scholarly journals The experience of minimally invasive restoration of acromioclavicular joint anatomy from mini-approach

2017 ◽  
Vol 98 (5) ◽  
pp. 851-857
Author(s):  
P G Kogan ◽  
D M Chugaev ◽  
M Yu Sudyakova ◽  
S A Lasunskiy ◽  
E P Sorokin ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Surgical Techniques ◽  
Functional Results ◽  
Early Postoperative Period ◽  
Acromioclavicular Joint Dislocation ◽  
Local Skin ◽  
Joint Stabilization ◽  
Significant Difference ◽  
Rockwood Type Iii ◽  
Mini Open

Aim. To develop a method of acromioclavicular joint stabilization with the TightRope system using «mini-open» technique and to evaluate effectiveness and safety of this surgery. Methods. The study involved 11 patients with Rockwood type III, IV and V acromioclavicular joint dislocation, who underwent «mini-open» surgery of acromioclavicular joint stabilization using the TightRope device. The results were evaluated clinically using the Constant scale and radiologically 3, 6, and 12 months after the treatment. The results obtained were statistically processed and compared to the results of the treatment of patients with the same pathology published in the foreign literature. Results. In the early postoperative period (up to 3 months after the surgery) functional result according to Constant scale in the studied patients varied in the score range of 67.5±16.2. In the period of up to 12 months all patients had 82.5±11.5 score, which corresponds to good and excellent results and does not show significant difference compared to the arthroscopic technique (according to literature data). Complications among observed patients occurred in 18% and were identified in 2 patients (1 case of fixation loss, 1 local skin inflammation in the area of the wound). Conclusion. New surgical techniques allow achieving good and excellent functional results and to improve patient satisfaction.

scholarly journals Clavicle hook plate technique and its functional results in the treatment of acromioclavicular joint dislocation

2015 ◽  
Vol 5 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Mehmet Ali Baran ◽  
Yaşar Mahsut Dinçel ◽  
Ozan Beytemür ◽  
Sever Çağlar ◽  
Oktay Adanır ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Functional Results ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation ◽  
Plate Technique ◽  
Clavicle Hook Plate

scholarly journals Breast augmentation with silicone implants performed without drainage - retrospective analysis of 726 cases

2017 ◽  
Vol 74 (2) ◽  
pp. 152-155
Author(s):  
Nenad Stepic ◽  
Jovana Koncar ◽  
Milica Rajovic ◽  
Sanja Novakovic ◽  
Marijan Novakovic
Keyword(s):  
Retrospective Analysis ◽  
Breast Augmentation ◽  
Capsular Contracture ◽  
Surgical Techniques ◽  
Early Postoperative Period ◽  
Silicone Implants ◽  
Wound Drainage ◽  
Dual Plane ◽  
Significant Difference ◽  
Plane Technique

Introduction: Breast augmentation has been one of the most popular aesthetic procedures. Early complications, like infection, seroma, hematoma and capsular contracture like one of the most frequent long term complication, might be related to wound drainage. Aim of the study was to investigate the rate of the complications of breast augmentation procedure performed without drainage. Material and Methods. Retrospective analysis of all patients underwent breast augmentation in the period of 2003-2013 was performed. From the medical history of the patients, data related to demographic characteristics of the patients, surgical technique and rate of complications were collected. Wound drainage has not been used in any of the patients. Patients were followed at the discharge, after 7 days, three months and yearly thereafter. Wound seroma, wound hemathoma, wound infection and capsular contracture were followed. Results. There were 726 patients with average age of 28,5 year (22-48). Breast augmentation using silicone implants was performed with inframammary approach using subglandular, submuscular and dual plane technique. Average implant size was 339cc (200-520). Subglandular augmentation had 545 (75%), while, 181 (25%) received an implant in submuscular plane. Those, who were operated with dual plane technique were 86 (47,5%).In early postoperative period, there was no infection, five seromas (0,7 %) and eight hematoma (1,1%), while five of them required surgical evacuation. There was no statistical significant difference between the two surgical techniques in terms of complication rate. During follow up, there were three capsular contractures (0,4%). Conclusions. The incidence of complications in our group of patients after breast augmentation is low even though no drainage was used. Still, further randomized trials are needed to prove role of drainage in prevention of complications after breast augmentation.

