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Taghinia Amir H - - 2008
Although the ideal treatment of thumb basal joint osteoarthritis is debated, most surgeons advocate trapeziectomy with ligament reconstruction tendon interposition arthroplasty. However, harvesting and weaving autologous tendon creates scarring, alters wrist kinetics, may prolong recovery, and is time consuming. In this article, the authors propose a new method of arthroplasty ...
Caulfield R H - - 2008
Absorbable sutures behave favourably in vitro and in an animal model. We report the outcome of flexor tendon injuries in a series of 272 consecutive patients treated over 45 months with a mean follow-up of 4 (range 3-12) months. Five hundred and seventy-six tendons were repaired in 416 digits. The ...
Hahn Frederik F Balgrist Clinic, Department of Orthopaedics, University of Zurich, Forchstrasse 340, CH-8008 Zurich, Switzerland. - - 2008
In patients with chronic Achilles tendinopathy, augmentation with flexor hallucis longus (FHL) tendon transfer can be performed to improve pain and functional limitations. There are no reports of postoperative imaging for evaluating tendon integration, inflammatory alterations or degeneration of the FHL muscle. The purpose of this study was to evaluate ...
Chang Edwin Y EY Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, Mich 48109-0340, - - 2008
Various arthroplasty procedures have been described for the treatment of thumb carpometacarpal joint osteoarthritis. The purpose of this study was to determine the outcomes of patients treated with trapeziectomy and a variation of abductor pollicis longus suspension arthroplasty. Eighteen consecutive patients were treated by a single surgeon (K.C.C.) with trapeziectomy ...
Hosalkar Harish - - 2008
Equinovarus of the foot is the most common lower extremity deformity following traumatic brain injury. We evaluated outcomes of the split anterior tibialis tendon transfer (SPLATT) for correction of equinovarus in 47 patients with hemiplegic traumatic brain injury and specifically studied differences in outcomes with two tendon fixation techniques. Seventeen ...
Vastamäki Martti M ORTON Orthopaedic Hospital, Invalid Foundation, Helsinki, Finland. - - 2008
Irreparable distal biceps tendon tears typically are treated using a free tendon graft. We asked whether our new method to fix the graft--using two suture anchors--yields similar results to our previous bone canal method. We compared the two methods for strength, endurance, and clinical findings. There were two groups, the ...
Schwartz Deborah A - - 2008
Continuous passive motion (CPM) is a common adjunct to the postoperative therapy program. Use of CPM has been advocated for a variety of diagnoses in hand rehabilitation. This retrospective study compares two groups of patients who underwent digital tenolysis (and/or capsulectomy) and evaluates the use of CPM in their postoperative ...
Giessler Goetz A - - 2008
PURPOSE: Transfer of the extensor indicis proprius tendon to the distal extensor pollicis longus (EPL) tendon is a standard operation to restore thumb extension. However, several postoperative hand therapy regimens exist. The previously described early dynamic extension splinting protocol has become our standard, and we now compare it with an ...
Links Annie C - - 2008
PURPOSE: To compare clinical and radiographic outcomes in patients with chronic scapholunate dissociation treated with a modified Brunelli technique versus a 4-bone tendon weave. METHODS: A retrospective cohort study was performed. Twenty-three patients presented with chronic scapholunate dissociation and were treated with the 4-bone tendon weave technique as described by ...
Hetsroni Iftach - - 2008
INTRODUCTION: Operative anatomical repair following complete avulsion of the distal biceps brachii tendon in athletic population is usually recommended. However, there is no clear consensus as to the advisability of the operation in middle-aged population. We therefore undertook a study to examine whether early anatomical repair in this specific population ...
Fortis Athanasios P - - 2008
PURPOSE: To evaluate the functional outcomes and complications after endoscopically assisted percutaneous repair of Achilles tendon rupture. METHODS: An arthroscopically assisted percutaneous repair was performed in 20 patients between the ages of 28 and 47 years. Two patients were suffering from a long-standing rupture. Follow-up was 2.5 years. Evaluation entailed ...
Lee J-H - - 2008
The purpose of this study was to demonstrate gait disturbance after fibular flap transfer using preoperative and postoperative gait analysis. The gait performance of 20 patients was assessed at the Laboratory for Biomechanics, Seoul National University Hospital. Kinematic and kinetic data were collected simultaneously while walking on a 25-m walkway. ...
