Academic literature on the topic 'Long-leg X-ray'

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Journal articles on the topic "Long-leg X-ray"

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Khan, Ghulam Mustafa Kaim, Syed Mujahid Humail, and Kamran Hafeez. "PRIMARY DIAPHYSEAL TUBERCULOUS OSTEOMYELITIS OF TIBIA." Professional Medical Journal 21, no. 06 (December 10, 2014): 1282–84. http://dx.doi.org/10.29309/tpmj/2014.21.06.2729.

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Diaphyseal tubercular osteomyelitis of long bone is extremely rare and few cases have been reported in literature. We are presenting a case of 17 years old girl presented with pain and swelling over lower half of leg for 7 months. There was often low grade fever but no history of weight loss or pulmonary symptoms. X-ray chest was normal. X-rays and MRI of involved leg were suggestive of osteomyelitis. Curettage and biopsy was done, report was suggestive of tuberculous osteomyelitis. As tuberculosis is still common in developing countries, for an osteolytic lesion in bone, tuberculous osteomyelitis should be considered in differential diagnosis.
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Stojiljkovic, Predrag, Milan Jovanovic, Ivan Golubovic, Zoran Radovanovic, Goran Stevanovic, Ivana Golubovic, Dusan Djordjevic, Aleksandar Mitic, Svetlana Milijic, and Zoran Golubovic. "Surgical treatment of the lower leg open fracture with lesions of the main blood vessels. A case report." Vojnosanitetski pregled 75, no. 4 (2018): 422–27. http://dx.doi.org/10.2298/vsp160613343s.

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Introduction. Open fractures of the lower leg degree IIIC by Gustilo belong to the most serious open fractures of the lower leg segment.These fractures are, along with the main blood vessels damage, often followed by a severe soft-tissue damage of the lower leg. Case report. Patient 20 years old, sustained a severe open fracture of the left lower leg in a car accident, with the disruption of the continuity of the main left lower leg arteries. After clinical examination and radiography (X-ray) diagnosis, the primary treatment of the open fracture fragment wound, reposition of the left lower leg and stabilization of the open fractures by the external skeletal fixator were performed. In the postoperative period, there was a manifestation of acute ischemia of the left foot. Arteriography verified discontinuity of all three crural arteries at the level of the fracture line. The patient was immediately surgically treated. Revascularization of the extremities was performed by reconstruction of the anterior tibial artery by 15 centimeters long saphenous graft interposition with creation of distal anastomosis at the level of the dorsal artery of the foot. Large soft tissue defect and reconstructed vessels were covered with transpositional fasciocutaneous flap. The postoperative course was accompanied by proper graft flow. Control X-ray examination verified fracture of the distal pin of external skeletal fixator with the healing of fractures of the tibia with angular deformity. The external fixator was removed, except for the residual part of the pin in the distal part of the lower leg. During the control examination after completion of the treatment, the patient walked without mobility aid. Conclusion. External skeletal fracture fixation, damaged blood vessels reconstruction and early covering of the soft-tissue shin defect are basic elements in saving the injured limb. The long term goal of treatment of open lower leg fractures with an injury of the main blood vessels is to allow patients return to usual daily activities and professional work.
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Seo, Hyunsoo, Wooyoung Kim, Bongju Han, Huimin Jang, Myeong Seong Yoon, and Youngjin Lee. "Usefulness of an Additional Filter Created Using 3D Printing for Whole-Body X-ray Imaging with a Long-Length Detector." Sensors 22, no. 11 (June 6, 2022): 4299. http://dx.doi.org/10.3390/s22114299.

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We recently developed a long-length detector that combines three detectors and successfully acquires whole-body X-ray images. Although the developed detector system can efficiently acquire whole-body images in a short time, it may show problems with diagnostic performance in some areas owing to the use of high-energy X-rays during whole-spine and long-length examinations. In particular, during examinations of relatively thin bones, such as ankles, with a long-length detector, the image quality deteriorates because of an increase in X-ray transmission. An additional filter is primarily used to address this limitation, but this approach imposes a higher load on the X-ray tube to compensate for reductions in the radiation dose and the problem of high manufacturing costs. Thus, in this study, a newly designed additional filter was fabricated using 3D printing technology to improve the applicability of the long-length detector. Whole-spine anterior–posterior (AP), lateral, and long-leg AP X-ray examinations were performed using 3D-printed additional filters composed of 14 mm thick aluminum (Al) or 14 mm thick Al + 1 mm thick copper (Cu) composite material. The signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and radiation dose for the acquired X-ray images were evaluated to demonstrate the usefulness of the filters. Under all X-ray inspection conditions, the most effective data were obtained when the composite additional filter based on a 14 mm thick Al + 1 mm thick Cu material was used. We confirmed that an SNR improvement of up to 46%, CNR improvement of 37%, and radiation dose reduction of 90% could be achieved in the X-ray images obtained using the composite additional filter in comparison to the images obtained with no filter. The results proved that the additional filter made with a 3D printer was effective in improving image quality and reducing the radiation dose for X-ray images obtained using a long-length detector.
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Shrestha, Amin Kumar, Suman Raja Shrestha, Gopesh Kumar Thakur, and Arjun Prasad Dumre. "Tubercular Osteomyelitis of Tibia: A Case Report." Nepal Medical Journal 2, no. 1 (August 1, 2019): 92–94. http://dx.doi.org/10.37080/nmj.27.

