scholarly journals Quality of fracture reduction assessed by radiological parameters and its influence on functional results in patients with pilon fractures—A prospective multicentre study

Injury ◽  
2017 ◽  
Vol 48 (12) ◽  
pp. 2853-2863 ◽  
Author(s):  
Christoph Sommer ◽  
Sean E. Nork ◽  
Matthew Graves ◽  
Michael Blauth ◽  
Mark Rudin ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Functional Results ◽  
Fracture Reduction ◽  
Radiological Parameters ◽  
Prospective Multicentre Study ◽  
Pilon Fractures

Functional results after orthotopic bladder substitution: A prospective multicentre study comparing four types of neobladder

2013 ◽  
Vol 48 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Ilkka Paananen ◽  
Pasi Ohtonen ◽  
Ilkka Perttilä ◽  
Olof Jonsson ◽  
Christer Edlund ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Functional Results ◽  
Prospective Multicentre Study ◽  
Bladder Substitution

scholarly journals Radiological parameters determining outcome in pilon fractures treated by minimally invasive plate osteosynthesis

2019 ◽  
Vol 5 (3) ◽  
pp. 490
Author(s):  
Vishnu Sankar Appusamy ◽  
Karthik Ramachandran ◽  
Arvind Manoj Kumbakrishnakumar
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Soft Tissues ◽  
Plate Osteosynthesis ◽  
Soft Tissue Injury ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Surgical Trauma ◽  
Radiological Parameters ◽  
Pilon Fractures

<p class="abstract"><strong>Background:</strong> Tibial pilon fractures are one of the challenging fractures to manage in the field of orthopaedics due to its complex fracture patterns as well as associated soft tissue injury. Minimally invasive plate osteosynthesis (MIPO) technique aims to reduce the surgical trauma to the surrounding soft tissues and hence maintain a more biologically favourable environment for fracture healing. The purpose of the study is to analyse the various factors especially radiological parameters determining functional outcome in pilon fractures treated by MIPO technique.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study conducted from June 2015 to May 2018. The study included 46 patients (33 males, 13 females) with pilon fractures treated by minimally invasive plate osteosynthesis. All patients were followed for average period of 2 years. Functional outcome was assessed using American Orthopedic Foot and Ankle Score (AOFAS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 46 patients, 21 patients (45.65%) had excellent, 16 patients (34.78%) had good and 6 patients (13.04%) had fair functional outcome. The quality of reduction was the most important parameter determining the functional outcome. We found that patients with higher lateral distal tibial angle (LDTA), anterior distal tibial angle (ADTA) and length of lateral malleolus (LLM) had better functional outcome than patients with lower values. The timing of surgery had no significant influence on the functional outcome of the patients.</p><p class="abstract"><strong>Conclusions:</strong> We like to conclude that apart from the quality of fracture reduction, radiological parameters like ADTA, LDTA, and LLM also play a crucial role in determining the functional outcome in pilon fractures.</p><p class="abstract"> </p>

scholarly journals Reference radiologic measurements for the assessment of tibial pilon fractures

2022 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Daniele Gianoli ◽  
Alexander Joeris ◽  
Christoph Sommer
Keyword(s):  
Normal Weight ◽  
Lateral Malleolus ◽  
Radiological Parameters ◽  
Tibial Pilon ◽  
Large Patient ◽  
Significant Difference ◽  
Radiological Control ◽  
Patient Groups ◽  
Pilon Fractures

Objectives: The management of pilon fractures is a challenge and the outcome depends on multiple factors, one of which is the quality of reduction. In the literature, there is no assessment of anatomical reduction in pilon fractures. We also lack standard radiological parameters in large patient groups to measure the reduction. The main aim of this analysis was to define normal standard radiological values and identify potential specific types of ankle joint morphology (morphotypes) that might deserve special attention intraoperatively. Methods: We analyzed data of 103 healthy contralateral ankles collected within an observational and prospective multicenter study about tibial pilon fractures. We divided the patients according to their height into two groups, measured 11 radiological parameters, and compared them with each other and the literature. In addition, using cluster analysis, we could identify three morphotypes. Results: There is a statistically significant difference between the two groups in the lengths of three parameters: Mortise width, medial clear space, and length of the lateral malleolus, but not in the angles. The three morphotypes differ only in body mass index and the length of the lateral malleolus. Conclusion: Reference values from the literature are insufficient to assess a reduction after open reduction and internal fixation of tibial pilon fractures because they depend on the height. This does not apply to angles because they are independent of height. For clinical practice, a radiological control of the contralateral healthy ankle gives the best information about the reduction quality and should always be done, especially in normal weight males.

scholarly journals Quality of colonoscopy in an emerging country: A prospective, multicentre study in Russia

2017 ◽  
Vol 5 (2) ◽  
pp. 276-283 ◽  
Author(s):  
Mariya Antipova ◽  
Mikhail Burdyukov ◽  
Mikhail Bykov ◽  
Leonid Domarev ◽  
Evgeny Fedorov ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Prospective Multicentre Study ◽  
Emerging Country

scholarly journals Holmium:YAG Laser for the Treatment of Genital and urethral Warts: Multicentre Prospective Evaluation of Safety and Efficacy

2021 ◽  
Vol 12 (1) ◽  
pp. e34-e34
Author(s):  
Michele Del Zingaro ◽  
Giovanni Cochetti ◽  
Alessandro Zucchi ◽  
Alessio Paladini ◽  
Jacopo Adolfo Rossi De Vermandois ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Yttrium Aluminium Garnet ◽  
Safety And Efficacy ◽  
Prospective Multicentre Study ◽  
Patient Global Impression ◽  
Quality Of Life Index ◽  
Treatment Naïve ◽  
Improve Patient

Introduction: Genital condylomatosis is a highly contagious disease caused by the human papilloma virus (HPV). The aim of this prospective multicentre study was to evaluate the safety and efficacy of the Holmium:YAG (yttrium-aluminium-garnet) laser in the treatment of genital and intra-urethral warts; the secondary aim was to assess the patients’ postoperative satisfaction and cosmetic results. Methods: From December 2016 to March 2019, patients with genital warts were prospectively enrolled in three hospitals. The inclusion criteria were male gender, age over 18 years-old and treatment-naïve. External and urethral genitalia warts were treated by the Holmium YAG laser. The follow-up analysis consisted of physical examination, flexible urethro-cystoscopy in case of meatal lesions, and administration of Dermatology Quality of Life Index (DLQI) and Patient Global Impression of Improvement (PGI-I) questionnaires at 1, 3, 6 and 12 months after surgery and subsequently yearly. Results: Sixty patients were enrolled. The single treatment was effective in 57/60 patients (95%). At a mean follow-up of 26 months, recurrences occurred in 8 patients (13.3%). No peri- or post-operative complication occurred. An improvement in pre-operative condition was highlighted with PGI-I and DLQI questionnaires. Conclusion: Our prospective multicentre study showed that holmium laser surgery seems to be a safe and effective treatment for external genital and urethral warts. Good dermatological outcomes aid to further improve patient satisfaction.

scholarly journals Tibial pilon fractures: functional results and evaluation of quality of life

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ademir Moura Júnior ◽  
Alexandre Machado Filho ◽  
Eduardo Campos ◽  
Jefferson Martins
Keyword(s):  
Quality Of Life ◽  
Functional Results ◽  
Tibial Pilon ◽  
Pilon Fractures
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