scholarly journals Evaluation of functional outcomes following rectus diastasis repair—an up-to-date literature review

Hernia ◽  
2021 ◽  
Author(s):  
A. Olsson ◽  
O. Kiwanuka ◽  
G. Sandblom ◽  
O. Stackelberg
Keyword(s):  
Functional Outcome ◽  
Functional Disability ◽  
Surgical Techniques ◽  
Original Data ◽  
Abdominal Muscle ◽  
Core Stability ◽  
Assessment Instruments ◽  
Functional Changes ◽  
Rectus Diastasis ◽  
Functional Aspects

Abstract Introduction Over the last decade rectus diastasis has gained attention as a condition that may benefit from surgery. Numerous surgical techniques have been presented but scientifically proper studies reporting functional outcome are few and evidence is incomplete. The aim of this up-to-date review is to analyse the outcomes of rectus diastasis repair in recently published papers, focusing on functional changes following surgery. Method A comprehensive search in PubMed and Web of Science was performed. Suitable papers were selected using titles and abstracts with terms suggesting surgical treatment of rectus diastasis. All abstracts were scrutinised, and irrelevant studies excluded in four stages. Reports providing original data, including outcome assessment following surgery, were included. Result Ten papers with a total of 780 patients were found to fulfil the search criteria. Study design, surgical procedure, follow-up time, functional outcome and assessment instruments were compiled. All included studies reported improvements in a variety of functional aspects regardless of surgical method. The outcomes assessed include core stability, back pain, abdominal pain, posture, urinary incontinence, abdominal muscle strength and quality of life. Conclusion The results of this review show that surgical repair of rectus diastasis is a safe and effective treatment that improves functional disability. However, the absence of standardized instruments for assessing outcome makes it impossible to compare studies. Since indications for surgery are relative and related to core function, valid instruments for assessing indication and outcome are needed to ensure benefit of the procedure.

Subtotal Pedal Amputations

2001 ◽  
Vol 91 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Christopher Funk ◽  
Gregg Young
Keyword(s):  
Functional Outcome ◽  
Diabetic Foot ◽  
Surgical Techniques ◽  
Surgical Correction ◽  
Proper Treatment ◽  
Review Of The Literature ◽  
Human Foot

Proper treatment for the compromised diabetic foot often requires surgical correction and subtotal pedal amputation. This article discusses various levels of amputation of the human foot, including digital, ray, transmetatarsal, midfoot, and Syme amputations. Surgical techniques and biomechanical considerations are presented in order to assist the surgeon in planning for the most functional outcome of the patient. A review of the literature and the experiences of the authors are presented. (J Am Podiatr Med Assoc 91(1): 6-12, 2001)

FUNCTIONAL OUTCOME OF DISTAL FEMORAL FRACTURES AND THEIR MANAGEMENT

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Raman Shrivastava ◽  
Namita Shrivastava
Keyword(s):  
Functional Outcome ◽  
Surgical Techniques ◽  
Femoral Fractures ◽  
Railway Track ◽  
Distal Femoral Fractures ◽  
Minimally Invasive Surgical ◽  
Fall From Height ◽  
Classification Management ◽  
A Prospective Study ◽  
Jawaharlal Nehru

Background: Fractures of distal end of femur are complex injuries which are difficult to manage. These fractures often are unstable and comminuted. Despite advances in surgical techniques and improvement in implants, treatment of distal femoral fractures remains a challenge in many situations. This study was done to analyse the functional outcome and this management of distal femoral fractures. Material & Methods: This study has been done between August 2008 to March 2010 on patients coming to Orthopaedics Department at Jawaharlal Nehru Hospital and Research Center, Bhilai. It is a prospective study which includes 25 patients with 10 Type A, 7 Type B and 8 Type C fractures of distal femur after fulfilling the inclusion and exclusion criteria. Results: Mean age of 47.08 years with sex incidence of 3.17:1(M:F). Mode of injury was RTA in 16, simple fall in 6, fall from height in 2 and railway track accident in 1 patient. There were 5-A1, 1-A2, 4-A3, 3-B1, 1-B2, 3-B3, 1-C1, 4-C2 and 3-C3 fractures. Results were found to be excellent in 17, good in 1, moderate in 3 and poor in 4 patients. Conclusion: We conclude that minimally invasive surgical techniques and with the availability of locking type of plates distal femoral fractures can now be dealt with more precessions and more satisfactory results can be produced. Keywords: Distal fractures, Muller Classification, Management, Femoral fractures

scholarly journals A prospective study on surgical management of lumbar spondylolisthesis with pedicle screw fixation and posterolateral fusion

