scholarly journals Radiographic Outcomes Following the Suture Fixation of Mid-pole Patellar Fractures

Cureus ◽  
2021 ◽  
Author(s):  
Bing Howe Lee ◽  
Michael Shen Xuanrong ◽  
Colin Wang Tzong-Yee ◽  
Yilun Huang ◽  
Keng Lin Francis Wong ◽  
...  
Keyword(s):  
Suture Fixation ◽  
Radiographic Outcomes ◽  
Patellar Fractures

Method for suture fixation of a dislocated intraocular lens in the ciliary sulcus

2020 ◽  
pp. 138-139
Author(s):  
D.M. Sultanova ◽  
◽  
N.M. Kislitsyna ◽  
S.M. Dibirova ◽  
E.S. Kurakina ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Suture Fixation

Актуальность. Имплантацию интраокулярных линз (ИОЛ) после проведенных операций факоэмульсификации катаракты выполняют в капсульный мешок хрусталика, фиксируя и центрируя их за счет гаптических элементов. Однако выделяют ряд осложненных случаев хирургии катаракты, когда появляется необходимость дополнительной шовной фиксации ИОЛ: при разрывах капсулы хрусталика, отсутствие капсульного мешка, слабости и несостоятельности связочно-капсулярного аппарата хрусталика, а также в случае дислокации ранее ИОЛ, не исключая частичной или полной люксации в стекловидное тело. Выбор конкретного способа фиксации в таком случае выполняется офтальмохирургом в зависимости от целого комплекса клинических факторов и модели ИОЛ. Существующие способы фиксации ИОЛ имеют ряд недостатков, ввиду чего разработка новых подходов для решения данной проблемы является актуальной. Цель. Предоставить способ репозиции ИОЛ с шовной фиксацией к склере в области цилиарной борозды. Материал и методы. Предложенный способ фиксации может быть эффективно применен для других видов ИОЛ. Представлен клинический случай дислокации ИОЛ модели Т-26. Описан методрепозиции ИОЛ с шовной фиксацией в цилиарную борозду. Этапы операции: данный способ шовной фиксации ИОЛ выполняется с применением двух игл, связанных нитью полипропилен 10-0 (manisutures polypropylene 10-0). Используя иглу –проводник 30G через парацентез на 6 часах проводятся иглы выше и ниже гаптического элемента ИОЛ. Образующаяся при этом петля нити фиксирует ИОЛ в проекции цилиарной борозды к склере. Результаты. Острота зрения в 1 день после операции составила 0,7, ВГД 19,0 мм рт.ст. При контрольном осмотре спустя 7 дней острота зрения 0,9без дополнительной коррекции, ВГД 18 мм рт.ст Выводы. Предложенный способ репозиции ИОЛ с шовной фиксацией в цилиарную борозду отличается атравматичностью, простотой выполнения и позволяет достичь хороших функциональных и анатомических результатов лечения пациентов.

Radiographic Outcomes of Ring External Fixation for Malunion and Nonunion

2013 ◽  
Vol 22 (04) ◽  
pp. 316-320 ◽  
Author(s):  
Robert K. Lark ◽  
John S. Lewis Jr. ◽  
Tyler Steven Watters ◽  
Robert D. Fitch
Keyword(s):  
External Fixation ◽  
Radiographic Outcomes

Long-Term Outcomes after Colton Type I and II Fractures of the Olecranon

2019 ◽  
Vol 13 (1) ◽  
pp. 208-216
Author(s):  
Thord von Schewelov ◽  
Fredrik Hertervig ◽  
Per-Olof Josefsson ◽  
Jack Besjakov ◽  
Ralph Hasserius
Keyword(s):  
Joint Space ◽  
Type I ◽  
Type Ii ◽  
Men And Women ◽  
Radiographic Outcomes ◽  
Fracture Event ◽  
Comminuted Fractures ◽  
Fracture Types ◽  
Transverse Fractures ◽  
Olecranon Fractures

