scholarly journals Analysis of long-term results of surgical treatment of acromioclavicular dislocation

TRAUMA ◽  
2021 ◽  
Vol 22 (6) ◽  
pp. 4-9
Author(s):  
О.A. Buryanov ◽  
V.P. Kvasha ◽  
D.A. Сhekushyn ◽  
V.O. Naumenko
Keyword(s):  
Surgical Treatment ◽  
Traumatic Injury ◽  
Functional Results ◽  
Shoulder Girdle ◽  
Hook Plate ◽  
Long Term Results ◽  
Acromioclavicular Dislocation ◽  
Social Significance ◽  
Acute Injuries ◽  
Tossy Iii

Background. Acromioclavicular dislocation is a fairly common traumatic injury of the musculoskeletal system, and according to different authors varies from 2 to 26.1 % dislocations of other localizations, and is about 10 % of all acute injuries of the shoulder girdle, taking 3rd place after dislocations of shoulder and forearm. The social significance of this damage is determined by the occurrence mainly among young working-age men. The work was aimed to identify factors that cause unsatisfactory anatomical and functional results after surgical treatment of acromioclavicular dislocations. Materials and methods. This retrospective study (2015–2020) included 93 patients who had surgical intervention for acromioclavicular dislocation. Surgical stabilization of the acromial end of the clavicle was done by Hook Plate and by Weber technic. Results. The outcome of research shows that 49.5 % of cases had good results, 31.2 % — satisfactory, and 19.3 % — poor. There is a direct correlation between unsatisfying outcome and increased severity of the injury. The study found that 9.7 % of unsatisfying results were associated while using Weber’s technic in the Tossy II, while in Tossy III, it was 27.0 %. A similar correlation was found while using Hook Platе, in the case of Tossy II, unsatisfying results were in 15.8 % of cases and Tossy III — 29.4 %. Conclusions. The reason for the unsatisfying results of the surgical acromioclavicular dislocations treatment is the severity of damage and the absence of an algorithm for diagnosis and management of this injury. In Tossy III dislocations, the use of stabilization methods as Weber’s technic, Hook Plate, or suturing damaged acromioclavicular ligaments did not demonstrate satisfying effectiveness.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation

scholarly journals Clinical Comparison of Two Types of Hook Plate in Surgical Treatment of Acromioclavicular Dislocation - AO Hook Plate and Wolter Plate -

2012 ◽  
Vol 15 (2) ◽  
pp. 123-129 ◽  
Author(s):  
Jea-Yeol Choi ◽  
Eugene Kim ◽  
Haw-Jae Jeong ◽  
Jin Whan Ahn ◽  
Hun-Kyu Shin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Clinical Comparison

scholarly journals Surgical treatment of complex traumatic frontobasal lesions: personal experience in 74 patients

2000 ◽  
Vol 9 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Jürgen Piek
Keyword(s):  
Surgical Treatment ◽  
Traumatic Injury ◽  
Olfactory Nerve ◽  
Success Rates ◽  
One Stage ◽  
Acute Injuries ◽  
Additional Surgery ◽  
Maxillofacial Fractures ◽  
Extradural Approach ◽  
Planum Sphenoidale

Object The author's personal series included 148 patients who sustained traumatic frontobasal injuries and were treated between 1986 and 1999. Included in this study are 74 of 148 patients with acute injuries and complex fronto-basal lesions involving the frontal sinus, the cribriform/ethmoid roof complex, one or both orbital roofs, and the planum sphenoidale. Methods Surgery was delayed for up to 4 weeks postinjury in most patients (67 cases), whereas 17 with space-occupying hematomas and perforating injuries required early surgery. In 30 patients additional surgery was required to treat maxillofacial fractures, which was performed as a one-stage procedure together with the neurosurgical operation. The author performed a standard bifrontal craniotomy in which an intradural or combined intradural–extradural approach was used in all cases. Four patients developed ascending meningitis in the preoperative period. As a result of surgical treatment one patient died, another two patients suffered from permanent defects, and three suffered from transitory neurological worsening. In two patients recurrence of a cerebrospinal fluid fistula occurred within a 3-month period posttreatment but was successfully obliterated during reoperation. In the author's experience the intradural approach is comparable in terms of the morbidity, mortality, and success rates with extracranial approaches; additionally the intradural approach provides full visualization of the intracranial lesion. Useful olfactory nerve function can only be preserved if both olfactory nerves are left intact and not crushed during initial injury; this occurred in only five patients in this series. Conclusions If possible, surgical treatment of more complex lesions should be delayed until the 2nd or 3rd week following traumatic injury. With antibiotic prophylaxis the risk that ascending meningitis will occur prior to surgery is low. If the patient is systemically stable and brain swelling has resolved, even extensive one-stage neurosurgical/ maxillofacial procedures are well tolerated.

