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Walbeehm E.t. - One of the best experts on this subject based on the ideXlab platform.
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Robert Mathys Finger prosthesis of the proximal interphalangeal joint: a retrospective case series of 19 joints in 17 patients
2017Co-Authors: Rijnja J.p., Kouwenberg P., Ray S., Walbeehm E.t.Abstract:INTRODUCTION: The Robert Mathys (RM) Finger is a hinged type of arthroplasty for the metacarpophalangeal and proximal interphalangeal (PIP) joint that compensates ligament instability. The aim of this study is to evaluate the outcomes and complications of RM Finger arthroplasty of the PIP joint. MATERIALS AND METHODS: A retrospective case series of 19 RM Finger arthroplasties of the PIP joint in 17 patients was performed with a median follow-up of 36 months. The active range of motion (AROM) was measured pre-Operatively, at the 6-week follow-up, at the termination of hand therapy, and at the final follow-up. Complications were recorded, as well as pain on a visual analog scale (VAS), stability, deformity, pinch strength, the Michigan Hand Outcomes Questionnaire (MHQ), and the Patient Global Index of Improvement Questionnaire. RESULTS: One implant fracture occurred. Another patient had an amputation due to stiffness. For the remaining joints, AROM was 61 degrees . One joint mobilization under local anesthesia, one arthrolysis and two extensor tendon reconstructions were also necessary. Pain at the follow-up was 1.2 on the VAS. Relative pinch strength was 69%. Joint stability was restored in all fingers, although one joint had an ulnar deviation of 15 degrees . Eight fingers developed a snapping phenomenon, of which five had a swan neck deformity. One finger had an extension lag with a Boutonniere deformity. MHQ scores were less compared to the unaffected hand. Fifteen patients rated their outcome as improved compared to their pre-Operative Condition. CONCLUSIONS: RM Finger arthroplasty of the PIP joint restores joint stability with AROM improvement, and with low pain, although it has a high rate of complications. LEVEL OF EVIDENCE: IV
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Robert Mathys Finger prosthesis of the proximal interphalangeal joint: a retrospective case series of 19 joints in 17 patients
'Springer Science and Business Media LLC', 2017Co-Authors: Rijnja J.p., Kouwenberg P., Ray S., Walbeehm E.t.Abstract:Item does not contain fulltextINTRODUCTION: The Robert Mathys (RM) Finger is a hinged type of arthroplasty for the metacarpophalangeal and proximal interphalangeal (PIP) joint that compensates ligament instability. The aim of this study is to evaluate the outcomes and complications of RM Finger arthroplasty of the PIP joint. MATERIALS AND METHODS: A retrospective case series of 19 RM Finger arthroplasties of the PIP joint in 17 patients was performed with a median follow-up of 36 months. The active range of motion (AROM) was measured pre-Operatively, at the 6-week follow-up, at the termination of hand therapy, and at the final follow-up. Complications were recorded, as well as pain on a visual analog scale (VAS), stability, deformity, pinch strength, the Michigan Hand Outcomes Questionnaire (MHQ), and the Patient Global Index of Improvement Questionnaire. RESULTS: One implant fracture occurred. Another patient had an amputation due to stiffness. For the remaining joints, AROM was 61 degrees . One joint mobilization under local anesthesia, one arthrolysis and two extensor tendon reconstructions were also necessary. Pain at the follow-up was 1.2 on the VAS. Relative pinch strength was 69%. Joint stability was restored in all fingers, although one joint had an ulnar deviation of 15 degrees . Eight fingers developed a snapping phenomenon, of which five had a swan neck deformity. One finger had an extension lag with a Boutonniere deformity. MHQ scores were less compared to the unaffected hand. Fifteen patients rated their outcome as improved compared to their pre-Operative Condition. CONCLUSIONS: RM Finger arthroplasty of the PIP joint restores joint stability with AROM improvement, and with low pain, although it has a high rate of complications. LEVEL OF EVIDENCE: IV
Rijnja J.p. - One of the best experts on this subject based on the ideXlab platform.
