scholarly journals Post-traumatic knee stiffness: Surgical techniques

2015 ◽  
Vol 101 (1) ◽  
pp. S179-S186 ◽  
Author(s):  
N. Pujol ◽  
P. Boisrenoult ◽  
P. Beaufils
Keyword(s):  
Surgical Techniques ◽  
Knee Stiffness ◽  
Post Traumatic

scholarly journals Tracheal surgery

2016 ◽  
Vol 73 (3) ◽  
Author(s):  
A. D'Andrilli ◽  
E.A. Rendina ◽  
F. Venuta
Keyword(s):  
Surgical Resection ◽  
Surgical Techniques ◽  
Treatment Modalities ◽  
Malignant Neoplasms ◽  
New Techniques ◽  
Multidisciplinary Cooperation ◽  
Post Traumatic ◽  
Post Intubation ◽  
Near Future

Surgical resection and reconstruction of the trachea can be performed both for benign and malignant diseases. The main indications for surgery include inflammatory (generally post-intubation), congenital or post-traumatic stenoses, degenerative lesions, benign or malignant neoplasms. Success can be pursued only by accurate patient selection and timing, meticulous surgical techniques, careful follow up and, when required, multidisciplinary cooperation. Although surgical resection has now become part of our surgical practice, other treatment modalities are approaching a new clinical application era, in particular tracheal transplantation and bioengineering. These new techniques will certainly offer, in the near future, improved chances to treat difficult cases.

scholarly journals Indications and outcomes of radial head excision: A systematic review

2019 ◽  
Vol 12 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Alexandra H Hildebrand ◽  
Betty Zhang ◽  
Nolan S Horner ◽  
Graham King ◽  
Moin Khan ◽  
...  
Keyword(s):  
Radial Head ◽  
Surgical Techniques ◽  
Operative Management ◽  
Rheumatoid Disease ◽  
Radial Head Fractures ◽  
Functional Scores ◽  
Post Traumatic ◽  
Elbow Pathology ◽  
Radial Head Excision

Background Radial head excision has historically been a common surgical procedure for the operative management of radial head fractures and post-traumatic conditions. With recent advances in other surgical techniques, controversy exists regarding its indications. This review evaluates the indications and outcomes of radial head excision in traumatic and non-traumatic elbow pathology. Methods Multiple databases were searched for studies involving radial head excision. Screening and data abstraction were conducted in duplicate. Only studies reporting outcomes for radial head excision were included. Results Twenty-seven studies with 774 radial head excision patients were included. The most common indications involved acute excision of comminuted radial head fractures (n = 347) and rheumatoid arthritis (n = 201). Post-operative functional scores after acute excision were reported to be good to excellent. In the chronic setting of rheumatoid disease, radial head excision resulted in improved range of motion, although pain was not effectively relieved. Discussion Outcomes of radial head excision for acute fracture are good to excellent; however, it should not be performed when concurrent or ligamentous injuries are present. Although some studies compared excision to open reduction and internal fixation or replacement, more data are needed to make proper conclusions. The strength of these conclusions is limited by the quality of included literature.

Post-Traumatic Knee Stiffness

2021 ◽  
pp. 855-858
Author(s):  
Charalambos Panayiotou Charalambous
Keyword(s):  
Knee Stiffness ◽  
Post Traumatic

scholarly journals Comparison of minimally invasive arthrolysis vs. conventional arthrolysis for post-traumatic knee stiffness

2018 ◽  
Vol 23 (1) ◽  
pp. 112-116 ◽  
Author(s):  
Wenzhao Xing ◽  
Lei Sun ◽  
Liang Sun ◽  
Changcheng Liu ◽  
Zhigang Kong ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Knee Stiffness ◽  
Post Traumatic

scholarly journals Tibial plateau fractures in a limited-resource setting: A prospective study of surgical techniques and outcome over three years

2022 ◽  
pp. 31
Author(s):  
Keyword(s):  
External Fixation ◽  
Tibial Plateau ◽  
Wide Spectrum ◽  
Surgical Techniques ◽  
Tibial Plateau Fractures ◽  
Resource Setting ◽  
Schatzker Type ◽  
Satisfactory Outcome ◽  
Pathologic Fractures ◽  
Post Traumatic

