Rehab Centers: Meniscus Suture Provides Better Clinical and Biomechanical Results at 1-Year Follow-Up Than Meniscectomy.

Meniscus suture provides better clinical and biomechanical results at 1-year follow-up than meniscectomy.

Filed under: Rehab Centers

Arch Orthop Trauma Surg. 2013 Jan 31;
Huber J, Lisi?ski P, K?oskowska P, Gronek A, Lisiewicz E, Trzeciak T

BACKGROUND: Surgery of meniscus tear results in limitation of function. The aim of study was functional assessment of knee 1 year after surgery with two techniques in cases of the medial meniscus tear followed by the same supervised rehabilitation. MATERIALS AND METHODS: A total of 30 patients with good KOSS scores constituted two equal groups after partial meniscectomy or meniscus suture. Measurements of knee extensors and flexors muscles peak torques were performed with angular velocities 60, 180, 240 and 300 s(-1) using Biodex IV system. One-leg-hop and one-leg-rising tests ascertained the function of operated knee. Results of examinations were compared with reference to healthy volunteers. Results of biomechanical and clinical studies were correlated to create complex and objective method evaluating treatment. RESULTS: Extensors peak torque values at 60 s(-1) angular velocity and H/Q coefficient were decreased after meniscectomy more than meniscus suture in comparison to healthy volunteers (P ? 0.001; P ? 0.05). Analysis of functional tests revealed that patients after meniscectomy showed difference between operated and non-operated knee (P ? 0.01) while patients with meniscus suture differed the least to controls (P ? 0.05). Extensors peak torque values at 60 s(-1) angular velocity correlated with results of one-leg-rising test. CONCLUSION: Results suggest worse functional effects when meniscectomy is applied which implies modification of the rehabilitative methods in a postoperative period.
HubMed – rehab

 

Kyphectomy in meningomyelocele children: surgical technique, risk analysis, and improvement of kyphosis.

Filed under: Rehab Centers

Childs Nerv Syst. 2013 Jan 31;
de Amoreira Gepp R, Quiroga MR, Gomes CR, de Araújo HJ

PURPOSE: Kyphosis is a major complication of spina bifida, causing skin ulcers and osteomyelitis. This study examined the clinical and surgical characteristics of eight patients who underwent surgery, as well as improvement of their postoperative kyphosis angulations. METHOD: The authors reviewed eight cases submitted to surgery between 2006 and 2010. Surgical intervention was indicated for osteomyelitis and recurrent ulcers at the curvature apex. Osteotomies and spine stabilization were performed. The patients’ clinical characteristics were analyzed, as were the surgical techniques employed, variables of surgical complications, and angle range of the kyphosis deformity postcorrection. RESULTS: There were no deaths. The average age at the time of surgery was 11 years old. The level of neurological injury was T10 in four patients and T12 in four. Average amount of bleeding during surgery was 1,442 ml, (range, 340 to 3,200 ml). Improvement of kyphosis angle was evident in all patients. The average difference between preoperative and postoperative kyphosis angle was 63.2. CONCLUSIONS: Surgery performed by a multidisciplinary team minimizes risks. Despite the high number of complications published in the literature, the results found in this study were excellent with regards to improving kyphosis angle, as well as facilitating rehabilitation and daily care of children.
HubMed – rehab

 

Measuring Perceived Rehabilitation Needs of Caregivers of People with Schizophrenia in Mainland China.

Filed under: Rehab Centers

Adm Policy Ment Health. 2013 Feb 1;
Li D, Tsui MC, Tsang HW

This paper reports the development and validation of the Wuxi version of the Rehabilitation Needs Questionnaire for Caregivers of People with Schizophrenia (PRNQ-C-WX) based on the original Hong Kong version (PRNQ-C-HK). PRNQ-C-WX was validated by exploratory factor analysis (EFA) using a convenience sample consisting of 200 caregivers of people with schizophrenia. EFA yielded an eight-factor solution accounting for 63.8 % of the total variance which resulted in a 50-item PRNQ-C-WX. The questionnaire has excellent internal consistencies. Its factor structure is similar to the Hong Kong version. Some suggestions for policy, service and research development in mental health in mainland China are made.
HubMed – rehab

 

Review of Burn Research for the Year 2011.

Filed under: Rehab Centers

J Burn Care Res. 2013 Jan 30;
Sen S, Greenhalgh D, Palmieri T

The year 2011 was another robust year for burn research. Over 1100 articles were published on a wide range of burn injury and treatment topics. In this review, we highlight some of the interesting and potentially influential research in the following areas: critical care, infection, inhalation injury, epidemiology, wound characterization and treatment, nutrition and metabolism, pain management, burn reconstruction, psychology, and rehabilitation. As in years past, burn injury research reflects the multidisciplinary and holistic care that is needed to treat this challenging injury condition.
HubMed – rehab

 

Effects of curing protocols on fluid kinetics and hardness of resin cements.

Filed under: Rehab Centers

Dent Mater J. 2013; 32(1): 32-41
Svizero ND, Silva MS, Alonso RC, Rodrigues FP, Hipólito VD, Carvalho RM, D’Alpino PH

The effects of polymerization protocols on water sorption/solubility, the diffusion coefficient (D), the flux (J), and the hardness (KH) of two resin cements were evaluated. The materials were manipulated and divided into three groups (n=6) according to the curing protocol: PA=photoactivation (40 s); DP=delayed photoactivation (10 min self-curing plus 40 s photoactivated); CA=chemical activation. After desiccation, the specimens were weighed, stored in water (37ºC), evaluated over 28-days, and hardness recorded. Chemical activation resulted in lower net water uptake, D, and J for RelyX ARC (RX). For Variolink II (VL), CA yielded equivalent D and lower J; however, photoactivation resulted in lower net water uptake. Hardness of VL was less affected by the water storage, irrespective of the polymerization protocol. Considering the water diffusion parameters, VL demonstrated immediate photoactivation dependence; for RX, a chemical activation. Different polymerization protocols affect the fluid kinetics and the hardness of the resin cements tested.
HubMed – rehab

 

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