Follow-up of surgical and minimally invasive treatment of Achilles tendon pathology: a brief diagnostic imaging review

2017 ◽  
Vol 101 (S1) ◽  
pp. 51-61 ◽  
Author(s):  
A. Barile ◽  
F. Bruno ◽  
S. Mariani ◽  
F. Arrigoni ◽  
L. Brunese ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Tendon Pathology

scholarly journals Clinical study on the Minimally Invasive Treatment of Early Necrosis of the Femoral Head with Hydroxyapatite Coated Hollow Titanium Rod Supporting the Femoral Head to Prevent Collapse

2021 ◽  
Author(s):  
Xinmin Yang ◽  
Ye Tian ◽  
Yao Yao
Keyword(s):  
Femoral Head ◽  
Minimally Invasive ◽  
Articular Surface ◽  
Onset Time ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Improvement Rate ◽  
Significant Difference ◽  
Harris Score

Abstract Background: To investigate the treatment effect of minimally invasive treatment of early osteonecrosis of femoral head (ONFH) with hydroxyapatite coated hollow titanium rod. Methods: From 1, January 2003 to 1, January 2019, 72 patients with ONFHⅡ Stage were selected. There were 50 males and 20 females, aged from 28 to 56. Onset time was 8~28 months. Lesion site: 18 left, 38 right, 16 bilateral. Causes of ONFH: 30 alcohol, 28 hormone, 9 trauma and 5 idiopathic patients. ARCO stage: 14 IIA, 33 IIB, 25 IIC. All patients underwent arthroscopic assisted minimally invasive percutaneous core decompression and bone grafting with hydroxyapatite coated titanium rod surgery. Visua Analogue Scales (VAS), Harris score and Images were used for assessing pain, hip joint function and the stability, respectively. Hip replacement was performed finally. Results: 16 patients with heavy hormone use history and femoral head collapse underwent Total Hip Resurfacing Arthroplasty (THRA) at the last follow-up. 24 months later, 8 ⅡB cases progressed to ⅡC, 2 cases were stable at ⅡC, 6 cases increased to Ⅲ, and underwent THRA. 12ⅡC cases progressed to Ⅲ, 2 cases were stable at Ⅲ, and 10 cases had articular cartilage surface collapse. THRA was administered 30 months after surgery. VAS score of individual patients increased and Harris score decreased 24 months after surgery, but there was no significant difference between the scores of 12 months and 24 months. The clinical effect of the last follow-up showed that the postoperative improvement rate of this group was 76.13%, among which the best was 100% in IIA, 79.48% in IIB, and the lowest was 58.06 in IIC. Both the patients with IIB or IIC, cases with aggravation and without change were hormonal ONFH. Conclusion: The treatment of ONFH with hydroxyapatite coated hollow titanium rod supporting the femoral head to prevent collapse is feasible. In addition to the Glucocorticoid-induced ONFH stage ⅡC outside, this method to other Ⅱ period lesions in improving the curative effect and preventing the collapse of femoral head articular surface is good and safe.

scholarly journals Autologous Bone Marrow Mononuclear Cells (BMMCs) for the Treatment of Uncomplicated Grade 2 Ununited Anconeal Process (UAP) in Six Dogs: Preliminary Results

2021 ◽  
Vol 8 (10) ◽  
pp. 214
Author(s):  
Alberto Maria Crovace ◽  
Luca Lacitignola ◽  
Mariasevera Di Comite ◽  
Cosimo Esposito ◽  
Alessandro Guarracino ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Minimally Invasive ◽  
Autologous Bone Marrow ◽  
Minimally Invasive Treatment ◽  
Bone Marrow Mononuclear Cell ◽  
Invasive Treatment ◽  
German Shepherd ◽  
Ossification Centre ◽  
Autologous Bone

The aim of this study was to report the results of autologous bone marrow mononuclear cell (BMMC) transplantation as a minimally invasive treatment for grade 2 UAP in dogs. This was an observational case series on six German shepherd dogs affected by grade 2 UAP as defined according to their clinical condition as well as radiographic and CT findings. Bone marrow was collected from the iliac crest and the mononuclear fraction was separated with density gradient centrifugation. Cells were suspended in fibrin glue before BMMC administration and implanted via transcutaneous injection under IB or CT guidance, using a spinal needle directly inserted into the ossification centre between the anconeal process and the olecranon. Clinical and radiographic follow-up was performed for up to 6 months. Microradiographic assessment was performed on one dog that died of other causes. A progressive reduction of pain within 3 weeks after BMMC administration was observed in all dogs, with gradually increased weight bearing on the affected limb. Radiographic and CT follow-up revealed the progressive fusion of the ossification centre at 90 days without any signs of secondary OA. The examination of microradiographs showed newly formed bone tissue in which a residue of calcified cartilage was present at the site of BMMC implantation. On the basis of these results, BMMC therapy for grade 2 UAP may be considered to be an effective and minimally invasive treatment option for dogs.

scholarly journals SURG-25. LASER INTERSTITIAL THERMAL THERAPY (LITT) FOR INTRACRANIAL LESIONS: A SINGLE- INSTITUTIONAL SERIES, OUTCOMES AND REVIEW OF THE LITERATURE

2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi244-vi245
Author(s):  
Rocco Dabecco ◽  
Alexander Yu ◽  
Tulika Ranjan ◽  
Linda Xu ◽  
Khaled Aziz
Keyword(s):  
Minimally Invasive ◽  
Brain Metastases ◽  
Metastatic Disease ◽  
Progression Free Survival ◽  
Treatment Method ◽  
Thermal Therapy ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Laser Interstitial Thermal Therapy

