scholarly journals Patella instability in children: surgical treatment results

2018 ◽  
Vol 25 (3-4) ◽  
pp. 58-64
Author(s):  
A. A Sautenko ◽  
A. G El’tsin ◽  
D. S Mininkov ◽  
V. T Stuzhina ◽  
V. N Merkulov
Keyword(s):  
Surgical Treatment ◽  
Knee Joint ◽  
Medial Patellofemoral Ligament ◽  
Corrective Osteotomy ◽  
Complete Information ◽  
Tibial Tuberosity ◽  
Assessment Scores ◽  
Treatment Techniques ◽  
Treatment Data ◽  
Post Traumatic

Introduction. Despite the fact that instability of the patella is a common pathology within the structure of knee joint diseases and injuries in children, currently there is no complete information on the basis of which one could judge the effectiveness and preference of a particular method of treating instability of the patella in children. Purpose of study: to evaluate the efficacy of surgical treatment techniques in children with post-traumatic instability of the patella. Patients and methods. The study was performed on the basis of examination and treatment data on 127 patients aged from 8 to 17 years with post-traumatic instability of the patella. Arthroscopic stabilization by Yamamoto technique, modified at our department, was performed in 49 patients, patella stabilization with transposition of the tibial tuberosity - in 67 patients, with the medial patellofemoral ligament autoplasty - 9, corrective osteotomy - in 2. Treatment efficacy was assessed using AKPS and 2000 IKDC knee joint assessment scores. The questionnaires were carried out at admission, in 1, 2-4 and 4-7 years after surgery. Results. At early terms after operation (up to 2 years) in the group of children after stabilization of the patella by modified Yamamoto technique good and excellent results were observed in 77.8% of cases, after transposition of the tibial tuberosity - in 73.3%, after stabilization of the patella with medial patellofemoral ligament autoplasty - in 88.9%. Long-term follow up (5-7 years) showed 90.9 and 86.5% of cases from the 1st and 2nd groups, respectively. Conclusion. The proposed algorithm for examination and treatment provides the most effective treatment and enables to obtain good and excellent results in the majority children with post-traumatic instability of the patella.

scholarly journals Priority of surgical treatment techniques of full cartilage defects of knee joint

ScienceRise ◽  
2015 ◽  
Vol 10 (3 (15)) ◽  
pp. 25
Author(s):  
Андрій Вікторович Літовченко ◽  
Микола Іванович Березка ◽  
Максим Олегович Гуліда ◽  
Євгеній Владиславович Гарячий
Keyword(s):  
Surgical Treatment ◽  
Knee Joint ◽  
Cartilage Defects ◽  
Treatment Techniques

scholarly journals Theoretical Comparison of the Methods of Surgical Treatment of Deforming Arthrosis of the Knee Joint

2022 ◽  
Vol 8 (1) ◽  
pp. 130-141
Author(s):  
S. Dzhumabekov ◽  
Zh. Shambetov
Keyword(s):  
Surgical Treatment ◽  
Knee Joint ◽  
Inflammatory Mediators ◽  
Tibial Plateau ◽  
Corrective Osteotomy ◽  
Valgus Osteotomy ◽  
Metal Structures ◽  
Theoretical Comparison ◽  
Defect Zone ◽  
Trauma Intervention

Comparison of the techniques of valgus osteotomy with resection osteotomy of the fibula in combination with sanitation arthroscopy. Resection of the fibula, debridement arthroscopy is characterized by minimally invasiveness, targeted therapeutic effect on the focus of destruction of the cartilaginous cover, removal of inflammatory mediators with abundant lavage, low-trauma intervention. Abrasive chondroplasty, subchondral tunneling during arthroscopy make it possible to create conditions for reparative processes, and the formation of hyaline-like cartilage in the defect zone. Corrective osteotomy may result in fractures of the tibial plateau, fractures of the cortical loop (instability of fixation), false joints, and fractures of metal structures.

scholarly journals Surgical Treatment of Persistent Contractures of the Interphalangeal Joints of the Fingers

2020 ◽  
pp. 54-64
Author(s):  
L.Yu. Naumenko ◽  
K.Yu. Kostrytsia ◽  
A.O. Mametiev
Keyword(s):  
Surgical Treatment ◽  
Rating Scale ◽  
Corrective Osteotomy ◽  
Scale Up ◽  
Rehabilitation Program ◽  
Long Term Results ◽  
Comprehensive Treatment ◽  
Point System ◽  
Post Traumatic ◽  
Positive Results

