Psoas impingement is a rare cause of persisting pain after hip arthroplasty. Diagnosis is based on clinical examination and exclusion of other complications after arthroplasty by radiographs, ultrasound, CT and blood analysis. The diagnosis is strongly supported by temporary pain relief after infiltration. When conservative measures fail, treatment can consist of a psoas tenotomy or a revision ...

To the Editor, As discussed in our paper, positioning the VivaSight DLT 34 sec faster than positioning a conventional doublelumen tube is of marginal clinical importance. Then again, faster insertion is consistent with the fact that the tube is easy to use. Furthermore, the ability to obtain immediate assurance of at least an approximately correct position with the VivaSight camera likely facil...

In intramedullary tibial nailing, multi-planar locking makes stabilization of proximal and distal metaphyseal fractures possible. A known complication in intramedullary nailing of the tibia is iatrogenic injury to neuro-vascular structures caused by the insertion of locking screws. As shown in previous studies, the distal positioning of the nail is important, as it determines the course of the ...

Conservative surgery of selected breast-cancer tumors up to 4 cm in size gives rise to equivalent overall survival rates in both retrospective and randomized chmcal trials. Although 90 percent of patients display satisfactory functional and cosmetic results when surgery is performed by highly competent teams, the remaining 10 percent end up with severe breast deformities due to factors such as ...

The aim of the study was to analyze the incidence of squeaking with ceramic-onceramic total hip arthroplasty (THA) after 10 years of follow-up and the potential complications that could occur related to this phenomenon. One hundred THAs implanted between November 1999 and December 2000 were evaluated. Incidence of squeaking was investigated clinically with a questionnaire. Implant positioning w...

The EX-PRESS shunt (Alcon Laboratory) is a stainless steel implant designed to shunt aqueous from the anterior chamber to the subconjunctival space.Thedevice isplacedundera scleral flap,with the lumenideallypositionedparallel to the iris. A properly positioned EX-PRESS shunt creates acontrolledcommunicationbetween the anterior chamber and the bleb.1 Several shunt-specific complications havebeen...

Total hip arthroplasty (THA) is regarded as one of the most successful surgical procedures of modern times yet continues to be associated with a small but significant complication rate. Many early failures may be associated with poor component positioning with, in particular, acetabular component orientation dependent on the subjective judgement of the surgeon. In this paper, we compare the man...

Malpositioning is one of the most common complications of chest tube insertion and is associated with increased morbidity and mortality. We present two cases of patients with chronic obstructive pulmonary disorder (COPD) in whom malpositioned chest tubes penetrated through the anterior mediastinum to the contralateral pleural cavity, and were later removed without complications. Both patients h...

Pharmacotherapy is a major treatment method in healthcare centers, and the injection of powdered drugs is among common pharmacotherapy techniques. Medication errors and nosocomial infections are among major health issues in the world. On the other hand, powdered drugs are widely used in hospitals; however, drug mixture is a very time-consuming process. The objective of this invention was to acc...