Search Results
Results 351 - 400 of 1346
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Luciani Deianira - - 2008
BACKGROUND: Viscosupplementation, with hyaluronan derivates injected into the intra-space of osteoarthritic joints, is now widely used for the treatment of knee osteoarthritis. This study evaluates the results in terms of pain and disability of intra-articular injections of hyaluronan derivates into the ankle joint in patients suffering from grade II primary ...
Jencikova-Celerin Lubica - - 2008
BACKGROUND: The optimal treatment of femoral shaft fractures in older children and adolescents remains controversial. We hypothesized that fixation with a flexible interlocking intramedullary nail (FIIN) reduces perioperative complications and improves outcomes, including leg-length discrepancy, time to healing, and time to weight bearing compared with other fixation procedures (OFPs) including ...
Bishay Sherif N G - - 2009
Hallux valgus deformity is a common sequel of spastic cerebral palsy. Twenty ambulatory patients (24 feet) suffering hallux valgus deformity, with painful forefoot and restricted footwear, secondary to spastic cerebral palsy acquired perinatally, were treated with great toe metatarsophalangeal (MTP) arthrodesis using percutaneous K-wires for fixation. The mean age at ...
Spiegel David A - - 2009
Although the Ponseti method has been effective in patients up to 2 years old, limited information is available on the use of this method in older patients. We retrospectively reviewed the records of 171 patients (260 feet) to determine whether initial correction of the deformity (a plantigrade foot) could be ...
Rammelt S - - 2008
Fracture-dislocations of the tarsometatarsal (Lisfranc) joints are frequently overlooked or misdiagnosed at initial presentation. This is a comparative cohort study over a period of five years comparing primary open reduction and internal fixation in 22 patients (23 feet) with secondary corrective arthrodesis in 22 patients (22 feet) who presented with ...
Hetsroni Iftach - - 2008
Pain relief and functional improvement in the short term have been demonstrated in the majority of patients with tarsal coalition following resection. Recreation of normal subtalar kinematics is an important goal in these patients as well, and may have long term implications. The purpose of our study was to examine ...
Allende Christian - - 2009
This level IV case series study prospectively evaluated patients with atrophic proximal humerus nonunions stabilised with a locking 90 degree blade plate. All patients were women with an average age of 69 years (range 56-78). Time from trauma to nonunion treatment averaged 23 months. Five patients had had previous surgical ...
Thabet Ahmed M - - 2008
The results of treatment of congenital pseudarthrosis of the tibia (CPT) are frequently unsatisfactory because of the need for multiple operations for recalcitrant nonunion, residual deformities, and limb-length discrepancies (LLD). Although the etiology of CPT is basically unknown, recent reports suggest the periosteum is the primary site for the pathologic ...
Philbin Terrence M - - 2008
The optimum surgical procedure for talocalcaneal coalitions has not been definitively determined. The authors performed this study to evaluate the results achieved with talocalcaneal tarsal coalition resection with regard to preoperative radiographic findings in relation to postoperative outcomes. They reviewed the medical records of 7 patients and conducted telephone interviews ...
Valderrabano Victor - - 2009
The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis ...
Elshenawy Elshenawy M - - 2008
The purpose of this study was to evaluate prospectively the results of the Ponseti technique in the treatment of congenital idiopathic clubfoot, to assess the factors that influenced the results and to report the complications that occurred. Seventy one congenital idiopathic clubfeet in 45 patients were treated with serial casting ...
Naal Florian D - - 2009
BACKGROUND: There is a lack of detailed information about habitual physical activity levels and the sports participation of patients after total ankle arthroplasty. HYPOTHESIS: The proportion of sports active patients increases after total ankle arthroplasty, and the majority of patients will meet current recommendations for health-enhancing physical activity. STUDY DESIGN: ...
Belthur Mohan V - - 2008
Between 2003 and 2006, we used an extraarticular, cannulated, fully threaded posterior calcaneotibial screw to prevent equinus contracture in 10 patients (four male and six female patients, 14 limbs) undergoing tibial lengthening with the intramedullary skeletal kinetic distractor. Diagnoses were fibular hemimelia (two), mesomelic dwarfism (two), posteromedial bow (one), hemihypertrophy ...
