The lateral approach is used for insertion of fixation devices after closed reduction of a proximal femoral fracture. Reduction of a displaced fracture is usually done with a fracture table, or alternatively a large distractor spanning the hip joint. After satisfactory reduction is confirmed by image intensifier, the lateral approach can be used for insertion of a sliding hip screw or multiple screws. The approach provides limited access to the lateral surface of the femur sufficient for hardware placement. The incision can be extended proximally to accommodate a trochanteric stabilizing plate (TSP), or even anteriorly so that it becomes an anterolateral approach with direct, although limited, access to the femoral neck.

Intraarticular Fracture Base of Thumb Metacarpal Surgery

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A pacemaker insertion is the implantation of a small electronic device that is usually placed in the chest (just below the collarbone) to help regulate slow electrical problems with the heart.

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http://tipps-gegen-cellulite.good-info.co --- Hausmittel Gegen Cellulite, Was Tun Gegen Cellulite Am Po Und Oberschenkel, Cellulite Po. Kann Man Cellulite Beseitigen? Aus offensichtlichen Gründen wollen alle Frauen Cellulite reduzieren. Neben dem unschönen Aussehen verschlechtert Cellulite deutlich die Sicherheit und das Selbstwertgefühl von Frauen. Fast alle Frauen leiden, gelitten haben oder werden die "Orangenhaut" an irgendeinem Punkt in ihrem Leben leiden. Die Suche nach einer Lösung für dieses Problem ist immer in den Köpfen der Frauen gewesen. Um diese Suche zu erfüllen wurden verschiedene Produkte und Cremen entwickelt. Leider sind alle diese Produkte eine Lüge, weil sie nicht wirklich Cellulite reduzieren, sie sind abe reine vorübergehende Lösung, die unsere Haut entzündet und die Cellulite für eine bestimmte Zeit versteckt. Diese partielle Lösungen machen uns Sklaven dieser Produkte, die uns dazu zwingen, um sie lebenslang zu konsumieren. Abgesehen von das, was die Websites oder Informationen Quellen sagen, ist Cellulite nicht eine andere Art von Fett und es ist auch nicht durch eine schlechte Durchblutung oder Flüssigkeitsretention verursacht. Cellulite ist nicht anders als gewöhnliche Fett, das aus dem Gewebe herausragt, und das ist der Grund, warum es diesen Aussehen von "Brunnen" haben. Wenn alle Produkte nicht funktionieren? Wie beseitige ich meine Cellulite? Nun, um Ihre Cellulite zu reduzieren, ist es sehr wichtig die ursächlichen Faktoren zu behandeln. Wie oben erwähnt, ist die Hauptursache hormonellen Ungleichgewichten, die die Kollagenfasern der Haut abbauen und die Fettspeicherung im Körper erhöhen. Um die Situation zu kontrollieren, müssen Sie einige Änderungen in Ihrem täglichen Leben und täglichen Ernährung machen. Es ist ganz einfach: wenn Sie eine richtige Ernährung führen und Sie kombiniert es mit der richtige Art von Übungen, wird Ihre Cellulite verschwinden. Sie sollen langsame kardiovaskulären Übungen in Zusammenhang mit Widerstand Übungen machen. Wenn Sie diese Aktivitäten in Ihrem täglichen Leben zusammen mit einer gesunden Ernährung kombiniert können, dann können Sie Ihr hormonelle Veränderungen unter Kontrolle haben. Klicken Sie hier, um mehr zu erfahren http://tipps-gegen-cellulite.good-info.co

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This video may contain images of a medical doctor providing emergency care for a patient.

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t’s the brain, after all, that devises experiments and interprets their results. How the brain perceives, how it makes decisions and judgments, and how those judgments can go awry are at least as important to science as knowing the intricacies of nonbiotic experimental machinery. And as any brain scientist will tell you, there’s still a long way to go before understanding the brain will get crossed off science’s to-do list. But there has been progress. A recent special issue of the journal Neuron offers a convenient set of “perspective” papers exploring the current state of understanding of the brain’s inner workings. Those papers show that a lot is known. But at the same time they emphasize that there’s a lot we don’t know.

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Nasal catheter YAMIK - is a new drug delivery sistem for topical treatment for sinusitis. The introduction of a large volume of the #drugsolution directly into all the paranasal #sinuses - provides new opportunities in the #treatment of #sinusitis! #YamikprocedureNasal catheter YAMIK is a new device for topical sinonasal delivery of medication during rhinosinusitis treatment. Administration of therapeutic solution with YAMIK catheter is called YAMIK procedure. The following features differs YAMIK procedure from all other topical sinonasal delivery techniques: - Medication is delivered into the all paranasal sinuses at one side of nose regardless of their involvement in the inflammatory disease. -Specific position of patient’s head. Patient should lay on the side of of the sinuses, into which solution will be administered. This position is physiological and comfortable for patients, including children and elders. The LHL position was suggested to be the most favorable position for patients to adopt - Therapeutic solutions reliably penetrates into without previous sinus surgery sinuses with natural ostia size. - Paranasal sinuses are filling with medicinal solution by gravity. To accelerate process, it is used small pressure gradient, which created by motion of syringe plunger with amplitude 1 - 2 ml during administration of solution. - It is provided contact of the whole sino-nasal mucosa with medication. - Prolonged time of the contact of sino-nasal mucosa with medicine provides administration of the therapeutically significant dose. Therapeutic solution administered into paranasal sinuses is considered as a STORE. Thanks to affect mucociliary clearance, therapeutic solution is gradually evacuated from sinuses through ostia. Thereby, prolonged nasal irrigation is performed. - Due to extended contact with saline (NaCl 0,9%), viscous colloidal pathological substance filling paranasal sinuses is dissolved. As a result, its viscosity decreases, and substance is removing by mucociliary clearance. Thereby, drainage function of the ostia are returned some time after finish YAMIK method procedure. -The procedure is performing under local anesthesia. - There is no need in active involvement of the patient. Blowing, pronouncing any sounds like “cuckoo”, holding any things and so on is unnecessary. If is performed by a qualified medical professional the procedure is more effective. - Medication contacts only with nasal passages and paranasal sinuses. Thus, it is provided topical drug therapy. - YAMIK procedure is call sinonasal delivery techniques of a therapeutic solution. It differs from nasal techniques, because medicinal solution contacts not only with nasal mucosa, but with mucous membrane of paranasal sinuses. - The only used drug formulation is a solution. - It is possible non-invasive sample extraction from mucosa of paranasal sinuses (for bacteriological, immunological, cytological and a number of others investigation methods).

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