Trochlear femoral fractures in cats: results of seven cases

2001 ◽  
Vol 14 (01) ◽  
pp. 51-55 ◽  
Author(s):  
J. Font ◽  
M. J. Marti ◽  
C. A. Chico
Keyword(s):  
Functional Outcome ◽  
Surgical Repair ◽  
Femoral Fractures ◽  
Bony Union ◽  
Femoral Trochlea ◽  
Articular Fractures ◽  
K Wires ◽  
One Year ◽  
Femoral Condyles

SummarySeven cases of intra-articular fractures of the femoral condyles in cats were reviewed retrospectively. All of the cases involved the trochlea in a pattern that was different from the standard “T” or “L” fracture. Three of the cats were under one year of age. Surgical stabilization involved the use of plates and screws (five cases), crossed screws (one case), and multiple K-wires (one case). Radiographic bony union was demonstrable in all of the cases within 10 weeks. Six (85%) of the cats had a good functional outcome, and one (15%) had a fair outcome (minimum follow-up: four months). Major complications were not observed after post-operative physical and radiological examination.A retrospective study of seven cats with intra-articular fractures of the femoral trochlea was performed. These fractures were different than the standard “T” or L” fracture, and six of the fractures were comminuted.Functional outcome of the surgical repair was graded as good, fair or poor. Six of the cats had a good outcome, and one had a fair outcome.

EVALUATION OF FUNCTIONAL OUTCOME OF CALCANEUM FRACTURES TREATED BY MINIMALLY INVASIVE FIXATION TECHNIQUES

2021 ◽  
pp. 28-29
Author(s):  
Kautilyakumar V. Mahida ◽  
Jyotish G. Patel ◽  
Niharkumar J. Mayani
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Functional Outcomes ◽  
American Association ◽  
Invasive Technique ◽  
Bony Union ◽  
Articular Fractures ◽  
Fixation Techniques ◽  
Minimally Invasive Fixation

Purpose: To assess the functional outcome of calcaneum fracture treated by minimally invasive xation technique. Methods: 30 patients of displaced intraarticular calcaneum fractures were treated with minimally invasive xation techniques in this prospective study after obtaining informed consent regarding the same and satisfying inclusion and exclusion criteria. They were then followed up at 3 weeks, 6 weeks, 3 months, and 6 months. Functional outcomes were assessed using American association of foot and ankle score system (AOFAS) and Radiographs were also obtained on follow up and Bohler and Gissane angles were measured. Results: Out of 30 patients treated with minimally invasive xation techniques bony union occurred in all patients, functional outcome by American association of ankle and foot score (AOFAS) were 24 good, and 6 fair result. Radiographs showed restoration and maintainence of Bohler angle and Gissane angle in 28 patients at 6 months follow up. Conclusion: Minimally invasive technique for the treatment of intra articular fractures gives good to fair clinical outcome on short term follow up with very few complications. Restoration of Bohler and Gissane angle is correlated to good functional outcomes.

Distal interphalangeal Joint Arthrodesis using only Kirschner Wires in small distal Phalanges

2021 ◽  
Vol 53 (05) ◽  
pp. 462-466
Author(s):  
Jun-Ku Lee ◽  
Soonchul Lee ◽  
SeongJu Choi ◽  
Dong Hun Han ◽  
Jongbeom Oh ◽  
...  
Keyword(s):  
Distal Phalanx ◽  
Bony Union ◽  
Dash Score ◽  
Medical Database ◽  
X Ray ◽  
Wire Fixation ◽  
Distal Interphalangeal ◽  
K Wires ◽  
Quick Dash

Abstract Purpose To report the clinical and radiographic results of arthrodesis of relatively small-sized distal interphalangeal joints (DIPJs) using only K-wire fixation. Patients and methods Between January 2000 and December 2018 28 arthrodesis in 21 patients (9 males and 12 females with an average age of 52.1 years) with relatively small-sized DIPJs were performed using only K-wires. Data on patient’s characteristics, such as age, sex, affected finger, and the number and size of the used k-wires were collected from the medical database. The narrowest diameter of the cortex and medulla of the distal phalanx was measured on preoperative plain radiographs. The time to union and the arthrodesis angle was determined using serial X-ray radiography follow-up. Preoperatively and at the latest follow-up examination, pain using the visual analogue scale (VAS) and the quick DASH score was registered. In addition, complications were investigated. Results Average follow-up period was 11.4 months. The small finger was mostly affected (n = 12; 42.9 %). The narrowest diameters of the distal phalanx cortex and the medulla measured on preoperative X-ray images were 2.8 mm (SD 0.5) and 1.2 mm (SD 0.4), respectively. Seven fusions were done with use of 1 K-wire, 20 with 2 (71.4 %), and 1 with 3 K-wires. The most common K-wire sizes were 1.1-inch (24 K-wires = 48 %), and 0.9 inch (21 K-wires = 42 %) The preoperative VAS score and quick DASH score improved from 6.1 (range: 0–9) and 25.8 (range: 2–38) to 0.4 (range: 0–2) and 3.4 (range: 0–10.2), respectively. 25 (89.3 %) out of 28 fingers achieved bony union in an average of 96.1 days (range: 58–114) with three non-union. Conclusion Arthrodesis of small DIPJs with K-wire fixation has a high success rate. Therefore, we suggest K-wire fixation as an acceptable alternative for patients with a small phalanx which may be at risk of mismatch with bigger implants. However, concerns remain in terms of fusion delay with K-wire only fixation.

