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Neglected traumatic hip dislocation: Influence of the increased intracapsular pressure

World Journal of Orthopedics 2018年第3期9卷 35-40页

作者： Elsayed Ibraheem Elsayed Massoud Department of Orthopaedic Sohag Teaching Hospital General Organization for Teaching Hospitals and Institutes

AIM To investigate that the increased intracapsular pressure, during the delay period, can interrupt the blood flow to the femoral *** An observational retrospective study included a group of 17 patients with traumatic hip dislocation, their ages at time of injury averaged 26(range from 3 to 70) years. Outcomes were assessed clinically and radiographically at a period averaged 11.5(range from 4 to 20) *** Minor trauma caused dislocation in seven and severe trauma in ten patients. All dislocations were posterior, six isolated dislocation and 11 were associated with other injuries. The negligence period averaged 2.5(ranged from 1 to 4) d. At the latest visit, the radiography revealed normal hip in 11 and avascular necrosis(AVN) in six patients. Clinically, eight patients were rated as excellent, three good, three fair and three *** We believe the factors that contribute to increased intracapsular pressure also increase the influence of delayed reduction toward the development of AVN.

关键词： Avascular necrosis intracapsular pressure Traumatic hip dislocation Delayed reduction

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Coblation intracapsular Tonsillectomy and Coblation Complete Tonsillectomy for Obstructive Sleep Apnea

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International Journal of Otolaryngology and Head & Neck Surgery 2015年第5期4卷 350-355页

作者： Itzhak Braverman Alex Nemirovsky Adi Klein Miriam Sarid Galit Avior Unit of Otolaryngology-Head & Neck Surgery Hadera Israel Pediatric Department Hillel Yaffe Medical Center Hadera and The Faculty of Medicine The Technion Haifa Israel Western Galilee College Acco Israel

Objective: Total tonsillectomy and intracapsular tonsillectomy are common procedures for the treatment of obstructive sleep apnea (OSA) in children. The objective of this study was to compare the effectiveness of coblation intracapsular tonsillectomy (ICT) and coblation complete tonsillectomy (CT) as treatments for OSA. Study design: A retrospective study of all the children ages 2 - 18 years with OSA who underwent coblation intracapsular tonsillectomy (ICT) or coblation complete tonsillectomy (CT) from January 2007 to August 2010 by the same surgeons at one institution. Methods: Data were retrieved from children’s charts and from telephone interviews with children’s parents, regarding pre and postoperative OSA-18 scores, postoperative pain, postoperative complications, use of analgesic drugs, and time to return to a solid food diet. Results: All 43 children who underwent ICT and 37 children who underwent CT suffered from OSA before surgery, and none did postoperatively. There were no minor complications in the ICT group, compared to 13.5% in the CT group (p = 0.01). According to parental report, 72% and 21% suffered a low level of postoperative pain, and 9% and 33% severe pain in the ICT and CT groups, respectively. For these respective groups, 49% and 73% needed analgesic drugs (p < 0.05);and 65% and 35% ate solid food during the first 3 days post surgery. Conclusions: Both ICT and CT were safe, with few complications;however recovery was faster in the ICT group, as demonstrated by less pain, and more rapid return to a solid food diet.

关键词： Obstructive Sleep Apnea Tonsillectomy Coblation intracapsular Tonsillectomy Pain Adenotonsillectomy Tonsillotomy

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