Anderson John A - - 2008
For patients with refractory retrocalcaneal bursitis (Haglund's syndrome), the most effective surgical approach has not been defined. We asked whether patients undergoing the tendon-splitting approach and the lateral approach would have comparably effective relief of pain for both types of calcaneal ostectomies. We retrospectively reviewed 30 patients (31 feet) who ...
Baek Goo Hyun - - 2008
BACKGROUND: Pediatric trigger thumb is a condition of flexion deformity of the interphalangeal joint in children. Although the surgical outcome is satisfactory, the indications for nonoperative treatment for this condition are not clear. The aim of the present study was to determine the rate of resolution of untreated pediatric trigger ...
Orchard John - - 2008
Aprotinin is a broad spectrum proteinase inhibitor (including matrix metalloproteinase [MMP] inhibitor) used for treating patellar and Achilles tendinopathies. One previous randomized control trial demonstrated aprotinin injections superior to both corticosteroid and saline injections in patellar tendinopathy (Level II), whereas results reported for aprotinin treatment in Achilles tendinopathy have been ...
Ozkan Yüksel Y Clinic of Orthopedics and Traumatology, Bursa High Speciality Research and Training Hospital, Yildirim, Bursa, - - 2008
Freiberg's infraction is an osteochondrosis of a lesser metatarsal head resulting in joint degeneration. There is no consensus regarding the management of these lesions. Here, we describe an interpositional arthroplasty using extensor digitorum brevis tendon as a solution for Freiberg's disease. Between 2003 and 2006, 6 women and 4 men ...
Park SangKeun - - 2008
The frontalis sling procedure is a useful approach for correcting severe blepharoptosis. However, blepharoptosis often recurs after corrective surgery using the tensor fascia lata. Good results without recurrence after a modified Fox method were obtained using the palmaris longus tendon. This study examined the safety and validity of the surgical ...
Yazdian Ziaeddin - - 2008
PURPOSE: To evaluate the outcomes of a superior oblique tendon spacer procedure using nonabsorbable adjustable sutures in patients with Brown syndrome. METHODS: This noncomparative interventional case series includes 25 eyes of 25 patients with Brown syndrome. In all patients the superior oblique tendon was exposed; two nonabsorbable polyester sutures were ...
Omeroğlu Hakan - - 2008
The iliopsoas and adductor tendons are often soft tissue barriers obstructing relocation of the femoral head into the acetabulum and are frequently released to obtain reduction. We assessed whether posteromedial soft tissue release including sectioning of the adductor longus and iliopsoas tendons would lead to alterations in joint angles and ...
Misirli H - - 2008
BACKGROUND: Chronic exposure to relatively high levels of n-hexane either by inhalation or skin contact can result in peripheral nerve lesions. We present the clinical and electrophysiological features of 5 patients who have been exposed to n-hexane at similar industrial occupations in the progressive phase. METHODS: All patients underwent routine ...
Schönberger T J A - - 2008
PURPOSE: To retrospectively compare the open end-to-end repair versus repair using the Mitek-anchor system in acute Achilles tendon rupture. METHOD: Forty-seven consecutive patients with Achilles tendon rupture, all operated on between 2004 and 2005, were included. Their medical records were reviewed and they were interviewed for surveillance of post-operative function ...
Nilsson-Helander Katarina - - 2008
In patients with a chronic rupture or rerupture of the Achilles tendon, the recommended treatment is surgical. Various surgical techniques have been reported in the literature; however, the outcome is rarely evaluated with a sufficiently long follow-up, using appropriate end-points. The purpose of this study was to evaluate the subjective ...
Schlegel Theodore F - - 2008
The effect of postoperative immobilization on the length, stiffness, and structure of connective tissue after radiofrequency probe shrinkage was examined in a rabbit patellar tendon model. Tendon lengths were measured before, immediately following, and 2, 4, and 8 weeks following heat application, with the contralateral tendon as a control. The ...
Saini Narender
<b>Background:</b> Traditionally the repaired extensor tendons have been treated postoperatively in static splints for several weeks, leading to formation of adhesions and prolonged rehabilitation. Early mobilization using dynamic splints is common, but associated with many shortcomings. We attempted to study the results of early active mobilization, using a simple static ...
Majewski M - - 2008
PURPOSE: To report a comparative study on postoperative management following percutaneous repair of acute Achilles tendon ruptures. METHODS: One hundred and three patients with percutaneous repair after acute Achilles tendon rupture were prospectively entered in our departmental database. Before July 1999, 15 patients were treated postoperatively with below-knee cast immobilization; ...