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Tubercular osteomyelitis of long bone is extremely rare and very few cases have been reported in literature. We are presenting a case of 43 years gentlemen presented with pain and swelling over lower half of leg for 5 months. There was associated pus discharging sinus and often low-grade fever but no history of weight loss or pulmonary symptoms. X-ray chest was normal. X-rays of involved leg was suggestive of osteomyelitis. Curettage and Biopsy was done, report was suggestive of tuberculous osteomyelitis. As tuberculosis is still common in developing countries like Nepal, for any osteolytic lesion in bone, tubercular osteomyelitis should always be considered in differential diagnosis. Keywords: extrapulmonary tuberculosis; osteolytic lesion in bone; tubercular osteomyelitis.
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Puspita Arum, Purwa, and Panji Wibowo Nurcahyo. "PERANAN PROYEKSI STITCH VIEW LONG LEG PADA PEMERIKSAAN KNEE JOINT DENGAN INDIKASI OSTEOARTHRITIS." JRI (Jurnal Radiografer Indonesia) 4, no. 2 (November 29, 2021): 70–73. http://dx.doi.org/10.55451/jri.v4i2.90.

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ABSTRACT Introduction: Long Leg View is an x-ray examination of all parts of the lower extremity using a long vertical cassette which aims to measure the angle between the mechanical axis of the femur and tibia. Knee Joint examination with indications of osteoarthritis at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta uses supine AP projection, Lateral recumbent, Skyline, and Stitch View Long Leg. Methods: This research is a qualitative research with a case study approach. Collecting data by means of observation, documentation, and in-depth interviews with patients, sending doctors, radiologists, and radiographers. Data collection was carried out in March 2018 at the Radiology Installation of Dr. RSUP. Sardjito Yogyakarta. The data obtained were analyzed using an interactive model. Results: On the Stitch View Long Leg examination at the Radiology Installation, Dr. Sardjito Yogyakarta uses a collimation area from the pelvis to the ankle joint. According to the resident doctor of orthopedic surgery and traumatology, Dr. Sardjito Yogyakarta, Stitch View Long Leg is able to see the shape of the foot formation, namely the O formation or X formation. In addition, according to radiology specialists, looking at the alignment deviation of the lower extremities can be used to assess the grade of osteoarthritis. Under normal conditions, the anatomical axis of the femur and tibia forms an angle of 6º ± 2º, while the mechanical axis line under normal conditions is 8 mm ± 7 mm medial to the center of the knee joint line. The alignment of varus and valgus has been associated with the development of medial or lateral osteoarthritis. Conclusion: Stitch View Long Leg aims to assess the grade of osteoarthritis through assessment of lower extremity alignment deviations, see the overall mechanical and anatomical alignment of the lower extremities, help determine the calculation of the angle of bone cutting during Total Knee Replacement surgery, and see the right and left symmetrical balance of genu.
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Savin, Liliana, Olivera Lupescu, A. Patrascu, D. Mihailescu, V. Grigorescu, T. Zlate, Dana Nicoleta Mihai, Carmen Grierosu, and P. Botez. "Implantarea componentelor protetice axata pe planningul radiologic in diformitatile genunchiului in valgus." Materiale Plastice 54, no. 1 (March 30, 2017): 79–82. http://dx.doi.org/10.37358/mp.17.1.4790.

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The present study evaluates the radiologic particularities of deformities in valgus that are necessary for a correct positioning in frontal and rotational plane of the prosthetic components and for a long term life of the polyethylene and the prosthetic implant. Long leg X-ray performed in orthostatism can evaluate the type and degree of the deformity in frontal plane, it can establish the osteotomy cuts and the necessity of ligament release. The anterior-posterior radiologic incidence of the knee in flexion of 900 evaluates the individual rotational profile by calculating the torsion of the distal femoral. Although the frequency of deformity in valgus is more reduced, it presents important clinical and radiologic particularities for the surgical technique.
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Ahmad, Javed, Mohit Kumar Singh, Brij Mohan Patel, Vivek Shrivastava, Amit Kumar Rajan, and Satyajeet Verma. "Long standing Brodie’s abscess of the diaphysis of the upper tibia in a young male." IP International Journal of Orthopaedic Rheumatology 8, no. 2 (January 15, 2023): 93–96. http://dx.doi.org/10.18231/j.ijor.2022.019.

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Brodie’s abscess is a long standing localized form of osteomyelitis seen in cases where either the virulence of the infecting organism is low or the immunity of the host is good. Brodie’s abscess is relatively uncommon type of osteomyelitis that is a diagnostic challenge due to its indolent onset and limited systemic response. We here present a case of Brodie’s abscess in a young male with long standing pain and swelling over the right upper leg from 8 years. The diagnosis was made on X-Ray showed a large osteolytic lesion in the upper tibia with surrounding sclerosis and supported by the CT scan and confirmed by the open biopsy and curettage. On bone drilling frank pus came out and culture showed Staphylococcus aureus. Post-operatively the patient was managed by prolonged course of antibiotics. In this case patient showed complete resolution of symptoms with no signs of recurrence.
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McWilliams, Anthony B., Anastasios Lampropoulos, and Martin H. Stone. "Revision surgery for leg length inequality after primary hip replacement." HIP International 28, no. 5 (June 5, 2018): 554–58. http://dx.doi.org/10.1177/1120700017752568.

