scholarly journals Minimally invasive treatment of bilateral femoral shaft fractures in polytrauma patient using selfdinamisibile internal fixator: A case report

2013 ◽  
Vol 60 (2) ◽  
pp. 59-64
Author(s):  
Predrag Stojiljkovic ◽  
Ivan Micic ◽  
Sasa Milenkovic ◽  
Milan Mitkovic ◽  
Ivan Golubovic ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Femoral Fractures ◽  
Internal Fixator ◽  
Invasive Technique ◽  
Invasive Treatment ◽  
Operative Trauma ◽  
Femur Fractures ◽  
Definitive Method ◽  
Polytrauma Patients ◽  
Polytrauma Patient

Proper timing and surgical method in management of femur fractures in polytrauma patients can greatly reduce the mortality, morbidity and disability. The aim of this paper is to present the treatment of bilateral femoral fractures in polytrauma patient with dominant chest trauma by selfdynamisable internal fixator Mitkovic (SIF) as a definitive method of fractures treatment. A 23 years old female was injured in a traffic accident. After resuscitation and treatment of the dominant chest injuries, surgical treatment of bilateral femur fractures performed on the fourth day after the injury. Length of surgery was 65 minutes. There was not blood substitution during the intervention and blood loss through the operative wounds drainage. There was no worsening of the pulmonary function after orthopaedic surgery. The patient discharged from hospital postoperative day ten. Postoperative follow-up was 9 months. The fractures healed with an excellent functional result. Application of selfdynamisable internal fixator (SIF) with minimally invasive technique for the treatment of bilateral femoral fractures in polytrauma patients is a good operative method because poses minimally additional operative trauma and provides excellent biomechanical conditions for fracture healing.

scholarly journals Treatment of femoral shaft fractures in polytrauma patients using Mitkovic type internal fixator

2007 ◽  
Vol 54 (2) ◽  
pp. 33-38 ◽  
Author(s):  
P.M. Stojiljkovic ◽  
Z.S. Golubovic ◽  
M.B. Mitkovic ◽  
D.S. Mladenovic ◽  
I.D. Micic ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Internal Fixator ◽  
Mortality And Morbidity ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Polytrauma Patients ◽  
Kuntscher Nail ◽  
Polytrauma Patient ◽  
Bone Vascularization

Polytrauma remains a major social, economic and medicine affliction. Successful surgical treatment of polytrauma patient?s requires an approach predicated on prioritizing injuries. An isolated fractures rarely poses any threat but in association with multiple injuries, a fractures assumes greater significance. Proper management of femur fractures in polytrauma can greatly reduce the mortality and morbidity. In this work the results of the operative treatments of the femoral shaft fractures in polytrauma patients using Mitkovic type internal fixator (14 patients) and Kuntscher nail (9 patients) are compared. The average patients age was 28.43 years (range 16 to 61). Internal fixation using Mitkovic type internal fixator can be method of choose in treatment of femur fractures in polytrauma patient?s. Its application is relatively simple. It doesn?t damage the periosteal and meduullary bone vascularization, which favors osteosynthesis and provides considerable contribution in osteogensis. .

scholarly journals Selfdynamisable internal fixator Mitkovic in treatment of periprosthetic supracondylar femoral fracture after total knee arthroplasty

2015 ◽  
Vol 62 (1) ◽  
pp. 49-55
Author(s):  
Predrag Stojiljkovic ◽  
Milorad Mitkovic ◽  
Zoran Golubovic ◽  
Ivan Micic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Weight Bearing ◽  
Internal Fixator ◽  
Full Weight Bearing ◽  
Invasive Technique ◽  
Femur Fractures ◽  
Total Knee

