7 results on '"Michele, Bisaccia"'
Search Results
2. The Advantages of Type III Scaphoid Nonunion Advanced Collapse (SNAC) Treatment With Partial Carpal Arthrodesis in the Dominant Hand: Results of 5-year Follow-up
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Javier Cervera Irimia, Valerio Pace, Giuseppe Rinonapoli, Giuseppe Rollo, Michele Bisaccia, Lorenzo Roca, Alessandro Tomarchio, Luigi Meccariello, Paolo Pichierri, Marco Giaracuni, and Andrea Pasquino
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,5 year follow up ,SNAC wrist ,Radiography ,Arthrodesis ,medicine.medical_treatment ,Scaphoid nonunion ,carpal fusion ,hand outcome ,030230 surgery ,Wrist ,03 medical and health sciences ,0302 clinical medicine ,Time frame ,scaphoid nonunion ,medicine ,Humans ,Fracture Healing ,Scaphoid Bone ,Original Paper ,030222 orthopedics ,business.industry ,Visual Analog Pain Scale ,General Medicine ,Middle Aged ,Surgery ,body regions ,medicine.anatomical_structure ,Scaphoid bone ,Fractures, Ununited ,Female ,business ,Follow-Up Studies - Abstract
Introduction The SNAC wrist (Scaphoid nonunion advanced collapse) is one of the complications following scaphoid fractures treated conservatively and one of the causes of wrist arthritis that the hand surgeon has to face most frequently. In these cases surgical management is usually warranted. Materials and methods In the set time frame of 6 years we treated 15 SNAC wrist cases. On average patients underwent surgery five years after the trauma. All patients were treated via dorsal incision with partial carpal arthrodesis and total scaphoidectomy, associated with denervation of the posterior interosseous nerves. A plaster cast was applied to all patients for 3 weeks postoperatively. In the preoperative stage, X-rays of the healthy contralateral limb were taken for the measurement of the normal radiocarpal joint space. Clinical and radiographic follow-ups were conducted at 1,3, 6 and 12 months from the trauma; then every 12 months. Criteria for the evaluation of patients: visual analog pain scale (VAS), average time of radiographic fusion of wrist bones, Active Range of Wrist Motion (WAROM), subjective Mayo Wrist Score (MWS) and The Short Form ( 36) Health Survey (SF-36), return to the main tasks and complications. The evaluation endpoint was set at 60 months. Average time of surgery: 48.3 minutes. Average time of arthrodesis consolidation: 67.8 days. The VAS and WAROM showed a gradual improvement in seriated controls, returning to values almost identical to pre-trauma at a 5-year follow-up. By this time, the MWS and SF-36 scores were similar to pre-trauma. On average, the return to pre-injury daily activities occurred in 12.5 months after surgery. There were no complications. Conclusions The partial carpal arthrodesis is a safe and effective procedure for the treatment of SNAC wrist cases. Our results show a progressive and significant improvement in ROM, VAS and great satisfaction from the patient.
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- 2018
3. Reliability, Feasibility and Value of Ecography in Clinical-functional Results in Patients Affected by Carpal Tunnel Syndrome: is There a Correlation?
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Steven J. McCabe, Michele Bisaccia, Olga Bisaccia, Auro Caraffa, Giuseppe Rinonapoli, Andrea Cappiello, Luigi Meccariello, Andrea Schiavone, Mattia Manni, and Cristina Ibáñez Vicente
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0301 basic medicine ,Median nerve ,Correlation ,03 medical and health sciences ,0302 clinical medicine ,Carpal tunnel release ,Medicine ,Carpal tunnel ,In patient ,Carpal tunnel syndrome ,Ultrasonography ,Original Paper ,030222 orthopedics ,business.industry ,Ultrasound ,General Medicine ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,Anesthesia ,business - Abstract
Background: The aim of this study was to evaluate how the ultrasound examination in the carpal tunnel diagnosis could contribute to the clinical and neurophysiological evaluation. This was done by evaluating the cross-sectional area (CSA) and its correlation with symptoms and functionality data assessed by the BTQC questionnaire. Methods: 60 patients were subjected to open CTR for idiopathic carpal tunnel syndrome. The median nerve CSA was assessed both pre-operatively and in follow-up at 4 and 12 weeks. The Boston Carpal Tunnel Questionanaire (BCTQ) was proposed at the same time. Results: BCTQ score significantly improved after 4 weeks, but there was a less significant increase at 12 weeks for both the BCTQ-S and the BCTQ-F. The 4-week CSA, however, did not appear to have markedly improvement, where as the 12-week CSA turned out to be statistically significant. The correlation between BCTQ and CSA shows that post-surgery, the reduction of CSA of the median nerve is correlated with the symptomatic and functional reduction in patients. Conclusions: The study shows that the symptomatology and the functionality of the hand after surgery for the carpal tunnel resolves quickly. Furthermore, the reduction of the CSA proves to show that the use of ultrasound can help in the evaluation of patients with this state.
