Bisgaardfiltenborg5645
Functional assessment using AOFAS, MOXFQ and VAS scores showed no significant difference between the two groups.
Both fully and partially threaded 4 mm cancellous screws can be considered as acceptable devices for the fixation of medial malleolar fractures with good and comparable clinical results.
Both fully and partially threaded 4 mm cancellous screws can be considered as acceptable devices for the fixation of medial malleolar fractures with good and comparable clinical results.
Different surgical procedures have been proposed for the treatment of Distal Radioulnar Joint (DRUJ) arthrosis and other conditions. This study aimed to introduce a new design of DRUJ prosthesis based on the Sauvé-Kapandji procedure followed by the evaluation of its short-term results. Darrach and Sauvé-Kapandji techniques are two well-known salvage procedures. Various implant designs have been proposed for DRUJ substitution to avoid the disadvantages of these procedures.
Before and after the insertion of the intraosseous DRUJ prosthesis in five patients, indices, such as the range of motion, as well as grip and pinch strengths were measured and recorded. selleck chemical Moreover, the patients were asked to complete three questionnaires (i.e., Quick-Disabilities of theArm,Shoulderand Hand; Visual Analogue Scale-Pain; and Patient-Rated Wrist Evaluation).
The patients were followed up for 27.6 months. It is worth mentioning that all patients completed the follow-up period with no complication, except for one case who came with dislocation secondary to forearm malunion and proximal forearm impingement. According to the results, there were improvements in all indices, compared to pre- operation.
The intraosseous distal radioulnar prosthesis can be an alternative option for the replacement of DRUJ.
The intraosseous distal radioulnar prosthesis can be an alternative option for the replacement of DRUJ.
Serial casting under general anesthesia, which is considered as a gold standard of treatment for patients with infantile idiopathic scoliosis (IIS), can lead to significant negative neurodevelopmental effects. Therefore, the appropriateness of this type of treatment is controversial. Brace treatment is one alternative method of treatment for IIS patients. However, long-term studies have not yet verified its effectiveness. Thus, the present study aimed to evaluate the effectiveness of brace treatment in patients with IIS until skeletal maturity or spinal fusion.
The medical records of all IIS patients with the referral age of 0-3 years who received brace treatment from June 1986 to November 2013 were reviewed. Those patients with pre-brace Cobb angle > 20° were included and followed up to skeletal maturity or the time of spinal fusion. The Cobb angle was recorded at the time of diagnosis before the initiation of bracing, weaning time, brace discontinuation, and final follow-up. In addition, the maximum in-brace curve correction was measured.
Out of 87 patients with IIS, a total of 29 cases (19 males and 10 females) with the average curve magnitude of 35.62° at the time of diagnosis were included in the study. The average best in-brace correction was 57.32% for successfully treated patients and 36.97% for progression/surgery patients. Based on the results, brace treatment failed for a total of 20 patients (69%), with a scoliosis curvature progress ≥ 45°. Of these patients, 12 cases (60%) reached spinal fusion. Finally, four patients (13%) in the surgery-treated group underwent surgery before the age of 10.
The results revealed that bracing was successful for more than two-thirds of patients with IIS curves, preventing surgery before the age of 10.
The results revealed that bracing was successful for more than two-thirds of patients with IIS curves, preventing surgery before the age of 10.
Rotator cuff disorders are a leading cause of shoulder symptoms. Accurate imaging, detecting the type of the involved muscle, and severity of the injury have important effects on the choice of treatment. Accordingly, the current study was conducted to evaluate the diagnostic accuracy of ultrasound for rotator cuff disorders in patients suffering from shoulder pain and to explore the precision of ultrasound in determining the exact dimensions of a tear in comparison with magnetic resonance imaging (MRI).
This prospective research was performed on patients clinically suspected of rotator cuff tendinopathy. An ultrasound of the shoulder was initially performed for the candidates. In this study, MRI was regarded as the modality of choice for examining the images of shoulder disorders. The European Society of Musculoskeletal Radiology (ESSR) guidelines were used to design the protocols and implement imaging measures. Based on the reference standard of MRI, the specificity and sensitivity as well as positive an considered as a high-quality diagnostic tool to rule in partial and full-thickness rotator cuff tears and rule out the rotator cuff pathologies.
The vertebral column is the second most common fracture site in individuals with high-grade osteoporosis (30-50%). Most of these fractures are caused by falls. This information reveals the importance of considering impact loading conditions of spinal motion segments, while no commercial apparatus is available for this purpose. Therefore, the goal was set to fabricate an impact testing device for the measurement of impact behavior of the biological tissues.
