Middle-term clinical evaluations of Lisfranc ligament anatomical reconstruction surgery (LARS)

2017 ◽  
Vol 23 ◽  
pp. 71
Author(s):  
T. Hirano ◽  
Y. Akiyama ◽  
H. Mitsui ◽  
S. Maeda ◽  
H. Niki
Keyword(s):  
Anatomical Reconstruction ◽  
Middle Term ◽  
Reconstruction Surgery ◽  
Clinical Evaluations ◽  
Lisfranc Ligament

scholarly journals Middle-term Clinical Evaluations of Lisfranc Ligament Anatomical Reconstruction Surgery

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0001
Author(s):  
Takaaki Hirano ◽  
Akiyama Yui ◽  
Hiroyuki Mitsui ◽  
Shingo Maeda ◽  
Hisateru Niki
Keyword(s):  
Weight Bearing ◽  
Anatomical Reconstruction ◽  
X Rays ◽  
Partial Weight Bearing ◽  
Acute Case ◽  
Middle Term ◽  
Reconstruction Surgery ◽  
Lisfranc Ligament ◽  
Partial Weight

Category: Midfoot/Forefoot Introduction/Purpose: We report the middle-term outcomes after performing Lisfranc ligament anatomical reconstruction surgery (LARS), using an optimal route of reconstruction based on anatomical measurements of and biomechanical experiments with cadavers. Methods: Subjects included 20 patients (8 female and 12 male, mean age: 35.5 years, mean follow-up period: 35 months) who were diagnosed with Lisfranc joint injury and underwent surgical treatment from 2012 to 2015. Acute case were fourteen cases, chronic cases were 6 cases. The optimal anatomical route of reconstruction was calculated from anatomical measurements obtained from 78 legs of cadavers. The Myerson’s classification and the Kaar’s classification based on stress X-rays were used to classify the injuries at the time of their occurrence. Furthermore, the Japanese Society for Surgery of the Foot (JSSF) Midfoot scale and Stein’s radiographic assessment were used for clinical evaluation postoperatively. Results: According to the Myerson’s classification, Type B1 was one case, Type B2 was 15 cases, Type C1 and Type C2 were each 2 cases. According to the Kaar’s classification, 17 patients had transverse-type injuries and 3 patients had longitudinal-type injury. Partial weight bearing was encouraged within 6 week and return to exercise within 12 weeks. Average JSSF scores at final follow-up were 93.8 points in both examples (85-100) respectively. Joint congruities on X ray were appropriate in most cases but admitted a little diastasis by one case of chronic and one acute case. Conclusion: LARS achieves both static and dynamic stability, does not require removal of the internal fixation material, and enables all patients to support a full load 8 weeks postoperatively. LARS is beneficial for maintaining anatomical reduction, preserving the joint, and shortening the post-therapy period. Our newly developed ligament reconstruction is not only able to acute injuries but also to the chronic injuries.

scholarly journals Lisfranc ligament anatomical reconstruction surgery is beneficial for chronic Lisfranc injuries

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0024
Author(s):  
Takaaki Hirano ◽  
Akiyama Yui ◽  
Hisateru Niki
Keyword(s):  
Burr Hole ◽  
Anatomical Reconstruction ◽  
Joint Function ◽  
Lisfranc Joint ◽  
Reconstruction Surgery ◽  
Joint Injuries ◽  
Medial Cuneiform ◽  
Cuneiform Bone ◽  
Lisfranc Ligament ◽  
Lisfranc Injuries

