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Boretto JG, Arroyo Sánchez C, Abril Gaona C, Donndorff AG, de Carli P, Gallucci GL, Rellán I. [Translated article] The use of an anatomical implant compared to a straight LCP decreases extraction in posterior humeral MIPO. Rev Esp Cir Ortop Traumatol (Engl Ed) 2023; 67:T394-T400. [PMID: 37315919 DOI: 10.1016/j.recot.2023.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 02/14/2023] [Indexed: 06/16/2023] Open
Abstract
PURPOSE Posterior MIPO approach in the humerus has been described by using a 4.5mm LCP plate. Although straight plates have shown good results, they have not been designed to adapt to the distal humeral metaphysis. The goal of the study was to test the null hypothesis that there is no difference in hardware removal after posterior MIPO with either a straight or a pre-contoured plate. METHODS Patients older than 18 years, who had suffered mid-distal humeral shaft fracture, were treated by a posterior MIPO technique with a locking plate and had a minimum of 12-month follow-up were retrospectively included. Patients were separated into: group 1 (LCP 4.5mm straight plate); and group 2 (3.5mm anatomically shaped plate). Clinical and radiological evaluations were performed in the postoperative period. Patient-reported outcomes and the need of hardware removal because of pain were assessed. RESULTS Sixty-seven patients fulfilled the inclusion criteria. Twenty-seven patients in group 1 and 40 in group 2. No patient was lost to follow-up. There were no statistical differences between in patient reported outcomes measures. All the fractures healed. Within group 1, 18% (95%CI: 6-38%) of the patients required implant removal while in group 2 this incidence was 0% (95%CI: 0-9%) (P 0.009). CONCLUSION These results suggest that the use of a 4.5mm LCP compared to an anatomical 3.5mm LCP in posterior MIPO of the humerus generates greater discomfort and therefore leads to a 18% increase in the risk of implant removal.
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Affiliation(s)
- J G Boretto
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina.
| | - C Arroyo Sánchez
- Servicio de Ortopedia y Traumatología, Clínica Foscal, Bucaramanga, Colombia
| | - C Abril Gaona
- Servicio de Ortopedia y Traumatología, Clínica Foscal, Bucaramanga, Colombia
| | - A G Donndorff
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - P de Carli
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - G L Gallucci
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - I Rellán
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
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Boretto JG, Arroyo Sánchez C, Abril Gaona C, Donndorff AG, de Carli P, Gallucci GL, Rellán I. The use of an anatomical implant compared to a straight LCP decreases extraction in posterior humeral MIPO. Rev Esp Cir Ortop Traumatol (Engl Ed) 2023; 67:394-400. [PMID: 36842670 DOI: 10.1016/j.recot.2023.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 02/12/2023] [Accepted: 02/14/2023] [Indexed: 02/28/2023] Open
Abstract
PURPOSE Posterior MIPO approach in the humerus has been described by using a 4.5mm LCP plate. Although straight plates have shown good results, they have not been designed to adapt to the distal humeral metaphysis. The goal of the study was to test the null hypothesis that there is no difference in hardware removal after posterior MIPO with either a straight or a pre-contoured plate. METHODS Patients older than 18 years, who had suffered mid-distal humeral shaft fracture, were treated by a posterior MIPO technique with a locking plate and had a minimum of 12-month follow-up were retrospectively included. Patients were separated into: group 1 (LCP 4.5mm straight plate); and group 2 (3.5mm anatomically shaped plate). Clinical and radiological evaluation were performed in the postoperative period. Patient-reported outcomes and the need of hardware removal because of pain were assessed. RESULTS Sixty-seven patients fulfilled the inclusion criteria. Twenty-seven patients in group 1 and 40 in group 2. No patient was lost to follow-up. There were no statistical differences between in patient reported outcomes measures. All the fractures healed. Within group 1, 18% (95%CI: 6-38%) of the patients required implant removal while in group 2 this incidence was 0% (95%CI: 0-9%) (P 0.009). CONCLUSION These results suggest that the use of a 4.5mm LCP compared to an anatomical 3.5mm LCP in posterior MIPO of the humerus generates greater discomfort and therefore leads to a 18% increase in the risk of implant removal.
