Controlled Study El-Minia

Mean follow-up was 117 months. 86% are male. Average age of 26 years at surgery. 35 patients had partial meniscectomy (53% internal, 31% external, 16% bimeniscal). A significant improvement (p<0.001) between pre and postoperative parameters was demonstrated (pre-operative mean IKDC score 47 points; post-operative 94 points). 92% perform moderate demand activities, of which 40% returned to pre-injury activity levels without complaints. An increase in the time between rupture of the ACL and surgery was not associated with higher rates of meniscal lesions, osteoarthritis or lower IKDC scores. There was a correlation between clinical results and associated meniscal or chondral lesions. Clinically 6% had symptoms/signs of anterior instability (Lachman 2 A). Radiologically 25% had an anterior displacement of the tibia with an average distance of 3.9 mm [3.3-7.2]. 10% shown femoral tunnel enlargement (with a average of 1.8 mm) and 60% present with subchondral sclerosis in tibial plates. All patients with symptoms suggesting anterior instability shown anterior displacement of the tibia and sclerosis areas, yet only one has femoral tunnel

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

The agenda was quite clear that during their observations the recovery showed needs were decreased according to age and BMI. They stated older patients were in need of more assistance and longer stay in the hospital as opposed to younger adults. I found it interesting that they saw patients with bilateral knees had decreased needs and that unilateral were in need of more assistance before discharge. Managing pain was their first priority during research and rehabilitation, followed by instructing care of their own surgical wound. The aim of this study was to actively reinforce assessment and management after this procedure and giving guidance to those in health care.

She most likely faced many challenges coming to the decision to pursue this procedure, and will face many challenges in the days that follow it. The end-goal of the surgery the surgeon will be performing will be to replace SP’s hip without complication, which will in turn greatly improve the quality of her life. The surgeon who will be performing this surgery should consider not only the success of the surgery, but his/her engagement with the patient both before and after the surgery. According to the Guglielmi et al. (2014), when surgeons realize that the overall results of their surgery depend highly on the patients involvement in results they will realize the utilization of communication to empower and educate their patients. By working to effectively communicating with SP the risks, benefits, and potential outcomes of her surgery the surgeon will find that his/her patient not only feels more cared for, but is also more likely to see successful results from the

In elderly patients and high risk patients, physicians may consider a more conservative treatment option using splints/casts rather than surgery

In fact, the postoperative group experienced a successful result. The comparison of patients who had surgery prove that gains in health and physical ability persevere for several years. For example, postoperative patients’ improvements in hearing, breathing, communicating, and mental functioning exceeded the results of others. Although the postoperative group had the worst scores for breathing due to the greater necessity placed on the cardiorespiratory system, this finding is interpreted as a sign of successful treatment. (Rissanen et al., 1995). Overall, physical ability was significantly improved in the postoperative groups. Major improvements were shown for pain, sleep, and mobility. Activities of daily living (ADL) were significantly enhanced after

care received for elderly patients depends on the type of surgery the patient has, as well as their

The elderly population and woman are mostly at risk of having operation. Most patients who undergo

The demographic profile of the general ostomy population and the results from the surveys has created

I was not an eligible candidate for surgery. The procedure would leave behind scar tissue, which would cause issues later in life. For a middle-aged man, this would not be a problem. For a fourteen year old, this would not be ideal. The radiologist said I was the youngest patient he had ever seen with such an injury.

“The Veterans Health Administration: NSQIP Program” (Ball, Weaver, Kiel; 2004) was a physician-driven comparison study initiated by senior surgeons between 1991 and 1997, in which mortality and morbidity rates were “risk adjusted and compared to observed-to-expected ratios”. They studied data in order to determine the efficacy of surgical procedures from the pre-operative- through 30-day post-operative periods. This study was intended to improve the quality of care provided to patients throughout the Veterans

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability to work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

The subchondral-sparring group were operated during 2010-2013 and consisted of 179 patients. Other than different mean follow-up period, there was no significant difference regarding patient demographics. There were 5 tibia-related complications (3 gross component subsidence and loosening and 2 tibial plateau fracture). All these complications were detected within 6 months after index surgery. One patient with subsidence and 2 patients with fracture required revision to TKA. There were no tibia-related complication in subchondral-sparring group. The incidence of tibia-related complication between the two groups are statistically significant. (Fisher exact test, 5/166 VS 0/179; p=0.025). There was no femur-related complication. Two patients in measure-resection group require revision to TKA due to progression of disease in lateral compartment at 5 and 7 years post-op. Clinical outcomes at 2-year when excluding cases with complications were similar in both

This study also looked at postoperative pain and analgesic consumption, surgical time and visibility, and intraoperative blood loss. However, the strengths and limitations of this study were evaluated based on how the study was conducted in order to obtain results for knee ROM and functional outcomes. The study had many strengths, including its randomization of patients, its inclusion and exclusion criteria (Figure 1), it was single blind in that patients were not aware of whether their tourniquet was inflated during surgery or not, all surgical techniques were standardized, the same equipment was used for each procedure, and the same physician performed all TKA surgeries. The limitations of the study included the following: the randomization of patients was selected from a previous study, the population size was small (n = 70), and it was unable to be a double blinded study due to the fact that the physician would know regardless of being told whether the tourniquet had been inflated or not depending on the amount of blood in the surgical field.

The victims may develop anxiety, stress, and bad childhood memories because of the procedure. For example, during the procedure, people use shape instruments such as blades, and needles. Addition, they do not use any type of anti- pain to reduce pain. As a result of this, the women can develop severe pain, bleeding, scarring, and emotional childhood injuries. “In the longer term, women may suffer feelings of anxiety and depression.”(3). It can also cause behavioral disorder in early childhood, such as lack of trust, loss of confides, fear and anxiety later in their adult lives.