Surgical treatment of ankle and foot fractures in the elderly

2004 ◽  
Vol 16 (S02) ◽  
pp. S103-S106 ◽  
Author(s):  
J. Kettunen ◽  
H. Kröger
Keyword(s):  
Surgical Treatment ◽  
The Elderly ◽  
Foot Fractures ◽  
Ankle And Foot

scholarly journals Impact of Surgical Resection and Reasons for Poor Prognosis of Pelvic Osteosarcoma Based on the Bone Tumor Registry in Japan

Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3320
Author(s):  
Satoshi Takenaka ◽  
Hironari Tamiya ◽  
Toru Wakamatsu ◽  
Sho Nakai ◽  
Yoshinori Imura ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Propensity Score ◽  
Surgical Resection ◽  
Bone Tumor ◽  
Poor Prognosis ◽  
Propensity Score Analysis ◽  
The Elderly ◽  
Tumor Stage ◽  
Tumor Registry ◽  
Score Analysis

Pelvic osteosarcoma has a poor prognosis compared to osteosarcomas in other locations, and the reasons for this remain unknown. Surgical resection of pelvic osteosarcoma is technically demanding and often results in dysfunction and complications. In this study, we investigated the reasons underlying the poor prognosis of pelvic osteosarcoma by comparing it to femoral osteosarcoma using data from the Bone Tumor Registry in Japan. We used propensity score analysis to determine whether surgical resection of pelvic osteosarcoma improved its prognosis. We demonstrated that pelvic osteosarcoma had a poor prognosis because it occurred more often in the elderly, often had larger tumor size, and had metastasis at presentation more often in comparison to femoral osteosarcoma. These three factors were also associated with the non-surgical treatment of pelvic osteosarcoma, which also led to a poor outcome. The overall survival rate was only comparable in pelvic osteosarcoma and femoral osteosarcoma in cases treated with surgical resection. Propensity score analysis revealed that surgical treatment improved the prognosis of pelvic osteosarcoma. As such, we propose that surgical resection should be considered based on tumor stage and patient age in order to improve the prognosis of pelvic osteosarcoma.

Surgical treatment of acute complicated diverticulitis in the elderly

2020 ◽  
Vol 74 (6) ◽  
Author(s):  
Roberto Cirocchi ◽  
Riccardo Nascimbeni ◽  
Gian A. Binda ◽  
Nereo Vettoretto ◽  
Rosario Cuomo ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
The Elderly ◽  
Complicated Diverticulitis

Surgical Treatment of Midclavicular Fractures in the Elderly: A Comparison of Locking and Nonlocking Plates

Orthopedics ◽  
2009 ◽  
Vol 32 (4) ◽  
pp. 257-262 ◽  
Author(s):  
Hsin-Te Pai ◽  
Yih-Shiunn Lee ◽  
Chyi-Yin Cheng
Keyword(s):  
Surgical Treatment ◽  
The Elderly

scholarly journals Differences in 30- and 90-Day Readmission Rates After Surgical Treatment for Lumbar Degenerative Disc Disease in Elderly Patients (³ð65 Years): A National Readmission Database Study

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Aladine A Elsamadicy ◽  
Andrew B Koo ◽  
Megan Lee ◽  
Adam Kundishora ◽  
Joaquin Q Camara-Quintana ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Degenerative Disc Disease ◽  
Postoperative Infection ◽  
Lumbar Fusion ◽  
The Elderly ◽  
Disc Disease ◽  
Readmission Rates ◽  
Posterior Lumbar Fusion ◽  
Degenerative Disc

Abstract INTRODUCTION For spine surgery performed for degenerative disc disease (DDD), a paucity of nationwide studies exists describing common complications and readmission rates. The aim of this study was to investigate the differences and complications associated with 30- and 90-d readmissions following surgical treatment for lumbar DDD in the elderly. METHODS The Nationwide Readmission Database years 2013 to 2015 was queried. Elderly patients (>65 yr old) undergoing anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLIF)/posterolateral lumbar fusion (PLF), or anterior and posterior lumbar fusion (APLF) for lumbar DDD were identified. Unique patient linkage numbers were used to follow patients and identify 30- and 31 to 90-d readmission rates. Patients were grouped by no readmission (Non-R), readmission within 30 d (30-R), and readmission within 31 to 90 d (90-R). RESULTS We identified 11 651 elderly patients undergoing ALIF, PLIF/PLF, or APLF for lumbar DDD, with 1213 (10.4%) patients encountering a readmission (30-R: n = 812[7.0%]; 90-R: n = 401[3.4%]; Non-R: n = 10 438). The greatest proportion of each cohort had 2 to 3 vertebral levels fused (30-R: 63.7%, 90-R: 69.2%, Non-R: 70.2%). Iliac crest bone graft was the most common fusion agent used (30-R: 59.9%, 90-R: 51.4%, Non-R: 53.5%), followed by bone morphogenetic protein (30-R: 24.6%, 90-R: 22.9%, Non-R: 21.2%). The most common inpatient complications observed were acute posthemorrhagic anemia (30-R: 26.6%, 90-R: 22.3%, Non-R: 18.2%), postoperative infection (30-R: 6.2%, 90-R: 9.7%, Non-R: 3.5%), and genitourinary complication (30-R: 7.7%, 90-R: 2.7%, Non-R: 3.5%). The most prevalent 30- and 90-d complications seen among the readmitted cohort were postoperative infection (30-R: 18.7%, 90-R: 8.9%), device complications (30-R: 5.2%, 90-R: 9.1%), and sepsis (30-R: 6.9%, 90-R: 4.9%). On multivariate regression analysis, obesity, chronic pulmonary disease, smoking, and any complication during index admission were independently associated with 30-d readmission; private insurance and coagulopathy were independently associated with 90-d readmission. CONCLUSION Our study suggests that 30- and 90-d readmissions for treatment of lumbar DDD in the elderly are common, and that multiple patient-level factors independently predict hospital readmission.

Ankle and Foot Fractures and Dislocations

2017 ◽  
pp. 113-128
Author(s):  
Marta Massada ◽  
Gino Kerkoffs ◽  
Paulo Amado
Keyword(s):  
Foot Fractures ◽  
Ankle And Foot

scholarly journals Analysis of risk factors of the postoperative complications of surgical treatment of ankle fractures in the elderly: A series of 477 patients

2016 ◽  
Vol 102 (4) ◽  
pp. S245-S248 ◽  
Author(s):  
Y. Varenne ◽  
J. Curado ◽  
Y. Asloum ◽  
E. Salle de Chou ◽  
F. Colin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
The Elderly ◽  
Ankle Fractures

Surgical Treatment of Heart Failure in the Elderly

2007 ◽  
Vol 3 (4) ◽  
pp. 501-509
Author(s):  
Ramin Malekan ◽  
Steven L. Lansman
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
The Elderly

scholarly journals Surgical Treatment of Cervical Spondylosis in the Elderly: Surgical Outcomes, Risk Factors, and Complications

2008 ◽  
Vol 48 (9) ◽  
pp. 377-382 ◽  
Author(s):  
Kazutoshi HIDA ◽  
Shunsuke YANO ◽  
Izumi KOYANAGI ◽  
Minoru AKINO ◽  
Toshitaka SEKI ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Surgical Outcomes ◽  
Cervical Spondylosis ◽  
The Elderly
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