scholarly journals Reference radiologic measurements for the assessment of tibial pilon fractures

2022 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Daniele Gianoli ◽  
Alexander Joeris ◽  
Christoph Sommer
Keyword(s):  
Normal Weight ◽  
Lateral Malleolus ◽  
Radiological Parameters ◽  
Tibial Pilon ◽  
Large Patient ◽  
Significant Difference ◽  
Radiological Control ◽  
Patient Groups ◽  
Pilon Fractures

Objectives: The management of pilon fractures is a challenge and the outcome depends on multiple factors, one of which is the quality of reduction. In the literature, there is no assessment of anatomical reduction in pilon fractures. We also lack standard radiological parameters in large patient groups to measure the reduction. The main aim of this analysis was to define normal standard radiological values and identify potential specific types of ankle joint morphology (morphotypes) that might deserve special attention intraoperatively. Methods: We analyzed data of 103 healthy contralateral ankles collected within an observational and prospective multicenter study about tibial pilon fractures. We divided the patients according to their height into two groups, measured 11 radiological parameters, and compared them with each other and the literature. In addition, using cluster analysis, we could identify three morphotypes. Results: There is a statistically significant difference between the two groups in the lengths of three parameters: Mortise width, medial clear space, and length of the lateral malleolus, but not in the angles. The three morphotypes differ only in body mass index and the length of the lateral malleolus. Conclusion: Reference values from the literature are insufficient to assess a reduction after open reduction and internal fixation of tibial pilon fractures because they depend on the height. This does not apply to angles because they are independent of height. For clinical practice, a radiological control of the contralateral healthy ankle gives the best information about the reduction quality and should always be done, especially in normal weight males.

Optimising the use of virtual and conventional simulation: a clinical and economic analysis

2007 ◽  
Vol 6 (2) ◽  
pp. 83-91 ◽  
Author(s):  
M. McJury ◽  
B. Foran ◽  
J. Conway ◽  
S. Dixon ◽  
K. Wilcock ◽  
...  
Keyword(s):  
Treatment Process ◽  
Virtual Simulation ◽  
Treatment Episode ◽  
Specific Patient ◽  
Registration Data ◽  
Significant Difference ◽  
Patient Groups ◽  
Set Up ◽  
Costing Analysis

AbstractBackground and purpose: Currently, optimal use of virtual simulation for all treatment sites is not entirely clear. This study presents data to identify specific patient groups for whom conventional simulation may be completely eliminated and replaced by virtual simulation.Sampling and method: Two hundred and sixty patients were recruited from four treatment sites (head and neck, breast, pelvis, and thorax). Patients were randomly assigned to be treated using the usual treatment process involving conventional simulation, or a treatment process differing only in the replacement of conventional plan verification with virtual verification. Data were collected on set-up accuracy at verification, and the number of unsatisfactory verifications requiring a return to the conventional simulator. A micro-economic costing analysis was also undertaken, whereby data for each treatment process episode were also collected: number and grade of staff present, and the time for each treatment episode.Results: The study shows no statistically significant difference in the number of returns to the conventional simulator for each site and study arm. Image registration data show similar quality of verification for each study arm. The micro-costing data show no statistical difference between the virtual and conventional simulation processes.Conclusions: At our institution, virtual simulation including virtual verification for the sites investigated presents no disadvantage compared to conventional simulation.

scholarly journals Radiological parameters determining outcome in pilon fractures treated by minimally invasive plate osteosynthesis

2019 ◽  
Vol 5 (3) ◽  
pp. 490
Author(s):  
Vishnu Sankar Appusamy ◽  
Karthik Ramachandran ◽  
Arvind Manoj Kumbakrishnakumar
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Soft Tissues ◽  
Plate Osteosynthesis ◽  
Soft Tissue Injury ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Surgical Trauma ◽  
Radiological Parameters ◽  
Pilon Fractures