scholarly journals Displaced Colles fractures: Functional outcome following closed reduction and stabilization with percutaneous K-wires

2013 ◽  
Vol 2 (1) ◽  
pp. 14-20 ◽  
Author(s):  
RR Manandhar ◽  
S Lakhey ◽  
BK Pandey ◽  
RL Pradhan ◽  
S Sharma ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Invasive Technique ◽  
Percutaneous Pinning ◽  
Fracture Stabilization ◽  
Excellent Functional Outcome ◽  
Post Traumatic ◽  
K Wires ◽  
A Prospective Study ◽  
Traumatic Arthritis

Background: Displaced Colles fractures are generally treated by manipulation and below elbow cast application. Malunion is a common complication resulting in pain, mid carpal instability and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique which helps prevent dislodgment of the fracture thereby minimizing complications. The study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with K-wires and its correlation with the functional outcome of the wrist after union. Methods: A prospective study was conducted from October 2006 to November 2009. Fifty adults (27 female, 23 male) with an average age of 40.72 years with type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using Mayo Wrist Score. Results: At the final follow up of 6 months the collapse in the mean dorsal angle was 1.15 and mean ulnar variance 0.51. Functionally 25 patients (53.19%) had excellent, 17 patients (36.17%) good and 5 patients (10.63%) had satisfactory or fair outcome. Conclusions: Displaced Colles fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8135 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 14-20

A European multicentric experience using the CardioSEAL® and Starflex double umbrella devices to close interatrial communications holes within the oval fossa

2000 ◽  
Vol 10 (5) ◽  
pp. 519-526 ◽  
Author(s):  
M. Carminati ◽  
S. Giusti ◽  
G. Hausdorf ◽  
S. Qureshi ◽  
M. Tynan ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Surgical Repair ◽  
Clinical Success ◽  
The Other ◽  
Thromboembolic Events ◽  
Clinical Complications ◽  
The Mean ◽  
One Year ◽  
Flap Valve

AbstractIn this review, we describe the experience from 13 European centres using the CardioSEAL and Starflex double umbrella devices to close interatrial communications within the oval fossa (so-called ‘stcundum’ defects). Between October 1996 and April 1999, the procedure was attempted in 334 patients with a mean age of 12 years and a mean weight of 44kg. The mean measured stretched diameter of the defect was 15 mm. In the overall group, the defect was solitary in 245 patients (73%), multiple in 21 (6%), associated with an aneurysm of the flap valve in 15 (5%), was represented by patency of the oval foramen in 44 (13%), and was a fenestration in a Fontan repair in 9 (3%). In all patients, the devices were inserted under general anesthesia, using fluoroscopic and transesophageal echocardiographic control. Implantation was achieved in 325 (97,3%). The device embolized within either a few minutes or a few hours in 13 patients (4%). Of these, uncomplicated surgical repair was undertaken in 10, while the device was retrieved in 3 using catheters and a second device was successfully implanted. Residual shunting was detected immediately after the procedure in 41% of the patients, with the incidence decreasing to 31% at discharge, 24% at 1 month, 21% at 6 months, and 20.5% at one year. During the period of follow-up, elective surgical repair became necessary in two patients, due to malposition of the device in one, and late embolization in the other. Fractures of arms were seen in 6.1%, most commonly with the largest devices. All those with fractured arms of the device were asymptomatic, and no clinical complications related to the fractures were observed. There were no arrythmias, endocarditis, valvar distortion, thromboembolic events, or other complications. After one year of follow-up, clinical success, defined as complete closure of the defect or presence of only a trivial leak, had been obtained in 92.5% of the patients. We conclude, therefore, that these devices produce excellent results when used to close defects of small to moderate size. Results are less than optimal, or else complications ensure, when attempts are made to close very large defects.

scholarly journals Mortality and One-Year Functional Outcome in Elderly and Very Old Patients with Severe Traumatic Brain Injuries: Observed and Predicted

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Cecilie Røe ◽  
Toril Skandsen ◽  
Unn Manskow ◽  
Tiina Ader ◽  
Audny Anke
Keyword(s):  
Functional Outcome ◽  
Brain Injuries ◽  
Clinical Information ◽  
Unfavorable Outcome ◽  
Old Patients ◽  
Very Old ◽  
Severe Tbi ◽  
One Year ◽  
Very Old Patients

