RESUMO
BACKGROUND: The use of intermittent compression devices for thrombosis prophylaxis and the reduction of postoperative swelling are widely accepted. The recommended minimum application of 2 h daily has never been statistically verified. Without evidence based data, the benefit of this costly equipment cannot be maximized. PATIENTS AND METHODS: A randomized clinical trial on 41 patients after total hip replacement was performed. The A-V Impulse System was applied for 2 h a day during the first 5 postoperative days to observe whether this time was sufficiently effective. RESULTS: In the control group, two deep vein thromboses occurred postoperatively, but there were none in the treatment group. Even though two patients from the treatment group had to be excluded from the study because of severe pain, all other parameters including visual analogue pain scale results and limb circumferences were comparable in both groups. CONCLUSION: These preliminary results suggest that pump systems can prevent deep venous thrombosis after hip surgery even when applied for only short intervals over a short period of time. However, large scale confirmatory studies are needed.
Assuntos
Artroplastia de Quadril , Inflamação/prevenção & controle , Dispositivos de Compressão Pneumática Intermitente , Complicações Pós-Operatórias/prevenção & controle , Trombose/prevenção & controle , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Inflamação/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Complicações Pós-Operatórias/diagnóstico por imagem , Trombose/diagnóstico por imagem , Fatores de Tempo , Resultado do Tratamento , UltrassonografiaRESUMO
Scars around the neural structures after opening the spinal canal are common and severe problems in spine surgery. This paper presents the use of a special membrane to avoid epidural scarring in two cases.
Assuntos
Cicatriz/prevenção & controle , Discotomia , Deslocamento do Disco Intervertebral/cirurgia , Vértebras Lombares/cirurgia , Membranas Artificiais , Complicações Pós-Operatórias/prevenção & controle , Próteses e Implantes , Dura-Máter/patologia , Espaço Epidural/patologia , Feminino , Fibrose/prevenção & controle , Humanos , Masculino , Microcirurgia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/patologia , ReoperaçãoRESUMO
Amputations of the lower extremity are still a common problem in diabetic feet and peripheral vasculopathies. The presented paper introduces a new device for an easier and faster mobilization of below-the-knee amputees. It is based on a new modular prostheses with individual inflatable air bladders. The compliance rate is higher with this device and it could be used from the day of surgery until the definitive prostheses is made. A biomechanical cadaver study with the prostheses will also be presented.
Assuntos
Amputação Cirúrgica/reabilitação , Membros Artificiais , Pé Diabético/cirurgia , Deambulação Precoce , Adulto , Idoso , Pressão do Ar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Desenho de Prótese , Ajuste de PróteseRESUMO
The post-discectomy syndrome (PDS) is a common diagnosis in patients with problems following a disc operation. The different causes of PDS make the establishment of the correct diagnosis and its corresponding efficient treatment difficult. A general overview published in the bibliographical data covering the entity of PDS is rare. The following paper aims to specify PDS according to its aetiology, diagnosis, treatment and prevention. The diagnosis should be made efficiently, so that the patient can receive prompt adequate therapy.
Assuntos
Discotomia/efeitos adversos , Deslocamento do Disco Intervertebral/etiologia , Artrite/diagnóstico , Artrite/terapia , Cicatriz/diagnóstico , Cicatriz/etiologia , Humanos , Instabilidade Articular/etiologia , Imageamento por Ressonância Magnética , Osteocondrite/diagnóstico , Osteocondrite/terapia , Recidiva , Estenose Espinal/diagnóstico , Estenose Espinal/terapia , SíndromeRESUMO
Injuries of the forefoot are a challenge for orthopaedic surgeons. After healing of bone and soft tissue damage, posttraumatic metatarsalgia can persist. The paper presents a therapy algorithm with newly designed insoles, which consist of the common orthopaedic adaptations like a rocker bottom and a stiffening of the sole. The therapy is shown on two cases. With these orthotics adequate is possible and pain relief realistic.