Prevalence, Risk Factors and Outcome of Postoperative Tibial Tuberosity Fractures in Dogs Undergoing Triple Tibial Osteotomy Surgery

Objective The aim of this study was to report the prevalence and to identify the risk factors associated with postoperative tibial tuberosity fracture following a triple tibial osteotomy. This article also evaluates the outcome of these patients treated conservatively. Materials and Methods Medical records of 100 dogs (113 limbs) that underwent triple tibial osteotomy procedure were evaluated. Information obtained included signalment, preoperative, immediate postoperative and 6-week postoperative radiographic findings, intraoperative and postoperative complications. Long-term outcome was assessed using an owner questionnaire. Results Postoperative tibial tuberosity fracture was identified in 25/113 stifles. The only variable associated with the presence or absence of postoperative tibial tuberosity fracture within 6 weeks of surgery was postoperative cortical hinge width (CHW) or an indexed value of CHW to tibial width (TW). Using either a cut-off value of CHW of ≥ 5.5 mm or a cut-off value of CHW/TW of ≥ 0.21, only 1/27 stifle in our study developed tibial tuberosity fracture. Long-term owner evaluation of outcome was considered excellent or good in 65/70 stifles. Conclusion A narrow CHW at the distal cortical attachment of the tibial crest had a strong association with the development of postoperative tibial tuberosity fracture. No other patient or surgical variables were associated with tibial tuberosity fracture. Patients that developed tibial tuberosity fracture and were conservatively managed did not have a worse clinical outcome than patients that did not develop tibial tuberosity fracture.

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P146 Disease progression in del (5q) MDS patients treated with lenalidomide: analysis of risk factors and long-term outcome in 44 patients

Leukemia Research ◽

10.1016/s0145-2126(07)70216-3 ◽

2007 ◽

Vol 31 ◽

pp. S120-S121

Author(s):

A.A.N. Giagounidis ◽

S. Haase ◽

V. Lohrbacher ◽

M. Heinsch ◽

B. Schuran ◽

...

Keyword(s):

Risk Factors ◽

Disease Progression ◽

Term Outcome ◽

Long Term Outcome

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Long-term outcome of seizure-free patients and risk factors of relapse following antiepileptic drug withdrawal

Epilepsy & Behavior ◽

10.1016/j.yebeh.2018.09.028 ◽

2018 ◽

Vol 88 ◽

pp. 295-300 ◽

Cited By ~ 1

Author(s):

Shuchun Ou ◽

Lu Xia ◽

Rong Li ◽

Li Wang ◽

Li Xia ◽

...

Keyword(s):

Risk Factors ◽

Antiepileptic Drug ◽

Drug Withdrawal ◽

Term Outcome ◽

Long Term Outcome ◽

Antiepileptic Drug Withdrawal

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Long-term outcome after high tibial osteotomy

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-007-0438-0 ◽

2007 ◽

Vol 128 (1) ◽

pp. 111-115 ◽

Cited By ~ 6

Author(s):

Gstöttner Michaela ◽

Pedross Florian ◽

Liebensteiner Michael ◽

Bach Christian

Keyword(s):

High Tibial Osteotomy ◽

Tibial Osteotomy ◽

Term Outcome ◽

Long Term Outcome

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Predictors for the Immediate and Long-Term Outcome of Avascular Surgical Procedure

Scandinavian Journal of Surgery ◽

10.1177/145749690909800307 ◽

2009 ◽

Vol 98 (3) ◽

pp. 164-168 ◽

Cited By ~ 4

Author(s):

J. Virkkunen ◽

M. Venermo ◽

J. Saarinen ◽

J. Salenius

Keyword(s):

