Minimal Access Fixation of Longitudinal Sacral Fractures: The Posterior Internal Fixator with a Minimum of Three Years of Follow-Up

2018 ◽  
Vol 119 ◽  
pp. 511-516
Author(s):  
Abdelfattah Mohamed Fathy Saoud ◽  
Ahmed Mohamed Sallam
Keyword(s):  
Internal Fixator ◽  
Minimal Access ◽  
Sacral Fractures

Long-term follow-up of standard microdiscectomy versus minimal access surgery for lumbar disc herniations

2013 ◽  
Vol 155 (12) ◽  
pp. 2333-2338 ◽  
Author(s):  
J. Gempt ◽  
M. Jonek ◽  
F. Ringel ◽  
A. Preuß ◽  
P. Wolf ◽  
...  
Keyword(s):  
Lumbar Disc ◽  
Minimal Access Surgery ◽  
Minimal Access ◽  
Long Term Follow Up ◽  
Disc Herniations ◽  
Access Surgery

The clamp rod internal fixator application and results in 120 small animal fracture patients

2004 ◽  
Vol 17 (03) ◽  
pp. 110-120 ◽  
Author(s):  
U. Matis ◽  
K. Zahn
Keyword(s):  
Fracture Healing ◽  
Small Animal ◽  
Neurological Status ◽  
Spinal Fracture ◽  
Internal Fixator ◽  
Post Surgery ◽  
Comminuted Fractures ◽  
N 93 ◽  
Complicated Fracture

SummaryThe clamp rod internal fixator (CRIF), also known as VetFix, consists of clamps that are slid onto a rod and fixed to the bone with screws. The objective of the present study was to evaluate the results of using the CRIF in 50 canine and 70 feline patients with closed (n = 93) and open (n = 10) transverse, oblique and comminuted fractures of the femur, tibia, humerus, acetabulum, radius, scapula and ulna. Fourteen further fractures were non-unions. In addition, the CRIF was used to repair three fracture-luxations of the spine. Fracture fixation was performed by application of one or two CRIF devices with 2.0, 2.7 or 3.5 mm cortical screws, using AO osteosynthesis instrumentation. Forty-five dogs and 55 cats were re-evaluated clinically and radiographically after an average of five months. Uneventful fracture healing occurred in 75 of these patients. In ten cases, follow-up was only available until six weeks post-surgery at which time fracture healing was incomplete. Of the total of 15 complications, five were resolved by exercise restriction alone, while the CRIF had to be replaced in six other patients. One cat with a spinal fracture-luxation was euthanized due to deterioration of neurological status. Three animals were unavailable for further follow-up. With the inclusion of both uneventful and complicated fracture healing, 86/90 patients ultimately achieved complete fracture healing. Our results suggest that the CRIF system can be used successfully to treat a great variety of fractures in dogs and cats.

Sacral fractures in dogs: a review of 32 cases

1995 ◽  
Vol 31 (2) ◽  
pp. 142-150 ◽  
Author(s):  
CA Kuntz ◽  
D Waldron ◽  
RA Martin ◽  
PK Shires ◽  
M Moon ◽  
...  
Keyword(s):  
Physical Examination ◽  
Telephone Survey ◽  
Fracture Group ◽  
Sacral Fractures ◽  
Neurologic Status ◽  
Neurologic Deficits ◽  
Sacral Foramina

Sacral fractures have not been described well in dogs. The records of 32 dogs diagnosed with sacral fractures were evaluated for neurologic deficits at presentation and discharge. Follow-up was in the form of telephone survey or physical examination at recheck. A score was assigned for each dog at presentation, discharge, and follow-up (0 for normal, 1 for minor deficits, and 2 for major deficits). Fractures located lateral to the sacral foramina were called abaxial, and those medial to the sacral foramina were called axial. Axial fractures had significantly more severe deficits at presentation (p = 0.00017) and discharge (p = 0.03063), but not at follow-up. Neurologic status did not improve significantly during hospitalization in either fracture group, but had improved significantly at follow-up.

scholarly journals Community mental health in rural India: the Shifa project in Padhar Hospital, Madhya Pradesh

2018 ◽  
Vol 15 (2) ◽  
pp. 38-40 ◽  
Author(s):  
Johann A. Ebenezer ◽  
Robert E. Drake
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Health Workers ◽  
Central India ◽  
Rural India ◽  
Local Health ◽  
Minimal Access ◽  
Severe Mental Disorders

People with severe mental disorders in rural India have minimal access to mental health services. Project Shifa entails outreach to patients and families in 75 villages in rural central India. A team of local health workers led by one psychiatrist provide assessment, medications, education and follow-up services.

scholarly journals Novel Surgical Technique for Repair of Zygomatic Fractures: Lever Technique

