STUDY OF TENS NAIL IN PAEDIATRIC RADIUS AND ULNA FRACTURE

2021 ◽  
pp. 25-26
Author(s):  
Ranjeet Kumar ◽  
Munna Kumar ◽  
Rashid Iqbal
Keyword(s):  
Surgical Treatment ◽  
Forearm Fracture ◽  
Functional Results ◽  
Unstable Fracture ◽  
Age Group ◽  
Forearm Fractures ◽  
Older Children ◽  
Anatomical Reduction ◽  
Surgical Interventions ◽  
Nail Diameter

Introduction: Forearm is considered as a functional joint, therefore near anatomical reduction is essential to regain normal supination and pronation. In older children many forearm fractures can be treated conservatively, but failures continue to occur despite good orthopaedic intentions. The fracture which are irreducible or unstable fracture which tends to re-displace needs surgical interventions. Among various surgical treatment one is internal xation using TENS. Various studies in the recent shows excellent to good clinical outcomes using TENS. Aims: Our study is intended to evaluate the clinical and radiological outcomes in paediatric both bone forearm fracture using TENS. Materials and methods: A total of 30 patients are included in our study. All are investigated, undergone preanesthetic check-up and taken for TENS application under image intensier. Nail diameter taken as 33-40% of narrowest diameter of diaphysys were introduced proximally in ulna and distally in radius under image intensier in closed manner. Postoperatively, patients encouraged for active shoulder, elbow and nger movements and suture removal done after 2 weeks. All patients are followed up to 24 week, when implant removal was done. Results: In our study 90% patients show excellent functional results. Conclusion: We conclude that TENS in both bone forearm fractures in adolescent age group in terms of union and range of motion is a minimally invasive and effective method of xation

scholarly journals Multilevel radical resection in treatment of patients with spine tumors

2021 ◽  
Vol 13 (2) ◽  
pp. 11-17
Author(s):  
R. M. Kabardaev ◽  
E. R. Musaev ◽  
A. K. Valiev ◽  
K. A. Borzov ◽  
S. F. Kuznetsov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Malignant Tumors ◽  
Disease Free Survival ◽  
Functional Results ◽  
Radical Resection ◽  
Spinal Tumors ◽  
Benign Tumors ◽  
Study Objective ◽  
Surgical Interventions ◽  
National Medical

Introduction. Radical surgical resections in the treatment of malignant tumors of the spine have proven effective in improving both overall and disease-free survival of patients. Indications for such interventions are primary malignant tumors of the spine, primary benign tumors with aggressive growth, and solitary metastatic lesions in patients with a favorable oncological prognosis. Due to the anatomical features of the vertebral column, it is very difficult to perform radical resections. An even more difficult task is to perform such interventions for multilevel spinal lesions.The study objective is to evaluate the results of radical surgical treatment for multilevel tumor lesions of the spine.Materials and methods. From 2004 to 2019, in the department of spine surgery of the N.N. Blokhin National Medical Research Center of Oncology treated 36 patients with spinal tumors, who underwent multilevel radical resections. The analysis of this surgical treatment of patients with multilevel neoplastic lesions of the spine was carried out.Results. Performing radical surgical interventions on the spine makes it possible to reduce the frequency of local relapses, improve functional results and overall survival of patients. After performing multilevel resections, complications often occur.

scholarly journals Long-term oncological and functional results of robot-assisted radical prostatectomy

2021 ◽  
Vol 17 (3) ◽  
pp. 121-128
Author(s):  
K. K. Ramazanov ◽  
K. B. Kolontarev ◽  
G. P. Gens ◽  
A. V. Govorov ◽  
A. O. Vasilyev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radical Prostatectomy ◽  
Length Of Hospital Stay ◽  
Functional Results ◽  
State University ◽  
Robot Assisted ◽  
Surgical Interventions ◽  
Long Term Follow Up