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- 2017
4. Feasibility and Value of Radiographic Union Score Hip Fracture after Treatment with Intramedullary Nail of Stable Hip Fractures
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Michele Bisaccia, Daniele Maiettini, Paolo Ceccarini, Auro Caraffa, Alberto Rebonato, Luigi Piscitelli, Olga Bisaccia, Giuseppe Rinonapoli, Giuseppe Rollo, and Luigi Meccariello
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medicine.medical_specialty ,Radiography ,Union ,Stable hip fractures ,Bone healing ,Radiographic value ,law.invention ,Intramedullary rod ,03 medical and health sciences ,0302 clinical medicine ,law ,medicine ,Delay union ,RUSH ,030212 general & internal medicine ,Vas score ,030222 orthopedics ,Hip fracture ,business.industry ,Intramedullary nail ,General Medicine ,medicine.disease ,Original Papers ,Non union ,Surgery ,Clinical Practice ,business ,Clinical record ,After treatment - Abstract
Introduction: Given the importance of fracture healing on patient outcome in clinical practice, it is critical to assess fracture healing. Aim: The aim of this study was to evaluate the feasibility of the Radiographic Union Score Hip fracture after treatment with intramedullary nail of stable hip fractures. Patients and Methods: We retrospectively collected the data from the clinical records of our institution of the 47 patientswho had undergone intertrochanteric hip fracture treatment using an intramedullary nail. Pain visual analogic score (VAS) was collected the same day that X-rays were taken. Plain hip X-rays were performed, in two radiographic views, at 40 and 90 days after the surgical procedure. The correlation between the RUSH and VAS score was evaluated. Results: Mean RUSH and VAS scores showed a strong statistical improvement between the 40 and 90 day follow-ups. RUSH value at 40 days fitted an inverse linear regression with VAS, p-value of 0.0063 and r2 of 0.15. At 90 days the regression between RUSH and VAS scores was not significant. Conclusion: RUSH could be proposed as an objective system to evaluate union in hip fractures treated with intramedullary nail.
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- 2016
5. EPIDEMIOLOGY OF INJURIES AND DISEASES DUE TO OVERUSE IN RUGBY: OBSERVATIONAL STUDY OF THE PLAYERS OF CUS PERUGIA RUGBY
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Olga Bisaccia, Gabriele Falzarano, Antonio Medici, Auro Caraffa, Michele Bisaccia, Giuseppe Rinonapoli, Luigi Piscitelli, Cristina Ibáñez Vicente, Giovanni Colleruoli, and Luigi Meccariello
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030222 orthopedics ,03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,business.industry ,Family medicine ,Epidemiology ,medicine ,Observational study ,030212 general & internal medicine ,business - Published
- 2016
6. MULTIPLE FOOT BONE RENAL CELL CARCINOMA METASTASES: FEASIBILITY OF SIMULTANEOUS CT-GUIDED MICROWAVE ABLATION
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Gabriele Falzarano, Auro Caraffa, Luigi Piscitelli, Michele Bisaccia, Luigi Meccariello, Marta Rossi, Alberto Rebonato, Antonio Medici, Giulio Metro, and Daniele Maiettini
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medicine.medical_specialty ,Simultaneous Microwave Ablation ,CT Guided Microwave Ablation ,business.industry ,medicine.medical_treatment ,lcsh:R ,Microwave ablation ,Foot Bone Metastases ,lcsh:Medicine ,Bone metastasis ,medicine.disease ,Nephrectomy ,Metastasis ,Lesion ,Pain control ,Renal cell carcinoma ,Medicine ,Pain Therapy ,Radiology ,medicine.symptom ,business ,Renal Cell Carcinoma Metastases ,Foot (unit) - Abstract
Renal tumor has a high incidence of bone metastasis (BM). BM are burdened by a considerable morbidity and are the most common cause of cancer-related pain. Local treatment of metastases remains controversial despite showing promising results for pain control. We would like to report our experience with a patient who developed foot bone metastasis 3 years after a left nephrectomy for a renal cell carcinoma. Metastasis were treated in two session of CT-guided microwave ablation. One lesion in the first session and three, simultaneously, in the second one. Cement augmentation was performed in all cases. No complications were noticed. The patient showed good pain control immediately after the procedure and on follow-up at six months.
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- 2016
7. A MODERN TREATMENT OF BILATERAL OSTEOCHONDRITIS DISSECANS IN KNEES: FROM A CASE REPORT TO LITERATURES REVIEW
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Giuseppe Rinonapoli, Auro Caraffa, Luigi Piscitelli, Marco Corzani, Michele Bisaccia, Maria Liberata Meccariello, Pellegrino Ferrrara, and Luigi Meccariello
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0301 basic medicine ,Arthroscopic ,medicine.medical_specialty ,Population ,Ischemia ,lcsh:Medicine ,Disease ,Condyle ,Scaffold ,03 medical and health sciences ,ICRS Classification ,Osteocondrithis dissecans ,Bone Marrow Concentration ,medicine ,education ,Rest (music) ,education.field_of_study ,business.industry ,Cartilage ,lcsh:R ,Mesenchymal Stem Cells ,medicine.disease ,Osteochondritis dissecans ,Surgery ,030104 developmental biology ,medicine.anatomical_structure ,Etiology ,business - Abstract
Background Osteocondrithis dissecans (OCD) is an acquired disease due to a subcondral bone ischaemia that affects generally the medial femoral condyle as well as above lying cartilage. Though the incidence of OCD is only 6/10,000 in the general population, in the later stages of disease, OCD fragment can break off inside the articular cavity it is the most Frequently reported cause of free endoarticular body. The etiology has been hypothesized as being multi-factored due to traumas or microtraumas along with metabolic, endocrine and genetic disorders leading to subchondral ischemia . Description of case A 15-year old male amateur soccer player presented to our department complaining of recurrent episodes of pain at rest in both knees, swelling and articular blockage occurring over the past 3 years. RX and MRIrevealed bilateral lesions on both medial condyles. A ONE-STEP surgical technique was performed that incorporated the drawing of mesenchymal staminal cells (MSCs) and their implantation. Conclusion This case report deals with a rare case of bilateral OCD of the knee treated with the latest technique in regenerative medicine. At 6-month follow up there was a complete return of muscular tonality in both knees andthe patient was allowed to return to light physical activity. These results are noteworthyfor the fact they were obtained from a combined surgical approach that when compared toalternative approaches lead to a shorter hospital stay and a reduced hospital burden. Each of the osteochondral lesions was evaluated from imaging results and arthroscopic findings.
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- 2016
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