scholarly journals Long-term results after traumatic knee joint dislocations

2018 ◽  
Vol 6 (4_suppl2) ◽  
pp. 2325967118S0003
Author(s):  
Christopher Ull ◽  
Dominik Seybold ◽  
Matthias Königshausen ◽  
Thomas Schildhauer ◽  
Jan Geßmann
Keyword(s):  
Conservative Treatment ◽  
Knee Joint ◽  
Operative Treatment ◽  
High Rate ◽  
Long Term Results ◽  
Therapy Strategy ◽  
Conservative And Operative Treatment ◽  
Joint Dislocations ◽  
Sf 36

Traumatic knee joint dislocations belong to the most serious injuries of the lower extremity with a high rate of neurovascular injuries, soft tissue injuries and compartment syndromes. The aim of the study was to determine the long-term results of patients with traumatic knee joint dislocations after conservative and operative treatment of the ligaments. In addition, differences between the two therapies were investigated and what kind of incidents and complications occurred. All patients with traumatic knee joint dislocation were included over a time period of 25 years (1990 to 2014). 119 patients with 121 traumatic knee joint dislocations were hospitalized during this time. A conservative treatment of the ligaments was performed in 48 knee joint dislocations (39.7%) and an operative treatment in 73 injuries (60.3%). After an average follow-up of 10.9 ± 6.7 years, 38 patients with 39 knee joint dislocations were examined. Significance was set to p < 0.05. Patients with operative ligament care showed significantly better flexion compared to patients with conservative treatment of the ligaments (p < 0.033). A median of 76 points (range 34 - 100 points) was achieved in the Lysholm score. 56.2 points (range 45.3 - 71.1 points) were achieved in the SF-36 mental health score and 43.7 points (range 21.2 - 59.6 points) in the SF-36 physical heatlh score. The subjective part of the IKDC 2000 showed a median score of 60.9 points (range 32.1 - 97.7 points). Patients with operative ligament care showed better results in the scores, however, without achieving any significance.Posttraumatic arthrosis was found in 47% of all radiologically-re-examined patients in the Kellgren-Lawrence score. The long-term results showed a satisfactory knee function with physical limitations in the health-related quality of life. However, a reduced range of motion as well as a posttraumatic osteoarthritis of the affected knee joint often appeared, which was independent of the therapy strategy. Patients with operative ligament care showed better results in the scores without any significane, but achieved a significantly better flexion than patients with conservative treatment of the ligaments.

scholarly journals Endovascular Treatment of Anterior Circulation Aneurysms With the p64 Flow Modulation Device: Mid- and Long-Term Results in 617 Aneurysms From a Single Center

2021 ◽  
Author(s):  
Marta Aguilar Pérez ◽  
Elina Henkes ◽  
Victoria Hellstern ◽  
Carmen Serna Candel ◽  
Christina Wendl ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
High Rate ◽  
Long Term Results ◽  
Effective Treatment Option ◽  
Anterior Circulation ◽  
Acute Hemorrhage ◽  
Unruptured Aneurysms ◽  
Long Term Follow Up

Abstract BACKGROUND Flow diverters have become an important tool in the treatment of intracranial aneurysms, especially when dealing with difficult-to-treat or complex aneurysms. The p64 is the only fully resheathable and mechanically detachable flow diverter available for clinical use. OBJECTIVE To evaluate the safety and effectiveness of p64 for the treatment of intracranial saccular unruptured aneurysms arising from the anterior circulation over a long-term follow-up period. METHODS We retrospectively reviewed our prospectively maintained database to identify all patients who underwent treatment for an intracranial saccular (unruptured or beyond the acute hemorrhage phase) aneurysm arising from the anterior circulation with ≥1 p64 between December 2011 and December 2019. Fusiform aneurysms and dissections were excluded. Aneurysms with prior or concomitant saccular treatment (eg, coiling and clipping) were included. Aneurysms with parent vessel implants other than p64 were excluded. Anatomic features, intraprocedural complications, clinical outcome, as well as clinical and angiographic follow-ups were all recorded. RESULTS In total, 530 patients (388 females; median age 55.9 yr) with 617 intracranial aneurysms met the inclusion criteria. The average number of devices used per aneurysm was 1.1 (range 1-3). Mean aneurysm dome size was 4.8 mm (range 1-27 mm). Treatment-related morbimortality was 2.4%. Early, mid-term, and long-term angiographic follow-up showed complete or near-complete aneurysm occlusion in 76.8%, 89.7%, and 94.5%, respectively. CONCLUSION Treatment of intracranial saccular unruptured aneurysms of the anterior circulation using p64 is a safe and effective treatment option with high rate of occlusion at long-term follow-up and low morbimortality.

