Surgical treatment results of hepatocellular carcinoma in non‐cirrhotic liver in southern Chile: case series with follow‐up

Midcarpal instability is a collective term for a number of conditions where the instability of the wrist is predominantly between the proximal and distal carpal rows. It has been regarded as relatively rare and infrequently requires surgical treatment. Palmar midcarpal instability is the most commonly found type of midcarpal instability and can be responsible for causing a clunking and painful wrist. The diagnosis is made on clinical grounds using the midcarpal instability provocative tests. Standard imaging and arthroscopic inspection do not usually confirm a definite diagnosis, but are important in excluding other pathologies. The classification and staging has been described using the extent of palmar translocation of the distal carpal row, which is elicited on passive stress tests. As this is a functional instability, it may be that a functional staging description might be better, and a proposed scheme is described. Treatment options including partial wrist fusions, tenodesis stabilizations and arthroscopic capsular shrinkage have been described in small case series with limited follow-up. There are no comparative series or randomized studies because of the relative rarity of this condition.

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Idiopathic scoliosis surgical treatment. Results in Mexico’s National Rehabilitation Institute. 24-month follow-up

Cirugía y Cirujanos (English Edition) ◽

10.24875/cirue.m18000059 ◽

2019 ◽

Vol 86 (5) ◽

Author(s):

Barón Zárate-Kalfópulos ◽

Héctor R. Martínez-Ríos ◽

Francisco López-Meléndez ◽

Carla L. García-Ramos ◽

Luis M. Rosales-Olivarez ◽

...

Keyword(s):

Surgical Treatment ◽

Idiopathic Scoliosis ◽

Treatment Results

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Surgical Correction of Penoscrotal Web: A Case Series With Literature Review

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2020.62134 ◽

2020 ◽

Author(s):

Volkan Sarper Erikçi

Keyword(s):

Surgical Treatment ◽

Clinical Characteristics ◽

Surgical Techniques ◽

Case Series ◽

Scrotal Skin ◽

Penile Skin ◽

Surgical Experience ◽

Postoperative Results ◽

Pediatric Urologist

INTRODUCTION: Penoscrotal webbing (PSW) is an anomaly of penis and it includes penile and scrotal skin aberration. There are various surgical techniques for repairing PSW with different terminologies. Herein we present our surgical experience of Z-plasty procedure in these cases. METHODS: In this retrospective study, 5 patients with an average age of 46 months who were diagnosed and under follow-up for PSW, between June 2017 and May 2019 were included. Along with demographic and clinical characteristics, treatment and follow-up records were collected. RESULTS: Isolated PSW was observed in 4 patients and one patient had an associated megameatus intact prepuce (MMIP) of a hypospadias variant in addition to PSW. Circumcision and ventral prepuce reconstruction of the penis with the aid of "Z-plasty" solved problem and acceptable postoperative results were obtained. DISCUSSION AND CONCLUSION: PSW is a condition that warrants surgical treatment. During the management of these children, in the case of suspicion of penile skin abnormality at the time of circumcision, it should be deferred and should be consulted to a pediatric surgeon or a pediatric urologist. Gentle surgical treatment is recommended for a favourable surgical and psychological result

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Evaluation of Metatarsal Head Resurfacing Hemiarthroplasty in the Surgical Treatment of Hallux Rigidus: A Retrospective Study and Mid- to Long-Term Follow-up

Foot & Ankle Specialist ◽

10.1177/1938640017695864 ◽

2017 ◽

Vol 11 (1) ◽

pp. 22-31 ◽

Cited By ~ 1

Author(s):

Musa Uğur Mermerkaya ◽

Erkan Alkan ◽

Mehmet Ayvaz

Keyword(s):

