Articles: tibia-surgery.
-
The purpose of this study was to compare quality of life and subjective well-being between patients who underwent either amputation or limb-salvage procedures for lower extremity sarcomas in order to determine if this aspect can be considered in the decision on the type of surgery. Sixty-six patients were evaluated at least 1 year after surgery and systemic therapy for lower extremity sarcomas. Self-report questionnaires such as the Quality of Life Questionnaire (QLQ-C30), the Life Satisfaction Questionnaire (FLZ), and the Enneking Score (MSTS) were used. ⋯ Additionally, a correlation between subjective well-being and the location of either amputation or reconstruction ( p=0.039, r(p)=- 0.309) could be shown. These findings demonstrate that the type of surgery has no influence on quality of life and subjective well-being after lower extremity sarcomas. Thus the decision for either limb-salvage procedures or amputation cannot be based on quality of life and subjective well-being but must be determined by oncological criteria.
-
Comparative Study
Supramalleolar osteotomy for the treatment of distal tibial angular deformities and arthritis of the ankle joint.
In a 5-year period (1996-2001), the authors performed supramalleolar osteotomies for the correction of distal tibial mechanical malalignment of at least 10 degrees with concomitant pain and with or without radiographic evidence of arthritic changes. The method was also applied as an alternative to other common procedures for the treatment of a small group of patients with degenerative changes of the ankle joint without previous traumatic event and with minimal or moderately altered alignment. There were 12 patients (13 feet) with an average follow-up of 33.6 months. ⋯ In the presence of deformity, the average tibial-ankle surface angles in both the coronal and the sagittal planes were significantly improved. The radiographic degenerative changes in the ankle joint showed no evidence of progression. The choice of technique did not influence the clinical or radiographic outcome or the healing time of the osteotomy.
-
J. Oral Maxillofac. Surg. · Mar 2003
Comparative StudyMedial approach for tibial bone graft: anatomic study and clinical technique.
The purpose of this study is to quantify the amount of bone graft material present in the proximal tibia via a lateral versus a medial approach, as well as describe an alternative technique for obtaining this bone graft material. A quantitative anatomic and statistical analysis and comparison are presented. The goal of this study is to demonstrate the advantages and simplicity associated with utilizing the proximal tibia as a bone graft harvest site in oral and maxillofacial surgery via a medial approach. ⋯ Equal amounts of bone graft material are available for harvest from the medial and lateral aspects of the proximal tibia. Knowledge of important anatomic landmarks can be used preoperatively to allow for safe dissection and harvest of autogenous bone from the proximal tibia. The dissection of medial proximal tibia and harvest of bone graft material may be accomplished efficiently with minimal chances of damage or morbidity to vital adjacent structures.
-
J Bone Joint Surg Am · Jan 2003
Fate of the unrevised all-polyethylene patellar component in revision total knee arthroplasty.
During revision total knee arthroplasty, the alternatives for addressing the well-positioned and secure all-polyethylene patellar component with minimal or no wear include retention, revision, and resection. The purpose of the present study was to determine the intermediate-term fate of all-polyethylene patellar components that were left in situ at the time of revision tibiofemoral arthroplasty. ⋯ Therapeutic study, Level IV (case series [no, or historical, control group]). See p. 2 for complete description of levels of evidence.
-
The authors evaluated the benefits of the arthroscopic debridement performed in the same session with the high tibial osteotomy in the management of the knee joint of osteoarthritis connected with varus or valgus deformity. ⋯ The arthroscopy performed before high tibial osteotomy in the same session helped to detect a significant intraarticular disorder and the arthroscopic debridement improved the end results after high tibial osteotomy. (Ref. 16.)