86,536 research outputs found
Postero-medial approach procedure in the supine position for one-step anterior and posterior ankle arthroscopy.
No full textStandard arthroscopy of the ankle does not allow to approach at the same time the anterior and posterior compartments. Keeping the patient supine and with the application of judicious traction, anterior ankle arthroscopy allows to examine the various intra-articular structures, but treat is limited only to anterior pathology. Also, it is not possible to explore posterior compartment and posterior hindfoot through an anterior approach. Normally, for those patients in whom both the anterior and posterior compartments were to be operated upon, surgery is stopped, and the patient has to be re-positioned. We describe a 2 postero-medial hindfoot portals procedure, which allows to reach both the posterior aspect of the ankle joint and the extra-articular compartment of the hindfoot keeping the patient supine throughout the procedure. After arthroscopy of the anterior compartment using standard anterior portals, 2 postero-medial endoscopic approaches make it possible to visualize and treat pathologies of the posterior ankle and of the hindfoot, without prolonging the operation through the need to reposition the patient in the prone position
Arthroscopic anterior talofibular ligament reconstructin in chronic ankle instability: Two years results
No full textPurpose: In chronic lateral ankle instability, primary ligament repair is not always possible because of poor quality of the local tissues. A free autologous or allograft tendon graft or synthetic grafts are suitable alternative. We describe middle term results of arthroscopic reconstruction of the anterior talofibular ligament (ATFL) using a free autologous ipsilateral gracilis graft in patients with chronic ankle instability. Methods: Eleven patients with chronic lateral ankle instability with imaging evidence of isolated ATFL tear underwent arthroscopic reconstruction of the ATFL using a free ipsilateral gracilis graft. Functional and subjective assessment were performed after an average of 24 months following the index procedure. Results: At 24 months, all patients showed objective improvements. One patient reported transient dysaesthesiae on the dorsolateral aspect of the foot and heel. Conclusions: Arthroscopic isolated reconstruction of the ATFL with a free ipsilateral gracilis grafts is safe, allowing restoration of joint stability and low surgical morbidity. Study design: Case serie
sj-pdf-5-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-5-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
sj-pdf-8-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-8-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
sj-docx-2-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-docx-2-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
Infections in hospital departments. What is hospital responsibility?
No full textInfections in hospitals still have a high incidence and many of them could be avoided through better welfare standards. To try to overcome them, a strategy based on prevention is needed, but cleaning, disinfection and sterilization procedures are also a key tool. It is important to provide for all healthcare professionals a constant update and the creation of protocols that take into account the technical, scientific and economic aspects, but also specific operational needs, so that the proposed solutions can be applied in daily routines. The authors outline the mandatory duties to the doctors and hospital and underline the need to document in the clinical record the treatments performed. In case of infections occurred in hospital environment, the patient must demonstrate the guilty nature of the hospital's conduct, the existence of a harm and the causal connection. The hospital must demonstrate that asepsis measures were adopted according to the actual scientific knowledge and they must cover not only the treatment but also the diagnosis, all the activities prior to surgery and the postoperative phase. The sentences examined show that hospitals can avoid being accused of negligence and imprudence only if they can prove that they have implemented all prophylaxis measures contained in the guidelines and protocols. They must demonstrate that the infection was caused by an unforeseeable event. While some initiatives to improve the quality of hospital care have already allowed a decrease in the incidence and cost of these infections, much remains to be done.Infections in hospitals still have a high incidence and many of them could be avoided through better welfare standards. To try to overcome them, a strategy based on prevention is needed, but cleaning, disinfection and sterilization procedures are also a key tool. It is important to provide for all healthcare professionals a constant update and the creation of protocols that take into account the technical, scientific and economic aspects, but also specific operational needs, so that the proposed solutions can be applied in daily routines. The authors outline the mandatory duties to the doctors and hospital and underline the need to document in the clinical record the treatments performed. In case of infections occurred in hospital environment, the patient must demonstrate the guilty nature of the hospital's conduct, the existence of a harm and the causal connection. The hospital must demonstrate that asepsis measures were adopted according to the actual scientific knowledge and they must cover not only the treatment but also the diagnosis, all the activities prior to surgery and the postoperative phase. The sentences examined show that hospitals can avoid being accused of negligence and imprudence only if they can prove that they have implemented all prophylaxis measures contained in the guidelines and protocols. They must demonstrate that the infection was caused by an unforeseeable event. While some initiatives to improve the quality of hospital care have already allowed a decrease in the incidence and cost of these infections, much remains to be done
sj-pdf-3-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-3-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
sj-pdf-4-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-4-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
sj-pdf-9-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-9-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
sj-pdf-6-sgo-10.1177_21582440231221323 – Supplemental material for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment
No full textsj-pdf-6-sgo-10.1177_21582440231221323 for Post-Traumatic Stress Symptoms and Coping in the Time of COVID-19: A Longitudinal Assessment by Whitney M. Herge, Emily B. Gale, Emily J. Stapleton, Ashley Ofori, Kiley F. Poppino, Shelby P. Cerza and Daniel J. Sucato in SAGE Open</p
- …