Prostate cancer (РСа), being one of the leading causes of cancer mortality in men in Russia and in a number of other countries of the world, remains an urgent problem for modern oncourology, and the choice of surgical method is an important task for a surgeon. Such a pronounced interest in robot-assisted radical prostatectomy (RARP) in patients is driven by good tolerance and effectiveness of these surgical interventions, despite the fact that radical prostatectomy is considered to be the "gold standard" for treatment of patients with clinically localized РСа with regard to European Association of Urology data. The long-term oncological and functional results and the quality of life of patients after RARP deserve close attention and thorough study. According to the data presented in this article, it is obvious that RARP is the preferred method for surgical treatment of РСа, since oncological and functional results in the long-term follow-up are comparable to the results after radical prostatectomy, and according to some authors, these results are superior to the results of radical prostatectomy. The results of the study will allow to continue further introduction of RARP into clinical practice and its popularization as a method of surgical treatment of patients with localized PCa, which will reduce the length of hospital stay of patients, accelerate their medical and social rehabilitation, and improve the quality of medical care.The amount of data on the study of distant oncological and functional results of RARP as well as its superiority over other treatment methods is limited in medical literature, which prompted us to conduct our own research. Currently the urological clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry continues work aimed at studying the longterm results of RARP in the first patients in Russia.

scholarly journals A prospective comparative study of internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group

2018 ◽  
Vol 4 (3) ◽  
pp. 395
Author(s):  
P. Amarnath Reddy ◽  
C. Dinesh Reddy
Keyword(s):  
Internal Fixation ◽  
Functional Results ◽  
Vital Role ◽  
Age Group ◽  
Forearm Fractures ◽  
Prospective Comparative Study ◽  
Both Bones ◽  
A Prospective Study ◽  
Type Of Injury ◽  
Radiological Union

<p class="abstract"><strong>Background:</strong> In orthopedic practice forearm bone fracture is commonly encountered fracture. Forearm plays a vital role in day to day activities without which a person is unable to perform his role in his own life. It has been estimated that around 31% of the total fractures of the upper limb are of forearm fractures. The objective of the study was to study and compare internal fixation of diaphyseal forearm fractures with LCP and DCP in above 50 year age group</p><p class="abstract"><strong>Methods:</strong> Present study was hospital based study. This was a prospective study. A total of 50 patients with fracture of both bones in the forearm were included in the present study. They were divided randomly as 25 patients in each group. They were followed for about eight months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Both the groups in the present study were found to be comparable in terms of age, sex, mode of injury, type of injury and level of fracture. It took only 13.83 weeks for radiological union in LCP group and it took a longer in DCP group of 15.33 weeks. This difference was found to be statistically significant. Overall functional results were almost same in both the groups. Excellent in 36 cases (19 in LCP, 17 in DCP), Good in 10 cases (4 in LCP, 6 in DCP), fair in 4 cases (2 in each group).</p><p class="abstract"><strong>Conclusions:</strong> It has been concluded from the present study that union of fracture after LCP had taken significantly lesser time as compared to the DCP technique. Hence especially in persons above 50 years, LCP should be used.</p>

scholarly journals Surgical Treatment of Osteochondral Lesions of the Talar Dome: Review

2021 ◽  
Vol 27 (3) ◽  
pp. 149-161
Author(s):  
Ekaterina A. Pashkova ◽  
Evgenii P. Sorokin ◽  
Viktor A. Fomichev ◽  
Nikita S. Konovalchuk ◽  
Ksenia A. Demyanova
Keyword(s):  
Surgical Treatment ◽  
Functional Results ◽  
Osteochondral Lesions ◽  
Talar Dome ◽  
Surgical Interventions ◽  
Current State ◽  
Surgical Methods ◽  
Treatment Concepts ◽  
Detailed Assessment ◽  
Number Of Publications

Background. The relevance of the talar dome osteochondral lesions problem is assosiated with the difficulties of diagnosis, the lack of unified treatment algorythm and the great number of unsatisfactory clinical and functional results. In the last decade, there has been increasing interest in this topic in the literature, which is demonstrated by a great number of publications with series of observations or clinical cases. However, attempts to create the universal algorithm for this group of patients treatment are limited by the low level of existing studies evidence, high frequency of the new data publications, as well as the impossibility of using a number of surgical methods in different countries for legislative or other reasons. The aim is to determine the current state of the problem of the talar dome osteochondral lesions surgical treatment and to identify types of surgical interventions in patients with the studied pathology. Material and methods. 120 international articles published from 2000 to 2021, as well as 18 domestic publications for the period from 2007 to 2021 were selected for the literature analysis. The search for publications was carried out in the PubMed/MedLine and eLibrary databases. Results. The most widespread are surgical interventions aimed at stimulation of the bone marrow, and plastic surgery using osteochondral auto - and allografts. Currently, there is no consensus on the indications for different types of surgical methods, and the previously used indications are being questioned. This determines the need to improve diagnostic and treatment concepts. Conclusion. The studied literature cannot fully answer a number of questions related to the methods of surgical treatment of patients with symptomatic osteochondral lesions of the talar dome and indications for them. A more detailed assessment of the medium- and long-term clinical outcomes of various surgical methods and the development of algorithms for this group of patients treatment, specific for different countries, are needed.