Summary. Relevance. The treatment of the consequences of intraarticular injuries of fingers is still one of the problems that requires further solution. Objective: to improve the results of surgical treatment of post-traumatic persistent contractures of the interphalangeal joints of the fingers. Materials and Methods. To analyze the effectiveness of the proposed treatment approach The results of treatment of 77 patients with post-traumatic contractures of the joints of the fingers, distributed into clinical groups and subgroups, depending on the severity of the injuries and the type of applied clinical rehabilitation program, were analyzed. Patients of the main groups were treated according to the proposed clinical rehabilitation program, indicators were analyzed before treatment, 3 months and 1 year after treatment using a point system for assessing the functional state of the hand and the QuickDASH scale. Results. According to the results of the analysis of 77 patients with the consequences of injuries of the interphalangeal joints using 2 systems for assessing the function of the interphalangeal joints, it was found that treatment of severe and moderate arthrogenic contractures with the method of distraction arthroplasty and corrective osteotomy improves functional results by achieving congruent relationships in joints and mobilization of the ligamentous apparatus. Conclusions. Comprehensive treatment according to the proposed clinical rehabilitation program allows to increase the number of immediate positive results in the main subgroups of both groups to 22 (68.8%) versus 5 (11.1%) in the comparison subgroups (p<0.001) on a rating scale, and excellent and good results on the QuickDASH scale up to 20 (62.5%) and 12 (37.5%) versus 1 (2.2%) and 41 (91.1%) cases, respectively (p<0.001). When studying the long-term results of surgical treatment of arthrogenic contractures of the interphalangeal joints, positive results were obtained in 37 (63.8%) patients, satisfactory in 20 (34.5%) and unsatisfactory in 1 (1.7%) case according to the rating scale; 27 (46.6%) excellent, 30 (51.7%) good and 1 (1.7%) satisfactory results showed QuickDASH scale.

scholarly journals An Evidence-Based Systematic Review of Human Knee Post-Traumatic Osteoarthritis (PTOA): Timeline of Clinical Presentation and Disease Markers, Comparison of Knee Joint PTOA Models and Early Disease Implications

2021 ◽  
Vol 22 (4) ◽  
pp. 1996 ◽  
Author(s):  
Christine M. Khella ◽  
Rojiar Asgarian ◽  
Judith M. Horvath ◽  
Bernd Rolauffs ◽  
Melanie L. Hart
Keyword(s):  
Synovial Fluid ◽  
Knee Joint ◽  
Ex Vivo ◽  
Disease Process ◽  
Early Disease ◽  
Knee Trauma ◽  
Post Traumatic ◽  
Acute Knee

Understanding the causality of the post-traumatic osteoarthritis (PTOA) disease process of the knee joint is important for diagnosing early disease and developing new and effective preventions or treatments. The aim of this review was to provide detailed clinical data on inflammatory and other biomarkers obtained from patients after acute knee trauma in order to (i) present a timeline of events that occur in the acute, subacute, and chronic post-traumatic phases and in PTOA, and (ii) to identify key factors present in the synovial fluid, serum/plasma and urine, leading to PTOA of the knee in 23–50% of individuals who had acute knee trauma. In this context, we additionally discuss methods of simulating knee trauma and inflammation in in vivo, ex vivo articular cartilage explant and in vitro chondrocyte models, and answer whether these models are representative of the clinical inflammatory stages following knee trauma. Moreover, we compare the pro-inflammatory cytokine concentrations used in such models and demonstrate that, compared to concentrations in the synovial fluid after knee trauma, they are exceedingly high. We then used the Bradford Hill Framework to present evidence that TNF-α and IL-6 cytokines are causal factors, while IL-1β and IL-17 are credible factors in inducing knee PTOA disease progresssion. Lastly, we discuss beneficial infrastructure for future studies to dissect the role of local vs. systemic inflammation in PTOA progression with an emphasis on early disease.

652 SURGICAL TREATMENT OF POST-TRAUMATIC COMPLETE URETHRAL RUPTURE: DEFERRED URGENT URETHRAL SUTURE OR DELAYED REPAIR?

2007 ◽  
Vol 6 (2) ◽  
pp. 185
Author(s):  
M. Sfaxi ◽  
A. Bouzouita ◽  
M.R. Ben Slama ◽  
R. El Attat ◽  
M. Chebil
Keyword(s):  
Surgical Treatment ◽  
Delayed Repair ◽  
Post Traumatic ◽  
Urethral Rupture

scholarly journals Treatment of Injuries of the Lumbar Spine

2019 ◽  
Vol 5 (12) ◽  
pp. 156-162
Author(s):  
M. Sabyraliev
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Spinal Canal ◽  
Thoracolumbar Spine ◽  
Spinal Injuries ◽  
Long Term Results ◽  
Results Of Treatment ◽  
Post Traumatic

Surgical treatment of patients with spinal injuries, accompanied by traumatic stenosis of the spinal canal, is an urgent and discussed problem of modern vertebrology. Surgical treatment of 111 patients with various injuries of the thoracolumbar spine was performed. In 40 patients, post-traumatic stenosis was eliminated using ligamentotaxis using transpedicular osteosynthesis. The immediate results of treatment were followed up in all patients: good results were obtained in 33 (82.5%) cases; satisfactory — in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term results with a follow-up of more than 1 year were followed up in 27 (67.5%) patients; good results were obtained in 20 (74.0%), satisfactory in 7 (25.0%).

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