Data were collected prospectively and reviewed to compare the two periods, with special focus on reoperations due to bleeding/haematomas and flap thrombosis/failure. The same surgical team operated all patients.
Abriss der achillessehne free#
We report our experience in using COX-2 inhibitors as part of our post-operative MOSA after ABR using free flaps.Ī total of 132 unilateral secondary ABR were performed (DIEP or MS-TRAM) in the NSAID period (2007–2011) and 128 in the COX-2 inhibitor period (2006, 2012–2014). However, COX-2 inhibitors have been suggested to increase flap failure rates. COX-2 inhibitors are superior to NSAIDs because of the well-known side effects of NSAID treatment (bleeding/gastrointestinal ulcers). In the past, our analgesic regime after autologous breast reconstruction (ABR) included either NSAID or a selective cyclooxygenase-2 (COX-2) inhibitor. In contrast to anterograde screw fixation, these techniques can be performed minimally invasively.Ī key component of modern analgesics is the use of multimodal opioid-sparing analgesia (MOSA). In this in vitro model, all techniques appear to constitute a biomechanically stable alternative to traditional anterograde screw fixation. The raw structural properties of suture cerclage still seem eligible enough to consider using this technique for fixation. The cortical suspension button and retrograde screw fixation techniques showed comparable structural properties to the direct screw fixation technique.
A 1-way analysis-of-variance test was performed with significance set at P. Subsequently, loading to failure was performed, and stiffness, yield load, and maximum load were measured. The constructs were cyclically loaded 500 times (10 to 100 N) to measure the maximum elongation. 2 braided suture), and (4) direct suture cerclage (with No.
The osseous avulsion was fixed by the following techniques through an open approach: (1) direct anterograde screw fixation (3.5 mm with washer), (2) retrograde screw fixation (3.5 mm with washer), (3) cortical suspension button fixation (with No. In 40 porcine knees, a standardized bony avulsion of the posterior cruciate ligament was generated. The socks are available in sizes S (36-38), M (39-41), L (42-44) and XL (45-47).To analyze the ultimate failure load, yield load, stiffness, and cyclic elongation of 4 different fixation techniques for posterior cruciate ligament avulsion fractures under cyclic loading and load-to-failure conditions.
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