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Surgical outcomes of mini-open Wiltse approach and conventional open approach in patients with single-segment thoracolumbar fractures without neurologic injury

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The Journal of Biomedical Research 2015年第1期29卷 76-82页

作者： Haijun Li Lei Yang Hao Xie Lipeng Yu Haifeng Wei Xiaojian Cao Department of Orthopaedics the First Affiliated Hospital of Nanjing Medical University Department of Orthopaedics the Second Affiliated Hospital of Nanjing Medical University Department of Radiology Taizhou People's Hospital affiliated to Nantong University

This study aimed to introduce a novel mini-open pedicle screw fixation technique via Wiltse approach, and com- pared it with the traditional posterior open method. A total of 72 cases of single-segment thoracolumbar fractures without neurologic injury underwent pedicle screw fixation via two different approaches. Among them, 37 patients were treated using posterior open surgery, and 35 patients received mini-open operation via Wiltse approach. Crew placement accuracy rate, operative time, blood loss, postoperative drainage, postoperative hospitalization time, radiation exposure time, postoperative improvement in R value, Cobb＇s angle and visual analog scale （VAS） scores of the two methods were compared. There were no significant differences in the accuracy rate of pedicle screw placement, radiation exposure and postoperative R value and Cobb＇s angle improvement between the two groups. However, the mini-open method had obvious advantages over the conventional open method in operative time, blood loss, postoperative drainage, postoperative hospitalization time, and postoperative improvement in VAS. The mini-open pedicle screw technique could be applied in treatment of single-segment thoracolumbar fracture without neurologic injury and had advantages of less tissue trauma, short operative and rehabilitative time on the premise of guaranteed accuracy rate and no increased radiation exposure.

关键词： thoracolumbar fracture pedicle screw mini-open Wiltse approach minimally invasive

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Role of biomechanical assessment in rotator cuff tear repair: Arthroscopic vs mini-open approach

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World Journal of Orthopedics 2021年第12期12卷 991-1000页

作者： Giuseppe Solarino Ilaria Bortone Giovanni Vicenti Davide Bizzoca Michele Coviello Giuseppe Maccagnano Biagio Moretti Fabio D'Angelo Department of Basic Medical Sciences Neuroscience and Sense OrgansUniversity of Bari"Aldo Moro"Bari 70124Italy Department of Biomedical Sciences and Human Oncology University of Bari"Aldo Moro"Bari 70124Italy Orthopaedic and Trauma Unit Department of Clinical and Experimental MedicineFaculty of Medicine and SurgeryUniversity of FoggiaGeneral HospitalFoggia 76545Italy Division of Orthopaedics and Traumatology ASST Sette LaghiDepartment of Biotechnologies and Life SciencesUniversitàdegli Studi dell'InsubriaVarese 21100Italy

BACKGROUND Rotator cuff(RC)tears are one of the most frequent pathologies within the shoulder *** dominance and older age are associated with RC *** different surgical procedures,the mini-open(MO)and all-arthroscopic(AA)approach,represented the standard of *** To compare the clinical and biomechanical outcomes of two surgical techniques(AA vs MO procedure)performed to address the painful shoulder syndrome with partial or total supraspinatus tendon *** Eighty-eight participants,50 following RC repair with AA and 38 with MO approach,were recruited in the present cross-sectional case-control study(ORTHO-SHOULDER,Prot.0054602).All patients underwent postoperative clinical evaluation for pain(Visual analogic scale),impairment,and disability(disability of the arm,shoulder,and hand)and limitation in daily activity(Constant-Murley score).Patients’shoulder mobility was also assessed in our Laboratory of Functional Movement through a wearable inertial sensor and surface electromyography to monitor kinematics and muscle activity during the movement on the frontal(abduction/adduction)and sagittal(flexion-extension)*** No statistically significant differences between the two procedures were observed in either main clinical score or range of motion.A significant increase in velocity during the movement execution and a higher contribution of upper trapezius muscles were found in the AA group compared with MO *** In terms of clinical scores,our findings were in line with previous ***,the use of technology-based assessment of shoulder mobility has revealed significant differences between the two techniques in terms of mean velocity and pattern of muscle activation.

关键词： Rotator cuff tear Arthroscopic mini-open Wearable sensors Surface electromyography

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Neurolysis of the Median Nerve to the Carpal Canal by the Way mini-open: Review of 68 Files at Brazzaville University Hospital

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Surgical Science 2017年第12期8卷 510-518页

作者： Massamba Miabaou Didace Boukassa Léon Lamini Norbert Massouama Régis Monka Marius Ondélé Ngatsé Bileckot Richard Ntsiba Honoré Multipurpose Surgery Department Brazzaville University Hospital Brazzaville Congo Rheumatology Department CHU Brazzaville Brazzaville Congo Department of Traumatology-Orthopedics University Hospital of Brazzaville Brazzaville Congo Anesthesia-Resuscitation Department University Hospital of Brazzaville Brazzaville Congo Functional Rehabilitation Department Brazzaville University Hospital Brazzaville Congo

Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication.

关键词： Neurolysis Median Nerve Carpal Tunnel mini-open Technique

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Current concepts in management of femoroacetabular impingement

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World Journal of Orthopedics 2012年第12期3卷 204-211页

作者： Adam S Wilson Quanjun Cui Department of Orthopaedic Surgery University of Virginia School of Medicine Charlottesville VA 22903 United States

Femoroacetabular impingement(FAI)is an increasingly recognized condition,which is believed to contribute to degenerative changes of the *** correlation has led to a great deal of interested in diagnosis and treatment of *** can be divided into two groups:cam and pincer type *** can lead to chondral and labral pathologies,that if left untreated,can progress rapidly to *** diagnosis of FAI involves a detailed history,physical exam,and radiographs of the *** treatment is indicated in anatomic variants known to cause *** primary goal of surgical treatment is to increase joint clearance and decrease destructive forces being transmitted through the *** has been evolving rapidly over the past decade and includes three primary techniques:open surgical dislocation,mini-open,and arthroscopic *** surgical dislocation is a technique for dislocating the femoral head from the acetabulum with a low risk of avascular necrosis in orderto reshape the neck or acetabular rim to improve joint ***-open treatment is performed using the distal portion of an anterior approach to the hip to visualize and to correct acetabular and femoral head and neck junction *** does not involve frank ***,arthroscopic treatment has gained *** however does have a steep learning curve and is best done by an experienced ***-to mid-term results have shown relatively equal success with all techniques in patients with no or only mild evidence of degenerative ***,all techniques have demonstrated low rates of complications.

关键词： Femoroacetabular impingement Pincer Cam mini-open Hip arthroscopy Surgical dislocation Osteochondroplasty

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