OUTCOME ANALYSIS OF TRAPEZECTOMY WITH AND WITHOUT PYROCARBON INTERPOSITION TO TREAT PRIMARY ARTHROSIS OF THE TRAPEZIOMETACARPAL JOINT

Hand Surgery ◽  
2011 ◽  
Vol 16 (01) ◽  
pp. 49-54 ◽  
Author(s):  
T. J. Colegate-Stone ◽  
S. Garg ◽  
A. Subramanian ◽  
G. V. Mani
Keyword(s):  
Comparative Analysis ◽  
Objective Assessment ◽  
Visual Analogue Score ◽  
Subjective Assessment ◽  
Outcome Analysis ◽  
Time Interval ◽  
Trapeziometacarpal Joint ◽  
Postoperative Function ◽  
Postoperative Risk ◽  
Significant Difference

We performed a prospective cohort comparative analysis of simple trapezectomy and trapezectomy with pyrocarbon interposition in 38 consecutive patients with trapeziometacarpal joint osteoarthrosis. Patients were assessed preoperatively, at six and 12 months postoperatively using subjective and objective tools. Subjective assessment was performed using the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire and the visual analogue score. Objective assessment was performed with grip strength measurements. At each time interval, statistical differences were sought between the two subgroups. No significant difference between the two subgroups was noted at any time interval on subjective or objective assessment. A significant difference (p < 0.05) was found on comparing the respective preoperative and 12-month subjective scores in both subgroups. Of the pyrocarbon subgroup seven had related complications. We suggest that pyrocarbon interposition does not significantly improve postoperative function, requires a longer operation with a high postoperative risk of pyrocarbon displacement and need for revision surgery.

scholarly journals The Interval Between Staged Bilateral Total Knee Arthroplasties Does Not Affect Early Complications of the Second Knee or Long-term Function of the First and Second Knees

2021 ◽  
Author(s):  
Guangqian Shang ◽  
Shuai Xiang ◽  
Jianjun Guo ◽  
Feng Ji ◽  
Shuai Yang ◽  
...  
Keyword(s):  
Complication Rate ◽  
Optimal Time ◽  
Time Interval ◽  
Early Complications ◽  
Postoperative Function ◽  
Term Function ◽  
Significant Difference ◽  
Patient Reported ◽  
Total Knee

Abstract Background: This study explored the optimal time interval between staged bilateral total knee arthroplasty (BTKA) to minimise early complications of the second TKA and maximise long-term function of the first and second knees.Methods: We retrospectively reviewed 266 patients who underwent staged BTKA between 2010 and 2015. Groups 1–4 had time intervals between BTKAs of 1–6, 6–12, 12–18, and 18–24 months, respectively. Demographics, postoperative complications within 90 days of the second TKA, Knee Society Score (KSS), and Western Ontario and McMaster Universities Arthritis Index (WOMAC) score were compared among the groups.Results: In total, 54, 96, 75, and 41 patients were assigned to groups 1–4, respectively. Although group 1 had the highest overall complication rate (11.11%), there was no significant difference in the complication rate among the four groups. Also, no significant differences were found among the four groups in functional and patient-reported outcomes, in either the first or second knee at 5 years postoperatively, including KSS-knee, KSS-function, WOMAC-pain, WOMAC-stiffness, and WOMAC-physical function. The interval between BTKA did not influence complications or the function of the second knee. The TKA type (posterior-stabilised vs. medial-pivot) and age did not correlate significantly with any scores.Conclusions: There was no group difference in early complications of the second TKA, and postoperative function was equivalent between the two knees and did not vary by the interval between surgeries. Our results can help surgeons discuss the timing of the second TKA with patients, which should be based on their own preferences. If patients cannot tolerate severe symptoms in the contralateral knee after the first TKA, the second TKA should be performed as early as possible.