scholarly journals SURGICAL COMPLICATIONS AFTER MODULAR ENDOPROSTHETICS IN PATIENTS WITH ACETABULAR TUMOR

2019 ◽  
Vol 6 (3) ◽  
pp. 98-107
Author(s):  
G. D. Iluridze ◽  
V. Yu. Karpenko ◽  
V. A. Derzhavin ◽  
A. V. Bukharov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
World Literature ◽  
Malignant Tumors ◽  
Pelvic Ring ◽  
Functional Results ◽  
Surgical Interventions ◽  
Metal Structures ◽  
Pelvic Bones ◽  
Conservation Treatment

There are various methods of restoring the integrity of the pelvic ring, after surgery in patients with tumor lesions of the pelvic bones, allowing to keep the limb with good oncological and functional results. A new stage in the development of organ conservation treatment in this group of patients is the use of modular endoprostheses based on the conical leg. The development of postoperative complications leads to an unsatisfactory result of treatment, despite the radical surgery and technically correct endoprosthesis. This, in turn, leads to repeated surgical interventions, namely to remove metal structures, or to perform a crippling operation. Purpose. To analyze postoperative complications and methods of their treatment in patients after modular endoprosthesis replacement of the acetabulum. Patients and methods. From 2011 to 2018, surgical treatment of endoprosthesis using modular metal structures based on a conical leg was performed in 30 patients. There were 13 men (43%) and 17 women (57%). The median age was 45 years (23–63 years). Primary malignant tumors of pelvic bones were in 19 (63%) patients, 5 (17%) had a giant cell tumor. Two (7%) patients had solitary metastases of kidney cancer and one (3%) with synovial sarcoma, and 3 (7%) had relapses after previous surgical treatment. Results. The average follow-up period was 36 months. Progression of the disease in terms of 6 to 40 months was revealed in 10 patients (33%), 8 (27%) of which died, the remaining 22 (67%) are alive with no signs of progression. In the postoperative period, 11 (37%) patients developed complications with predominance (up to 30%) of infectious. The average functional result on the MSTS scale was 59%. Conclusion. The use of modular prostheses on the basis of a conical leg in patients with tumors of the pelvic bones allow to perform safe operations with a satisfactory functional and oncological result. The result obtained in our study is comparable with the data of world literature. 

scholarly journals New methods of surgical operations on large bowel

2018 ◽  
Vol 85 (7) ◽  
pp. 16-20
Author(s):  
V. М. Меlnyk ◽  
О. І. Poyda ◽  
E. М. Shepetko ◽  
І. І. Polovnikov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Large Bowel ◽  
Functional Results ◽  
Late Results ◽  
Occurrence Rate ◽  
Surgical Interventions ◽  
New Methods ◽  
Severity Degree

Objective. To improve the immediate and late results of surgical treatment in patients, suffering the large bowel (LB) diseases, using improvement of standard and elaboration of new methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations. Маterials and methods. New methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations on LB were elaborated, taking into account peculiarities of the diseases morphogenesis, аnatomical and functional details of the LB separate parts. The operations mentioned were performed in 497 patients, suffering LB cancer, ulcerative colitis, Crohn’s disease, familial adenomatous polyposis, chronic decompensated colostasis, complicated by the LB diverticular disease. Results. Due to implementation into clinical practice of the surgical interventions elaborated, the postoperative morbidity occurrence rate have reduced down to 2.4%, postoperative lethality - to 0.2%, the functional results improved, the occurrence rate and the severity degree for pathological postoperative syndromes have lowered (reflux-ileitis, postcolectomy syndrome, syndrome of low anterior resection, secondary anal incontinence), the governing of the outflow process after rectal extirpation was guaranteed, the operated patients quality of life improved essentially due to introduction of the surgical interventions elaborated. Conclusion. Improvement of the surgical treatment results for the LB diseases is possible while applying of new methods of radical, organ-preserving , restorational and reconstructive-restorational operations, what promotes the essential reduction of the occurrence rate for the LB diseases recurrence occurrence, pathological syndromes morbidity and their severity degree, significant improvement of functional results and quality of life in the patients operated.

