Pilon Fractures of Middle Phalanx Managed with Lag Screw and Early Mobilisation

Proximal interphalangeal (PIP) joint injuries are commonly seen in athletes and especially the pilon fractures are quite common due to axial loading injuries.

It is associated with volar lip fragment with dorsal subluxation of middle phalanx with varying degree of comminution of the base of middle phalanx.

Varied treatment options have been described ranging from extension block splint, external frame finger distraction and open reduction internal fixation. The key is in restoring the joint congruity with early controlled mobilisation thereby preventing joint stiffness or deformity.

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A Successful Case of Renal Transplantation from Deceased Donor Performed 7 Years after Radioactive Seed Implantation Therapy for Localized Prostate Cancer.

There has been a significant increase in the number of patients with Prostate Adenocarcinoma (PCa) over the last decade, leading to a substantial rise of pre-transplant patients with a history of cured PCa.

Currently, Radical Prostatectomy (RP) and brachytherapy using isotope seeds are good alternatives for treatment of localized low risk PCa. 

In this case, we performed a cadaveric renal transplantation for a patient who 7 years previously underwent radioactive seed implantation therapy for low risk PCa, as defined by the D’Amico classification system.

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Pulmonary Function Assessment Method with Type II Non-heart Beating Donors in Spain is Valid

Lung transplantation unit from Hospital 12 de Octubre began its work in October 2008. In the last five years, 80 lung transplants have been performed with a hospital mortality rate of 6.5% and a five years survival of 79.7%.

As a result of the need of obtaining a greater number of donors, and encouraged by the outpatient non heart beating donors program within our hospital, we considered the possibility of assessing these donors lung grafts.

We have followed the methodology designed and set off with good results by other hospitals in the area of Madrid.

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Extra-corporeal Circulatory Support: A Resurgence of a Life Saving Therapy in the Digital Information Age

Extra-corporeal membrane oxygenation represents an evolving therapeutic tool for the treatment of acute severe cardiac and respiratory failure in patients failing maximal medical therapy.

Advances in technology along, increasing worldwide clinical successes, and broadening applications have encouraged renewed interest in what was previously considered a salvage intervention associated with poor outcomes.

Hopefully, the use of digital media and timely on-line access to scientific advances will allow clinicians and patients who depend on ECMO for survival to benefit in a field in which there is clearly room for improvement in outcomes and understanding.

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Epididymal Sparing Bilateral Orchidectomy with Epididymoplasty for Advanced Cancer Prostate

Rise in incidence and variable natural history of prostatic carcinoma, presents a challenge to professionals involved in its management.

Cases that come for evaluation and treatment in developing countries like ours are elderly and usually present in the late stages of the disease. Perhaps the best option remain at this stage is palliative in the form of channel TURP to improve the urine flow and suppress the cancer growth by androgen deprivation treatment (ADT).

Further improvement of quality of life is achieved by supportive measures like good nutrition, vitamins and calcium supplementation to prevent demineralisation of bones and analgesic for pain relief.

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Osteoporotic Fractures Following Spinal Cord Injury: A Serious Health Problem

Osteoporosis is characterized by low bone mass, deterioration of the bone microarchitecture and increased bone fragility, which inevitably result in an amplified risk for fractures.

Spinal Cord Injury (SCI) is strongly associated with declined bone mineral density and increased incidence of osteoporosis. This is a serious complication of the spinal injury as the osteoporotic paralyzed limbs of the SCI patients are vulnerable to pathological fractures even after subtle and no obvious trauma.

Bone loss in these patients is higher in the first six months after the SCI and stabilizes between 12 and 16 months, with about 30% loss of bone mass.

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Elimination of Environmental Effects on Temperature Assessment in Clinical Postoperative Free Flap Monitoring? A Prospective Cohort Study

The time interval between the onset of ischemia and its clinical recognition is of utmost importance in terms of free flap salvage in free flap surgery.

Although microsurgical free-tissue transfer has become a reliable technique, between 5 to 25 percent of transferred flaps require surgical revision because of circulatory compromise either on the arterial or venous side.

Regardless of the surgeon’s experience or the reliability of the chosen free flap, immediate detection of perfusion failure and prompt revision is paramount for flap salvage as ischemic tolerance of the flap tissue is limited to a few hours and irreversible disseminated microvascular thrombi may form during malperfusion.

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