Comparative analysis of ultrasound biomicroscopy between femto-assisted and ultrasound cataract removal in case of lens subluxation

2021 ◽  
pp. 7-9
Author(s):  
K. Ait Ahmed ◽  
◽  
V. Maksimov ◽  
M. Maksimov ◽  
G. Akchurin ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Objective Assessment ◽  
Ultrasound Biomicroscopy ◽  
The State ◽  
Success Factor ◽  
Lens Subluxation ◽  
Age Related ◽  
Significant Difference ◽  
Before And After ◽  
Lens Surgery

Purpose of the study to carry out a comparative analysis of the state of the zonular fibers before and after surgery on UBM between femtolaser assisted and classical ultrasound cataract removal. Material and methods. 19 patients (38 eyes) with age-related cataracts. 22 eyes were with pseudo-exfoliative syndrome. All patients were examined with grade 1 lens subluxation. The first group of 19 eyes underwent cataract femto-phacoemulsification. The second group included 19 eyes without using a femtolaser. The state of the fibers was determined on the UBM on the fifth day after the operation at the end of antibiotic therapy. Results. The data showed the presence of a statistically significant difference between the group with femto-assistance and the group without it. In the first group, UBM analysis showed that the state of the zonular fibers remained in the same state in 16 of 19 eyes. In the second group, 11 of 19 eyes required ring implantation with suturing to the sclera and 3 required IOL implantation with seamless fixation to the sclera and vitrectomy. Conclusions. The appropriate path to surgery depends on the most accurate objective assessment of the condition of the lens ligaments, since the position of the IOL is one of the main factors for a good result expected by the patient after surgery. Reducing the «trauma» of the eye with lens surgery has been a key success factor and femtolaser guidance provides valuable assistance in obtaining it. Key words: lens subluxation, femtosecond laser, UBM.

Poverty in the Dolnośląskie Voivodship

2016 ◽  
Vol 61 (6) ◽  
pp. 70-85
Author(s):  
Agata Girul
Keyword(s):  
Comparative Analysis ◽  
Cross Section ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Poverty Level ◽  
The Cross

The article presents selected aspects of economic poverty in the Dolnośląskie Voivodship on the background of the country and other voivodships, as well as in the cross-section of the Dolnośląskie powiats in 2013, as compared to 2010. The comparative analysis of poverty level by powiats was presented by means of taxonomic synthetic measure based on a set of three selected diagnostic indicators. A complement to the objective assessment of poverty in the Dolnośląskie Voivodship was a presentation of results of subjective assessment of material situation of households in the voivodships’ cross-section.

scholarly journals Endoscopic Surgery Outcomes in Patients With Rhino-Orbito-Sinusal Mucormycosis

2021 ◽  
Author(s):  
Mojtaba Meybodian ◽  
Mohammadhossein Baradaranfar ◽  
Sedighe Vaziribozorg ◽  
Samira Mahmoodifar
Keyword(s):  
Survival Rate ◽  
Survival Rates ◽  
Underlying Disease ◽  
Cross Sectional Study ◽  
Outcome Analysis ◽  
Time Interval ◽  
Correct Treatment ◽  
Cross Sectional ◽  
Systemic Treatments ◽  
Significant Difference

The aim of this study is to evaluate the response to endoscopic treatment and treatment outcomes in patients with rhino-orbito-sinusal mucormycosis. In this descriptive cross-sectional study, 19 patients with rhino-orbito-sinusal mucormycosis were involved. Data such as age, gender, the 6-month survival rate of the patients, type of underlying disease, site of involvement, number of endoscopic procedures, history of exenterating of the eye, type of received systemic treatments, and the time interval between the onset of symptoms and the start of treatment were recorded and analyzed. The 6-month outcome analysis showed that 10 out of 19 patients (58.8%) survived. The results also revealed no significant difference in the 6-month survival rate according to parameters such as gender, underlying disease (57.9% of the patients had diabetes and 42.1% had cancer), age, delay in surgery, site of involvement, and the number of surgeries (P>0.05). However, there was a significant difference in the 6-month survival rates of patients with respect to exenterating of the eye (P<0.05). According to our results, uncontrolled diabetes is the most common underlying cause of rhino-orbito-sinusal mucormycosis. It also seems that exenterating of the eye affects the survival rate of patients. This study suggests that timely and early diagnosis as well as correct treatment, endoscopic procedure, if possible, play an important role in the prognosis of the disease and can greatly reduce the mortality rate.

