scholarly journals FUNCTIONAL OUTCOME OF FRACTURE TALUS: TREATED WITH DIFFERENT MODALITIES

2020 ◽  
pp. 1-3
Author(s):  
Santosh Banshelkikar ◽  
Subhashis Banerjee ◽  
Pravin Jadhav
Keyword(s):  
Body Weight ◽  
Functional Outcome ◽  
Surface Area ◽  
Avascular Necrosis ◽  
Skin Necrosis ◽  
Entire Body ◽  
Open Wound ◽  
Fracture Dislocations ◽  
Limited Surface ◽  
Ligamentous Attachment

Talus is a peculiar bone as almost 78% of its total bony surface is intra-articular. It transmits the entire body weight and has hardly any musculo-tendinous attachments [1]. Hence its injuries especially fractures and fracture dislocations, though not common, have posed a great deal of problems to orthopaedic surgeons in the form of open wound, skin necrosis from bony pressure, imperfect reduction and avascular necrosis [2-4]. As more than two third of the talus is intraarticular, very limited surface area is available to provide adequate vascular perforations. Blood vessels enter the talus via capsular and ligamentous attachment. Therefore, it is vulnerable to complication such as osteonecrosis after fracture and dislocation of talus [5].

Translunate, Transmetacarpal, Scapho-Radial Fracture with Perilunate Dislocation A Case Report

1985 ◽  
Vol 10 (3) ◽  
pp. 382-384
Author(s):  
P. TOFT ◽  
K. BERTHEUSSEN ◽  
S. OTKJAER
Keyword(s):  
Case Report ◽  
Avascular Necrosis ◽  
Closed Reduction ◽  
Open Reduction ◽  
X Rays ◽  
Radial Fracture ◽  
Perilunate Dislocation ◽  
Carpal Fracture ◽  
Fracture Dislocations

A case translunate, transmetacarpal, scapho-radial fracture with perilunate dislocation occurred as a young man drove his motorcycle into the side of a car. Closed reduction was performed initially. Open reduction was performed with a screw in the lunate. Eighteen months later the screw was removed and after two and a half years x-rays revealed no signs of avascular necrosis or arthrosis. The patient fully recovered. This case stresses the necessity of open reduction in cases of complicated carpal fracture dislocations.

scholarly journals Effects of the acetabular fracture index and other factors of posterior wall acetabular fracture on functional outcome

2017 ◽  
Vol 45 (4) ◽  
pp. 1394-1405 ◽  
Author(s):  
Hai-Tao Long ◽  
Zhen-Han Deng ◽  
Min Zou ◽  
Zhang-Yuan Lin ◽  
Jian-Xi Zhu ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Femoral Head ◽  
Functional Outcome ◽  
Avascular Necrosis ◽  
Lower Limb ◽  
Acetabular Fracture ◽  
Posterior Wall ◽  
Functional Score ◽  
Related Data ◽  
Limb Fracture

Objective To analyze the effects of the acetabular fracture index (AFI) and other factors on the functional outcome of patients with acetabular fractures involving the posterior wall. Methods Forty-eight patients who underwent surgery in our department were reviewed. According to the AFI, which indicates the percentage of remaining intact posterior acetabular arc, the patients were divided into Group A (AFI ≤ 25%, 11 patients), Group B (25% < AFI ≤ 50%, 23 patients), Group C (50% < AFI ≤ 75%, 7 patients), and Group D (75% < AFI ≤ 100%, 7 patients). The AFI was measured with a computed tomography picture archiving and communication system or calculated with the cosine theorem. A nonparametric test and ordinal regression were used to determine the role of the AFI and other factors on the functional outcome. Perioperative information, including demographic and fracture-related data, reduction quality, physical therapy duration, association with a lower limb fracture and avascular necrosis of the femoral head were prospectively gathered. Results The mean AFIs of A, B, C, and D groups were 14.3%, 35.9%, 59.5%, and 81.2%, respectively. No statistically significant differences were observed among the groups for demographic and fracture-related data. A better reduction quality (OR = 4.21, 95%CI 1.42 ∼ 12.43, χ2 = 6.781, P = 0.009) and a larger value of AFI (OR = 2.56, 95%CI 1.18 ∼ 5.55, χ2 = 5.648, P = 0.017) result in a higher functional score. The functional outcome of a physical therapy duration of more than 12 months (OR = 0.15, 95%CI 0.02 ∼ 0.90, χ2 = 4.324, P = 0.038) was better than that of less than 12 months. Lower limb fracture (OR = 0.13, 95%CI 0.02 ∼ 0.74, χ2 = 5.235, P = 0.022) and avascular necrosis of femoral head (OR = 0.02, 95%CI 0.00 ∼ 0.87, χ2 = 4.127, P = 0.042) were found to correlate with a lower functional score. Conclusion With a greater of AFI, the functional outcome score would be better. Other factors, including reduction quality, physical therapy duration, association with a lower limb fracture, and avascular necrosis of the femoral head, most likely also affect hip functional recovery.

