scholarly journals Features and results of knee arthroplasty after osteosynthesis of intra-articular fractures forming its bones

2021 ◽  
Author(s):  
M. Sh. Rasulov ◽  
Taras Andreevich Kulyaba ◽  
N. N. Kornilov ◽  
A. I. Petukhov ◽  
A. V. Saraev ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Knee Joint ◽  
Operation Time ◽  
Functional Results ◽  
Main Group ◽  
Russian Language ◽  
Posttraumatic Arthritis ◽  
Articular Fractures ◽  
Intraarticular Fractures ◽  
History Of

Abstract The purpose of the study - to find out surgical intervention features, the function restoration dynamics and clinical results after primary total knee replacement (TKA) in patients with a history of osteosynthesis of intra-articular fractures, to assess the risk of complications and to suggest measures for their prevention. Material and methods. The study includes a retrospective (100 observations) and prospective (40 observations) comparative analysis of the results of primary TKA in patients with a history of osteosynthesis of intra-articular fractures (MOS) of the bones forming the knee joint (main group) and without them (comparison group). Adapted Russian-language versions of the KSS, WOMAC and FJS-12 score scales were used to study the clinical and functional results of the TKA, the incidence of any complications after arthroplasty and the X-ray position of the endoprosthesis components on the KRESS scale were evaluated. Statistical analysis of the data obtained was carried out in accordance with generally accepted methods. Results. Statistically significant differences were revealed between the patients of the main and the comparison groups according to the following indicators: the patients of the main group were 8 years younger, the duration of the operation time, the volume of intraoperative blood loss, the need for implantation of structures with an increased degree of mechanical coupling between the components of the endoprosthesis, the number of postoperative complications were greater in the patients of the main group. Functional results on the KSS and WOMAC scales did not have statistically significant and clinically differences, when assessing the satisfaction of TKA on the FJS-12 scale, statistically significantly worse results were obtained in the main group. TKA in patients with a history of MOS for intraarticular fractures of the knee joint area statistically and clinically significantly increased the amplitude of movements in the knee joint - from 89 to 108 , that is, by 19 , the function recovery dynamics according to the KSS, WOMAC and FJS-12 scales was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales and by 12 months after surgery. Conclusion. The trauma and subsequent surgical treatment of intra-articular fractures of the knee joint leads to an earlier development of posttraumatic arthritis of the 3rd degree, functional results have no statistically significant differences, satisfaction with the results of TKA in this category of patients is less, and the number of postoperative complications, are greater. A history of MOS significantly slows down the dynamics and degree of recovery of function in the early postoperative period.

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.

scholarly journals A choice of surgical approach for osteosynthesis in fractures of the lateral tibial condyle

2020 ◽  
pp. 10-20
Author(s):  
I. G. Belenky ◽  
A. Yu. Kochish ◽  
M. A. Kislitsyn ◽  
B. A. Mayorov
Keyword(s):  
Knee Joint ◽  
Plate Osteosynthesis ◽  
Articular Surface ◽  
Stress Test ◽  
Operation Time ◽  
Surgical Approaches ◽  
Anterolateral Approach ◽  
Valgus Stress ◽  
Intraarticular Fractures ◽  
Tibial Condyle

