires one surgeon to complete safely and effectively the hip reduction and does not require traction-counter traction or unique posture of patient. The 11 patients, with a mean age of 34.1 years, underwent reduction. Five type I, five type II, and one type III dislocations consisted our study. Closed reduction was accomplished in 11 hips (100%), with all requiring just one try. This innovative method is an easy, secure, and efficient replacement of other techniques for closed reduction of posterior hip dislocations. It can be performed by a single surgeon, requires no traction, and can be very helpful for patients with polytrauma as well as those patients who have pelvic fractures and ipsilateral lower limb injuries.</p>
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