Peer review report 1 on “Comparison of mortality rates and functional results after transtibial and transfemoral amputations due to diabetes in elderly patients – A retrospective study”

2016 ◽  
Vol 25 ◽  
pp. 393
Author(s):  
Salvatore Giordano
2002 ◽  
Vol 10 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Koji Fujii ◽  
Tatsuhiko Henmi ◽  
Yoshiji Kanematsu ◽  
Takuya Mishiro ◽  
Toshinori Sakai ◽  
...  

The functional and anatomical results of distal end of radius fractures with severe displacement in 22 elderly patients are reviewed in this retrospective study. The mean age of the patients was 69.4 years (range, 60–88 years) and the mean follow-up period was 24 months (range, 12–53 months). According to the sum of demerit points (Saito, 1983), the latest follow-up functional end results were ‘excellent’ in 64% of fractures and ‘good’ in 36%. As for the anatomical results at follow-up, the average radial tilt was 20.7°, ulnar variance was 4.0 mm, and palmar tilt was −2.7° respectively. Though most of the patients had satisfactory outcome and the functional results did not correlate with the radiographic evidence of minor deformities, the functional results of the patients with radial shortening of 6 mm or over were poor. Furthermore, the grip power was the most significant factor related to subjective evaluation and did not improve significantly in patients with the nondominant hand injured.


2009 ◽  
Vol 35 (4) ◽  
pp. 283-288 ◽  
Author(s):  
M. Hakimi ◽  
P. Jungbluth ◽  
J. Windolf ◽  
M. Wild

This retrospective study investigates the radiological and the functional results as well as complications following locking palmar plating on the distal radius. Eighty-nine adult patients with a dorsally displaced distal radius fracture were treated using a locking palmar plate at our clinic over a period of 25 months. The radiological and functional results as well as the DASH score were recorded for 77 out of 89 patients in the routine final examinations conducted on average 12 months later. The radiological examinations showed a relevant shortening of the radius among five patients. A dorsal angulation of more than 20° as well as a radial inclination of less than 10° was observed in 11 patients. Most of the patients showed good to excellent functional and radiological results as well as good results on the DASH score. A3 fractures in elderly patients and the majority of C1 and C2 fractures can be safely treated with locking palmar plating.


Injury ◽  
2013 ◽  
Vol 44 (6) ◽  
pp. 747-750 ◽  
Author(s):  
Assaf Kadar ◽  
Ofir Chechik ◽  
Eldad Katz ◽  
Itay Blum ◽  
Gabrielle Meghiddo ◽  
...  

Author(s):  
Yi Li ◽  
Xiaohua Dong ◽  
Zhibin Li ◽  
Yuyao Peng ◽  
Wanlin Jin ◽  
...  

2004 ◽  
Vol 62 (2b) ◽  
pp. 391-395 ◽  
Author(s):  
Rosana Carandina-Maffeis ◽  
Anamarli Nucci ◽  
José F.C. Marques Jr ◽  
Eduardo G. Roveri ◽  
Beatriz H.M. Pfeilsticker ◽  
...  

We analyzed the experience of Unicamp Clinical Hospital with plasma exchange (PE) therapy in myasthenia gravis (MG). About 17.8 % of a totality of MG patients had PE performed: 26 cases, 19 women and seven men. The mean age-onset of MG was 28 years, extremes 11 and 69. Minimum deficit observed in the group was graded IIb (O & G) or IIIa (MGFA scale). One patient had prethymectomy PE. In seven the procedures were performed due to myasthenic crisis and in 18 patients due to severe myasthenic symptoms or exacerbation of previous motor deficit. Two patients were also submitted to chronic PE considering refractoriness to other treatments. Twenty-six patients had 44 cycles of PE and 171 sessions. The mean number of sessions was 3.9 (SD ± 1.4) each cycle; median 5, extremes 2 and 6. The mean time by session was 106,5 minutes (SD ± 35.2); median 100.5 (extremes of 55 and 215). The mean volume of plasma exchanged in each session was 2396 ml (SD ± 561); median 2225 (extremes 1512 and 4500). Side effects occurred: reversible hypotension (seven cases), mild tremor or paresthesias (seven cases). Infection and mortality rates due to PE were zero. All patients had immediate benefit of each PE cycle and usually they also received prednisone or other immunosuppressors. Good acceptance of the procedure was observed in 80.7% of patients.


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