scholarly journals Surgical Treatment of Chronic Patellar Tendon Rupture: A Case Series Study

2018 ◽  
Vol 23 (2) ◽  
Author(s):  
Mahmoud Jabalameli ◽  
Abolfazl Bagherifard ◽  
Hosseinali Hadi ◽  
Mohammad Mujeb Mohseni ◽  
Amin Yoosefzadeh ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tobias Moest ◽  
Rainer Lutz ◽  
Arne Eric Jahn ◽  
Katharina Heller ◽  
Mario Schiffer ◽  
...  

Abstract Background The oral health of organ transplanted patients before organ re-transplantation is largely unknown. This retrospective clinical study evaluates the necessity for intraoral surgical intervention and/or conservative treatment in candidates awaiting organ re-transplantation, both for graft failure and for reasons of another upcoming solid organ transplantation (renal or non-renal). Methods From January 2015 to March 2020 n = 19 transplant recipients in evaluation on the waiting list for solid organ re-transplantation could be included in the retrospective case series study. Using clinical and radiological examinations, necessity for oral surgical or conservative dental treatment was evaluated. On the basis of anamnesis data, current kidney function, renal replacement treatment (RRT), and medication, a risk profile for several patient subgroups was created. Results The clinical and radiological examinations showed a conservative and/or surgical treatment need in n = 13 cases (68.42%). In n = 7 cases (36.84%) surgical intervention was recommended due to residual root remnants (n = 5), unclear mucosal changes (n = 1), and periimplantitis (n = 1). In n = 16 recipients (84.2%) RRT (n = 15 hemodialysis; n = 1 peritoneal dialysis) had been performed. N = 14 recipients (73.68%) received immunosuppressants. In n = 1 patient (5.3%) displayed intraoral and n = 4 patients (21.1%) extraoral neoplasms due to drug-induced immunosuppression. Conclusions Solid organ transplant recipients with renal failure present a complex treatment profile due to a double burden of uremia plus immunosuppressants. In cases of surgical treatment need a hospitalized setting is recommended, where potentially necessary follow-up care and close cooperation with disciplines of internal medicine is possible in order to avoid surgical and/or internal complications.


2020 ◽  
Vol 19 (1) ◽  
pp. 46-53
Author(s):  
Raad Ahmed Hussein ◽  
◽  
Muhammed Hameed Faeadh Al-Jumaily ◽  
Rana Hani Mohammed Ali Al-Shaikh Hamed ◽  
Asaad F. Albayati ◽  
...  

2020 ◽  
Author(s):  
Diego José Caycedo ◽  
Marcela Cabal Castro ◽  
Luís Fernando Santacruz

Simple craniosynostosis is a cranial deformity that occurs secondary to a premature closure of one or more sutures, with a consequent alteration in cranial growth and cerebral expansion. The cranial alteration presents as flattening parallel to the compromised suture, with compensatory bulging in a perpendicular vector. The surgical treatment consists in cranial decompressions with suturectomies and simultaneous cranioplasties. Dynamic multiple revolution osteotomies allow the design of bone flaps that can help with decompression and correct secondary deformities caused by the synostosis. This multicenter descriptive case series study assessed 52 patients (12 plagiocephaly, 29 scaphocephaly, 7 brachycephaly and 4 trigonocephaly) operated in Cali, Colombia. In each case, suturectomy and telescoping with multiple revolution cranial osteotomies were designed to correct each particular deformity. No clinical complications were observed in the postoperative period (1, 90, and 180 days), and excellent outcomes with no re ossification of sutures and maintenance of the cranioplasty, based on clinical observation and findings in the 3D reconstruction scans.


2015 ◽  
Vol 68 (1-2) ◽  
pp. 22-28 ◽  
Author(s):  
Nemanja Kovacev ◽  
Jelena Antic ◽  
Nemanja Gvozdenovic ◽  
Mirko Obradovic ◽  
Miodrag Vranjes ◽  
...  

Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective tenyear study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p=0.0197 p<0.05) was found in the average values of the Lysholm score between the group of patients with risk factors (71.78) and the subjects without risk factors (92.18). A statistically significant difference (p=0.008 p<0.01) was found in the Lysholm score between the patients with timely diagnosis (91.62) and cases of chronic tendon tear (67). Conclusion. Timely diagnosis and early surgical reparation are the basic imperatives in the treatment of this injury. Comorbidity and risk factors are related to a poorer postoperative Lysholm score. The method of choice is early surgical treatment.


2015 ◽  
Vol 101 (3) ◽  
pp. 307-311 ◽  
Author(s):  
A. Roudet ◽  
M. Boudissa ◽  
C. Chaussard ◽  
B. Rubens-Duval ◽  
D. Saragaglia

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Shuichi Miyamoto ◽  
Makoto Otsuka ◽  
Fumio Hasue ◽  
Takayuki Fujiyoshi ◽  
Koushirou Kamiya ◽  
...  

Patellar tendon rupture in children is especially rare. The fact that the area of traumatic rupture has wide variations makes surgical treatment difficult. We present an 11-year-old boy with acute traumatic patellar tendon rupture at the tibial tuberosity attachment without avulsion fracture. Primary end-to-end repair and reinforcement using 1.5 mm stainless steel wires as a surgical strategy were undertaken. Early range of motion began with a functional knee brace and the reinforced stainless wire was removed 3 months after surgery. Knee function at the final follow-up was satisfactory. We suggest that this strategy may provide a useful option for surgical treatment.


2018 ◽  
Vol 121 (8) ◽  
pp. e112-e113
Author(s):  
Abdusalom Abdurakhmanov ◽  
Mustafa Obeyd ◽  
Oybek Mashrapov ◽  
Amin Polvonov ◽  
Ulugbek Ganiev

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Husham Abdelrahman ◽  
Hassan Al-Thani ◽  
Maryam Al-Sulaiti ◽  
Abdelhakem Tabeb ◽  
Ayman El-Menyar

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1207
Author(s):  
Arnis Engelis ◽  
Liene Smane ◽  
Jana Pavare ◽  
Astra Zviedre ◽  
Timurs Zurmutai ◽  
...  

This case series study consists of six children, aged 5–16 years, admitted to a centralized tertiary paediatric hospital serving a population of 1.9 million with acute appendicitis in the setting of SARS-CoV-2 infection. From the beginning of the pandemic in March 2020 until August 2021, 121 COVID-19-positive children were admitted to the hospital. A total of 49 (40.5%) of these patients presented with gastrointestinal symptoms, of which six were diagnosed with acute appendicitis. Five underwent an appendectomy, while one was treated conservatively. To date, it has been reported that appendicitis may have a plausible association with SARS-CoV-2 infection in children. With COVID-19 cases rising, every medical specialist, including all paediatric surgeons, must be ready to treat common acute diseases with SARS-CoV-2 infection as a comorbidity. Providers should consider testing for this infection in paediatric patients with severe gastrointestinal symptoms. Non-surgical treatment of acute appendicitis in children may gain new importance during and after the COVID-19 pandemic. Further studies are needed to prove the link of causality between COVID-19 and acute appendicitis in children.


Author(s):  
Paulo Giordano Baima Colares ◽  
Luciana Maria de Barros Carlos ◽  
Melina Cristino de Menezes Frota Ramos ◽  
Caio Prado Siqueira Campos ◽  
Velma Dias do Nascimento ◽  
...  

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