87,368 research outputs found
Aterosclerosi carotidea e flogosi: correlazione tra attività biologica della placca e markers circolanti di infiammazione.
No full textThe results of surgical treatment f or tibial pilon f ractures
No full textAmaç. Bu çalışmada amacımız, cerrahi ile tedavi edilen tibia pilon kırıklarının orta dönem klinik ve radyolojik sonuçlarını incelemektir. Yöntem. Cumhuriyet Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği'nde Eylül 2004-Eylül 2011 yılları arasında cerrahi olarak tedavi edilmiş 43 Pilon kırıklı hastadan, son kontrolleri yapılan 25 hastanın 26 Pilon kırığı bu çalışmaya dahil edildi. Bulgular. Olguların 7’si kadın, 18’si erkekti. Olgularımızın yaş ortalaması 47,4 (Aralık 20-74). Olguların 8’ i açık kırıktı (2’si tip 1, 2’si tip 2, 4’ü tip 3). Ruedi-Allgöwer sınıflamasına göre 13 hastada tip 1, 8 hasta tip 2 ve 5 hastada tip 3 kırık saptandı. Etiyolojide yüksekten düşme ilk sırayı almaktadır. On dokuz olguda aynı zamanda fibula kırığı vardı. Yirmi altı Pilon kırığının; 17'sine tek seanslı cerrahi girişim uygulandı. Yirmi altı Pilon kırığının 9'una birden fazla sayıda cerrahi girişim (7 olguya; 2 cerrahi girişim, 2 olguya; 3 cerrahi girişim) uygulandı. İki olguda kompartman sendromu tanısı ile fasiotomi açıldı. İki olguda cilt nekrozu gelişmesi nedeniyle yüzeyel cilt greftlemesi uygulandı. Üç olguda yara yeri enfeksiyonu gelişmesi nedeniyle implant çıkarımı uygulandı. Beş olguya allogreft (Deminarelize Bone Matrix ve cancellos chips) uygulandı. Sekiz olguda Sudeck artrofisi gelişti, 7 olguda osteoartrit gözlendi. Değerlendirmeler de AOFAS kriterleri kullanıldı. Yirmi altı Pilon kırığının 15’inde AOFAS skoru 70 ve üzeri çıktı. On olguda AOFAS skoru 50-70 arası çıktı. İki olguda AOFAS skoru 30-50 arası çıktı. Sonuç. Pilon kırıkların da başarılı sonuç alabilmek için çok iyi preoperatif planlama yapılmalıdır. Pilon kırıklarının tümü için geçerli tek bir başarılı tedavi yöntemi yoktur. Her kırığın ayrı olarak değerlendirilmesi, tedavinin iyi planlanarak cerrahi ilkelere uyulması gereklidir.Aim. In this study our aim was to evaluate medium term results of tibial pilon fractures clinically and radiologicaly that treated with surgical. Method. From September 2004 to September 2011, 43 patients were surgically treated for pilon fracture, after the final checks of 25 patiensts 26 pilon fracture evaluated for this study in Cumhuriyet University, Department of Orthopedics and Traumatology. Results. Seven of the cases were women and 18 men. Mean age was 47.4 years (20-74). Eight of the cases were open (2 type I, 2 type II and 4 type III). There were 13 type 1, 8 type 2, and 5 type 3 fractures according to Ruedi-Allgöwer respectively. Falling from the height take the first place in etiology. At the same time 19 fibula fracture observed. 26 out of 17 pilon fracture patients were treated by one-stage operations. 26 out of 9 Pilon fracture were treated by multiple operations (for 7 cases; 2 operation, for; 2 cases 3 operations). In 2 cases fasciotomy was operated with compartment diagnosis. In 2 cases due to developing skin necrosis superficial skin grafting were treated. In 3 cases due to the development of wound infection removal implant were treated. In 5 cases allogreft (Deminarelized Bone Matrix & cancellos chips) were treated. In 8 cases Sudeck atrophy developed, In 7 cases osteoarthritis observed. AOFAS criterias were used in evaluation. The score of AOFAS was found 70 in 15 of 26 pilon fractures. In 10 cases the score of AOFAS was found between 50-70. In 2 cases the score of AOFAS was found between 30-50. Conclusion. Pilon fractures of the preoperative planning should be done very well to get a successful outcome. A single successful treatment for pilon fractures do not apply to all. In a separate evaluation of each fracture, surgical treatment is well planned and principles must be followed
Histoire des conciles oecuméniques
No full textTexto con apostillas marxinaisAs f. de lám. son lit. co
Célébration du Concile Oecuménique premier du Vatican : actes, décrets et documents recueilles et mis en ordre
No full textAs f. de lám. son lit. co
Hybrid and trans-articular external fixation in the minimally invasive treatment of pilon fractures
No full textHybrid and trans-articular external fixation in the minimally invasive treatment of pilon fracture
Tibial pilon fractures treated with hybrid external fixator: analysis of 75 casas
No full textIntroduction
The treatment of tibial pilon fractures is a surgical challenge due to the particular anatomical and vascular characteristics of this area, and the severity of the injury that can compromise soft tissues. Nowadays there is no gold-standard treatment for these fractures.
Materials and methods
We reviewed 75 patients with tibial pilon fracture type C (AO classification) treated with hybrid external fixation (Stryker TenXor®). The surgical technique was reported. We evaluated clinical (Tornetta’s score, VAS score, range of motion) and radiographic outcomes.
Results
In 71 cases, the first surgical treatment was definitive. Instead, in four cases, it was necessary a second surgical procedure to achieve fracture healing. We obtained 44% excellent, 40% good, 7% discrete, and 9% bad results. We found a 30% of superficial infections of the pin site, resolved with oral antibiotic treatment amoxicillin and clavulanic acid). We never had deep infections, no neurovascular injury, and no cases of secondary amputation. Although not statistically significant, we noticed a correlation between longer recovery times and trauma severity, with slower recovery in open or grade III fractures or when associated with other fractures.
Conclusions
According to the recent literature, we think that the best treatment for non-articular fracture is the internal osteosynthesis within 6 h or after 6 days from trauma. In articular fractures, the elective treatment is the two-step management. In complicated articular fractures (Tscherne > 2, open, comminuted type III) is highly indicated the external fixation combined with minimal internal synthesis
Summary of assembly metrics after Pilon improvement.
No full text<p>Summary of assembly metrics after Pilon improvement.</p
Influenza della steno-occlusione della carotide controlaterale sulla endarterectomia carotidea
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