Abstract INTRODUCTION Laser interstitial thermal therapy (LITT) is a minimally invasive treatment method that provides surgeons with cytoreductive techniques to treat neurosurgical conditions such as primary brain neoplasms, brain metastases, radiation necrosis, and epileptogenic lesions, many of which are located in operative corridors that would be difficult to address via open surgical or are amenable via minimally invasive approaches. Although the use of lasers is not a new concept in neurosurgery, advances in technology have enabled surgeons to perform laser treatment with the aid of real-time MRI thermography as a guide. In this report, we present our institutional series and outcomes of patients treated with LITT for 8 glial neoplasms 12 brain metastases. METHODS We retrospectively evaluated 20 patients (7 male, 13 female; age range, 28–77 years) who underwent LITT at one or more targets from 2015–2019. RESULTS In our series, all patients included had prior craniotomy for either primary glioma or metastatic disease. Mean extent of ablation (EOA) was 98% on post-op MRI. Mean progression free survival varied depending on the intracranial pathology, with the glioma cohort (5 months (SDD: 3.51)) demonstrating worse outcomes than metastatic disease (8.2 months (SDD: 4.83)). Only 1 patient experienced immediate post-operative morbidity, 1 patient experienced post-operative mortality secondary to hemorrhage. Mean follow-up was 9.7 months (SDD: 5.35), with one patient lost to follow up immediately post-procedure and excluded from the study. Average hospitalization was 2.4 days (SDD: 1.0). Mean overall survival, post-diagnosis of intracranial lesion, is more favorable for metastatic lesions (48 months (SDD: 27.14)), as compared to primary glial neoplasms (31 months SDD: 11.63)). CONCLUSION Laser interstitial thermal therapy (LITT) is a safe, minimally invasive treatment method that provides surgeons with cytoreductive techniques to treat neurosurgical conditions. In properly selected patients, this modality offers improved survival outcomes in conjunction with other salvage therapies.

scholarly journals TRANSANAL DOPPLER-CONTROLLED DEARTERIALIZATION WITH MUCOPEXY FOR A MINIMALLY INVASIVE TREATMENT OF HAEMORRHOIDAL DISEASE

2016 ◽  
pp. 26-31 ◽  
Author(s):  
E. A. Zagryadskiy
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Artery Ligation ◽  
Haemorrhoidal Disease ◽  
Effective Form ◽  
Number Of Patients ◽  
Grade Ii ◽  
Disease Grade

Transanal Doppler-controlled, deartetialization with mucopexy - a new direction in minimally invasive treatment Haemorrhoidal disease grade II and IV. The number of patients showing relief of Haemorrhoidal symptoms at 52-month follow-up was high. Bleeding was resolved in 92.9% of the patients. The recurrence of prolapse at 52 months was low, with no re-prolapse being recorded in 89,6% of the patients. Doppler-guided Haemorrhoidal artery ligation with transanal rectal mucopexy, not only has several perioperative advantages - minimally invasive surgery, low major complications - but also offers prolonged relief for all hemorrhoidal symptoms. Technology is an effective form of treatment for hemorrhoidal disease.

scholarly journals Clinical Study on the Minimally Invasive Treatment of Early Necrosis of the Femoral Head With Hydroxyapatite Coated Hollow Titanium Rod Supporting the Femoral Head to Prevent Collapse

2020 ◽  
Author(s):  
Xinmin Yang ◽  
Liangbin Gao ◽  
Bo Li ◽  
Xumin Hu ◽  
Di Zhang ◽  
...  
Keyword(s):  
Femoral Head ◽  
Minimally Invasive ◽  
Articular Surface ◽  
Onset Time ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Improvement Rate ◽  
Significant Difference ◽  
Harris Score

Abstract Background: To investigate the treatment effect of minimally invasive treatment of early osteonecrosis of femoral head (ONFH) with hydroxyapatite coated hollow titanium rod. Methods: From 1, January 2003 to 1, January 2019, 72 patients with ONFHⅡ Stage were selected. There were 50 males and 20 females, aged from 28 to 56. Onset time was 8~28 months. Lesion site: 18 left, 38 right, 16 bilateral. Causes of ONFH: 30 alcohol, 28 hormone, 9 trauma and 5 idiopathic patients. ARCO stage: 14 IIA, 33 IIB, 25 IIC. All patients underwent arthroscopic assisted minimally invasive percutaneous core decompression and bone grafting with hydroxyapatite coated titanium rod surgery. Visua Analogue Scales (VAS), Harris score and Images were used for assessing pain, hip joint function and the stability, respectively. Hip replacement was performed finally. Results: 16 patients with heavy hormone use history and femoral head collapse underwent Total Hip Resurfacing Arthroplasty (THRA) at the last follow-up. 24 months later, 8 ⅡB cases progressed to ⅡC, 2 cases were stable at ⅡC, 6 cases increased to Ⅲ, and underwent THRA. 12ⅡC cases progressed to Ⅲ, 2 cases were stable at Ⅲ, and 10 cases had articular cartilage surface collapse. THRA was administered 30 months after surgery. VAS score of individual patients increased and Harris score decreased 24 months after surgery, but there was no significant difference between the scores of 12 months and 24 months. The clinical effect of the last follow-up showed that the postoperative improvement rate of this group was 76.13%, among which the best was 100% in IIA, 79.48% in IIB, and the lowest was 58.06 in IIC. Both the patients with IIB or IIC, cases with aggravation and without change were hormonal ONFH. Conclusion: The treatment of ONFH with hydroxyapatite coated hollow titanium rod supporting the femoral head to prevent collapse is feasible. In addition to the Glucocorticoid-induced ONFH stage ⅡC outside, this method to other Ⅱ period lesions in improving the curative effect and preventing the collapse of femoral head articular surface is good and safe.

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