Supracondylar periprosthetic femoral fractures after total knee arthroplasty are very rare, but very difficult to treat. They occur most often as a result of low energy trauma (slips and fall) in older patients with present osteoporosis and periprosthetic osteolysis. The treatment of these fractures is very difficult due to reduced biological capacity for healing in most cases. Surgical treatment of these fractures is accompanied by severe complications (prolonged healing, nonunion and disintegration osteosintets material) in 25 to 70% of the cases. The aim of this paper is to present the treatment of supracondylar femur fractures after total knee arthroplasty in men aged 72 with selfdynamisable internal fixator Mitkovic. Surgical treatment of fracture performed on the six day after the injury with minimally invasive surgical technique through two incisions. Verticalization and walking with crutches with non-weight-bearing started the first postoperative day. Patient discharged from hospital fifth postoperative day. Full weight-bearing on the operated leg is allowed after 6 weeks. The patient started a stationary physical therapy 6 weeks after surgery. Postoperative follow-up was 10 months. The fractures healed with an excellent functional result. Application of selfdynamisable internal fixator Mitkovic with minimally invasive technique in the treatment of these complex fractures provides excellent biomechanical conditions for healing.

scholarly journals A New Minimally Invasive Technique for Repairing Achilles Tendon Rupture:A Biomechanical Study

2019 ◽  
Author(s):  
Peng zhao ◽  
Dawei Sun ◽  
Yaru Xiong ◽  
Ribo Zhuo
Keyword(s):  
Minimally Invasive ◽  
Achilles Tendon ◽  
Research Group ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Biomechanical Study ◽  
New Technique ◽  
Invasive Technique ◽  
Invasive Treatment ◽  
Cyclical Loading

AbstractIntroductionThe incidence of Achilles tendon rupture shows a gradually increasing trend, which is mainly managed by minimally invasive treatment due to its advantages, such as low wound infection rate. At present, the firmness of the commonly applied minimally invasive suture method for Achilles tendon remains controversial. Our research group has developed a novel suture method for Achilles tendon, which has achieved favorable clinical outcomes. Therefore, this experiment aimed to explore the optimal approach to repair Achilles tendon rupture through comparing the biomechanical strength of the commonly used Achilles tendon suture methods currently.Materials and methods6 fresh frozen human cadaveric Achilles tendon specimens were sutured by three kinds of technique, and were tested through the cyclical loading after repair.ResultsResults of cyclical loading showed that, the repair using the new technique was stronger after 10 cycles, 1000 cycles, and rupture. Moreover, the new technique had displayed superior anti-deformation strength to that of the Ma-Griffith technique.ConclusionsOur experimental results demonstrate that, the new technique proposed by our research group can attain comparable biomechanical properties to those of the Krachow technique. However, the sample size in this study is small, and further clinical trials are warranted.

scholarly journals P.138 Minimally invasive treatment of syringomyelia using tubular retractors

2018 ◽  
Vol 45 (s2) ◽  
pp. S53-S53
Author(s):  
K Yang ◽  
M Sourour ◽  
N Zagzoog ◽  
K Reddy
Keyword(s):  
Minimally Invasive ◽  
Chart Review ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Senior Author ◽  
Invasive Technique ◽  
Single Center ◽  
Invasive Treatment ◽  
Multiple Modalities ◽  
Subarachnoid Spaces

Background: Multiple modalities have been used in the treatment of syringomyelia, including direct drainage, shunting into peritoneal, pleural and subarachnoid spaces. The authors report their experience of surgical treatment of syringomyelia in a minimally invasive fashion. Methods: We conducted a single-center retrospective chart review on our syringomyelia cases treated with minimally invasively using Metrx Quadrant retractor system since January 2011. Lateral fluoroscopy was used to guide the placement of the retractor onto the lamina of the corresponding level. This was followed by laminectomy and a small durotomy. Once the syrinx cavity was identified and the proximal end of the tubing was inserted into the syrinx cavity, the tubing was tunneled into the pleural incision subcutaneously. Insertion of the pleural end of the shunt was performed under the microscope, with removal of a small amount of the rib at its upper edge. Results: 10 procedures were performed in 7 patients by the senior author. Etiologies of syringomyelia included Chiari malformation, trauma, diastematomyelia and kyphoscoliosis. All patients improved neurologically. No patients had immediate postoperative complications. One patient underwent two revisions of syringopleural shunts due to multilobulated nature of syringomyelia. Conclusions: Our case series presents a novel, minimally invasive technique for shunting of syringomyelia with results comparable to open procedures.

