EVALUATION OF FUNCTIONAL OUTCOME OF CALCANEUM FRACTURES TREATED BY MINIMALLY INVASIVE FIXATION TECHNIQUES

2021 ◽  
pp. 28-29
Author(s):  
Kautilyakumar V. Mahida ◽  
Jyotish G. Patel ◽  
Niharkumar J. Mayani
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Functional Outcomes ◽  
American Association ◽  
Invasive Technique ◽  
Bony Union ◽  
Articular Fractures ◽  
Fixation Techniques ◽  
Minimally Invasive Fixation

Purpose: To assess the functional outcome of calcaneum fracture treated by minimally invasive xation technique. Methods: 30 patients of displaced intraarticular calcaneum fractures were treated with minimally invasive xation techniques in this prospective study after obtaining informed consent regarding the same and satisfying inclusion and exclusion criteria. They were then followed up at 3 weeks, 6 weeks, 3 months, and 6 months. Functional outcomes were assessed using American association of foot and ankle score system (AOFAS) and Radiographs were also obtained on follow up and Bohler and Gissane angles were measured. Results: Out of 30 patients treated with minimally invasive xation techniques bony union occurred in all patients, functional outcome by American association of ankle and foot score (AOFAS) were 24 good, and 6 fair result. Radiographs showed restoration and maintainence of Bohler angle and Gissane angle in 28 patients at 6 months follow up. Conclusion: Minimally invasive technique for the treatment of intra articular fractures gives good to fair clinical outcome on short term follow up with very few complications. Restoration of Bohler and Gissane angle is correlated to good functional outcomes.

Trochlear femoral fractures in cats: results of seven cases

2001 ◽  
Vol 14 (01) ◽  
pp. 51-55 ◽  
Author(s):  
J. Font ◽  
M. J. Marti ◽  
C. A. Chico
Keyword(s):  
Functional Outcome ◽  
Surgical Repair ◽  
Femoral Fractures ◽  
Bony Union ◽  
Femoral Trochlea ◽  
Articular Fractures ◽  
K Wires ◽  
One Year ◽  
Femoral Condyles

SummarySeven cases of intra-articular fractures of the femoral condyles in cats were reviewed retrospectively. All of the cases involved the trochlea in a pattern that was different from the standard “T” or “L” fracture. Three of the cats were under one year of age. Surgical stabilization involved the use of plates and screws (five cases), crossed screws (one case), and multiple K-wires (one case). Radiographic bony union was demonstrable in all of the cases within 10 weeks. Six (85%) of the cats had a good functional outcome, and one (15%) had a fair outcome (minimum follow-up: four months). Major complications were not observed after post-operative physical and radiological examination.A retrospective study of seven cats with intra-articular fractures of the femoral trochlea was performed. These fractures were different than the standard “T” or L” fracture, and six of the fractures were comminuted.Functional outcome of the surgical repair was graded as good, fair or poor. Six of the cats had a good outcome, and one had a fair outcome.

scholarly journals PO 18150 - Comparison between the open and minimally invasive repair techniques in acute Achilles tendon injuries

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. S32
Author(s):  
João Paulo Primo de Araujo ◽  
Marcus Vinicius Mota Garcia Moreno ◽  
Janice De Souza Guimarães ◽  
Marilton Jorge Torres Gomes ◽  
Túlio Eduardo Marçal Vieira ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Functional Outcomes ◽  
Tendon Rupture ◽  
Open Repair ◽  
Achilles Tendon Rupture ◽  
Invasive Technique ◽  
Repair Technique ◽  
Repair Techniques

Objective: Our study compares the functional outcomes of patients who underwent open repair of the Achilles tendon with those of patients treated with the minimally invasive technique using the percutaneous Achilles repair system (PARS) over a 1-year minimum follow-up period and presents the complication rates for the 2 techniques. Methods: Between 2011 and 2016, 31 patients were reviewed; of these, 20 were included in the study (10 PARS X 10 open repair technique). Patients with chronic Achilles tendon rupture, insertional or bilateral, and patients with a history of surgery or previous ankle pathology that could mask functional outcomes were excluded from the study. The open repair technique was performed via a posteromedial incision to the ankle to repair the tendon and was combined with myotendinous transfer of the flexor hallucis longus tendon, which was fixed with a Biotenodesis screw. The minimally invasive technique was performed using the PARS of the company Arthrex through a small transverse incision at the site of the Achilles tendon rupture. Functional outcomes and complications were collected after at least 1 year of follow-up. Results: Both groups had similar American Orthopedic Foot and Ankle Society (AOFAS) scores (PARS: 95.3±5.1, open: 96.5±5.1; p=0.604), demonstrating similar functional outcomes. The PARS group had a higher number of complications than the open repair group (PARS: 20% x open: 10%), but the difference was not significant (p=0.383). Conclusion: For the treatment of acute Achilles tendon injuries, the PARS and open repair techniques had similar functional outcomes after 1 year of follow-up.

