scholarly journals Selected aspects of proximal femoral epiphysis fixation in children with early stages of slipped capital femoral epiphysis

2021 ◽  
Vol 9 (3) ◽  
pp. 277-286
Author(s):  
Dmitriy B. Barsukov ◽  
Pavel I. Bortulev ◽  
Vladimir E. Baskov ◽  
Ivan Yu. Pozdnikin ◽  
Tatyana V. Murashko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Slipped Capital Femoral Epiphysis ◽  
Cortical Layer ◽  
Cannulated Screw ◽  
Long Term Results ◽  
Screw Head ◽  
Early Stages ◽  
Negative Effect ◽  
In Situ Fixation ◽  
Stage 1

BACKGROUND: Epiphyseodesis of the femoral head in the early stages of slipped capital femoral epiphysis using auto-, allografts, and synthetic implant may result in deformities of the femur leading cam-type femoroacetabular impingement and dysfunction of the gluteal muscles. Most surgeons refused this intervention and favor in situ fixation of the epiphysis with modern metal instrumentation and, in particular, cannulated screws with proximal threading. However, the number of screws that provide stable fixation and how to reduce their negative effect on the enchondral growth of the femur remain controversial. AIM: To improve the results of surgical treatment in children with early stages of slipped capital femoral epiphysis. MATERIALS AND METHODS: The radiological results of surgical treatment of 40 patients (80 affected joints) aged from 11 to 14 years with slipped capital femoral epiphysis of stage 1 in one joint and stage 2 in the other joint were analyzed. 20 children were divided into two groups. In each group, the epiphysis was fixed with a 7.0 mm cannulated screw. In the first group, the screw head was held on the cortical layer. In the second group, the screw head was held 510 millimeters away from the cortical layer. Long-term results were evaluated at the age of 1718 years when no signs of enchondral and ecchondral growth of the proximal femur were noted. The obtained data were subjected to statistical analysis. RESULTS: The fixation of the epiphysis was stable in all 80 joints. The shape of epimetaphysis in the joints of stage 2 did not change in most patients by the end of femoral growth. However, the correction recorded in 32.5% of cases was more often observed in children of the second group. The shape of epimetaphysis in all 40 joints with stage 1 of the disease remained normal. The mean length of the epimetaphysis was greater in the second group than in the first group by the end of growth regardless of the stage of the pathologic process during surgery. CONCLUSIONS: The considered method of proximal femoral epiphysis fixation, which excludes the compressive effect of a cannulated screw with proximal threading on the epiphyseal growth cartilage, provides reliable epiphysis retention in the early stages of slipped capital femoral epiphysis. It has a less negative effect on the enchondral growth of the femoral component of the joint.

RESULTS OF EARLY SURGICAL TREATMENT OF OSTEOCHONDRITIS DISSECANS OF THE KNEE JOINT IN CHILDREN

2013 ◽  
Vol 4 (3) ◽  
pp. 65-69
Author(s):  
Alexey Georgievich Baindurashvili ◽  
Sergey Vladislavovich Sergeev ◽  
Alexey Vitalievich Moskalenko ◽  
Nina Anatolievna Pozdeeva
Keyword(s):  
Surgical Treatment ◽  
Knee Joint ◽  
Osteochondritis Dissecans ◽  
Symptomatic Treatment ◽  
Arthroscopic Treatment ◽  
Long Term Results ◽  
Bone Marrow Stimulation ◽  
Simultaneous Application ◽  
Early Stages ◽  
Late Stages

The results of surgical treatment of osteochondritis dissecans (OCD) of a knee joint in children were studied. Three groups of monitoring were formed: arthroscopic treatment of early stages — 31 children, arthroscopic treatment of late stages — 14 children, arthrotomic treatment of late stages — 14 children. Immediate results are comparable in all the groups. The best long-term results were observed in groups of arthroscopic treatment, especially in early stages. Simultaneous application of bone marrow stimulation techniques and symptomatic treatment is more effective.

