OBJECTIVES The objective of this study is to introduce modifications in paraspinous muscle flap surgery and compare this new variation's ability to salvage infected hardware with the classic technique. Infected posterior spine wounds are a difficult problem for reconstructive surgeons. As per experience, hardware retention in infected wounds maintains spinal stability, decreases length of stay,...

BACKGROUND Reconstruction of the disrupted acromioclavicular (AC) joint has historically resulted in high complication rates. As a result, there has been a move toward anatomic coracoclavicular (CC) ligament fixation and reconstruction, owing to its numerous biomechanical advantages and perceived clinical advantages. PURPOSE To report and analyze the unique complications associated with these...

Introduction: Risk of Nonunion, residual shoulder disability and symptomatic malunion are higher in conservative treatment of displaced midshaft clavicle fractures which are reportedly decreased by operative method but plating these fractu profile anatomically precontoured plates may reduce the rates of plate prominence and hardware removal. Objective: To assess the rate of plate prominence, ra...

this is a semi experimental survey with the main goal of identifying effects of the use of fundal pressure in causing complication from the time of the woman,s entrance into the delivery room to the time of discharge from the hospital.   210 women took part in this survey, 70 of which were in the research and 140 in the observed group. the necessary data about the subject of the study were gath...

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a-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. swelling of the neck and upper anterior chest was observed. computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the p...

background and objective: the present study aimed to assess the role of magnesium sulfate (mgso4) sup-plementation after cardiac surgery in pediatric patients, evaluating the incidence of cardiac complications, such as arrhythmia. methods: in this study, 105 children scheduled for elective cardiac surgery were randomly divided into 3 groups. the first group, as the placebo group, received salin...

background osteotomy is one of the major steps in rhinoplasty. the aim of study was to compare edema and ecchymosis after external and internal lateral osteotomy in patients who underwent rhinoplasty. methods based on a prospective randomized clinical trial, 168 osteotomies were performed through an external route in a perforating fashion and internal route in a continuous fashion at right or l...

We reviewed the laboratory-confirmed cases of leptospirosis in Ramathibodi Hospital, a medical-school hospital in Bangkok, to assess the documented cases of leptospirosis in Bangkok and the medical complications of severe cases. There were 59 cases from January 1994 to December 2000. More than half of the cases were Bangkok residents and did not travel outside Bangkok in the preceding 2 weeks. ...