EndoTech® minimally invasive trigger thumb release

We describe a novel minimally invasive technique for the treatment of trigger thumb. 37 patients with a total of 41 thumbs were included in the study. A visual analogue pain scale was used before surgery and also at 2 week and 6 month follow up visits. The pain was significantly improved from a pre op of 7.92 (+/- 1.6) to .65 (+/- .8) at the 2 week follow up and finally .29 (+/- 1.8) at the 6 month follow up. All of the patients had relief of triggering and only 1 patient required any therapy. This endoscopic technique for trigger thumb allows the surgeon to perform a trigger release with a minimal incision and provides excellent relief without any complications.

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Percutaneous Bunionette Correction: Retrospective Case Series

Foot & Ankle Specialist ◽

10.1177/1938640020937501 ◽

2020 ◽

pp. 193864002093750

Author(s):

Gustavo Nunes ◽

Tiago Baumfeld ◽

Caio Nery ◽

Daniel Baumfeld ◽

Paulo Carvalho ◽

...

Keyword(s):

Case Series ◽

Distal Region ◽

Pain Scale ◽

Invasive Technique ◽

Visual Analogue Pain Scale ◽

Retrospective Case ◽

Visual Analogue Pain ◽

Significant Difference ◽

American Orthopaedic

Introduction. Bunionette is a deformity of the fifth metatarsal in which there is a painful lateral bony prominence of the distal region of this bone caused by various anatomical and biomechanical changes. The aim of this study is to report on a minimally invasive technique without the use of hardware to treat these deformities. Methods. This is a case series of 18 patients, 25 feet, who underwent bunionette percutaneous surgical treatment. All patients answered the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the visual analogue pain scale (VAS) preoperatively and at the last follow-up. Standard radiological evaluation included measurement of intermetatarsal (4-5 IMA) and fifth toe metatarsophalangeal (5-MTTP) angles. Time to radiographic consolidation, complications, and satisfaction rate were also documented. Results. The average follow-up was 15.9 months, the AOFAS increased from 49.6 to 92.4 and the VAS decreased from 7.7 to 1.2. It was observed that average 5-MTTP decreased from 15° to 2.7° and that 4-5-IMA decreased from 9.1° to 3.3°. These outcomes showed a statistically significant difference ( P < .001). The most common observed complication was the formation of a hypertrophic bone callus in the third postoperative month in three operated feet (12%). One patient had algodystrophy, which improved after conservative treatment. There were no cases of infection, neuropraxis, or recurrences. Fifteen patients rated the result as excellent, 2 as good, and 2 as regular. Conclusion. Percutaneous osteotomy of the fifth metatarsal without the use of hardware is a safe, reproducible technique and presents good clinical and radiographic results for the treatment of bunionette. Levels of Evidence: Therapeutic studies, Level IV: Case series

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Minimally invasive technique for sural nerve harvesting: technical description and follow-up

Urology ◽

10.1016/s0090-4295(01)00908-6 ◽

2001 ◽

Vol 57 (5) ◽

pp. 921-924 ◽

Cited By ~ 12

Author(s):

Edward D Kim ◽

Ju Tae Seo

Keyword(s):

Minimally Invasive ◽

Sural Nerve ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Technical Description ◽

Nerve Harvesting

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Minimally Invasive Technique for Anterior Maxillary Intrusion - A Series of 7 Cases with 1-year Follow-up

Journal of Pierre Fauchard Academy (India Section) ◽

10.18311/jpfa/2021/27079 ◽

2021 ◽

Vol 35 (1) ◽

pp. 20-27

Author(s):

Senthil Moorthy Murugesan ◽

Cathrine Diana ◽

Gayathri Vijayarajan ◽

Thanvir Mohamed Niazi ◽

Natesh Pughalaendhi ◽

...

Keyword(s):

Minimally Invasive ◽

Minimally Invasive Technique ◽

Invasive Technique

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TL 18237 - First metatarsophalangeal joint arthrodesis using a minimally invasive technique

Scientific Journal of the Foot & Ankle ◽

10.30795/scijfootankle.2019.v13.1090 ◽

2019 ◽

Vol 13 (Supl 1) ◽

pp. 112S

Author(s):

Luiz Carlos Ribeiro Lara ◽

Lúcio Carlos Torres ◽

Gabriel Cervone ◽

Juan Antonio Grajales ◽

Fabio Lemos Rodrigues

Keyword(s):

Minimally Invasive ◽

Metatarsophalangeal Joint ◽

Hallux Rigidus ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Percutaneous Technique ◽