Functional Outcomes After Fracture-Dislocation of the Ankle

2019 ◽  
Vol 13 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Direk Tantigate ◽  
Gavin Ho ◽  
Joshua Kirschenbaum ◽  
Henrik C. Bäcker ◽  
Benjamin Asherman ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Functional Outcomes ◽  
Ankle Fracture ◽  
Statistical Significance ◽  
Ankle Fractures ◽  
Fracture Dislocation ◽  
Wound Complications ◽  
Pain Subscale ◽  
Fracture Dislocations

Background. Fracture dislocation of the ankle represents a substantial injury to the bony and soft tissue structures of the ankle. There has been only limited reporting of functional outcome of ankle fracture-dislocations. This study aimed to compare functional outcome after open reduction internal fixation in ankle fractures with and without dislocation. Methods. A retrospective chart review of surgically treated ankle fractures over a 3- year period was performed. Demographic data, type of fracture, operative time and complications were recorded. Of 118 patients eligible for analysis, 33 (28%) sustained a fracture-dislocation. Mean patient age was 46.6 years; 62 patients, who had follow-up of at least 12 months, were analyzed for functional outcome assessed by the Foot and Ankle Outcome Score (FAOS). The median follow-up time was 37 months. Demographic variables and FAOS were compared between ankle fractures with and without dislocation. Results. The average age of patients sustaining fracture-dislocation was greater (53 vs 44 years, P = .017); a greater percentage were female (72.7% vs 51.8%, P = .039) and diabetic (24.2% vs 7.1%, P = .010). Wound complications were similar between both groups. FAOS was generally poorer in the fracture-dislocation group, although only the pain subscale demonstrated statistical significance (76 vs 92, P = .012). Conclusion. Ankle fracture-dislocation occurred more frequently in patients who were older, female, and diabetic. At a median of just > 3-year follow-up, functional outcomes in fracture-dislocations were generally poorer; the pain subscale of FAOS was worse in a statistically significant fashion. Levels of Evidence: Therapeutic, Level III

Development of the laser remote caliper as a method to estimate surface area and body weight in beef cattle

SURG Journal ◽  
2008 ◽  
Vol 1 (2) ◽  
pp. 57-72
Author(s):  
Sarah Core ◽  
Stephen Miller ◽  
Matthew Kelly
Keyword(s):  
Body Weight ◽  
Beef Cattle ◽  
Surface Area ◽  
Digital Imaging ◽  
Late Gestation ◽  
P Value ◽  
Side View ◽  
Linear Measurements ◽  
Indirect Measures ◽  
Area And Volume

Linear measurements combined with surface area and volume calculations were used to develop formulas to estimate body weight (BW) in beef cattle. These measurements were evaluated directly or estimated using a laser remote caliper (LRC) and digital imaging software. Seventy-two dry, late gestation beef cows aged 3-13 years were measured and weighed Six measurements for each cow were taken; the cattle were weighed, a body condition score (BCS) was assigned, heart girth (HG), hip width (HW), and hip height (HH) were measured directly and 3 digital pictures were taken. The digital pictures portrayed three different views; side view (restrained), rear view (restrained), and side view (free-stall). Body length, HW, HH, surface area and volume were indirectly calculated from the digital images. For each view a complete (C-) formula (direct and indirect measures) and remote (R-) formula (only indirect measures) to estimate BW was developed. The R-squared values 0.7459, 0.7937, 0.8078, 0.5016, 0.611, 0.5553 were attained for C-side view free-stall, C-side view (restrained), C-rear view (restrained), R-side view free-stall, R-side view (restrained), and R-rear view (restrained). The accuracy of these formulas was 81% on average. BCS, HG and HW were the most significant factors when developing a formula for BW (p-value < 0.001). Side view (restrained) image measurements were most accurate in estimating BW. These measurements were highly correlated with the direct measurements and digital linear body measurements were not distorted (due to poor posture/positioning) as seen with the other views. The results or this study show that linear measurements collected by digital imaging methods can be a useful tool for estimating BW.

