Surgical Treatment of Talus Osteochondral Lesions with Platelet-Rich Plasma

2013 ◽  
Vol 20 (3) ◽  
pp. 46-50
Author(s):  
D. R Muradyan ◽  
G. A Kesyan ◽  
A. N Levin ◽  
O. G Kesyan ◽  
A. V Mazur ◽  
...  

Wide application of cell therapy particularly platelet enriched plasma (PRP) in modern orthopaedics enabled to improved treatment results in certain orthopaedic diseases and injury consequences. Treatment results for 7 patients (2 men and 5 women) with osteochondral lesions of talus (OLT) are presented. Mean age of patients was 26 years, mean duration of disease — 4 years. By Brendt and Harty roentgenologic classification I—II degree of OLT was diagnosed in 1 and III—IV degree — in 6 patients. In all patients mosaic chondroplasty of talus with implantation of PRP gel was performed. Postoperatively mean AOFAS index raised from 53 to 92. Follow up period made up around 2 years.

2019 ◽  
Vol 86 (5) ◽  
Author(s):  
Barón Zárate-Kalfópulos ◽  
Héctor R. Martínez-Ríos ◽  
Francisco López-Meléndez ◽  
Carla L. García-Ramos ◽  
Luis M. Rosales-Olivarez ◽  
...  

2013 ◽  
Vol 20 (3) ◽  
pp. 42-45
Author(s):  
S. Yu Berezhnoy ◽  
A. I Protsenko ◽  
V. V Kostyukov

Surgical treatment results for 27 patients with interdigital keratosis of the foot were analyzed. To determine the predisposing factors for keratosis development data of clinical and roentgenologic examination were used. In all cases transcutaneous technique that enabled to avoid surgical intervention directly on a pathologic focus was applied. Mean follow up period made up 6 months. It was shown that transcutaneous surgical intervention was an effective and reproducible method for interdigital keratosis treatment. That technique provided positive results with minimum risk of postoperative complications in the majority of cases and could be used at outpatient department.


2012 ◽  
Vol 11 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Niall A. Smyth ◽  
Ashraf M. Fansa ◽  
Christopher D. Murawski ◽  
John G. Kennedy

2016 ◽  
Vol 23 (1) ◽  
pp. 40-47
Author(s):  
D. B Barsukov ◽  
A. I Krasnov ◽  
M. M Kamosko ◽  
V. E Baskov ◽  
I. Yu Pozdnikin ◽  
...  

To optimize the anatomical and functional surgical treatment results in patients with early (I-II) stages of juvenile femoral head epiphysiolysis both pre- and postoperative data of clinical, x-ray and magnetic-resonance examinations were analyzed for 120 patients aged 11 - 15 years. Maximum follow up period after surgical interventions, i.e. femoral head epiphysiodesis (n=60) and femoral head epiphysis fixation (n=60) made up 23 and 3 years, respectively. It was shown that surgical intervention for the fixation of femoral head epiphysis ensured reliable stability of the epiphysis preventing the latter from displacement development and progression, and did not exert significant influence upon either femoral neck and head endochondral growth or the length of the upper extremity.


Author(s):  
V. I. Zorya ◽  
A. A. Krasil’Nikov ◽  
I. G. Chemyanov ◽  
A. G. Matveev

Purpose. Improvement of surgical treatment results in patients with benign bone and joint tumors and tumor-like diseases.Materials and methods.Evaluation of the efficacy of plastic collagen containing material for bone defect plasty was performed in 58 Chinchilla rabbits (3-4 kg). In animals from study group the bone defect was filled with collost. Histological examination of the samples was performed in 14, 30, 60 and 90 days after operation. During the period from 2007 to 2015 ninety eight patients, aged 14-75 years, with benign bone and joint tumors and tumor-like diseases were operated on. In all cases postresection defect (1-50 см_) plasty was performed by the proposed combined method that included the use of frozen allograft and collost. During subsequent follow up the potentiality of pathologic process relapse was determined as well as the dynamics of bone structure restoration, extremity function and bone anatomic shape were assessed.Results.Pathomorphologic picture of experimental samples showed that collast accelerated the bone regenerate maturity in the place of a defect. In 1 year after surgery 74 patients (75%) showed good results - in 8 (11.2%), satisfactory - in 62 (84.1%), poor - in 3 (4.7%) cases and in 3 years after operation (57 patients) - 28 (49.1%), 28 (49.1%) and 1 (1.7%) case respectively. Examination of 56 patients (57.1%) in 5 years after intervention revealed good results in 48 (85.4%) and poor - in 8 (14.6%) cases.Conclusion.Study results allow recommending the proposed method of plasty using the allograft and collost for the substitution of vast postresection defects in patients with benign bone and joint tumors and tumor-like diseases.


Author(s):  
A. A. Snetkov ◽  
S. V. Kolesov ◽  
M. L. Sazhnev ◽  
A. N. Shaboldin

Retrospective analysis of treatment results for 36 patients (31 females, 5 males) aged 2 - 31 years with congenital scoliosis was performed. Malformation of vertebrae was present in 23 patients, disorder of segmentation - in 9, combined anomalies - in 4 patients. Posterior fusion was performed in 15, combined anterior and posterior fusion - in 7, removal of the semivertebra - 13, and VEPTR technique - in 1 patient. Treatment results were assessed by roentgenographic data and the results of SRS-24 questionnaires. Follow up period made up from 1 to 7 years. Differentiated approach to treatment enabled to create conditions for the proper development of the spine and formation of adequate frontal and sagittal balance as well as to increase patient’s self-appraisal and daily activity.


Foot & Ankle ◽  
1981 ◽  
Vol 2 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Rick Hammesfahr ◽  
Lamar L. Fleming

Calcaneal fractures at Grady Memorial Hospital were reviewed for the period of 1973 to 1980. Sixty-two of these fractures were available for follow-up. Treatment was with compression dressings, plaster, pin reduction or open reduction. Grading was by the previously published criteria of Allen and Lindsey. 1 , 21 This paper identifies a positive correlation between facet reduction and successful treatment results. Recommendations are made for fracture classification, surgical treatment and postoperative management.


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