First Metatarsophalangeal Joint ◽

The Mean ◽

Larger Sample

Introduction: Metatarsophalangeal joint arthrodesis (MTPA) is a surgical technique indicated for the treatment of hallux rigidus with advanced arthrosis and for rheumatic diseases. This classic surgery is widely used and effective; however, the use of a minimally invasive technique remains mostly unknown. Objective: To present the outcome of MTPA performed using a percutaneous technique. Methods: Hallux MTPA was performed in 8 feet from 4 patients with hallux rigidus and 4 with rheumatoid arthritis, with a higher prevalence of women than men (5 vs. 3) and a mean postoperative follow-up time of 1.5 years. The outcomes were evaluated using a modified version of the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire and the union time. Results: All patients who underwent surgery showed improvements in pain and arthrodesis union at approximately 8 weeks. The mean AOFAS score increased to 85 points (of a total of 90 possible points). There were no complications, such as infection, nonunion or persistent pain. Conclusion: The percutaneous technique of hallux MTPA was effective, with satisfactory outcomes, reduced surgical invasiveness, immediate walking, rapid union with “arthrodesis take” and significant improvement in pain. However, a larger sample is required to confirm the outcomes.

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A 5-Year Experience of a Minimally Invasive Technique for Correction of Pectus Excavatum in Croatia

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.120 ◽

2006 ◽

Vol 49 (2) ◽

pp. 105-107 ◽

Cited By ~ 1

Author(s):

Mirko Žganjer ◽

Božidar Župančić ◽

Ljiljana Popović

Keyword(s):

Minimally Invasive ◽

Pectus Excavatum ◽

Average Length ◽

Length Of Hospital Stay ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Minimally Invasive Operation ◽

Steel Bar ◽

Normal Chest

The aim of this study was to assess the results of 5-year experience with minimally invasive operation without medial incision and resection cartilages for correction of pectum excavatum. From 2000 we made in our Hospital minimally invasive technique for the correction of pectus excavatum. 75 patients were treated by minimally invasive technique. A convex steel bar is inserted under the sternumtrough small bilateral Incisions. The steel bar is inserted with the convexity facing posteriorly, and when it is in position, the bar is turned over. After 2 years the bar is removed when permanent remolding has occurred. Initial excelent results were maintained in 54 patients (normal chest), good results in 16 (mild residual pectus) and poor in 5 (severe recurrence requiring further treatment). The mean follow-up since surgery were 3 months to 3 years. Average blood loss was 25 ml. Average length of hospital stay was 8 days. Patients returned to full activity after 2 month. Complications were pneumothorax in 12 patients, pneumonia in 6 patients and displacement of the steel barr requiring revision in 2 patients. Poor results occurred because steel bar was too soft in 3 patients, and soft sternum in 2 patients with Marfan’s syndrome. The minimally invesive technique is effective without cartilage incision and resection or sternal osteotomy.

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Midterm Follow-up of Balloon-Expandable ePTFE Endografts in the Femoropopliteal Segment

Journal of Endovascular Therapy ◽

10.1177/152660280200900408 ◽

2002 ◽

Vol 9 (4) ◽

pp. 428-435 ◽

Cited By ~ 2

Author(s):

Tjebbe Hagenaars ◽

Elma J. Gussenhoven ◽

Luuk Smeets ◽

Frans L. Moll ◽

Jacob Buth ◽

...

Keyword(s):

Clinical Outcome ◽

Minimally Invasive ◽

Pressure Measurement ◽

Bypass Surgery ◽

Minimally Invasive Technique ◽

Duplex Scanning ◽

Invasive Technique ◽

Secondary Patency ◽

Critical Ischemia

Purpose: To evaluate the midterm clinical outcome of patients treated with a balloon-expandable polytetrafluoroethylene (ePTFE) endograft for long-segment occlusive disease of the femoropopliteal segment. Methods: Eighty-nine patients (68 men; median age 69 years, range 43–81) with disabling claudication (n=73) or critical ischemia (n=16) were treated with an ePTFE endograft (mean length 29 cm) for 7 stenosis (mean length 9 cm) and 82 occlusions (mean length 19 cm) in the femoropopliteal segment. The follow-up protocol included Doppler ankle-brachial pressure measurement and duplex scanning or angiography of the endograft at 6-month intervals. Primary and secondary patency rates were analyzed. Results: At the last examination, the endograft was patent in 52 patients (median 17 months, range 7–50) and occluded in 35 (median 7 months, range 0–40);2 patients died of nonvascular causes with a patent endograft at 6.5 and 7 months. At follow-up, the primary and secondary endograft patency rates were 71% and 83% at 6 months, 57% and 69% at 1 year, 45% and 49% at 2 years, and 30% and 44% at 3 years, respectively. Conclusions: The midterm success of this new ePTFE endograft is limited; therefore, the device needs to be refined if this minimally invasive technique is to compete with conventional bypass surgery.