scholarly journals K. wire fixation versus conservative treatment of closed displaced intra-articular calcaneal fractures

2019 ◽  
Vol 15 (1) ◽  
pp. 86-94
Author(s):  
Mohammed Sh. Al-Edanni
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Treatment Result ◽  
Invasive Technique ◽  
Calcaneal Fractures ◽  
Articular Fractures ◽  
Subtalar Arthritis ◽  
Wire Fixation ◽  
One Year

Background: Calcaneus is a spongy cancellous bone with rich blood supply , its fracture heals more rapidly providing no occurrence of infection and soft tissue injury around ,no gross malposition of fragments. The associated pain leads to a major impairment in life quality. The aim of treatment for calcaneal fractures is the decrease of pain and rebuilding of walking ability for patients with normal foot shape and the ability to wear normal foot wear. To reduce complications, a minimally invasive technique for the treatment of displaced intra-articular fractures of the calcaneus was preferred to use. The purpose of this study was to determine whether the closed reduction and percutaneous K. wire fixation of displaced intra-articular calcaneal fractures results in better functional outcome at a minimum one year follow up after the injury compared with those after non-operative management. Methods: One hundred and eleven displaced closed intra-articular calcaneal fracture in 105 patients (six were bilateral) were seen at the orthopedic department of Al-Kindy teaching hospital and Shaih Zaid hospital , only 45 cases included in this study and prospectively evaluated with an average follow-up time of minimum  of one year (1–3years follow-up). For radiographic evaluation, plain radiographs and CT scans were obtained. The Maryland Foot Score was used for clinical estimate. Sanders type II, III and IV fractures were diagnosed. Results: The incidence of subtalar arthritis was correlated with the severity of fracture. Böhler’s angle was restored in 70.1% (47 of 67) of the cases. The majority (77.7%) of patients were content with their treatment result. The rate of significant complications was 6.5%. Discussion: Percutaneous K. wire fixation of displaced intra-articular calcaneal fractures presented minimally invasive technique which showed comparable results with a low rate of serious complications and is a viable alternative for the treatment of intra-articular, dislocated calcaneal fractures. Conclusions: the functional results after K. wires fixation of displaced intra-articular calcaneal fractures were better than those after non-operative care.

scholarly journals PO 18190 - Clinical and functional outcomes of minimally invasive reconstruction of chronic Achilles tendon injuries

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 38S
Author(s):  
Juliana Doering Xavier da Silveira ◽  
Guilherme Sevá Gomes ◽  
Giulia Carvalho Silva ◽  
Nacime Salomão Barbachan Mansur ◽  
Alberto De Castro Pochini
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Achilles Tendon ◽  
Functional Outcomes ◽  
Tendon Injuries ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Functional Tests ◽  
Functional Loss

Introduction: Chronic Achilles tendon injuries require surgical treatment to improve tendon function. The minimally invasive technique described in this study reduces damage to the fascia and rigid fixation. Objective: To evaluate the clinical and functional outcomes of the reported technique using functional tests, anthropometric measurements and questionnaires. Methods: We evaluated 13 patients who underwent surgical treatment using the minimally invasive technique from 2013 to 2017, after at least 12 months of postoperative follow-up. The patients were subjected to the straight leg raise test to evaluate strength function; we measured the calf circumference and the tibiotarsal angle, and the Achilles Tendon Total Rupture Score (ATRS) and visual analog scale (VAS) were administered. We used parametric tests for statistical analysis. Results: We obtained a 15.4% complication rate (2 patients). We observed differences between healthy and treated limbs when assessing the tibiotarsal angle (a 20% loss of ankle length) and the leg circumference (a 3% decrease in linear measurement). We observed a 36% loss of muscle stretch in functional tests. Conversely, we observed excellent results in the subjective functional assessment using the ATRS (a mean of 82.8 points and a median of 98 points). Conclusion: Surgical treatment of chronic Achilles tendon injuries using the minimally invasive reconstruction technique is associated with an important postoperative objective functional loss. However, this functional loss is not correlated with subjective outcomes assessed using questionnaires in the postoperative follow-up of this technique, which indicates satisfaction and subjective functionality.

