scholarly journals Molteno aqueous shunt as a primary surgical intervention for uveitic glaucoma: long-term results

2010 ◽  
Vol 88 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Marja-Liisa Vuori
2010 ◽  
Vol 112 (6) ◽  
pp. 1311-1317 ◽  
Author(s):  
Ronald F. Young ◽  
Francisco Li ◽  
Sandra Vermeulen ◽  
Robert Meier

Object The goal of this report was to describe the safety and effectiveness of nucleus ventralis intermedius (VIM) thalamotomy performed with the Leksell Gamma Knife (GK) for the treatment of essential tremor (ET). Methods One hundred seventy-two patients underwent a total of 214 VIM thalamotomy procedures with the Leksell GK between February 1994 and March 2007 for treatment of disabling ET. Eleven patients were lost to follow-up less than 1 year after the procedures, so that in this report the authors describe the results in 161 patients who underwent a total of 203 thalamotomies (119 unilateral and 42 bilateral). Results There were statistically significant decreases (p < 0.0001) in tremor scores for both writing and drawing. The mean postoperative follow-up duration for all patients was 44 ± 33 months. Fifty-four patients have been followed for more than 60 months posttreatment. There were 14 patients who suffered neurological side effects that were temporary (6) or permanent (8), which accounted for 6.9% of the 203 treatments. All complications were related to lesions that grew larger than expected. Conclusions A VIM thalamotomy with the Leksell GK offers a safe and effective alternative for surgical treatment of ET. It is particularly applicable to patients who are not ideal candidates for deep brain stimulation but can be offered to all patients who are considering surgical intervention for ET.


2011 ◽  
Vol 18 (1) ◽  
pp. 43-47
Author(s):  
Viktor Sergeevich Mel'nikov ◽  
V F Korshunov ◽  
V S Mel'nikov ◽  
V F Korshunov

Experience in surgical treatment of 112 patients with malunited fractures of distal radius epimetaphysis is presented. Indication to surgical intervention was fragments consolidation with displacement that was accompanied by marked wrist joint deformity and hand function disturbance. In all patients osteotomy and bone plasty were performed followed by application of distraction device. In the postoperative period dosed distraction of bone fragments up to their complete reposition and rehabilitation treatment was performed. Long term results were assessed for all 87 patients: good result was achieved in 67 (77%), satisfactory - in 17 (19.5%) and poor - in 3 (3.5%) patients.


2011 ◽  
Vol 4 (1) ◽  
pp. 57-62
Author(s):  
Yury Vladimirovich Cikini ◽  
Evgeny Aleksandrovich Drobyazgin ◽  
Anton Vadimovich Kutepov ◽  
Inessa Viktorovna Berkasova

Esophagoplasty in cicatricial narrowing of the esophagus is made postburns 116 patients. Disease duration - from 1 month to 31 years. Subtotal shunt esophagocolonoplastik left half of the colon made 68, extirpation of the esophagus with a plastic colon 9, extirpation of the esophagus with a plastic stomach tube in 38 patients. Long-term results of surgical intervention were studied in all patients during the period from 1 month to 13 years. Study of long-term results and quality of life after esophagoplasty showed significant benefits extirpation of the esophagus with esophagogastroplasty before esophagocolonoplastik.


Author(s):  
A. D. Yamkovoi ◽  
V. I. Zorya

Treatment results for 61 patients with diaphyseal fractures of long bones of the extremities are presented. Fractures of the humerus were diagnosed in18 (29.5%) patients, femur - in 22 (36.1%) and tibia - in 21 (34.4%) patients. In most cases fractures of A1, A2, A3 and B1 were observed. For osteosynthesis blocking and non-blocking Fixion intramedullary nails were used. Long-term results (1 - 1.5 years) were analyzed for 42 patients and showed excellent and good results in 93% of patients. Nonunion and deformity was observed in 7% of observations. The advantages of the technique included low traumatization, short duration of surgical intervention, minimum (up to 200 ml) blood loss.