The aim of the present study was to evaluate mortality and functional outcome in old and very old patients with severe traumatic brain injury (TBI) and compare to the predicted outcome according to the internet based CRASH (Corticosteroid Randomization After Significant Head injury) model based prediction, from the Medical Research Council (MRC).Methods.Prospective, national multicenter study including patients with severe TBI ≥65 years. Predicted mortality and outcome were calculated based on clinical information (CRASH basic) (age, GCS score, and pupil reactivity to light), as well as with additional CT findings (CRASH CT). Observed 14-day mortality and favorable/unfavorable outcome according to the Glasgow Outcome Scale at one year was compared to the predicted outcome according to the CRASH models.Results.97 patients, mean age 75 (SD 7) years, 64% men, were included. Two patients were lost to follow-up; 48 died within 14 days. The predicted versus the observed odds ratio (OR) for mortality was 2.65. Unfavorable outcome (GOSE < 5) was observed at one year follow-up in 72% of patients. The CRASH models predicted unfavorable outcome in all patients.Conclusion.The CRASH model overestimated mortality and unfavorable outcome in old and very old Norwegian patients with severe TBI.

Management of Humeral and Femoral Fractures in Dogs and Cats With Linear- Circular Hybrid External Skeletal Fixators

2008 ◽  
Vol 44 (4) ◽  
pp. 180-197 ◽  
Author(s):  
Kristin A. Kirkby ◽  
Daniel D. Lewis ◽  
M. Pilar Lafuente ◽  
Robert M. Radasch ◽  
Noel Fitzpatrick ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Functional Outcome ◽  
Femoral Fractures ◽  
Radiographic Evaluation ◽  
Articular Fracture ◽  
Radiographic Union

Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs and five cats. Twenty-two of 24 fractures with sufficient follow-up radiographic evaluation obtained union. Time to radiographic union ranged from 25 to 280 days (mean ± standard deviation [SD] 110±69 days; median 98 days). Eleven animals developed minor and two dogs developed major pin and/or wire tract inflammation. Functional outcome was rated as excellent (n=16), good (n=5), and fair (n=3) at the time of final long-term assessment (range 4.5 to 60.0 months; mean ± SD 28.4±15.4 months; median 28.5 months). Follow-up information was unavailable for two animals. Hybrid fixators were useful constructs for stabilization of humeral and femoral fractures, particularly fractures with short, juxta-articular fracture segments.

Predictors of hospital readmission in a cohort of 236 elderly discharged after surgical repair of hip fracture: one-year follow-up

2008 ◽  
Vol 20 (3) ◽  
pp. 253-259 ◽  
Author(s):  
Andrea Giusti ◽  
Antonella Barone ◽  
Monica Razzano ◽  
Monica Pizzonia ◽  
Mauro Oliveri ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hospital Readmission ◽  
Surgical Repair ◽  
One Year

scholarly journals Analytic study of functional outcome of retrograde intramedullary nailing for distal femoral fractures in adults

2021 ◽  
Vol 7 (4) ◽  
pp. 824
Author(s):  
Srujith Kommera ◽  
Pradeep Reddy ◽  
Saba Khaleel
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
X Rays ◽  
Fracture Union ◽  
Distal Femoral Fractures ◽  
Retrograde Intramedullary Nailing ◽  
Articular Fractures

<p class="abstract"><strong>Background: </strong>The purpose of this Study was to evaluate the clinical and functional outcome of retrograde intramedullary nailing for distal femur fractures.</p><p class="abstract"><strong>Methods: </strong>This 2 years observational study was done between December 2018 to January 2021, 60 patients with distal femoral fractures were surgically treated at our hospital using retrograde intramedullary nail. The patient was placed supine on fracture table with affected limb flexed to 60 degrees. Through a Transpatellar approach, the nail was introduced in retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight bearing was progressed after signs of fracture union were noted on x-rays. The outcome was evaluated for time taken for fracture union, complications and functional outcome with various types of fractures.</p><p class="abstract"><strong>Results: </strong>All the fractures in the present study healed at an average of 13 weeks. However 25 to 40% of these patients underwent bone grafting primarily with reports of delayed union and non-union. Shortening occurred in two patients (3.33%) did affect the final functional outcome. average range of motion is 120 deg. for all fractures, 119 deg. for extra-articular fractures and 118 deg. for intra-articular fractures. Infection rates are low (0% to 8%).</p><p class="abstract"><strong>Conclusions: </strong>The study shows distal femoral fractures were common due to high velocity injuries, retrograde nailing is an excellent technique for management of distal femoral fractures as it promotes high rate of fracture union with less complications.</p>

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