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Robert Mathys Finger prosthesis of the proximal interphalangeal joint: a retrospective case series of 19 joints in 17 patients
2017Co-Authors: Rijnja J.p., Kouwenberg P., Ray S., Walbeehm E.t.Abstract:INTRODUCTION: The Robert Mathys (RM) Finger is a hinged type of arthroplasty for the metacarpophalangeal and proximal interphalangeal (PIP) joint that compensates ligament instability. The aim of this study is to evaluate the outcomes and complications of RM Finger arthroplasty of the PIP joint. MATERIALS AND METHODS: A retrospective case series of 19 RM Finger arthroplasties of the PIP joint in 17 patients was performed with a median follow-up of 36 months. The active range of motion (AROM) was measured pre-Operatively, at the 6-week follow-up, at the termination of hand therapy, and at the final follow-up. Complications were recorded, as well as pain on a visual analog scale (VAS), stability, deformity, pinch strength, the Michigan Hand Outcomes Questionnaire (MHQ), and the Patient Global Index of Improvement Questionnaire. RESULTS: One implant fracture occurred. Another patient had an amputation due to stiffness. For the remaining joints, AROM was 61 degrees . One joint mobilization under local anesthesia, one arthrolysis and two extensor tendon reconstructions were also necessary. Pain at the follow-up was 1.2 on the VAS. Relative pinch strength was 69%. Joint stability was restored in all fingers, although one joint had an ulnar deviation of 15 degrees . Eight fingers developed a snapping phenomenon, of which five had a swan neck deformity. One finger had an extension lag with a Boutonniere deformity. MHQ scores were less compared to the unaffected hand. Fifteen patients rated their outcome as improved compared to their pre-Operative Condition. CONCLUSIONS: RM Finger arthroplasty of the PIP joint restores joint stability with AROM improvement, and with low pain, although it has a high rate of complications. LEVEL OF EVIDENCE: IV
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Robert Mathys Finger prosthesis of the proximal interphalangeal joint: a retrospective case series of 19 joints in 17 patients
'Springer Science and Business Media LLC', 2017Co-Authors: Rijnja J.p., Kouwenberg P., Ray S., Walbeehm E.t.Abstract:Item does not contain fulltextINTRODUCTION: The Robert Mathys (RM) Finger is a hinged type of arthroplasty for the metacarpophalangeal and proximal interphalangeal (PIP) joint that compensates ligament instability. The aim of this study is to evaluate the outcomes and complications of RM Finger arthroplasty of the PIP joint. MATERIALS AND METHODS: A retrospective case series of 19 RM Finger arthroplasties of the PIP joint in 17 patients was performed with a median follow-up of 36 months. The active range of motion (AROM) was measured pre-Operatively, at the 6-week follow-up, at the termination of hand therapy, and at the final follow-up. Complications were recorded, as well as pain on a visual analog scale (VAS), stability, deformity, pinch strength, the Michigan Hand Outcomes Questionnaire (MHQ), and the Patient Global Index of Improvement Questionnaire. RESULTS: One implant fracture occurred. Another patient had an amputation due to stiffness. For the remaining joints, AROM was 61 degrees . One joint mobilization under local anesthesia, one arthrolysis and two extensor tendon reconstructions were also necessary. Pain at the follow-up was 1.2 on the VAS. Relative pinch strength was 69%. Joint stability was restored in all fingers, although one joint had an ulnar deviation of 15 degrees . Eight fingers developed a snapping phenomenon, of which five had a swan neck deformity. One finger had an extension lag with a Boutonniere deformity. MHQ scores were less compared to the unaffected hand. Fifteen patients rated their outcome as improved compared to their pre-Operative Condition. CONCLUSIONS: RM Finger arthroplasty of the PIP joint restores joint stability with AROM improvement, and with low pain, although it has a high rate of complications. LEVEL OF EVIDENCE: IV
Marijana Kojic - One of the best experts on this subject based on the ideXlab platform.
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post Operative Condition of breast cancer patients from standpoint of psycho oncology preliminary results
Medicinski Pregled, 2014Co-Authors: Aleksandra Kovac, Svetlana Popovicpetrovic, Miroslav Nedeljkovic, Marijana Kojic, Sanja TomicAbstract:Introduction. Information on being diagnosed to have cancer is always shocking for the patient, and it always causes a lot of psychosocial problems during its treatment. In these moments, patients need understanding, support and someone who can help them to apprehend all available options and choices clearly. The purpose of this study is to show the psychological states of patients with breast cancer after breast surgery, the importance of the psychological support, and first experiences in psycho-oncological management of breast cancer patients. Material and Methods. The study sample included 46 women, their average age being 52.32 (± 8.98), who had answered questions in a questionnaire in the period after surgery. Results. The patients experienced fears and worries associated with almost every part of cancer treatment likely to happen in the near future. The fear of chemotherapy and radiotherapy (67%), the horror of losing hair (59%) and the fear of relapse or disease progression (57%) were evident. Moreover, the patients dreaded the forthcoming pathological results and the decisions to be made by the Oncology Commission (57%), with accompanying insomnia caused by disturbing thoughts in 39% of the patients. Conclusion. These findings suggest that psychological support is important in this early period after breast surgery due to the vulnerability of the patients, and because it can diminish the risk of potential escalation of distress.
