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https://www.readbyqxmd.com/read/28241725/-minimally-invasive-tarsal-sinus-incision-combined-with-manipulative-reduction-and-internal-fixation-for-calcaneal-fractures-of-sanders-type%C3%A2-and-%C3%A2
#1
M Chen, K Deng, W H Zeng, J J Zeng, Q S Zhong, Z M Han
Objective: To evaluate the method and curative effect of plate fixation or percutaneous screws for the treatment of calcaneal fractures of Sanders type Ⅱ and Ⅲ via a minimally invasive sinus tarsi incision combined with a variety of manipulative reduction methods. Methods: Twenty-one patients with closed calcaneal fractures treated in the Department of Orthopedics, the First Affiliated Hospital of Nanchang University from January 2014 to January 2016 were collected. There were 15 men and 6 women, with an average age of 39...
March 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28237566/preliminary-results-and-learning-curve-of-the-minimally-invasive-chevron-akin-operation-for-hallux-valgus
#2
Charlie R J Jowett, Harvinder S Bedi
Minimally invasive surgery is increasing in popularity. It is relevant in hallux valgus surgery owing to the potential for reduced disruption of the soft tissues and improved wound healing. We present our results and assess the learning curve of the minimally invasive Chevron Akin operation for hallux valgus. A total of 120 consecutive feet underwent minimally invasive Chevron Akin for symptomatic hallux valgus, of which 14 were excluded. They were followed up for a mean of 25 (range 18 to 38) months. The patients were clinically assessed using the American Orthopaedic Foot and Ankle Society score...
February 22, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28235517/partial-displacement-of-epidural-catheter-after-patient-position-change-a-case-report
#3
Yoon-Jung Shon, Seung-Kil Bae, Jae-Woo Park, In-Nam Kim, Jin Huh
Epidural catheter migration is a well-known cause of failed anesthesia and complications. One of the factors that affect catheter movement is when patients change their position after skin fixation. We report a case of an epidural catheter placed without evidence of intravascular or subdural insertion that produced an insufficient block. A 36-year-old woman presented for ankle surgery under epidural anesthesia. Epidural block was conducted at the L3-4 intervertebral space with a catheter threaded 3 cm into the epidural space with the patient in a back flexion and lateral position...
February 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28229181/endoscopic-surgery-in-athletes-with-a-symptomatic-calcaneal-lipoma
#4
P D'Hooghe, B Krivokapic, P Dzendrowskyj, K Hassoun, B Bukva, P Landreau
PURPOSE: This study shows that endoscopy is an effective treatment modality for athletes with a symptomatic calcaneal lipoma. METHODS: Between 2013 and 2016, five professional athletes with symptomatic calcaneal lipoma underwent endoscopic-assisted curettage and bone graft treatment. Lipoma size was measured by magnetic resonance imaging (MRI) and rated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS). All athletes were followed up for 12 months postoperatively and monitored on return to previous activity level...
February 22, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28227944/classification-of-squat-quality-with-inertial-measurement-units-in-the-single-leg-squat-mobility-test
#5
Rezvan Kianifar, Alex Lee, Sachin Raina, Dana Kulic, Rezvan Kianifar, Alex Lee, Sachin Raina, Dana Kulic, Alex Lee, Sachin Raina, Dana Kulic, Rezvan Kianifar
Many assessment and diagnosis protocols in rehabilitation, orthopedic surgery and sports medicine rely on mobility tests like the Single Leg Squat (SLS). In this study, a set of three Inertial Measurement Units (IMUs) were used to estimate the joint pose during SLS and to classify the SLS as poor, moderate or good. An Extended Kalman Filter pose estimation method was used to estimate kinematic joint variables, and time domain features were generated based on these variables. The most important features were then selected and used to train Support Vector Machine (SVM), Linear Multinomial Logistic Regression, and Decision Tree classifiers...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28225991/prevalence-of-musculoskeletal-symptoms-in-obese-patients-candidates-for-bariatric-surgery-and-its-impact-on-health-related-quality-of-life
#6
Gabriela Calenzani, Fabiana Ferreira Dos Santos, Veronica Lourenço Wittmer, Grace Kelly Filgueiras Freitas, Flávia Marini Paro
Objective: This study was designed to identify the major musculoskeletal symptoms of individuals with obesity, to assess their health-related quality of life, and to evaluate the correlation between the musculoskeletal symptoms and the individuals' health-related quality of life. Materials and methods: Cross-sectional study. Instruments used: "Nordic Musculoskeletal Questionnaire" and "The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)"...
February 13, 2017: Archives of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28222622/management-of-acute-achilles-tendon-rupture-with-tendon-bundle-technique
#7
Chun-Guang Li, Bing Li, Yun-Feng Yang
Objective * These authors contributed equally to this work. To explore tendon-bundle technique for treating Achilles tendon rupture with no defects. Methods Patients with full unilateral Achilles tendon rupture with no defects were included. The Achilles tendon medial edge surgical repair approach was used, revealing horsetail-like rupture bundles. Tendon bundles were anatomically realigned and repaired end-to-end using 5-0 sutures. Patients were followed-up for 1 year, and assessed for differences between the repaired versus healthy limb...