scholarly journals Saddle Block as an Option of the Anesthesia Technique for Prostate Puncture Biopsy

2019 ◽  
pp. 31-36
Author(s):  
F. N. Shaymardankulov ◽  
A. M. Karamyshev
Keyword(s):  
Comparative Analysis ◽  
Spinal Anesthesia ◽  
Motor Block ◽  
Study Groups ◽  
Subjective Assessment ◽  
Significant Difference ◽  
Puncture Biopsy ◽  
Group 15 ◽  
Anesthesia Technique

Objective: to identify the most effective and safest anesthesia technique for prostate puncture biopsy by means of the comparative analysis of the parameters of hemodynamics, postoperative motor block, and anesthesia, as well as the patient's subjective assessment of the quality of anesthesia. Material and methods: 30 male patients were divided into 2 clinical groups depending on the anesthesia technique. In the 1st group (15 patients), puncture biopsies (BP) were done under saddle spinal anesthesia, in the 2nd group (15 patients) - with the application of traditional spinal anesthesia (SA). The comparative analysis of hemodynamic indices, motor block, the efficiency of anesthesia and the patient satisfaction with the quality of anesthesia was performed. Results. No statistically significant difference between the hemodynamic indices, intraoperative anesthesia and subjective assessment of the quality of anesthesia by the patients was revealed, but at the same time the comparison of the postoperative motor block between the study groups found some statistically significant differences.

scholarly journals Comparative Analysis of Dimensional Precision of Different Silicone Impression Materials

2011 ◽  
Vol 12 (3) ◽  
pp. 208-215 ◽  
Author(s):  
Bader K Al-Zarea ◽  
Mohamed G Sughaireen
Keyword(s):  
Comparative Analysis ◽  
Optical Microscope ◽  
Three Dimensions ◽  
Time Interval ◽  
Impression Material ◽  
Dimensional Precision ◽  
Impression Technique ◽  
Impression Materials ◽  
Significant Difference ◽  
Over Time

ABSTRACT Objectives To investigate the accuracy of four commercial types of additional silicone impression materials (AFFINIS®, Virtual®, Relay 2002 CD® and Silagum®). Materials and methods The accuracy of impression material was measured indirectly by measuring three dimensions on stone cast poured from impressions of a stainless steel master model. The three dimensions on stone cast were measured at 1 hour, 2 days, 1 and 2 weeks after making the impression. Two impression techniques were used in the current study. The two-step impression technique was used for AFFINIS® and Virtual®, while single-step technique was used for Relay 2002 CD® and Silagum® materials. Twenty impressions were made of the master cast at four different periods for each of the tested four materials with a total of 320 impressions. Two vertical dimensions and one horizontal dimension were measured on master cast using optical microscope. Statistical analysis was run to compare the mean measurements for tested casts from each impression and time interval with the master cast. Results No statistical significant differences were found (p > 0.05) in the accuracy of tested materials. There was no significant difference of master cast and impression cast means over time. Additionally, impression technique could be correlated with accuracy. Conclusion The tested additional silicones showed accuracy over time and they could be delayed up to 4 weeks duration without any significant changes in its dimensional stability. Silagum® impression material was the most accurate followed by Relay 2002 CD®, Virtual® and AFFINIS®. Clinical significance Silagum® impression material is most accurate followed by Relay 2002 CD®, Virtual® and AFFINIS®. How to cite this article Al-Zarea BK, Sughaireen MG. Comparative Analysis of Dimensional Precision of Different Silicone Impression Materials. J Contemp Dent Pract 2011; 12(3):208-215.

