scholarly journals Arthroscopic debridement for primary elbow osteoarthritis with and without capsulectomy: a comparative cohort study

2017 ◽  
Vol 10 (3) ◽  
pp. 223-231 ◽  
Author(s):  
Ahaoiza D Isa ◽  
George S Athwal ◽  
Graham J W King ◽  
Joy C MacDermid ◽  
Kenneth J Faber
Keyword(s):  
Cohort Study ◽  
Arthroscopic Debridement ◽  
Early Complications ◽  
Short Term ◽  
Tertiary Referral Centre ◽  
Elbow Arthroscopy ◽  
Primary Osteoarthritis ◽  
Elbow Osteoarthritis ◽  
Comparative Cohort Study

Background Arthroscopic elbow debridement for primary osteoarthritis may be performed with or without a joint capsulectomy. The purpose of this comparative cohort study was to compare range of motion (ROM) and early complications between patients with and without anterior capsulectomy. Methods In total, 110 patients with primary osteoarthritis of the elbow who underwent an arthroscopic debridement for primary osteoarthritis were reviewed with a minimum of 3 months postoperative follow-up. The first group consisted of 51 patients who had a concomitant capsulectomy and the second group consisted of 59 patients who either had a capsulotomy or did not have the capsule addressed. Results There was significantly greater pre-operative stiffness in the group who had an anterior capsulectomy versus those who did not. A greater improvement in arc of ROM occurred in patients who had a concomitant capsulectomy compared to patients without (24° versus 12°) (p < 0.003); however, there were no significant differences in final ROM between groups. There were no statistically significant differences in the incidence of complications between the groups (16% capsulectomy versus 18% no capsulectomy). Conclusions Elbow arthroscopy and debridement for primary elbow osteoarthritis yields satisfactory motion at short-term follow-up with or without a capsulectomy. The incidence of early complications was low at this tertiary referral centre, with no significant differences between groups.

657 ROUTINE ESOPHAGRAMS FOLLOWING HIATUS HERNIA REPAIR MINIMISES REOPERATIVE MORBIDITY: A MULTICENTER COMPARATIVE COHORT STUDY

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
David Liu ◽  
Melissa Wee ◽  
James Grantham ◽  
Bee Ong ◽  
Stephanie Ng ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Hiatus Hernia ◽  
Functional Outcomes ◽  
Gastric Resection ◽  
Postoperative Morbidity ◽  
Early Complications ◽  
Esophageal Obstruction ◽  
Comparative Cohort Study ◽  
One Year

Abstract   Hiatus hernia repairs are common. Early complications such as re-herniation, esophageal obstruction and perforation, although infrequent, incur significant morbidity. Here, we determine whether routine postoperative esophagrams following hiatus hernia repair may expedite the surgical management of these complications, reduce reoperative morbidity, and improve functional outcomes. Methods Analysis of a prospectively-maintained database of 1829 hiatus hernia repairs undertaken in 14 hospitals from 1 January 2000 to 30 September 2020. 1571 (85.9%) patients underwent a postoperative esophagram which was reviewed. An early (&lt;14 days) reoperation was performed in 44 (2.4%) patients. Results Compared to those without an esophagram, patients who received one prior to reoperation (n = 37) had a shorter time to diagnosis (2.4 vs. 3.9 days, p = 0.041) and treatment (2.4 vs. 4.3 days, p = 0.037) of their complications. This was associated with decreased open surgery (10.8% vs. 42.9%, p = 0.034), gastric resection (0.0% vs. 28.6%, p = 0.022), postoperative morbidity (13.5% vs. 85.7%, p &lt; 0.001), ICU admission (16.2% vs. 85.7%, p &lt; 0.001), and length-of-stay (7.3 vs. 18.3 days, p = 0.009). Furthermore, patients who underwent early reoperations for asymptomatic re-herniation had less complications and superior functional outcomes at one-year follow-up than those who needed surgery for symptomatic recurrences later on. Conclusion Postoperative esophagrams decreases the morbidity associated with early and late reoperations following hiatus hernia repair, and should be considered for routine use.

UNILATERAL VERSUS SIMULTANEOUS BILATERAL PERCUTANEOUS HALLUX VALGUS SURGERY

2017 ◽  
Vol 20 (04) ◽  
pp. 1750022
Author(s):  
Eusebio Crespo Romero ◽  
Silvia Gómez Gómez ◽  
Raquel Peñuela Candel ◽  
Alvaro Arcas Ordoño ◽  
Angel Arias Arias ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hallux Valgus ◽  
Surgical Correction ◽  
Level Of Evidence ◽  
Radiographic Outcomes ◽  
Forefoot Surgery ◽  
Comparative Cohort Study ◽  
Group B ◽  
Surgical Group

Introduction: The purpose of the present study is to evaluate the clinical and radiographic results of simultaneous surgical correction for bilateral hallux valgus compared with unilateral correction using percutaneous forefoot surgery techniques (PFS). Material and Methods: A prospective cohort study of 82 patients (106 feet). The mean follow-up was 58.7[Formula: see text][Formula: see text][Formula: see text]1.5 months (range 22.3 to 112.1). Patients were divided into two groups, unilateral surgical group (group U, 58 feet) and simultaneous bilateral surgical group (group B, 48 feet). Results: Preoperative mean visual analog scale (VAS) was 6.2 points in group U and 6.3 in group B ([Formula: see text]), at the last follow-up it decreased in both groups (1.6 group U and 1.8 group B, [Formula: see text]). AOFAS score improved from approximately 50 points preoperative in both groups, to 88 at the last follow-up. Mean hallux valgus angles in groups U and B changed from 34.7[Formula: see text] and 34.3[Formula: see text] preoperatively ([Formula: see text]), to 21.3[Formula: see text] and 22.4[Formula: see text] follow-up, respectively ([Formula: see text]). With the numbers available, no significant inter-group differences were observed in clinical and radiographic outcomes. Conclusions: PFS is a valid procedure for outpatient simultaneous surgical correction in patients with bilateral hallux valgus. Level of Evidence: II Prospective Comparative Cohort Study.

