scholarly journals Better Functional Outcome and Pain Relief in the Far-Lateral-Outside-in Percutaneous Endoscopic Transforaminal Discectomy

2021 ◽  
Vol Volume 14 ◽  
pp. 3927-3934
Author(s):  
Sheng-Fen Wang ◽  
Shih-Feng Hung ◽  
Tsung-Ting Tsai ◽  
Yun-Da Li ◽  
Ping-Yeh Chiu ◽  
...  
Keyword(s):  
Pain Relief ◽  
Functional Outcome ◽  
Far Lateral

scholarly journals How effective is periarticular drug infiltration in providing pain relief and early functional outcome following total hip arthroplasty?

2019 ◽  
Vol 10 (3) ◽  
pp. 550-554
Author(s):  
George Mathew Srampickal ◽  
Korula Mani Jacob ◽  
Jacob Joe Kandoth ◽  
Bijesh Kumar Yadev ◽  
Tyagraj Palraj ◽  
...  
Keyword(s):  
Pain Relief ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Early Functional Outcome

Efficacy, Outcomes, and Alignment Following Isolated Fibular Sesamoidectomy via a Plantar Approach

2019 ◽  
Vol 40 (12) ◽  
pp. 1375-1381 ◽  
Author(s):  
Samuel E. Ford ◽  
Christopher R. Adair ◽  
Bruce E. Cohen ◽  
W. Hodges Davis ◽  
J. Kent Ellington ◽  
...  
Keyword(s):  
Pain Relief ◽  
Functional Outcome ◽  
Case Series ◽  
Office Visit ◽  
Administrative Database ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Tertiary Referral Center ◽  
Flexion Strength

Background: The purpose of this study was to evaluate patients for intermediate-term pain relief, functional outcome, and changes in hallux alignment following isolated, complete fibular sesamoidectomy via a plantar approach for sesamoid-related pain recalcitrant to conservative treatment. Methods: A retrospective query of a tertiary referral center administrative database was performed using the Current Procedural Terminology code 28135 for sesamoidectomy between 2005 and 2016. Patients who underwent an isolated fibular sesamoidectomy were identified and contacted to return for an office visit. The primary outcome measure was change in visual analog pain score at final follow-up. Secondary measures included satisfaction, hallux flexion strength, hallux alignment, pedobarographic assessment, and postoperative functional outcome scores. Patients who met the 2-year clinical or radiographic follow-up minimum were included. Ninety fibular sesamoidectomies were identified. Thirty-six sesamoidectomies met inclusion criteria (median 60-month follow-up). The average patient was 36 years old and underwent sesamoidectomy 1.1 years after initial diagnosis. Results: Median visual analog scale scores improved 5 (6 to 1) points at final follow-up ( P < .001). Final postoperative mean hallux valgus angle did not differ from preoperative values (10.5 degrees/8.5 degrees, P = .12); similarly, the intermetatarsal angle did not differ (8.0 degrees/7.9 degrees, P = .53). Eighty-eight percent of patients would have surgery again and 70% were “very satisfied” with their result. Hallux flexion strength (mean 14.7 pounds) did not differ relative to the contralateral foot (mean 16.1 pounds) ( P = .23). Among the full 92 case cohort, 3 patients underwent 4 known reoperations. Conclusion: Fibular sesamoidectomy effectively provided pain relief (median 5-year follow-up) for patients with sesamoid pathology without affecting hallux alignment. Level of Evidence: Level IV, retrospective case series.

Functional Outcome Following Salvage of Failed Trapeziometacarpal Joint Arthroplasty

2002 ◽  
Vol 27 (1) ◽  
pp. 96-100 ◽  
Author(s):  
K. J. RENFREE ◽  
P. C. DELL
Keyword(s):  
Pain Relief ◽  
Functional Outcome ◽  
Revision Surgery ◽  
Complication Rate ◽  
Joint Arthroplasty ◽  
Pinch Strength ◽  
Subjective Outcome ◽  
Trapeziometacarpal Joint ◽  
Improved Function

The outcomes in 12 patients who underwent revision surgery for a failed trapeziometacarpal joint arthroplasty were assessed. Multiple procedures were common (an average of 4.5 per patient), and associated with an overall complication rate of 27%. However, after an average follow-up of 5 years, nine of the 12 patients reported improved function and ability to complete normal daily tasks. Most patients were satisfied with their level of pain relief, their grip and pinch strength, and their overall final result. The subjective outcome was less satisfactory in those involved in workers’ compensation litigation. All seven attempted scaphoid–thumb metacarpal fusions failed.

scholarly journals Long-Term Outcomes and Alignment following Isolated Fibular Sesamoidectomy

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0002
Author(s):  
Samuel E. Ford ◽  
Christopher R. Adair ◽  
Bruce E. Cohen ◽  
W. Hodges Davis ◽  
J. Kent Ellington ◽  
...  
Keyword(s):  
Pain Relief ◽  
Functional Outcome ◽  
Office Visit ◽  
Primary Outcome Measure ◽  
Phone Call ◽  
Administrative Database ◽  
Tertiary Referral Center ◽  
Flexion Strength