Category: Midfoot/Forefoot Introduction/Purpose: Chronic Lisfranc fracture dislocation had been commonly treated with arthrodesis, but were these treatments suitable? The Lisfranc joint has sagittal motion with articular cartilage and functioning as a shock absorber. We reported the middle-term outcomes after performing Lisfranc ligament anatomical reconstruction surgery (LARS), using an optimal route of reconstruction based on anatomical measurements of and biomechanical experiments with cadavers. The purpose of this study is to determine the usefulness of LARS for chronic Lisfranc injuries to preserve the joint function. Methods: We underwent LARS for 8 cases of Chronic Lisfranc injuries (6 males, 2 females) from May 2012 to June 2017. Average age at surgery 26.1 years (18-38), average follow-up period is 28 months (2-46). The reconstruction route was via a burr hole created at a position 6 mm distal to the tarsometatarsal joint on the 2nd metatarsal, and at a depth of 10 mm. A burr hole was then created from the medial cuneiform bone to the 2nd metatarsal bone in a plantar and horizontal direction. The graft tendon was guided through the burr hole from the medial cuneiform bone to the 2nd metatarsal (double-layered side), was looped, and was guided back around the dorsum of the medial cuneiform(single layer) to reconstruct the dorsal ligament. We examined Myerson classification, Kaar evaluation and the postoperative clinical evaluation using Japanese Society for Surgery of Foot (JSSF) midfoot scale. Results: In Myerson classification, Type B2 6 cases and Type C1 2 cases. In Kaar evaluation, transverse instability (TI) 6 cases, longitudinal instability (LI) 2 cases. The average time from injury to surgery is 156 days on average (37-404). JSSF scores averaged 95 points (90-100). X - ray evaluations were almost good, but in 2 cases with weight bearing, a slight diastasis between the base of the first cuneiform and second metatarsal was observed. But there were no clinical symptoms such as pain. In the surgical procedure, scar is mediated in chronic cases. Therefore, we had to take time to obtain the reduction. Conclusion: Arthrodesis is gold standard for chronic Lisfranc joint injuries, but decline in foot flexibility is inevitable. LARS is beneficial for maintaining anatomical reduction, preserving the joint function, and shortening the post-therapy period. LARS gave stable results against Chronic Lisfranc joint injuries. LARS for chronic Lisfranc joint injuries is a useful procedure.

Empirical Analysis of Clinical Evaluations on Children Involved in the Child Protection System: The Role of Age and Gender

2000 ◽  
Author(s):  
Erika Felix ◽  
Anjali T. Naik-Polan ◽  
Christine Sloss ◽  
Lashaunda Poindexter ◽  
Karen S. Budd
Keyword(s):  
Empirical Analysis ◽  
Child Protection ◽  
Protection System ◽  
Age And Gender ◽  
Clinical Evaluations ◽  
And Gender

Zabiegi likwidujące skutki obrzezania wykonywane w Warszawie w czasie drugiej wojny światowej. Wstępna próba opisu zjawiska

2017 ◽  
pp. 437-446
Author(s):  
Maria Ciesielska
Keyword(s):  
Second World War ◽  
Tissue Preparation ◽  
World War ◽  
Medical Practitioners ◽  
Reconstruction Surgery ◽  
Repair Operation ◽  
Manual Treatment ◽  
Operating Technique ◽  
Almost All ◽  
Second World

Men’s circumcision is in many countries considered as a hygienic-cosmetic or aesthetic treatment. However, it still remains in close connection with religious rites (Judaism, Islam) and is still practiced all over the world. During the Second World War the visible effects of circumcision became an indisputable evidence of being a Jew and were often used especially by the so-called szmalcownicy (blackmailers). Fear of the possibility of discovering as non-Aryan prompted many Jews hiding on the so-called Aryan side of Warsaw to seek medical practitioners who would restore the condition as it was before the circumcision. The reconstruction surgery was called in surgical jargon “knife baptizing”. Almost all of the procedures were performed by Aryan doctors although four cases of hiding Jewish doctors participating in such procedures are known. Surgical technique consisted of the surgical formation of a new foreskin after tissue preparation and stretching it by manual treatment. The success of the repair operation depended on the patient’s cooperation with the doctor, the worst result was in children. The physicians described in the article and the operating technique are probably only a fragment of a broader activity, described meticulously by only one of the doctors – Dr. Janusz Skórski. This work is an attempt to describe the phenomenon based on the very scanty source material, but it seems to be the first such attempt for several decades.

Musikalisasi Syi’ir Aqoid Kiai Zaini Mun’im dan Budidaya Tanaman Obat Keluarga (Toga) di Pesantren Nurul Jadid Probolinggo

2020 ◽  
Vol 1 (1) ◽  
pp. 47-58
Author(s):  
Khodijatul Qodriyah
Keyword(s):  
Herbal Medicine ◽  
Herbal Medicines ◽  
Successful Implementation ◽  
Short Term ◽  
Middle Term