scholarly journals Short-term effectiveness of precise safety decompression via double percutaneous lumbar foraminoplasty and percutaneous endoscopic lumbar decompression for lateral lumbar spinal canal stenosis: a prospective cohort study

2020 ◽  
Author(s):  
Yu Wang ◽  
Mingyan Deng ◽  
Hao Wu ◽  
Ye Wu ◽  
Chuan Guo ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Outcomes ◽  
Prospective Cohort ◽  
Spinal Canal ◽  
Leg Pain ◽  
Short Term ◽  
Postoperative Mri ◽  
The Mean ◽  
Lumbar Spinal

Abstract Purpose This prospective cohort study reports on a new technique, namely precise safety decompression via double percutaneous lumbar foraminoplasty (DPLF) and percutaneous endoscopic lumbar decompression (PELD) for lateral lumbar spinal canal (LLSC) stenosis, and its short-term clinical outcomes.Methods The study analyzed 69 patients with single-level LLSC stenosis simultaneously occurring in both zones 1 and 2 (defined as retrodiscal space and upper bony lateral recess respectively by new LLSC classification) who underwent DPLF–PELD from November 2018 to April 2019. Clinical outcomes were evaluated according to preoperative, three months postoperatively, and last follow-up, via leg pain/low back pain (LBP) visual analog scale (VAS) scores, Oswestry disability index (ODI) scores, and the Macnab criteria. The postoperative MRI and CT were used to confirm the complete decompression, and flexion-extension x-rays at the last follow-up were used to observe lumbar stability.Results All patients successfully underwent DPLF–PELD, and the stenosis was completely decompressed, confirmed by postoperative MRI and CT. The mean follow-up duration was 13 months (range: 8–17 months). The mean preoperative leg pain VAS score is 7.05 ± 1.04 (range 5–9), which decreased to 1.03 ± 0.79(range: 0–3) at three months postoperatively and to 0.75 ± 0.63 (range: 0–2) by the last follow-up visit(p < 0.05). The mean preoperative ODI was 69.8 ± 9.05 (range: 52–85), which decreased to 20.3 ± 5.52 (range: 10–35) at the third month postoperatively and to 19.6 ± 5.21 (range: 10–34) by the final follow-up visit(p < 0.05). The satisfactory (excellent or good) results were 94.2%. There was one patient with aggravated symptoms, which were relieved after an open surgery. Two patients had a dural tear, and two patients suffered postoperative LBP. No recurrence or segmental instability was observed at the final follow-up.Conclusion DPLF–PELD could be a good alternative for the treatment of LLSC stenosis patients whose stenosis occurred in both zones 1 and 2.Trial registration Chinese Clinical Trial Registry (ChiCTR1800019551). Registered 18 November 2018.

scholarly journals Prognostic value of the ABCD2score beyond short-term follow-up after transient ischemic attack (TIA) - a cohort study

BMC Neurology ◽  
2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Katrin Holzer ◽  
Regina Feurer ◽  
Suwad Sadikovic ◽  
Lorena Esposito ◽  
Angelina Bockelbrink ◽  
...  
Keyword(s):  
Cohort Study ◽  
Transient Ischemic Attack ◽  
Prognostic Value ◽  
Short Term ◽  
Ischemic Attack

Diode laser contact vaporization of the prostate on a day-surgery basis: early complications and short-term follow-up of 63 cases

2010 ◽  
Vol 7 (3) ◽  
pp. 349-349
Author(s):  
A. Agud ◽  
A. Bosch ◽  
H. López ◽  
J. Sáenz de Cabezón ◽  
L. Sos ◽  
...  
Keyword(s):  
Diode Laser ◽  
Day Surgery ◽  
Early Complications ◽  
Short Term

Tracheostomy in neurologically compromised paediatric patients: role of starplasty

2015 ◽  
Vol 129 (10) ◽  
pp. 1009-1012 ◽  
Author(s):  
A Gupta ◽  
J Stokken ◽  
P Krakovitz ◽  
P Malhotra ◽  
S Anne
Keyword(s):  
Neurological Injury ◽  
Respiratory Obstruction ◽  
Early Complications ◽  
Short Term ◽  
Paediatric Patients ◽  
Ventilator Dependence ◽  
Delayed Complication ◽  
Upper Respiratory

AbstractObjectives:Starplasty tracheostomy is an alternative to traditional tracheostomy. This paper reviews neurologically compromised paediatric patients with tracheostomies and discusses the role of starplasty tracheostomy.Method:A retrospective review was conducted of paediatric patients with a neurological disorder who underwent tracheostomy between 1997 and 2011.Results:Forty-eight patients, with an average age of 7.3 years, were identified. The most common indications for tracheostomy were: ventilator dependence (39.6 per cent), an inability to tolerate secretions or recurrent aspiration pneumonia (33.3 per cent), and upper respiratory obstruction or hypotonia (12.5 per cent). The most common underlying neurological diagnosis was cerebral palsy. There were no early complications. Eighteen (43 per cent) of 42 patients with follow up experienced at least 1 delayed complication. Only 12 patients (28.6 per cent) were decannulated.Conclusion:Patients with primary neurological diagnoses have low rates of decannulation; starplasty tracheostomy should be considered for these patients. Patients with seizure disorder or acute neurological injury tended to have a higher short-term decannulation rate; traditional tracheostomy is recommended in these patients.

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