Introduction: Tibial plateau fractures form a wide spectrum of injuries accounting for 1.2% of all fractures and a prevalence of 10 cases per 100,000 inhabitants. Methodology: A prospective consecutive multicentre study from May 2018 to May 2021 was carried out in Yaounde. All consenting cases of tibial plateau fracture underwent surgical treatment while patients with pathologic fractures, previous knee osteoarthritis, medically unfit for surgery, and discharging against medical advice were excluded. Data was analysed with SPSS 26.0 and the level of significance set at p<0.05. Results:Eighty-four (84) cases of tibial plateau fractures were sampled and 68 consented to surgery. The mean age was 42 ±13.6 years and sex ratio 2.4. Estimated prevalence was 2.2 cases per 100,000 inhabitants. Schatzker type II fractures were most represented (33.3%). The left leg was affected in 57.1%. Motorbike accidents were the main cause of injury (66.7%). Of the 68 operated, 63.3% by plating osteosynthesis, 32.4% by external fixation, and 4.4% by screws fixation. Tricortical iliac bone graft was realised in 4 cases. The minimum follow-up was 6 months, with a median of 18 months (5 to 37 months). Plating osteosynthesis (p<0.001), operative time between 60 to 120 minutes (p<0.02) and a good radiologic fracture healing (p<0.04) were associated with a satisfactory outcome. Poor prognosis was seen with open fractures (p<0.001), bridging external fixation (p<0.001), and Schatzker VI fractures (p<0.02). Complications included post-traumatic osteoarthritis (64.7%), post-traumatic osteomyelitis (29.4%), knee ankylosis (5.9%), and limb malalignment (30.9%). Conclusion:The prevalence of tibial plateau fractures remains lower than reported in literature but it is projected to rise. Plating remains a viable treatment option. A larger scale study will establish the burden of this entity in our context.

Morphological features of mucoperichondria in patients with post-traumatic deformity of nasal septum

2021 ◽  
Vol 19 (2) ◽  
pp. 56-64
Author(s):  
G. Yu. Tsarapkin ◽  
◽  
N. L. Kunel’skaya ◽  
O. V. Zairat’yants ◽  
A. S. Tovmasyan ◽  
...  
Keyword(s):  
Nasal Septum ◽  
Histological Study ◽  
Surgical Techniques ◽  
Morphological Features ◽  
Frequency Of Occurrence ◽  
Histological Findings ◽  
Nasal Breathing ◽  
The Past ◽  
Post Traumatic

Over the past decades, surgical techniques have been improved, aimed at restoring the position of the nasal septum in case of its deformities. The attitude to the technique of the operation itself has changed, which consists in a sparing approach to the osteochondral skeleton of the nasal septum (NS). It should be noted that to date, the histological features of the mucous membrane (MM) of NS have not been studied with pronounced curvatures of PN, in this regard, the purpose of our work was to conduct a histological study of the MM of NS and to identify the morphological features of the structure of mucoperichondria in the area of septal deformity. Research methods. Our study included 24 patients with nasal septum deviation (NSD) and concomitant vasomotor or hypertrophic rhinitis. All patients noted impaired nasal breathing. 12 men and women were examined, the average age of the patients was 36 ± 10 years. Patients with grade III of NSD according to the classification of Protasevich were examined and operated on. We analyzed the material taken from 5 loci of the MM of NS. A total of 120 histological sections were examined. When describing histological findings from loci A-E, we were guided by the frequency of occurrence of criteria indicating the severity of irreversible post-traumatic changes in MM of NS. After analyzing the material obtained and carrying out a comparative analysis of the frequency of occurrence of histological findings in each locus, we concluded that the proximity of the locus to the most deformed part of the nasal septum is characterized by the maximum severity of dystrophic and sclerotic changes in the MM of NS, similar to the histological picture of a hypertrophic scar.