Screw Head Impingement After In Situ Fixation in Moderate and Severe Slipped Capital Femoral Epiphysis

2007 ◽  
Vol 27 (3) ◽  
pp. 319-325 ◽  
Author(s):  
Ryan C. Goodwin ◽  
Andrew T. Mahar ◽  
Timothy S. Oswald ◽  
Dennis R. Wenger
Keyword(s):  
Slipped Capital Femoral Epiphysis ◽  
Screw Head ◽  
In Situ Fixation

scholarly journals A method of surgical treatment of unstable severe forms of juvenile femoral head epiphysiolysis

2013 ◽  
Vol 94 (6) ◽  
pp. 838-843
Author(s):  
A R Pulatov ◽  
V V Mineev
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Open Reduction ◽  
Slipped Capital Femoral Epiphysis ◽  
Late Results ◽  
Biomechanical Study ◽  
Long Term Results ◽  
Slip Angle

Aim. To analyze the long-term results of the designed method for the open epiphysis reduction in patients with severe unstable forms of juvenile femoral head epiphysiolysis. Methods. The article describes the method of surgical treatment of severe forms of unstable juvenile femoral head epiphysiolysis and long-term outcomes in 21 patients. The indications for the method were the unstable form of juvenile femoral head epiphysiolysis and slipped capital femoral epiphysis with a slip angle of more than 40 degrees. The age of patients at time of treatment ranged from 11 to 16 years, follow-up period - from 2 to 15 years. Five patients underwent a comprehensive biomechanical study within one year after surgery. Results. The early and late results of the femoral head epiphysis open reduction were analyzed. Positive results were obtained in 19 cases (good results in 17, satisfactory in 2). The complication rate was 14.3% and included 3 cases of avascular femoral head necrosis, no cases of chondrolysis were revealed. According to biomechanical examination data performed in five patients 1 year after the surgery, almost complete functional recovery of the musculoskeletal system was revealed. Conclusion. Analysis of the results showed that being properly executed the open reduction of the femoral head with a corrective femoral neck osteotomy allowed to restore normal anatomic proportions and function of the affected joint, positive result was maintained for the entire follow-up period.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

scholarly journals Complementarity of Photo-Biomodulation, Surgical Treatment, and Antibiotherapy for Medication-Related Osteonecrosis of the Jaws (MRONJ)

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 145
Author(s):  
Diana Florina Nica ◽  
Mircea Riviș ◽  
Ciprian Ioan Roi ◽  
Carmen Darinca Todea ◽  
Virgil-Florin Duma ◽  
...  
Keyword(s):  
At Risk ◽  
Surgical Treatment ◽  
Healing Rate ◽  
Treatment Success ◽  
Maxillofacial Surgery ◽  
Treatment Protocol ◽  
Clinical Results ◽  
Complete Healing ◽  
Osteonecrosis Of The Jaws ◽  
Stage 1

Background and Objectives: Antiresorptive or anti-angiogenic agents may induce medication-related osteonecrosis of the jaws (MRONJ), which represents a challenge for clinicians. The aim of this study is to design and apply a composed and stage-approach therapy combining antibiotherapy, surgical treatment, and photo-biomodulation (PBM) for the prevention or treatment of MRONJ lesions. Materials and Methods: The proposed treatment protocol was carried out in the Department of Oral & Maxillofacial Surgery of the “Victor Babes” University of Medicine and Farmacy of Timisoara, in 2018–2020. A total of 241 patients who were previously exposed to antiresorptive or anti-angiogenic therapy, as well as patients already diagnosed with MRONJ at different stages of the disease were treated. A preventive protocol was applied for patients in an “at risk” stage. Patients in more advanced stages received a complex treatment. Results: The healing proved to be complete, with spontaneous bone coverage in all the n = 84 cases placed in an “at risk” stage. For the n = 49 patients belonging to stage 0, pain reductions and decreases of mucosal inflammations were also obtained in all cases. For the n = 108 patients proposed for surgery (i.e., in stages 1, 2, or 3 of MRONJ), a total healing rate of 91.66% was obtained after the first surgery, while considering the downscaling to stage 1 as a treatment “success”, only one “failure” was reported. This brings the overall “success” rate to 96.68% for a complete healing, and to 99.59% when downscaling to stage 1 is included in the healing rate. Conclusions: Therefore, the clinical outcome of the present study indicates that patients with MRONJ in almost all stages of the disease can benefit from such a proposed association of methods, with superior clinical results compared to classical therapies.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation

Patient and partner satisfaction and long-term results after surgical treatment for Peyronie’s disease

Urology ◽  
2003 ◽  
Vol 62 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Mustafa F Usta ◽  
Trinity J Bivalacqua ◽  
Jose Sanabria ◽  
I.Turker Koksal ◽  
Krishnarao Moparty ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peyronie’S Disease ◽  
Long Term Results ◽  
Partner Satisfaction ◽  
Peyronie's Disease
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