scholarly journals RESULTS OF SURGICAL TREATMENT OF NEWBORNS WITH ANTERIOR ABDOMINAL WALL MALFORMATIONS

2020 ◽  
Vol 24 (1) ◽  
pp. 5-10
Author(s):  
A. A. Shchukina ◽  
O. G. Mokrushina ◽  
A. S. Gurskaya ◽  
E. Yu. Dyakonova ◽  
O. N. Nakovkin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Functional Results ◽  
Abdominal Wall Defects ◽  
Surgical Interventions ◽  
Surgical Department ◽  
Satisfactory Condition ◽  
National Medical ◽  
Increased Risk

Introduction. Malformations of the anterior abdominal wall in newborns is one of the actual problems in neonatal surgery. Antenatal diagnostics of such defects as omphalocele and gastroschisis allows to diagnose and perform necessary surgical interventions in time. Often, outcomes of treatment of newborns with embryonic hernia depend not only on the form of the defect, but also on the accompanying abnomalies. Purpose. To present outcomes of surgical treatment of newborns with anterior abdominal wall malformations. Material and methods. From December 2017 till May 2019, 34 pregnant women with fetal anterior abdominal wall malformations were consulted; 17 out of them with omphalocele and gastroschisis were treated. Results. In December 2017, the surgical department for newborns and infants at the National Medical Research Center for Children’s Health successfully helped children with malformations of the anterior abdominal wall. 16 children were discharged home in a satisfactory condition; there was one unsatisfactory outcome. 11 patients were treated for gastroschisis; 6 patients were treated for omphalocele. 3 patients had repeated surgeries for concomitant pathologies. There were no any adhesive processes and commissural intestinal obstruction. Conclusions. In Russia, there are two groups of newborns with anterior abdominal wall defects: children with isolated defects and children with concomitant pathologies who have an increased risk of unsatisfactory outcomes. The technique developed by us for treating newborns with anterior abdominal wall malformations and concomitant pathologies has very good cosmetic and functional results and reduces the number of postoperative complications and unsatisfactory outcomes.

X-ray Follow-up after Open Reduction Internal Fixation of Distal Forearm Fracture

2020 ◽  
Author(s):  
Henrik Johan Sjølander ◽  
Sune Jauffred ◽  
Michael Brix ◽  
Per H. Gundtoft
Keyword(s):  
Diagnostic Imaging ◽  
Forearm Fracture ◽  
Minimal Risk ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Distal Forearm Fracture ◽  
Standard Regimen ◽  
Prolonged Immobilization ◽  
Distal Forearm Fractures

Abstract Background Following surgery, the standard regimen for fractures of the distal forearm includes radiographs taken 2-weeks postoperatively. However, it is unclear whether these radiographs have any therapeutic risks or benefits for patients. Objective The purpose of this study is to determine the importance of radiographs taken 2-weeks after surgery on distal forearm fractures, especially if it leads to further operations, and to establish whether this practice should be continued. Materials and Methods This is a retrospective cohort study of patients with a distal forearm fracture treated surgically with a volar locking plate at two university hospitals in Denmark. Standard aftercare at both departments is 2 weeks in a cast. Patients attend a 2-week follow-up, at which the cast is replaced with a removable orthosis and radiographs are taken. It was recorded whether these radiographs had resulted in any change of treatment in terms of further operations, prolonged immobilization, additional clinical follow-up, or additional diagnostic imaging. Results A total of 613 patients were included in the study. The radiographs led to a change of standard treatment for 3.1% of the patients. A second operation was required by 1.0%; 0.5% were treated with prolonged immobilization, and 1.6% had additional outpatient follow-up due to the findings on the radiographs. Additional diagnostic imaging was performed on 1.9% of the patients. Conclusion The radiographs taken at the 2-weeks follow-up resulted in a change of treatment in 3.1% of the cases. Given the low cost and minimal risk of radiographs of an extremity, we concluded that the benefits outweigh the costs of routine radiographs taken 2 weeks after surgical treatment of distal forearm fractures.

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