Vega Jordi - - 2008
This study presents our experience and results in patients with Achilles tendinopathy treated with an endoscopic technique. MATERIAL AND METHODS: Eight patients with chronic tendinopathy of the Achilles underwent endoscopic treatment. A distal portal is created 2 cm proximal of the lateral margin of the tendon insertion. A slotted cannula ...
Heijnen I C M - - 2008
BACKGROUND: Spastic hemiplegia is a common feature after stroke, which can result in a clenched fist deformity with secondary hygienic problems and pain. Operative treatment can improve these problems, although literature about its long-term effects is lacking. PURPOSE: To determine whether Superficialis-to-Profundus tendon (StP-) transfer procedure leads to permanent improvement ...
Chan Otto - - 2008
PURPOSE: To determine the effectiveness of high volume image guided injections (HVIGI) for chronic Achilles tendinopathy. METHODS: We included in the study 30 consecutive patients (mean age 37.2 years, range 24 - 58 years) with Achilles tendinopathy for a mean of 35.8 months (range 2 - 276 months) who had ...
Paciorkowski Alex R - - 2008
Niemann-Pick disease type C (NPC) is a progressive neurodegenerative disorder for which there is no effective treatment other than supportive therapy. Recently, the oral medication miglustat has been offered as a possible therapy aimed at reducing pathological substrate accumulation. This article describes the use of computerized three-dimensional motion analysis to ...
Yen C H - - 2008
Between 2005 and 2006, ten patients with flexor digitorum profundus zone II injuries were included. The mean age was 41 (19-84) years. One thumb, two index, four middle, one ring and two little fingers were injured. Repair method comprised four-strand core suture and 6-0 circumferential sutures. Post-operative rehabilitation included immediate ...
Rompe Jan D - - 2008
BACKGROUND: Nonoperative management of chronic tendinopathy of the Achilles tendon insertion has been poorly studied. With the recently demonstrated effectiveness of eccentric loading and of repetitive low-energy shock wave therapy in patients with midsubstance Achilles tendinopathy, the aim of the present randomized, controlled trial was to verify the effectiveness of ...
Hyrkas Jukka - - 2008
We report how scapholunate (SL) lesions found during arthroscopy were treated using a new palmar operation based on the use of a tendon loop formed using the palmaris longus tendon, with promising preliminary results. Scapholunate instability induced by hyperextension injury was diagnosed and graded arthroscopically. Volar capsuloplasty was then done ...
Gigante A - - 2008
There is no agreement on the ideal type of surgical management for Achilles tendon rupture. The present randomized prospective study was performed to compare outcome data of open and percutaneous repair in the treatment of Achilles tendon rupture. Forty consecutive patients with acute rupture of Achilles tendon were recruited. Patients ...
Aärimaa V - - 2008
Patellar instability is a multifactorial disorder. Patella alta is strongly associated with patellar instability. We hypothesize that procedures of the patellar tendon such as medialization may shorten the patellar tendon. In this retrospective study, 41 patients with patellar instability were treated operatively with a patellar tendon medialization procedure. Twenty-eight knees ...
Kosanović Milos - - 2008
BACKGROUND: We report the long-term results of the surgical treatment of chronic rupture of the Achilles tendon using percutaneous suturing under local anesthesia. PATIENTS AND METHODS: We operated on 22 patients with median age of 50 years (29-72) with chronic rupture of Achilles tendon between 1991 and 2005. The median ...
Hennessy Michael S - - 2007
The treatment of noninsertional Achilles tendinopathy remains, to a large extent, empirical. Neither different operative techniques nor nonoperative regimes have been subjected to controlled trials. Rather, the condition is still treated on the basis of anecdotal evidence combined with personal experience. However, increased knowledge of the basic science of tendinopathy ...
Nietosvaara Yrjänä - - 2007
PURPOSE: The purpose of this research was to study the incidence and outcome of flexor tendon injuries in pediatric patients. METHODS: A survey of flexor tendon repair in children less than 16 years of age was performed in the City of Helsinki during 2000-2005. A retrospective clinical outcome study of ...
Elias Ilan I Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, - - 2007
The purpose of this study was to introduce a novel operative technique and to evaluate the clinical outcomes in a cohort of patients with missed or neglected Achilles tendon ruptures. Fifteen consecutive patients with missed complete Achilles tendon ruptures and 5-cm or larger gaps had reconstruction with V-Y lengthening and ...