METACARPAL AND PROXIMAL PHALANGEAL FRACTURES — FIXATION WITH MULTIPLE INTRAMEDULLARY KIRSCHNER WIRES

Hand Surgery ◽  
2000 ◽  
Vol 05 (02) ◽  
pp. 125-130 ◽  
Author(s):  
Kian Hwa Liew ◽  
Beng Kuen Chan ◽  
Cheng Ooi Low
Keyword(s):  
Minimally Invasive ◽  
Hand Function ◽  
Proximal Phalanx ◽  
Invasive Technique ◽  
Bony Union ◽  
Short Hospital Stay ◽  
Kirschner Wires ◽  
General Outcome ◽  
Phalangeal Fractures

The use of intramedullary wires for fixation of fractures of the metacarpal and proximal phalanx in our hospital was reviewed. Twenty-six patients with 26 metacarpal fractures and four proximal phalangeal fractures were treated using this technique from 1993 to 1998. After a minimal follow-up of nine months, all the patients were assessed clinically and radiologically. All fractures proceeded to bony union at an average of 5.7 weeks (range four to eight weeks). With this simple and minimally invasive technique, most of these patients required very short hospital stay and were able to start mobilisation relatively early. The general outcome was good hand function with few complications.

scholarly journals 689 Silac (Sinus Laser-Assisted Closure) For Pilonidal Sinus: Our NHS Experience

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Kalaskar ◽  
J Adamek
Keyword(s):  
Minimally Invasive ◽  
Success Rate ◽  
Pilonidal Disease ◽  
Surgical Excision ◽  
Pilot Project ◽  
Invasive Technique ◽  
Recurrence Rates ◽  
Pilonidal Cyst ◽  
Primary Wound Closure

Abstract Introduction The accepted treatment of pilonidal disease still consists of surgical excision with primary wound closure. This treatment has complications such as excessive pain, delayed wound healing, and recurrence. We introduced this technique using a radial laser probe (SiLaCTM, Biolitec, Germany). Previous studies have shown encouraging results with respect to safety, patient satisfaction, and minimal recurrence rates. Method The pilot project was planned with the objectives to assess postoperative complications and reoperation rates. All operations were performed as day case procedures under general anaesthesia. We studied the data of our first 25patients operated with this technique between January 2019 and December 2019 using a prospective database and outpatient clinic follow up. Results The median follow up duration was 13 months. The initial success rate was 64%(16/25), reoperation was required in 32%(8/25) and one patient was lost to follow up. one patient returned with abscess formation in the postoperative period. Conclusions SiLaC is a safe and minimally invasive technique for the destruction of the pilonidal cyst and sinus. The success rate is modest, making this new therapy a minimally invasive option for the majority of the patients with pilonidal disease but it should be offered with caution.

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

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

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

scholarly journals Results of a novel surgical technique for iridodialysis repair using segments

2021 ◽  
Author(s):  
Ugur Unsal ◽  
Huri Sabur ◽  
Mehmet Soyler
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Clinical Results ◽  
Study Data ◽  
Invasive Technique ◽  
Minimally Invasive Surgical ◽  
Corrected Distance Visual Acuity ◽  
History Of ◽  
Surgical Manipulation

Abstract Purpose: To describe a novel surgical technique for iridodialysis repair using iris retractor segments and report its clinical results.Methods: 53 eyes of 53 patients who underwent surgery for iridodialysis repair were enrolled in this retrospective study. Data recorded from patient files consisted of age, sex, history of trauma, surgical indications and type of surgery, preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), complications, and follow-up time. The novel, minimally invasive surgical technique was explicitly described in detail.Results: Mean follow-up time was 34.4 (range 12-84) months. The subjects were 29 (54.7%) men and 26 (45.3%) women, and the mean age was 56.6±14.0 years. Iridodialysis repair performed using one segment in 37 (69.8%) eyes, two segments in 15 (28.3%) eyes, and three segments in 1 (1.9%) eye. Pupilloplasty was performed in 17 eyes due to wide pupil diameter. The iridodialysis repair was combined with lens removal in 48 eyes, and anterior vitrectomy was performed in 10 eyes. CDVA significantly improved after surgery (p<0.001). Post-traumatic IOP rise was the most common complication, and six patients needed medical therapy for glaucoma control.Conclusion: Iridodialysis repair using iris retractor segment is a minimally invasive technique and found to be safe and effective, providing less surgical manipulation and surgical time than other techniques.

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