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Affiliation(s)
- J G Boretto
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina.
| | - C Arroyo Sánchez
- Servicio de Ortopedia y Traumatología, Clínica Foscal, Bucaramanga, Colombia
| | - C Abril Gaona
- Servicio de Ortopedia y Traumatología, Clínica Foscal, Bucaramanga, Colombia
| | - A G Donndorff
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - P de Carli
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - G L Gallucci
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
| | - I Rellán
- Servicio de Ortopedia y Traumatología, Hospital Italiano de Buenos Aires, Instituto de Ortopedia y Traumatología «Carlos E. Ottolenghi», Potosí, Buenos Aires, Argentina
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Sánchez-Saba JE, Bronenberg-Victorica P, Abrego-Mariano O, Gallucci GL, De Carli P, Boretto JG. [Digital artery pseudoaneurysm. Case report and systematic review of the literature]. Acta Ortop Mex 2023; 37:177-182. [PMID: 38052440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/07/2023]
Abstract
INTRODUCTION aneurysms are focal and permanent dilations of an artery; in pseudoaneurysms, the normal layers of the blood vessel are replaced by fibrous tissue. Due to their low incidence, as well as the diagnostic and therapeutic challenge they represent; our objective is to present the clinical case of a pseudoaneurysm of a digital artery of the hand and to carry out a systematic review of this pathology. MATERIAL AND METHODS literature search in Medline, using the terms "digital artery" and "aneurysm." Studies of vascular dilation pathology affecting the hand and fingers were incorporated. Studies with pathology of proximal involvement of the hand were excluded. CASE PRESENTATION a 79-year-old female patient who, after a sharp force trauma to the fifth finger of the left hand, develops a rapidly growing necrotic tumor. She had ultrasound and angiography that suggested hematoma. Surgical management was decided, during which it was observed that the tumor involved ulnar collateral digital artery of the fifth finger. The lesion and the arterial segment involved were resected. Post-surgical course without complications. The histopathological diagnosis of pseudoaneurysm of the lesion was confirmed. DISCUSSION traumatic etiology is the most frequent cause of digital aneurysms. Risk factors for pseudoaneurysms include sharp force trauma and alterations of the coagulation pathways, as in the case presented. CONCLUSION the pseudoaneurysm of a digital artery is a rare pathology with great variability of therapeutic management. Surgical resection of the lesion with vascular flow reconstruction is the recommended treatment.
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Affiliation(s)
- J E Sánchez-Saba
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
| | - P Bronenberg-Victorica
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
| | - O Abrego-Mariano
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
| | - G L Gallucci
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
| | - P De Carli
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
| | - J G Boretto
- Servicio de Ortopedia y Traumatología «Prof. Dr. Carlos E. Ottolenghi». Hospital Italiano de Buenos Aires. Argentina
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Brandariz RN, Abrego MO, Boretto JG, Gallucci GL, Carli PD. Atraumatic Bilateral Instability of Ulnar Nerve and Extensor Carpi Ulnaris in a Patient with Marfan's Syndrome. J Orthop Case Rep 2019; 9:3-6. [PMID: 32547992 PMCID: PMC7276630 DOI: 10.13107/jocr.2019.v09.i05.1506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction: Marfan’s syndrome is a hereditary, autosomal dominant multisystemic disorder involving connective tissue. Bilateral extensor carpi ulnaris and ulnar nerve (UN) instability is rare, usually caused by the alteration of structures mainly formed by connective tissue. The association between Marfan’s syndrome and bilateral instability of UN and extensor carpi ulnaris has never been reported. Case Report: We present the case of a 38-year-old female with no history of trauma, diagnosed with Marfan’s syndrome, who developed bilateralinstability of the UN and extensor carpi ulnaris. Bilateral UN transposition and extensor carpi ulnaris tenoplasty were performed. Conclusion: Atraumatic bilateral instability of UN and extensor carpi ulnaris is a new rare clinical profile caused by Marfan’s syndrome whether standard treatment is successful in a long-term basis in these particular cases of collagen intrinsic pathology remains unclear.
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Affiliation(s)
- R N Brandariz
- Department of Trauma and Orthopaedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Buenos Aires, Argentina
| | - M O Abrego
- Department of Trauma and Orthopaedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Buenos Aires, Argentina
| | - J G Boretto
- Department of Trauma and Orthopaedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Buenos Aires, Argentina
| | - G L Gallucci
- Department of Trauma and Orthopaedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Buenos Aires, Argentina
| | - P De Carli
- Department of Trauma and Orthopaedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Buenos Aires, Argentina
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Boretto JG, Alfie VA, Bourgeois WO, Gallucci GL, De Carli P. Utilización de la placa dorsal «Pi» en las fracturas articulares graves del extremo distal del radio. Rev Iberoam Cir Mano 2017. [DOI: 10.1055/s-0037-1606675] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Se presentan los resultados obtenidos en una serie de 24 fracturas Tipo C3 (AO) del extremo distal del radio, tratadas con la placa «Pi» como único material de osteosíntesis. Se valoró el arco de movilidad, la fuerza de prensión así como parámetros radiográficos. Los pacientes recuperaron el 80% de flexo-extensión, el 82% de desviación radio-cubital, el 97% de prono-supinación y el 87% de la fuerza de prensión con respecto al lado sano. En la radiología simple, se obtuvo: 4° de inclinación palmar, 22° de inclinación radial, 11mm en la longitud radial y 0,5 mm de escalón articular. Según la escala de Gartland y Werley, 16 casos obtuvieron excelentes resultados y 8 buenos. A pesar de que
en 9 pacientes se tuvo que extraer el implante, los autores recomiendan su uso en el tratamiento de estas graves lesiones articulares.
