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Directory of Open Access Journals Sweden. Pocos casos de estas infrecuentes fracturas han sido hasta ahora publicados en la literatura mundial. In the last twenty five years aminobisphosphonates have became the drugs of choice for the treatment of osteoporosis.
They strongly inhibit osteoclastic bone resorption and reduce the incidence of new fractures in patients with established osteoporosis, but their long half-life and their chronic effects on bone physiology are a matter of concern.
Theoretically a harmful consequence of a prolonged inhibition of bone. Tratamiento y complicaciones de las fracturas de seno frontal Frontal sinus fracture treatment and complications. Estandarizar el protocolo de tratamiento.
El objetivo ha de estar encaminado a prevenir las complicaciones asociadas a los pacientes con fracturas de seno frontal. Hay que individualizar el protocolo de tratamiento en cada caso. Es recomendable un seguimiento a largo plazo para identificar precozmente las posibles complicaciones. Frontal sinus fractures are caused by high velocity impacts. Inappropriate treatment can lead to serious complications, even many years after the trauma.
To evaluate epidemiological data and associated complications. To standardize the treatment protocol. Materials and methods. The average age of. Intra-articular injection of hyaluronic acid for treatment of osteoarthritis knee: comparative study to intra-articular corticosteroids.
Conclusion Both HA and corticosteroid groups showed improvement in pain and knee function, but the intra-articular HA was superior to corticosteroid on long-term follow-up.
This supports the potential rate of intra-articular HA as an effective long-term therapeutic option for patients with OA of the knee. Treatment of displaced intra-articular calcaneal fractures by ligamentotaxis: Current concepts' review.
No single treatment modality for displaced intra-articular calcaneal fractures has proven superior over the other. This review describes and compares the different.
Treatment of displaced intra-articular calcaneal fractures by ligamentotaxis: current concepts' review. A large variety of therapeutic modalities for calcaneal fractures have been described in the literature. This review describes and compares the different percutaneous distractional.
The objective of this paper is to provide readers with current developments of intra-articular drug delivery systems. In recent years, although the search for a clinically successful ideal carrier is ongoing, sustained-release systems, such as polymeric micro- and nanoparticles, liposomes, and hydrogels, are being extensively studied for intra-articular drug delivery purposes.
The advantages associated with long-acting preparations include a longer effect of the drug in the action site and a reduced risk of infection due to numerous injections consequently. This paper discusses the recent developments in the field of intra-articular sustained-release delivery systems for the treatment of osteoarthritis. Full Text Available The objective of this paper is to provide readers with current developments of intra-articular drug delivery systems.
Conservative treatment of intra-articular distal phalanx fractures in horses not used for racing. To determine the success rate and whether specific patient and treatment factors influenced the outcome after conservative treatment with a bar shoe with quarter clips of intra-articular fractures of the distal phalanx in horses not used for racing.
Retrospective study. Thirty-two client-owned horses. Hospital records of horses that had been treated conservatively for intra-articular fractures of the distal phalanx at Skara Equine Hospital or Halland Animal Hospital in Sweden between and were reviewed. Racehorses in active training and horses affected with other musculoskeletal diseases were excluded from the study. Follow-up was performed by questionnaire and telephone inquires to the owners 1 to 7 years after injury.
There was no statistically significant correlation between outcome and patient or treatment variables, or bony union of the fracture. Conservative treatment of intra-articular fractures of the distal phalanx carries a fair prognosis for return to previous or expected level of use in horses not used for racing.
Radiographic evidence of fracture healing and age of the patient do not seem to influence the prognosis. Horses not used for racing do not need to be shod with a bar shoe with quarter clips for the rest of their athletic career. Operative treatment of intra-articular calcaneal fractures with calcaneal plates and its complications. Full Text Available Background: In a retrospective study we analysed intra-articular calcaneal fracture treatment by comparing results and complications related to fracture stabilization with nonlocking calcaneal plates and locking compression plates.
Materials and Methods: We performed 76 osteosynthesis 67 patients of intra-articular calcaneal fractures using the standard extended lateral approach from February to October Forty-two operations using nonlocking calcaneal plates group A were performed during the first three years, and 34 calcaneal fractures were stabilized using locking compression plates group B in In the Sanders type IV fractures, reconstruction of the calcaneal shape was attempted.
Depending on the type of late complication, we performed subtalar arthroscopy in six cases, arthroscopically assisted subtalar distraction bone block arthrodesis in six cases, and plate removal with lateral-wall decompression in five cases.
No patient had deep osseous infection or foot rebound compartment syndrome. There were no late complications necessitating corrective procedure or arthroscopy until December in Group B.
All late complications ccurred in Group A. Conclusion: Open reduction and internal fixation of intra-articular calcaneal fractures has become a standard surgical method. Fewer complications and better results related to treatment with locking compression plates confirmed in comparison to nonlocking ones were noted for all Sanders types of intra-articular calcaneal fractures. Age and Sanders type IV fractures are not considered to be the.
Incidence and treatment of intra-articular lesions associated with anterior cruciate ligament tears. The case records of 88 patients operated for anterior cruciate ligament tear over a period of 2 years were reviewed. There were 67 males and 21 females with a mean age of After recording the patient demographics, we documented all the intra-articular lesions found during knee arthroscopy, as well as all procedures undertaken concomitant with the ACL reconstruction.
The most common injury found was a meniscus tear, 48 patients Meniscectomy and meniscus suture were the procedures performed for these lesions, meniscectomy being more frequent. Chondral defects were the next associated injuries found with an incidence of The medial side of the knee was the most common site of chondral pathology. ACL tears are frequently associated with other intra-articular lesions, especially medial meniscus tears and chondral defects affecting the medial compartment.
