Background: Syndesmotic instability presents a significant challenge in orthopedic surgery, with no universally accepted treatment approach. Traditional methods, such as trans-syndesmotic screw fixation, remain widely used but are associated complications, including malreduction, hardware-related issues, and restricted physiological motion. Recent advancements flexible dynamic particularly suture tape augmentation, offer promising alternatives by preserving native biomechanics enabling early...

Most anesthetics reduce cardiac functions and lower blood pressure (BP), potentially causing excessive BP reduction in dehydrated patients or those with heart conditions, such as coronary artery disease (CAD). Considering the increased prevalence of cardiovascular age, anesthesiologists must be cautious about during general anesthesia older adults. In present case, a 76-year-old male patient undiagnosed CAD hypovolemic state experienced significant drop systolic to fifties propofol...

Ankle syndesmosis is crucial to the integrity of ankle joint and weight-bearing; an injury this structure can lead significant disability. The treatment methods for distal injuries are controversial. representative include transsyndesmotic screw fixation suture-button fixation, good results with suture tape augmentation have recently been reported. However, using only possible when posterior inferior tibiofibular ligament (PITFL) intact. This study describes case unstable injury, accompanied...

Background: Wagstaffe fracture constitutes an indirect injury to the AITFL and can precipitate syndesmotic instability. The prevailing fixation methods often involve use of mini-screws or K-wires, with absorbable suture repair reserved for cases small comminuted fragments exhibiting In this study, we devised a mini-plate method capable securing fragment irrespective its size condition. Methods: A retrospective chart review was conducted on patients who underwent surgery ankle fractures...

Background: Chaput tubercle fractures, located at the attachment site of anterior inferior tibiofibular ligament (AITFL) on distal tibia, have potential to destabilize syndesmosis joint. This study aims assess effectiveness tension band wiring (TBW) as a surgical intervention for managing fractures and consequent instability. Methods: A retrospective review patient charts was undertaken those who had undergone ankle fracture surgery from April 2019 through May 2022. The procedure involved...

Few reports have described direct fixation of the Chaput tubercle; screw is usually employed. Herein, we introduce a novel technique for tubercle using tension-band wiring. This applicable to fractured tubercles various sizes and has advantage that fragment breakage may occur during impossible. In addition, our increases strength.

Background The external jugular vein (EJV) is a useful intravenous (IV) cannulation site for anesthesiologists, although it has relatively high failure rate. Unlike other central veins, visualization of the EJV important during IV cannulation, and Valsalva maneuver distends venous system. However, relationship between visibility remains unknown. This study compared before after maneuver. Methods was prospective observational that included 200 participants. After induction anesthesia, grade,...

Hypovolemic shock and septic present similar symptoms, such as increased heart rate decreased blood pressure. However, the two conditions have different causes, mechanisms, treatment approaches. Early differentiation between can a positive impact on patient prognosis. In this case, underwent right ovarian cystectomy due to teratoma torsion during previous pregnancy, followed by for postoperative infection. While recovering, an emergency cesarean section sudden severe abdominal pain. After...

Abstract Rationale: Reversible cerebral vasoconstriction syndrome (RCVS) is often accompanied by thunderclap headaches. Although symptoms usually resolve spontaneously within 2 months, it can cause fatal complications, such as hemorrhage, and difficult to differentiate from a migraine other headaches on the basis of Imaging study. In this case report, we explore clinical findings appropriate treatment methods for RCVS through study female patient who experienced severe headache upon...

There are several causes of hypoxia during and after surgery, atelectasis is a common symptom that occurs surgery. In particular, elderly patients more vulnerable to due their existing lung diseases or respiratory muscle weakness. This study presents the cases two who developed total hip arthroplasty under general anesthesia. Positive end expiratory pressure, recruitment maneuver, increased fraction inspired oxygen improved only temporarily, patients’ saturation level again dropped...

Septic ankle arthritis is a devastating clinical entity with high risks of morbidity and mortality. Prompt treatment necessary because delayed or inadequate can lead to irreversible damage that may occur on the articular surface, resulting in cartilage erosion, infective synovitis, osteomyelitis, joint deformity, pain dysfunction. An aggressive surgical approach required when infection causes severe limb-threatening arthritis. A 58-year-old woman visited our clinic increasing right ankle,...

Navicular stress fractures (NSFs) are relatively uncommon, and predominantly affect athletes. Patients complain of vague pain, bruising, swelling in the dorsal aspect midfoot. Os supranaviculare (OSSN) is an accessory ossicle located above talonavicular joint. There have been few previous reports NSFs accompanied by OSSN. Herein we report case a patient with OSSN who was successfully treated for NSF. A 34-year-old Asian man presented 6-month history insidious-onset foot pain that...

Postoperative nausea and vomiting (PONV) is a common complication of laparoscopic cholecystectomy. Although PONV usually mild, severe thing can delay recovery prolong hospitalization. We aimed to investigate the effects ramosetron esmolol, alone in combination, on PONV, pain.We enrolled 165 patients their 20s 50s who had an American Society Anesthesiology physical status score 1 or 2 were scheduled undergo They randomly allocated into 3 groups: groups R, E, E+R. Patients group R received 0.3...

Background and objectives: Most Koreans obtain medical information from the Internet. Despite vast amount of available, there is a possibility that patients acquire false or are dissatisfied. Chronic ankle instability (CAI) one most common sports injuries develops after an sprain. Although available on Internet related to CAI has been evaluated in other countries, such studies have not conducted Korea. Materials Methods: The key term "chronic instability" was searched three commonly used...

Sevoflurane is widely used to anesthetize children because of its rapid action with minimal irritation the airways. However, there a high risk agitation after emergence from anesthesia. Strabismus surgery, in particular, can trigger patients have their eyes covered postoperative period. The aim this study was determine whether or not esmolol and lidocaine could decrease children.Eighty-four aged 3 9 years undergoing strabismus surgery were randomly assigned control group (saline only), that...

Intraoperative hypoxia occurs in approximately 6.8% of surgeries and requires appropriate management to avoid poor outcomes, such as increased mortality or extended hospitalization. Hypoxia can be caused by a variety factors, including laryngospasm, inhalational anesthetics, surgery for abdominal pathology hip fractures. In particular, elderly patients are more vulnerable due their existing lung diseases respiratory muscle weakness. This study presents the cases two who developed during...

Objective: To determine whether suction drainage is safe and effective compared with no-drainage in total knee arthroplasty. Methods: The literature search was based on PubMed, MEDLINE, EMBASE, Highwire, the Cochrane Library, CBM, CNKI, VIP WFSD.The data were analysed using RevMan 5.3.Fourteen randomised controlled trials involving 1 009 knees included our analysis. Results: Suction increases rate volume of blood transfusion.No-drainage group wound problems (OR=1.92, 95%CI 1.21-3.04,...

Herpes zoster is a disease that involves reactivation of the varicella-zoster virus and induces pain by injuring nerve ganglia. We present case 52-year-old woman without notable medical history. She complained painful itches were causatively associated with infiltration to ophthalmic trigeminal nerve. Furthermore, patient did not positively respond antiviral agents, analgesics, anticonvulsants. However, after inducing stellate ganglion block, her Visual Analog Scale for itching reduced from...

Objective: Agitation is a common symptom in children undergoing surgery, especially when surgeries are performed under sevoflurane and patients undergo strabismus surgery. Because agitation can increase the risk of falls lacerations on surgical sites delay discharge from recovery room, adopting measures to reduce incidence essential. This study aimed compare agitation-reducing effects lidocaine esmolol administered individually or as combination.Methods: We included 80 scheduled Thiopental...