scholarly journals ESTIMATION OF THE EFFECTIVENESS OF SURGICAL TREATMENT OF PATIENTS WITH OLD RUPTURE OF HEEL TENDON WITH SHORT PLASTER SPLINT IMMOBILIZATION

2016 ◽  
Vol 1 (1) ◽  
pp. 26-29
Author(s):  
Монастырев ◽  
Vasiliy Monastyrev ◽  
Куклин ◽  
Igor Kuklin ◽  
Пономаренко ◽  
...  
Keyword(s):  
Functional Result ◽  
Functional Results ◽  
Average Score ◽  
Aofas Score ◽  
Tendon Reconstruction ◽  
Type Iii ◽  
Period Term ◽  
Excellent Functional Result ◽  
The Moment ◽  
Plaster Immobilization

Heel tendon injuries is the most common trauma of tendomuscular apparatus. Old ruptures of heel tendon occur in 58 % of cases in humans. The aim of the research was to estimate the effectiveness of treatment of the patients with old ruptures of heel tendon with Myerson type III defects who had tendon reconstruction on Chernavsky and short plaster splint immobilization of lower extremity for 4 weeks. We operated 10 patients using reconstruction on Chernavsky in our clinic from 2012 to 2014 (average age – 47,6 ± 12,0 years, 8 males and 2 females). All patients had old ruptures of heel tendon. Average time from the moment of trauma till the operation was 112,6 ± 80,4 days. Diastasis between the ends of tendon was 5,8 ± 0,7 cm that corresponds to Myerson type III. Average term of staying at hospital was 10 ± 2 days. We didn’t register any complications in postoperative period. Term of plaster immobilization of the operated extremity was 4 weeks. AOFAS score was 34,2 ± 6,8 points at the control examination in 1,5 months that corresponds to bad functional result. We registered good functional results (88,6 ± 3,5 points) in 3 months. In 6 months, functional results were 95,9 ± 1,6 points. In 12 months after the operation average score was 97,9 ± 2,1 points that corresponds to excellent functional result. Using heel tendon reconstruction on Chernavsky at the Myerson type III defects in combination with short plaster immobilization and early activization of patients allows to decrease term of rehabilitation of patients after the operation.

Scapholunate Ligament Repair Using the Mitek™ Bone Anchor

2000 ◽  
Vol 25 (2) ◽  
pp. 188-192 ◽  
Author(s):  
B. BICKERT ◽  
M. SAUERBIER ◽  
G. GERMANN
Keyword(s):  
Retrospective Study ◽  
Functional Result ◽  
Functional Results ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Bone Anchor ◽  
Excellent Functional Result ◽  
Lunate Necrosis

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.

scholarly journals Our results in the treatment of tarsal dislocations

2020 ◽  
Vol 148 (9-10) ◽  
pp. 554-559
Author(s):  
Maksim Kovacevic ◽  
Marijana Kovacevic ◽  
Sanja Maric ◽  
Nenad Lalovic ◽  
Milivoje Dostic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Functional Result ◽  
Functional Results ◽  
High Energy ◽  
University Hospital ◽  
Adequate Treatment ◽  
Tarsometatarsal Dislocation ◽  
Excellent Functional Result ◽  
The University ◽  
Non Surgical Treatment

Introduction/Objective. Tarsal dislocations are rare injuries. Usually, they are caused by high-energy trauma. Depending on the type of dislocation, surgical treatment or closed reduction is used. In this study, 13 patients are presented with the aim to analyze the type of feet dislocations, their treatment, and outcome. Methods. Tarsal dislocation cases treated in the University Hospital in Foca were analyzed during the period 2009?2016. All the cases were clinically and radiographically examined and monitored on control examinations at least three years. The mobility of joints was measured and pain existence was estimated by visual analogue scale. Results. All 13 patients with tarsal dislocation were male. Four patients were treated surgically (two patients with tarsometatarsal and one with cuboid and navicular dislocation) and other patients had non-surgical treatment. In 10 patients, an excellent functional result has been achieved and in two patients with tarsometatarsal dislocation a good functional result. In one patient with cuboidal dislocation satisfactory functional result has been achieved. Conclusion. Out of the 13 reviewed patients with tarsal dislocations, functional results were rated as excellent in 10 dislocations, good in two, and satisfactory in one. Diagnosis and treatment of foot dislocations are demanding, but a favorable functional outcome can be expected with an adequate treatment of these injuries.