Intention. To conduct a comparative analysis of the dynamics of the consolidation of intraarticular fractures of the posterolateral parts of the lateral tibial condyle, the anatomical and functional outcomes of surgical treatment of these patients after plate osteosynthesis with traditional anterolateral and posterolateral transfibular surgical approaches as well.Methodology. A comparative prospective study of the effectiveness of osteosynthesis in patients with fractures of the posterolateral part of lateral tibial condyle in two compatible clinical groups was performed in dynamics for periods of 7–10 days, 1, 3, 6 and 9 months after surgery. In the first group (25 patients), bone osteosynthesis was performed from traditional anterolateral approach (TALA), and in the second group (20 patients), from the posterolateral transfibular approach (PLTFA). The average duration of osteosynthesis operations was compared. The displacements of fragments of the articular surface of the lateral tibial condyle, the indices of the KSS and Lysholm scales, the results of measurements of the angle of flexion and valgus stress test of the knee joint were evaluated. Data processing was performed using the Data Analysis and Chart Master modules (Excel), the Basic Statistics / Tables module (Statistic for Windows) as well.Results and Discussion. In the PLTFA group, the average operation time was (81.0 ± 8.5) minutes (from 67 to 96 minutes), in the TALA group, the duration of operations was 35.8 % longer and averaged (110 ± 5.2) minutes (from 82 to 125 minutes) (p < 0.05). The values of the KSS and Lysholm scales in dynamics showed a steady and statistically significant (p < 0.01) increase with increasing time after surgery without significant differences between the groups. The angle of flexion of the knee joint increased more rapidly during the first three months, then the rate decreased from 6 to 9 months (p < 0.05) without significant differences between the groups. The frequency of displacements of fragments of the articular surface in the first group was statistically significantly (p < 0.05) higher than in the second group. Differences in the valgus-stress test indices in both groups reached a maximum after 9 months – 52 and 30 %, respectively.Conclusion. With PLTFA, surgery duration decreases, articular surface fragments are better reduced, and their subsequent displacement at the stages of treatment is less likely; therefore, this approach is preferable for osteosynthesis of fractures of the posterolateral parts of the lateral tibial condyle.

scholarly journals Comparison of Distal Hypospadias Repair in Circumcised Patients and Uncircumcised Patients

ISRN Urology ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Fahimeh Kazemi Rashed ◽  
Rasool Gholizade
Keyword(s):  
Postoperative Complications ◽  
Functional Results ◽  
Hypospadias Repair ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
History Of ◽  
The Mean ◽  
Distal Hypospadias ◽  
One Year ◽  
Results Of Surgery

Hypospadias is the most common anomaly in the male genital tract with an incidence of 0.8–8.2 per 1000 live male births. Routinely, hypospadias cases are repaired after one year of age, and it is recommended that a child with hypospadias not to be circumcised until hypospadias repair is completed. This study was conducted to determine whether or not circumcision prior to hypospadias repair increases the risk of complications. 30 circumcised patients and 30 persons without a history of circumcision and hypospadias were enrolled in this study and underwent surgery for hypospadias repair. The results of surgery compared between two groups. In the uncircumcised group, the mean durations of surgery and hospitalization were  min and days. In circumcised group, the mean duration of surgery and hospitalization were minutes and days. There was no significant difference between these criteria and other complications of the two groups. This study shows that postoperative complications in circumcised distal hypospadias patients do not increase. Cosmetic and functional results were excellent. If there are failures in therapy and in case of postoperative complications, it is better to notice other factors such as infection.

scholarly journals Evaluation of the Outcome of Local Surgery for Stomal Prolapse

2021 ◽  
Vol 10 (22) ◽  
pp. 5438
Author(s):  
Makoto Kosuge ◽  
Masahisa Ohkuma ◽  
Muneyuki Koyama ◽  
Yasunobu Kobayashi ◽  
Takafumi Nakano ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Parastomal Hernia ◽  
Operation Time ◽  
Hernia Surgery ◽  
Stomal Prolapse ◽  
Local Surgery ◽  
History Of ◽  
The Difference ◽  
Stoma Prolapse

We reviewed the results of local surgical treatment of stoma prolapse, a long-term complication of stoma construction. Fifteen patients treated for stomal prolapse between 2009 and 2020 at the authors’ and affiliated hospitals were included in this study. The treatment comprised local laparotomic stomal reconstruction (LLSR) in nine patients and stapling repair (SR) in six. We compared and evaluated the clinical and surgical information and postoperative complications. Operation time was significantly shorter in the SR group than in the LLSR group: 20 and 53 min, respectively (p = 0.036). The duration of postoperative hospitalization was shorter in the SR group than in the LLSR group: 5.5 and 8 days, respectively; the difference was not significant (p = 0.088). No short-term complications were found in either group. Regarding long-term, postoperative complications, parastomal hernias developed after 2.5 years in one patient in the LLSR group and after 6 months in one patient in the SR group; both patients had histories of parastomal hernia surgery and had relatively high body mass indices. Local surgery for stomal prolapse was minimally invasive and performed safely. In patients with a history of surgery for parastomal hernia, attention must be paid to the potential of parastomal hernia developing as a postoperative complication.

