RESUMEN
UNLABELLED: One of the most frequent couse of pain and function impairment of the hand is trigger finger. The treatment of this desease can be conservative or operative. The aim of this study was the evaluation of operative treatment and improvement of the quality of life after the procedure with PEM questionnaire. There were 50 patient included into evaluation, all of them were treated in Second Department of Surgery of the Jagiellonian University Medical College between 2008 and 2010. Patients evaluated the function of their hand before surgery and then 3 months and a year after the procedure. There were also the assessment of treatment satisfaction. We analised the results and observed significant improvement of hand function after the surgery and very high satisfaction with the treatment. CONCLUSIONS: 1. Surgery is a very effective treatment method of trigger finger. 2. It is quite simple procedure and followed by very few complications. 3. It allows to significantly improve hand function and early return to work. 4. It can be performed in the outpatient clinic, which considerably reduces the costs of treatment.
Asunto(s)
Satisfacción del Paciente , Calidad de Vida , Encuestas y Cuestionarios , Trastorno del Dedo en Gatillo/psicología , Trastorno del Dedo en Gatillo/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Recuperación de la Función , Reinserción al Trabajo , Resultado del TratamientoRESUMEN
Hallux valgus is the most common deformity of the foot, affecting 2-4% of the population. The disease is mostly genetic, but there are also exogenous factors. Conservative treatment for the use of orthotics is usually ineffective and only surgery leads to a complete cure. The indications for surgery are pain and/or problems with shoe choosing. AP and lateral foot standing X-ray film is necessary for the proper qualifications. Depending on the size of the hallux valgus angle (HVA) and intermetatarsal angle (IMA) deformations are divided into mild, moderate, advanced and severe. In addition, we assess congruency of the first metatarsophalangeal joint (MTP I). Depending on the degree of deformation and the ascertained pathology we combine different procedures, such as: bunionectomy with medial capsulorrhaphy, osteotomy of basal phalanx of the great toe, distal, midshaft or proximal osteotomy of the first metatarsal, double osteotomy of the first metatarsal, MTP I joint arthrodesis and arthrodesis of medial cuneiform-first metatarsal I joint. In non-congruent MTP I joint we usually perform lateral release. In some indications we also use arthroplasty and minimally invasive techniques. Only the proper qualification for surgery provides a good clinical effect.
Asunto(s)
Hallux Valgus/cirugía , Hallux Valgus/diagnóstico por imagen , Humanos , RadiografíaRESUMEN
UNLABELLED: The aim of the study was to assess early results after the treatment of femoral neck fractures with the cementless hip arthroplasty as well as complications after the earlier fixation of these fractures in patients aged 55-70 years. MATERIAL AND METHODS: 40 cementless hip arthroplasty procedures with the use of Bicontact S endoprosthesis were performed, including 33 due to the femoral neck Garden III and IV type fractures, 7 due to the destabilization of the earlier performed bone fixation with DHS (Dynamic Hip Screw) or the nonunion after the fracture fixation. Postoperative complications as well as early clinical and radiological results were assessed. Outpatient follow-up examinations assessed patients using Harris Hip Score (HHS) and Visual Analogue Scale (VAS), to estimate their quality of life and the level of contentment. RESULTS: The total cementless hip arthroplasty with the use of Bicontact endoprosthesis allows to achieve very good early clinical results in patients who have undergone the surgical procedure due to the femoral neck fracture and good clinical results in patients who have undergone this surgery because of complications after the fixation of fractures. In the examined group of patients early radiological results were good. CONCLUSIONS: Based on the very good and good early results of clinical trials can be assumed that the total cementless hip arthroplasty will be an effective and recommended method of treatment of femoral neck fractures and complications after the earlier fixation of these fractures in patients aged 55 to 70 years, but this requires further, long-term observation. Total hip arthroplasty, not the fixation, should be more often considered as a primary care management of fractures of this type because it allows for a pain-free walking faster and faster return to pre-injury functioning.