Such pathology most often needs surgical attention during the anterior cruciate ligament reconstruction. Treatment of unstable intraarticular fracture of distal radius: POP casting with external fixation. To compare radiological and functional outcome of external fixation and distraction with conservative Plaster of Paris POP cast for unstable intra-articular fractures of the distal radius. The study was conducted on 60 patients with unstable intra-articular fracture of distal radius who reported to emergency or outpatient Orthopaedic Surgery department of Benazir Bhutto Hospital, Rawalpindi, between March and August They were divided into two equal groups: Group A and Group B, treated by Plaster of Paris cast, and external fixation with distraction respectively.
The functional outcome in terms of freedom from pain, range of movement, grip power and deformity, and the radiological outcome of radial length, incongruity and radio-ulnar joint position were analysed at three months follow-up using a 3-point scoring scale. The outcome score of the Group B patients was significantly better compared to the Group A patients p value advantages over conventional Plaster of Paris cast in the treatment of unstable intra-articular fractures of distal radius.
Managing of Panfacial and midface trauma requires not only basic knowledge of osteosintesis principles; an order of treatment should be developed by surgeon before surgery and it must be made for each patient. In this article we report the methodology of reduction, fixation and treatment planning of panfacial and midface trauma in our hospital.
We analyse facial trauma treated by our department. Treatment of intraarticular displaced fractures of the calcaneus bone using nail blocked calcanail. Journal of Education, Health and Sport. Assessment of clinical practice guideline methodology for the treatment of knee osteoarthritis with intra-articular hyaluronic acid.
Clinical practice guidelines are of increasing importance in the decision making for the treatment of knee osteoarthritis. Inconsistent recommendations regarding the use of intra-articular hyaluronic acid for the treatment of knee osteoarthritis have led to confusion among treating physicians. Literature search to identify clinical practice guidelines that provide recommendations regarding the use of intra-articular hyaluronic acid treatment for knee osteoarthritis was conducted.
Guideline development methodologies, how the results were assessed, the recommendation formation, and work group composition were summarized. Overall, 10 clinical practice guidelines were identified that met our inclusion criteria. The methodology utilized across the guidelines was heterogeneous regarding the evidence inclusion criteria, analysis of evidence results, formulation of clinical practice recommendations, and work group composition.
The recommendations provided by the guidelines for intra-articular hyaluronic acid treatment for knee osteoarthritis are highly inconsistent as a result of the variability in guideline methodology. There is a need for a standard "appropriate methodology" that is agreed upon for osteoarthritis clinical practice guidelines in order to prevent the development of conflicting recommendations for intra-articular hyaluronic acid treatment for knee osteoarthritis, and to assure that treating physicians who.
Left untreated hip dysplasia, acetabular retroversion and femoroacetabular impingement FAI may lead to osteoarthritis OA. Finding the right treatment option PURPOSE: The purpose of this study was to categorize the radiographic findings seen in patients with longstanding hip pain, suspect for an intraarticular pathology, and provide a treatment algorithm allocating a specific treatment Full Text Available This study was conducted to evaluate the efficacy of intra- articular injection of hyaluronic acid for the treatment of knee osteoarthritis.
Patients with knee osteoarthritis were followed for a period of six months to assess the efficacy of intra-articular injection of hyaluronic acid given three times in three consecutive weeks. Fifty patients were reviewed at two, eight and 24 weeks post-injection.
The average age was Patients were assessed using the Lequesne Algofunctional Index for function, and the visual analogue score for pain and side effects. We found that the knee pain reduced and the function improved in most patients and these beneficial effects maintain till the last follow up. The only side effect noted was one case of acute non-septic joint effusion after the 3rd injection. We concluded that intra-articular injection of hyaluronic acid can produce pain relief and functional improvement for up to 6 months.
The intra-articular IA application of pulsed radiofrequency PRF for pain in small and large joints represents a recent development that has proven to be effective in many cases. We performed a retrospective study of 89 such procedures in 57 consecutive patients with chronic articular pain.
The aim of this retrospective study is to evaluate the effectiveness of intraarticular PRF in a group of 57 consecutive patients with chronic joint pain. Patients with intractable joint pain for more than 6 months were treated with IA PRF V for min in small joints and 60V for 15 min in large joints using fluoroscopic confirmation of correct needle position.
A total of 28 shoulders, 40 knees, 10 trapezio-metacarpal, and 11 first metatarso-phalangeal joints were treated.
Fractura triplana epifisaria distal de tibia: a propósito de un caso con interposición de periostio
Directory of Open Access Journals Sweden. Pocos casos de estas infrecuentes fracturas han sido hasta ahora publicados en la literatura mundial. In the last twenty five years aminobisphosphonates have became the drugs of choice for the treatment of osteoporosis. They strongly inhibit osteoclastic bone resorption and reduce the incidence of new fractures in patients with established osteoporosis, but their long half-life and their chronic effects on bone physiology are a matter of concern.
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Nacido en Viena Austria y graduado en su universidad en Estuvo empleado en el hospital General de Viena, donde obtuvo el cargo de profesor adjunto. Nacido en Laveno, junto al lago Mayor Italia , en Llevaba medicamentos a los enfermos pobres, anotando siempre sus observaciones. En su obra, publicada por Masson en , incluye el tratamiento del labio leporino, un caso de elefantiasis del pene y el escroto y el tratamiento de las heridas con Collodion Bands. Physick, que fue a su vez alumno de John Hunter en Londres.