scholarly journals Features of surgical correction of various forms of hand syndactyly in children. Retrospective study of own treatment experience

2021 ◽  
pp. 5-9
Author(s):  
Iryna Harbuzniak ◽  
Anastasiia Hrуtsenko
Keyword(s):  
Retrospective Study ◽  
Surgical Correction ◽  
Treatment Result ◽  
Poland Syndrome ◽  
Medical Sciences ◽  
Treatment Results ◽  
Joint Pathology ◽  
End Of Treatment ◽  
The Mean ◽  
Amniotic Membranes

Syndactyly is a congenital malformation which is characterized by impaired differentiation of upper extremity tissues. Surgical correction of syndactyly is aimed to achieve satisfactory cosmetic and functional result. Most often, elimination of the total syndactyly form of the fingers implies is achieved by techniques according to Flatt (1962), Cronin (1943), Gilbert (1986), Wood (1998), bone form requires usage of Buck-Gramko technique. Objective. To conduct a retrospective study of surgical treatment results in patients with various forms of hand syndactyly. Methods. The study included 84 patients (109 hands) with hand syndactyly who were operated during the period from 2012 to 2020 in the pediatric orthopedics clinic of the Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine. The mean age of patients was 6.5 years (1 to 16), 39 (46.4 %) boys and 45 (53.6 %) girls. Most often syndactyly of III–IV fingers (105 (96.3 %) hands) was managed by the Wood method, namely in 63 (60.0 %) hands and 8 (7.6 %) cases with severe bone forms were corrected by Buck-Gramko method. Rotational skin pieces Ghani and Buck-Gramko were used for surgical correction of I–II fingers syndactyly. Treatment results were evaluated by the Vancouver Scar Scale (VSS). Results. According to VSS, the treatment result was classified as satisfactory in 73 (67.0 %) hands. Complications were noted in 11 (10.1 %) cases: 2 patients (18.2 % of 11) with congenital amniotic membranes were found to have lysis of a free skin piece; 1 (9.1 %) after removal of the bony syndactyly form had deviation of the nail phalanx; 3 (27.3 %) with Poland-syndrome were shown to have scarring of the interdigital space; 5 (45.4 %) with a complex bony form of syndactyly further on developed pulling scars, which caused deformity of the fingers and resulted in a correction in the form of multistage Z-plastics. Conclusions. All the patients showed improvement in the function and cosmetic results of the hand at the end of treatment. The best results were obtained in the case of simple and total forms of syndactyly treated with Wood technique.

CLINICAL OUTCOMES OF PATIENTS UNDERGOING CORRECTION OF NEUROMUSCULAR SCOLIOSIS WITH A CONTROLLED HOSPITAL PROTOCOL – PRELIMINAR OUTCOMES

2021 ◽  
Vol 20 (4) ◽  
pp. 249-253
Author(s):  
Gabriela Alcalde Pereira ◽  
Caroline de Carvalho Garcia ◽  
Marcia Almeida Lima ◽  
José Carlos Baldocchi Pontin ◽  
Andrea Dias Lamas Mafra
Keyword(s):  
Retrospective Study ◽  
Surgical Correction ◽  
Neuromuscular Scoliosis ◽  
Complication Rates ◽  
Level Of Evidence ◽  
The Mean ◽  
Underlying Diseases ◽  
Level Hospital ◽  
Epidemiological Characterization

ABSTRACT Objectives: To identify the main hospital outcomes of patients undergoing surgical correction of neuromuscular scoliosis and to assess complication rates and achievement of mobility goals after the use of a managed protocol. Methods: This is a longitudinal, retrospective study, with data obtained six months after the application of a protocol in 103 patients of both sexes submitted to surgical correction of neuromuscular scoliosis, at a tertiary level hospital in São Paulo, between June and December 2018 (pre-protocol) and between May and September 2019 (post-protocol). Data from patients who had previously undergone other orthopedic spine surgeries were excluded. In addition to the data for epidemiological characterization of the underlying diseases, the clinical characteristics and complications were analyzed. Results: Of the 103 patients evaluated, there was a predominance of females (53.4%) and a mean age of 14.9 years. The most frequent diagnosis was cerebral palsy, the mean angle of curvature was 75°, and the most frequently observed comorbidities were lung diseases (25%). The protocol was partially adhered to by professionals and after its implementation, there was a significant decrease in pain and the systemic inflammatory response syndrome (SIRS), prevention of immobility and a low rate of infection. Conclusions: The use of a protocol focused on patients undergoing correction of neuromuscular scoliosis led to reduced complications of SIRS and reduced pain; kept the surgical site infection rate low, and prevented short-term immobility. Level of evidence III; Retrospective study.