2017 ◽  
Vol 3 (6) ◽  
pp. 1113
Author(s):  
Bhanu Prabha Tattari ◽  
Vamshi Varenya Nimmagadda ◽  
Johorul Islam Tapadar
Keyword(s):  
Functional Outcome ◽  
Functional Disability ◽  
Sagittal Plane ◽  
Pedicle Screws ◽  
Pedicle Screw Fixation ◽  
Posterolateral Fusion ◽  
Autogenous Bone ◽  
Lateral Fusion ◽  
Lumbar Spondylolisthesis ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Spondylolisthesis is a subluxation of vertebral body over another in sagittal plane. Incidence of Spondylolisthesis in general population is 5-7%. No matter what the etiology is, patients usually have significant functional disability. Few studies have investigated the long term effect of pedicle screws fixation and posterolateral fusion on functional outcome. Objectives of this study were assessment of lumbar spondylolisthesis, the results of posterolateral fusion using autogenous bone graft from iliac crest and stabilization by pedicle screws fixation systemand to evaluate the clinical and radiological assessment of symptoms improvement and fusion rates of this procedure and functional outcome.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A total of 30 patients of lumbar spondylolisthesis who are operated upon with posterior stabilization using Pedicle Screws fixation and postero lateral fusion satisfying inclusion and exclusion criteria and followed up between February 2015 and January 2017</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included 30 patients; aged between 21 to 60 yrs with a mean age of 46 yrs. Average follow up was 17 months. Functional outcome assessment with Kirkadly-Willis criteria showed 90% of excellent to good outcome. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">We found in our study that posterolateral fusion with Pedicle Screws fixation minimizes dislocation, achieves adequate decompression, corrects the sagittal axis, and accomplishes fusion. We successfully achieved solid fusion with good mechanical alignment in majority of the patients.</span></p>

scholarly journals Functional Outcome of Stroke Patients, Correlation with Scandinavian Stroke Scale

2012 ◽  
Vol 23 (2) ◽  
pp. 53-56
Author(s):  
Keshav Dev
Keyword(s):  
Metabolic Syndrome ◽  
Risk Factor ◽  
Prospective Study ◽  
Functional Outcome ◽  
Barthel Index ◽  
Functional Disability ◽  
Stroke Patients ◽  
West Part ◽  
Factor Ratio ◽  
Stroke In Young

Abstract Present hospital based prospective study was conducted in Sawai Man Singh Hospital in Jaipur district of Rajasthan state (west part of India) during the year 2008-2009 to know functional outcome of stroke correlation with Scandinavian stroke scale score. Assessment severity of stroke on Scandinavian stroke scale (SSS) score and functional disability on Barthel Index (BI) were neasured. Out of 200 included cases 11 were dropped out and it was found that incidence of stroke in young individual is significantly less than older individual. Hypertension was most important risk factor. Ratio of R: U=1.38: 1, M: F=1.74: 1 and infarction: hemorrhage= 1.32: 1. Metabolic syndrome was a nonsignificant risk factor for women as well as men (p>0.005). The correlation between the SSS and on functionally outcome was significant (p<0.005).

Comparison of core stabilization techniques on ultrasound imaging of the diaphragm, and core muscle thickness and external abdominal oblique muscle electromyography activity

2021 ◽  
pp. 1-9
Author(s):  
Jaejin Lee ◽  
Dohyun Kim ◽  
Yoonkyum Shin ◽  
Chunghwi Yi ◽  
Hyeseon Jeon ◽  
...  
Keyword(s):  
Muscle Thickness ◽  
Random Order ◽  
Abdominal Muscle ◽  
Core Stability ◽  
Oblique Muscle ◽  
Abdominal Muscles ◽  
Amplitude Analysis ◽  
Core Stabilization ◽  
Co Activation ◽  
Pressure Biofeedback

BACKGROUND: To restore core stability, abdominal drawing-in maneuver (ADIM), abdominal bracing (AB), and dynamic neuromuscular stabilization (DNS) have been employed but outcome measures varied and one intervention was not superior over another. OBJECTIVE: The purpose of this study was to compare the differential effects of ADIM, AB, and DNS on diaphragm movement, abdominal muscle thickness difference, and external abdominal oblique (EO) electromyography (EMG) amplitude. METHODS: Forty-one participants with core instability participated in this study. The subjects performed ADIM, AB, and DNS in random order. A Simi Aktisys and Pressure Biofeedback Unit (PBU) were utilized to measure core stability, an ultrasound was utilized to measure diaphragm movement and measure abdominal muscles thickness and EMG was utilized to measure EO amplitude. Analysis of variance (ANOVA) was conducted at P< 0.05. RESULTS: Diaphragm descending movement and transverse abdominis (TrA) and internal abdominal oblique (IO) thickness differences were significantly increased in DNS compared to ADIM and AB (P< 0.05). EO amplitude was significantly increased in AB compared to ADIM, and DNS. CONCLUSIONS: DNS was the best technique to provide balanced co-activation of the diaphragm and TrA with relatively less contraction of EO and subsequently producing motor control for efficient core stabilization.

