Does intermeniscal ligament tenodesis affect meniscal allograft extrusion? Retrospective comparative study at a minimum follow-up of 2 years

2021 ◽  
pp. 102815
Author(s):  
Bernard Hollier-Larousse ◽  
Seong Hwan Kim ◽  
Nicolas Pujol
Keyword(s):  
Comparative Study ◽  
Meniscal Allograft ◽  
Retrospective Comparative Study

Retrospective Comparative Study of Operative Repair of Hammertoe Deformity

2014 ◽  
Vol 7 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Wenjay Sung ◽  
Lowell Weil ◽  
Lowell Scott Weil
Keyword(s):  
Comparative Study ◽  
Sagittal Plane ◽  
Weight Bearing ◽  
Proximal Interphalangeal Joint ◽  
Axial Plane ◽  
Adequate Pain Relief ◽  
Pip Joint ◽  
Vas Scores ◽  
Retrospective Comparative Study

Background. The purpose of this study was to compare the outcomes of patients with second hammertoe deformities who underwent correction using either joint resection arthroplasty, proximal interphalangeal joint (PIP) arthrodesis without osteotomy, or interpositional implant arthroplasty. Methods. Medical records from patients who underwent second PIP correction from July 1999 to December 2008 were retrospectively reviewed. A total of 114 patients (136 second toes) were the basis for this retrospective comparative study. The average final follow-up with weight-bearing radiographs of the 136 procedures at the second toe was 53.8 months. Results. All 3 groups had significantly reduced VAS scores postoperatively (P < .01). Also, all groups had significant radiographic correction in the average measured lateral angle of the second PIP joint (P < .01). However, the interpositional implant group had significantly corrected the second PIP joint in the axial plane, with an average postoperative anterior-posterior (AP) angle of 2.9° (P < .01). The postoperative AP angle was also significantly different compared with the postoperative AP angles of the other 2 groups (P < .01). Discussion. Our study confirms that all 3 techniques provide adequate pain relief and radiographic sagittal plane correction. However, interpositional implant arthroplasty provides significant radiographic correction in the axial plane. Levels of Evidence: Therapeutic Level III, Retrospective comparative study

Hallux Interphalangeal Arthrodesis Following First Metatarsophalangeal Arthrodesis

2018 ◽  
Vol 39 (10) ◽  
pp. 1178-1182 ◽  
Author(s):  
Songwut Thitiboonsuwan ◽  
Joseph J. Kavolus ◽  
James A. Nunley
Keyword(s):  
Comparative Study ◽  
Median Time ◽  
Bone Healing ◽  
Rate Ratio ◽  
Standard Treatment ◽  
Risk Difference ◽  
Level Of Evidence ◽  
Interphalangeal Arthrodesis ◽  
Retrospective Comparative Study

Background: Hallux interphalangeal (IP) arthritis can occur after first metatarsophalangeal (MTP) arthrodesis. IP arthrodesis is a standard treatment, but in the setting of prior MTP surgery there will be increased stress on the IP joint. This may result in diminished potential for bone healing. This investigation assessed the outcomes of hallux IP arthrodesis after first MTP arthrodesis. Methods: Charts were retrospectively reviewed for patients who underwent interphalangeal arthrodesis between January 1, 2007, and April 3, 2017, and who had a minimum of 12 weeks of follow-up. We compared patients with and without prior ipsilateral first MTP arthrodesis. There were 42 patients whose median follow-up was 9 (range, 3-135) months. Results: Median time from previous first MTP arthrodesis until IP arthrodesis was 54 months. Six nonunions (35.3%) occurred in 17 patients with prior first MTP arthrodesis. Only 2 nonunions (8.0%) occurred in 25 patients with isolated IP arthrodesis. The multivariable risk difference of nonunion was 53.3% ( P = .001). Prior first MTP arthrodesis also was more likely to have complications (52.9% vs 24.0%, respectively). The multivariable risk difference of complications was 35.7% ( P = .082). The speed of bone healing was significantly different, with a multivariable rate ratio of 0.21 ( P = .012). Conclusion Prior first MTP arthrodesis resulted in 4.8 times slower bone healing for IP arthrodesis. It increased the risks of nonunion and any other complications. Level of Evidence: Level III, retrospective comparative study.

scholarly journals Impact of COVID-19 Pandemic on Ophthalmic Presentations to an Australian Outer Metropolitan and Rural Emergency Department: A Retrospective Comparative Study

2021 ◽  
Author(s):  
King Fai Calvin Leung ◽  
Mojtaba Golzan ◽  
Chaminda Egodage ◽  
Simon Rodda ◽  
Richard Cracknell ◽  
...  
Keyword(s):  
Emergency Department ◽  
Comparative Study ◽  
Healthcare Delivery ◽  
Patient Demographics ◽  
South Wales ◽  
Triage Category ◽  
Chi Squared ◽  
Retrospective Comparative Study ◽  
Source Diagnosis

Abstract Background To analyse ophthalmic presentations to an outer metropolitan and a rural emergency department (ED) during the COVID-19 pandemic in New South Wales (NSW), Australia. Methods A retrospective comparative study of ophthalmic emergency presentations to Campbelltown Hospital (fifth busiest NSW metropolitan ED; population 310,000) and Bowral and District Hospital (rural ED; population 48,000) before and during COVID-19 was conducted. Patient demographics, triage category, referral source, diagnosis, length of stay, departure status, and follow-up location were assessed from coding data between March 1st to May 31st in 2019 and 2020, corresponding to the peak case numbers and restrictions during COVID-19 in NSW. Differences before and during COVID-19 were analysed using chi-squared tests or independent sample t-tests. Results There was no change in ophthalmic presentations at Campbelltown (n = 228 in 2019 vs. n = 232 in 2020; +1.75%, p = 0.12) and an increase at Bowral (n = 100 in 2019 vs. n = 111 in 2020; +11%, p < 0.01) during COVID-19. Urgent ophthalmic presentations (Triage Category 3) decreased at Bowral (p = 0.0075), while non-urgent ophthalmic presentations (Triage Category 5) increased at both hospitals (Campbelltown p < 0.05, Bowral p < 0.01). Conclusions An upward and varied trend in ophthalmic presentations to an outer metropolitan and a rural ED was observed. Heterogeneous ophthalmic presentation trends at peripheral EDs suggest that a high demand for ophthalmic services remained. A flexible healthcare delivery strategy, such as tele-ophthalmology, may optimise patient care during and after COVID-19.

Sign in / Sign up

Export Citation Format

Share Document