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Affiliation(s)
- J. G. Boretto
- Becario de Especialización de Cirugía de Mano y Miembro Superior. Hospital Italiano de Buenos Aires. Instituto de Ortopedia y Traumatología «Prof. Carlos Ottolenghi». Sector de Cirugía de Mano y Miembro Superior
| | - V. A. Alfie
- Becario de Especialización de Cirugía de Mano y Miembro Superior. Hospital Italiano de Buenos Aires. Instituto de Ortopedia y Traumatología «Prof. Carlos Ottolenghi». Sector de Cirugía de Mano y Miembro Superior
| | - W. O. Bourgeois
- Becario de Especialización de Cirugía de Mano y Miembro Superior. Hospital Italiano de Buenos Aires. Instituto de Ortopedia y Traumatología «Prof. Carlos Ottolenghi». Sector de Cirugía de Mano y Miembro Superior
| | - G. L. Gallucci
- Cirujano de Mano y Miembro Superior. Hospital Italiano de Buenos Aires. Instituto de Ortopedia y Traumatología «Prof. Carlos Ottolenghi». Sector de Cirugía de Mano y Miembro Superior
| | - P. De Carli
- Jefe del Sector de Cirugía de Mano y Miembro Superior. Hospital Italiano de Buenos Aires. Instituto de Ortopedia y Traumatología «Prof. Carlos Ottolenghi». Sector de Cirugía de Mano y Miembro Superior
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Gallucci GL, Larrondo Calderón W, Boretto JG, Castellaro Lantermo JA, Terán J, de Carli P. Total elbow arthroplasty for the treatment of distal humeral fractures. Rev Esp Cir Ortop Traumatol (Engl Ed) 2016; 60:167-74. [PMID: 26948532 DOI: 10.1016/j.recot.2015.12.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2015] [Revised: 10/29/2015] [Accepted: 12/30/2015] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To report the clinical-functional outcomes of the treatment of humeral distal fractures with a total elbow prosthesis. MATERIAL AND METHODS This retrospective study was performed in two surgical centres. A total of 23patients were included, with a mean age of 79years, and of which 21 were women. The inclusion criteria were: patients with humeral distal fractures, operated on using a Coonrad-Morrey prosthesis, and with a follow-up of more than one year. According to AO classification, 15fractures were type C3, 7 C2 and 1 A2. All patients were operated on without de-insertion of the extensor mechanism. The mean follow-up was 40 months. RESULTS Flexor-extension was 123-17°, with a total mobility arc of 106° (80% of the contralateral side). Pain, according to a visual analogue scale was 1. The Mayo Elbow Performance Index (MEPI) was 83 points. Excellent results were obtained in 8 patients, good in 13, medium in 1, and poor in 1. The mean DASH (disability) score was 24 points. CONCLUSION Treatment of humeral distal fractures with total elbow arthroplasty could be a good treatment option, but indications must be limited to patients with complex fractures, poor bone quality, with osteoporosis and low functional demands. In younger patients, the use is limited to serious cases where there is no other treatment option. LEVEL OF EVIDENCE Level of Evidence IV.
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Affiliation(s)
- G L Gallucci
- Servicio de Ortopedia y Traumatología «Dr. Carlos E. Ottolenghi», Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
| | | | - J G Boretto
- Servicio de Ortopedia y Traumatología «Dr. Carlos E. Ottolenghi», Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | | | - J Terán
- Servicio de Traumatología, Clínica Dávila, Santiago, Chile
| | - P de Carli
- Servicio de Ortopedia y Traumatología «Dr. Carlos E. Ottolenghi», Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Boretto JG, Pacher N, Giunta D, Gallucci GL, Alfie V, De Carli P. Comparative clinical study of locking screws versus smooth locking pegs in volar plating of distal radius fractures. J Hand Surg Eur Vol 2014; 39:755-60. [PMID: 24401740 DOI: 10.1177/1753193413517806] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The present study was performed to test the null hypothesis on no difference in stability of fixation after volar plating of intra-articular distal radius fractures (AO C2-C3) with either locking smooth pegs or locking screws in a clinical setting. A retrospective evaluation included adult patients with C2-C3 AO fractures treated with a volar plate with locking smooth pegs or locking screws. Radiographic assessment was performed to evaluate extra- and intra-articular parameters in the early postoperative period and after bone union. Twenty-seven consecutive patients were included. Thirteen cases had fixation with locking screws and 14 had fixation with locking smooth pegs. Both groups had bone fragment displacement after fixation. However, there were no significant differences between the groups either in extra- or intra-articular parameters defined by Kreder et al. (1996). Our study shows that, in a clinical setting, there is no difference in stability fixation between locking screws or smooth locking pegs in C2-C3 distal radius fractures.