New formula for predicting standard liver and spleen volumes in Chinese adults

2019 ◽  
Author(s):  
Longbao Yang ◽  
Gang Zhao ◽  
Xinxing Tantai ◽  
Cailan Xiao ◽  
Caifeng Yang ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Surface Area ◽  
Body Surface Area ◽  
Body Surface ◽  
Liver Volume ◽  
Body Height ◽  
Spleen Volume ◽  
Chinese Adults ◽  
Volume Formula

Abstract BACKGROUNDThe liver volume and spleen volum are useful index for cirrhosis patients with esphageal varices. But the calculation of the volume is time-consuming and boring. To solve the problem, we successfully established the liver and spleen volume formula using the body surface area. We compared the liver volume formula with other four formulas, which be proved with highest accuracy and lowest error. Until now, except for the new spleen volume formula in the research, there are few reports about it.AIMTo obtain a reference range of morphological indices, and to establish a formula to accurately predict the standard liver and spleen volumes in Chinese adults.METHODSComputed tomography was used to calculate the estimated total liver volume and spleen volume of 305 Chinese adults without any diseases which could influence the volumes of these two organs. Gender, age, body height, body weight, body surface area and body mass index were determined. Correlation analysis and step-wise multiple linear regression analysis were performed to evaluate the impact of each parameter on the liver and spleen volumes, and then a formula to predict the liver and spleen volumes was established. Finally, the results obtained with the new liver volume formula with existing formulas in a validation group were compared.RESULTSThe average liver and spleen volume values were 1043.18 ± 244.60 cm3 and 175.07 ± 88.15 cm3, respectively. Age, body height, body weight, body surface area and body mass index were significantly correlated with liver and spleen volume. Body surface area showed the strongest correlation with liver volume and spleen volume( p<0.005 and p<0.001). Based on these results, new formulas to calculate the standard liver volume and standard spleen volume were established.CONCLUSIONSCompared the new liver volume formula with the existing formula, it is found that the new liver volume is more accurate. And the accuracy of the spleen volume formula is acceptable. Core tip: To solve the problem of time-consuming and boring in calculating the liver and spleen volume, we successfully established the liver and spleen volume formula can be used in Chinese adult. Though there are some reports about the liver volume, but it is different in spleen volume. The liver volume and spleen volume radio is an useful index to predict the esophageal varices and bleeding risk for cirrhosis patients. Only liver volume formula is not enough, the finding of the spleen volume is very meaningful.

Body Weight and Surface Area

2011 ◽  
pp. 27-28
Keyword(s):  
Body Weight ◽  
Surface Area

Efficacy of body weight vs body surface area-based prednisolone regimen in nephrotic syndrome

2020 ◽  
Vol 24 (7) ◽  
pp. 622-629 ◽  
Author(s):  
Biswanath Basu ◽  
Suman Bhattacharyya ◽  
Shilpita Barua ◽  
Abhisek Naskar ◽  
Birendranath Roy
Keyword(s):  
Body Weight ◽  
Nephrotic Syndrome ◽  
Surface Area ◽  
Body Surface Area ◽  
Body Surface

scholarly journals Salivary and Urine Theophylline Levels in Management of Childhood Asthma

1981 ◽  
Vol 74 (6) ◽  
pp. 415-418 ◽  
Author(s):  
S J Goldsworthy ◽  
M Kemp ◽  
J O Warner
Keyword(s):  
Body Weight ◽  
Surface Area ◽  
Childhood Asthma ◽  
Slow Release ◽  
Simple Method ◽  
Serum Theophylline ◽  
Theophylline Level ◽  
Serum Theophylline Level ◽  
Plasma Theophylline ◽  
Urine Levels

It is not possible to predict the plasma theophylline levels that can be achieved using slow-release aminophylline based on body weight or surface area. Improvement in FEV1 is directly related to increasing serum theophylline level, justifying the need for measuring levels in order to optimize therapy. As repeated venesection in children is unpleasant we have studied a simple method using saliva. Simultaneous blood and salivary theophylline levels correlated sufficiently well for salivary levels to be used for monitoring purposes. Urine levels did not correlate as well, but could be used for checking compliance.

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