scholarly journals A modified single-endobutton technique combined with nice knot for treatment of Rockwood type III or V acromioclavicular joint dislocation

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Fangning Hu ◽  
Shumei Han ◽  
Fanxiao Liu ◽  
Zhuang Wang ◽  
Honglei Jia ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Operative Time ◽  
Acromioclavicular Joint Dislocation ◽  
Intraoperative Blood Loss ◽  
Joint Dislocation ◽  
Type Iii ◽  
The Mean ◽  
The Difference ◽  
Rockwood Type Iii

Abstract Purpose Double-endobutton technique, as a widely accepted strategy for the treatment of acromioclavicular joint dislocation, is undergoing constant improvement. This study aims to assess the clinical effect of a modified single-endobutton combined with the nice knot in the fixation of Rockwood type III or V acromioclavicular joint dislocation. Methods From January 2016 to June 2019, 16 adult patients (13 males and 3 females) with Rockwood type III or V acromioclavicular joint dislocation were treated with a modified single-endobutton technique combined with the nice knot in our department. The age ranged from 18 to 64 years old with an average of 32.8 years old. Operative time, intraoperative blood loss, post-operative clinical outcomes and radiographic results were recorded and analyzed. Preoperative and last follow-up scores in the Constant-Murley Scale, Neer score, Rating Scale of the American Shoulder and Elbow Surgeons and VAS scale and complications such as infection, re-dislocation, implant loosening, medical origin fracture and hardware pain were recorded and evaluated. Results Sixteen patients were followed up for 6 to 18 months with an average of 10.3 months. The operative time was 50–90 min with an average of (62.5 ± 3.10) min. The intraoperative blood loss was 30–100 ml, with an average of (55.0 ± 4.28) ml. The complications, such as wound infection, internal fixation failure and fractures, were not found in these cases. According to Karlsson criteria, there were excellent in 14 cases, good in 2 cases at the final follow-up. The mean VAS score of the patients was 5.88 ± 0.26 preoperatively, compared with 0.19 ± 0.14 at the final follow-up evaluation. The difference was statistically significant (P < 0.05). The mean Constant score was 45.5 ± 2.0 preoperatively, compared to 94.0 ± 0.73 at the final follow-up evaluation. The difference was statistically significant (P < 0.05). Patients had statistically significant preoperative and postoperative AC (acromioclavicular distance) and CC (coracoclavicular distance) distances (P < 0.05); 6 months postoperatively the AC(P = 0.412) and CC(P = 0.324) distances were not statistically significant compared to the healthy side. Conclusion Nice knot provides a reliable fixation for the single-endobutton technique in the treatment of acromioclavicular dislocations. The modified single-endobutton technique combined with the nice knot can achieve good clinical outcomes in the treatment of Rockwood type III or V acromioclavicular joint dislocation.

scholarly journals Functional results of surgical treatment for acromioclavicular joint dislocation using the modified weaver-dunn surgical technique

2020 ◽  
Vol 12 (2) ◽  
pp. 37-40
Author(s):  
Jonatas Brito de Alencar Neto ◽  
Clodoaldo José Duarte de Souza ◽  
Marcel Rolim Queiroz ◽  
Fernando Antônio Mendes Façanha Filho ◽  
Márcio Bezerra Gadelha Lopes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Acromioclavicular Joint ◽  
Functional Results ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation

scholarly journals A Modified Single-Endobutton Technique Combined with Nice Knot for Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

2021 ◽  
Author(s):  
Fangning Hu ◽  
Shumei Han ◽  
Fanxiao Liu ◽  
Zhuang Wang ◽  
Honglei Jia ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Operative Time ◽  
Acromioclavicular Joint Dislocation ◽  
Intraoperative Blood Loss ◽  
Joint Dislocation ◽  
Type Iii ◽  
The Mean ◽  
The Difference ◽  
Rockwood Type Iii

