Clinical and patient‐centred long‐term results of root coverage using the envelope technique in a private practice setting: 10‐year results—A case series

Background: The collagen meniscal implant (CMI) is a biologic scaffold aimed at replacing partial meniscal defects. The long-term results of lateral meniscal replacement have never been investigated. Purpose: To document the clinical outcomes and failures of lateral CMI implantation for partial lateral meniscal defect at a minimum 10-year follow-up. Study Design: Case series; Level of evidence, 4, Methods: This study included 24 consecutive patients who underwent lateral CMI implantation for partial lateral meniscal defects between April 2006 and September 2009 and who were part of a previous study with a 2-year follow-up. Outcome measures at the latest follow-up included the Lysholm score, Knee injury and Osteoarthritis Outcome Score, visual analog scale (VAS) for pain, Tegner activity level, and EuroQol 5-Dimensions score. Data regarding complications and failures were collected, and patients were asked about their satisfaction with the procedure. Results: Included in the final analysis were 19 patients (16 male, 3 female) with a mean age at surgery of 37.1 ± 12.6 years and a mean follow-up of 12.4 ± 1.5 years (range, 10-14 years). Five failures (26%) were reported: 1 CMI removal because of implant breakage and 4 joint replacements (2 unicompartmental knee arthroplasties and 2 total knee arthroplasties). The implant survival rate was 96% at 2 years, 85% at 5 years, 85% at 10 years, 77% at 12 years, and 64% at 14 years. Lysholm scores at the final follow-up were rated as “excellent” in 36% (5 of 14 nonfailures), “good” in 43% (6 of 14), and “fair” in 21% (3 of 14). The VAS score was 3.1 ± 3.1, with only 16% (3 of 19 patients) reporting that they were pain-free; the median Tegner score was 3 (interquartile range, 2-5). All clinical scores decreased from the 2-year follow-up; however, with the exception of the Tegner score, they remained significantly higher compared with the preoperative status. Overall, 79% of patients were willing to undergo the same procedure. Conclusion: Lateral CMI implantation for partial lateral meniscal defects provided good long-term results, with a 10-year survival rate of 85% and a 14-year survival rate of 64%. At the final follow-up, 58% of the patients had “good” or “excellent” Lysholm scores. However, there was a general decrease in outcome scores between the short- and the long-term follow-up.

Download Full-text

Safety and efficacy of posterior iris claw intraocular lens fixation in aphakic patients

Asian Journal of Ophthalmology ◽

10.35119/asjoo.v16i2.368 ◽

2018 ◽

Vol 16 (2) ◽

pp. 124-133

Author(s):

Rosemary Tomy ◽

Rajkumar Maheshwari ◽

Ansa Parveen Kunhu Muhammed ◽

Venkataramana Kalikivayi ◽

Sajeev Cherian Jacob

Keyword(s):

Intraocular Lens ◽

Anterior Segment ◽

Case Series ◽

Visual Outcome ◽

Applanation Tonometry ◽

Long Term Results ◽

Retrospective Case ◽

Case Series Study ◽

Wide Range

Purpose: To assess the indications and visual outcome of eyes undergoing posterior iris fixated intraocular lens (IFIOL) implantation for aphakia, to identify reasons for poor visual outcome, and report occurrence of complications. Methods: In this retrospective case series study, all cases of posterior IFIOL fixation performed over a 30-month period were identified retrospectively. Preoperative and postoperative evaluations comprised objective and subjective refraction, best corrected visual acuity (BCVA), slit lamp biomicroscopy, applanation tonometry, and dilated fundus examination. Results: Fifty-six eyes of 56 patients were analyzed. Mean age was 60.55 ± 17.2 years. The most common indication for IFIOL implantation was surgical aphakia following complicated cataract surgery (n = 33; 58.9%) followed by trauma (n = 10; 17.9%), dropped nucleus/IOL during primary surgery (n = 6; 10.7%), and subluxated/dislocated lens-induced glaucomas (n = 5; 8.9%). BCVA better than or equal to their preoperative BCVA was achieved in 96.43% patients. The surgical aphakia and paediatric/adolescent groups had the best visual results while the dropped nucleus/IOL group and subluxated lens-induced glaucoma groups fared poorly. On the long-term follow-up visit, the most common complication noted was pigment dusting on the corneal endothelium (65.7%). Conclusion: The long-term results suggest that posterior IFIOL implantation is a safe and effective method for correction of aphakia and can be used for a wide range of indications in eyes without adequate capsule support. It may be considered an easier and faster alternative with minimal manipulation to anterior segment structures in paediatric and post-traumatic aphakic eyes.