Risk Factors ◽

Risk Factor ◽

High Risk ◽

Predictive Value ◽

Surgical Procedure ◽

Operative Mortality ◽

Survival Rates ◽

Term Outcome ◽

Long Term Outcome

Background and Aims: The ability to predict post-operative mortality reliably will be of assistance in making decisions concerning the treatment of an individual patient. The aim of this study was to test the GAS score as a predictor of post-operative mortality in vascular surgical patients. Material and Methods: A total of 157 consecutive patients who underwent an elective vascular surgical procedure were included in the study. The Cox proportional hazards model was used in analyzing the importance of various preoperative risk factors for the postoperative outcome. ASA and GAS were tested in predicting the short and long-term outcome. On the basis of the GAS cut-off value 77, patients were selected into low-risk (GAS low: GAS < 77) and high-risk (GAS high: GAS > = 77) groups, and the examined risk factors were analyzed to determine which of them had predictive value for the prognosis. Results: None of the patients in the GAS low group died, and mortality in the GAS high group was 4.8% (p = 0.03) at 30 days' follow-up. The 12-month survival rates were 98.6% and 78.6% (p = 0.0001), respectively, with the respective 5-year survival rates of 76.7% and 44.0% (p = 0.0001). The only independent risk factor for 30-day mortality was the renal risk factor (OR 20.2). The combination of all three GAS variables(chronic renal failure, cardiac disease and cerebrovascular disease), excluding age, was associated with a 100% two-year mortality. Conclusions: Mortality is low for patients with GAS<77. For the high-risk patients (GAS> = 77), due to its low predictive value for death, GAS yields limited value in clinical practice. In cases of patients with all three risk factors (renal, cardiac and cerebrovascular), vascular surgery should be considered very carefully.

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Risk factors for the histologic discrepancy of gastric adenomatous lesions and long-term outcome

Medicine ◽

10.1097/md.0000000000027827 ◽

2021 ◽

Vol 100 (45) ◽

pp. e27827

Author(s):

Jong Seok Joo ◽

Jae Ho Park ◽

Ju Seok Kim ◽

Sun Hyung Kang ◽

Hee Seok Moon ◽

...

Keyword(s):

Risk Factors ◽

Term Outcome ◽

Long Term Outcome

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Risk Factors for and Long-Term Outcome of Ifosphamide-Induced Nephrotoxicity in Children † 778

Pediatric Research ◽

10.1203/00006450-199804001-00799 ◽

1998 ◽

Vol 43 ◽

pp. 135-135

Author(s):

Ronen Loebstein ◽

Gordana Atanackovic ◽

Raafat Bishai ◽

Sohail Khattak ◽

Sylvian Baruchel ◽

...

Keyword(s):

Risk Factors ◽

Term Outcome ◽

Long Term Outcome

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Clinicopathological Features of Remnant Gastric Cancer After Gastrectomy

The American Surgeon ◽

10.1177/00031348211056281 ◽

2021 ◽

pp. 000313482110562

Author(s):

Kenichi Iwasaki ◽

Edward Barroga ◽

Yota Shimoda ◽

Masaya Enomoto ◽

Erika Yamada ◽

...

Keyword(s):

Medical Records ◽

Tumor Invasion ◽

Cox Regression ◽

Remnant Stomach ◽

Invasion Depth ◽

Term Outcome ◽

Long Term Outcome ◽

Cox Regression Analysis ◽

Tumor Invasion Depth

Background Remnant gastric cancer (RGC) encompasses all cancers arising from the remnant stomach. Various studies have reported on RGC and its prognosis, but no consensus on its surgical treatment and postoperative management has been reached. Moreover, the correlation between the clinicopathological characteristics and long-term outcomes of RGC remains unclear. This study investigated the clinicopathological factors associated with the long-term survival of RGC patients. Methods The medical records (March 1993-September 2020) of 104 RGC patients from Tokyo Medical University Hospital database were analyzed. Of these 104 patients, the medical records of 63 patients who underwent surgical curative resection were analyzed using R. Kaplan-Meier plots of cumulative incidence of RGC were made. Differences in survival rates were compared using the log-rank test. Prognostic factors were analyzed using multivariate Cox regression analysis ( P < .05). Results Of the 104 RGC patients, 63 underwent total remnant stomach excision. The median time from the first surgery to the total excision was 10 years. The 5-year survival rate of the 63 RGC patients was .55 ((95% CI); .417-.671). The clinicopathological factors that were significantly associated with the long-term outcome of the RGC patients were tumor diameter (≥3.5 cm), presence or absence of combined resection of multiple organs, tumor invasion (deeper than T2), TNM stage, and postoperative morbidity. The multivariate Cox regression analysis showed that tumor invasion depth was the only independent prognostic factor for RGC patients [HR (95% CI): 5.49 (2.629-11.5), P ≤ .005]. Conclusions Among prognostic factors, tumor invasion depth was the only independent factor affecting RGC’s long-term outcome.

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