Minimal-invasive cochlear Implantation. First clinical results

Category: Bunion; Other Introduction/Purpose: Hallux valgus is one of the most common deformities of the adult foot, and can adversely affect quality of life, with common complaints including pain, footwear restrictions and cosmesis. Minimal Invasive Surgery (MIS) has re-emerged lately, gaining growing popularity as a surgical approach for surgical treatment of HV deformity. Advantages such as short operating time, quicker recovery, and fewer complications have attributed to MIS. However published data are still inconclusive. Methods: The study included 40 feet (33 pts) with hallux valgus treated with MIS technique, between Apr 20016 to March 2018. Patients were included only if pre- and postoperative weightbearing X-rays at final followup (min 6m) were available. The average age was 51.3 years (range, 21 to 77), with average follow-up of 12 months (range, 6 to 24). Patients’ radiographic records were studied to evaluate postoperative change in hallux valgus angle (HVA), intermetatarsal angle (IMA) and DMAA. Clinical outcome was recorded with Patient reported outcome questioners PROMS10 and MOXFQ. Results: Following surgery deformity was corrected with preoperative mean HVA of 29.8° and IMA of 14.4° compared to postoperative mean of 7.1° and 4.7°, respectively. Patient reported outcome measures recorded the efficacy of MIS for HV in terms of pain reduction and function improvement. In six feet surgery for hardware removal was performed. In one case non- union was treated with revision surgery. Conclusion: This study shows that MIS for HV is safe, effective and offers satisfactory surgical and clinical results.

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MINIMAL INVASIVE PERCUTANEOUS HERBERT SCREW FIXATION IN ACUTE UNSTABLE SCAPHOID FRACTURE

Hand Surgery ◽

10.1142/s0218810403001807 ◽

2003 ◽

Vol 08 (02) ◽

pp. 213-218 ◽

Cited By ~ 20

Author(s):

In-Ho Jeon ◽

Chang-Wug Oh ◽

Byung-Chul Park ◽

Joo-Chul Ihn ◽

Poong-Taek Kim

Keyword(s):

Screw Fixation ◽

Scaphoid Fracture ◽

Clinical Results ◽

Minimal Invasive ◽

Percutaneous Fixation ◽

Fixation Technique ◽

Fracture Union ◽

Herbert Screw ◽

Scaphoid Fractures ◽

High Satisfaction

The purpose of this study is to document the percutaneous Herbert screw fixation technique with free-hand method to stabilise acute unstable scaphoid fractures and evaluated the clinical results. Thirteen patients with less than 14 day-old fractures were fixed by percutaneous Herbert screw and reviewed retrospectively for a minimum of 24 months (average, 37 months). All were men with an average age of 22 years. According to Herbert's classification, all fractures were classified as of the acute unstable (B2). Fracture union was achieved in all cases at a mean of 9.2 weeks (eight to 12 weeks). Return to work or school ranged from one day to three weeks according to their occupation. This percutaneous fixation technique using Herbert screw is a reliable and effective alternative for acute scaphoid fractures, which enables the patient to use the hand earlier with high satisfaction and minimum complication.

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P317 From radical to minimal-invasive – first clinical results of a non-surgical SLNB

The Breast ◽

10.1016/s0960-9776(15)70347-4 ◽

2015 ◽

Vol 24 ◽

pp. S135-S136

Author(s):

S. Paepke ◽

C. Pfob ◽

R. Ohlinger ◽

M. Thill ◽

T. Kühn ◽

...

Keyword(s):

Clinical Results ◽

Minimal Invasive

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Spinal Anesthesia and Minimal Invasive Laminotomy for Paddle Electrode Placement in Spinal Cord Stimulation: Technical Report and Clinical Results at Long-Term Followup

The Scientific World JOURNAL ◽

10.1100/2012/201053 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

S. Sarubbo ◽

F. Latini ◽

V. Tugnoli ◽

R. Quatrale ◽

E. Granieri ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Anesthesia ◽

Spinal Cord Stimulation ◽

Clinical Results ◽

Minimal Invasive ◽

Electrode Placement ◽

Test Stimulation ◽

Score Improvement ◽

Postoperative Control ◽

Electrode Positioning

Object. We arranged a mini-invasive surgical approach for implantation of paddle electrodes for SCS under spinal anesthesia obtaining the best paddle electrode placement and minimizing patients’ discomfort. We describe our technique supported by neurophysiological intraoperative monitoring and clinical results.Methods. 16 patients, affected by neuropathic pain underwent the implantation of paddle electrodes for spinal cord stimulation in lateral decubitus under spinal anesthesia. The paddle was introduced after flavectomy and each patient confirmed the correct distribution of paresthesias induced by intraoperative test stimulation. VAS and patients’ satisfaction rate were recorded during the followup and compared to preoperative values.Results. No patients reported discomfort during the procedure. In all cases, paresthesias coverage of the total painful region was achieved, allowing the best final electrode positioning. At the last followup (mean 36.7 months), 87.5% of the implanted patients had a good rate of satisfaction with a mean VAS score improvement of 70.5%.Conclusions. Spinal cord stimulation under spinal anesthesia allows an optimal positioning of the paddle electrodes without any discomfort for patients or neurosurgeons. The best intraoperative positioning allows a better postoperative control of pain, avoiding the risk of blind placements of the paddle or further surgery for their replacement.