Download Full-text

Long-Term Results After Laparoscopic Pericystectomy in Patients with Hepatic Echinococcosis: Case Series with Follow-up

Indian Journal of Surgery ◽

10.1007/s12262-021-03202-5 ◽

2022 ◽

Author(s):

Carlos Manterola ◽

Nataniel Claros

Keyword(s):

Case Series ◽

Long Term Results ◽

Hepatic Echinococcosis

Download Full-text

Do long-term results justify decompressive craniectomy after severe traumatic brain injury?

Journal of Neurosurgery ◽

10.3171/jns/2008/109/10/0685 ◽

2008 ◽

Vol 109 (4) ◽

pp. 685-690 ◽

Cited By ~ 55

Author(s):

Matthias H. Morgalla ◽

Bernd E. Will ◽

Florian Roser ◽

Marcos Tatagiba

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Intracranial Pressure ◽

Decompressive Craniectomy ◽

Severe Traumatic Brain Injury ◽

Barthel Index ◽

Case Series ◽

Clinical Results ◽

Long Term Results

Object A decompressive craniectomy can be a life-saving procedure to relieve critically increased intracranial pressure. The survival of a patient is important as well as the subsequent and long-term quality of life. In this paper the authors' goal was to investigate whether long-term clinical results justify the use of a decompressive craniectomy. Methods Thirty-three patients (20 males and 13 females) with a mean age of 36.3 years (range 13–60 years) with severe traumatic brain injury (Grades III and IV) and subsequent massive brain swelling were examined. For postoperative assessment the Barthel Index was used. A surgical intervention was based on the following criteria: 1) The intracranial pressure could not be controlled by conservative treatment and constantly exceeded 30 mm Hg (cerebral perfusion pressure < 50 mm Hg). 2) Transcranial Doppler ultrasonography revealed only a systolic flow pattern or systolic peaks. 3) There were no other major injuries. 4) The patient was not older than 60 years. Results One-fifth of all patients died and one-fifth remained in a vegetative state. Mild deficits were seen in 6 of 33 patients. A full rehabilitation (Barthel Index 90–100) was achieved in 13 patients (39.4%). Five patients could resume their former occupation, and another 4 had to change jobs. Conclusions Age remains to be one of the most important exclusion factors. Decompressive craniectomy provided good clinical results in nearly 40% of patients who were otherwise most likely to die. Therefore, long-term results justify the use of decompressive craniectomy in this case series.

Download Full-text

Progressive symptomatic increase in the size of choroidal fissure cysts

Journal of Neurosurgery Pediatrics ◽

10.3171/2012.7.peds11515 ◽

2012 ◽

Vol 10 (4) ◽

pp. 306-309 ◽

Cited By ~ 5

Author(s):

R. Shane Tubbs ◽

Mitchel Muhleman ◽

Samuel G. McClugage ◽

Marios Loukas ◽

Joseph H. Miller ◽

...

Keyword(s):

Case Series ◽

Long Term Results

Cysts of the choroidal fissure are often incidentally identified. Symptoms from such cysts appear to be exceedingly rare. Herein, the authors report a case series of symptomatic enlargement of choroidal fissure cysts that were surgically treated. Although cysts of the choroidal fissure do not normally become symptomatic, the neurosurgeon should be aware of such a complication. Based on the authors' experience, surgical fenestration of such cysts has good long-term results.

Download Full-text

Pre-group preparation model for long-term group psychotherapy in a private practice setting

Group ◽

10.1007/bf01457272 ◽

1981 ◽

Vol 5 (3) ◽

pp. 43-50 ◽

Cited By ~ 8

Author(s):

Beverly R. Bader ◽

Lawrence J. Bader ◽

Simon H. Budman ◽

Mary Clifford

Keyword(s):

Group Psychotherapy ◽

Private Practice ◽

Practice Setting

Download Full-text

Osteochondral Transplantation in the Elbow Leads to Good Clinical and Radiologic Long-term Results

The American Journal of Sports Medicine ◽

10.1177/0363546511420127 ◽

2011 ◽

Vol 39 (12) ◽

pp. 2619-2625 ◽

Cited By ~ 37

Author(s):

Stephan Vogt ◽

Sebastian Siebenlist ◽

Daniel Hensler ◽

Lizzy Weigelt ◽

Patrick Ansah ◽

...