Abstract Purpose: Double-endobutton technique, as a widely accepted strategy for the treatment of acromioclavicular joint dislocation , is undergoing constant improvement. This study was to assess the clinical effect of a modified single-endobutton combined with nice knot in the fixation of Rockwood type III acromioclavicular joint dislocation.Methods: From January 2016 to January 2018, 16 adult patients (13 males and 3 females) with Rockwood type III acromioclavicular joint dislocation were treated with a modified single-endobutton technique combined with nice knot in our department. The age ranged from 18 to 64 years old with an average of 32.8 years old. Operative time and intraoperative blood loss were recorded, post-operative clinical outcomes and radiographic results were recorded and analyzed. Preoperative and last follow up scores in the Constant-Murley Scale, Neer score, Rating Scale of the American Shoulder and Elbow Surgeons and VAS scale and complications such as infection, re-dislocation, implant loosening, medical origin fracture and hardware pain were recorded and evaluated. Results: 16 patients were followed up for 6 to 18 months with an average of 10.3 months. The operative time was 50-90 minutes with an average of (62.5±3.10) min. The intraoperative blood loss was 30-100 ml, with an average of (55.0±4.28) ml. The complications, such as wound infection, internal fixation failure and fractures, were not found in these cases. According to Karlsson criteria, there were excellent in 14 cases, good in 2 cases at the final follow up. The mean VAS score of the patients was 5.88±0.26 preoperatively, compared with 0.19±0.14 at the final follow-up evaluation. The difference was statistically significant (P<0.01). The mean Constant score was 45.5±2.0 preoperatively, compared to 94.0±0.73 at the final follow-up evaluation. The difference was statistically significant (P<0.01). Conclusion: Nice knot provides a reliable fixation for the single-Endobutton technique in the treatment of acromioclavicular dislocations. The modified single-Endobutton technique combined with nice knot can achieve good clinical outcomes in treatment of Rockwood type III acromioclavicular joint dislocation.

scholarly journals Clinical justification of the device for the prevention of post-operating eventration

2020 ◽  
Vol 19 (1) ◽  
pp. 78-83
Author(s):  
I. K. Morar
Keyword(s):  
Postoperative Complications ◽  
Postoperative Period ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Surgical Techniques ◽  
Early Postoperative Period ◽  
Main Group ◽  
Abdominal Pressure ◽  
Non Invasive ◽  
Significant Difference

Postoperative surgery is one of the most dangerous complications, especially in patients with malignant tumors of the abdominal cavity, where secondary immunodeficiency, cachexia, anemia, etc. occur. Today, there are many ways to prevent postoperative surgery in patients at high risk for this complication, but all of them, along with their advantages, have a number of disadvantages that greatly limit their use. Developing an effective, non-invasive device for preventing postoperative surgery may to some extent solve this problem. The purpose of the study is to substantiate the effectiveness of the device for the prevention of postoperative events, by studying the frequency of development of postoperative complications in patients with malignant tumors of the abdominal organs. Material and methods. We have proposed a device for the prevention of postoperative surgery, the use of which does not require additional surgical techniques during surgery, and also allows the use of the latter in the event of the incomplete (subcutaneous) event (patent No. 120209 from 25.10.2017). The device consists of 5 soft plates lined with soft cloth and connected to each other by the widest parts. The central plate is adjustable depending on the width of the back surface of the patient's torso. The two side plates at the free edges have 11 lacing loops. To substantiate the effectiveness of the use of this device, we investigated 107 operated patients with malignant tumors of the abdominal cavity. The comparison group consisted of 60 people who did not use the proposed device. The main group consisted of 47 patients who used the above device in the early postoperative period. Results of the study and their discussion. The results obtained indicate a significant predominance of the incidence of postoperative events in patients in the main group. It should be noted that there is no significant difference in the frequency of development of "systemic" and other "local" postoperative complications between the two study groups of patients, which indicates the representativeness of the sample since "local" postoperative complications lead to the development of eventration. Patients in the main group, starting from day 2 after surgery, had a markedly lower intra-abdominal pressure during the first 12 days of the early postoperative period. Conclusion. The use of the proposed device for the prevention of postoperative surgery allows a non-invasive way to prevent the development of the latter, as well as the occurrence of the incomplete event to prevent the development of full, without significantly affecting the level of intra-abdominal pressure, compared with conventional use of the bandage.

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