scholarly journals First experiences with the Fitmore® hip stem: Early results of the 16-month monitoring

2017 ◽  
Vol 74 (1) ◽  
pp. 51-53
Author(s):  
Marko Mladenovic ◽  
Ivan Micic ◽  
Predrag Stojiljkovic ◽  
Sasa Milenkovic ◽  
Desimir Mladenovic
Keyword(s):  
Distal Part ◽  
Functional Result ◽  
Bone Ingrowth ◽  
Womac Score ◽  
Postoperative Results ◽  
Monitoring Time ◽  
Early Results ◽  
Excellent Functional Result ◽  
Hip Flexion ◽  
Thigh Region

Background/Aim. Fitmore? hip stem belongs to the group of short stem prostheses with the metaphysar stabilization, with its shape and form that protects the bone mass in the greater trochanter region and the distal part of the femur. The aim of this paper was to present the early postoperative results in patients with implanted Fitmore? hip stem and point out some of the advantages. Methods. A series of 10 patients with implanted Fitmore? hip stem, was included in this study. The average age of the patients was 54.5 (48?65) years. There were 5 women and 5 men. The total monitoring time was 16 months. To rate the condition of the hip joint we used The Western Ontario and Mc Master Universities Arthritis Index (WOMAC) score. We also monitored the degree of hip pain, hip flexion, heterotopic ossification and indentation in the stem of the prosthesis. Results. After 12 months of monitoring 9 (90%) of the patients had no pain in the thigh region, and only 1 (10%) experienced mild pain. The hip flexion rose from the average 89? to postoperative 114?. WOMAC score rose as well, from 49 to 94 average points. Indentation in the stem was registered 3 months after the operation in 2 (20%) of the patients ? in one of the patients the indentation was 3 mm and in the other patient 5 mm. After the 16-month monitoring, the results were excellent. The monitoring period was short though it should be continued and the results should be presented after 5 and then after 10 years. Conclusion. Early results of the implantation Fitmore stem showed good bone ingrowth with excellent functional result.

scholarly journals Midterm outcome and strength assessment after proximal rectus femoris refixation in athletes

2021 ◽  
Author(s):  
Maximilian Hinz ◽  
Stephanie Geyer ◽  
Felix Winden ◽  
Alexander Braunsperger ◽  
Florian Kreuzpointner ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Harris Hip Score ◽  
Postoperative Results ◽  
Postoperative Result ◽  
Strength Assessment ◽  
Competitive Athletes ◽  
Hip Flexion

Abstract Purpose Proximal rectus femoris avulsions (PRFA) are relatively rare injuries that occur predominantly among young soccer players. The aim of this study was to evaluate midterm postoperative results including strength potential via standardized strength measurements after proximal rectus femoris tendon refixation. It was hypothesized that the majority of competitive athletes return to competition (RTC) after refixation of the rectus femoris tendon without significant strength or functional deficits compared to the contralateral side. Methods Patients with an acute (< 6 weeks) PRFA who underwent surgical refixation between 2012 and 2019 with a minimum follow-up of 12 months were evaluated. The outcome measures compiled were the median Tegner Activity Scale (TAS) and mean RTC time frames, Harris Hip Score (HHS), Hip and Groin Outcome Score (HAGOS) subscales, International Hip Outcome Tool-33 (iHOT-33), and Visual Analog Scale (VAS) for pain. In addition, a standardized isometric strength assessment of knee flexion, knee extension, and hip flexion was performed to evaluate the functional result of the injured limb in comparison to the uninjured side. Results Out of 20 patients, 16 (80%) patients were available for final assessment at a mean follow-up of 44.8 ± SD 28.9 months. All patients were male with 87.5% sustaining injuries while playing soccer. The average time interval between trauma and surgery was 18.4 ± 8.5 days. RTC was possible for 14 out of 15 previously competitive athletes (93.3%) at a mean 10.5 ± 3.4 months after trauma. Patients achieved a high level of activity postoperatively with a median (interquartile range) TAS of 9 (7–9) and reported good to excellent outcome scores (HHS: 100 (96–100); HAGOS: symptoms 94.6 (89.3–100), pain 97.5 (92.5–100), function in daily living 100 (95–100), function in sport and recreation 98.4 (87.5–100), participation in physical activities 100 (87.5–100), quality of life 83.1 ± 15.6; iHot-33: 95.1 (81.6–99.8)). No postoperative complications were reported. Range of motion, isometric knee flexion and extension, as well as hip flexion strength levels were not statistically different between the affected and contralateral legs. The majority of patients were “very satisfied” (56.3%) or “satisfied” (37.5%) with the postoperative result and reported little pain (VAS 0 (0–0.5)). Conclusion Surgical treatment of acute PRFA yields excellent postoperative results in a young and highly active cohort. Hip flexion and knee extension strength was restored fully without major surgical complications. Level of evidence Retrospective cohort study; III.

