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One of the most challenging aspects of providing end-stage kidney disease care is to achieve adequate long-term access to the bloodstream to support hemodialysis (HD) therapy. Although upper extremity arteriovenous fistula remains the vascular access of choice for patients on HD, complications such as central venous stenosis, access thrombosis, or exhaustion of suitable access sites in the upper extremity, ultimately result in pursuing vascular access creation in the lower extremity. The current review focuses on the indications, contraindications, and clinically relevant practical procedural tips to successfully place a tunneled femoral dialysis catheter. The review highlights some of the prevailing misconceptions regarding femoral catheter placement practices.
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http://dx.doi.org/10.1177/11297298211039633 | DOI Listing |
J Exp Orthop
July 2025
Department of Orthopedics and Traumatology Knee Surgery Group, School of Medical Sciences, Santa Casa of Sao Paulo Sao Paulo Sao Paulo Brazil.
Purpose: The objective of the study was to evaluate the accuracy of femoral tunnel positioning in the reconstruction of the anteromedial (AM) bundle of the Anterior Cruciate Ligament (ACL) using the most proximal and posterior portion of the lateral femoral condyle cartilage (Point C).
Methods: From December 2022 to December 2023, 47 patients underwent anterior cruciate ligament reconstruction (ACLR) in outside in manner using Point C as an anatomical landmark for AM bundle ACLR. After the procedure, the patients underwent tomographic evaluation to assess the accuracy of the positioning, using Bernard's quadrants.
Oper Orthop Traumatol
September 2025
Sektion Sportorthopädie, TUM Universitätsklinikum, Ismaninger Str. 22, 81675, München, Deutschland.
Objective: Anatomical reconstruction of the posterior cruciate ligament (PCL) with suture tape augmentation to enhance primary stability.
Indications: Acute or chronic PCL ruptures, either isolated or as part of multiligamentous injuries, in cases of symptomatic instability or failure of conservative treatment.
Contraindications: Fixed posterior drawer, active infection, bony avulsion.
J Orthop Surg (Hong Kong)
September 2025
Bone and Joint Research Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
PurposeTo compare the clinical and radiological results of two double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) techniques. DB ACLR and anterolateral ligament reconstruction (ALLR) with internal brace (IB), and outside-in (OI) DB ACLR.HypothesisWe hypothesized that DB ACLR and ALLR with IB wound yield less femoral tunnel, especially femoral posterolateral bundle tunnel complications, than OI DB ACLR without ALLR because of better rotational control.
View Article and Find Full Text PDFFront Bioeng Biotechnol
August 2025
Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Core decompression (CD) is a minimally invasive procedure widely used to treat early-stage osteonecrosis of the femoral head (ONFH). However, CD alone often yields suboptimal outcomes in promoting bone regeneration in necrotic lesions, highlighting the need for novel therapeutic approaches. In this study, we evaluated the combined effects of CD surgery and local administration of AKDS001, a small-molecule EP4 receptor agonist, in a canine ONFH model.
View Article and Find Full Text PDFMicrosurgery
September 2025
Department of Plastic Surgery, The University of Osaka Graduate School of Medicine, Osaka, Japan.
Lymphovenous anastomosis (LVA) is an effective surgical treatment for inguinal lymphorrhea, a complication that can occur after surgery involving vessels. LVA, however, requires a suitable vein for anastomosis near the leaking lymphatic vessel, which is sometimes difficult to secure. Here we report the successful treatment of a refractory ulcer with lymphorrhea by anastomosis of a flap vein to the lymphatic vessel concerned, along with flap closure.
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