Search Results
Results 401 - 450 of 920
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Farmer Jean-Pierre - - 2007
RATIONALE: Selective dorsal rhizotomy (SDR) is a surgical technique developed over the past decades to manage patients diagnosed with cerebral palsy suffering from spastic diplegia. It involves selectively lesioning sensory rootlets in an effort to maintain a balance between elimination of spasticity and preservation of function. Several recent long-term outcome ...
Uchiyama Eiji - - 2007
BACKGROUND: Treatment of Achilles tendon rupture has long been at the center of debate. HYPOTHESIS: A new technique in surgical Achilles tendon repair allows for more stability and earlier rehabilitation. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: One hundred Achilles tendon rupture patients (70 men, 30 women; age ...
Niemeyer Philipp - - 2008
INTRODUCTION: In this study, minimally invasive CurvTek refixation is introduced as a novel approach for repair of distal biceps tendon ruptures. Exploration at the radial tuberosity is minimized using CurvTek, thereby reducing operative trauma. Treatment outcomes were compared for this technique against the conventional technique. In addition, we introduce position-dependent ...
Byrne Patrick J - - 2007
To report an approach to facial paralysis in patients for whom dynamic adjacent muscle transfer is determined to be the best treatment option. Retrospective review of 7 consecutive patients who underwent orthodromic transfer of the temporalis muscle insertion for the treatment of long-standing facial paralysis. Patients underwent facial-retraining physical therapy ...
de Vos Robert-Jan - - 2007
BACKGROUND: Neovascularization, detected with power Doppler ultrasonography (PDU), is thought by some to play a central role in pathogenesis of Achilles tendinopathy. HYPOTHESIS: Power Doppler ultrasonography neovascularization score is correlated with clinical severity at baseline and after conservative treatment. STUDY DESIGN: Cohort study (prognosis); Level of evidence, 2. METHODS: Seventy ...
Okello, J
Post injection foot drop constitutes 7.6% of paediatric orthopaedic pathology seen in our unit. It commonly results from intragluteal injection with quinine in the treatment of malaria. The patients present with equinus or equinovarus foot deformity. Because of abnormal weight bearing, the deformity usually worsened with age. Anterior transfer of ...
Ceccarelli Francesco - - 2007
Despite the controversy regarding the best treatment for an acute Achilles tendon rupture, percutaneous and minimally invasive techniques seem to offer good results in terms of low risks of rerupture and complications with satisfactory clinical and functional outcomes. A comparison between a percutaneous surgical technique and a minimally invasive one ...
Chillemi Claudio - - 2007
INTRODUCTION: Distal biceps tendon rupture is a relatively rare injury. It commonly occurs in the dominant extremity of middle-aged men during an excessive eccentric tension as the arm is forced from a flexed position, while it is rarely observed during sport activities. Many techniques, including non-operative and surgical option, have ...
Knupp Markus - - 2007
A supple flatfoot deformity caused by posterior tibial tendon (PTT) dysfunction may include a supination deformity of the forefoot that usually is not sufficiently corrected by the commonly suggested treatment options. The use of a partial anterior tibial tendon (ATT) graft that is rerouted through the first cuneiform to the ...
Boyer Matison L - - 2007
This study reviewed the results, complications, and patient satisfaction rates of a modified technique of flexor-to-extensor tendon transfer for correction of lesser-toe deformities. Records of 38 patients (79 toes; 46 feet) were identified and reviewed retrospectively. The mean duration of clinical followup was 33 (range 6 to 121) months. The ...
Jacob Korula Mani - - 2007
BACKGROUND: We evaluated 46 patients who underwent surgical repair of the Achilles tendon at our institution during a 4.5-year period, followed by early weight bearing, aiming to assess their return to activities, rerupture rate and satisfaction. METHODS: A cohort of 46 patients who underwent Achilles tendon repair at our institution ...
Johnson Peter N - - 2007
To assess the effect of prior antibiotic therapy on the incidence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections in children. This was a concurrent and retrospective review of antibiotic records for children < 18 years of age with documented CA-MRSA infection identified between January 1, 2004, and December 31, 2005. ...