Abstract 162: 12-Month Epilepsy Outcomes in Patients With Acute Ischemic Stroke 12-Month Epilepsy Outcomes in Patients With Acute Ischemic Stroke

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Erwin Chiquete ◽  
Guillermo Ramirez-Garcia ◽  
Valeria Sandoval-Rodriguez ◽  
Fernando Flores-Silva ◽  
Jose L Ruiz-Sandoval ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Functional Outcome ◽  
Functional Disability ◽  
Brain Infarction ◽  
Cox Proportional Hazards Model ◽  
Seizure Recurrence ◽  
Factors Associated ◽  
Acute Seizures

Background and purpose: Acute ischemic stroke (AIS) is the leading cause of adult-onset epilepsy. In the context of current guidelines, AIS patients presenting with seizures are considered at high risk for seizure recurrence and as a consequence, this patients are deemed as nowadays affected by epilepsy. We aimed to describe the factors associated with acute seizures, epilepsy and seizure recurrence after AIS, as well as their impact on the functional outcome at 12-month follow-up. Methods: This is a cohort study on 1,246 non-epileptic patients with AIS included in a multicenter Mexican registry; who received 12-month follow-up after a first-ever or recurrent AIS. Multivariate analyses were performed to evaluate factors associated with acute seizures and the functional outcome at 12 months of follow-up. Results: The frequency of acute seizures (within 7 days after stroke onset) after AIS was 8.1% [95% confidence interval (CI): 6.7% to 9.8%]. In all, 12-month seizure recurrence rate was 4.8% (95% CI: 3.7% to 6.1%). In a binary logistic regression model, risk factors significantly associated with seizures were >10 scoring of the National Institutes of Health Stroke Scale (NIHSSS, US) [odds ratio (OR): 2.21, 95% CI: 1.40-3.47], recurrent ischemic stroke (OR: 2.17, 95% CI: 1.34-3.53) and age <65 years (OR: 1.69, 95% CI: 1.09-2.62). After a Cox-proportional hazards model and Kaplan-Meier actuarial analyses, the presence of acute seizures was significantly associated with the risk of functional disability or death (a modified Rankin scale >3) at 12 months of follow-up [hazard ratio (HR): 1.37, 95% CI: 1.04-1.83], as well as NIHSS >10 (HR: 4.47, 95% CI: 3.53-5.65), age ≥65 years (HR: 1.74, 95% CI: 1.38-2.20), heart failure (HR: 1.61, 95% CI: 1.22-2.13) and atrial fibrillation (HR: 1.35, 95% CI: 1.05-1.74). Conclusions: The frequency of provoked seizures after acute ischemic stroke in this cohort was 8%. Age <65 years and severity of the brain infarction are the main factors associated with seizures, which in turn represent an important risk factor for functional disabilities or death one year after the acute event.

scholarly journals Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

2020 ◽  
Author(s):  
Mandala S. Leliveld ◽  
Michael H. J. Verhofstad ◽  
Eduard Van Bodegraven ◽  
Jules Van Haaren ◽  
Esther M. M. Van Lieshout
Keyword(s):  
Systematic Review ◽  
Functional Outcome ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Surgical Techniques ◽  
Anterior Knee

scholarly journals Lateral Translation of the Patella in MPFC Reconstruction: A Biomechanical Study of Three Surgical Techniques (210)

2021 ◽  
Vol 9 (10_suppl5) ◽  
pp. 2325967121S0031
Author(s):  
William Cregar ◽  
Hailey Huddleston ◽  
Elizabeth Shewman ◽  
Brian Cole ◽  
Adam Yanke
Keyword(s):  
Soft Tissue ◽  
Knee Flexion ◽  
Functional Disability ◽  
Articular Surface ◽  
Testing Machine ◽  
Surgical Techniques ◽  
Biomechanical Study ◽  
Mpfl Reconstruction ◽  
Tensile Testing Machine ◽  
Significant Difference