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Late Prosthetic Shoulder Hemiarthroplasty after Failed Management of Complex Proximal Humeral Fractures

Advances in Orthopedics ◽

10.1155/2013/403580 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 6

Author(s):

A. Panagopoulos ◽

P. Tsoumpos ◽

K. Evangelou ◽

Christos Georgiou ◽

I. Triantafillopoulos

Keyword(s):

Constant Score ◽

Humeral Fracture ◽

Primary Treatment ◽

Pain Scale ◽

Visual Analogue Pain Scale ◽

Shoulder Hemiarthroplasty ◽

Visual Analogue Pain ◽

Reconstructive Option ◽

Complex Proximal Humeral Fractures

Background. The purpose of this study was to report our experience with shoulder hemiarthroplasty in the context of old trauma.Methods. 33 patients with failed treatment for a complex proximal humeral fracture underwent prosthetic hemiarthroplasty. There were 15 men and 18 women with a mean age of 58.1 years. The average period from initial treatment was 14.9 months. Sequelae included 11 malunions, 4 nonunions, 15 cases with avascular necrosis (AVN) and 3 neglected posterior locked dislocations. Follow up investigation included radiological assessment and clinical evaluation using the Constant score and a visual analogue pain scale.Results. After a mean follow up of 82.5 months the median Constant score was 75.7 points, improved by 60% in comparison to preoperative values. Greater tuberosity displacement, large cuff tears and severe malunion were the factors most affected outcome. No cases of stem loosening or severe migration were noted. 60% of the patients were able to do activities up to shoulder level compared with 24% before reconstruction.Conclusions. Late shoulder hemiarthroplasty is technically difficult and the results are inferior to those reported for acute humeral head replacement, nonetheless remains a satisfactory reconstructive option when primary treatment fails.

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Study of Homologous Autoimplantation Therapy for Treatment of Multiple Warts in Patients Attending the Dermatology out Patient Department

MVP Journal of Medical Sciences ◽

10.18311/mvpjms/2015/v2/i2/784 ◽

2015 ◽

Vol 2 (2) ◽

pp. 110 ◽

Cited By ~ 2

Author(s):

Anil S. Gugle ◽

Vikrant M. Jadhav ◽

Rahul Kote ◽

Milind Devidas Deshmukh ◽

Divyank Vankawala

Keyword(s):

Minimally Invasive ◽

Treatment Modality ◽

Simple Technique ◽

Poor Response ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Single Treatment ◽

Benign Tumours ◽

Moderate Response

Introduction: Warts are benign tumours that commonly involve skin and other epithelial tissues. There is no single treatment modality that is 100% effective. In multiple warts, especially on face, palms, and soles destructive procedure are inappropriate and impractical. Homologous autoimplantation is a simple technique, which helps in inducing cell mediated response, causing clearance of warts. Aims and objectives: To evaluate the effect of homologous autoimplantation therapy in treatment of multiple warts. To study the untoward effects of this treatment. Material and methods: A total of 49 patients of viral warts were included in study. Homologous autoimplantation of wart was done and regular follow up was done to see the result. Results: Out of 49 patients, in 24 patients there was good response, 14 showed moderate response, 5 showed poor response and in 6 patients there was no response. Conclusion: Homologous autoimplantation is an easy, minimally invasive technique which clears multiple, recurrent and recalcitrant warts.

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Cyclodialysis Cleft Treatment Using a Minimally Invasive Technique

Case Reports in Ophthalmology ◽

10.1159/000375442 ◽

2015 ◽

Vol 6 (1) ◽

pp. 66-70 ◽

Cited By ~ 7

Author(s):

João Pinheiro-Costa ◽

António Benevides Melo ◽

Ângela Maria Carneiro ◽

Fernando Falcão-Reis

Keyword(s):

Intraocular Pressure ◽

Minimally Invasive ◽

Ultrasound Biomicroscopy ◽

Gas Absorption ◽

Minimally Invasive Technique ◽

Invasive Technique ◽

Male Victim ◽

Corrected Visual Acuity ◽

Cyclodialysis Cleft

Purpose: To report a case of a cyclodialysis cleft that was successfully managed with gas endotamponade and cyclocryotherapy. Methods: A 37-year-old male victim of a severe blunt ocular trauma was referred to our service for evaluation and treatment of a left eye hypotony. Clinical examination revealed an intraocular pressure of 2 mm Hg, a cyclodialysis cleft extending from the 11 to 1 o'clock positions and a hypotonic maculopathy. Left eye best corrected visual acuity (BCVA) was 3/10. The patient failed to respond to conservative treatment with atropine 1%, so a single bubble of 16% C2F6 was injected into the vitreous cavity, followed by superior quadrant transconjunctival cyclocryotherapy. Results: After gas absorption, the intraocular pressure increased to 11 mm Hg and became steady during the 24 months of follow-up. His hypotonic maculopathy resolved, and the BCVA improved to 9/10. Complete closure of the cyclodialysis cleft was documented with ultrasound biomicroscopy. Conclusion: Cryotherapy associated with gas endotamponade is a minimally invasive technique that could be considered for patients with cyclodialysis clefts that fail to respond to medical therapy.

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