James Steven L J - - 2007
To evaluate the efficacy of ultrasound guided dry needling and autologous blood injection for the treatment of patellar tendinosis. Prospective cohort study. Hospital/clinic based. 47 knees in 44 patients (40 men, 7 women, mean age 34.5 years, age range 17 to 54 years) with refractory tendinosis underwent sonographic examination of ...
Jebson Peter J L - - 2007
The purpose of our study was to review the clinical features and determine the results following surgical excision of a flexor tendon sheath ganglion. A retrospective analysis of 24 consecutive patients (25 ganglions) who underwent excision of a painful flexor tendon sheath ganglion by the same surgeon was performed. The ...
Sajovic Matjaz - - 2008
A prospective, randomised, 5-year follow-up study was designed to compare the functional results between patellar tendon and hamstring tendon autografts after anterior cruciate ligament reconstruction. Primary reconstruction was performed in 32 patients using the central third of the patellar ligament and in 32 patients using double-looped semitendinosus and gracilis tendons. ...
Orvieto Marcelo A - - 2007
BACKGROUND AND PURPOSE: The LapraTy clip (LTc) is a useful tool for supplementing knot-tying during reconstructive laparoscopic surgery. However, data regarding its safety and efficacy are scarce. We critically assessed the in-vitro performance of the LTc over different sizes of two suture materials commonly used during reconstructive procedures. MATERIALS AND ...
Lansdaal J R - - 2007
BACKGROUND: There is still controversy regarding the optimal surgical technique and post-operative treatment of acute Achilles tendon ruptures. We evaluated a treatment protocol for Achilles tendon ruptures consisting of a minimally invasive Achilles tendon repair combined with early full weight bearing. METHODS: A consecutive group of 163 patients was prospectively ...
Wang Ching-Jen - - 2007
BACKGROUND: Chronic patellar tendinopathy is an overuse syndrome with pathologic changes similar to tendinopathies of the shoulder, elbow, and heel. Extracorporeal shockwave was shown effective in many tendinopathies. HYPOTHESIS: Extracorporeal shockwave therapy may be more effective than conservative treatment for chronic patellar tendinopathy. STUDY DESIGN: Randomized controlled clinical trial; Level ...
Kaeding Christopher C - - 2007
There is no consensus in the literature on the best surgical procedure for patellar tendinosis when nonoperative treatment fails. With a systematic review, we asked whether surgical treatment of the inferior pole of the patella, closing of the paratenon, or immobilization affected the percentage of patients reporting good to excellent ...
Lee Young-Keun - - 2007
Trigger finger is a common disease particularly in the middle aged women. A very rare case in which an adult man had 10 trigger fingers was experienced. He was treated with local steroid injections in both thumbs, but trigger finger disease has been aggravated in every digit of both hands. ...
Gray Katherine V - - 2007
PURPOSE: Although hematoma and distraction arthroplasty has been found to be successful in the treatment of thumb basal joint arthritis in the short term, questions about its efficacy in the long term have been raised. The goal of the present study was to evaluate the results of this procedure in ...
Schepull Thorsten - - 2007
BACKGROUND: There are presently few methods described for in vivo monitoring of the mechanics of healing human tendon ruptures, and no methods for prediction of clinical outcome. We tested if Roentgen stereophotogrammetric analysis (RSA) can be used to follow the restoration of mechanical properties during healing of ruptured Achilles tendons, ...
Pegoli L - - 2007
Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth decades. In the last two decades, arthroscopic techniques have brought new chances of diagnosis and treatment for this condition. In this paper, the authors describe the indications and their experience concerning arthroscopic hemitrapezectomy ...
Sirotakova Maria - - 2007
PURPOSE: Surgical treatment of osteoarthritis of the first carpometacarpal joint aims to achieve complete pain relief with restoration of thumb strength and stability. The aim of this study was to introduce a variation of the abductor pollicis longus (APL) sling arthroplasty and to determine its efficacy in comparison with other ...
Lapidus Lasse J - - 2007
OBJECTIVES: Prophylaxis against thromboembolic complications has become routine after major orthopedic surgery. In contrast, it remains an issue for debate whether prophylaxis after minor surgery and immobilization is necessary, even though these treatments are well-known risk factors for deep-vein thrombosis (DVT). The objective of this study was to evaluate the ...