In the present study, first, a drop-weight impact testing apparatus was designed and fabricated to record both force and displacement at a sample rate of 100 kHz. A load cell was placed under the sample, and an accelerometer was located on the impactor. link2 Previous devices have mostly measured the force and not the deformation. Thereafter, the effect of high axial compression load was investigated on a biological sample, i.e., the lumbar motion segment, was investigated. To this end, nine ovine segments subjected to vertical impact load were examined usingen extracted and compared with quasi-static loading results.
Osteoporosis represents the most common bone disease and has to be respected in planning total hip replacement, especially against the background of increasing uncemented total hip replacement. In this context, the radiographic geometry of the proximal femur got into focus and is controversially discussed.The aim of the presented study was to find any difference regarding known indices for proximal femur bone geometry between patients with high-grade osteoarthritis and patients suffering from a femoral neck fracture caused by low impact trauma.
Retrospective matched-paired analysis of 100 plane pelvic radiographs from 50 patients who suffered from high-grade hip osteoarthritis and 50 patients who suffered from femoral neck fracture was performed. Measurement of Canal-Bone Ratio (CBR), Canal-Calcar Ratio (CCR), Mineral Cortical Index (MCI) and Canal Flare Index (CFI) were performed.
CBR was significantly higher in the fracture-group (0.45 +/- 0.06 vs. 0.41 +/- 0.08) (
). Moreover, the femoral thickness 10 cm below the trochanter minor [F] was significantly higher in the osteoarthritis-group (34.68 +/- 4.14 vs 32.11 +/- 3.43) (
).
In conclusion, patients with a femoral neck fracture demonstrated a higher CBR, which indicates a poorer bone quality. In case of planning a THA, the CBR is an index which can easily be measured and can be seen as one decision criterion in THA regarding fixation technique.
In conclusion, patients with a femoral neck fracture demonstrated a higher CBR, which indicates a poorer bone quality. In case of planning a THA, the CBR is an index which can easily be measured and can be seen as one decision criterion in THA regarding fixation technique.
The optimal surgical indications for humeral shaft fractures in the working population remain uncertain. This study investigates the impact of surgical fixation on return to duty, union, and complications in workers' compensation patients with humeral shaft fractures.
All workers' compensation patients with humeral shaft fractures managed at a single institution between 2007 and 2017 were identified. Manual chart and radiographic review was performed to identify etiology of injury, type of work, time until return to duty, length of physical therapy, complications, and time to fracture union.
There were 39 humeral shaft fractures in workers' compensation patients managed at our institution (25 surgical; 64.1%). There was no difference in the return to light (106.1 versus 60.4 days;
) or full (140.1 vs. 139.9 days;
) duty for surgical versus nonsurgical treatment, respectively. There was no difference in the length of physical therapy (132.6 versus 106.3 days;
) or time to maximum medical improvement (174.3 vs. 198.8 days;
) for surgical versus nonsurgical treatment, respectively. Three patients returned to the operating room in the surgical group. Nonunion was observed in two surgical cases (8.0%) and one case (7.1%) of nonsurgical management.
This study did not identify an advantage for faster return to work after surgical management of humeral shaft fractures in workers' compensation patients. Though one of the perceived advantages of surgical fixation is a quicker return to physical activity, there may be other variables in this patient population that influence the timing of return to work.
This study did not identify an advantage for faster return to work after surgical management of humeral shaft fractures in workers' compensation patients. link3 Though one of the perceived advantages of surgical fixation is a quicker return to physical activity, there may be other variables in this patient population that influence the timing of return to work.
The primary goals of total shoulder arthroplasty (TSA) are to relieve pain, improve range of motion, and restore function. Physical therapy is commonly used to help achieve these goals. Recent evidence has pointed to the success and safety of a purely physician-guided, home-based or internet-based, program versus the traditional therapist guided program. The purpose of this study was to evaluate outcomes of TSA in patients using a web-based, home therapy program.
A retrospective review was performed of TSA patients who were given the option of using a web-based, home therapy program. Functional outcomes were collected preoperatively, 6-month, and 12-month post-operative examinations. Physical examination parameters were recorded at preoperative, 3-month, 6-month, and 12-month time-points.
Forty-seven patients used the web-based, home therapy program and had complete follow-up data at all time intervals. All mean range of motion parameters and functional scores improved significantly from preoperatively to postoperatively. There was one reported complication in a patient who sustained a subscapularis rupture and underwent subsequent open repair at 10 months postoperatively.
This study demonstrates successful improvements in range of motion and functional outcomes in a subset of patients who utilized an online therapy program after TSA. Future study will be necessary to directly compare results in patients enrolled in formal, outpatient therapy programs and to determine barriers to utilization of web-based therapy programs.
This study demonstrates successful improvements in range of motion and functional outcomes in a subset of patients who utilized an online therapy program after TSA. Future study will be necessary to directly compare results in patients enrolled in formal, outpatient therapy programs and to determine barriers to utilization of web-based therapy programs.