Acute surgical treatment of acromioclavicular dislocation type V with a hook plate: superiority to late reconstruction

2013 ◽  
Vol 22 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Johan von Heideken ◽  
Helena Boström Windhamre ◽  
Viveka Une-Larsson ◽  
Anders Ekelund
Keyword(s):  
Surgical Treatment ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Dislocation Type ◽  
Type V

scholarly journals HIGH-FREQUENCY ELECTROTHERMAL MUCOSECTOMY OF THE RECTAL CUFF IN THE ULCERATIVE COLITIS SURGICAL TREATMENT: RESULTS

2016 ◽  
pp. 7-12
Author(s):  
A. V. Borota ◽  
I. V. Vasylenko ◽  
O. O. Borota ◽  
N. K. Basiyan-Kuhto
Keyword(s):  
Ulcerative Colitis ◽  
Surgical Treatment ◽  
High Frequency ◽  
Functional Results ◽  
Treatment Method ◽  
Dynamic Monitoring ◽  
Long Term Results ◽  
Pathological Examination ◽  
Protective Ileostomy ◽  
Short And Long Term

AIM: To advance the rectal cuff mucosectomy method, reducing the risk of residual cuff it is. The aim of biopsy morphological study of rectal tissue were changes tracking dynamics, starting from the mucosectomy moment up to 1.5-2 years after the surgery. METODS: After colproctectomy and J-pouch forming the rectal cuff turnes inside out with mucous layer and high frequency electrothermal mucosectomy performes. Stapling IPAA and protective ileostomy are formed. This method of rectal cuff mucosectomy was performed in 13 patients. AH patients under went rectal cuff biopsy for dynamic pathological examination. RESULTS: During dynamic monitoring there were no clinical evidence of cuff it is in this patients. CONCLUSION: The new surgical treatment method of ulcerative colitis, including colproctectomy, stapled IPAA with protective ileostomy and high-frequency electro thermal mucosectomy of the rectal cuff, allows to completely remove the mucous the rectal cuff, thateliminatesriskofcuffi tisasresidualmanifestationsofulcerativecolitis, both in short- and long-term results. Functional results with out deteriorating.

scholarly journals Surgical Treatment with AO Clavicle Hook Plate for the Acute Acromioclavicular Dislocation

2005 ◽  
Vol 54 (3) ◽  
pp. 526-531 ◽  
Author(s):  
Goro Mitsuyoshi ◽  
Meguru Inoue ◽  
Naoaki Kahara ◽  
Yoshimasa Sakoma ◽  
Hiroo Fujiwara
Keyword(s):  
Surgical Treatment ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Clavicle Hook Plate

scholarly journals Surgical Treatment for Acromioclavicular Dislocation and Distal Clavicular Fracture Using Clavicle Hook Plate

2005 ◽  
Vol 54 (3) ◽  
pp. 522-525
Author(s):  
Tsunemitsu Matsunaga ◽  
Keiichi Muramatsu ◽  
Mitsunori Shigetomi ◽  
Koichiro Ihara ◽  
Takahiro Hashimoto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hook Plate ◽  
Clavicular Fracture ◽  
Acromioclavicular Dislocation ◽  
Clavicle Hook Plate

scholarly journals Cellular Reconstruction of the Rectal Mucosa during surgical Treatment of Familial Adenomatosis of the Colon: 12 Years after the First Experience of Introduction into Clinical Practice

