72 research outputs found
Tibial plateau fractures: compared outcomes between ARIF and ORIF.
The purpose of this study is to compare
arthroscopic assisted reduction internal fixation (ARIF)
treatment with open reduction internal fixation (ORIF)
treatment in patients with tibial plateau fractures. We
studied 100 patients with tibial plateau fractures (54 men
and 46 women) examined by X-rays and CT scans, divided
into 2 groups. Group A with associated meniscus tear was
treated by ARIF technique, while in group B ORIF technique
was used. The follow-up period ranged from 12 to
116 months. The patients were evaluated both clinically
and radiologically according to the Rasmussen and HSS
(The Hospital for Special Surgery knee-rating) scores. In
group A, the average Rasmussen clinical score is
27.62 ± 2.60 (range, 19–30), while in group B is
26.81 ± 2.65 (range, 21–30). HSS score in group A was
76.36 ± 14.19 (range, 38–91) as the average clinical result,
while in group B was 73.12 ± 14.55 (range, 45–91).
According to Rasmussen radiological results, the average
score for group A was 16.56 ± 2.66 (range, 8–18), while in
group B was 15.88 ± 2.71 (range, 10–18). Sixty-nine of
100 patients in our study had associated intra-articular
lesions. We had 5 early complications and 36 late complications.
The study suggests that there are no differences
between ARIF and ORIF treatment in Schatzker type I
fractures. ARIF technique may increase the clinical outcome
in Schatzker type II–III–IV fractures. In Schatzker
type V and VI fractures, ARIF and ORIF techniques have
both poor medium- and long-term results but ARIF
treatment, when indicated, is the best choice for the lower
rate of infections
The diagnosis of lumbar stenosis
The diagnosis of stenosis of the lumbar spinal canal is essentially based on clinical and radiographic examination. While clinical signs of involvement of the bone structure are few, neurological ones, however aspecific, may be detected (pluriradicular irritation, neurogenic claudication). Neurological instrumental tests (EMG, evoked potentials, etc.) are not of considerable aid to diagnosis. Radiographic examination, CT and MRI, are essential to prognosis and therapy
Final results obtained in the treatment of bone cysts with methylprednisolone acetate (depo-medrol) and a discussion of results achieved in other bone lesions
Extremely favorable results are obtained with the use of microcrystals of methylprednisolone acetate for treatment of bone cysts. These results have led to a complete suspension of surgical treatment of bone cysts since 1974. On the basis of these results with corticosteroids, a surgical procedure that involves an incision at the fracture location and bone graft inserted is not indicated. Results following surgery indicate a recurrence rate of approximately 25% to 30%. Since we are as yet unable to explain the mechanism by which the local injection of MPA promotes bone replacement of the cyst, the present observations only reaffirm the hypothesis (presented in our early publications) that the corticosteroid exerts a destructive action on the pathological tissue of the lesion, thus favoring a progressive process of repair. We consider this explanation valid even for lesions, e.g., eosinophilic granulomas and nonossifying fibromas, in which this method of treatment has had varying degrees of success
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