scholarly journals Description of a minimally invasive technique with a modified instrument for the osteosynthesis of proximal femoral fractures using the standard DHS and case series

2020 ◽  
Vol 47 ◽  
Author(s):  
RICARDO RAMON CAMACHO IRIGOYEN ◽  
RAFAEL DE LUCA DE-LUCENA ◽  
JEAN KLAY SANTOS MACHADO ◽  
GABRIEL SEVERO DA-SILVA ◽  
CARLOS ROBERTO SCHWARTSMANN ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Case Series ◽  
Femoral Fractures ◽  
Soft Tissue Injuries ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Trochanteric Fractures ◽  
Clinical Complications ◽  
Minimally Invasive Surgical

ABSTRACT Introduction: the number of hip fractures is estimated to increase from 1.66 million in 1990 to 6.26 million by 2050. Internal fixation is the most common surgical treatment for intertrochanteric fractures. Objectives: the objective of the present research is to describe a minimally invasive technique with a modified instrument for the treatment of stable proximal femoral trochanteric fractures using the standard DHS, classified as Tronzo types 1 and 2 (AO 31A1.2), and presenting a case series. Methods: a case was selected to present the technique. Patients operated by this technique undergo a clinical evaluation and preoperative preparation as routine. The criteria for inclusion in the study were the presence of stable fracture of the proximal femur verified by two hip specialist orthopedists, and operated by the minimally invasive technique with a modified instrument using a standard DHS. Exclusion criteria were cases of patients operated for unstable fractures, and the use of other surgical techniques. A case series of 98 patients was performed and discussed. Results: minimally invasive technique with a modified instrument using the standard DHS device can reduce bleeding, it decreases soft tissue injuries, surgical time, and hospital stay, as any other MIPO procedures. Ninety-eight patients underwent the operation (Tronzo types I and II), 59 female and 39 male, ages from 50 to 85 years old. Immediate post-operative complications were shortening of the lower limb, loss of fracture reduction, and death by clinical complications. Conclusion: the present study describes a minimally invasive surgical technique using a modified instrument to perform proximal femoral osteosynthesis for stable trochanteric fractures, using the standard DHS.

Minimally invasive treatment of old femoral fractures in adults

Injury ◽  
2019 ◽  
Vol 50 (4) ◽  
pp. 956-961
Author(s):  
Xiang Zhang ◽  
Wei Shui ◽  
Weidong Ni ◽  
Zhenming Hu ◽  
Wei Huang ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Femoral Fractures ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

scholarly journals Application of the New Self-dynamisable Internal Fixator in the Treatment of Femoral Shaft Fractures

2017 ◽  
Vol 34 (2) ◽  
pp. 129-136
Author(s):  
Milan Mitković ◽  
Saša Milenković ◽  
Ivan Micić ◽  
Predrag Stojiljković ◽  
Igor Kostić ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Femoral Shaft ◽  
Axial Direction ◽  
Healing Time ◽  
Internal Fixator ◽  
Invasive Technique ◽  
Similar Treatment ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

Summary The aim of this study was to present the results of one original method application in internal fixation of long bones. The series of 27 patients with unilateral fractures of femoral shaft was analyzed. According to AO classification, 21 fractures were classified as 32A, five as 32B, and one as 32C type. Original diaphyseal self-dynamisable internal fixator (model 1) was used as a fixation implant, consisting of three components: specially designed extramedullary bar, clamps and screws. The main feature of this implant is a possibility to become dynamic in the axial direction spontaneously if there is no sufficient fracture healing. Because of that, this implant is known as an „intelligent implant“. Surgical method included a standard surgical approach and minimally invasive surgical approach. Minimally invasive technique of application required less blood transfusion and shorter surgery time when compared to the standard surgical approach. The duration of used intraoperative fluoroscopy control was 7(3-18) seconds. The average healing time was 4.3 (3.5-9.5) months. There were neither intra operative nor postoperative complications. In comparison to intramedullary nails, self-dynamisable internal fixator provides a similar treatment results, while in comparison to plates it provides fewer mechanical complications. Self-dynamisable internal fixator method preserves periosteal and intramedullary blood circulation, and it is the first fixation implant with a possibility of spontaneous axial dynamising activation when needed. This implant has been proven as suitable for routine use in the treatment of femoral shaft fractures.