TRENDS IN THE DEVELOPMENT OF ECONOMIC RELATIONS OF ISRAEL IN THE MIDDLE EAST

2019 ◽  
pp. 13-24
Author(s):  
Evgenii V. Palamarenko ◽  
Keyword(s):  
Middle East ◽  
Russian Language ◽  
Economic Relations ◽  
Trade Relations ◽  
Major Trading Partner ◽  
Economic Interaction ◽  
History Of ◽  
Close Cooperation ◽  
Economic Ties ◽  
Israeli Economy

The lack of Russian-language research on the features of the economic development of Israel as an OECD member state underlines the urgent need to identify new trends in the Israeli economy. Not taking into account the existing variety of humanitarian studies, and especially the concentration of studies on the political history of Israel and its modern component, we can recognize a clear lack of work that would cover Israeli economy. Current trends in Israeli trade relations, which have begun to make the mselves clear, require both consideration of effective trade and economic interaction between Israel and Palestine, and identification of the peculiarities of hidden regional trade and economic ties. Israel and Palestine are in close cooperation on the exchange of labor and goods, despite the lack of a political settlement. For Palestine, Israel is a major trading partner, and Palestine plays a key security role for Israel. The second important aspect in covering new trends in the Israeli economy may be the need to study the nascent format of cooperation between Israel and the Middle East. The article explores the specifics of economic relations between Israel and the countries of the Middle East, reveals the growing role of economic relations between Israel and the countries of the region.

EFFECT OF OPERATING TIME OF THE WELLS IN THE STEADY DRAINAGE MODE BEFORE STOPPING ON THE RESULTS OF THE STUDY OF PRESSURE BUILD-UP CURVES

2017 ◽  
pp. 48-50
Author(s):  
E. F. Gilfanov
Keyword(s):  
Operating Time ◽  
Previous History ◽  
Operation Time ◽  
Pressure Recovery ◽  
Recovery Curve ◽  
History Of ◽  
Accuracy Of Results ◽  
Theoretical Pressure

Operation time of the well before stopping for investigating the pressure recovery curve in hydrodynamic studies is an important parameter affecting the quality and accuracy of results of research processing. Comparing the actual and theoretical pressure curves and the derivative, it’s possible to eliminate the uncertainty in the choice of previous history of the well operation.

scholarly journals Single Incision Laparoscopic Cholecystectomy by Using a 2 mm Atraumatic Grasper without Trocar

HPB Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Kamil Gulpinar ◽  
Suleyman Ozdemir ◽  
S. Erpulat Ozis ◽  
Turgut Aydin ◽  
Atila Korkmaz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Complications ◽  
Abdominal Wall ◽  
Single Incision ◽  
Single Port ◽  
Operation Time ◽  
Scar Formation ◽  
Single Incision Laparoscopic Cholecystectomy ◽  
Skin Scar

Purpose. We present our experience in single incision laparoscopic cholecystectomy by using a grasper directly without using a trocar in five patients. Methods and Results. The technique involves the use of Karl Storz 27290F grasper in order to perform gallbladder retraction in single port cholecystectomy. The grasper was introduced directly into the skin through abdominal wall without using any trocar and used to mobilize gallbladder whenever needed during surgery without causing any perforation or leakage of the gallbladder. There were no intraoperative and postoperative complications in 5 patients with the advantages of shorter operation time and almost invisible postoperative skin scar formation. Conclusion. We claim that the use of this instrument in SILS surgery might be advantageous than the conventional placement of sutures for the gallbladder mobilization.

Sign in / Sign up

Export Citation Format

Share Document