[Complications Following Treatment for Excessive Axillary Sweating With Microwaves: A Case Report]. / Complications D'Un traitement De L'Hyperhydrose Axillaire Par Micro-Ondes: À Propos D'Un Cas.

Excessive axillary sweating is a frequent reason for seeking consultation in aesthetic medicine. Botulic toxin therapies have been used for years for this condition. A microwave-based treatment (MiraDry®) has been used in France since 2011. We present the case of a patient who developed complications following such a treatment for excessive axillary sweating, namely dermal detachment, subcutaneous collections, dermal thickening, retractile scars responsible for pain and limitation of axillary amplitudes. These complications mimic the natural evolution of deep axillary burns. In this paper, we propose a management method for patients with this type of complication.

[Fasciocutaneous flap reliable by deep femoral artery perforator for the treatment of ischial pressure ulcers]. / Lambeau fasciocutané sous fessier fiabilisé par une perforante de l'artère fémorale profonde en reconstruction d'escarre ischiatique.

INTRODUCTION: The surgical management of pressure ulcers in the paraplegic or quadriplegic population is marked by the high risk of recurrence in the long-term. In the current era of perforator flaps, newer reconstructive options are available for the management of pressure ulcers, decreasing the need to use the classically described muscular or musculocutaneous locoregional flaps. The coverage of ischial sores described in this article by a pedicled flap based on a deep femoral artery perforator, appears to be an effective first-line reconstructive option for the management of limited size pressure ulcers. PATIENTS AND METHOD: A number of fifteen paraplegic or quadriplegic patients having at least one ischial bed sore with underlying osteomyelitis were included in this series. The approximate location of the deep femoral artery perforator was initially identified using the "The Atlas of the perforator arteries of the skin, the trunk and limbs", which was confirmed, with the use of a Doppler device. A fasciocutaneous transposition flap was elevated, with the pivot point based on the cutaneous bridge centered on the perforator, and then transposed to cover the area of tissue loss. The donor site was closed primarily. RESULTS: A total of fifteen patients were operated from November 2015 to November 2016. The series comprised of 16 first presentations of a stage 4 pressure ulcers associated with underlying osteomyelitis that were subsequently reconstructed by the pedicled deep femoral artery perforator flap. The healing rate and functional results were both satisfactory. CONCLUSION: Fasciocutaneous flap reliable by deep femoral artery perforator appears to have a promising role in the treatment of ischial pressure sores. It is an attractive option to spare the use of musculocutaneous flaps in the area. Thus this flap could be used as a first-line option to cover ischial pressure ulcers of limited size.

Site-specific conjugation of drug-like fragments to an antimiR scaffold as a strategy to target miRNAs inside RISC.

We synthesized a miR-122 antimiR library in which drug-like fragments were site-specifically introduced to short 2'-O-methyl-RNAs. At some sites selected fragments elevated cellular antimiR activity to that of an unmodified 23mer antimiR, whereas at others the same fragments abolished activity. The potency of the antimiRs correlated with uptake into miRISC.

[Living conditions and mortality in the elderly after surgical management of para-articular hip fractures]. / Lebensbedingungen und Letalität alter Menschen nach operativer Versorgung hüftnaher Oberschenkelbrüche.

While hemiendoprothesis has been established in the treatment of hip fractures of aged people because of less operative trauma, better effectiveness and satisfying functionality, surgical management of trochanteric fractures is still in discussion. In our study, we found no severe difference of living conditions or mortality after operating elderly patients with proximal femoral fractures comparing Hemiprotheses versus Endernails versus Dynamic Hip Screws.

[Simultaneous corpus fractures of the os triquetrum and os hamatum diagnosed by magnetic resonance tomography. A case report]. / Die simultanen Korpusfrakturen des Os triquetrum und des Os hamatum diagnostiziert durch Kernspintomographie. Eine Fallbeschreibung.

We are reporting the case of a patient with a rare fracture of the corpus of the triquetrum after falling on the ulnar abducted and extended hand. The magnetic resonance imaging (MRI) of the wrist surprisingly showed an additional fracture of the hamate.

[Isolated proximal fibula fracture in Marfan syndrome]. / Isolierter proximaler Wadenbeinbruch beim Marfan-Syndrom.

An isolated fracture of the proximal fibular shaft without associated tibial or ankle injury and without resulting from direct violence is extremely rare. This report presents a case of an unusual isolated proximal fibular fracture (stress-fracture) in a female tennis-player with Marfan-syndrome. The literature is reviewed and diagnosis, treatment and etiology are discussed.