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post Operative Condition of breast cancer patients from standpoint of psycho oncology preliminary results stanje pacijentkinja obolelih od karcinoma dojke u postoperativnom periodu sa psihoonkoloskog aspekta preliminarni rezultati
2014Co-Authors: Aleksandra Kovac, Marijana KojicAbstract:Summary Introduction. Information on being diagnosed to have cancer is always shocking for the patient, and it always causes a lot of psy- chosocial problems during its treatment. In these moments, pa- tients need understanding, support and someone who can help them to apprehend all available options and choices clearly. The purpose of this study is to show the psychological states of patients with breast cancer after breast surgery, the importance of the psy- chological support, and first experiences in psycho-oncological management of breast cancer patients. Material and Methods. The study sample included 46 women, their average age being 52.32 (± 8.98), who had answered questions in a questionnaire in the period after surgery. Results. The patients experienced fears and worries associated with almost every part of cancer treatment likely to happen in the near future. The fear of chemotherapy and radiotherapy (67%), the horror of losing hair (59%) and the fear of relapse or disease progression (57%) were evident. Moreover, the patients dreaded the forthcoming pathological results and the deci- sions to be made by the Oncology Commission (57%), with ac- companying insomnia caused by disturbing thoughts in 39% of the patients. Conclusion. These findings suggest that psychologi- cal support is important in this early period after breast surgery due to the vulnerability of the patients, and because it can diminish the risk of potential escalation of distress.
Mohammad Mehdi Keshtkar - One of the best experts on this subject based on the ideXlab platform.
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performance analysis of a counter flow wet cooling tower and selection of optimum Operative Condition by mcdm topsis method
Applied Thermal Engineering, 2017Co-Authors: Mohammad Mehdi KeshtkarAbstract:Abstract This work aimed at presenting a new technique for optimization of a counter flow wet cooling tower (CFWCT). First, the thermal performance characteristics and exergy analysis for a CFWCT were presented. The mathematical model consists of a set of three ODEs explaining the mass and energy conservation equations for air and water flows. In such case, the performance effect of CFWCT was clearly analyzed by changing water and air temperatures as well as the evaporation and convection heat transfer potentials through the height of the fill using the POPPE method. Next, the optimum Operative Conditions for a specific working CFWCT was determined by using the results of the elementary step, by considering some parameters controlled by user (inlet water temperature, inlet mass flow rate, air velocity, and cycle of concentration), and by using TOPSIS method. The results indicated the improvement in the CFWCT performance with a decision-making process.
Aleksandra Kovac - One of the best experts on this subject based on the ideXlab platform.
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post Operative Condition of breast cancer patients from standpoint of psycho oncology preliminary results
Medicinski Pregled, 2014Co-Authors: Aleksandra Kovac, Svetlana Popovicpetrovic, Miroslav Nedeljkovic, Marijana Kojic, Sanja TomicAbstract:Introduction. Information on being diagnosed to have cancer is always shocking for the patient, and it always causes a lot of psychosocial problems during its treatment. In these moments, patients need understanding, support and someone who can help them to apprehend all available options and choices clearly. The purpose of this study is to show the psychological states of patients with breast cancer after breast surgery, the importance of the psychological support, and first experiences in psycho-oncological management of breast cancer patients. Material and Methods. The study sample included 46 women, their average age being 52.32 (± 8.98), who had answered questions in a questionnaire in the period after surgery. Results. The patients experienced fears and worries associated with almost every part of cancer treatment likely to happen in the near future. The fear of chemotherapy and radiotherapy (67%), the horror of losing hair (59%) and the fear of relapse or disease progression (57%) were evident. Moreover, the patients dreaded the forthcoming pathological results and the decisions to be made by the Oncology Commission (57%), with accompanying insomnia caused by disturbing thoughts in 39% of the patients. Conclusion. These findings suggest that psychological support is important in this early period after breast surgery due to the vulnerability of the patients, and because it can diminish the risk of potential escalation of distress.
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post Operative Condition of breast cancer patients from standpoint of psycho oncology preliminary results stanje pacijentkinja obolelih od karcinoma dojke u postoperativnom periodu sa psihoonkoloskog aspekta preliminarni rezultati
2014Co-Authors: Aleksandra Kovac, Marijana KojicAbstract:Summary Introduction. Information on being diagnosed to have cancer is always shocking for the patient, and it always causes a lot of psy- chosocial problems during its treatment. In these moments, pa- tients need understanding, support and someone who can help them to apprehend all available options and choices clearly. The purpose of this study is to show the psychological states of patients with breast cancer after breast surgery, the importance of the psy- chological support, and first experiences in psycho-oncological management of breast cancer patients. Material and Methods. The study sample included 46 women, their average age being 52.32 (± 8.98), who had answered questions in a questionnaire in the period after surgery. Results. The patients experienced fears and worries associated with almost every part of cancer treatment likely to happen in the near future. The fear of chemotherapy and radiotherapy (67%), the horror of losing hair (59%) and the fear of relapse or disease progression (57%) were evident. Moreover, the patients dreaded the forthcoming pathological results and the deci- sions to be made by the Oncology Commission (57%), with ac- companying insomnia caused by disturbing thoughts in 39% of the patients. Conclusion. These findings suggest that psychologi- cal support is important in this early period after breast surgery due to the vulnerability of the patients, and because it can diminish the risk of potential escalation of distress.