A volar approach to on-top plasty for correction of radial polydactyly: a case series of 21 patients

2021 ◽  
pp. 175319342098185
Author(s):  
Xia Fang ◽  
Ping-tak Chan ◽  
Shengbo Zhou ◽  
Xinyi Dai ◽  
Ruiji Guo ◽  
...  
Keyword(s):  
Case Series ◽  
Functional Results ◽  
Metacarpophalangeal Joint ◽  
Contralateral Side ◽  
Average Score ◽  
Pinch Strength ◽  
Level Of Evidence ◽  
Volar Approach ◽  
Flexion Extension ◽  
Aesthetic Results

Correction of unequal radial polydactyly in which neither thumb duplicates possess both well-developed proximal and distal components, remains challenging. Current techniques using on-top plasty techniques require circumferential incisions, often resulting in postoperative swelling and dorsal scars. We described our experience using a volar approach to achieve better aesthetic and functional results. Twenty-one patients underwent this surgery between 2008 and 2018, with a mean follow-up of 5.1 years. The mean flexion–extension arc for the metacarpophalangeal joint was 75° and that of the interphalangeal joint was 43°. Mean percentage of key, tripod and tip pinch strength were 77%, 79% and 77%, respectively, when compared with the contralateral side. The Vancouver Scar Scale showed an average score of 1.2. We conclude from our study that the volar approach to on-top plasty is a good technique for the correction of unequal radial polydactyly, with good functional and aesthetic results. Level of evidence: IV

A PROSPECTIVE STUDY TO EVALUATE THE SURGICAL MANAGEMENT OF PROXIMAL HUMERUS FRACTURES BY LOCKING PLATES

2021 ◽  
pp. 10-12
Author(s):  
Anurag Rathore ◽  
Garvita Solanki
Keyword(s):  
External Rotation ◽  
Functional Results ◽  
Average Score ◽  
Prospective Clinical Study ◽  
Locking Plates ◽  
Statistical Parameters ◽  
Functional Scores ◽  
Minimum Score ◽  
Comminuted Fractures ◽  
A Prospective Study

BACKGROUND: This prospective clinical study was performed to evaluate the efcacy and functional outcome in proximal humeral fractures following surgery with locking plates. MATERIAL & METHODS: from August 2013 to April 2015, 32 patients were enrolled in this study following exclusion and inclusion criteria. The evaluation parameters included Time taken for fracture union, functional scores, radiographs of the shoulder and ROM (Range of motion- exion, abduction, internal and external rotation etc.). Patients were followed up regularly at 6 weeks, 12 weeks, 24 weeks and 12 months. Functional results were evaluated using Neer's score. All data were collected and analyzed with the help of suitable statistical parameters. RESULTS: The nal results were evaluated by using NEER'S Score. In our study, the minimum score was 65 and maximum was 94. The average score was 83.9 (Mean ± S.D. : 83.875 ± 6.73). We had excellent results in 6(18.75%) patients, 19(59.375%) had satisfactory results, 7(21.875%) patients had unsatisfactory results but none of the case is failure in our study. CONCLUSION: Open reduction and internal xation with Locking Compression Plates, has given good results and it is the implant of choice now-a-days particularly in comminuted fractures and in osteoporotic bones in elderly patients.

scholarly journals Triceps Brachii Tendon Reconstruction with V-Y Plasty: Indication and Functional Results of a Case at Bouaké Teaching Hospital