<p class="abstract"><strong>Background:</strong> Tibial pilon fractures are one of the challenging fractures to manage in the field of orthopaedics due to its complex fracture patterns as well as associated soft tissue injury. Minimally invasive plate osteosynthesis (MIPO) technique aims to reduce the surgical trauma to the surrounding soft tissues and hence maintain a more biologically favourable environment for fracture healing. The purpose of the study is to analyse the various factors especially radiological parameters determining functional outcome in pilon fractures treated by MIPO technique.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study conducted from June 2015 to May 2018. The study included 46 patients (33 males, 13 females) with pilon fractures treated by minimally invasive plate osteosynthesis. All patients were followed for average period of 2 years. Functional outcome was assessed using American Orthopedic Foot and Ankle Score (AOFAS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 46 patients, 21 patients (45.65%) had excellent, 16 patients (34.78%) had good and 6 patients (13.04%) had fair functional outcome. The quality of reduction was the most important parameter determining the functional outcome. We found that patients with higher lateral distal tibial angle (LDTA), anterior distal tibial angle (ADTA) and length of lateral malleolus (LLM) had better functional outcome than patients with lower values. The timing of surgery had no significant influence on the functional outcome of the patients.</p><p class="abstract"><strong>Conclusions:</strong> We like to conclude that apart from the quality of fracture reduction, radiological parameters like ADTA, LDTA, and LLM also play a crucial role in determining the functional outcome in pilon fractures.</p><p class="abstract"> </p>

scholarly journals Quality of life and functional outcome after single-radius and multi-radius total knee arthroplasty

2018 ◽  
Vol 26 (3) ◽  
pp. 230949901879241 ◽  
Author(s):  
Merrill Lee ◽  
Jerry Yongqiang Chen ◽  
Hao Ying ◽  
Pang Hee Nee ◽  
Darren Keng Jin Tay ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Functional Outcome ◽  
Knee Arthroplasty ◽  
T Test ◽  
Significant Difference ◽  
Patient Groups ◽  
Total Knee ◽  
Single Radius

Purpose: The main objective of this study was to compare quality of life and functional outcome in patients who have undergone a single-radius (SR) or multi-radius (MR) total knee arthroplasty (TKA). The secondary objective was to observe changes in knee range of movement (ROM) and standardized knee scores (KSCs) in these patients. The hypothesis was that there would be no statistically significant difference between the two patient groups in quality of life and functional outcome. Methods: One hundred three SR TKAs were performed by a single surgeon between August 2008 and December 2012. A propensity score matching algorithm was used to select 103 MR TKAs performed during the same period. Preoperative and postoperative variables such as standardized knee and quality of life scores were captured prospectively and then analyzed via both the Student’s t-test and paired t-test to look for statistically significant differences between the SR and MR patient groups. Results: At 2 years postoperatively, there was no statistically significant difference between the SR and MR patient populations in knee extension, Oxford Knee Score, Knee Society Clinical Rating Scores, and the Physical Component Summary of the Short Form 36 Health Survey (SF-36). There was a statistically significant difference between the two patient groups in postoperative knee flexion in favor of the MR design ( p = 0.011). Conclusion: While an SR femoral implant design has several theoretical biomechanical advantages, postoperative standardized KSCs and quality of life scores in this single-surgeon series do not show a clear advantage of one design over the other. Level of evidence: III.

The effectiveness of different treatment methods in isolated telangiectasia and reticular vein treatment: A single-center prospective randomized study

2021 ◽  
pp. 026835552110307
Author(s):  
Ufuk Aydın ◽  
Mesut Engin ◽  
Tamer Türk ◽  
Yusuf Ata
Keyword(s):  
Medical Treatment ◽  
Randomized Study ◽  
Significant Difference ◽  
Patient Groups ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
Reticular Veins ◽  
Group 1