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Affiliation(s)
- J G Boretto
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - N Pacher
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - D Giunta
- Internal Medicine Research Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - G L Gallucci
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - V Alfie
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P De Carli
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Gallucci GL, Piuzzi NS, Slullitel PAI, Boretto JG, Alfie VA, Donndorff A, De Carli P. Non-surgical functional treatment for displaced olecranon fractures in the elderly. Bone Joint J 2014; 96-B:530-4. [DOI: 10.1302/0301-620x.96b4.33339] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We retrospectively evaluated the clinical and radiological outcomes of a consecutive cohort of patients aged > 70 years with a displaced fracture of the olecranon, which was treated non-operatively with early mobilisation. We identified 28 such patients (27 women) with a mean age of 82 years (71 to 91). The elbow was initially immobilised in an above elbow cast in 90° of flexion of the elbow for a mean of five days. The cast was then replaced by a sling. Active mobilisation was encouraged as tolerated. No formal rehabilitation was undertaken. At a mean follow-up of 16 months (12 to 26), the mean ranges of flexion and extension were 140° and 15° respectively. On a visual analogue scale of 1 (no pain) to 10, the mean pain score was 1 (0 to 8). Of the original 28 patients 22 developed nonunion, but no patients required surgical treatment. We conclude that non-operative functional treatment of displaced olecranon fractures in the elderly gives good results and a high rate of satisfaction. Cite this article: Bone Joint J 2014;96-B:530–4.
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Affiliation(s)
- G. L. Gallucci
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - N. S. Piuzzi
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - P. A. I. Slullitel
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - J. G. Boretto
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - V. A. Alfie
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - A. Donndorff
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
| | - P. De Carli
- Hospital Italiano Buenos Aires, Dr
Carlos E. Ottolenghi Orthopaedic Service, Buenos Aires, Argentina
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Gallucci GL, Pacher N, Boretto JG, De Carli P. Bilateral rupture of the extensor pollicis longus tendon. A case report. ACTA ACUST UNITED AC 2013; 32:186-8. [PMID: 23665311 DOI: 10.1016/j.main.2013.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2009] [Revised: 03/20/2013] [Accepted: 04/08/2013] [Indexed: 10/26/2022]
Abstract
Bilateral rupture of the extensor pollicis longus (EPL) is a rare entity and the few cases that have been reported were associated with an underlying systemic condition such as rheumatoid arthritis or following an injury. We present the case of a patient who was referred to us with a spontaneous rupture of the EPL tendon of the right wrist and that of the left side observed 2 months after tenosynovectomy. The patient had not any pathologic condition or evidence of trauma in both wrists. In the left side, he was operated on and a tenolysis and subcutaneous tendon transposition was performed. Despite this preventive surgery, the patient suffered from a tendon rupture. The possible causes of surgery failure are discussed.
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Affiliation(s)
- G L Gallucci
- Institute of orthopedics and traumatology Prof. Dr. Carlos E. Ottolenghi, hospital Italiano, Buenos Aires, Argentina.
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Gallucci GL, Boretto JG, De Carli P. Desmoid tumor of the forearm. Reconstructive surgery and functional result. ACTA ACUST UNITED AC 2009; 28:326-9. [PMID: 19766035 DOI: 10.1016/j.main.2009.08.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2007] [Revised: 07/01/2009] [Accepted: 08/02/2009] [Indexed: 02/07/2023]
Abstract
Functional results after resection-reconstruction operated at the same time. Desmoid tumors, also known as aggressive fibromatosis, are benign locally aggressive tumors with a high rate of recurrence. Most authors recommend surgical treatment with wide-free margin. Achieving margins of normal tissue around an upper extremity lesion without creating significant functional compromise is frequently difficult. Therefore, functional reconstructive surgery is important, considering that for most patients treated for these tumors, the life expectancy is high and considering also that wide resection can affect the function and the aesthetics as well. We present a case of aggressive fibromatosis in the proximal third of the forearm treated by wide resection and reconstructive surgery in one single procedure, with an acceptable functional result with no evidence of recurrence at 3 years of follow-up.
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Affiliation(s)
- G L Gallucci
- Institute of Orthopedics and Traumatology, Hospital Italiano, Potosí, 4247, Capital Federal, Buenos Aires C1199ACK, Argentina.
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