8 resultados para 1995_04051603 MOC-31
em Universidad del Rosario, Colombia
Resumo:
Nova et Vetera, ISSN 1692-5866, Año 8, No. 01 (Enero 31 - Febrero 13 de 2007)
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Nova et Vetera, ISSN 1692-5866, Año 5, No. 09 (Mayo 31 - Agosto 1 - 2010)
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Nova et Vetera, ISSN 1692-5866, Año 6, No. 27 (Octubre 31 de 2011)
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Nova et Vetera, ISSN 1692 - 5866, Año 2012 No. 14 (Mayo 14 - julio 31 de 2012)
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Nova et Vetera, ISSN 1692 - 5866, Año 8 No. 8 (Marzo 18 - 31 de 2013)
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Purpose: To evaluate the evolution of clinical and functional outcomes of symptomatic discoid lateral meniscus treated arthroscopically over time and to investigate the relationship between associated intra-articular findings and outcomes. Methods: Of all patients treated arthroscopically between 1995 and 2010, patients treated for symptomatic discoid meniscus were identified in the hospital charts. Baseline data (demographics, previous trauma of ipsilateral knee, and associated intra-articular findings) and medium term outcome data from clinical follow-up examinations (pain, locking, snapping and instability of the operated knee) were extracted from clinical records. Telephone interviews were conducted at long term in 28 patients (31 knees). Interviews comprised clinical outcomes as well as functional outcomes as assessed by the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC). Results: All patients underwent arthroscopic partial meniscectomy. The mean follow-up time for data extracted from clinical records was 11 months (SD ± 12). A significant improvement was found for pain in 77% (p<0.001), locking in 13%, (p=0.045) and snapping in 39 % (p<0.005). The mean follow-up time of the telephone interview was 60 months (SD ± 43). Improvement from baseline was generally less after five years than after one year and functional outcomes of the IKDC indicated an abnormal function after surgery (IKDC mean= 84.5, SD ± 20). In some patients, 5 year-outcomes were even worse than their preoperative condition. Nonetheless, 74% of patients perceived their knee function as improved. Furthermore, better results were seen in patients without any associated intra-articular findings. Conclusions: Arthroscopical partial meniscectomy is an effective intervention to relieve symptoms in patients with discoid meniscus in the medium-term; however, results trend to deteriorate over time. A trend towards better outcome for patients with no associated intra-articular findings was observed.
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Nova et Vetera, ISSN 1962-5866, Año 9, No. 11 (Marzo 31 - Abril 6 de 2014)
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En Colombia se acepta la frecuencia y severidad de los accidentes de trabajo como una forma más de violencia frente a la cual todos permanecemos pasivos y tolerantes, junto con el desgaste del recurso humano, causa pérdidas no calculadas por costos