Background There are opinions that telangiectasis and reticular veins are asymptomatic and constitute a cosmetic problem only. However, it has been proven that telangiectasis and reticular veins also affect the quality of life and are symptomatic. Methods Ninety consecutive female patients who were admitted to our outpatient clinic and did not have insufficiency in deep, superficial and perforating veins were included in this study. All participants were divided into three groups as the compression group (Group 1), medical treatment group (Group 2), and sclerotherapy group (Group 3). The initial complaint severities of all patients were noted. Except for patient compliance assessment, baseline, 1st month (T1), 3rd month (T2) and 6th month (T3) evaluation records were kept in all three groups. Results The study began with a total of 90 patients, 30 patients in each group. The mean ages of Groups 1, 2 and 3 were 39.73 ± 8.51 years, 39.30 ± 8.67 years, and 40.77 ± 9.45 years, respectively. The rates of decrease in pain, itching, restless leg, and muscle cramps were similar among the patient groups at all times (P > 0.05). The rate of reduction in swelling was similar between the groups at T1 and T2 (P > 0.05), while there was a significant difference between the groups at T3 (P = 0.009). The groups significantly differed in terms of appearance concern at all times (P = 0.002 for T1, P < 0.001 for T2 and T3). Conclusion We showed that symptoms such as swelling and heaviness in leg can be improved with medical treatment, but the patient's cosmetic satisfaction can increase with sclerotherapy.

scholarly journals Tibial pilon fractures: functional results and evaluation of quality of life

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ademir Moura Júnior ◽  
Alexandre Machado Filho ◽  
Eduardo Campos ◽  
Jefferson Martins
Keyword(s):  
Quality Of Life ◽  
Functional Results ◽  
Tibial Pilon ◽  
Pilon Fractures

Antecedents And Outcomes Of Qwl Among Employees In Banks

2019 ◽  
Vol 118 (7) ◽  
pp. 1-19
Author(s):  
Geethanjali N ◽  
Parveen Roja M ◽  
Lavanya D
Keyword(s):  
Organizational Climate ◽  
Job Stress ◽  
Work Life ◽  
Working Environment ◽  
Quality Of Work Life ◽  
Quality Of Work ◽  
Significant Difference ◽  
Service Productivity ◽  
The Impact

Quality of work life is the major factor to be considered in working environment of any organization. The performance of employees and the organization lies on the ability of the employees based on working environment. The QWL leads to better working environment which improves the performance of organization. The present study has made an attempt to find the level of factors causing QWL and the impact of outcome of QWL in banks. Since the profile of the banks may be associated with the level of outcomes of QWL, the present study has made an attempt to examine it with the help of one way analysis of variance and t-test. The included outcomes of QWL are job satisfaction, job stress, organizational climate, organizational commitment, employees retention behaviour, service quality employees and service productivity of employees. The highly associated determinants of QWL and the significant difference among the PUSBs and PRSBs have been noticed. The significantly associating important profiles of the banks regarding the existence of outcome of QWL are identified.

Relationship between Eating Patterns and Body Composition among Young Females in Qatar

2020 ◽  
Author(s):  
Fatma Elsayed ◽  
Aram Alhammadi ◽  
Alanood Alahmad ◽  
Zahra Babiker ◽  
Abdelhamid Kerkadi
Keyword(s):  
Body Composition ◽  
Dietary Patterns ◽  
Fast Food ◽  
Dietary Habits ◽  
Communicable Disease ◽  
Normal Weight ◽  
Female Students ◽  
Eating Patterns ◽  
Young Females ◽  
Significant Difference