Clinical outcomes of normal pressure hydrocephalus in 116 patients: objective versus subjective assessment

2020 ◽  
Vol 132 (6) ◽  
pp. 1757-1763 ◽  
Author(s):  
Eva M. Wu ◽  
Tarek Y. El Ahmadieh ◽  
Benjamin Kafka ◽  
James P. Caruso ◽  
Om J. Neeley ◽  
...  
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Clinical Characteristics ◽  
Objective Assessment ◽  
Normal Pressure ◽  
Subjective Assessment ◽  
Complication Rates ◽  
Vp Shunt ◽  
Shunt Placement ◽  
Significant Difference ◽  
Shunt Response

OBJECTIVEObjective assessment tests are commonly used to predict the response to ventriculoperitoneal (VP) shunting in patients with normal pressure hydrocephalus (NPH). Whether subjective reports of improvement after a lumbar drain (LD) trial can predict response to VP shunting remains controversial. The goal in this study was to compare clinical characteristics, complication rates, and shunt outcomes of objective and subjective LD responders who underwent VP shunt placement.METHODSThis was a retrospective review of patients with NPH who underwent VP shunt placement after clinical improvement with the LD trial. Patients who responded after the LD trial were subclassified into objective LD responders and subjective LD responders. Clinical characteristics, complication rates, and shunt outcomes between the 2 groups were compared with chi-square test of independence and t-test.RESULTSA total of 116 patients received a VP shunt; 75 were objective LD responders and 41 were subjective LD responders. There was no statistically significant difference in patient characteristics between the 2 groups, except for a shorter length of stay after LD trial seen with subjective responders. The complication rates after LD trial and VP shunting were not significantly different between the 2 groups. Similarly, there was no significant difference in shunt response between objective and subjective LD responders. The mean duration of follow-up was 1.73 years.CONCLUSIONSReports of subjective improvement after LD trial in patients with NPH can be a reliable predictor of shunt response. The currently used objective assessment scales may not be sensitive enough to detect subtle changes in symptomatology after LD trial.

A prospective comparative evaluation of gabapentin vs pregabaline for the acute post-operative pain management in lower limb surgeries under spinal anaesthesia

2021 ◽  
Vol 19 (1) ◽  
pp. 01-06
Author(s):  
S Ch Sai Ramakrishna ◽  
◽  
Chhavi Agarwal ◽  
Keyword(s):  
Visual Analogue Score ◽  
Sedation Score ◽  
Time Interval ◽  
Rescue Analgesia ◽  
Vas Score ◽  
Post Operative Period ◽  
Significant Difference ◽  
The Mean ◽  
Other Regarding ◽  
Ramsay Sedation Score

Background: Pre emptive analgesia is multimodal approach where drug is used before surgery and has potential to be more effective than a similar analgesic treatment initiated after surgery. Pregabaline and Gabapentin are GABA analogue used is used as pre-emptive analgesic. Its analgesic action is mediated through α2δ subunit of voltage gated calcium channels on dorsal horn neurons. Material and Method:96 patients satisfying selection criteria were enrolled for this study and divided in to three groups Group P, Group G and Group C each having 32 patients. All patients were explained about visual analogue score. Result: There is significant difference between three groups regarding time of first rescue analgesia and tramadol consumption. The mean time for rescue analgesia was longer in pregabaline group then gabapentin group (482.7±113.5 min vs 343.35±70.74 min). The mean amount of dose of tramadol requirement was also less in pregabaline and gabapentin group (164.32±39.41 vs178.32±48.21 vs 272.82±83.01) in comparison control. Conclusion: The VAS score was significantly higher in control then pregabaline and gabapentin group. Both pregabaline (group P) and gabapentin (group G) are comparable to each other regarding VAS score at different time interval in post operative period. Ramsay sedation score was significantly higher in pregabaline and gabapentin group up 4 hour post operatively but after that there was no significant difference between two groups. Both pregabaline (group P) and gabapentin (group G) are comparable to each other regarding Ramsay sedation score at different time interval in post operative period.

