Medium Term Radiographic and Clinical Outcomes Using a Modular Tapered Hip Revision Implant

Purpose. To evaluate medium-term clinical outcomes with XEN® 45 or XEN® 63 Gel Stent (Allergan, Dublin, Ireland) for treatment of primary open angle glaucoma (POAG). Materials and Methods. Retrospective, descriptive, and observational study involving 40 patients implanted with a XEN® 45 Gel Stent and 34 implanted with a XEN® 63 Gel Stent who had undergone POAG surgery and had been followed up and controlled between 12 and 36 months. Results. IOP dropped from 18.02 ± 5.23 mmHg preop to 13.81 ± 1.88, 14.80 ± 2.23, and 14.62 ± 1.90 at 1, 2, and 3 years after surgery (p<0.001) consecutively with XEN® 45 and from 19.00 ± 6.11 mmHg preop to 15.47 ± 2.45, 14.66 ± 2.45, and 15.46 ± 2.48 at 1, 2, and 3 years after surgery (p<0.001) with XEN® 63. The number of drugs used by patients to treat their glaucoma decreased after undergoing surgery in both groups. Within the XEN® 45 group, mean changes at 1 year, 2 years, and 3 years amounted to 70%, 74.3%, and 37.5%, respectively, whereas within the XEN® 63 group, the mean reduction was 75%, 79.8%, and 71.9%. When comparing the outcomes for two groups, the differences did not prove to be statistically significant. More than 90% of the procedures included in the study (using either gel-stent device) were completed without any noteworthy complications. Conclusion. POAG surgical procedures with either XEN® 45 or XEN® 63 Gel Stent implantation could be a safe and effective treatment approach.

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COMPARISON OF THE IMMEDIATE AND MEDIUM-TERM CLINICAL OUTCOMES OF TREATMENT OF PATIENTS WITH PARTIAL-THICKNESS ROTATOR CUFF TEARS OF VARIOUS DEPTH AND LOCALIZATION

The Department Of Traumatology And Orthopedics ◽

10.17238/issn2226-2016.2019.3.27-34 ◽

2019 ◽

Vol 3 (37) ◽

pp. 27-34

Author(s):

V.V KHOMINETS ◽

◽

R.V. GLADKOV ◽

Keyword(s):

Rotator Cuff ◽

Clinical Outcomes ◽

Rotator Cuff Tears ◽

Medium Term ◽

Partial Thickness

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Passive-dynamic ankle-foot orthosis improves medium-term clinical outcomes after severe lower extremity trauma

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-2018-001082 ◽

2018 ◽

Vol 165 (5) ◽

pp. 330-337 ◽

Cited By ~ 2

Author(s):

Peter Ladlow ◽

N Bennett ◽

R Phillip ◽

S Dharm-Datta ◽

L McMenemy ◽

...

Keyword(s):

Lower Extremity ◽

Clinical Outcomes ◽

Limb Salvage ◽

Care Pathway ◽

Medium Term ◽

Rehabilitation Care ◽

Ankle Foot Orthosis ◽

Lower Extremity Trauma ◽

Extremity Trauma ◽

Foot Orthosis

IntroductionIndividuals with delayed below-knee amputation have previously reported superior clinical outcomes compared with lower limb reconstruction. The UK military have since introduced a passive-dynamic ankle-foot orthosis (PDAFO) into its rehabilitation care pathway to improve limb salvage outcomes. The aims were to determine if wearing a PDAFO improves medium-term clinical outcomes and what influence does multidisciplinary team (MDT) rehabilitation have after PDAFO fitting? Also, what longitudinal changes in clinical outcomes occur with MDT rehabilitation and how do these results compare with patients with previous lower extremity trauma discharged prior to PDAFO availability?MethodsWe retrospectively evaluated levels of mobility, activities of daily living, anxiety, depression and pain in a heterogeneous group of 23 injured UK servicemen 34±11 months after PDAFO provision. We also retrospectively analysed 16 patients across four time points (pre-PDAFO provision, first, second and final inpatient admissions post-PDAFO provision) using identical outcome measures, plus the 6 min walk test.ResultsOutcomes were compared with previous below-knee limb salvage and amputees. Before PDAFO, 74% were able to walk and 4% were able to run independently. At follow-up, this increased to 91% and 57%, respectively. Mean depression and anxiety scores remained stable over time (p>0.05). After 3 weeks, all patients could walk independently (pre-PDAFO=31%). Mean 6 min walk distance significantly increased from 440±75 m (pre-PDAFO) to 533±68 m at last admission (p=0.003). The ability to run increased from 6% to 44% after one admission.ConclusionsAll functional and most psychosocial outcomes in PDAFO users were superior to previous limb salvage and comparable to previous below-knee amputees. The PDAFO facilitated favourable short-term and medium-term changes in all clinical outcome measurements.

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All-inside technique in ACL reconstruction: mid-term clinical outcomes and comparison with AM technique (Hamstrings and BpTB grafts)

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-020-02798-w ◽

2020 ◽

Author(s):

Andrea Pautasso ◽

Marcello Capella ◽

Luca Barberis ◽

Luca Drocco ◽

Riccardo Giai Via ◽

...

Keyword(s):

Clinical Outcomes ◽

Acl Reconstruction ◽

Young Patients ◽

Clinical Results ◽

Reconstruction Technique ◽

Medium Term ◽

Significant Difference ◽

Kt 1000 ◽

Surgical Duration

Abstract Purpose The aim of this study was to define the subjective and objective clinical results of all-inside surgical technique at a medium-term follow-up and to compare these results with those obtained from antero-medial (AM) ACL reconstruction technique using hamstrings (HS) or bone-patellar tendon-bone (BpTB) grafts to detect eventual superiority of one technique to another. Methods A retrospective analysis of routinely collected data was conducted. Inclusion criteria were ACL reconstruction through all-inside technique or AM technique with HS or BpTB performed between January 2015 and May 2018; age between 15 and 30 year old; minimum 24 months’ available follow-up. Exclusion criteria were contralateral ACL reconstruction; need for any other associated procedures during surgery. Clinical outcomes were assessed with KOOS, Lysholm, Tegner scores and KT-1000 device. Results According to the selection criteria, 157 patients were enrolled and divided subsequently into 3 groups: all-inside (51 patients), AM-HS (53 patients) and AM-BpTB (53 patients). A significant postoperative improvement of each score in all groups was detected. The mean KT-1000 was 3.1 ± 1.0 mm in all-inside group, while 3.3 ± 1.4 mm and 2.5 ± 0.4 mm in AM-HS and AM-BpTB groups, respectively. Comparing the results obtained, no statistically significant difference was found between the three techniques (p = 0.27). Statistically significant differences were highlighted in surgical duration: all-inside method was the longest (117′), followed by AM-BpTB surgery (101′) and AM-HS technique (87′). Conclusions The all-inside technique showed good postoperative results at medium-term follow-up. It could be a valuable solution for ACL reconstruction, especially in young patients due to its less invasiveness, despite surgical skills and time needed. Levels of evidence Level IV.

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