2014 ◽  
Vol 21 (3) ◽  
pp. 34-39
Author(s):  
A. D Yamkovoi ◽  
V. I Zorya

Treatment results for 61 patients with diaphyseal fractures of long bones of the extremities are presented. Fractures of the humerus were diagnosed in18 (29.5%) patients, femur - in 22 (36.1%) and tibia - in 21 (34.4%) patients. In most cases fractures of A1, A2, A3 and B1 were observed. For osteosynthesis blocking and non-blocking Fixion intramedullary nails were used. Long-term results (1 - 1.5 years) were analyzed for 42 patients and showed excellent and good results in 93% of patients. Nonunion and deformity was observed in 7% of observations. The advantages of the technique included low traumatization, short duration of surgical intervention, minimum (up to 200 ml) blood loss.


Author(s):  
V. A. Kalantyrskaya ◽  
I. O. Golubev

Eighteen patients with distal humeral metaepiphyseal fractures were operated on during the period from 2010 to 2013. Mean age of patients made up 43.1±8.4 (22-72) years, term after injury - 4.6±1.9 (2-11) days. According to AO classification C1 fractures were diagnosed in 13, C2 - in 3, C3 - in 2 patients. In all patients distal humeral metaepiphyseal osteosynthesis with two plates placed at 90° to each other was performed. Surgical intervention was performed without olecranon osteotomy and triceps tendon was kept intact. In 12 (66.7%) cases longitudinal dissection of the triceps in its middle third was performed. Residual intraarticular displacement averaged 0.2±0.03 mm. Long term results were assessed in 10 patients at an average 12 months after operation. Mean score by subjective and objective scales made up 4.3±0.3 and 4.2±0.3 points, respectively. Main advantages of the applied osteosynthesis technique were preservation of forearm extensor muscles integrity; absence of additional fixatives in olecranon zone; absence of the necessity to perform additional intervention to remove fixatives from the olecranon.


2021 ◽  
Vol 59 (3) ◽  
pp. 344-350
Author(s):  
D. V. Volchenko ◽  
I. F. Akhtiamov ◽  
A. Yu. Terskov ◽  
O. A. Sozonov ◽  
M. N. Velichko ◽  
...  

Aim of the research – to evaluate the effectiveness, to analyze the complications and long-term results of total hip arthroplasty (THA) in patients with active psoriatic arthritis (PsA).Materials and methods. The results of THA were studied in 26 patients with PsA (19 men, 7 women; average age 54.8±3.1 years, from 38 to 56 years) up to 2 years after surgery. The diagnosis of PsA was established according to CASPAR criteria.Results. The visual analogue scale assessment showed a significant decrease in the intensity of pain in the hip joint in the postoperative period. The average DAPSA activity index before surgery was 25.9 (11–34), after 2 months – 31.3 (16–38), after 6 months – 30.5 (12–37), with a further decrease to 26.1 (12–35) by 24th month. The results of clinical and functional assessment according to Harris in 19 (73%) patients corresponded to an excellent level, in 7 (27%) – to a good level. No infectious, thromboembolic complications were detected. In 1 (4%) patient periprosthetic intraoperative fracture of the femur was diagnosed No new skin psoriatic elements in the field of surgical intervention was fixed.Conclusion. Our data indicate the effectiveness of THA in active PsA, provided that the requirements for careful planning of the intervention, prevention of possible complications and an individualized approach to rehabilitation are met.


1936 ◽  
Vol 32 (11) ◽  
pp. 1360-1362
Author(s):  
P. P. Mitrofanov

The description of long-term results with extensive bowel resections (about 2 meters or more) should be of scientific and practical interest in relation to the choice of surgery and the prognosis of surgical intervention for various types of obstruction and multiple intestinal injuries.


2012 ◽  
Vol 19 (3) ◽  
pp. 3-8
Author(s):  
N. A Tenilin ◽  
A. B Bogos'ayn ◽  
D. S Karataeva

Long-term results (up to 40 years) of surgical treatment using different types of correction osteotomy in 51 children with Blount disease showed that the operation was necessary but a delayed measure. The authors showed that when deformity achieved the degrees requiring surgical intervention with bone transaction the deforming gonarthrosis inevitably developed at terms up to 10 years after operation. The main causes of varus deformity recurrence were determined, i.e. presence of active but disturbed growth and ossification processes, distal osteotomy level, absence of intraoperative hypercorrection, inobservance of postoperative orthopedic regimen. The only way to achieve good results is early operative intervention directed to growth normalization and formation of proximal tibia with spontaneous deformity correction during the period of child's growth.


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