![abriss der achillessehne abriss der achillessehne](https://www.andi-world.de/images/Verletzung_1.png)
Seven patients presented with acute severe valgus instability without elbow dislocation or fracture after a single traumatic episode. The purpose of this study was to investigate the pathoanatomy of acute valgus instability without elbow dislocation and to evaluate clinical outcomes after operative treatment. COX-2 inhibitors seem superior to NSAID with reduced risk of post-operative haematomas.
Abriss der achillessehne free#
Multimodal analgesia using a COX-2 inhibitor is safe in ABR with free flaps and does not increase flap failure. No patients suffered from thromboembolic complications or gastrointestinal bleeding.
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We found no difference in flap loss rates between the NSAID (n = 2/132, 1.5%) and the COX-2 inhibitor groups (n = 3/128, 2.3%) (p = 0.63). Significantly, more patients were re-operated because of post-operative haematoma in the NSAID group (n = 13/132, 9.8%) than in the COX-2 inhibitor group (n = 4/128, 3.1%) (p = 0.02). Median age, ischaemia time, blood loss and operating time were similar in the two periods. Comparisons between the COX-2 inhibitor and NSAID were made.
![abriss der achillessehne abriss der achillessehne](https://www.gymmedia.de/sites/default/files/archiv_bilder/AG/jentsch_verletzt_dm11.jpg)
Data were collected prospectively and reviewed to compare the two periods, with special focus on reoperations due to bleeding/haematomas and flap thrombosis/failure. The same surgical team operated all patients. We report our experience in using COX-2 inhibitors as part of our post-operative MOSA after ABR using free flaps.Ī total of 132 unilateral secondary ABR were performed (DIEP or MS-TRAM) in the NSAID period (2007–2011) and 128 in the COX-2 inhibitor period (2006, 2012–2014). However, COX-2 inhibitors have been suggested to increase flap failure rates. COX-2 inhibitors are superior to NSAIDs because of the well-known side effects of NSAID treatment (bleeding/gastrointestinal ulcers). In the past, our analgesic regime after autologous breast reconstruction (ABR) included either NSAID or a selective cyclooxygenase-2 (COX-2) inhibitor. In contrast to anterograde screw fixation, these techniques can be performed minimally invasively.Ī key component of modern analgesics is the use of multimodal opioid-sparing analgesia (MOSA). In this in vitro model, all techniques appear to constitute a biomechanically stable alternative to traditional anterograde screw fixation. The raw structural properties of suture cerclage still seem eligible enough to consider using this technique for fixation. The cortical suspension button and retrograde screw fixation techniques showed comparable structural properties to the direct screw fixation technique. A 1-way analysis-of-variance test was performed with significance set at P. Subsequently, loading to failure was performed, and stiffness, yield load, and maximum load were measured.
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The constructs were cyclically loaded 500 times (10 to 100 N) to measure the maximum elongation. 2 braided suture), and (4) direct suture cerclage (with No. The osseous avulsion was fixed by the following techniques through an open approach: (1) direct anterograde screw fixation (3.5 mm with washer), (2) retrograde screw fixation (3.5 mm with washer), (3) cortical suspension button fixation (with No. In 40 porcine knees, a standardized bony avulsion of the posterior cruciate ligament was generated. To analyze the ultimate failure load, yield load, stiffness, and cyclic elongation of 4 different fixation techniques for posterior cruciate ligament avulsion fractures under cyclic loading and load-to-failure conditions.