Hall K - - 2007
Physiotherapy is a well established part of the rehabilitation of peripheral nerve paralysis. The aim of this type of treatment is to re-establish arbitrary functions by improving the patients' active and passive mobility as well as their strength and stamina. IMF-Therapy (Intention controlled Myo-Feedback) is an innovative method in the ...
Metz Roderik - - 2007
We present the design of an open randomized multi-centre study on surgical versus conservative treatment of acute Achilles tendon ruptures. The study is designed to evaluate the effectiveness of conservative treatment in reducing complications when treating acute Achilles tendon rupture. At least 72 patients with acute Achilles tendon rupture will ...
Willberg Lotta - - 2007
Sclerosing injections targeting the area with neovessels and nerves on the dorsal side of the patellar tendon has been demonstrated as giving promising clinical results in patients with chronic painful Jumper's knee-patellar tendinosis (PT). However, a mean number of three treatments with 6-8 weeks in between were needed for a ...
Seki M - - 2006
We studied 21 patients with a spontaneous palsy of the anterior interosseous nerve. There were 11 men and 10 women with a mean age at onset of 39 years (17 to 65). Pain around the elbow or another region (forearm, shoulder, upper arm, systemic arthralgia) was present in 17 patients ...
Burnett R S J - - 2006
Extensor mechanism disruption in total knee arthroplasty (TKA) occurs infrequently but often requires surgical intervention. We compared two cohorts undergoing extensor mechanism allograft reconstruction and presumed both types of extensor mechanism allograft reconstruction will be successful but for different indications and forms of extensor failure. Nineteen consecutive patients with extensor ...
Cizmar Igor - - 2006
AIM: The aim of the work is to objectify the functional effectiveness of these operations and their influence on the quality of life of handicapped patients. METHOD: The authors evaluate the results of reconstructive surgery restoring hand grip in a group of 15 tetraplegic patients (3 women and 12 men) ...
Scott Allison C - - 2006
The purpose of this study was to assess the outcome of split posterior tibial tendon transfers in patients with spastic cerebral palsy to determine whether the use of preoperative dynamic electromyography was predictive of surgical success. The study is a consecutive case series of 25 children with spastic hemiplegia who ...
Jabłecki Jerzy - - 2006
Background. Primary reconstruction of flexor tendons lesions resulting from serious hand mutilations is not always possible. This causes problems in the rehabilitation of finger joints that are unable to perform active flexion. There is no generally accepted approach to such cases. The authors used a dynamic splinting regimen to treat ...
McShane John M - - 2006
OBJECTIVE: Chronic tendinosis of the common extensor tendon of the lateral elbow can be a difficult problem to treat. We report our experience with sonographically guided percutaneous needle tenotomy to relieve pain and improve function in patients with this condition. METHODS: We performed sonographically guided percutaneous needle tenotomy on 58 ...
Schwab Joseph H - - 2006
BACKGROUND: Patellar complications following endoprosthetic reconstruction can occur as a result of anatomic, physiologic, and surgical reasons. Patellar impingement on tibial polyethylene is a complication of distal femoral replacement, and it is frequently related to inaccurate restoration of the joint line and to soft-tissue contracture. The purpose of our study ...
Niiler Timothy A - - 2007
Cerebral palsy (CP) patients exhibit a wide range of functional responses to specific surgical interventions. The variability associated with surgical outcomes within this patient population precipitates the need to determine the functional effects in advance of the surgery. Pilot studies have indicated that the application of statistical models towards predicting ...
Kangas Jarmo - - 2007
BACKGROUND: A few prospective controlled trials comparing early functional rehabilitation after Achilles tendon repair and non-operative immobilization have been reported. HYPOTHESES: There is no difference in Achilles tendon elongation between early motion and immobilization after Achilles tendon repair. Tendon elongation does not correlate with the clinical outcome. STUDY DESIGN: Randomized ...
von Delius Stefan - - 2007
BACKGROUND: Oxaliplatin-induced neurotoxicity is a growing, relevant clinical problem. In this study we evaluated the efficacy and safety of carbamazepine for prevention of oxaliplatin-associated neuropathy in patients with advanced colorectal cancer. METHODS: Chemotherapeutic treatment consisted of oxaliplatin 85 mg/m(2) given biweekly and weekly folinic acid 500 mg/m(2) followed by a ...
