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Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 15-18 | Khayas Omer Kunheen, MC Tomichan, Rajeev PB, Adarsh Krishna K Bhat Authors: Khayas Omer Kunheen [1], MC Tomichan [1], Rajeev PB [2], Adarsh Krishna K Bhat [1] [1] Department of Orthopaedics, Government Medical College Kottayam, Kerala, India. [2] Caritas hospital and Institute Of […]

Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 11-14 | Petros Koutsogiannis, Jordan Fakhoury, Kanwarpaul Grewal, Gus Katsigiorgis Authors: Petros Koutsogiannis [1], Jordan Fakhoury [1], Kanwarpaul Grewal [1], Gus Katsigiorgis [1] [1] Department of Orthopaedic Surgery, Long Island Jewish Hospital- Valley Stream, Northwell Health, New York. Address of Correspondence Dr. Petros Koutsogiannis, Long Island […]

Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Full Sized Blog Element (Big Preview Pic)

Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 15-18 | Khayas Omer Kunheen, MC Tomichan, Rajeev PB, Adarsh Krishna K Bhat

Authors: Khayas Omer Kunheen [1], MC Tomichan [1], Rajeev PB [2], Adarsh Krishna K Bhat [1]

[1] Department of Orthopaedics, Government Medical College Kottayam, Kerala, India.
[2] Caritas hospital and Institute Of Health Sciences, Thellakom, Kottayam, Kerala, India.

Address of Correspondence
Dr. Khayas Omer Kunheen,
Chelat House, P.O Olavanna,Calicut 673019, Kerala, India.
E-mail: khayasomer@gmail.com

Abstract

Isolated Greater tuberosity (GT) fractures still pose a therapeutic challenge due to the wide variety of treatment options and lack of proper comparative studies on outcome. Plating still remains a valid option but has several unfavorable effects. One among them is redisplacement of tuberosity postoperatively especially in cases with comminution which may easily be missed in regular plain radiographs. Conventional techniques of fixation may remain insufficient in such scenarios. We hereby propose an adaptation of a described technique, in a 45-year-old male presenting with redisplacement of GT post plate fixation. Open double-row suture bridge construct was used to fix the displaced fragment maintaining the plate insitu and the patient had an excellent functional and radiological outcome on follow-up.
Keywords: Greater tuberosity fracture; Comminution; Double-row fixation; Suture anchor; Suture Bridge technique; PHILOS; Redisplacement.

References

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How to Cite this article: Kunheen KO, MC Tomichan , Rajeev PB, Bhat AKK | Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOSA Technical Note | Trauma International | July-December 2020; 6(2): 15-18.

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Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 11-14 | Petros Koutsogiannis, Jordan Fakhoury, Kanwarpaul Grewal, Gus Katsigiorgis

Authors: Petros Koutsogiannis [1], Jordan Fakhoury [1], Kanwarpaul Grewal [1], Gus Katsigiorgis [1]

[1] Department of Orthopaedic Surgery, Long Island Jewish Hospital- Valley Stream, Northwell Health, New York.

Address of Correspondence
Dr. Petros Koutsogiannis,
Long Island Jewish Hospital- Valley Stream, Northwell Health, New York.
E-mail: pkoutsogiann@gmail.com

Abstract

This is a case report of an otherwise healthy 45-year-old male patient with a history of COVID-19, who later underwent an Anterior Cervical Spine Decompression and Fusion of level three to four for progressing neurological symptoms. The patient was readmitted eleven days postoperatively for shortness of breath and found to have a Pulmonary Embolism. The patient was at low risk for postoperative VTE, with no known current significant risk factors. He had a history of COVID-19, along with lab values and imaging that have been shown in other case series to help support the link between covid-19 and hypercoagulable state. We hope to support this hypothesis, and bring light to future larger scale studies, in order to better understand this disease and effectively create a preoperative assessment to identify such patients at risk, along with post-operative protocols for these patients having procedures in the future. To our knowledge, this is the first reported case of confirmed postoperative DVT/PE in an otherwise low-risk patient, who had a history of COVID-19 with full recovery. The rarity of this complication, along with options for how to risk-stratify these patients should be formally addressed, especially in those who require urgent spine surgery. These options are discussed, reviewed, and remarks as to where further attention and research is needed is addressed.

Keywords: Anterior Cervical Discectomy and Fusion; COVID-19; Pulmonary Embolism.

References

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4. Yee TJ, Swong K, Park P. Complications of anterior cervical spine surgery: a systematic review of the literature. J Spine Surg. 2020;6(1):302-322. doi:10.21037/jss.2020.01.14
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14. Parvizi, Javad MD, FRCS1,a; Ceylan, Hasan H. MD2; Kucukdurmaz, Fatih MD2; Merli, Geno MD3; Tuncay, Ibrahim MD2; Beverland, David MD4 Venous Thromboembolism Following Hip and Knee Arthroplasty, The Journal of Bone and Joint Surgery: June 7, 2017 – Volume 99 – Issue 11 – p 961-972 doi: 10.2106/JBJS.16.01253
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How to Cite this article: Koutsogiannis P, Fakhoury J, Grewal K, Katsigiorgis G | Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review | Trauma International | July-December 2020; 6(2): 11-14.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

Full Sized Blog Element (Big Preview Pic)

Novel Adaptation of Suture Bridge Technique for Greater Tuberosity Redisplacement Post ORIF With PHILOS- A Technical Note

Authors: Khayas Omer Kunheen [1], MC Tomichan [1], Rajeev PB [2], Adarsh Krishna K Bhat [1]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Pulmonary Embolism as a Complication Following Anterior Cervical Discectomy and Fusion in a Patient with a History of COVID-19: A Case Report and Literature Review

Authors: Petros Koutsogiannis [1], Jordan Fakhoury [1], Kanwarpaul Grewal [1], Gus Katsigiorgis [1]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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