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Vascular Injuries Due to Penetrating Missile Trauma in Anti-Terrorism Ops

Dhillan R, Bhalla A, Jha SK, Singh H, Arora A

PURPOSE: Penetrating vascular trauma though less common poses a challenge to all Surgeons. This study was designed to analyse the profile, management modalities of vascular trauma and the outcomes thereof...
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Achilles tendon reconstruction with a half-width Achilles graft and wrap-around fascial flap

Prasetyono TOH, Sisca F

A 70-year-old man complained imbalance while walking, inability to perform ankle flexion, and could not stand on tip-toe 3 months after injury. The ankle looked swollen with loss of Achilles...
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Iatrogenic Sciatic Nerve Injury after Total Knee Arthroplasty

Kwon JB, Oh TB, Choi WK

Sciatic nerve palsy after total knee arthroplasty, accompanied by motor power weakness and electromyographic evidence, is a rare occurrence. In a 78-year-old female, pneumatic tourniquet was used for 72 minutes,...
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Wide-Awake Hand Surgery

Kang SW, Kim YW, Park JK

Wide-awake hand surgery is a surgical procedure that does not use a tourniquet and sedation through lidocaine and epinephrine injections and does not perform regional anesthesia or general anesthesia. Therefore,...
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Prospective Study of Central versus Peripheral Obesity in Total Knee Arthroplasty

Armstrong , Morris TR, Sebro R, Israelite , Kamath AF

PURPOSE: Body mass index (BMI) is often used to predict surgical difficulty in patients receiving total knee arthroplasty (TKA); however, BMI neglects variation in the central versus peripheral distribution of...
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Two Cases of Pneumatic Tourniquet Paralysis: Points for Prevention

Kim H, Kim YH

Although nerve injury is the most common complication of pneumatic tourniquets, it is said to be rare, with few case reports. We describe two cases of paralysis after upper extremity...
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Effects of Remote Ischemic Conditioning Methods on Ischemia-Reperfusion Injury in Muscle Flaps: An Experimental Study in Rats

Keskin D, Unlu RE, Orhan E, Erkilinç , Bogdaycioglu N, Yilmaz FM

BACKGROUND: The aim of this study was to investigate the effects of remote ischemic conditioning on ischemia-reperfusion injury in rat muscle flaps histopathologically and biochemically. METHODS: Thirty albino rats were divided...
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Remote Ischemic Conditioning by Effluent Collected from a Novel Isolated Hindlimb Model Reduces Infarct Size in an Isolated Heart Model

Youn YJ, Yoo BS, Son JW, Lee JW, Ahn MS, Ahn SG, Kim JY, Lee SH, Yoon J, Eom YW, Oh JE, Choi SK

BACKGROUND AND OBJECTIVES: Experimental protocols for remote ischemic conditioning (RIC) utilize models in which a tourniquet is placed around the hindlimb or effluent is collected from an isolated heart. In...
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Wide Awake Local Anesthesia No Tourniquet Technique for Extensor Indicis Proprius Tendon Transfer

Chae S, Kim JJ

PURPOSE: To evaluate the usefulness of the Wide Awake Local Anesthesia No Tourniquet (WALANT) technique for extensor indicis proprius (EIP) tendon transfer. METHODS: From January 2014 to January 2016. We selected...
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Evaluation of palonosetron for the prevention of pain on injection of LCT/MCT propofol: Randomized controlled comparison with lidocaine

Yoo JH, Kim YI, Kim SI, Lee SJ, Han YM

BACKGROUND: Long-chain triglyceride/medium-chain triglyceride (LCT/MCT) propofol is less painful than standard long chain triglyceride (LCT) propofol; however, there is still a need to reduce severe pain. 5-Hydroxytryptamine type 3 (5-HT3)...
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Change of QT variability index during general anesthesia

Huh IY, Kim DY, Sung M, Lee M, Park SE

BACKGROUND: The QT variability index (QTVI)-a non-invasive measure of beat-to-beat QT interval (QTI) fluctuations-is related to myocardial repolarization lability. The QTVI represents the relationship between QTI and the RR interval....
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Incidence of Hypothermia and Factors Associated with Body Temperature Changes during Surgery in Burned Patients

Bae HY, Kim H

PURPOSE: The study aimed to evaluate the changes of body temperature and to identify the factors related to changes during surgery in burned patients. METHODS: A retrospective study was conducted by...
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Comparison of warming methods for core temperature preservation during total knee arthroplasty using a pneumatic tourniquet

Kim HJ, Oh JE, Koh WU, Ro YJ, Yang HS

BACKGROUND: It is important to ensure that patients are normothermic during surgery. In total knee arthroplasty, the pneumatic tourniquet affects body temperature. We compared the ability of two warming devices...
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Volar Locking Plate Fixation for Distal Radius Fractures in Hemodialysis Patients

Im JH, Huh SW, Park MK, Lee JY

PURPOSE: Although the possibility of distal radius fractures is strong in hemodialysis patients, there are many difficult problems such as the bleeding tendency, hypervascularity and injury to arteriovenous fistula. We...
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Usefulness of Ultrasound-Guided Lower Extremity Nerve Blockade in Surgery for Patellar Fracture

Kim YM, Kang C, Joo YB, Yeon KU, Kang DH, Park IY

PURPOSE: To evaluate the usefulness of ultrasound-guided nerve blockade in patellar fracture surgery. MATERIALS AND METHODS: Twenty-three patients who underwent metal fixation under ultrasound-guided lower extremity blockade after diagnosis of patellar...
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A Randomized Controlled Study to Compare the Total and Hidden Blood Loss in Computer-Assisted Surgery and Conventional Surgical Technique of Total Knee Replacement

Singla A, Malhotra R, Kumar V, Lekha C, Karthikeyan G, Malik V

BACKGROUND: Total knee arthroplasty (TKA) is associated with considerable blood loss. Computer-assisted surgery (CAS) is different from conventional TKA as it avoids opening the intramedullary canal. Hence, CAS should be...
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Glomus Tumor of the Hand

Lee W, Kwon SB, Cho SH, Eo SR, Kwon C

BACKGROUND: Glomus tumors were first described by Wood in 1812 as painful subcutaneous tubercles. It is an uncommon benign neoplasm involving the glomus body, an apparatus that involves in thermoregulation...
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Retrospective Analysis of the One-per-Million Tumescent Technique in Post-Burn Hand Deformity Surgeries

Prasetyono TOH, Koswara AF

BACKGROUND: The use of a tourniquet in hand surgery is generally accepted as necessary to create a clear visualization of the operative field. This study aims to determine the effectiveness...
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Effect of muscle relaxation on the oxygenation of human skeletal muscle: a prospective in-vivo experiment using an isolated forearm technique

Rhee KY, Kim TY, Oh IS, Lee SJ, Ledowski T

BACKGROUND: Total oxygen consumption has been found to be reduced under deep neuromuscular blockade due to a lower rate of metabolism of skeletal muscles. However, the magnitude of this effect...
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Effects of a fentanyl-propofol mixture on propofol injection pain: a randomized clinical trial

Kizilcik N, Menda F, Bilgen S, Keskin O, Koner O

BACKGROUND: Propofol injection pain is a common problem that can be very distressing for patients. We compared the effects of injection with saline followed by injection with a fentanyl-propofol mixture,...
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