Park Hui Wan - - 2008
BACKGROUND: The details regarding bone formation and complication rates associated with tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator have not been reported, to our knowledge. The purpose of this study was to review our experiences with this procedure, performed in individuals with idiopathic short ...
Miyamoto Wataru - - 2008
The purpose of this study was to investigate the clinical, radiological and arthroscopic results of osteochondral plug transplantation for late-stage Freiberg disease. We examined 4 consecutive cases of late-stage Freiberg disease of the second metatarsal head. All 4 patients were female with an average age of 12. Osteochondral plug transplantation ...
Ferkel Richard D - - 2008
BACKGROUND: Osteochondral lesions of the talus are relatively uncommon but may be a cause of significant pain and disability in symptomatic patients. HYPOTHESIS: Arthroscopic treatment of osteochondral lesions of the talus will result in good long-term clinical outcomes in the majority of patients. STUDY DESIGN: Case series; Level of evidence, ...
Lee Daniel K - - 2008
Tibiotalar joint reconstruction for the treatment of osteoarthritic and post-traumatic arthritic joint remains controversial and unsatisfactory. While the current literature recommends joint arthrodesis as a gold standard, current developments in allograft technology may aid in the repair of articular damage; avoid any metallic implant wear, failure, and revision; and preserve ...
Emara Khaled M - - 2008
BACKGROUND: Ilizarov technique is useful in the management of infected nonunions of the tibia. Its main drawback is the long duration of external fixation (EF) with marked patient discomfort. Several techniques have been described for early removal of EF to avoid this problem. METHODS: Between September 2000 and October 2001, ...
Leumann André - - 2008
INTRODUCTION AND PURPOSE: Intramedullary screw fixation (ISF) of proximal fifth-metatarsal fractures is known as first treatment option in young, sports active patients. No study analyzed functional and biomechanical outcome before. Hypothetically ISF leads to (1) a high bony union rate within 12 weeks, (2) normal hindfoot eversion strength, and (3) ...
Park Kun Bo - - 2008
BACKGROUND: Calcaneal lengthening osteotomy and extra-articular arthrodesis of the subtalar joint are two methods used for the correction of valgus deformity of the heel and forefoot abduction. The purpose of this study was to compare the operative results of these procedures in patients with cerebral palsy who were able to ...
Hyer Christopher F - - 2008
This study evaluates the use of retrograde drilling in medial osteochondral lesions of the talus (OLTs) with intact articular surfaces. During a 2-year period, 8 consecutive patients underwent surgical treatment for symptomatic posterior medial OLT. All patients underwent arthroscopy of the ankle followed by retrograde drilling of the talar lesion. ...
Lin Johnny L - - 2008
There are few long-term studies on the non-operative treatment of Stage II Posterior Tibial Tendon Dysfunction (PTTD). The purpose of this study is to describe the natural history and determine the efficacy of non-operative treatment of Stage II PTTD using clinical outcome scores. Patients with Stage II PTTD treated with ...
Segev E - - 2008
PURPOSE: To report the treatment outcomes of V osteotomy and Ilizarov technique for residual idiopathic or neurogenic clubfeet. METHODS: 13 patients (14 feet) aged 8 to 18 years underwent V osteotomy via the calcaneus and talus, followed by gradual distraction of soft tissue and bone for foot reconstruction. Eight of ...
Landes Constantin A - - 2008
PURPOSE: The purpose of the study was assessment of whether open reduction and internal fixation of high nondisplaced, nondislocated diacapitular fractures (Class VI according to Spiessl and Schroll) have better 1-year results compared with closed treatment. PATIENTS AND METHODS: Twenty-two patients treated 2001 to 2005 with 26 (4 double) Class ...
Wu Chi-Chuan - - 2009
Subtrochanteric nonunions may involve considerable shortening. A convincing method of concomitantly treating both combined disorders has not been reported. Twenty-three consecutive patients with these combined disorders were treated by femoral condylar skeletal traction, one-stage lengthening to 4 cm maximum, static locked nail stabilization, and corticocancellous bone grafting. Indications for this ...
