Search results for "femoral"

The Patellofemoral Arthroplasty: The Great Solution, the Great Problem

2012

Unfortunately, many orthopedic surgeons believe that the definite solution for eliminating anterior knee pain in a young patient with multiple operations is the patellofemoral prosthesis (“The Great Solution”). But, they fail to ask themselves the most important question; what is causing the pain? When a patellofemoral prosthesis is implanted in these young patients without finding out the cause of the pain, a more serious problem could be created with a worse solution (“The Great Problem”). The cases we present spotlight this abuse.

Anatomy of nerves of the lower extremities in the context of the treatment for varicose veins

2019

Injury of nerves of the lower extremity is the most prevalent complication associated with invasive treatment of varicose veins. These adverse events are particularly frequent after traditional surgical stripping and thermal ablative procedures. The most frequently injured nerves comprise the saphenous nerve, the sural nerve, and the anterior cutaneous branch of the femoral nerve. The high rate of injury to these nerves is primarily related to their close anatomical relationship with major trunks of the superficial venous system. The great saphenous vein is accompanied by two groups of sensory nerves. In its proximal part it runs along the anterior cutaneous branch of the femoral nerve. In …

Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial

2007

BACKGROUND: Arthroscopy is often used to treat patients with chronic patellofemoral pain syndrome (PFPS). As there is a lack of evidence, we conducted a randomized controlled trial to study the efficacy of arthroscopy in patients with chronic PFPS. METHODS: A total of 56 patients with chronic PFPS were randomized into two treatment groups: an arthroscopy group (N = 28), treated with knee arthroscopy and an 8-week home exercise program, and a control group (N = 28), treated with the 8-week home exercise program only. The arthroscopy included finding-specific surgical procedures according to current recommendations. The primary outcome was the Kujala score on patellofemoral pain and function …

Factors related to excessive patellofemoral loading in rearfoot running

2015

Running is recognized as one of the most popular exercise methods. Furthermore, running related injuries have been under the scope for the last few decades. Synchronous function between the segments of the lower limbs is necessary for efficient locomotion. Patellofemoral pain syndrome is a common exercise related syndrome and multifactorial in nature. The purpose of this study was to measure contact forces and frontal plane moments to detect the factors that are associated with atypically high patellofemoral joint loading in rearfoot striking (RFS) running pattern, and moreover, which could possibly contribute to development of the patellofemoral pain syndrome. 39 team sport female athletes…

Earlier appearance of the ossification centre of the femoral head in breast fed versus formula fed infants.

2011

Comparación de los resultados radiológicos, clínicos y analíticos de un vástago con cuello modular y su homólogo monobloque en la artroplastia total …

2022

Introducción: La artroplastia total de cadera es uno de los grandes hitos de la ortopedia moderna. Los vástagos con cuellos modulares fueron introducidos con la ventaja teórica de permitir un ajuste más exacto de la anatomía. La hipótesis de nuestro trabajo es que el vástago modular H-MAX M con cuellos intercambiables permite restaurar el offset femoral y la longitud de miembros, de forma más ajustada que con el vástago monobloque homólogo H-MAX S, obteniendo con ello mejores resultados clínico-funcionales sin añadir los riesgos de una elevación sérica de cromo ni cobalto. El objetivo de nuestro trabajo es comparar los resultados radiológicos, clínicos y analíticos de un vástago con cuell…

Evaluation of the risk factors of asymptomatic vertebral fractures in postmenopausal women with osteopenia at the femoral neck

2016

To identify risk factors of asymptomatic vertebral fracture (aVF) in postmenopausal women with osteopenia at the femoral neck and to evaluate the association between the number of aVFs and the risk of major and hip osteoporotic fracture calculated with the FRAX(®) algorithm.Epidemiological case-series study with data collected transversally.728 postmenopausal women with osteopenia were included: 284 (39.0%) had aVF, of whom 200 (70.4%) had prior fragility fractures (FF). The likelihood of having an osteoporotic fracture in the next 10 years increased significantly with the number of aVF. The percentage of women with height loss, which was assessed as the difference between the greatest heig…

Fallberichte

2004

High-dose immunoglobulins (IVIG) are important agents in the treatment of numerous autoimmune disorders. In the field of dermatology, increasing numbers of patients with bullous autoimmune disorders and mixed connective tissue diseases have been treated. We successfully treated a patient with pemphigus vulgaris with IVIG, after he had developed osteonecrosis of his right femoral head while on azathioprine and corticosteroids. After reduction of oral corticosteroids, his disease flared dramatically. The addition of a high dose immunosuppressive regimen including azathioprine and dapsone failed to help. Thus high dose IVIG (2 mg/kg, 4 weeks interval) therapy was initiated and induced complete…

Endovascular treatment for chronic cerebrospinal venous insufficiency: is the procedure safe?

2010

Objectives The aim of this report is to assess the safety of endovascular treatment for chronic cerebrospinal venous insufficiency (CCSVI). Although balloon angioplasty and stenting seem to be safe procedures, there are currently no data on the treatment of a large group of patients with this vascular pathology. Methods A total of 564 endovascular procedures (balloon angioplasty or, if this procedure failed, stenting) were performed during 344 interventions in 331 CCSVI patients with associated multiple sclerosis. Results Balloon angioplasty alone was performed in 192 cases (55.8%), whereas the stenting of at least one vein was required in the remaining 152 cases (44.2%). There were no majo…

Simultaneous Hybrid Treatment of Multilevel Peripheral Arterial Disease in Patients with Chronic Limb-Threatening Ischemia

2021

Background: Hybrid treatments (HT) aim to reduce conventional open surgery invasiveness and address multilevel peripheral arterial disease (PAD). Herein, the simultaneous HT treatment in patients with chronic limb-threatening ischemia (CLTI) is reported. Methods: Retrospective analysis, for the period from May 2012 to April 2018, of patients presenting multilevel PAD with CLTI addressed with simultaneous HT. The outcomes of these interventions were measured the following metrics: early technical successes (within 30 days following treatment) and late technical successes (30 days or more following treatment) and included mortality, morbidity symptoms recurrence, and amputation. Survival and …