Background: It is unclear if the outcomes differ in different subtypes of olecranon fractures. Objective: Evaluate the outcomes of different Colton types of olecranon fractures, and if outcomes differ in dominant and non-dominant arms and in men and women. Methods: We evaluated primary journals and radiographs in 40 men and 55 women with isolated olecranon fractures and classified fractures according to Colton. Mean 19 years after fracture event, we re-examined subjective, clinical and radiographic outcomes in the former patients, using the uninjured arms as controls. Results: 89% of patients with Colton type I fractures reported at follow-up no subjective differences between the elbows, 84% with type II oblique/transverse fractures and 84% with type II comminuted fractures (p=0.91). The uninjured to former fractured arm differences in elbow range of motion and strength were no different in the 3 fracture types, the proportions of individuals with radiographic elbow degenerative changes were greater in type II than in type I factures (p<0.001), and there were no differences between the proportions of individuals with reduced joint space in the 3 groups (p=0.40). The outcomes were no different if the fractures had occurred in the dominant or non-dominant arms (p=0.43), or in men or women (p=0.43). Conclusion: There were no different outcomes after Colton type I, type II oblique/transverse or type II comminuted fractures, no different outcomes between fractures in dominant or non-dominant arms and no different outcomes in men and women.

scholarly journals Three-year clinical and radiological results of a cruciate-retaining type of the knee prosthesis with anatomical geometry developed in Japan

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Arata Nakajima ◽  
Manabu Yamada ◽  
Masato Sonobe ◽  
Yorikazu Akatsu ◽  
Masahiko Saito ◽  
...  
Keyword(s):  
Knee Prosthesis ◽  
Cruciate Retaining ◽  
Radiolucent Lines ◽  
Radiographic Outcomes ◽  
Patient Reported ◽  
Long Term Follow Up ◽  
Total Knee ◽  
Clinical And Radiological Results ◽  
Anatomical Geometry

Abstract Background The FINE total knee was developed in Japan and clinical use began in 2001. It has unique design features, including an oblique 3o femorotibial joint line that reproduces anatomical geometry. Although 20 years have passed since the FINE knee was clinically used for the first time in Japan, a formal clinical evaluation including patient-reported and radiographic outcomes has not been undertaken. Methods A total of 175 consecutive primary cruciate-retaining (CR)-FINE total knee arthroplasties (TKAs) at our hospital between February 2015 and March 2017 were included in this study. Three years postoperatively, range of motion (ROM), Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS) and Forgotten Joint Score (FJS) were recorded and compared with preoperative scores. Radiographic analyses including mechanical alignment, component alignment, and incidence of radiolucent lines also were undertaken based on the radiographs 3 years postoperatively. Results One-hundred twenty-two knees (70%) were available for 3-year follow-up data using KOOS, except for the sports subscale. Postoperative KOOS-symptom, −pain and -ADL were > 85 points, but KOOS-sports, −QOL and FJS were less satisfactory. ROM, KSS and all the subscales of KOOS were significantly improved compared with preoperative scores. Postoperative mean FJS was 66 and was significantly correlated with all the subscales of KOOS, but not with postoperative ROM. Radiolucent lines ≧1 mm wide were detected in five knees (4.1%). There were no major complications needing revision surgeries. Conclusions Patient-reported outcomes (PROs) for symptoms, pain and ADL after the CR-FINE TKA were generally improved, but those for sports, QOL and FJS were improved less. The incidence of radiolucent lines was rare but detected around the femoral components. With the mid- to long-term follow-up, improvements of surgical technique will be necessary to achieve better PROs from patients receiving the FINE knee.

Patellar fractures in cats: Repair techniques and treatment decision-making

2021 ◽  
Vol 23 (7) ◽  
pp. 649-661
Author(s):  
Sorrel J Langley-Hobbs
Keyword(s):  
Decision Making ◽  
Case Reports ◽  
Case Series ◽  
Treatment Decision ◽  
Evidence Base ◽  
Treatment Technique ◽  
Treatment Decision Making ◽  
Fracture Types ◽  
Patellar Fractures ◽  
Repair Techniques

Practical relevance: While feline patellar fractures are not commonly encountered in practice, they tend to be found more often in younger cats; no breed or sex predispositions are recognised. If there is no evidence of a traumatic aetiology, the cat may be suspected of having patellar fracture and dental anomaly syndrome (PADS). Patellar fractures are easy to diagnose on lateral radiographs and there are several different fracture types. The type of fracture, the age of the cat at fracture occurrence and whether there is suspicion of a pathological aetiology are all relevant when considering treatment technique. Clinical challenges: While some cats with patellar fractures will do well with conservative management, surgical treatment is often indicated and decision-making can be challenging. Evidence base: Information and recommendations provided in this review are based on the literature and the author’s own clinical experience. There are several publications on PADS, but there is limited evidence as to what the underlying cause of this condition is, and the best method for managing patellar fractures is still an area where more research is needed. Aim: This review aims to gather the papers, case series and case reports published over the past few decades in order to discuss how best to manage different types of patellar fractures.

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