Surgical Treatment ◽

Case Series ◽

Metatarsophalangeal Joint ◽

Metatarsal Head ◽

Treatment Method ◽

Hallux Rigidus ◽

Retrospective Case ◽

First Metatarsophalangeal Joint

Background. The aim of this study was to evaluate the mid- to long-term outcomes of metatarsal head resurfacing hemiarthroplasty in the surgical treatment of advanced-stage hallux rigidus. Methods. We performed a retrospective review of 57 consecutive patients (25 [43.9%] males, 32 [56.1%] females; mean age, 61.0 ± 6.4 years) who underwent first metatarsal head resurfacing hemiarthroplasty (HemiCAP) for hallux rigidus between August 2007 and September 2010. Sixty-five implantations were performed in 57 patients; 8 patients underwent bilateral procedures. All patients were clinically rated prior to surgery and at the final follow-up visit using the American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal scale and first metatarsophalangeal joint range of motion (MTPJ ROM). Results. The median follow-up duration was 81 (range = 8-98) months. The median preoperative AOFAS score was 34 (range = 22-59) points, which had increased to 83 (range = 26-97) points at the final follow-up visit (P < .001). The median preoperative first MTPJ ROM was 25° (range = 15° to 40°), which had increased to 75° (range = 30° to 85°) at the final follow-up visit (P < .001). Conclusions. First MTPJ hemiarthroplasty is an effective treatment method that recovers toe function and first MTPJ ROM, and provides good mid- to long-term functional outcomes. Levels of Evidence: Level IV: Retrospective case series

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Interdigital Hyperkeratosis of the Foot: Orthopaedic Approach to Surgical Treatment

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201320342-45 ◽

2013 ◽

Vol 20 (3) ◽

pp. 42-45

Author(s):

S. Yu Berezhnoy ◽

A. I Protsenko ◽

V. V Kostyukov

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Surgical Intervention ◽

Roentgenologic Examination ◽

Treatment Results ◽

Minimum Risk ◽

Development Data ◽

Reproducible Method ◽

Positive Results

Surgical treatment results for 27 patients with interdigital keratosis of the foot were analyzed. To determine the predisposing factors for keratosis development data of clinical and roentgenologic examination were used. In all cases transcutaneous technique that enabled to avoid surgical intervention directly on a pathologic focus was applied. Mean follow up period made up 6 months. It was shown that transcutaneous surgical intervention was an effective and reproducible method for interdigital keratosis treatment. That technique provided positive results with minimum risk of postoperative complications in the majority of cases and could be used at outpatient department.

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Surgical Treatment of Juvenile Femoral Head Epiphysiolysis in Children

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201623140-47 ◽

2016 ◽

Vol 23 (1) ◽

pp. 40-47

Author(s):

D. B Barsukov ◽

A. I Krasnov ◽

M. M Kamosko ◽

V. E Baskov ◽

I. Yu Pozdnikin ◽

...

Keyword(s):

Surgical Treatment ◽

Magnetic Resonance ◽

Femoral Head ◽

Femoral Neck ◽

Surgical Intervention ◽

Treatment Results ◽

Surgical Interventions ◽

X Ray ◽

Endochondral Growth

To optimize the anatomical and functional surgical treatment results in patients with early (I-II) stages of juvenile femoral head epiphysiolysis both pre- and postoperative data of clinical, x-ray and magnetic-resonance examinations were analyzed for 120 patients aged 11 - 15 years. Maximum follow up period after surgical interventions, i.e. femoral head epiphysiodesis (n=60) and femoral head epiphysis fixation (n=60) made up 23 and 3 years, respectively. It was shown that surgical intervention for the fixation of femoral head epiphysis ensured reliable stability of the epiphysis preventing the latter from displacement development and progression, and did not exert significant influence upon either femoral neck and head endochondral growth or the length of the upper extremity.

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Treatment of Benign Bone and Joint Tumors and TumorLike Diseases Using Alloplasty and Collagen Containing Material (Clinical and Experimental Study)

N N Priorov Journal of Traumatology and Orthopedics ◽

10.32414/0869-8678-2017-1-37-46 ◽

2017 ◽

pp. 37-46

Author(s):

V. I. Zorya ◽

A. A. Krasil’Nikov ◽

I. G. Chemyanov ◽

A. G. Matveev

Keyword(s):