scholarly journals MINIMALLY INVASIVE TREATMENT FOR ACHALASIA OF CARDIA

2020 ◽  
pp. 27-36
Author(s):  
O. М. Babii ◽  
B. F. Shevchenko ◽  
N. V. Prolom ◽  
A. A. Galinskij
Keyword(s):  
Minimally Invasive ◽  
Symptomatic Treatment ◽  
Pneumatic Dilatation ◽  
Stage I ◽  
Invasive Technique ◽  
Comprehensive Treatment ◽  
Invasive Treatment ◽  
Laparoscopic Myotomy ◽  
Repeated Use ◽  
Barium Esophagogram

Summary. Aim. The aim of the work is to evaluate the effectiveness of the minimally invasive technique in the treatment of patients with achalasia of cardia. Materials and methods. In the Department of Surgery of the digestive organs of the Institute from February 2017 to December 2019, comprehensive treatment was examined and carried out using balloon pneumatic dilatation (PD) and Heller laparoscopic myotomy (LMH) in 21 patients with achalasia cardia. Including Men 8 (38.1 %), women 13 (61.9 %) at the age of 28 to 75 years ((51.47 ± 3.63) years). Results and discussion. Using radiation methods for examining the diameter of the esophagus, patients were divided into 4 stages: stage I with an esophagus diameter of up to 4 cm — 5 (23.8 %), stage II — 4–6 cm — 6 (28.6 %), III — 6–8 cm — 5 (23.8 %), IV — more than 8 cm with an S-shaped curved configuration — 5 (23.8 %) patients. The duration of the disease is from one month to 8 years, on average (3.05 ± 0.49) years. The symptomatic treatment efficacy after PD according to the Eckardt scale was 66.7-76.2 %, while after LMH it was 80.0%. The level of relaxation efficiency of the lower esophagus according to manometry was achieved in 81 % of cases. The effectiveness of a barium esophagogram in changing the height of a barium column after a bolus was successful in 76.2-85.7 % of cases. There were no complications when performing balloon PD and LMH. Conclusions. Relapses of achalasia of cardia after balloon PD were established in the period from 2 to 10 months in 33.3 % of cases: 4.7 % in stage I and 9.5 % of cases in stages II, III, IV. With AK relapses in 5 (23.8 %) cases, repeated use of dilatation was ineffective. Performed by LMH and fundoplication Door. The efficiency of balloon PD was 66.7 % after the initial course and 76.2 % after the second course, and the LMH efficiency after the failed PD was 80.0 %.

Minimally Invasive Treatment for Esthetic Management of Severe Dental Fluorosis: A Case Report

2013 ◽  
Vol 38 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Y Wang ◽  
Y Sa ◽  
S Liang ◽  
T Jiang
Keyword(s):  
Case Report ◽  
Surface Morphology ◽  
Minimally Invasive ◽  
Dental Fluorosis ◽  
Severe Case ◽  
Invasive Technique ◽  
Invasive Treatment ◽  
Enamel Formation ◽  
Resin Infiltration ◽  
Developmental Disturbance

SUMMARY Dental fluorosis is a developmental disturbance of enamel caused by excessive fluoride on ameloblasts during enamel formation. Patients often present to the dentist with a main goal of improving their esthetic appearance. This case report describes a minimally invasive technique for treating a severe case of enamel fluorosis with brown surface aspect and small defects. A selective mega-abrasion and microabrasion were used to recreate macro- and micro- surface morphology, followed by power bleaching, home bleaching, and resin infiltration to improve the esthetic appearance.

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