Objectives: Recurrent patellar instability (RPI) is a common knee disorder and can lead to chronic pain and functional disability. Surgically addressing recurrent patella instability has classically focused on reconstruction of the MPFL, which has widely become the standard of care either in isolation or concomitantly with other patellar realignment procedures. Complications following MPFL reconstruction include patellar fracture, articular surface penetration, and physeal injury in skeletally immature patients. In an effort to avoid these, other surgical techniques have been described. While these alternative MPFC reconstructions have anatomical support and the theoretical potential to reduce complications, it is unknown whether differences exist in lateral patellar translation and thus their effectiveness in adequately stabilizing the patella. The purpose of this study was to investigate whether differences exist in the ability to prevent lateral patellar translation between three distinct medial patellar stabilizing surgical procedures at varying knee flexion angles. Methods: Six cadaveric knee specimens were dissected, potted, and placed in a customized jig for testing. The quadricep muscle groups were separated into three components and loaded with a total of 175 N in anatomic directions using a weighted pulley system. Lateral patellar displacement was measured at 0°, 10°, 20°, 30°, 45°, 60°, and 90° of knee flexion using a tensile testing machine with a 20 N lateral force applied to the patella. Each specimen was tested with the MPFC intact and sectioned, and after each of the three reconstruction techniques: medial patellofemoral ligament (MPFL) reconstruction, hybrid (proximal medial patellar restraints - PMPR) reconstruction, and medial quadriceps-tendon femoral (MQTFL) reconstruction. Statistical analysis used the Friedman and Wilcoxon rank sum tests due to non-normally distributed data. Results: There was significantly increased lateral patellar displacement following MPFC sectioning when compared to the intact state in early degrees of flexion (10° to 30°) (p<0.05). All three reconstruction groups adequately restored patella stability and reduced lateral patellar displacement following medial soft tissue sectioning by 42%, 41% and 33% following MPFL, Hybrid and MQTFL reconstruction, respectively, from 0° to 30° of knee flexion (p<0.05 for each reconstruction group). When compared to the native, intact medial restraints group, all three reconstruction groups demonstrated reduced patella translation at full knee extension, while the MPFL and Hybrid reconstruction groups additionally demonstrated significant reduction of patella translation at 10° of flexion as well (p<0.05). When comparing patella displacement between reconstruction groups, no significant difference was observed at any degrees of flexion between the three groups. Conclusions: This biomechanical cadaveric study demonstrates the efficacy of three different MPFC reconstruction techniques in restoring patella stability following MPFC sectioning, especially at lower knee flexion angles where the medial soft tissue restraints play a more important role. Although all three reconstruction groups demonstrated less patella translation than the native MPFL intact knee, MPFL reconstruction appears to provide the most robust patella stabilization, whereas MQTFL reconstruction may be the most forgiving construct. Future clinical studies are needed to investigate the clinical correlation of these findings.

scholarly journals Latin clinical veterinary terminology: word-formation, lexical-semantic and syntactic aspects

2018 ◽  
Vol 20 (86) ◽  
pp. 161-166 ◽  
Author(s):  
I.V. Karbovnik
Keyword(s):  
Veterinary Medicine ◽  
Surgical Techniques ◽  
Word Formation ◽  
Semantic Features ◽  
Functional Changes ◽  
Lexical Semantic ◽  
Building Models ◽  
The Status ◽  
Clinical Terminology ◽  
Terminology System

The article is devoted to the research of the Latin medical-veterinary clinical terminology system – one of the subsystems of general medical-veterinary terminology. The ways of formation of the Latin Sublanguage of clinical veterinary medicine are analyzed, sources of its replenishment are determined; It was discovered that most of the terms are composed using terms of Greek-Latin origin, which is a decisive trend in the development of the terminology of veterinary medicine and in our time.It is investigated that for the modern terminological word formation of clinical veterinary vocabulary all main methods are typical, by means of which the vocabulary of the veterinary doctor is replenished: semantical, syntactical, morphological. In the article a word-formation, lexical-semantic and syntactical analysis of the Latin clinical veterinary terminology was made for the first time; the main word-building models are described, the derivation processes, word-formation fortresses of the Latin clinical veterinary terms are described and the complex of methods of their word-formation are analyzed;defined the status and semantic characteristics of formants– components of the term; the lexical-semantic features of the studied terminology are revealed; attention was paid to etymology, the phenomenon of derivation and the most productive affixes and term elements in the structure of one-word clinical veterinary terms.The systematization of term elements according to thematic groups that are in a certain lexical-semantic relationship is carried out, namely: termelements, which denote the names of sciences, treatment, methods of diagnostic examination, surgical techniques; word-formation elements for the designation of organs of animals and tissues; therapeutic methods, names of pathological changes of organs and tissues; term elements that denote various physical properties, quality, color, size; word-formation elements to denote functional changes, processes, and states.The attention is paid to the morphological and syntactical structure of single, dual, and verbose clinical terms with different types of definitions. We consider one of the most important tasks of modern linguistics - not only to fix, study and analyze lexical-semantic innovation processes in terminology, but also codify the terminology system itself. Therefore, one of the priority directions of terminological work in the field of veterinary medicine at the present stage is the normalization of clinical terminology, that is, the revision of the terminology system in accordance with the conceptual basis and norms of the Latin and Ukrainian scientific languages. As the most important aspect, we consider the development of a single concept of terminology, which uses the experience and positive achievements of scientists of different generations.Provision of linguistic normative terms should take place at all levels – both conceptual and actual language – phonetic, orthoepic, spelling, lexical-semantic, word-building, morphological, syntactical.

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