scholarly journals Revision Total Knee Arthroplasty with Metaphyseal Sleeves without Stem: Short-Term Results

Joints ◽  
2017 ◽  
Vol 05 (04) ◽  
pp. 207-211 ◽  
Author(s):  
Giacomo Stefani ◽  
Valerio Mattiuzzo ◽  
Greta Prestini
Keyword(s):  
Total Knee Arthroplasty ◽  
Retrospective Study ◽  
Knee Arthroplasty ◽  
Bone Ingrowth ◽  
Womac Score ◽  
Revision Total Knee Arthroplasty ◽  
X Rays ◽  
Short Term ◽  
Total Knee ◽  
Baseline Values

Purpose The aim of this study was to evaluate the efficacy of revision total knee arthroplasty (TKA) with cementless metaphyseal sleeves without stems either in the femoral or tibial side or in both. Methods In this retrospective study, 51 patients (51 knees) operated in the period 2010 to 2015 met the above-mentioned criteria and were invited to a medical examination including X-rays. Forty-six were available for the study. Mean follow-up was 37 months. Knee Society score (KSS) (objective knee score), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and range of motion (ROM) were used as outcome scores and compared with baseline values. X-rays were also examined and compared with postoperative exams to evaluate the presence of loosening, radiolucent lines, and bone ingrowth. Satisfaction of the patients was also investigated using a linear scale from 1 to 10. Results KSS improved from 39 to 77 (p < 0.01); WOMAC score improved from 76 to 41 (p < 0.01). Twenty-four (52%) patients were satisfied, 15 (32%) were partially satisfied, and 7 (16%) were unsatisfied. ROM improved from 93 to 96 degrees (nonsignificant difference). X-rays showed no loosening of the implants, radiolucent lines in 4 patients (3 of them were asymptomatic) and bone ingrowth in 43 out of 46 patients. Conclusion In this short-term retrospective study, the use of sleeves without stem was a safe and effective procedure in revision TKA. We found a significant improvement in clinical results compared with baseline values and no signs of implant loosening. Level of Evidence Level IV, therapeutic case series.

Scapholunate Ligament Repair Using the Mitek™ Bone Anchor

2000 ◽  
Vol 25 (2) ◽  
pp. 188-192 ◽  
Author(s):  
B. BICKERT ◽  
M. SAUERBIER ◽  
G. GERMANN
Keyword(s):  
Retrospective Study ◽  
Functional Result ◽  
Functional Results ◽  
Scapholunate Ligament ◽  
Ligament Repair ◽  
Bone Anchor ◽  
Excellent Functional Result ◽  
Lunate Necrosis

A retrospective study was done to assess the outcome after repair of completely ruptured scapholunate interosseous ligaments using the Mitek™ Mini G2 bone anchor. From 1994 to 1996. 12 patients underwent scapholunate ligament repair using the bone anchor. A follow-up assessment was done at a mean of 19 months postoperatively and revealed excellent or good results in eight patients, satisfactory in two, and poor in two patients, one of whom had developed lunate necrosis. One patient with an excellent functional result demonstrated recurrent dissociation of the scapholunate gap radiographically. The technique described proved to be simpler than conventional procedures in our hands, and yields similar functional results.