February 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28219637/malreduction-of-syndesmosis-injury-associated-with-malleolar-ankle-fracture-can-be-avoided-using-weber-s-three-indexes-in-the-mortise-view
#8
Kentaro Futamura, Tomonori Baba, Atsuhiko Mogami, Itaru Morohashi, Akio Kanda, Osamu Obayashi, Kazuo Sato, Yasuhisa Ueda, Yoshiaki Kurata, Hideki Tsuji, Kazuo Kaneko
PURPOSE: Malalignment of syndesmosis is generally associated with a poor outcome, yet occurs at a high rate in malleolar ankle fractures. In this study, we examine whether malreduction of syndesmosis injury associated with malleolar ankle fracture can be avoided using Weber's three indexes in the mortise view. MATERIALS AND METHODS: Of 156 patients with malleolar ankle fracture who underwent surgery from December 2012 to March 2016 at two medical facilities, 24 patients who received syndesmotic screw fixation were included in the study...
February 14, 2017: Injury
https://www.readbyqxmd.com/read/28219308/perceived-risk-factors-for-nonunion-following-foot-and-ankle-arthrodesis
#9
Gowreeson Thevendran, Kalpesh Shah, Stephen J Pinney, Alastair Se Younger
BACKGROUND: A major complication of foot and ankle arthrodesis is nonunion, which occurs in approximately 12% of cases. Various factors influence a patient's risk for nonunion following foot and ankle arthrodesis. We surveyed international foot and ankle surgeons to determine (1) risk factors perceived most important for nonunion, (2) factors considered absolute contraindications for arthrodesis, and (3) differences among expert groups regarding perceived risk factors and their stratification...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28218883/case-239-cerebrotendinous-xanthomatosis
#10
Amy C Gerrish, Suchi Gaba
History A 63-year-old man with learning difficulties presented to the Accident and Emergency Department with right ankle pain after an inversion injury and underwent plain radiography. The patient had developed normally until his teenage years, at which point he experienced cognitive regression. He experienced swallowing difficulties, tinnitus, and fecal incontinence, and he had undergone cataract surgery at the age of 20 years. He also had a small nodule on the volar surface of his right ring finger. Magnetic resonance (MR) imaging of the brain and the right ankle had been performed 3 years previously...
March 2017: Radiology
https://www.readbyqxmd.com/read/28211296/recommendations-for-the-medical-management-of-chronic-venous-disease-the-role-of-micronized-purified-flavanoid-fraction-mpff
#11
Ronald Bush, Anthony Comerota, Mark Meissner, Joseph D Raffetto, Steven R Hahn, Katherine Freeman
Scope A systematic review of the clinical literature concerning medical management of chronic venous disease with the venoactive therapy Micronized Purified Flavonoid Fraction was conducted in addition to an investigation of the hemodynamics and mechanism of chronic venous disease. Methods The systematic review of the literature focused on the use of Micronized Purified Flavonoid Fraction (diosmin) which has recently become available in the US, in the management of chronic venous disease. The primary goal was to assess the level of evidence of the role of Micronized Purified Flavonoid Fraction in the healing of ulcers, and secondarily on the improvement of the symptoms of chronic venous disease such as edema...
April 2017: Phlebology
https://www.readbyqxmd.com/read/28208957/open-reduction-and-internal-fixation-of-displaced-calcaneum-intra-articular-fractures-by-locking-calcaneal-plate
#12
Santosha, Shams Gulrez, Arambam Mahendra Singh, Sanjib Waikhom, Vishal Pakhrin, Sagnik Mukherjee, Rajkumar Debbarma, Prabhu Shrinivas Prashant
INTRODUCTION: Calcaneal fractures constitute the most common fractures in hindfoot. Lots of controversies exist in the management of calcaneal fractures but now-a-days, it is preferable to perform open reduction and internal fixation and early mobilizatation. AIM: To evaluate the functional outcome after open reduction and internal fixation of displaced intra-articular fractures of the calcaneum by locking calcaneal plate. MATERIALS AND METHODS: The study was conducted in the Department of Orthopaedic Surgery from September 2013 to April 2016...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28203584/plantaris-excision-reduces-pain-in-midportion-achilles-tendinopathy-even-in-the-absence-of-plantaris-tendinosis
#13
James D F Calder, Joanna M Stephen, C Niek van Dijk
BACKGROUND: It is becoming increasingly apparent that the plantaris can contribute to symptoms in at least a subset of patients with midportion Achilles tendinopathy. However, the nature of its involvement remains unclear. PURPOSE: To determine whether excised plantaris tendons from patients with midportion Achilles tendinopathy display tendinopathic changes and whether the presence of such changes affect clinical outcomes. STUDY DESIGN: Case series; Level of evidence, 4...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28198595/free-microvascular-rotationplasty-with-nerve-repair-for-rhabdomyosarcoma-in-a-18-month-old-patient
#14
Alberto Pérez-García, Marta Salom, María Eloísa Villaverde-Doménech, Francisco Baixauli, Eduardo Simón-Sanz
Rotationplasty is a limb-sparing surgical option in lower limb malignancies. Sciatic or tibial nerve encasement has been considered an absolute contraindication to this procedure. We report a case of an 18-month-old girl with a rhabdomyosarcoma that affected the leg and popliteal fossa, with neurovascular involvement. Knee and proximal leg intercalary resection was performed followed by reconstruction with free microvascular rotationplasty and neurorraphy from tibial division of sciatic nerve to sural and tibial nerves, and from saphenous nerve to superficial peroneal nerve...