scholarly journals The modern non-injecting mesotherapy use in treatment of patients with inflammatory periodontium lesions

2016 ◽  
Vol 97 (1) ◽  
pp. 47-51
Author(s):  
A Ch Pashaev ◽  
I E Dzhafarli
Keyword(s):  
Clinical Effect ◽  
Patient Treatment ◽  
Subjective Improvement ◽  
Regenerative Processes ◽  
Treatment Results ◽  
Photon Irradiation ◽  
Periodontal Tissues ◽  
End Of Treatment ◽  
The Mean ◽  
Medical University

Aim. To perform clinical reasoning and evaluation of non-injection mesotherapy use in complex treatment stages in patients with periodontitis.Methods. The current study included treatment results of 46 patients with generalized periodontitis who received out-patient treatment at a clinical site of the therapeutic dentistry department of Azerbaijan Medical University. The mean age of patients was 25±3.1 years (from 17 to 49 years).Results. The use of «TEAQRIP» applications on treatment stages in addition to conventional measures, as well as mesotherapy sessions (2 times a week) contributed to the sooner and stable clinical effect by the end of 2-week treatment course. Procedures («TEAQRIP» application + mesotherapy) were continued for the next 2 weeks (2 times a week). All patients noted subjective improvement in their general condition amid the accelerated remitting of the inflammation developed in periodontal tissues. At the end of treatment, there were no complaints of bleeding, discomfort, itching in 14 (87.5%) patients. Hyperemia, cyanosis and edema disappeared or decreased in all patients, tooth mobility decreased in 6 patients (37.5%). Acquired data showed that all patients well tolerated mesotherapy sessions.Conclusion. The clinical effect is associated with regenerative processes acceleration, enhanced (by mesotherapy sessions) action of used traditional drugs and «TEAQRIP» applications; combined ultrasound and photon irradiation of periodontal tissue contributed to a deeper effect of the used remedies.

scholarly journals End of treatment results for SEAS exercises: a controlled retrospective study

Scoliosis ◽  
2009 ◽  
Vol 4 (Suppl 1) ◽  
pp. O28 ◽  
Author(s):  
Stefano Negrini ◽  
Michele Romano ◽  
Alessandra Negrini ◽  
Silvana Parzini ◽  
Fabio Zaina ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Treatment Results ◽  
End Of Treatment

scholarly journals The Role of Indomethacin in Isolated Polyhydramnios

2020 ◽  
Vol 8 (2) ◽  
pp. 52-56
Author(s):  
Greeshma Singham ◽  
Vivekanand Achanta ◽  
Satyaprabha Siripurapu ◽  
SubhaRanjan Samantaray
Keyword(s):  
Gestational Age ◽  
Test Results ◽  
Medical Sciences ◽  
End Of Treatment ◽  
Gestational Age At Delivery ◽  
The Mean ◽  
The Difference ◽  
A Prospective Study ◽  
Respiratory Embarrassment

Objective: To study the role of Indomethacin in patients with Idiopathic Polyhydramnios who were symptomatic. Methods: A prospective study was conducted in Prathima Institute of Medical Sciences, Karimnagar from September 2017 to May 2019. Eighteen patients with Idiopathic Polyhydramnios who presented with respiratory embarrassment, premature opening of os or presence of uterine activity were given Indomethacin orally at a dose of 25mg 6th hourly. The significance of changes in AFI was tested by paired t test. Results : There was significant improvement in the symptoms in all the eighteen patients. The mean age of the patients in our study was 26.4±5.5 years. The majority 14(77.7%) of women were multigravida. Mean gestational age at presentation was 30.78±1.56 weeks. Mean AFI at presentation was 31.56±3.68 cm. Indomethacin was given orally at a dose of 25mg, every 6th hourly for a mean duration of 22.5±6.38 days. Mean AFI at the end of treatment was 20.28±5.64 cm. Pregnancy was prolonged by an average of 5.5±1.89 weeks. The difference in AFI at the end of treatment was statistically significant (p<0.05). Oligohydramnios was seen in one patient. Mean gestational age at delivery was 36.28±1.41 weeks. 17(94.4%) of them had good neonatal outcome. There was one neonatal death at< 7 days of birth. Conclusion: Indomethacin significantly decreases amniotic fluid volume in patients with Idiopathic Polyhydramnios and relieves symptoms but close surveillance is necessary.

