BACKGROUND The direct anterior approach(DAA) for total hip arthroplasty(THA) is a less invasive and muscle-sparing approach that seems to improve early function and patient satisfaction. Several studies, however, have...BACKGROUND The direct anterior approach(DAA) for total hip arthroplasty(THA) is a less invasive and muscle-sparing approach that seems to improve early function and patient satisfaction. Several studies, however, have reported high complication and revision rates due to the technical difficulties related to the femoral preparation.AIM To evaluate the usefulness and safety of a new stem equipped with a morphometric design and a size-specific medial curvature in DAA for THA.METHODS This retrospective study was based on 130 patients that underwent mini-invasive DAA procedures for THA using the Accolade Ⅱ stem. A total of 144 procedures were included in the assessment, which was based on postoperative complications, survival rates, functional parameters, and patient related outcomes.RESULTS Overall complications were recorded in 6 procedures(4.2%). There were no complications related to the stem implantation and no intraoperative fractures. Only one patient was revised for deep infection. On radiographs, biomechanical hip reconstruction was satisfactory and no stem showed any subsidence greater than 2 mm. Full osseointegration based on Engh scores was seen in all of the implanted stems. Median Harris hip score at final follow-up was 99 points(range 44-100 points), which resulted excellent in 91.3% of patients. The median values of the osteaorthritis outcome score ranged from 87.5 to 95.CONCLUSION The mid-term positive outcomes and low complication rate in our consecutive series of patients support the safety and suitability of this new stem design in DAA for THA.展开更多
Aim: Numerous non-surgical methods and surgical options are available for the solution of baldness in the practice. Technology provides mighty weapons in this field. Thus, individualized solutions are best carried out...Aim: Numerous non-surgical methods and surgical options are available for the solution of baldness in the practice. Technology provides mighty weapons in this field. Thus, individualized solutions are best carried out with well-trained and qualified practitioners. Here, a modification of follicular unit extraction, direct hair implantation is introduced with previously licensed unique pens. Methods: Follicular unit extraction and direct hair implantation methods were carried out in 207 hair transplantations between January and December of 2014. The nests for the grafts were created via pieces of hand-cut razor blade in follicular unit extraction. In addition, a new modification of follicular unit extraction, direct hair implantation, is done via pens that are produced for this purpose. Results: Thirty-eight direct hair implantations were performed in addition with 169 follicular unit extractions. An average number of 2973 grafts were transplanted. Mean operation time was calculated as 385 min. Conclusion: Hair transplantation is still the best solution for hair loss. In conjunction with the surgery, the addition of non-surgical interventions may give a better result to the patient. On the other hand, the promising results in the field of regenerative medicine with cell-based solutions may alter hair transplantation and change the options solely into this field.展开更多
文摘BACKGROUND The direct anterior approach(DAA) for total hip arthroplasty(THA) is a less invasive and muscle-sparing approach that seems to improve early function and patient satisfaction. Several studies, however, have reported high complication and revision rates due to the technical difficulties related to the femoral preparation.AIM To evaluate the usefulness and safety of a new stem equipped with a morphometric design and a size-specific medial curvature in DAA for THA.METHODS This retrospective study was based on 130 patients that underwent mini-invasive DAA procedures for THA using the Accolade Ⅱ stem. A total of 144 procedures were included in the assessment, which was based on postoperative complications, survival rates, functional parameters, and patient related outcomes.RESULTS Overall complications were recorded in 6 procedures(4.2%). There were no complications related to the stem implantation and no intraoperative fractures. Only one patient was revised for deep infection. On radiographs, biomechanical hip reconstruction was satisfactory and no stem showed any subsidence greater than 2 mm. Full osseointegration based on Engh scores was seen in all of the implanted stems. Median Harris hip score at final follow-up was 99 points(range 44-100 points), which resulted excellent in 91.3% of patients. The median values of the osteaorthritis outcome score ranged from 87.5 to 95.CONCLUSION The mid-term positive outcomes and low complication rate in our consecutive series of patients support the safety and suitability of this new stem design in DAA for THA.
文摘Aim: Numerous non-surgical methods and surgical options are available for the solution of baldness in the practice. Technology provides mighty weapons in this field. Thus, individualized solutions are best carried out with well-trained and qualified practitioners. Here, a modification of follicular unit extraction, direct hair implantation is introduced with previously licensed unique pens. Methods: Follicular unit extraction and direct hair implantation methods were carried out in 207 hair transplantations between January and December of 2014. The nests for the grafts were created via pieces of hand-cut razor blade in follicular unit extraction. In addition, a new modification of follicular unit extraction, direct hair implantation, is done via pens that are produced for this purpose. Results: Thirty-eight direct hair implantations were performed in addition with 169 follicular unit extractions. An average number of 2973 grafts were transplanted. Mean operation time was calculated as 385 min. Conclusion: Hair transplantation is still the best solution for hair loss. In conjunction with the surgery, the addition of non-surgical interventions may give a better result to the patient. On the other hand, the promising results in the field of regenerative medicine with cell-based solutions may alter hair transplantation and change the options solely into this field.