Schweitzer Daniel - - 2008
OBJECTIVE: To report clinical results of patients treated with closed reduction and percutaneous iliosacral screw fixation for unstable pelvic ring fractures. MATERIALS AND METHODS: Retrospective study using medical records, images and late clinical assessment of all patients treated in our centre with percutaneous iliosacral screw fixation for unstable pelvic ring ...
Large Thomas M - - 2008
Fifty periprosthetic supracondylar femur fractures above a total knee arthroplasty were reviewed. Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated with nonlocked plating systems or intramedullary fixation. Minimum follow-up was ...
Nagaraju K Durga - - 2008
We report the results of 18 recurrent clubfeet in 13 children after Kite's method of casting treated successfully by Ponseti's technique. The average age was 8.3 months. The average preoperative Pirani's midfoot contracture score was 1.8, hindfoot contracture score was 2.4, and total score was 4.2. All patients had full ...
Al-Khayer Ahmad - - 2008
STUDY DESIGN: Consecutive case series. OBJECTIVE: To report a new percutaneous sacroiliac joint (SIJ) arthrodesis technique utilizing a Hollow Modular Anchorage screw. SUMMARY OF BACKGROUND DATA: A variety of SIJ arthrodesis techniques have been reported in the established academia to treat intractable SIJ pain. None combines minimal surgical exposure, instrumented ...
Boehm Stephanie - - 2008
BACKGROUND: Clubfoot occurs in approximately one in 1000 live births and is one of the most common congenital birth defects. Although there have been several reports of successful treatment of idiopathic clubfoot with the Ponseti method, the use of this method for the treatment of other forms of clubfoot has ...
Maria Vlachou - - 2008
Twelve patients (17 feet) with progressive neuromuscular planovalgus foot deformity underwent an extra-articular subtalar arthrodesis with the combined Batchelor-Grice procedure. All patients were ambulant and received conservative treatment with braces and special orthopaedic shoes before the operation. Postoperatively the feet were immobilized in short leg casts for 6 weeks. Evaluation ...
Daglar Bulent - - 2008
BACKGROUND: Severe disability originating from feet generally requires surgery. In addition to a number of other techniques, triple arthrodesis is still used to treat deformity and instability unresponsive to conservative measures. The aim of this study was to evaluate the results of the triple arthrodesis operation in two groups of ...
de Vries Jasper S - - 2008
The study was designed as a prospective multicenter longitudinal trial. Adult patients with symptomatic mechanical chronic ankle instability, not improving with conservative therapy, were included and underwent surgery. Primary outcome measures were radiological and manually tested mechanical laxity. Secondary outcome measures were number of complications, reoperations and symptoms, range of ...
Fujak Albert - - 2008
BACKGROUND: The Ponseti method has radically reduced the need for extensive surgical treatment in idiopathic clubfoot. At present there are no universally accepted criteria for the use of the various surgical techniques. MATERIAL AND METHODS: 77 patients with idiopathic congenital clubfoot (111 affected feet) were treated according to Imhäuser. The ...
Ayoub M A - - 2008
Between 2000 and 2006 we performed salvage tibiotalar arthrodesis in 17 diabetic patients (17 ankles) with grossly unstable ankles caused by bimalleolar fractures complicated by Charcot neuro-arthropathy. There were ten women and seven men with a mean age of 61.6 years (57 to 69). A crossed-screw technique was used. Two ...
Hussain Syed Amjad - - 2008
BACKGROUND: Talipes Equino-Varus (TEV) is one of the most common congenital anomaly. It is managed by various methods, i.e., conservative & surgery. Objective of this study was to determine the efficacy of modified Turco's postero-medical release in children's having congenital TEV. METHODS: This descriptive observational study was conducted from June ...
Lee Keun Bae - - 2008
PURPOSE: The purposes of this study were to identify the pathologic findings of sinus tarsi syndrome (STS) by subtalar arthroscopy and to evaluate the results of arthroscopic treatments in 33 consecutive cases. METHODS: A retrospective review was performed in 31 consecutive patients (33 cases) who underwent subtalar arthroscopic treatment for ...
Garras David N - - 2008
Subtalar bone-block distraction arthrodesis using structural autograft carries the risk of donor site morbidity. Recent reports suggest that structural allograft may be an attractive alternative to structural autograft in subtalar arthrodesis. This prospective study analyzes subtalar distraction arthrodesis using interpositional structural allograft. Between 2000 and 2006, 22 patients (24 feet; ...