Lind Bengt - - 2006
The short-term results after treatment with sclerosing polidocanol injections have been shown to be good in patients with chronic painful mid-portion Achilles tendinosis. This study aimed to evaluate the longer-term effects on tendon thickness, structure and vascularity, patient satisfaction with treatment, and pain during tendon loading activity. Ultrasonography (US) + ...
Costa Matthew L - - 2006
The purpose of this study was to assess the long-term results of tendon lengthening surgery for the treatment of chronic Achilles tendon pain. The results of 21 procedures in 18 patients were assessed. Each patient had an open Z-plasty to lengthen the Achilles tendon by 1 cm. Results showed a ...
Strauss Eric J - - 2007
PURPOSE: To retrospectively review the clinical outcome and incidence of post-operative complications after open end-to-end repair of acute Achilles tendon ruptures. METHODS: Seventy consecutive patients (74 open Achilles tendon repairs) operated on between 1989 and 2002 were identified for inclusion in this investigation. The medical records were reviewed and patients ...
Petterson Stephanie - - 2006
STUDY DESIGN: Case report. BACKGROUND: Long-term deficits in quadriceps femoris muscle strength and impaired muscle activation are common among individuals with total knee arthroplasty (TKA). Failure to address strength-related impairments results in poor surgical and functional outcomes, which may accelerate the progression of osteoarthritis in other lower extremity joints. The ...
Wapner Keith L - - 2006
Long-term followup (over 5 years) of staged reconstruction for chronic ruptures of both peroneal tendons using a Hunter rod and the flexor hallucis longus (FHL) tendon is presented. Seven patients with chronic ruptures of both peroneal tendons who had at least two previous surgeries that failed were treated with excision ...
Chan T K - - 2006
PURPOSE: To evaluate the functional outcome of the hand following flexor tendon repair at 'no man's land' using 2 strands of a modified Kessler core suture and combined controlled motion rehabilitation protocol. METHODS: Records of 31 zone-2 flexor tendon injuries in 21 digits of 16 patients between July 2000 and ...
Cebesoy Oguz - - 2007
Percutaneous release of the trigger finger and trigger thumb has recently gained popularity. The aim of this study was to determine the clinical results and safety of percutaneous release in trigger thumbs. Twenty-five thumbs of 21 patients were released percutaneously in the polyclinic under local anaesthesia. Steroid injection was performed ...
Al-Qattan M M - - 2007
There is a scarcity of information on extensor hallucis longus tendon injuries and published studies frequently offer conflicting treatment recommendations and results. PATIENTS AND METHODS: This paper reports on the treatment and results of open lacerations of the extensor hallucis longus tendon in 17 patients treated by a plastic surgeon ...
Wiley William B - - 2006
We compared 2 groups of patients with chronic distal biceps tendon ruptures, 7 patients treated nonoperatively and 7 undergoing semitendinosus autograft tendon reconstruction. The mean time to surgery after the initial injury was 17 weeks. The mean clinical follow-up in the operative group was 63 months. Functional strength and endurance ...
Collado Hervé H Department of Physical and Rehabilitation Medicine, Faculté de Médecine, Université de la Méditerranée, Assistance Publique Hopitaux de Marseille, University Hospital La Timone, Marseille, France. - - 2006
To determine whether fascicular neurotomy has long-lasting effects on spasticity. We present 4 clinical cases and a critical analysis of the literature. This is a retrospective study on 4 patients referred to our department for spastic equinovarus foot deformity. For all 4, neurotomy was successful not long after surgery, but ...
Boesen M Ilum - - 2006
High resolution colour Doppler ultrasound shows intratendinous Doppler activity in patients with chronic Achilles tendinopathy. Treatment of this neovascularisation with sclerosing therapy seems to relieve the pain. However, the procedure often has to be repeated. To investigate the effect of electrocoagulation of the neovessels on tendon pain and tendon vascularity ...
Kotnis Rohit - - 2006
BACKGROUND: The optimal method of treatment for acute tendo-Achilles ruptures continues to be debated. HYPOTHESIS: The reported lower rerupture rate for operatively treated patients is an effect of tendon end apposition during the healing process, and patients in whom apposition can be demonstrated using ultrasound will have a similar rate ...
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