2019 ◽  
Vol 29 (4) ◽  
pp. 60-65
Author(s):  
D. V. Vyshegorodtsev ◽  
A. M. Kuzminov ◽  
S. I. Achkasov ◽  
E. A. Kogan ◽  
V. Yu. Korolik ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cell Transplantation ◽  
Rectal Mucosa ◽  
Functional Results ◽  
Long Term Results ◽  
Endoscopic Observation ◽  
Long Term Treatment ◽  
Endoscopic Picture

Aim. To study long-term results of surgical treatment of patients with familial adenomatous polyposis (FAP) with the cell reconstruction of the rectal mucosa.Materials and methods. 57 FAP patients were subjected to treatment, which involved colproctectomy, the preservation of the lower rectal ampulla, mucosectomy and the reconstruction of the mucosa by cell transplantation. Endoscopic monitoring was carried out, with the endoscopic observation covering the period of 19–120 months (median — 44.3 months). Morphological and immunohistochemical studies were conducted. The long-term functional results of treatment (anorectal manometry (profilometry)) were studied. The patients were surveyed using the SF-36 questionnaire to monitor the quality of their life.Results. Our results show that the use of cell transplantation leads to the reconstruction of the rectal mucosa over a fairly short time: in 44/57 (77.2 %) patients, the endoscopic picture corresponded to the unchanged rectal mucosa 4 weeks after the surgery. In 13/57 (22.8 %) patients, a complete mucosal reconstruction was achieved 8–12 weeks after the surgery. The absence of polyp growth in the preserved part of the rectum was observed. Late complications developed only in 5 (9.4 %) patients. Good functional results (acceptable frequency of defecation, lack of signs of anal incontinence and nocturnal defecation) were observed in 48/53 (90.6 %) patients. The quality of life was at a fairly high level in 90.6 % of patients.Conclusion. The proposed method of FAP treatment allowed the immediate and long-term treatment results to be improved significantly.

scholarly journals Сomparative Analysis of the Long-Term Results of Diabetic Macular Edema and Epiretinal Membrane Surgical Treatment

2019 ◽  
Vol 16 (1S) ◽  
pp. 33-39
Author(s):  
M. M. Bikbov ◽  
R. M. Zainullin ◽  
T. R. Gilmanshin ◽  
T. A. Khalimov
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Macular Edema ◽  
Diabetic Macular Edema ◽  
Epiretinal Membrane ◽  
Angiogenesis Inhibitor ◽  
Central Zone ◽  
Functional Results ◽  
Long Term Results ◽  
Quantitative Composition

The purpose of the study — to conduct a comparative analysis of structural and functional indicators of the central zone of the retina in patients with diabetic macular edema and epiretinal membrane in the remote period after surgical treatment. Patients and Methods. We examined 97 patients with diabetic macular edema in combination with the epiretinal membrane aged 53 to 68 years (mean age 61 ± 5.4 years). All patients underwent vitrectomy with an internal limiting membrane peeling (ILM). Patients were divided into 3 groups depending on the intravitreal use of an angiogenesis inhibitor. The analysis of the remote anatomical and functional results of patients of different groups during 1 year of observation was carried out. Results. In patients after treatment using the proposed technique, the central retinal thickness was reduced by 16.19 % (p = 0.031) compared with monotherapy and by 11.51 % (p = 0.039) compared with a phased treatment method. Visual acuity significantly increased in the treatment group by the single-step method by 1.53 times (p = 0.024) compared with the group where only vitrectomy was performed, and also 1.44 times (p = 0.029) compared with the delayed administration of angiogenesis inhibitor in avital eye. Patients in all groups have showed an improvement in central photosensitivity 1 month after surgery, followed by a slight decrease in performance. However, by 12 months, the level of central photosensitivity in group 2 was significantly higher than in other groups (p < 0.05). A comparative analysis of the spatial distribution of macular pigment has showed that, along with the development of the pathological process, macular pigments were dispersed in the retinal tissue. On the background of treatment, their concentration was normalized in the central zone of the retina, without increasing the quantitative composition. Conclusion Analysis of the morphofunctional parameters of the retina central section in patients with diabetic macular edema and epiretinal membrane in the dynamics of treatment with various techniques led to the creation of an algorithm for managing patients. It allows to achieve high clinical and functional results in an overwhelming percentage of cases and, thereby, significantly improve medical and social rehabilitation, and also the quality of life of this contingent. 

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