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Background: We discuss the surgical results of revision surgery for patients with refractory symptomatic leg length inequality (LLI) after primary hip replacement. Methods: This is a retrospective review of 21 patients who underwent revision for LLI after primary total hip replacement. All of them were referred to a tertiary clinic between 2006 and 2015. Leg length was measured, to the nearest mm, using Woolson’s validated X-ray technique which references to centre of femoral rotation, the acetabular teardrop and the midpoint of the lesser trochanter. The post-operative clinical assessment using a modified D’Aubigne and Postel scoring system investigated the pain, function, and satisfaction after surgery. Results: The mean pre-revision LLI was 16.2 mm (8–30 mm). The mean post revision operation leg length inequality was 2.0 mm (12 mm short to 9 mm long). The mean post-operative D’Aubigne and Postel scores, achieved at a mean 12 months (6–30 months), were; pain 5.2 (3–6), function 4.6 (3–6) and satisfaction 4.4 (3–5). Following revision surgery 20 out of 21 (95%) patients were satisfied with the improvement in LLI. Conclusion: Revision surgery for LLI, while it may not resolve all of the pain that the patient presents with, it is a successful treatment for patients who do not respond to conservative management of their LLI.
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Vukasinovic, Zoran, Dusko Spasovski, Igor Seslija, Ismet Gavrankapetanovic, Elvir Bazdar, and Zorica Zivkovic. "Congenital pseudarthrosis of lower leg treated by almost outdated method: Case report." Srpski arhiv za celokupno lekarstvo 142, no. 1-2 (2014): 89–93. http://dx.doi.org/10.2298/sarh1402089v.

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Introduction. Congenital pseudarthrosis of tibia is a rare congenital deformity with progressive evolution. Treatment is vague and difficult, and many methods have been used - from once mandatory early amputation to contemporary operative (Ilizarov method, free microvascular fibular graft) and adjuvant methods (electrostimulation, biphosphonates, bone morphogenetic protein). We present the usage of once popular method of homologous graft insertion and intramedullary fixation. Case Outline. This is a case report of male patient with pseudarthrosis involving both crural bones (Boyd type 5), diagnosed in neonatal age. Early conservative treatment was unsuccessful, so child never initiated gait. At the age of three and a half years, operative treatment was applied: resection of pseudarthrosis on both tibia and fibula, and osteoplasty of tibia using cylindric homologous graft and intramedullary fixation with transtarsal Steinman pin, followed by long leg cast immobilization. Pin was removed after ten months, and physical therapy was initiated 1.5 year after surgery, with initial to partial weight bearing and short leg cast throughout another year. Two and a half years after surgery complete union of graft was documented, and then full weight bearing was allowed. At final visit, five years and three months after surgery, shin axis was correct, leg lengths were equal, and child had normal walk with full range of motion. X-ray showed complete union of both tibia and fibula. Conclusion. Despite bad prognostic factors (young age, severe deformity), utilization of obsolete and almost forgotten treatment methods can provide excellent result.
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10

Maciunas, Robert J., and Burton M. Onofrio. "The long-term results of chymopapain chemonucleolysis for lumbar disc disease." Journal of Neurosurgery 65, no. 1 (July 1986): 1–8. http://dx.doi.org/10.3171/jns.1986.65.1.0001.

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✓ The long-term clinical outcome is evaluated for 268 patients after chymopapain chemonucleolysis for radicular complaints referrable to documented intervertebral disc disease. The follow-up period for 92% of these patients was 10 years. No complications due to chymopapain toxicity were observed; 80.1% of patients were relieved of their presenting radicular leg pain and 75.1% were employed at a capacity equal to or more strenuous than before injection. Chemonucleolysis was demonstrated to be a safe and effective treatment modality, with long-term results that compare favorably with those of similarly selected patients undergoing open surgical procedures. In the patients whose chymopapain therapy failed, the outcome of subsequent open surgical procedures was not necessarily compromised by prior chemonucleolysis. A higher rate of failure and subsequent surgical intervention was seen in those patients with injections performed soon after an unsuccessful open procedure on the same side and at the same interspace, those with workmen's compensation or litigation pending, those with a history of work-related injury, those whose employment involved heavy manual labor or extensive driving, and those whose preinjection spine x-ray films indicated retrograde spondylolisthesis.
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Book chapters on the topic "Long-leg X-ray"

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Yu, Weimin, and Guoyan Zheng. "Atlas-Based 3D Intensity Volume Reconstruction from 2D Long Leg Standing X-Rays: Application to Hard and Soft Tissues in Lower Extremity." In Advances in Experimental Medicine and Biology, 105–12. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1396-7_9.

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