The patient was treated through resection of the left hemipelvis involving monobloc arthrectomy
, followed by prosthetic reconstruction, coupled with treatment with Albendazole for two months before surgery and for three months after surgery.
She was referred to a surgical procedure of L2-L3 left partial interhemilaminectomy, wide arthrectomy
, L2-L3 microdiscectomy and interspinous arthrodesis (realized with Aspen, Lanx, Inc., Broomfield, CO, USA), and L2 and L3 nerve roots adhesiolysis.
Diabetic patients with compromised renal function or renal failure present a special challenge, both as far as preoperative or diagnostic angiography is concerned, and also with regard to complex interventional procedures such as remote arthrectomy
, balloon angioplasty and stenting.
Surgical treatment was sometimes indicated in bone and joint disease and involved arthrectomy
(opening the joint), erasion (the clean scraping of the joint of tubercular matter in an effort to save function), trephining (removal of a section of bone), and drainage of the joint by aspiration or, if an open lesion, by gravity; extensive disease required amputation of the limb.
The part on interventional procedures is very good and includes the latest arthrectomy
procedures and equipment.