2019 ◽  
Vol 27 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Hakan Cinal ◽  
Ensar Zafer Barin ◽  
Mehmet Akif Çakmak ◽  
Murat Kara ◽  
Kerem Yilmaz ◽  
...  
Keyword(s):  
Open Reduction Internal Fixation ◽  
Fat Graft ◽  
Minimal Access ◽  
Minimally Invasive Surgical Procedure ◽  
Minimally Invasive Surgical ◽  
Crucial Component ◽  
Pulling Force ◽  
Facial Contours ◽  
Zygomatic Fractures

Background: Zygoma is a very crucial component for the anteroposterior positioning of the midface and for the maintenance of facial contours. Zygomatic fractures are considered as the second most common type of facial fractures following nasal fractures. We have developed a new reduction technique called “lever,” which is based on the application of lifting force as an alternative to the methods in which the pulling force is applied. Patients: Over a 12-year period, 90 patients were treated with minimal access approach and 130 patients were treated with open reduction internal fixation (ORIF), using the lever technique. Results: In the follow-up period, no complications occurred in any of the patients who underwent minimal access approach. Miniplate removal operation was performed in 3 of the patients. Enophthalmos developed in one patient. Since 4 of the 7 suboptimal reduction patients did not experience any functional or cosmetic problems, no treatment was necessary and the remaining 3 patients underwent fat graft due to the presence of malar depression. Conclusion: This minimally invasive surgical procedure we have developed can be successfully used both in the minimal access approach and in ORIF, especially in delayed cases. We recommend this method due to the reasons that it is safe to conduct, easy to learn, fast to apply, simple to perform, and also economical to deploy.

Comparison of minimal access and traditional anterior spinal surgery in managing infectious spondylitis: a minimum 2-year follow-up

2014 ◽  
Vol 14 (7) ◽  
pp. 1099-1105 ◽  
Author(s):  
Ching-Yu Lee ◽  
Tsung-Jen Huang ◽  
Yen-Yao Li ◽  
Chin-Chang Cheng ◽  
Meng-Huang Wu
Keyword(s):  
Spinal Surgery ◽  
Minimal Access ◽  
Anterior Spinal Surgery ◽  
Infectious Spondylitis

scholarly journals Treatment of stable and unstable intertrochanteric fractures with selfdynamisable internal fixator (concept of double dynamisation)

2015 ◽  
Vol 72 (7) ◽  
pp. 576-582 ◽  
Author(s):  
Igor Kostic ◽  
Milan Mitkovic ◽  
Milorad Mitkovic
Keyword(s):  
Bone Fractures ◽  
Scoring Systems ◽  
Internal Fixator ◽  
Walking Ability ◽  
Intertrochanteric Fractures ◽  
Duration Of Surgery ◽  
Optimum Period ◽  
Fracture Types ◽  
Fractures Of The Femur

Bacground/Aim. Intertrochanteric fractures of the femur are the third most common fractures among all bone fractures. Today in everyday orthopedic practice a number of different methods of treatment of trochanteric fractures of the femur are applied. Despite the improvement in the development of new implants, the percentage of serious complications of the treatment of these fractures remains very high, varying from 10% to 20%. One of the most serious complications of internal fixation of intertrochanteric fractures is nonunion of fractures due to the lack of additional axial dynamisation of implants. The aim of this study was to determine the efficacy of double dynamisation in stable and unstable intertrochanteric fractures treatment using the self dynamisable internal fixator. Methods. During the period from 2000 to 2009 we analyzed the use of selfdynamisable internal fixator (SIF implant) in the treatment of 247 patients with stable and unstable intertrochanteric fractures. Fracture types were classified according to the AO Fracture Classification/Orthopaedic Trauma Association Scheme. Salvati and Wilson scoring systems were used for functional assessment considering pain, walking ability and hip movements of operated patients. Results. Of the total number of treated patients, 134 were males and 113 females, aged 19 to 90 (average 49.6) years. More than a half of the patients were older than 50 years. Monitoring of the patients after the operation was carried out clinically and radiographically for a period of three to six months in all the patients, whereas a 2-year follow-up was conducted in 176 (71.2%) patients. The average duration of surgery was 47 min, the average blood loss 145 mL, and the average fluoroscopy time was 16 sec (8-97 sec). The average time for union was 3.7 months (3-6.5 months). Double dynamisation (dynamisation along the neck and shaft of the femur) was observed in 85 (34.4%) patients, and was on average 4.3 mm (1.5-8 mm). All fractures managed with dynamisation implants healed completely within no later than six months after the surgery. In 17 cases there was a cut-out phenomenon of implant, while in seven cases there was mechanical implant failure. Complications were detected within 3 to 6 weeks after the surgery, and treated by the method of intramedullary fixation. During the study, there were no cases of infecton and thromboembolic complications detected. Conclusion. The concept of double dynamisation improves the fracture healing in the stable and unstable intertrochanteric fractures using the selfdynamisable internal fixator. This biological method of fixation provides healing of intertrochanteric fracture in the optimum period of time, significantly reducing the risk for mechanical failure.

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