Endoscopic calcaneoplasty for the treatment of Haglund’s deformity provides better clinical functional outcomes, lower complication rate, and shorter recovery time compared to open procedures: a systematic review

2020 ◽  
Author(s):  
Mattia Alessio-Mazzola ◽  
Antonio Russo ◽  
Andrea Giorgio Capello ◽  
Stefano Lovisolo ◽  
Ilaria Repetto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Complication Rate ◽  
Functional Outcomes ◽  
Recovery Time ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Haglund’S Deformity

Arthroscopic superior capsular reconstruction versus latissimus dorsi transfer for irreparable rotator cuff lesions: a systematic review

2020 ◽  
Vol 134 (1) ◽  
pp. 85-96
Author(s):  
Leonardo Osti ◽  
Lorenzo Milani ◽  
Emanuele Gerace ◽  
Sara Padovani ◽  
Leo Massari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Complication Rate ◽  
Latissimus Dorsi ◽  
Latissimus Dorsi Transfer ◽  
Superior Capsular Reconstruction ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Rotator Cuff Lesions ◽  
Meta Analyses

Abstract Introduction The present systematic review compared arthroscopic superior capsular reconstruction (ASCR) and latissimus dorsi transfer (ALDT) for the management of massive irreparable rotator cuff lesions. Sources of data We performed a systematic review searching the literature on Medline, Cochrane and Scopus databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Areas of agreement We included a total of 20 articles, 10 on ASCR and 10 on ALDT (12 retrospective and 8 prospective studies), all published between 2013 and 2019. Areas of controversy ASCR and ALDT are technical demanding procedures. When compared to each other, they do not produce significantly different improvements in clinical outcome. Growing points Both ASCR and ALDT are valid options for surgical management of MIRCLs. Although ALDT has shown a greater complication rate and a less improvement in acromion-humeral distance, its clinical outcomes overlap those obtained with ASCR. Areas timely for developing research Further comparative prospective and retrospective studies with longer follow-up could confirm which surgical procedure can lead to better outcomes with a lower complication rate.

scholarly journals Clinical Outcomes of Interposition Graft Versus Superior Capsular Reconstruction in Patients With Irreparable Rotator Cuff Tears: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (9) ◽  
pp. 232596712110222
Author(s):  
Samuel Baek ◽  
Myung Ho Shin ◽  
Tae Min Kim ◽  
Je Min Im ◽  
Kyung-Soo Oh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Complication Rate ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Superior Capsular Reconstruction ◽  
Surgical Methods ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Retear Rate

Background: Interposition grafting (IG), also called bridging grafting, and superior capsular reconstruction (SCR) are the most commonly used joint-preserving surgical methods for irreparable rotator cuff tears (RCTs). Purpose: To compare the effectiveness of IG versus SCR to treat patients with irreparable RCTs. Study Design: Systematic review; Level of evidence, 4. Methods: A literature search was performed in MEDLINE, Embase, and Scopus. Included in this review were clinical studies evaluating the effect of IG or SCR in patients with irreparable RCTs with a minimum follow-up of 1 year. Various clinical results from the studies were extracted and compared between IG and SCR, and among them, the results of the American Shoulder and Elbow Surgeons score, graft retear rate, and complication rate were included in the meta-analysis. Results: Of 1638 identified articles, 17 (10 studies of IG involving 321 patients and 7 studies of SCR involving 357 patients) were selected. Both surgical methods showed significantly improved clinical outcomes in all but 1 study; however, the IG group had lower pain visual analog scale score, higher Constant score, and bigger active forward flexion and internal rotation compared with the SCR group (all P < .001). The meta-analysis showed no difference in the American Shoulder and Elbow Surgeons score between groups ( P = .44), but showed a significantly lower complication rate in the IG group compared with the SCR group (1.12% vs 8.37%, respectively; P < .001). The graft retear rate was not significantly different between groups (IG = 10.64% vs SCR = 12.67%; P = .79). The meta-analysis of graft type indicated no difference between groups in retear rate (autograft: 95% CI, 0.045-0.601; I2 = 93.28 [IG], 91.27 [SCR]; P = .22; allograft: 95% CI, 0.041-0.216; I2 = 80.39 [IG], 69.12 [SCR]; P = .64) or complication rate (autograft: 95% CI, 0.009-0.150; I2 = 0 [IG], 65.89 [SCR]; P = .25; allograft: 95% CI, 0.012-0.081; I2 = 0 [IG], 30.62 [SCR]; P = .09). Conclusion: Both IG and SCR techniques resulted in improvement in patients with irreparable RCTs. Meta-analysis showed a lower complication rate in the IG group; however, the lack of randomized studies limited our conclusions.