scholarly journals Our results in the treatment of tarsal dislocations

2020 ◽  
Vol 148 (9-10) ◽  
pp. 554-559
Author(s):  
Maksim Kovacevic ◽  
Marijana Kovacevic ◽  
Sanja Maric ◽  
Nenad Lalovic ◽  
Milivoje Dostic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Functional Result ◽  
Functional Results ◽  
High Energy ◽  
University Hospital ◽  
Adequate Treatment ◽  
Tarsometatarsal Dislocation ◽  
Excellent Functional Result ◽  
The University ◽  
Non Surgical Treatment

Introduction/Objective. Tarsal dislocations are rare injuries. Usually, they are caused by high-energy trauma. Depending on the type of dislocation, surgical treatment or closed reduction is used. In this study, 13 patients are presented with the aim to analyze the type of feet dislocations, their treatment, and outcome. Methods. Tarsal dislocation cases treated in the University Hospital in Foca were analyzed during the period 2009?2016. All the cases were clinically and radiographically examined and monitored on control examinations at least three years. The mobility of joints was measured and pain existence was estimated by visual analogue scale. Results. All 13 patients with tarsal dislocation were male. Four patients were treated surgically (two patients with tarsometatarsal and one with cuboid and navicular dislocation) and other patients had non-surgical treatment. In 10 patients, an excellent functional result has been achieved and in two patients with tarsometatarsal dislocation a good functional result. In one patient with cuboidal dislocation satisfactory functional result has been achieved. Conclusion. Out of the 13 reviewed patients with tarsal dislocations, functional results were rated as excellent in 10 dislocations, good in two, and satisfactory in one. Diagnosis and treatment of foot dislocations are demanding, but a favorable functional outcome can be expected with an adequate treatment of these injuries.

scholarly journals Classic and Modified Barr’s Technique of Anterior Transfer of the Tibialis Posterior Tendon in Irreparable Peroneal Palsies

2008 ◽  
Vol 8 (2) ◽  
pp. 156-159 ◽  
Author(s):  
Sanela Salihagić ◽  
Zoran Hadžiahmetović ◽  
Abdulah Fazlić
Keyword(s):  
Functional Result ◽  
Functional Results ◽  
Tibialis Posterior ◽  
Operative Techniques ◽  
Postoperative Results ◽  
Tibialis Posterior Tendon ◽  
Peroneal Palsy ◽  
Is Evaluation ◽  
Varus Position ◽  
Dorsal Flexion

Peroneal palsy with loss of active dorsal flexion in foot can be surgically treated by anterior transfer of tibialis posterior tendon. Two techniques are available, classic and modified Barr’s technique of the anterior transfer of tibialis posterior tendon, with different place of tendon’s reinsertion. The aim of the study is evaluation of the degree of active dorsal flexion in foot, and appearance of varus position and hipercorrection of the foot, by comparing the results of the two operative techniques. The study included 40 patients with peroneal irreparable palsies, divided into two equally sized groups. The first group was treated by classic Barr’s technique. The other group of patients was treated by modified Barr’s technique. The group treated by modified Barr’s technique exhibited better functional results. Active dorsal flexion achieved between 95o (in 35% cases) and 90o (in 50% cases), while varus position and hipercorrection of the foot were absent. In the second group of 20 patients, treated by classic Barr’s technique, 80o (40%) and 90o (25%) of active dorsal flexion, indicated worse functional postoperative results. Active dorsal flexion of 70o achieved by this method in two cases (10%), represents unsatisfactory functional result. Varus position of the foot was recorded in 5 cases (25%) and hipercorrection in 4 cases (20%). Modified Barr’s technique is surgical method with better functional and postoperative results in treatment of irreparable peroneal palsy

scholarly journals Early clinical results of surgical treatment of patients with femoroacetabular impingement