2017 ◽  
Vol 07 (12) ◽  
pp. 396-399
Author(s):  
Krah Koffi Léopold ◽  
Sery Bada Léopold ◽  
Kone Samba ◽  
Digbeu Kévin ◽  
Assere Arnaud ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Functional Results ◽  
Triceps Brachii ◽  
Tendon Reconstruction

scholarly journals A TREATMENT OPTION FOR THE DISTAL FORM OF HYPOSPADIA WITH THE USE OF F-II TECHNIQUES (HODGSON-II MODIFICATION)

2018 ◽  
Vol 22 (1) ◽  
pp. 9-12
Author(s):  
A. K. Fayzulin ◽  
Aleksandr E. Mashkov ◽  
S. M. Sharkov ◽  
A. B. Sobolevskiy ◽  
A. A. Sobolevskiy ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Functional Result ◽  
Plastic Material ◽  
Anatomical Structure ◽  
Long Term Results ◽  
Distal Hypospadias ◽  
The Moment ◽  
Optimal Approach ◽  
Distal Stem

Introduction. At the moment present, the problem of choosing the method of correction of distal hypospadias due to persistent numerous postoperative complications has not been completely solved. The most frequent complications are fistulas, stenoses and lysis of neo-urethra. Distal hypospadias is divided into distal stem, coronary and capitate. Features of the anatomical structure of the head, prep and meatus in children with hypospadia are often explained by a deficit of plastic material, which can lead to mistakes in the choice of the method of urethroplasty. The current principles of plastic surgery still do not completely eliminate postoperative complications. Material and methods. Since 2004, due to using the F-II procedure 208 operations have been performed without complications mentioned above. At the moment, the long-term results are being investigated. Results. Prolonged search for the optimal approach for the correction of distal forms of hypospadias suggests the need to modify the Hodgson-II technique and introduce it into clinical practice. In this article, the advantages and principal differences of the operation of F-II in comparison with Hodgson-II modification, a brief literary reference about the current world studies of the complications of distal urethroplasty are presented. Conclusion. When using the urethroplasty with a displaced prepuce flap according to the F-II procedure, we get an advantage over the stock of plastic material in comparison with urethroplasty by local tissues. Compared with the Hodgson technique, we get the best cosmetic and functional result.

scholarly journals External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distal radius

2004 ◽  
Vol 57 (9-10) ◽  
pp. 473-479 ◽  
Author(s):  
Ivan Micic ◽  
Milorad Mitkovic ◽  
Desimir Mladenovic ◽  
Sasa Karalejic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Distal Radius ◽  
External Fixator ◽  
Wrist Joint ◽  
Functional Results ◽  
Kirschner Wires ◽  
Articular Fractures ◽  
Intraarticular Fractures ◽  
Anatomic Reduction ◽  
Joint Incongruity ◽  
The Moment

Introduction Comminuted intraarticular fractures of the distal radius metaphysis are a major challenge for orthopedic surgeons. The aim of this study was to present results of the survey on treatment of these fractures using an external fixator. Material and methods 73 patients (30 females and 43 males) with closed comminuted intraarticular fractures of the distal radius, type C AO/ASIF (based on radiography at the moment of injury) were treated by a Mitkovic external fixator and followed-up for at least 2 years. An external fixator and Kirschner wires were used in 43 patients. An external fixator without Kirschner wires was used in 30 patients. Results At the end of treatment, functional results and outcomes were excellent in 39 (53.4%), good in 19 (26%), fair in 10 (13.7%), and poor in 5 (6.8%) patients according to Jakim score. Lesser degree of limitation of the movement of the wrist joint was established in 19 patients (26%). Joint incongruity of the distal radius, 0-2 mm, was observed in 22 patients (30%) and over 2 mm in 3 patients. A minimal degree of posttraumatic osteoarthrosis was recorded in 21 patients (28.7%) and moderate ostheoarthrosis in 5 patients (6.8%). Conclusion The anatomic reduction of the articular surfaces and healing of the fracture in a proper functional position are prerequisites for adequate function of the wrist and hand. It appears that an external fixator, with or without Kirschner wires, can be a method of choice in treatment of these complex articular fractures.

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