February 15, 2017: Microsurgery
https://www.readbyqxmd.com/read/28196438/patient-factors-associated-with-higher-expectations-from-foot-and-ankle-surgery
#15
Elizabeth A Cody, Carol A Mancuso, Jayme C Burket, Anca Marinescu, Aoife MacMahon, Scott J Ellis
BACKGROUND: Few authors have investigated patients' expectations from foot and ankle surgery. In this study, we aimed to examine relationships between patients' preoperative expectations and their demographic and clinical characteristics. We hypothesized that patients with more disability and those with anxiety or depressive symptoms would have greater expectations. METHODS: All adult patients scheduled for elective foot or ankle surgery by 1 of 6 orthopaedic foot and ankle surgeons were screened for inclusion over 8 months...
February 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28193121/minimal-clinically-important-differences-for-american-orthopaedic-foot-ankle-society-score-in-hallux-valgus-surgery
#16
Hiok Yang Chan, Jerry Yongqiang Chen, Suraya Zainul-Abidin, Hao Ying, Kevin Koo, Inderjeet Singh Rikhraj
BACKGROUND: The American Orthopaedic Foot & Ankle Society (AOFAS) score is one of the most common and adapted outcome scales in hallux valgus surgery. However, AOFAS is predominantly physician based and not patient based. Although it may be straightforward to derive statistical significance, it may not equate to the true subjective benefit of the patient's experience. There is a paucity of literature defining MCID for AOFAS in hallux valgus surgery although it could have a great impact on the accuracy of analyzing surgical outcomes...
February 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28192261/the-role-of-gait-analysis-in-the-evaluation-of-patients-with-cervical-myelopathy-a-literature-review-study
#17
REVIEW
Ioannis D Siasios, Savvas L Spanos, Asimakis K Kanellopoulos, Aggeliki Fotiadou, John Pollina, Daniel Schneider, Alexander Becker, Vassilios G Dimopoulos, Kostas N Fountas
BACKGROUND: Gait analysis represents one of the newest methodologies employed in the clinical evaluation of CM patients. OBJECTIVE: To describe the role of gait analysis in the clinical evaluation of CM patients, as well as its potential role in the evaluation of the functional outcome of any surgical intervention. METHOD: ology: A literature review was performed in the PubMed, OVID and Google Scholar medical databases, from January of 1995 to August of 2016, using the terms "analysis", "anterior", "cervical myelopathy", "gait", "posterior", "surgery"...
February 9, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28185754/does-residual-varus-alignment-cause-increasing-varus-laxity-at-a-minimum-of-five-years-after-total-knee-arthroplasty
#18
Kazuhisa Hatayama, Masanori Terauchi, Kenichi Saito, Hiroshi Higuchi
BACKGROUND: The purpose of this study is to investigate whether varus-valgus laxity of cruciate-retaining (CR) total knee arthroplasty (TKA) changes between 1 year and >5 years after surgery based on postoperative limb alignment. METHODS: One hundred twenty-one varus osteoarthritic knees that underwent CR TKA were included. The minimum follow-up was 5 years. Weight-bearing full-leg radiographs were obtained postoperatively and the hip-knee-ankle (HKA) angle was measured...
January 17, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28182736/comparison-of-clinical-and-radiological-outcomes-between-opening-wedge-and-closing-wedge-high-tibial-osteotomy-a-comprehensive-meta-analysis
#19
Lingfeng Wu, Jun Lin, Zhicheng Jin, Xiaobin Cai, Weiyang Gao
High tibial osteotomy (HTO) has been widely used for clinical treatment of osteoarthritis of the medial compartment of the knee, and both opening-wedge and closing-wedge HTO are the most commonly used methods. However, it remains unclear which technique has better clinical and radiological outcomes in practice. To systematically evaluate this issue, we conducted a comprehensive meta-analysis by pooling all available data for the opening-wedge HTO and closing-wedge HTO techniques from the electronic databases including PubMed, Embase, Wed of Science and Cochrane Library...
2017: PloS One
https://www.readbyqxmd.com/read/28182170/complications-of-minimally-invasive-percutaneous-plating-for-distal-tibial-fractures
#20
Nasir Muzaffar, Rafiq Bhat, Mohammad Yasin
BACKGROUND: The management of distal tibia fractures continues to remain a source of controversy and debate. OBJECTIVES: The aim of this study was to evaluate the various complications of minimally invasive percutaneous plate osteosynthesis (MIPPO) using a locking plate for closed fractures of distal tibia in a retrospective study. PATIENTS AND METHODS: Twenty-five patients with distal tibial fractures, treated by minimally invasive percutaneous plate osteosynthesis, were evaluated in a retrospective study...
July 2016: Trauma Monthly
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