2014 ◽  
Vol 142 (5-6) ◽  
pp. 325-329 ◽  
Author(s):  
Desimir Mladenovic ◽  
Zoran Andjelkovic ◽  
Zoran Vukasinovic ◽  
Milorad Mitkovic ◽  
Sasa Milenkovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Hip Osteoarthritis ◽  
Womac Score ◽  
Clinical Results ◽  
Results Of Treatment ◽  
Surgical Dislocation ◽  
Early Results ◽  
Before And After ◽  
One Year

Introduction. Surgical treatment is the treatment of choice in patients with symptoms and radiological signs of femoroacetabular impingement. Objective. Our experience and early results of surgical treatment of patients with signs of femoroacetabular impingement and early hip osteoarthritis are reported. Methods. The results of treatment of 21 patients aged 23-54 years with different types of femoroacetabular impingement are presented. Safe open surgical dislocation of the hip was performed in all patients. Before and after surgery, the WOMAC score was performed, clinical and radiographic data of the operated hips were evaluated and t-tests were used for statistical analyzes of data. Results. The WOMAC score improved from 70.5 points ( range 56.3 to 89.8 points) to 90.3 points (range 70.3 to 100 points) at one year of follow-up (p<0.0001), anterior impingement test was negative in all operated cases, average hip internal rotation improved significantly, no complications were found, except trochanteric nonunion at the site of osteotomy, which was reaffixed. Conclusion. Postoperative results have shown that the surgical approach to treating patients with femoroacetabular impingement is the method of choice. Three operated patients, with advanced osteoarthritis of the hip, had to be converted to total hip replacement.

Unusual Laryngeal Problems in Children

1973 ◽  
Vol 82 (5) ◽  
pp. 637-642 ◽  
Author(s):  
Burton F. Jaffe
Keyword(s):  
Vocal Cord ◽  
Microscopic Examination ◽  
Functional Result ◽  
Clinical Course ◽  
Medical Center ◽  
Cystic Hygroma ◽  
Abductor Paralysis ◽  
Excellent Functional Result ◽  
One Year ◽  
Suspension Laryngoscopy

Three rare laryngeal lesions were seen in one year at Children's Hospital Medical Center in Boston. Case 1 is a subglottic mass that is a diagnostic problem since various pathologists have differing opinions ranging from a benign to a malignant tumor. The tumor mass was totally removed as a biopsy and to avoid a tracheotomy. Clinical management is now conservative and awaits both a definite pathologic diagnosis as well as a definite clinical course. Case 2 is an isolated lymphangioma of the larynx unrelated to a cervical cystic hygroma. The edematous arytenoid prominences and aryepiglottic folds were removed with an excellent functional result. Case 3 is a bilateral vocal cord adhesion following four days of endotracheal intubation. An inappropriate diagnosis of bilateral vocal cord abductor paralysis was made earlier and corrected on a later microscopic examination of the larynx. Simple division of the posterior adhesion gave an excellent functional result. Suspension laryngoscopy with microscopic examination of the larynx was important in all three cases both from a diagnostic and a therapeutic viewpoint.

Parosteal Osteosarcoma of the Fourth Metatarsal Bone

Foot & Ankle ◽  
1982 ◽  
Vol 3 (1) ◽  
pp. 50-52 ◽  
Author(s):  
Michael E. Kliman ◽  
Victor L. Fornasier ◽  
David E. Hastings
Keyword(s):  
Foreign Body Reaction ◽  
Functional Result ◽  
Bone Destruction ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Metatarsal Bone ◽  
Parosteal Osteosarcoma ◽  
New Bone Formation ◽  
En Bloc ◽  
Excellent Functional Result

The authors present a case of a parosteal osteosarcoma of the fourth metatarsal in a 19-year-old male. This location has never been previously reported. The periosteal new bone formation without bone destruction must be differentiated from foreign body reaction and stress fractures. En bloc resection of the fourth and fifth rays was done. There has been no evidence of recurrence to date, 1 year and 10 months following the surgery. There has been an excellent functional result.

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