Easley Mark E - - 2008
BACKGROUND: Contemporary recommendations for primary and revision ankle arthrodesis favor internal compression techniques involving the use of screw and/or plate fixation. While tibiotalocalcaneal arthrodesis with internal fixation may be a suitable method of salvage for the treatment of a failed tibiotalar arthrodesis in selected patients, ring external fixation has been ...
Abramo Antonio - - 2008
BACKGROUND AND PURPOSE: Distal radius fractures are most often treated nonoperatively, but sometimes they are treated surgically when deemed unstable. Based on the literature, a consensus protocol for treatment has been developed in southern Sweden to aid clinicians in their decision making. We evaluated the results of this protocol prospectively ...
Barwick Thomas W - - 2008
BACKGROUND: Evidence regarding the efficacy of the MOJE ceramic press fit total joint replacement for the first metatarso-phalangeal joint (MTPJ) is lacking. OBJECTIVES: Our aim was to assess the clinical outcome for the MOJE arthroplasty in a single surgeon series using objective and subjective assessment tools. METHODS: A retrospective outcome ...
Altindas Muzaffer - - 2008
We had several difficulties in dealing with diabetic foot lesions and infections at the level of midfoot and hindfoot. At this level of the foot, bone and joint involvement is quite common. We had to perform major amputations in most of these patients. As our search to overcome this problem ...
Chou Loretta B - - 2008
Total ankle arthroplasty was developed to reduce pain and retain motion of the ankle joint in patients with osteoarthritis. The ankle joint has unique, complex anatomic and biomechanical characteristics that must be considered in a successful total ankle arthroplasty prosthesis. Initial designs from the 1960s to the 1970s had many ...
Svehlik Martin - - 2008
Eleven patients with spastic cerebral palsy were evaluated preoperatively, and 3 and 9 months postoperatively after soft tissue surgery. Evaluation included clinical examination, the Functional Mobility Scale questionnaire, and instrumented gait and center of mass trajectory analysis. A decrease in time-distance parameters after 3 months was followed by progress in ...
Micic Ivan Dragoljub - - 2008
BACKGROUND: Although the use of a plate and bone graft is described as a well-known treatment for aseptic humeral shaft nonunion, unilateral external fixator can be alternative as a minimally invasive method. There has been no report comparing two methods of plate and external fixator for humeral shaft nonunion. Also, ...
Voss Bernhard - - 2008
OBJECTIVE: Sternal dehiscence after median sternotomy can be a challenging problem in case of multiple fractures or infection. The use of titanium plates is a promising approach for sternal reconstruction. METHODS: Titanium plate fixation was used in 15 patients (67+/-5.9 years, 171+/-8.2 cm, 93.6+/-14.9 kg, body mass index 32+/-5 kg/m(2)) ...
Wood P L R - - 2008
We describe the medium-term results of a prospective study of 200 total ankle replacements at a single-centre using the Scandinavian Total Ankle Replacement. A total of 24 ankles (12%) have been revised, 20 by fusion and four by further replacement and 27 patients (33 ankles) have died. All the surviving ...
Yeoh David - - 2008
The most common indication for knee arthrodesis is pain and instability in an unreconstructable knee following an infected knee arthroplasty. In this study, we compare the use of the Mayday arthrodesis nail (Orthodynamics, Christchurch, UK) versus external fixation, Orthofix (Berkshire UK) and Stryker Hoffman II (County Cork, Ireland). All patients ...
Schuberth John M - - 2008
PURPOSE: The purpose of this study was to investigate the results of repair of latent ankle syndesmotic instability and widening by an arthroscopic and percutaneous approach. METHODS: This case study series presents 6 patients who presented with latent syndesmotic instability after sustaining a rotational ankle injury. All 6 patients underwent ...
Atalar Ata Can - - 2008
OBJECTIVES: To compare 3 different fixation methods for the treatment of humeral shaft nonunions in terms of union time, functional outcome, and complications. DESIGN: Retrospective case series. SETTING: University hospital. PATIENTS: Between 1996 and 2004, 80 patients (mean age, 49; range, 15 to 86; 30 women and 50 men) with ...
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