Folsom Greg J - - 2008
BACKGROUND: Acute surgical repair of proximal hamstring ruptures has been shown to result in a high return to preinjury activity level. HYPOTHESIS: Achilles allograft reconstruction of chronic complete proximal hamstring ruptures results in improved function and strength that approaches that of acute surgical repairs. STUDY DESIGN: Cohort study; Level of ...
Khan Abdul D - - 2008
PURPOSE: The purpose of this study was to review the results of distal biceps tendon repair via suture anchors through a single anterior incision. METHODS: This is a retrospective review of 17 patients (18 repairs) treated for complete distal biceps tendon rupture between 1998 and 2005 by use of G4 ...
Ogawa Brent K BK Department of Orthopaedic Surgery, Keck School of Medicine, University of South California, 1200 N. State Street, General Hospital Room 3900, Los Angeles, California 90033, - - 2007
Peroneal tendon subluxation or dislocation is a relatively uncommon entity with multiple operative treatment methods described. This is a report of an indirect fibular groove deepening technique. Fifteen consecutive patients had repair of peroneal tendon subluxation or dislocation with an indirect fibular groove deepening technique. The mean duration of symptoms ...
Lee Daniel K - - 2008
Acute Achilles tendon rupture injuries present surgical challenges because of the mechanical forces placed on this tendon. The purpose of this study was to evaluate the effectiveness of an acellular human dermal tissue matrix, GraftJacket Matrix (Wright Medical Technology, Inc., Arlington, TN), as an augmentation material in acute Achilles tendon ...
Kuwata Suguru - - 2007
BACKGROUND: Early mobilization after tendon repair decreases adhesion formation and improves repair-site strength. We investigated whether the two-strand side-locking loop technique would tolerate aggressive active mobilization immediately after surgery. METHODS: Twelve flexor digitorum profundus tendons of the porcine forelimbs were sutured by the two-strand side-locking loop technique with a cross-stitch ...
West Jesse L - - 2008
BACKGROUND: Complications of immobilization after quadriceps and patellar tendon repairs include decreased patellar mobility, limited flexion, persistent pain, muscle weakness, and patella baja. In contrast, early motion limits muscle atrophy, accelerates tendon healing, and prevents joint stiffness. HYPOTHESIS: Quadriceps and patellar tendon repairs protected with a "relaxing suture" are strong ...
Wysocki Robert W - - 2007
PURPOSE: The purpose of this study is to evaluate the clinical outcome of patients who had excision of a radioulnar heterotopic ossification (HO) as a complication of a distal biceps tendon repair. The hypothesis is that there are no measurable clinical losses that persist after excision. METHODS: Eight consecutive patients ...
Maxwell Norman J - - 2007
OBJECTIVE: Chronic tendinosis of the Achilles tendon is a common overuse injury that is difficult to manage. We report on a new injection treatment for this condition. SUBJECTS AND METHODS: Thirty-six consecutive patients (25 men, 11 women; mean age, 52.6 years) with symptoms for more than 3 months (mean, 28.6 ...
Paoloni Justin Alan JA University of New South Wales, Orthopaedic Research Institute, 2nd Floor, 4-10 South St, Kogarah, Sydney, NSW, Australia. - - 2007
Topical glyceryl trinitrate treatment has demonstrated short-term efficacy in chronic noninsertional Achilles tendinopathy. No long-term followup is reported. We aimed to assess if the demonstrated efficacy of this treatment persisted 3 years after discontinuation of therapy. A follow-up study of 52 patients (68 tendons) treated with 6 months of glyceryl ...
Twaddle Bruce C - - 2007
BACKGROUND: Comparisons of surgically and nonsurgically treated Achilles tendon ruptures have demonstrated that those treated with surgery allow earlier motion and tend to show superior results. However, early motion enhances tendon healing with or without surgery and may be the important factor in optimizing outcomes in patients with Achilles tendon ...
Akinbo, S R; ;
Children with cerebral palsy (CP) often demonstrate poor hand function due to spasticity. Thus spasticity in the wrist and finger flexors poses a great deal of functional limitations. This study was therefore designed to compare the effectiveness of Cryotherapy and Neuromuscular Electrical Stimulation (NMES) on spasticity and hand function in ...
Alfredson Håkan - - 2007
Sclerosing polidocanol injections targeting the area with vasculo/neural ingrowth on the ventral side of the tendon have previously been demonstrated to give good clinical results in patients with chronic painful midportion Achilles tendinosis. In this study, 20 consecutive patients (9 men and 11 women, mean age 46 years) with chronic ...
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