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Las Palmas de Gran Canaria, Spain

Introduction and objective: Lesions of triangular fibrocartilage (TFC) are associated with distal radioulnar joint instability. Arthroscopic treatment of these lesions improves functional outcome of affected patients. The aim of the present work is to evaluate functional and occupational outcome of TCF repair using an arthroscopic knotless anchor device in patients with associated distal radius fracture. Material and methods: An observational, descriptive study was carried out between November 2011 and January 2014 including 21 patients with distal radius fracture and Palmer 1. B lesions of TCF (Atzei class 2 and 3) that were treated by arthroscopic knotless anchor (PopLok® 2,8. mm, ConMed, USA). Mean follow-up was 18 months. Functional (Mayo Wrist Score) and occupational outcome results were analyzed. Mean age of the group was 43.0. ±. 8.8 years, with 19% of the patients being female. There was an associated scapholunate lesion in 5 cases. Results: Functional results reached a mean of 83.4. ±. 16.1 points onMayo Wrist Score. Mean sick-leave time was 153.16. ±. 48.5 days. Complete occupational reintegration was reached in 89.5% of cases. There were no postoperative complications. Conclusions: Arthroscopic knotless anchor repair of 1. B TFC tears is a minimally invasive method of treatment that improves tension of fixation, avoiding subsequent loosen, in our experience, with few complications and good functional and occupational results. © 2014 SECOT. Source

Leyva Rodriguez F.,Servicio de Cirugia Plastica
Revisiones en Cancer

Interest in breast reconstruction has increased in recent years. The better management of the disease, especially in young patients, transformed breast cancer in a chronic condition, breast conservative surgery (BCS), improvement of reconstruction materials and wider anatomical and technical knowledge have led to the expansion of breast reconstruction, either immediate or delayed. With the creation of multidisciplinary breast pathology units we are able to treat this condition in a transversal fashion. Copyright © 2015 ARAN EDICIONES, S.L. Source

Marre D.,University of Navarra | Roco H.,Servicio de Cirugia Plastica
Revista Chilena de Cirugia

Nowadays most plastic surgery units worldwide perform breast reconstruction and hence basic updated knowledge in the topic is mandatory for every plastic surgeon and trainee. Breast reconstruction may be performed either immediately after mastectomy or in a delayed fashion. Each of these timings has its advantages and drawbacks and albeit there are a number of factors influencing the decision to perform one or another, probably the most important one has to do with the delivery of radiotherapy. In this sense, while in patients who are candidates for post mastectomy radiation, a delayed reconstruction is strongly recommended, in those without adjuvancy, immediate reconstruction is a very good alternative. In general terms, breast reconstruction techniques fall into one of three groups: those using alloplastic materials only; those performed with autologous tissue only; and those using a combination of both alloplastics and autologous tissue. Again the administration of radiotherapy, as well as patient and surgeon-related factors, play a fundamental role when choosing anyone technique. Finally, during the last years there has been growing interest and evidence on the use of acellular dermal matrices for breast reconstruction, which have expanded the armamentarium of techniques available for these patients. The following paper aims to provide an updated review on breast reconstruction regarding timing of reconstruction, techniques available, the influence of radiotherapy and the use of acellular dermal matrices. © 2016, Sociedad de Cirujanos de Chile. All Rights Reserved. Source

Gutierrez Gomez C.,National Autonomous University of Mexico | Rivas Leon B.,Instituto Nacional Of Cancerologia | Cardenas Mejia A.,Servicio de Cirugia Plastica
Cirugia Plastica Ibero-Latinoamericana

Nowadays, breast reconstruction is part of breast carcinoma treatment; patient's selection plays an important role in satisfactory results. The present paper reports our experience in breast reconstruction with tissue expander/implant and emphasizes the importance of choosing the candidates for this method of reconstruction We review the breast reconstructions realized in a 10 year period (1998-2008) by the same surgeon. We analyzed factors like type of mastectomy, age, time of the reconstruction (immediate or delayed), etiology, tissue expander and implant used complications and patients' satisfaction. All the patients except one underwent breast reconstruction in two stages, first submuscular tissue expander, and second reconstruction replacement of tissue expander with implant. A total of 24 breast were reconstructed in 19 patients using tissue expander/implant in a 10 years period, 14 unilateral and 5 bilateral. In terms of complications, they were present n 16,6% cases. The follow up period was between 2 and 10 years. There was only 1patient with previous quadrantectomy who received radiotherapy (4,1%). In our opinion, breast reconstruction with tissue expander/implant remains a safe and reliable method with minimal complications and without morbidity at the donor site. Source

There is consensus on imaging tests used for diagnosis and management of patients with breast cancer, but there is no clear pattern of monitoring for patients undergoing breast reconstruction with silicone implants. It is more institutionalized the type of tests to perform when we suspect the rupture of the prosthesis. Magnetic Resonance (MR) is recommended as the gold standard on suspicion of silicone breast implants rupture, although it's also accepted the use of ultrasonography as screening test in such patients. We should have a criterion that links the clinic with radiological findings, being the plastic surgeon who incorporates these criteria, along with the other members of the Breast Unit. We present the radiological and clinical results observed after an incidental finding of an intraprosthesic foreign body in a patient undergoing breast reconstruction with silicone implant, during a routine check. Source

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