The lack of students’ knowledge of their teachers’ works and the less of their consciousness to the environment are crucial problems in some islamic boardingschool, especially in Nurul Jadid. These issues will be settled by implementation of religious preaching (dakwah) with poem (syi’ir) in Syu’abul Iman of Kiai Zaini Mun’im and prefentive action to the illness through herbal medicines of family crops medicine (tanaman obat keluarga). The program is undertaken with some phases, including planting family crops medicine, making herbal medicines, musicalisation of poem in book of Syu’abul Iman, socialization of the herbal medicine and musical poem of Syu’abul Iman. These phases have been structured with long-term, middle-term, and short-term programs which were finished during approximately 4 months (Augustus – November 2019). The involvement of many parties, such as activists of environment in Nurul Jadid, has strongly influenced on the successful implementation of these programs.Keywords: Family Crops Medicine, Nurul Jadid Islamic Boardingschool, Book of Syu’abul Iman

Total anatomical reconstruction during robot-assisted radical prostatectomy in patients with previous prostate surgery

2019 ◽  
Vol 71 (6) ◽  
Author(s):  
Davide Campobasso ◽  
Cristian Fiori ◽  
Daniele Amparore ◽  
Enrico Checcucci ◽  
Diletta Garrou ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Anatomical Reconstruction ◽  
Robot Assisted

The Goodness of Home

2018 ◽  
Author(s):  
Natalia Marandiuc
Keyword(s):  
Attachment Theory ◽  
Holy Spirit ◽  
The Self ◽  
Human Beings ◽  
Divine Love ◽  
Modern Life ◽  
Middle Term ◽  
Human Love ◽  
The Holy Spirit ◽  
Theological Argument

The question of what home means and how it relates to subjectivity has fresh urgency in light of pervasive contemporary migration, which ruptures the human self, and painful relational poverty, which characterizes much of modern life. Yet the Augustinian heritage that situates true home and right attachment outside this world has clouded theological conceptualizations of earthly belonging. This book engages this neglected topic and argues for the goodness of home, which it construes relationally rather than spatially. In dialogue with research in the neuroscience of attachment theory and contemporary constructions of the self, the book advances a theological argument for the function of love attachments as sources of subjectivity and enablers of human freedom. The book shows that paradoxically the depth of human belonging—thus, dependence—is directly proportional to the strength of human agency—hence, independence. Building on Søren Kierkegaard’s imagery alongside other sources, the book depicts human love as interwoven with the infinite streams of divine love, forming a sacramental site for God’s presence, and playing a constitutive role in the making of the self. The book portrays the self both as gifted from God in inchoate form and as engaged in continuous, albeit nonlinear becoming via experiences of human love. The Holy Spirit indwells the attachment space between human beings as a middle term preventing its implosion or dissolution and conferring a stability that befits the concept of home. The interstitial space between loving human persons subsists both anthropologically and pneumatologically and generates the self’s home.

scholarly journals Severity of Oral Mucositis in Children following Chemotherapy and Radiotherapy and Its Implications at a Single Oncology Centre in Durango State, Mexico

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ramón G. Carreón-Burciaga ◽  
Enrique Castañeda-Castaneira ◽  
Rogelio González-González ◽  
Nelly Molina-Frechero ◽  
Enrique Gaona ◽  
...  
Keyword(s):  
Adverse Effect ◽  
Oral Mucositis ◽  
Preventive Treatment ◽  
World Health ◽  
Clinical Evaluations ◽  
Severity Scores ◽  
Therapeutic Protocols ◽  
Number Of Cycles ◽  
Oncology Centre ◽  
Health Organization

Background. Mucositis is an adverse effect of chemotherapy (QT) and/or radiotherapy (RT). The purpose of this study was to investigate the occurrence of oral mucositis in children undergoing cancer treatment. Methods. Fifty-one children with cancer who had received QT, RT, or both (QT-RT) underwent clinical evaluations; World Health Organization criteria were used to establish the degree and severity of mucositis. The correlations between the clinical data, type of cancer, and therapy were statistically analysed. Results. Mucositis was present in 88.23% of the patients; 57.78%, 7.78%, and 24.44% received QT, RT, and QT-RT, respectively. Severity scores of 1 and 2 were the most common; scores of 3-4 were observed in patients who received QT-RT or more than 7 treatment cycles. There was a significant association between mucositis, the type of treatment, and the number of cycles received (p<0.05). Conclusion. It is important to implement therapeutic protocols that help maintain excellent oral health and reduce the risk of oral mucositis. Stomatologists should be consulted to assess patients’ oral cavities and provide preventive treatment prior to QT and/or RT administration. It is important to integrate a stomatologist into the oncological working group to focus on preventing and managing oral mucositis.

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