Experimental Study ◽

Surgical Treatment ◽

Bone Defect ◽

Bone Structure ◽

Study Group ◽

Combined Method ◽

Treatment Results ◽

Pathologic Process ◽

Study Results

Purpose. Improvement of surgical treatment results in patients with benign bone and joint tumors and tumor-like diseases.Materials and methods.Evaluation of the efficacy of plastic collagen containing material for bone defect plasty was performed in 58 Chinchilla rabbits (3-4 kg). In animals from study group the bone defect was filled with collost. Histological examination of the samples was performed in 14, 30, 60 and 90 days after operation. During the period from 2007 to 2015 ninety eight patients, aged 14-75 years, with benign bone and joint tumors and tumor-like diseases were operated on. In all cases postresection defect (1-50 см_) plasty was performed by the proposed combined method that included the use of frozen allograft and collost. During subsequent follow up the potentiality of pathologic process relapse was determined as well as the dynamics of bone structure restoration, extremity function and bone anatomic shape were assessed.Results.Pathomorphologic picture of experimental samples showed that collast accelerated the bone regenerate maturity in the place of a defect. In 1 year after surgery 74 patients (75%) showed good results - in 8 (11.2%), satisfactory - in 62 (84.1%), poor - in 3 (4.7%) cases and in 3 years after operation (57 patients) - 28 (49.1%), 28 (49.1%) and 1 (1.7%) case respectively. Examination of 56 patients (57.1%) in 5 years after intervention revealed good results in 48 (85.4%) and poor - in 8 (14.6%) cases.Conclusion.Study results allow recommending the proposed method of plasty using the allograft and collost for the substitution of vast postresection defects in patients with benign bone and joint tumors and tumor-like diseases.

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Surgical Treatment of Severe Congenital Scoliosis

N N Priorov Journal of Traumatology and Orthopedics ◽

10.32414/0869-8678-2016-2-18-24 ◽

2016 ◽

pp. 18-24 ◽

Cited By ~ 1

Author(s):

A. A. Snetkov ◽

S. V. Kolesov ◽

M. L. Sazhnev ◽

A. N. Shaboldin

Keyword(s):

Surgical Treatment ◽

Retrospective Analysis ◽

Sagittal Balance ◽

Daily Activity ◽

Congenital Scoliosis ◽

Posterior Fusion ◽

Patient Treatment ◽

Treatment Results

Retrospective analysis of treatment results for 36 patients (31 females, 5 males) aged 2 - 31 years with congenital scoliosis was performed. Malformation of vertebrae was present in 23 patients, disorder of segmentation - in 9, combined anomalies - in 4 patients. Posterior fusion was performed in 15, combined anterior and posterior fusion - in 7, removal of the semivertebra - 13, and VEPTR technique - in 1 patient. Treatment results were assessed by roentgenographic data and the results of SRS-24 questionnaires. Follow up period made up from 1 to 7 years. Differentiated approach to treatment enabled to create conditions for the proper development of the spine and formation of adequate frontal and sagittal balance as well as to increase patient’s self-appraisal and daily activity.

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LUMBAR SPINAL STENOSIS: EVALUATION OF PAIN AND LIFE QUALITY AFTER SURGICAL TREATMENT

Coluna/Columna ◽

10.1590/s1808-185120191801168174 ◽

2019 ◽

Vol 18 (1) ◽

pp. 37-42

Author(s):

Gustavo Alvarenga ◽

João Otávio Araújo Rotini ◽

Leonardo Yukio Jorge Asano ◽

Vinícius Alves de Andrade ◽

André Evaristo Marcondes Cesar ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Life Quality ◽

Case Series ◽

Level Of Evidence ◽

The Mean ◽

One Year ◽

Lumbar Spinal

ABSTRACT Objective: The objective of this study was to present an analysis of progression of the quality of life and pain in patients undergoing surgical treatment of LSS and the potential correlations between individual factors and the clinical outcome observed. Methods: We studied 111 patients undergoing surgical treatment of LSS from January 2009 to December 2011 using the functional capacity (ODI) and pain (VAS) questionnaires. The preoperative data were compared statistically with the results obtained during the postoperative follow-up at one month, six months, one year, and two years. Results: The population consisted of 60 men and 51 women. The mean age was 61.16 years at the time of surgery, 33.33% were 60 years or older. When the questionnaires were applied, we found improvement in the progressive disability assessment with a mean drop of 23.65 ODI points after 6 months of the surgical treatment and 27.47 at the end of one year of surgery compared to preoperative for this scale. There was a decline of 3.84 points (mean) in the VAS at first postoperative month. Conclusion: Surgical treatment of LSS presented favorable postoperative evolution in a 2-year follow-up regarding pain and quality of life through VAS and ODI. Level of Evidence IV; Case series.

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