Hepatocellular carcinoma is the commonest primary liver tumor and its incidence is on an increase. Transplantation and surgical resection are the gold standard curative treatment options but less than 20%patients are surgical candidates because of advanced liver disease and/ or co-morbidities.Various interventional radiological procedures have been developed and intensively investigated for treatment of inoperable HCC.This review summarizes the various interventional radiological treatments in HCC including patient selection, procedural considerations and response evaluation. Transarterial chemoembolization, radioembolization and radiofrequency ablation are mainly discussed.
BACKGROUND Supracondylar fracture of femur occurs in a variety of situations. In high velocity trauma, the impact is so high that these fractures occur with comminution and compromised soft tissue cover.
MATERIALS AND METHODSOur study consists of 29 cases of supracondylar fractures of femur with intercondylar extension, wherein fracture reduction is required in all planes. We have performed these surgeries with one approach and manoeuvring the multiple fragments for alignment by limiting the dissection, for distal femoral plate, for this study.
RESULTSWe could reduce the fragments with near anatomical congruity at the distal femur with single approach.
CONCLUSIONHigh impact supracondylar fractures can be reduced with anterolateral approach and manoeuvring the fragments on medial condyle with limited dissection, by keeping the Gastrocnemius in relaxed position. It saves another incision and soft tissue cover on the medial side and the skin which has already suffered from the impact of the trauma.
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