Conventional Detachment Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

2019 ◽  
pp. 187-196
Keyword(s):  
Retinal Detachment ◽  
Complication Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Conventional Surgery ◽  
Surgical Method ◽  
Retinal Detachment Surgery ◽  
Lower Complication ◽  
Lower Complication Rate

Conventional surgery with a lower complication rate is recommended in cases of rhegmatogenous retinal detachment. Conventional retinal detachment surgery is still an appropriate technique for the treatment of most of the cases with rhegmatogenous retinal detachment even today. The main steps of the conventional retinal detachment surgeries are cryopexy, scleral buckling, encircling, and removal of subretinal fluid. Successful results have been reported in this surgical method in uncomplicated cases. This review mentions about the conventional detachment surgery in the main aspects.

scholarly journals Evaluation of the complications in laparoscopic retroperitoneal radical nephrectomy; An experience of high volume centre

2017 ◽  
Vol 89 (4) ◽  
pp. 266 ◽  
Author(s):  
Ali Serdar Gozen ◽  
Vitalie Gherman ◽  
Yigit Akin ◽  
Mustafa Suat Bolat ◽  
Muhammad Elmussareh ◽  
...  
Keyword(s):  
Learning Curve ◽  
Complication Rate ◽  
Radical Nephrectomy ◽  
High Volume ◽  
Safe Procedure ◽  
Number Of Patients ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Group A ◽  
Group B

Objectives: To provide a standardised report of complications after retroperitoneal laparoscopic radical nephrectomy (rLRN) in a high-volume centre using Clavien-Dindo classification. Materials and methods: We analysed records maintained in a prospective database of 330 consecutive patients that underwent rLRN between March 1995 and September 2016. All complications were graded according to the modified Clavien-Dindo classification. Three generations of surgeons were defined and the learning curve in rLRN was evaluated by comparing the first 100 cases (Group A) performed by firstgeneration surgeons with the last 100 cases (Group B) by thirdgeneration surgeons. Results: The mean age of our cohort was 66 ± 11.9 years. The overall complication rate was 19.7%. The majority of complications (12.7%) were Clavien 1 (5.1%) and Clavien 2 (7.6%) and did not require any interventions; blood transfusion was the most frequently encountered intervention (4.8%). Half of which were because of major intraoperative bleeding. Mortality rate was 0.9%. We found a trend towards lower complication rate in group B (19%) compared to group A (23%); this was mainly because of the reduction in the incidence of Clavien 1 and 2 complications. The pathological stage varied significantly in the two groups while the rate of negative surgical margins was comparable. Conclusions: rLRN is a safe procedure with an acceptable rate of complications. The learning curve was shorter for the thirdgeneration surgeons (group B); although these surgeons operated on a significantly higher number of patients with more advanced diseases. The Clavien-Dindo classification is suitable for assessing rLRN complications. Adopting this standardised system can help in the evaluation and comparison of surgical quality of LRN series.

Early nasojejunal feeding in acute pancreatitis is associated with a lower complication rate

Nutrition ◽  
2002 ◽  
Vol 18 (3) ◽  
pp. 259-262 ◽  
Author(s):  
Attila Oláah ◽  
Gáabor Pardavi ◽  
Tibor Beláagyi ◽  
Attila Nagy ◽  
ÁAkos Issekutz ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Complication Rate ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Nasojejunal Feeding
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