Category: Bunion, Midfoot/Forefoot, Sesamoid Introduction/Purpose: Potential etiologies of sesamoid related pain include repetitive stresses, fracture, cartilage lesions, arthrosis, and/or osteonecrosis. When patients fail to respond to conservative treatment, surgical intervention may be indicated in the form of sesamoid bone grafting, shaving/debridement, and/or sesamoid excision. Minimal published literature exists regarding the long-term safety and efficacy of fibular sesamoidectomy. The purpose of this study was to evaluate patients following isolated, complete fibular sesamoidectomy for long-term pain relief, functional outcome, and changes in hallux alignment. Methods: A query of a tertiary referral center administrative database was performed using the CPT code 28135 for sesamoidectomy between 10/1/2005 and 9/1/2016. Patients who underwent an isolated fibular sesamoidectomy were identified and contacted by their treating physicians with a recruitment letter, phone call, or e-mail to return for an office visit. The primary outcome measure was preoperative to final postoperative change in ten-point visual analog scale pain score. Secondary measures included satisfaction, hallux flexion strength, change in hallux alignment, and final post-operative functional outcome scores. Patients who met the 2-year clinical or radiographic follow-up minimum were included. Patients who underwent concomitant joint realignment procedures or had a medical history of either diabetes or peripheral neuropathy were excluded. Results: Ninety-three fibular sesamoidectomies were identified. Thirty-six sesamoidectomies (35 patients) met inclusion criteria (median follow-up 60 months). The average patient was 36-years-old with a BMI of 24.7 kg/m2 and underwent sesamoidectomy a mean 1.1 years after initial diagnosis. Median VAS scores improved 5 (6 to 1) points at final follow-up (p<0.0001). Final post- operative hallux valgus angle (HVA) did not differ from pre-operative values (10.5°/8.5°, p=0.12); similarly, intermetatarsal angle (IMA) did not differ (8.0°/7.9°, p=0.53). 88% of patients would have surgery again and 70% were “very satisfied” with their result. Hallux flexion strength (mean 14.7 pounds) did not differ following sesamoidectomy relative to the contralateral foot (mean 16.1 pounds) (p=0.23). Among the full 93 case cohort, 3 patients underwent 4 known reoperations. Conclusion: Fibular sesamoidectomy effectively provides long-term pain relief for patients with sesamoiditis, fracture, nonunion, osteonecrosis, and arthritis at long-term follow-up (median 5 years). Potential long-term sequelae, including hallux flexion weakness, change in hallux alignment, and deterioration of patient satisfaction/function were not encountered.

The Cup-Cage Reconstruction for Pelvic Discontinuity has Encouraging Patient Satisfaction and Functional Outcome at Median 6-Year Follow-Up

2017 ◽  
Vol 27 (5) ◽  
pp. 509-513 ◽  
Author(s):  
Sujith Konan ◽  
Clive P. Duncan ◽  
Bassam A. Masri ◽  
Donald S. Garbuz
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Functional Outcome ◽  
Womac Pain ◽  
Pelvic Discontinuity ◽  
Patient Reported ◽  
Excision Arthroplasty ◽  
Viable Method

Introduction The aim of this study was to review the clinical, radiological and patient-reported outcomes with the use of cup-cage construct for pelvic discontinuity at our institution. Methods 24 patients were identified at median 6-year (minimum 2 year, maximum 10 years) follow-up. 1 patient was converted to excision arthroplasty for infection. A further 3 patients required revision for instability but the cup-cage construct was not revised. Results We noted encouraging pain relief (mean WOMAC pain 85.6) and good functional outcome (mean WOMAC function 78.2, mean UCLA 5, mean OHS 78.6). Patient satisfaction with regards pain relief, function and return to recreational activities were noted to be good. Conclusions The cup-cage construct is a viable method of dealing with complex pelvic discontinuity. However, the failure rate due to loosening (4 cases) in this and other reports does prompt the need for further refinement of the technique and technology in this very challenging group of patients, as well as continued evaluation at the mid- and long-term so as to confirm the ongoing success of this method of reconstruction.

Results of the Wafer Procedure for Ulnar Impaction Syndrome in the Ulnar Negative and Neutral Wrist

1999 ◽  
Vol 24 (6) ◽  
pp. 671-675 ◽  
Author(s):  
M. M. TOMAINO
Keyword(s):  
Pain Relief ◽  
Functional Outcome ◽  
Grip Strength ◽  
Functional Restoration ◽  
Distal Ulna ◽  
Ulnar Impaction ◽  
Triangular Fibrocartilage ◽  
The Mean ◽  
Ulnar Impaction Syndrome

Thirteen wrists with ulnar neutral or negative variance were treated by open distal ulna excision (the wafer procedure). The mean follow-up was 25 months (range, 12–38). At final follow-up grip strength had increased a mean of 14 kgf and 12 of the 13 patients were very satisfied with the functional outcome and pain relief. In treatment of the ulnar impaction syndrome, the wafer procedure provides excellent pain relief and functional restoration particularly in patients with ulnar neutral or negative wrists in whom triangular fibrocartilage tears have not yet developed.

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