Effect of Post-traumatic Tibiotalar Osteoarthritis on Kinematics of the Ankle Joint Complex

2009 ◽  
Vol 30 (8) ◽  
pp. 734-740 ◽  
Author(s):  
Michal Kozanek ◽  
Harry E. Rubash ◽  
Guoan Li ◽  
Richard J. de Asla
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Imaging Techniques ◽  
Weight Bearing ◽  
Surgical Techniques ◽  
Heel Strike ◽  
Control Group ◽  
Tibiotalar Joint ◽  
Results Of Treatment ◽  
Post Traumatic

Background: Knowledge of joint kinematics in the healthy and diseased joint may be useful if surgical techniques and joint replacement designs are to be improved. To date, little is known about the kinematics of the arthritic tibiotalar joint and its effect on the kinematics of the subtalar joint. Materials and Methods: Kinematics of the ankle joint complex (AJC) were measured in six patients with unilateral post-traumatic tibiotalar osteoarthritis in simulated heel strike, midstance and toe off weight bearing positions using magnetic resonance and dual fluoroscopic imaging techniques. The kinematic data obtained was compared to a normal cohort from a previous study. Results: From heel strike to midstance, the arthritic tibiotalar joint demonstrated 2.2 ± 5.0 degrees of dorsiflexion while in the healthy controls the tibiotalar joint plantarflexed 9.1 ± 5.3 degrees ( p < 0.01). From midstance to toe off, the subtalar joint in the arthritic group dorsiflexed 3.3 ± 4.1 degrees whereas in the control group the subtalar joint plantarflexed 8.5 ± 2.9 degrees ( p < 0.01). The subtalar joint in the arthritic group rotated externally 1.2 ± 1.0 degrees and everted 3.3 ± 6.1 degrees from midstance to toe off while in the control group 12.3 ± 8.3 degrees of internal rotation and 10.7 ± 3.8 degrees eversion ( p < 0.01 and p < 0.01, respectively) was measured. Conclusion: The current study suggests that during the stance phase of gait, subtalar joint motion in the sagittal, coronal, and transverse rotational planes tends to occur in an opposite direction in subjects with tibiotalar osteoarthritis when compared to normal ankle controls. This effectively represents a breakdown in the normal motion coupling seen in healthy ankle joints. Clinical Relevance: Knowledge of ankle kinematics of arthritic joints may be helpful when designing prostheses or in assessing the results of treatment interventions.

scholarly journals New approaches to pediatric treatment of post-traumatic elbow contractures

2021 ◽  
Vol 27 (5) ◽  
pp. 578-583
Author(s):  
G.D. Bayimbetov ◽  
◽  
I.Yu. Khodzhanov ◽  
Keyword(s):  
Elbow Joint ◽  
Surgical Techniques ◽  
Early Postoperative Period ◽  
High Rate ◽  
Long Term Results ◽  
Relieve Pain ◽  
Post Traumatic ◽  
Diagnostic Modalities ◽  
Surgical Treatments

Abstract. Introduction Post-traumatic elbow contracture is a severe disabling condition of childhood that interferes with both physical and psychic aspects for the child. A high rate of poor results encourages surgeons seek for better surgical treatments. Current diagnostic modalities were practical to get the clinical picture of the contracture mechanogenesis and determine the treatment strategy. The goal of the study was to review long-term results of new surgical techniques developed for post-traumatic elbow contractures in children. Material and methods The inpatient records of 102 pediatric patients with post-traumatic elbow contractures operated on with the technique offered were reviewed. All patients underwent conventional radiological, ultrasound and MSCT examinations. Results Based on the pathobiomechanics of the injured elbow a mobilization technique was developed to ensure complete bone realignment, relieve pain and allow early exercises for the joint. Postoperative lavage of the joint cavity, intra-articular administration of corticosteroids and polyvalent enzymes in the early postoperative period facilitated improved long-term outcomes of elbow contractures. All patients reported good results. Discussion Tenotomies of the lateral ligaments can be added to arthrotomy and reconstruction of articular surfaces for temporary instability of the joint to restore movement in the elbow joint in severe cases. Post-traumatic elbow contractures are accompanied by impaired biomechanics. MSCT and 3D reconstruction of bone structures is the gold standard in the diagnosis of post-traumatic elbow contractures. Conclusion Bone impingements are to be addressed and an extended mobilization of the capsular ligamentous complex be provided for complete movement recovery through partial elbow instability to be temporarily ensured. Prolonged lavage of the elbow joint can be used to prevent adhesions and allow early elbow exercises and provide improved outcomes.

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