scholarly journals Operative versus non operative treatment for displaced intra articular fracture of calcaneus: A prospective study 58 patients

2022 ◽  
Vol 8 (1) ◽  
pp. 37-41
Author(s):  
Dr. Rushi Solanki ◽  
Dr. Kelvinkumar Bhagvanjibhai Sureja ◽  
Dr. Nidhish Patel ◽  
Dr. Darshan Patel ◽  
Dr. Monil Patel ◽  
...  
Keyword(s):  
Prospective Study ◽  
Operative Treatment ◽  
Articular Fracture ◽  
A Prospective Study

scholarly journals TREATMENT OF INTRA - ARTICULAR FRACTURE OF DISTAL RADIUS WITH STATIC EXTERNAL FIXATORS – LIGAMENTOTAXIS - A PROSPECTIVE STUDY

2013 ◽  
Vol 2 (32) ◽  
pp. 6026-6037
Author(s):  
Praveen M. Anvekar ◽  
Sachin S. Nimbargi ◽  
Nimbargi S ◽  
Srinath S.R ◽  
Anil S. Nelivigi
Keyword(s):  
Prospective Study ◽  
Distal Radius ◽  
External Fixators ◽  
Articular Fracture ◽  
A Prospective Study ◽  
Fracture Of Distal Radius

scholarly journals Non-Operative Management of Femoroacetabular Impingement: A Prospective Study

2018 ◽  
Vol 6 (7_suppl4) ◽  
pp. 2325967118S0006 ◽  
Author(s):  
Andrew T. Pennock ◽  
James D. Bomar ◽  
Kristina Parvanta ◽  
Vidyadhar Vinayak Upasani
Keyword(s):  
Prospective Study ◽  
Operative Treatment ◽  
Femoroacetabular Impingement ◽  
Steroid Injection ◽  
Operative Management ◽  
Harris Hip Score ◽  
Labral Tears ◽  
A Prospective Study ◽  
Non Operative Management

Objectives: Little attention has been given to the non-operative management of femoroacetabular impingement (FAI) in the literature despite a rapidly expanding body of research on the topic. The purpose of the current project was to perform a prospective study utilizing a non-operative protocol on a consecutive series of patients presenting to our clinic with FAI. Methods: Between 2013 and 2016, patients referred to our clinic for hip pain that had a positive impingement sign were prospectively recruited in a non-operative FAI study. The protocol consisted of an initial trial of rest, physical therapy, and activity modification with a focus on avoidance of high hip flexion (Activity Mod group). Patients who remained symptomatic were then treated with an image-guided intra-articular steroid injection (Injection group). Patients with residual symptoms were then offered arthroscopic treatment (Surgery group). Outcome scores were collected at 12 and 24 months. Statistical analysis was performed to identify risk factors for failure of non-operative treatment. Results: 129 symptomatic hips in 100 patients were enrolled. After our exclusion criteria were applied, 110 hips in 84 patients remained with a mean follow-up of 25.5 months. Eighty-one hips (73.6%) were managed with PT, rest, and activity modification alone. Thirteen hips (11.8%) required a steroid injection, but did not progress to surgery. Sixteen hips (14.5%) required arthroscopic management. All three groups saw similar improvements in modified Harris hip score (mHHS)(p=0.706) and non-arthritic hips score (NAHS)(p=0.712). Initial, and most recent, mHHS and NAHS can be found in Table 1. Labral tears were distributed similarly among the three groups (n=41, p=0.09) and saw similar improvements in outcomes (p>0.5) as hips without labral tears. The surgical patients attempted non-operative treatment for a mean of 8.8 months prior to surgical intervention. Delays in surgery were not associated with worse outcomes. Cam lesion size, acetabular coverage, and the presence of a labral tear were not associated with non-operative treatment failure (p=0.579). Conclusion: A large majority of adolescent patients presenting with FAI can be managed nonoperatively with significant improvements in outcomes scores and continuation of sport at a mean follow up of two years. This is the first prospective study evaluating the outcomes of a standardized non-operative protocol for the management of FAI. Our results show that a commitment to non-operative care can work for a large percentage of patients. We will be following these patients further into the future to examine the durability of these results. [Table: see text]

scholarly journals Anal incontinence and quality of life following operative treatment of simple cryptoglandular fistula-in-ano: a prospective study

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Umesh Jayarajah ◽  
Dakshitha Praneeth Wickramasinghe ◽  
Dharmabandhu Nandadeva Samarasekera
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Operative Treatment ◽  
Anal Incontinence ◽  
Fistula In Ano ◽  
A Prospective Study

The Morbidity of Non-Operative Treatment of Possible Appendicitis

1968 ◽  
Vol 13 (3) ◽  
pp. 68-71 ◽  
Author(s):  
J. G. R. Howie
Keyword(s):  
Retrospective Study ◽  
Prospective Study ◽  
Operative Treatment ◽  
Past History ◽  
Main Criterion ◽  
Favourable Prognosis ◽  
History Of ◽  
A Prospective Study

No attempt has previously been made to assess the morbidity of non-operative treatment of possible appendicitis. This paper uses the need for appendicectomy at a later date as the main criterion of morbidity. On the basis of a prospective study of 209 patients and a retrospective study of 1,284 patients, it appears that about 25 per cent of patients admitted to hospital with possible appendicitis but not operated on, require appendicectomy at a later date. In addition, only some 57 per cent of patients treated non-operatively do not again have pain. The presence of a past history of similar pain appears to prejudice unfavourably the results of non-operative treatment. Patients who return quickly to work and are not allowed to think that they have had appendicitis are the most likely to have a favourable prognosis.

scholarly journals CLINICAL OUTCOME AFTER OPERATIVE TREATMENT IN FLOATING SHOULDER- A PROSPECTIVE STUDY

2017 ◽  
Vol 4 (51) ◽  
pp. 3123-3130
Author(s):  
Nabarun Saha ◽  
Partha Sarathi Sarkar ◽  
Sagar Mukhopadhyay ◽  
Sujit Narayan Nandi ◽  
Kiran Kumar Mukhopadhyay
Keyword(s):  
Clinical Outcome ◽  
Prospective Study ◽  
Operative Treatment ◽  
Floating Shoulder ◽  
A Prospective Study
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