Keyword(s):

Magnetic Resonance ◽

Case Series ◽

Magnetic Resonance Images ◽

Weight Lifting ◽

Long Term Results ◽

Osteochondral Lesions ◽

Osteochondral Transplantation ◽

Level Of Evidence

Background: In the long-term follow-up after debridement, microfracture, or drilling of osteochondral lesions in the elbow, subsequent osteoarthritis is a problem. Osteochondral transplantation for these defects has become a more common procedure. However, long-term results are unknown. Purpose: This study was undertaken to evaluate long-term clinical and radiologic outcomes of advanced osteochondral lesions in the elbow treated with osteochondral transplantation. Study Design: Case series; Level of evidence, 4. Methods: The study included 8 patients with osteochondral lesions in the elbow who were treated by autologous osteochondral transplantation between 1996 and 2002. Patients (average age, 17 years) were evaluated pre- and postoperatively by Broberg-Morrey score to assess elbow function and by American Shoulder and Elbow Surgeons (ASES) score for pain analysis. In addition, radiographs (at the first postoperative day, and at 5-year and 10-year follow-up) and magnetic resonance images (8 to 12 weeks postoperatively, and at 5-year and 10-year follow-up) were made to evaluate the joint status. At last follow-up (range, 8-14 years postoperatively), 7 of 8 patients were seen for clinical examination and radiologic analysis. Results: The Broberg-Morrey score increased from an average of 75.9 ± 13.1 to 96.4 ± 2.4 and ASES score significantly improved as follows: worst pain, 7.9 ± 1.1 to 1.6 ± 1.9; rest pain, 3.14 ± 2.7 to 0.6 ± 1.5; weight-lifting pain, 7.6 ± 0.8 to 3.1 ± 1.6; and repetitive movement pain, 5.3 ± 2.4 to 1.6 ± 1.5. Compared with the contralateral side, there was a mean preoperative flexion lag of 12.5° ± 11.6°. At the final follow-up, flexion was free. The mean extension lag was reduced from average 5.4° ± 5.7° to 0°. Radiographs of 2 patients made at final follow-up showed mild signs of osteoarthritis (Kellgren and Lawrence grade I). Postoperative magnetic resonance images showed graft viability in all and a congruent chondral surface in 6 of 7 patients. Conclusion: Clinical long-term results after osteochondral transplantation in the elbow are good to excellent and comparable with midterm results in the literature. Therefore, this technique is a reliable option for satisfactory long-term results regarding treatment of advanced osteochondral lesions in the elbow.

Download Full-text

The use of ablative lasers in the treatment of facial melasma

Anais Brasileiros de Dermatologia ◽

10.1590/s0365-05962013000200009 ◽

2013 ◽

Vol 88 (2) ◽

pp. 238-242 ◽

Cited By ~ 7

Author(s):

Orlando Oliveira de Morais ◽

Érica Freitas Lima Lemos ◽

Márcia Carolline dos Santos Sousa ◽

Ciro Martins Gomes ◽

Izelda Maria Carvalho Costa ◽

...

Keyword(s):

Clinical Trial ◽

Short Pulse ◽

Case Series ◽

Long Term Results ◽

Controlled Clinical Trial ◽

Level Of Evidence ◽

Short Pulse Duration ◽

Treatment Regimens ◽

Postinflammatory Hyperpigmentation

Melasma represents a pigmentary disorder that is difficult to treat. This study aims to broadly review the use of ablative lasers (Er:YAG and CO2) in the treatment of melasma, presenting the level of evidence of studies published to date. A total of 75 patients were enrolled in four case series studies (n=39), one controlled clinical trial (n=6) and one randomized controlled clinical trial (n=30). Studies on the Er:YAG laser showed better results with the use of short square-shaped pulses, which determined low rates of post-inflammatory hyperpigmentation and long-lasting maintenance of results. Likewise, studies on the CO2 laser proved the benefits of short pulse duration along with low-density energy. Post-treatment maintenance with the use of antipigmenting creams was necessary and effective to sustain long-term results. Ablative lasers may represent another useful and effective tool against melasma. Postinflammatory hyperpigmentation and difficulty in sustaining long-term results still represent the main limitations to a broader use of ablative lasers. Based on actual evidence, the use of this technology should be restricted to patients with recalcitrant disease. Further studies will help establish optimal laser parameters and treatment regimens.

Download Full-text

Inflammatory myofibroblastic tumours of the lung: a case series

Pneumologia ◽

10.2478/pneum-2019-0006 ◽

2019 ◽

Vol 68 (2) ◽

pp. 82-86

Author(s):

Alexandru Melinte ◽

Irina Strâmbu ◽

Diana Leonte ◽

Mihai Dumitrescu ◽

Cristian Paleru ◽

...

Keyword(s):

Clinical Presentation ◽

Case Series ◽

Long Term Results ◽

Inflammatory Myofibroblastic Tumour ◽

Rare Group

Abstract Inflammatory myofibroblastic tumours represent a rare group of lesions reported in various organs but with an unclear aetiology. Although so far they are considered benign, some cases of recurrence and invasive behaviour have been noted. We report three consecutive cases of tumours of the lung, with heterogeneous clinical presentation. They were all treated by means of surgery, with good long-term results. Diagnosing an inflammatory myofibroblastic tumour relies mainly on an experienced pathologist.

Download Full-text