A randomized comparison of prism adaptation and augmented surgery in the surgical management of esotropia associated with hypermetropia: One-year surgical outcomes

Category: Midfoot/Forefoot Introduction/Purpose: Morton’s neuroma is a common condition affecting the foot and is associated with chronic pain and disability. Conservative management including a combination of orthotic input; injection or physiotherapy, and surgical excision are current treatment options. There is a paucity of literature regarding patient related outcome measures (PROMs) data in patients managed conservatively. We sought to compare conservative with surgical management of Morton’s neuroma using PROMs data in patients with follow-up to one year. Methods: Prospective data collection commenced from April 2016. Patients included had to have a confirmed Morton’s neuroma on ultrasound scan. Patient demographics including age, sex and BMI were collected. The primary outcome measures were the Manchester Foot Score for pain (MOX-FQ), EQ time trade off (TTO) and EQ visual analogue scale (VAS) taken pre-operatively; at 26-weeks and at 52-weeks post-operatively. Results: 194 patients were included overall: 79 patients were conservatively managed and 115 surgically managed. 19 patients were converted from conservative to surgical management. MOX-FQ pain scores: pre-op conservative 52.15, surgical 61.56 (p=0.009), 6-months conservative 25.1, surgical 25.39 (p=0.810), 12 months conservative 18.54, surgical 20.52 (p=0.482) EQ-TTO scores: pre-op conservative 0.47, surgical 0.51 (p=0.814), 6-months conservative 0.41, surgical 0.49 (p=0.261), 12 months conservative 0.26, surgical 0.37 (p=0.047) EQ-VAS scores: pre-op conservative 63.84, surgical 71.03 (p=0.172), 6-months conservative 46.10, surgical 52.51 (p=0.337), 12 months conservative 30.77, surgical 37.58 (p=0.227) Satisfaction at 12 months: conservative 17 (21.5%), surgical 32 (27.8%) p=0.327 Conclusion: This is one of the first studies investigating long-term PROMs specifically in conservative management for Morton’s neuroma patients. There was no significant difference in pain score and EQ-VAS between all conservative treatments and surgical management at 12 months There was no significant difference in satisfaction at 12 months between conservative and surgical groups.

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592 Surgical Management of Open Tibia Fractures at A Major Trauma Centre: A Review of Cases Over A One-Year Period

British Journal of Surgery ◽

10.1093/bjs/znab134.153 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

A Khajuria

Keyword(s):

Soft Tissue ◽

Surgical Management ◽

Open Fracture ◽

Major Trauma ◽

Trauma Centre ◽

Soft Tissue Coverage ◽

Internal Stabilization ◽

Major Trauma Centre ◽

Tibia Fractures ◽

One Year

Abstract Introduction The BOAST/BAPRAS updated the open fracture guidelines in December 2017 to replace BOAST 4 Open fracture guidelines; the changes gave clearer recommendations for timing of surgery and recommendations for reducing infection rates. Method Our work retrospectively evaluates the surgical management of open tibia fractures at a Major Trauma Centre (MTC), over a one-year period in light of key standards (13,14 and 15 of the standards for open fractures). Results The vast majority of cases (93%) had definitive internal stabilization only when immediate soft tissue coverage was achievable. 90% of cases were not managed as ‘clean cases’ following the initial debridement. 50% of cases underwent definitive closure within 72 hours. The reasons for definitive closure beyond 72hours were: patients medically unwell (20%), multiple wound debridement’s (33%) and no medical or surgical reason was clearly stated (47%). Conclusions The implementation of a ‘clean surgery’ protocol following surgical debridement is essential in diminishing risk of recontamination and infection. Hence, this must be the gold standard and should be clearly documented in operation notes. The extent of availability of a joint Orthoplastic theatre list provides a key limiting step in definitive bony fixation and soft tissue coverage of open tibia fractures.

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The Walking Recovery One Year after Surgical Management of Thoracolumbar Burst Fracture in Paraplegic Patients

Neurologia medico-chirurgica ◽

10.2176/nmc.oa.2017-0017 ◽

2017 ◽

Vol 57 (9) ◽

pp. 467-471 ◽

Cited By ~ 2

Author(s):

Mohamed AbdelRahman AbdelFatah

Keyword(s):

Surgical Management ◽

Burst Fracture ◽

Thoracolumbar Burst Fracture ◽

Walking Recovery ◽

One Year

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Surgical management of adult spinal deformity: Indications, surgical outcomes, and health-related quality of life

Seminars in Spine Surgery ◽

10.1053/j.semss.2016.12.001 ◽

2017 ◽

Vol 29 (2) ◽

pp. 72-76

Author(s):

Junyoung Ahn ◽

Ehsan Tabaraee ◽

Daniel D. Bohl ◽

Kern Singh

Keyword(s):

Quality Of Life ◽

Surgical Management ◽

Spinal Deformity ◽

Surgical Outcomes ◽

Adult Spinal Deformity ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin

BMJ Case Reports ◽

10.1136/bcr-2020-234699 ◽

2020 ◽

Vol 13 (7) ◽

pp. e234699

Author(s):

Lynn Lilly Varghese ◽

Auric Bhattacharya ◽

Praveena Sharma ◽

Abhishek Apratim

Keyword(s):

Case Report ◽

Surgical Management ◽

Dental Pulp ◽

Complete Resolution ◽

Sinus Tract ◽

Odontogenic Origin ◽

One Year ◽

Minimal Scar ◽

Cutaneous Sinus

Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Non-surgical conservative endodontic therapy was opted as the involved teeth were restorable. One month after the completion of obturation, there was closure of the sinus tract. One year follow-up showed complete resolution of the sinus tract with minimal scar formation.

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