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151. Management of nonunion with distraction osteogenesis

Author

Kanellopoulos, Anastasios D. Soucacos, Panayotis N.

Subjects
musculoskeletal diseases
Abstract

Nonunions of long bone fractures represent a clinical entity that is commonly perpetuated by a high velocity injury. There are both bony and soft tissue factors responsible for the nonunion. This paper is focused on the reported clinical and radiographic outcomes whenever treatment protocols pertaining to distraction osteogenesis are implemented. (C) 2006 Elsevier Ltd. All rights reserved.

Published
2006

152. Outcome of partial medial epicondylectomy for cubital tunnel syndrome

Author

Efstathopoulos, Dimitrios G. Themistocleous, George S. and Papagelopoulos, Panayiotis J. Chloros, George D. and Gerostathopoulos, Nikolaos E. Soucacos, Panayotis N.

Subjects
musculoskeletal diseases, body regions
Abstract

Partial medial epicondylectomy aims to eliminate potential drawbacks of total epicondylectomy for treatment of cubital tunnel syndrome. In this series, we retrospectively evaluated 80 patients (80 elbows) who had partial medial epicondylectomies for established cubital tunnel syndrome. Our main purpose was to compare clinical outcomes among partial, minimal, and total epicondylectomies. Specific attention was given to the functional outcome in severely impaired patients, and potential postoperative complications of total epicondylectomy, such as elbow instability, and medial elbow pain. Preoperatively, 16 patients were classified as having McGowan Grade I lesions, 40 had Grade II lesions, and 24 had Grade III lesions. The mean followup was 32 months (range, 26 months-4.2 years). There was improvement of at least one McGowan grade in 86.2% of the patients, with a 66.7% improvement in severely impaired patients (McGowan Grade III lesions). There was no ulnar nerve palsy, no ulnar nerve subluxation, or medial elbow instability. However, 45% of patients reported mild pain at the 6-month followup. Partial medial epicondylectomy seems to be safe and reliable for treatment of cubital compression neuropathy at the elbow.

Published
2006

153. Secondary reanimation procedures in late obstetrical brachial plexus palsy patients

Author

Soucacos, Panayotis N. Vekris, Marios D. Zoubos, Aristides B. and Johnson, Elizabeth O.

Subjects
musculoskeletal diseases, body regions
Abstract

The varying degrees of spontaneous reinnervation that occur in untreated obstetrical brachial plexus palsy leave characteristic deformities of the shoulder, elbow, forearm, wrist, and hand. Common sequelae are internal rotation and adduction deformity of the shoulder, elbow flexion contractures, forearm supination deformity, and lack of wrist extension and finger flexion. Early microsurgical reconstruction of the affected plexus leads to a more rewarding overall function of the upper arm,, but residual deformities might appear later which are similar, although less serious, than those observed in untreated cases. Secondary procedures of the shoulder, elbow, forearm, and hand will improve the appearance and function of the upper extremity in late cases of obstetrical brachial plexus. Careful preoperative planning is mandatory and a multistage approach should be applied, depending on the type of palsy and the age of the patient. (c) 2006 Wiley-Liss, Inc.

Published
2006

154. Long-term evaluation of rabbit peripheral nerve repair with end-to-side neurorrhaphy in rabbits

Author

Zhang, Zijie Johnson, Elizabeth O. Vekris, Marios D. Zoubos, Aristides B. Bo, Jinyan Beris, Alexandros E. Soucacos, Panayotis N.

Abstract

This study was designed to quantitatively assess long-term end-to-side neurorrhaphy in rabbits. The cut right ulnar nerve was repaired and sutured to the median nerve, in which a perineurial window was created in an end-to-side fashion 3 cm above the elbow joint. Both the extent of the reinnervation and the integrity of the intact donor nerve were evaluated in 36 rabbits randomly treated with fresh or delayed nerve repair. Evaluations included motor nerve conduction velocity (MNCV), dry muscle weight (DMW), and histological examinations at 9 and 12 months postoperatively. The recovery rates of MNCV were 90.1% and 92.8% for the ulnar nerve, and 95.7% and 96.8% for the median nerve, compared to intact contralateral nerves at 9 and 12 months, respectively. MNCV was not detectable for the ulnar nerve in control animals, while it was normal for the median nerve. Recoveries of flexor carpi ulnaris dry muscle weight of about 90.7% and 94.5% were observed at 9 and 12 months postoperatively, respectively. However, muscle mass measurements revealed a recovery of only 31.3% and 27% for control groups at 9 and 12 months postoperatively. The differences between experimental groups and control groups were statistically significant (P < 0.01). Neurofilament and silver stains showed numerous sprouting axons originating from the median nerve to the ulnar nerve. The results indicate that end-to-side neurorrhaphy could induce axonal sprouting from the main nerve trunk of upper limbs in rabbits, leading to useful functional recovery. (c) 2006 Wiley-Liss, Inc.

Published
2006

178. Chondrome extraosseux du pied

Author

Papagelopoulos, Panayiotis J., Savvidou, Olga D., Mavrogenis, Andreas F., Chloros, George D., Papaparaskeva, Kleo T., and Soucacos, Panayotis N.

Published
2007
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183. Extraskeletal chondroma of the foot

Author

Papagelopoulos, Panayiotis J., primary, Savvidou, Olga D., additional, Mavrogenis, Andreas F., additional, Chloros, George D., additional, Papaparaskeva, Kleo Th., additional, and Soucacos, Panayotis N., additional

Published
2007
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187. Painful Toe in a 51-Year-Old Man

Author

Benetos, Ioannis S, primary, Themistocleous, George S, additional, Mahera, Helen J, additional, Chloros, George D, additional, and Soucacos, Panayotis N, additional

Published
2006
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188. Complications after tibia plateau fracture surgery

Author

Papagelopoulos, Panayiotis J., primary, Partsinevelos, Antonios A., additional, Themistocleous, George S., additional, Mavrogenis, Andreas F., additional, Korres, Demetrios S., additional, and Soucacos, Panayotis N., additional

Published
2006
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194. Chest Pain in a 54-Year-old Man

Author

Benetos, Ioannis S, primary, Themistocleous, George S, additional, Mahera, Helen J, additional, Chloros, George D, additional, and Soucacos, Panayotis N, additional

Published
2006
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