Clinical and radiological results of impaction bone allograft technique in acetabular revisions associated with massive bone stock deficiencies: Four to seven years follow-up study

2005 ◽  
Vol 15 (1) ◽  
pp. 46-51 ◽  
Author(s):  
S. El-Kawy ◽  
D. Hay ◽  
K. Drabu
Keyword(s):  
Bone Allograft ◽  
Bone Stock ◽  
Follow Up Study ◽  
Radiological Results ◽  
Clinical And Radiological Results ◽  
Massive Bone

scholarly journals Clinical and Radiological Results over the Medium Term of Isolated Acetabular Revision

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Nicola Piolanti ◽  
Lorenzo Andreani ◽  
Paolo Domenico Parchi ◽  
Enrico Bonicoli ◽  
Francesco Niccolai ◽  
...  
Keyword(s):  
Groin Pain ◽  
Large Diameter ◽  
Acetabular Revision ◽  
Acetabular Cup ◽  
Medium Term ◽  
Retrospective Design ◽  
Radiological Results ◽  
Functional Scores ◽  
Clinical And Radiological Results

Acetabular cup loosening is associated with pain, reduced function, and instability of the implant. If such event happens while the femoral implant is in a satisfactory position and is well fixed to the bone, isolated acetabular revision surgery is indicated. The aim of this single-center retrospective study was to evaluate the clinical and radiological results over the medium term (12-month follow-up mean 36, max 60) of isolated acetabular revisions surgery using a porous hemispheric revision shell matched with a cemented all-poly cup and large diameter femoral head (>32). 33 patients were enrolled. We collect any relevant data from the clinical board. Routine clinical and radiographic examinations were performed preoperatively; the postoperative follow-up was made at 1, 3, and 6 months and yearly thereafter. At the last available follow-up, we report satisfactory improvement of functional scores in all the patients; 2 patients (6.1%) showed thigh pain and only 4 hips (12.11%) presented mild groin pain; all the femoral components are well fixed and there were no potential or pending rerevisions. With bias due to the follow-up and to the retrospective design of the study, we report clinical, functional, and radiological satisfactory results.

scholarly journals A new expansive two-open-doors laminoplasty for multilevel cervical spondylotic myelopathy: technical report and follow-up results

2014 ◽  
Vol 72 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Geraldo Alves da Silva Junior ◽  
José Augusto Malheiros ◽  
Fernando Flavio Gonçalves ◽  
Marcelo Magaldi ◽  
...  
Keyword(s):  
Cervical Spondylotic Myelopathy ◽  
Radiographic Evaluation ◽  
Follow Up Study ◽  
Post Surgery ◽  
Technical Report ◽  
Significant Difference ◽  
The Mean ◽  
Clinical And Radiological Results ◽  
Multilevel Cervical Spondylotic Myelopathy

The laminoplasty technique was devised by Hirabayashi in 1978 for patients diagnosed with multilevel cervical spondylotic myelopathy. Objective: To describe an easy modification of Hirabayashi’s method and present the clinical and radiological results from a five-year follow-up study. Method and Results: Eighty patients had 5 levels of decompression (C3-C7), 3 patients had 6 levels of decompression (C2-T1) and 3 patients had 4 levels of decompression (C3-C6). Foraminotomies were performed in 23 cases (27%). Following Nurick`s scale, 76 patients (88%) improved, 9 (11%) had the same Nurick grade, and one patient worsened and was advised to undergo another surgical procedure. No deaths were observed. The mean surgery time was 122 min. Radiographic evaluation showed an increase in the mean sagittal diameter from 11.2 mm at pretreatment to 17.3 mm post surgery. There was no significant difference between pretreatment and post-surgery C2-C7 angles. Conclusions: This two-open-doors laminoplasty technique is safe, easy and effective and can be used as an alternative treatment for cases of multilevel cervical spondylotic myelopathy without instability.

scholarly journals Anterior versus posterior approach to treat cervical spondylotic myelopathy, clinical and radiological results with long period of follow-up

2018 ◽  
Vol 6 ◽  
pp. 205031211876619 ◽  
Author(s):  
Ziad A Audat ◽  
Mohammad D Fawareh ◽  
Ahmad M Radydeh ◽  
Moutasem M Obeidat ◽  
Mohannad A Odat ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cervical Spondylotic Myelopathy ◽  
Neck Disability Index ◽  
X Ray ◽  
Local Score ◽  
Radiological Results ◽  
Group Ii ◽  
Neck Disability ◽  
Clinical And Radiological Results

Background: Cervical spondylotic myelopathy increases with age, but not all cases are symptomatic. It is usually diagnosed clinically and radiologically (X-ray and magnetic resonance imaging). Surgical treatment is indicated in severe symptomatic cases, while treatment controversy exists in the presence of less severe cases. Anterior and posterior approaches are generally used for decompression with no significant differences in the results of both. Methods: A total of 287 patients of cervical spondylotic myelopathy were treated at our hospital between January 2004 and December 2015. Only 140 patients were eligible for our study. They had at least 5 years of follow-up using full clinical scores and radiological evaluation. They were divided into two groups: group I with 73 patients (aged 23–79 years) underwent posterior decompression, lateral mass instrumentation, and fusion, while group II with 67 patients (aged 33–70 years) underwent anterior decompression, instrumentation, and fusion. Neck Disability Index, local score, and X-ray were used in the evaluation of the patients. Results: Preoperative mean ± standard deviation of Neck Disability Index of both the groups was 32.06 ± 6.33 and 29.88 ± 5.48, which improved in the last visit (>5 years) to 5.81 ± 7.39 and 2.94 ± 5.48 for groups I and II, respectively (p value <0.05). The local score of groups I and II was (P = 1, F = 21, G = 31, E = 19) and (P = 1, F = 12, G = 36, E = 18), which on discharge day improved to (P = 1, F = 4, G = 12, E = 55) and (P = 0, F = 3, G = 6, E = 58) at last follow-up, respectively. Fusion rate was nearly equal for both the groups during all the follow-up intervals and it was 91.1% and 91.7% in the last follow-up. Conclusion: There were no significant differences in the clinical and radiological results between the anterior and posterior approaches used in the surgical treatment of spondylotic cervical myelopathy. However, statistically significant results of Neck Disability Index of anterior approach were not clinically important and may be due to changes in the size and shape of the neck in group II.

Discovery Elbow System: clinical and radiological results after 2- to 10-year follow-up

2017 ◽  
Vol 27 (7) ◽  
pp. 901-907 ◽  
Author(s):  
Patrik Hänninen ◽  
Tuukka Niinimäki ◽  
Tapio Flinkkilä ◽  
Jaakko Niinimäki ◽  
Pasi Ohtonen ◽  
...  
Keyword(s):  
Radiological Results ◽  
Clinical And Radiological Results
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