scholarly journals NONSPECIFIC SPONDYLODISCITIS IN ADULTS: RETROSPECTIVE STUDY

2020 ◽  
Vol 19 (4) ◽  
pp. 282-286
Author(s):  
WILLIAM ZARZA ◽  
GABRIEL MENDONÇA SERPA ◽  
TAIANA CUNHA RIBEIRO ◽  
GISELLE BURLAMAQUI KLATAU ◽  
MAURO JOSÉ COSTA SALLES ◽  
...  
Keyword(s):  
Back Pain ◽  
Retrospective Study ◽  
Neurological Deficit ◽  
Neurological Status ◽  
Level Of Evidence ◽  
Duration Of Symptoms ◽  
Pyogenic Spondylodiscitis ◽  
End Of Treatment ◽  
Neurological Change ◽  
The Mean

ABSTRACT Objective To describe the epidemiological and clinical characteristics of patients with pyogenic spondylodiscitis treated in a Brazilian hospital. Methods This is a retrospective study of patients diagnosed with nonspecific spondylodiscitis. Patients of both sexes, above 18 years of age with a minimum follow-up time of 6 months were included. Epidemiological, laboratory, and clinical data were analyzed. Results Nine patients were included. The mean age was 64 years, with seven men (77.7%) and two women (22.2%). All patients evaluated had back pain. The most affected location was the lumbar spine (44.4%). Only three patients (33.3%) had fever and five (55%) had constitutional symptoms. The mean duration of symptoms before diagnosis was 2.5 (± 1.5) weeks. Only four patients (44.4%) had positive cultures. As for neurological status, five patients (55.5%) presented neurological change. At the end of treatment, two patients improved one level in the Frankel score and two patients improved two levels. The main indication for surgery was neurological deficit (55.5%). Two of the patients evaluated died as a result of an infectious condition. Conclusions Less than half of the patients with pyogenic spondylodiscitis had fever or constitutional symptoms. Back pain was present in all cases. In less than half of the patients it was possible to isolate the responsible microorganism. Most patients underwent surgical treatment, although not all improved from the neurological deficit. Level of evidence II; Retrospective study.

scholarly journals Diode laser cyclophotocoagulation in refractory glaucoma

2015 ◽  
Vol 62 (2) ◽  
pp. 19-23
Author(s):  
Nevena Bjelovic ◽  
Ivan Sencanic
Keyword(s):  
Diode Laser ◽  
Neovascular Glaucoma ◽  
Congenital Glaucoma ◽  
Treatment Result ◽  
Complication Rates ◽  
Refractory Glaucoma ◽  
Treatment Results ◽  
Advanced Glaucoma ◽  
The Mean ◽  
Diode Laser Cyclophotocoagulation

Introduction: Transscleral diode laser cyclophotoco-agulation is new cyclodestructive procedure for the treatment of refractory, advanced glaucoma. Comparing to other cyclophotocoagulation it is more safe and selective. Aim of the study: To evaluate the efficacy and safety of transscleral diode laser cyclophotocoagulation in treatment of refractory glaucoma. Material: A retrospective cohort study included 35 patients (36 eyes) with refractory glaucoma treated in Centre for Sight "Oftalmika", form March 2008 to February 2012. All patients were treated by transscleral diode laser cyclophotocoagulation. The mean age was 68.8 ? 16.8 years. Most prevalent type was the neovascular glaucoma (23 ili 65.7%). The treatment consisted of 16-20 applications of 1.5-2.0 W energy applied for 1.5-2.0 seconds. Results: The average IOP reduction was 33.4mmHg or 63,1%. The best treatment result was achieved in the neovascular glaucoma, where IOP reduction 6 months after the procedure was 71,2 %. The poorest results were obtained in congenital glaucoma (28,5%). Prior ciclodestructive procedures and/or filtration glaucoma procedures did not influence laser treatment results. In only 5,7% patients repeated procedures were indicated. Overall complication rates was 22,8%, and the most prevalent complications were hyphema and reversible keratopathy (8,6% eyes). Postoperative hypothonia had one patient. Number of antiglaucoma medications, 6 months after the treatment, was reduced by 1,1 (45,7%). Medication reduction was most prevalent in the case of seconday glaucoma 1,4 (52,6%), and the least prevalent in congenital glaucoma 0,5 (14,3%). Only one patient had occasional pain after the procedure. Conclusion: Transscleral diode laser cyclophotoco-agulation is safe and effective procedure in the treatment of refractory glaucoma. The best treatment result was achieved in the neovascular glaucoma, and the poorest in congenital glaucoma. Effect of the procedure on pain relif is unequivocal.

