scholarly journals MINIMALLY INVASIVE OSTEOSYNTHESIS IN PLEVIC TRAUMA- APPROACHES AND VISIONS FROM CLINICAL PRACTICE

InterConf ◽  
2021 ◽  
pp. 484-492
Author(s):  
Grigore Sîrghi ◽  
Vladimir Kusturov ◽  
Nicolae Caproș ◽  
Anna Kusturova ◽  
Anna Kusturova ◽  
...  

In this study, we intend to study general problems of plevic trauma, available treatment methods minimally invasive and some recommendations or else, visions to evaluate and select the optimal treatment for pelvic ring fractures, to improve quality of life of patients and to reduce the intraoperative risks and incidence of post-traumatic disability.

2013 ◽  
Vol 471 (9) ◽  
pp. 2841-2845 ◽  
Author(s):  
Joerg H. Holstein ◽  
Antonius Pizanis ◽  
Daniel Köhler ◽  
Tim Pohlemann

Author(s):  
Cheryl Gore-Felton ◽  
Lawrence McGlynn ◽  
Andrei Kreutzberg ◽  
David Spiegel

Many individuals seek relief from symptoms associated with HIV infection through the use of integrative medicine. Symptoms include neuropsychiatric problems such as anxiety, depression, cognitive dysfunction, and headaches, as well as somatic disorders related to viral infection and immunodysregulation, such as fatigue, diarrhea, and cardiovascular problems. As antiretroviral treatments have become increasingly effective, symptom management with minimal side effects has become more important. A variety of integrative treatments, including botanicals, vitamins, minerals, probiotics, and herbs, have been utilized, and mind–body approaches such as mindfulness, hypnosis, and movement therapy have been found to reduce symptoms and improve quality of life. This chapter examines widely used integrative medicine approaches to alleviating distressing HIV-related symptoms. Implications for clinical practice are discussed. Integrative approaches emphasize self-management of symptoms and are widely sought after and accepted, even by patients who resist other forms of medical treatment.


Injury ◽  
2018 ◽  
Vol 49 (4) ◽  
pp. 812-818 ◽  
Author(s):  
L. Brouwers ◽  
K.W.W. Lansink ◽  
M.A.C. de Jongh

2018 ◽  
Vol 43 (2) ◽  
pp. 261-267 ◽  
Author(s):  
Paul Schmitz ◽  
Stephan Lüdeck ◽  
Florian Baumann ◽  
Rainer Kretschmer ◽  
Michael Nerlich ◽  
...  

2011 ◽  
Vol 26 (S1) ◽  
pp. s84-s84
Author(s):  
V. Raju

AimComparative analysis of under considered psychological implications in earning members of family who happen to be victims of trauma and end up in early or delayed amputations to those in whom salvage to acceptable or useful function was possible.MaterialWorking and ably earning members who sustained traumatic wounds in industry, domestic, traffic, calamity, war, homicide, suicide, etc. Age groups from 1 to 75 years studied. Grade I,II,III A and III B compound wounds included. Psychological evaluation in early and delayed amputations compared with those salvaged to partial / useful function.MethodsPeriodic and frequent counseling as integral part of treatment regime to victims of trauma and their peers, family members, employers, police and lawyers.DiscussionClassification, incidence and outcome of post traumatic psychosis. Need of effective counseling to reduce post traumatic psychological imbalance and improve quality of life.ObservationsBehavioral changes and suicidal tendency are profound and pronounced in traumatic and early amputees compared to subjects of delayed and revision amputations. Acceptance and adaptability with limb / extremity salvage is encouraging with minimal post traumatic psychosis.ConclusionFrequent and repetitive counseling aids reduce post traumatic psychosis. Depressive psychosis is much less prevalent even in partially functionally acceptable traumatic limb salvage than in early or delayed amputations, though salvage takes a long course in management, rehabilitation and changed occupation by relocation.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Katharina Jäckle ◽  
Marc-Pascal Meier ◽  
Mark-Tilmann Seitz ◽  
Sebastian Höller ◽  
Christopher Spering ◽  
...  

Abstract Background Fragility fractures without significant trauma of the pelvic ring in older patients were often treated conservatively. An alternative treatment is surgery involving percutaneous screw fixation to stabilize the posterior pelvic ring. This surgical treatment enables patients to be mobilized quickly and complications associated with bedrest and temporary immobility are reduced. However, the functional outcome following surgery and quality of life of the patients have not yet been investigated. Here, we present a comprehensive study addressing the long-term well-being and the quality of life of patients with fragility pelvic ring fractures after surgical treatment. Methods Between 2011–2019, 215 geriatric patients with pelvic ring fractures were surgically treated at the university hospital in Göttingen (Germany). Of these, 94 patients had fragility fractures for which complete sets of computer tomography (CT) and radiological images were available. Fractures were classified according to Tile and according to the FFP classification of Rommens and Hofmann. The functional outcome of surgical treatment was evaluated using the Majeed pelvic score and the Short Form Health Survey-36 (SF-36). Results Thirty five tile type C and 48 type B classified patients were included in the study. After surgery eighty-three patients scored in average 85.92 points (± 23.39) of a maximum of 100 points using the Majeed score questionnaire and a mean of 1.60 points on the numerical rating scale ranging between 0 and 10 points where 0 points refers to “no pain” and 10 means “strongest pain”. Also, the SF-36 survey shows that surgical treatment positively effects patients with respect to their general health status and by restoring vitality, reducing bodily pain and an increase of their general mental health. Conclusions Patients who received a percutaneous screw fixation of fragility fractures of the posterior pelvic ring reported an overall positive outcome concerning their long-term well-being. In particular, older patients appear to benefit from surgical treatment. Trial registration Functional outcome and quality of life after surgical treatment of fragility fractures of the posterior pelvic ring, DRKS00024768. Registered 8th March 2021 - Retrospectively registered. Trial registration number DRKS00024768.


2021 ◽  
Vol 8 ◽  
Author(s):  
Ricarda Johanna Seemann ◽  
Erik Hempel ◽  
Gabriele Rußow ◽  
Serafeim Tsitsilonis ◽  
Ulrich Stöckle ◽  
...  

Purpose: Aim of this retrospective cohort study was the comparison of the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for fixation of dorsal pelvic ring fractures in terms of clinical outcome, complications, and quality of life.Methods: Thirty-eight patients (23 men, 15 women; mean age 47 ± 19 years) with dorsal pelvic ring fractures (type-C-injuries after AO/OTA) that have been stabilized by either TIFI (group TIFI, n = 22) or SPF (group SPF, n = 16) between May 2015 and December 2018 were retrospectively reviewed. Outcome measurements included demographic data, perioperative parameters, and complications and were obtained from the medical information system. Quality of life was assessed using the German version of the short form 36 (SF-36) and short muskuloskeletal function assessment (SMFA-D). Clinical results were assessed using Merle d'Aubigné-Score, Iowa Pelvic Score, and Majeed Pelvic Score.Results: Both groups show relatively good post-operative results, which has previously been reported. Quality of life was comparable in both groups. Group TIFI was slightly superior regarding complication rates, cutting/suture time, and fluoroscopy time. Group SPF seemed to be superior regarding pain and pelvic scores.Conclusion: None of the methods could demonstrate significant superiority over the other. Management of pelvic injuries remains a highly individual challenge adapted to the individual patients' condition. Nevertheless, if fractures allow for stabilization with TIFI, the use of this method should be taken into consideration as a less invasive and more tissue-conserving approach.


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