The goal of ankle and hindfoot reconstruction should be to address the presenting concerns of the patient and the deformity and to achieve a stable, functional, and plantigrade foot. These goals are accomplished by using appropriate preoperative patient assessment and planning and using meticulous intraoperative technique and aftercare. An algorithmic approach to multiplanar hindfoot deformity ...

BACKGROUND Despite advances in medical, surgical, and radiation oncology, deep-seated bone sarcomas that require large osseous resections continue to present resection and reconstructive challenges to musculoskeletal surgeons. METHODS We describe our experience with computer navigation techniques combined with complex pelvic resections and limb-preserving surgeries. RESULTS Computer-assiste...

BACKGROUND In recent years pedicle screw based constructs have been increasingly used in the operative management of scoliosis. The current principles of screw placement are based on normal anatomy and therefore may not be applicable in cases of severe vertebral deformity due to torsion. The aim of this study was to evaluate the usefulness of computer tomography (CT) in preoperative planning an...

Craniosynostosis is a birth defect that causes one or more sutures on a baby's head to close earlier than normal. In effect the growing brain determines an abnormal skull shape and, which is more important and more dangerous, it causes an elevated intracranial pressure. The only treatment for children with craniosynostosis is surgical cranioplasty. More extensive procedures yield excellent resu...

A 57-year-old man presented with persistent hyperparathyroidism following primary parathyroidectomy. A four-dimensional computed tomography scan with three-dimensional reconstruction showed two parathyroid glands (one right and one left) and anatomic variation from previous surgery. Revision surgery was performed revealing the parathyroid glands as expected from the preoperative three-dimension...

Since the introduction of microscopic techniques, radical surgery for cavernous angiomas has become a recommended treatment option. However, the treatment of motor area cavernous angioma represents a great challenge for the surgical team. Here, we describe an approach guided by frameless neuronavigation and preoperative functional mapping with transcranial magnetic stimulation (TMS), for surgic...

The purpose of this study was to evaluate the clinical accuracy of femoral canal preparation using postoperative reconstructed computed tomography (CT) images of 75 consecutive total hip arthroplasties performed with a two-pin-based ROBODOC system. Intraoperatively, the robot milled the femoral canal according to the preoperative planning performed with preoperative CT data and the ROBODOC work...

children, similar to adults, are required to fast before general anesthesia in order to reduce  the volume and acidity of stomach contents. it is thought that npo regulations reduce the risk of regurgitation and aspiration of gastric contents during surgery. recent developments have encouraged a shift from the standard 'nil by mouth from midnight' fasting policy to more relaxed regime...

conclusions in this study, the preoperative anxiety was reduced by explaining anesthesia and surgery to the mothers and children (in mothers it was significant p < 0.05). since there is a direct relation between mothers’ and their children’s anxiety, using an effective method to reduce anxiety in children and their mothers together at the same time would be very useful for children and their mo...

BACKGROUND There is considerable variation in the planning and implementation process for breast augmentation. Although general guidelines are available, the distinctive characteristics of the Natrelle 410 breast implant warrant surgical guidelines specific to this device. This study aimed to develop consensus recommendations for patient selection and preoperative planning for Natrelle 410 in p...