Revisiting the Natural History of Chronic Scaphoid Nonunions: A Retrospective Study of 20 Cases

2021 ◽  
Author(s):  
J. Terrence Jose Jerome
Keyword(s):  
Retrospective Study ◽  
Natural History ◽  
Functional Outcome ◽  
Grip Strength ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Degenerative Arthritis ◽  
Level Of Evidence ◽  
History Of ◽  
The Mean

Abstract Background The natural history of scaphoid nonunion is the development of degenerative arthritis. A lot of information is still unclear about this progression. The purpose of this study is to analyze patients with scaphoid nonunions who had not received any kind of treatment and to assess the functional outcome. Materials and Methods This is a retrospective study that analyzed the patients with chronic scaphoid nonunions between 2009 and 2019. None of the patients received any treatment. The age at the time of injury, examination, pattern of fracture, types of scaphoid nonunion, symptoms, and duration of nonunion were noted. Diagnosis was confirmed by radiographs, computed tomography (CT) scan, and magnetic resonance imaging (MRI). Scapholunate and radiolunate angles were recorded. Pain score, modified mayo wrist score, grip strength, range of movement, and the functional outcome of these scaphoid nonunions were analyzed. A statistical correlation between the scaphoid nonunion presentations and the functional outcome was assessed. Results The mean age of the patients was 62 years (range: 35–82 years.). There were 17 male and 3 female patients. There were 9 waist and 11 proximal pole scaphoid nonunions. The mean duration of scaphoid nonunion was 34 years (range: 10–62 years). None of the patients had avascular necrosis (AVN) of the proximal scaphoid. The age at examination, gender, side of injury, fracture pattern (waist/proximal pole), fracture displacement ≤ 1 mm or > 1 mm, nonunion duration, and radiographic arthritic parameters had no significant impact on the functional outcome. Conclusions Untreated chronic scaphoid nonunion leads to the development of degenerative arthritis over a period of years, which is still unpredictable. Most of the patients become aware of the nonunion following a precedent injury or other reasons. Most of the patients have fair/good functional outcome despite reduced range of movements and grip strength. Many do not favor surgical intervention in the course of nonunion. Chronic nonunions open a lot of unanswered questions. Clinical relevance There have been numerous studies on the treatment aspects of scaphoid nonunion, with little knowledge about certain people with nonunion who did not have any kind of treatment. The demographics, clinical findings, and radiological parameters do confirm the progression of these nonunion to arthritis, but most of them had fair-to-good outcome throughout their life. It opens our thinking about the real need of treatment in such nonunions and raises numerous questions about the disease. Level of evidence This is a Level IV study.

Prevalence of Self-Medication and Its Factors among University Students in Bandar Abbas City

2018 ◽  
Vol 7 ◽  
Author(s):  
Atefeh Mohammadi
Keyword(s):  
Herbal Medicines ◽  
Target Population ◽  
Easy Access ◽  
Medical Sciences ◽  
Self Medication ◽  
Delay In Diagnosis ◽  
Consumption Culture ◽  
High Prevalence ◽  
The Mean ◽  
Bandar Abbas

Background: Self-medication can lead to the latency of the real severity of disease, delay in diagnosis, a complication of treatment, threatening side effects, and unexpected intoxication. The present research aimed to explore the prevalence of self-medication and its factors among students affiliated to Bandar Abbas universities in 2016. Materials and Methods: This Descriptive Analytic study was performed on 600 students affiliated to the universities in Bandar Abbas; Islamic Azad University, Payam-e-Noor University, and University of Medical Sciences. The sample was selected through a stratified sampling method, and the data were collected by a questionnaire comprised of two parts, demographic information (6 items), and risk factors of self-medication and self-medicated drugs (26 items). SPSS version 19 was used to analyze the data through the required tests. Result: The mean age of the students was 24.11±5.85 years. One hundred and ninety-one subjects (31.8%) were male, and 409 (68.2%) were female. The results revealed the prevalence of self-medication in the target population was 80.2%., the main reasons for self-medication were reported underestimating the disease 461(77.0%), previous experience of the disease 457(76.4%), repeated prescription 441(73.6%), and easy access to drug 423(70.6%). The most prevalent drugs self-medicated by students were acetaminophen, herbal medicines, antibiotics, other drugs, sedatives, and anti-acids, respectively. Conclusion: Considering the high prevalence of self-medication (80.2%) revealed in this research, there is a need for more attentive care for consistent education and drug consumption culture promotion. Specific approaches can help the provision of easy access to medical services in universities.

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