The prevalence of obesity has been increased in Qatar, with the transition from healthy to unhealthy dietary habits. Behavioral factors that are associated with obesity are, long-term imbalanced energy intake, high screen time, skipping breakfast and physical inactivity. Changes in body composition and percent body fat (PBF) increase the risk of non-communicable disease. This study is the first study conducted in Qatar to investigate the relationship between dietary patterns and body composition among young females at Qatar University. This cross-sectional study consisted of 766 healthy female students Qatari and non-Qatari aged from 18-26 years randomly selected from different colleges at Qatar University. A validate questionnaire was used in order to collect data about healthy and unhealthy dietary patterns. Anthropometric measurements involved body weight, height, waist-to-height ratio (WHtR), waist circumference (WC), body mass index (BMI) and body composition using “Seca285”, “Seca203” and “InbodyBiospace 720”. Dietary patterns were identified by using factor loading. Linear regression was used to estimate confidence intervals and regression coefficient. More than half of the participants had a normal weight (65.1%), whereas 22.8 % and 12.0% were overweight and obese, respectively. Fat mass, BMI and PBF were slightly increased with age, but there was no significant difference. Factor analysis identified two dietary patterns: unhealthy patterns and healthy patterns. The frequent intake of vegetables and fruits was significant among high PBF female students (p=0.045 and p=0.001, respectively). The frequent intake of fast food was higher for overweight female students but there was no significant difference (p=0.289), whereas, the frequent intake of sweetened beverages was associated with higher significant rate of normal weight among female students (p = 0.009). No significant relation was found between dietary patterns, BMI and PBF. In conclusion, body composition is not significantly associated with healthy and unhealthy eating patterns among young females.

THE QUALITY OF PUBLIC HOSPITALS IN CAN THO CITY, 2016

2018 ◽  
Vol 8 (6) ◽  
pp. 76-81
Author(s):  
Chu Cao Minh ◽  
Thang Vo Van ◽  
Dat Nguyen Tan ◽  
Hung Vo Thanh
Keyword(s):  
Hospital Medicine ◽  
Secondary Data ◽  
Quality Criterion ◽  
Quality Criteria ◽  
Public Hospitals ◽  
Ministry Of Health ◽  
Cross Sectional ◽  
Significant Difference ◽  
Can Tho City

Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho

Restaging of patients with lymphoma

2008 ◽  
Vol 47 (01) ◽  
pp. 37-42 ◽  
Author(s):  
T. Pfluger ◽  
V. Schneider ◽  
M. Hacker ◽  
N. Bröckel ◽  
D. Morhard ◽  
...  
Keyword(s):  
Low Dose ◽  
Non Hodgkin Lymphoma ◽  
Contrast Enhanced ◽  
Pet Ct ◽  
Significant Difference ◽  
18F Fdg ◽  
Sensitivity Specificity ◽  
Fdg Pet Ct

SummaryAim: Assessment of the clinical benefit of i.v. contrast enhanced diagnostic CT (CE-CT) compared to low dose CT with 20 mAs (LD-CT) without contrast medium in combined [18F]-FDG PET/CT examinations in restaging of patients with lymphoma. Patients, methods: 45 patients with non-Hodgkin lymphoma (n = 35) and Hodgkin's disease (n = 10) were included into this study. PET, LD-CT and CECT were analyzed separately as well as side-by-side. Lymphoma involvement was evaluated separately for seven regions. Indeterminate diagnoses were accepted whenever there was a discrepancy between PET and CT findings. Results for combined reading were calculated by rating indeterminate diagnoses according the suggestions of either CT or PET. Each patient had a clinical follow-up evaluation for >6 months. Results: Region-based evaluation suggested a sensitivity/specificity of 66/93% for LD-CT, 87%/91% for CE-CT, 95%/96% for PET, 94%/99% for PET/LD-CT and 96%/99% for PET/CE-CT. The data for PET/CT were obtained by rating indeterminate results according to the suggestions of PET, which turned out to be superior to CT. Lymphoma staging was changed in two patients using PET/ CE-CT as compared to PET/LD-CT. Conclusion: Overall, there was no significant difference between PET/LD-CT and PET/CE-CT. However, PET/CE-CT yielded a more precise lesion delineation than PET/LD-CT. This was due to the improved image quality of CE-CT and might lead to a more accurate investigation of lymphoma.

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