TRIGEMINAL NERVE RADIOSURGICAL TREATMENT IN INTRACTABLE CHRONIC CLUSTER HEADACHE

Neurosurgery ◽  
2006 ◽  
Vol 59 (6) ◽  
pp. 1252-1257 ◽  
Author(s):  
Anne Donnet ◽  
Manabu Tamura ◽  
Dominique Valade ◽  
Jean Régis
Keyword(s):  
Trigeminal Neuralgia ◽  
Cluster Headache ◽  
Trigeminal Nerve ◽  
Chronic Cluster Headache ◽  
High Rate ◽  
Long Term Results ◽  
Complete Relief ◽  
Term Evaluation ◽  
The One

Abstract OBJECTIVE We have previously reported short-term results of a prospective open trial designed to evaluate trigeminal nerve radiosurgical treatment in intractable chronic cluster headache (CCH). Medium- and long-term results have not yet been reported. METHODS Ten patients presenting with a severe and drug-resistant CCH were enrolled (nine men, one woman). The radiosurgical treatment was performed according to the technique usually used for trigeminal neuralgia in our department. A single 4-mm shot was positioned at the level of the cisternal portion of the trigeminal nerve. The median distance between the center of the shot and the emergence of the nerve was 9.35 mm (range, 7.5–13.3 mm). The median of this maximum dose to the brainstem was 8.0 Gy (range, 4.0–11.1 Gy). Mean age was 49.8 years (range, 32–77 yr). Mean duration of the CCH was 9 years (range, 2–33 yr). The mean follow-up period was 36.3 months (range, 24–48 mo). RESULTS Two patients had complete relief of CCH. One patient had a good result with evolution in an episodic form. Seven patients had no improvement. Nine patients developed a new trigeminal nerve disturbance: three developed paresthesia with no hypoesthesia and six developed hypoesthesia, including two patients with deafferentation pain. Only one patient had neither paresthesia nor hypoesthesia. CONCLUSION We confirmed, with medium- and long-term evaluation, the high rate of toxicity and failure of the technique. The high toxicity, despite a methodology identical to the one used in trigeminal neuralgia, leads us to suspect an underlying specificity of the nerve in CCH. We do not recommend radiosurgery for treatment of intractable CCH.

Long-term results of pyloroplasty

1934 ◽  
Vol 30 (7-8) ◽  
pp. 720-726
Author(s):  
D. S. Klebanov
Keyword(s):  
Operative Treatment ◽  
Central Point ◽  
Long Term Results ◽  
Small Curvature ◽  
Therapeutic Method ◽  
Theoretical Substantiation

The theoretical substantiation of pyloroplasty as a therapeutic method in adults is based on the provisions, which are still very problematic today. Russian authors (Breitsev, Grekov et al.), who first proposed this operation in adults, set indications for this kind of intervention very broadly and considered it indicated not only for pylorospasm without visible ulcer, but also for ulcers of the small curvature and for ulcers of the 12th bowel. At the same time these authors proceeded from the position that pylorospasm is the central point in the pathogenesis and course of ulcers and they considered its elimination to be very important in the operative treatment of ulcers.

scholarly journals MODERN CONCEPTS OF CONSERVATIVE TREATMENT METHODS OF CLUBFOOT

2014 ◽  
Vol 2 (4) ◽  
pp. 20-31
Author(s):  
Irina Yurievna Klychkova ◽  
Yuri Alexeevich Lapkin ◽  
Mikhail Pavlovich Konyukhov ◽  
Yulia Aleksandrovna Stepanova ◽  
Vladimir Markovich Kenis
Keyword(s):  
Conservative Treatment ◽  
Ponseti Method ◽  
The Other ◽  
Long Term Results ◽  
Treatment Results ◽  
Congenital Clubfoot ◽  
Functional Methods ◽  
The World ◽  
Accepted Standard

Conservative treatment of congenital clubfoot is generally accepted standard in the world orthopedic practice. There are many techniques that basically include functional methods and techniques of passive correction of the deformity. We analyzed 10 years of experience in the treatment of primary clubfoot according to three techniques - Zatsepin’s method, author’s method and Ponseti method. The evaluation of treatment results in the short and long terms was carried out. Analysis of long-term results showed a statistically significant advantage of Pontseti method over the other used techniques.

Sign in / Sign up

Export Citation Format

Share Document