scholarly journals The impact of extreme genu varum and genu valgum on postoperative outcomes using mini-subvastus approach in TKA

2018 ◽  
Vol 1 (1) ◽  
pp. 31-37
Author(s):  
Bogdan Ştefan Creţu ◽  
Călin Dragosloveanu ◽  
Dragoş Cotor ◽  
Şerban Dragosloveanu ◽  
Cristian Ioan Stoica
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
Genu Varum ◽  
Knee Score ◽  
Coronal Alignment ◽  
Subvastus Approach ◽  
Radiographic Outcomes ◽  
Component Malposition ◽  
A Prospective Study ◽  
The Impact

AbstractIncreasing interest in using minimally invasive approaches in TKA has led to the question: how much deformity is accepted for using MIS in TKA? A single surgeon performed 87 consecutive TKAs with mini-subvastus approach, using unconstrained prosthesis in 84 knees and constrained prosthesis in 3 knees. We conducted a prospective study in which patients were divided into two groups according to preoperative tibiofemoral axes (TFM), one group with 160°<TFM<195° and the second group with 160°≥TFM≥195°. Clinical and radiographic outcomes were compared. Postoperative ROM and knee score were improved in both groups, with similar results (p<0.01). Postoperative radiographic analyses showed that TFM was improved in both groups (p<0.01) with the coronal alignment inferior in 160°≥TFM≥195° group than the 160°<TFM<195° group. The results of this study suggest that mini-subvastus approach is a proper technique to use in primary TKA in patients with a TFM angle less than 160° and more than 195° with similar results with TFM angle between 160° and 195°, and for the use of constrained prosthesis designs with promising results. Preoperative TFM angle less than 160° and greater than 195° increases the risk of component malposition in coronal plane.

scholarly journals Development and evaluation of a minimally aggressive method of patellofemoral osteoarthritis surgical treatment

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901985944
Author(s):  
Kenes R Akilzhanov ◽  
Ersin T Zhunusov ◽  
Kanat T Asylkhanov ◽  
Sovetkhan B Smakov ◽  
Marat A Zhanaspayev
Keyword(s):  
Pain Relief ◽  
Minimally Invasive ◽  
Level Of Evidence ◽  
Radiographic Outcomes ◽  
Minimally Invasive Operation ◽  
Invasive Method ◽  
Physical Examinations ◽  
Therapeutic Study ◽  
A Prospective Study ◽  
The Impact

Purpose: The purpose of this study was to assess the impact of developed minimally invasive operation such as the partial lateral facetectomy (PLFE) with patella thickness resection in patients with lateral patellofemoral (PF) osteoarthritis on short-term clinical and radiographic outcomes. Methods: This is a prospective study of 27 knees in 27 patients (18 females and 9 males, mean aged at surgery 59.1-year old) whom a PLFE with patella thickness resection using developed minimally invasive method was performed. Data of preoperative and postoperative questionnaires, physical examinations, and radiographs were analyzed. The minimum follow-up was 12 months (mean, 24.1 months; range, 12–36 months). Results: The subjective outcomes included the anterior pain relief assessed by scores using the Western Ontario and McMaster Universities Arthritis Index score (scores improved considerably by 2.34 points with respect to pain and by 1.63 points with respect to function), visual analog scale, and Knee Society Score (that improved in 78% of the knees). The majority of these patients experienced improvement in their PF symptoms. The PF index decreased considerably after surgery. The mean patellar width and thickness were decreased after surgery, maintaining a width/thickness ratio of 1.8:1.0 after surgery. Conclusion: PLFE with patella thickness resection aiming to decrease the high pressure in the lateral facet and improving congruence of the patella confirmed frequent pain relief. This surgical procedure is minimally invasive, relatively simple, and effective in selected patients and can be a valid early alternative to more complex operations. Level of Evidence: Level IV Therapeutic study.

Abstract No. 294: Optimizing IVC filter utilization: a prospective study of the impact of IR consultation

2012 ◽  
Vol 23 (3) ◽  
pp. S119
Author(s):  
R.K. Ryu ◽  
R.J. Lewandowski ◽  
A.C. Eifler ◽  
R. Salem ◽  
R.A. Omary ◽  
...  
Keyword(s):  
Prospective Study ◽  
Ivc Filter ◽  
A Prospective Study ◽  
The Impact

A prospective study of the impact of weight loss and the systemic inflammatory response on quality of life in patients with inoperable non-small cell lung cancer

Lung Cancer ◽  
2003 ◽  
Vol 40 (3) ◽  
pp. 295-299 ◽  
Author(s):  
Hazel R Scott ◽  
Donald C McMillan ◽  
Duncan J.F Brown ◽  
Lynn M Forrest ◽  
Colin S McArdle ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Weight Loss ◽  
Inflammatory Response ◽  
Prospective Study ◽  
Small Cell ◽  
Small Cell Lung ◽  
A Prospective Study ◽  
The Impact

scholarly journals Triggerfish Recording of IOP Patterns in Combined HFDS Minimally Invasive Glaucoma and Cataract Surgery: A Prospective Study

2021 ◽  
Vol 10 (16) ◽  
pp. 3472
Author(s):  
Bojan Pajic ◽  
Mirko Resan ◽  
Brigitte Pajic-Eggspuehler ◽  
Horace Massa ◽  
Zeljka Cvejic
Keyword(s):  
Circadian Rhythm ◽  
Intraocular Pressure ◽  
Minimally Invasive ◽  
Prospective Study ◽  
Cataract Surgery ◽  
High Frequency ◽  
Glaucoma Surgery ◽  
Before And After ◽  
Contact Lens Sensor ◽  
A Prospective Study

Background: The aim of the study is to investigate whether the circadian IOP rhythm can be influenced by combined cataract surgery with high frequency deep sclerotomy (HFDS) and whether intraocular pressure (IOP) can be significantly reduced by HFDS. Methods: In our study 10 patients were included, in whom 24 h IOP monitoring was installed before and after HFDS/cataract surgery using a Triggerfish. HFDS is a minimally invasive glaucoma surgery (MIGS). Results: After performed HFDS combined with cataract surgery, the IOP was reduced from 27.7 ± 2.11 mmHg to 14.4 ± 2.59 mmHg, which is highly significant (p < 0.001). The contact lens sensor (CLS) cosinor analysis pre- and postoperatively showed that the circadian rhythm is not influenced by the surgery, i.e., the circadian IOP rhythm did not show significant differences before and after surgery. Conclusions: HFDS combined with cataract surgery is a potent surgical method that can significantly reduce the IOP. However, the circadian rhythm cannot be changed by the surgery. The acrophase remained during the night in all patients.

Sign in / Sign up

Export Citation Format

Share Document