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Percutaneous Adductor Release in Nonambulant Children with Cerebral Palsy

Journal of Nepal Medical Association ◽

10.31729/jnma.1572 ◽

2014 ◽

Vol 52 (193) ◽

pp. 702-706

Author(s):

Ramji Lal Sahu

Keyword(s):

Cerebral Palsy ◽

Femoral Head ◽

Invasive Procedure ◽

Clinical Results ◽

Minimal Invasive ◽

Activity Level ◽

Spastic Cerebral Palsy ◽

Femoral Head Coverage ◽

Functional Activities ◽

Main Barrier

Introduction: Adductor spasticity at hips is the main barrier in functional activities and rehabilitation of spastic cerebral palsy patients. The aim of this study is to evaluate the results of percutaneous adductor release under general anesthesia.Methods: From July 2005 to July 2010, 64 hips in 32 patients (19 males and 13 females) were recruited from outpatient department having adductor contracture at hips in cerebral palsy children. All children were operated under general anesthesia. All children were followed for twenty-four months. The clinical results were evaluated radiologically, including measurement of CE- angle, AC-index and femoral head coverage and in terms of activity level of children. Results: Of the thirty-two children, twenty-eight showed marked and immediate improvement. None of our children was functionally worse at follow-up. The CE-angle and femoral head coverage did not change significantly. The AC-index improved significantly (p = 0.01).The results were excellent in 12.5% children, good in 50%, fair in 25% and poor in 12.5%. Conclusions: Bilateral mini-invasive adductor release can be an effective treatment for children suffering from adductor contracture refractory to nonoperative management and early adductor release can prevent subluxation and possibly the need for future bony procedure on the proximal femur and pelvis.Keywords: Adductor contracture, Percutaneous, Cerebral palsy, Minimal invasive procedure.

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Minimal-invasive Cochlear Implantation: Erste klinische Ergebnisse

10.1055/s-0038-1640287 ◽

2018 ◽

Author(s):

EFN Di Martino ◽

H Jakob von ◽

R Hinder ◽

A Chatzakos

Keyword(s):

Cochlear Implantation ◽

Minimal Invasive ◽

Klinische Ergebnisse

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Clinical Results of Cochlear Implantation. Case Reports of Insufficient Results.

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.86.647 ◽

1993 ◽

Vol 86 (5) ◽

pp. 647-651

Author(s):

Juichi Ito ◽

Junji Sakakihara ◽

Akira Takagi ◽

Michio Kawano

Keyword(s):

Cochlear Implantation ◽

Case Reports ◽

Clinical Results

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Standard transgluteal versus minimal invasive anterior approach in hip arthroplasty: a prospective, consecutive cohort study

Orthopedic Reviews ◽

10.4081/or.2013.e31 ◽

2013 ◽

Vol 5 (4) ◽

pp. 31 ◽

Cited By ~ 29

Author(s):

Thomas Ilchmann ◽

Silke Gersbach ◽

Lukas Zwicky ◽

Martin Clauss

Keyword(s):

Minimally Invasive ◽

Hip Arthroplasty ◽

Anterior Approach ◽

Clinical Results ◽

Lateral Approach ◽

Minimal Invasive ◽

Harris Hip Score ◽

Duration Of Surgery ◽

One Year ◽

Continuous Use

A minimally invasive anterior approach (MIS) was compared to a standard lateral approach in primary total hip arthroplasty. Clinical and radiological outcomes were analyzed 6 weeks, 12 weeks, one year and two years after surgery. The duration of surgery was longer, mobility one week after surgery was better and time of hospitalization was shorter for minimally invasive-treated patients. They had less pain during movement, limping, better Harris Hip Score and satisfaction after 6 weeks, which remained after 12 weeks and 1 year, but not after two years. There were two deep infections in the MIS group. Radiological results were not affected. The infections might be a point of concern, but there were no other disadvantages of the MIS approach. In fact, early rehabilitation was facilitated and clinical results were improved. Our results encourage the continuous use of the MIS anterior approach instead of the lateral approach.

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