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Total hip arthroplasty is a surgical procedure that address to people with severe hip disorder. The number of total hip replacement is growing year by year due to the good functional results obtained after this procedure, which include pain relief, improvement of walking and quality of life. With improvements in the techniques, materials and prostheses, hip arthroplasties are performed in the younger age patients, which leads to the demand for revision procedures. This procedure almost always come across with acetabular bone defect. The main challenge for the surgeon during the revision hip arthroplasty is to achieve good implant stability. The purpose of this study is to assess the early clinical and radiological results after revision acetabular components using trabecular metal shells and augments. It was performed on 26 patients classified as Paprosky IIC and IIIA. The functional evaluation was performed perioperatively, at three and then at six months after the surgery using radiographic evaluation and Harris Hip Score. No evidence of cup migration or periacetabular osteolysis was noted. With low rate of complications and with overall good level of satisfaction, we assume that modular TM acetabular components may provide good long-term solutions for reconstruction of acetabulum in revision hip arthroplasty. [ABSTRACT FROM AUTHOR]

The acromioclavicular joint dislocation represents a common shoulder injury that frequently occurs to young and active individuals. Most of these AC lesions can be treated conservatively but high-grade dislocation need surgical treatment. There are numerous surgical techniques described in literature for treating this injury. The surgeons must choose between open reduction with internal fixation and arthroscopic fixation, which is the latest technique developed. The aim of this study is to evaluate the functional results and the level of pain after an arthroscopic fixation using a TightRope system to treat AC dislocation. It is a less invasive technique, allowing a stable fixation of the joint. In our study we analyzed 48 patients with acute acromioclavicular dislocation, all of them surgically treated using an arthroscopic method with a single TightRope device. An important reduction in pain perception was achieved at six months after the surgery, comparing with the preoperative moment. No system failure was recorded. Arthroscopic treatment of AC dislocation with the use of TightRope system is an efficient technique which can correct deformity and restore full range of motion in a short period of time. [ABSTRACT FROM AUTHOR]

Before the use of ultrasound, many ovarian tumors remained undiagnosed until cesarean section or until they became symptomatic. Now, many symptomatic or non-symptomatic adnexal tumors are diagnosed by ultrasound during pregnancy follow-up.In most cases, the adnexal tumors discovered during pregnancy are benign with a maximum diameter of 5 cm. Approximately 70% of the cystic adnexal tumors identified in the first trimester resorb spontaneously until the beginning of the second trimester (usually those are functional cysts). Persistent adnexal tumors larger than 5 cm are generally mature teratomas (dermoid).In this case, at the emergency room a 34 year-oldwomen came with almost 20 weeks pregnancy, accusing acute abdominal pain, nausea and vomiting. One week before, the patient went for a routine ultrasound for pregnancy and the doctor discovered a giant tumor larger than 15 cm (due to the size it could not be measured) with fluid content. Two days before the symptoms, the patient went for an abdominal MRI where a voluminous pelvic-abdominal cyst with almost 30 cm in diameter was discovered. Differential diagnosis: ovarian torsion or ruptured cyst complicating pregnancy. What is the correct diagnosis and what is to be done since there is a 20 weeks pregnancy? [ABSTRACT FROM AUTHOR]

Uterine congenital malformations of the uterus appear due to the fusion and/or resorbtion defects of the Mullerian paramesonephric ducts, throughout the organogenesis. One of the relative frequent malformations is the double uterus, in which there are two uterine cavities and two cervices which enter the vagina (with or without a longitudinal median septum). The overall frequency of uterine malformations is difficult to appreciate because of the asymptomatic evolution in most cases. In 25% of the cases, congenital malformations of the uterus are accompanied by abnormalities of the excretory system. We present the case of a 27-year-old patient taken out to 7 weeks of amenorrhea. Transvaginal ultrasound confirmed the diagnosis of double uterus with gestational bag in the right uterine cavity. The renal ultrasound performed confirmed the caliceal malformation. Labor triggers in week 35, complicated with acute fetal distress, thus an emergency caesarean section was decided. A segmental-arched hysterotomy is performed along with a breechpresentation delivery; the fetus masculine with G=2600g, L=48cm, APGAR 6. The evolution of the patient and of the fetus was favorable, they were discharged after 14 days postpartum. This case required a complex approach, the evaluation protocol of the patient being an individualized one, in order to minimize the risks. [ABSTRACT FROM AUTHOR]