scholarly journals COPD-Lower Respiratory Tract Infection Visual Analogue Score (c-LRTI-VAS) validation in stable and exacerbated patients with COPD

2021 ◽  
Vol 8 (1) ◽  
pp. e000761
Author(s):  
Hendrik Johannes Prins ◽  
Ruud Duijkers ◽  
Johannes M A Daniels ◽  
Thys van der Molen ◽  
Tjip S van der Werf ◽  
...  
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Visual Analogue Score ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Significant Difference ◽  
Related Quality

BackgroundWe developed the chronic obstructive pulmonary disease (COPD)-Lower Respiratory Tract Infection-Visual Analogue Score (c-LRTI-VAS) in order to easily quantify symptoms during exacerbations in patients with COPD. This study aimed to validate this score.MethodsIn our study, patients with stable COPD as well as those with an acute exacerbations of COPD (AECOPD) were included. The results of c-LRTI-VAS were compared with other markers of disease activity (lung function parameters, oxygen saturation and two health related quality of life questionnaires (St Georges Respiratory Questionnaire (SGRQ) and Clinical COPD Questionnaire (CCQ)) and validity, reliability and responsiveness were assessed.ResultsEighty-eight patients with clinically stable COPD and 102 patients who had an AECOPD completed the c-LRTI-VAS questionnaire. When testing on two separate occasions for repeatability, no statistically significant difference between total scores was found 0.143 (SD 5.42) (p=0.826). Internal consistency was high across items (Cronbach’s apha 0.755). Correlation with SGRQ and CCQ total scores was moderate to high. After treatment for hospitalised AECOPD, the mean c-LRTI-VAS total score improved 8.14 points (SD 9.13; p≤0.001).Conclusionsc-LRTI-VAS showed proper validity, responsiveness to change and moderate to high correlation with other questionnaires. It, therefore, appears a reliable tool for symptom measurement during AECOPD.Trial registration numberNCT01232140.

scholarly journals Comparative Analysis of Different Local Anesthetic Solutions Available in Market: An In Vitro and Clinical Study

2021 ◽  
Author(s):  
Eisha Imran ◽  
Faisal Moeen ◽  
Beenish Abbas ◽  
Bakhtawar Yaqoob ◽  
Mehreen Wajahat ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Local Anesthetic ◽  
Compositional Analysis ◽  
Bacterial Activity ◽  
Similar Composition ◽  
Ph Values ◽  
Significant Difference ◽  
The Mean ◽  
The Difference

Abstract Objectives The study aimed to evaluate and compare various commercially available local anesthetic solutions. Materials and Methods A total of 150 commercially available local anesthetic cartridges of similar composition (2% lidocaine with epinephrine 1:100,000) were randomly collected and divided into 3 groups. The designations of groups were selected from their product names such that each group consisted of 60 cartridges. Group S (Septodont, France) Group M (Medicaine, Korea) and Group H (HD-Caine, Pakistan). The samples were divided into five sub-groups, each consisting of 10 cartridges from each group to investigate each parameter. Results The acquired data was statistically analyzed and compared (using SPSS version 12). Compositional analysis revealed a non-significant (P>0.05) difference when the three Groups were compared with standard lidocaine and epinephrine solutions. The mean pH values of samples from group S, M and H respectively fell within the range of pH values of commercially available solutions. Non-significant difference in EPT values of Group S and H was found when efficacy was compared (p = 0.3), however a significant difference (p < 0.01) was observed in contrast to Group M. Anti-bacterial activity was observed in all the group and a non-significant difference in cell viability values of Group S and M was found (p = 0.6), while the difference was significant in comparison to Group H. Conclusion Within the limitations of these investigations, it appears that the properties of different manufacturers fall within the recommended ranges as mentioned in literature and do not appear to be statistically different in the variables we have tested.

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