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(AND, OR) to combine the following keywords: ‘lumbar spine surgery, cervical spine surgery, postoperative rehabilitation, physical therapy, post-surgery, pain management, physiotherapy’. One author (T. B.) screened all the titles and abstracts of all
Service de Chirurgie Orthopédique, Traumatologie et Chirurgie Réparatrice des Membres, Hôpital d’Instruction des Armées Percy, France
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Traumatic neurological lesions may lead to development of heterotopic ossification. These cases are classified as ‘neurogenic heterotopic ossifications’ (NHOs). The associated neurological lesions can be caused by cranial trauma or spinal cord injury and may sometimes include a local trauma.
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NHOs that form around the hip joints are of particular interest because they often cause the patient to avoid the sitting position or the resumption of walking.
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Whilst NHO can involve the knee, shoulder and elbow joints, hip-involving NHOs are more numerous, and sometimes develop in close contact with vascular or neurological structures.
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Multi-disciplinary clinical examination is fundamental to evaluate patients for surgical intervention and to define the objectives of the surgery. The best investigation to define an NHO mass is a computerized tomography (CT) scan.
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Resection is performed to liberate a fused joint to provide functionality, and this need not be exhaustive if it is not necessary to increase the range of motion.
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While recurrence does occur post-surgery, a partial resection does not pose a greater risk of recurrence and there are no adjuvant treatments available to reduce this risk.
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The greatest risks associated with NHO surgical resection are infection and haematoma; these risks are very high and must be considered when evaluating patients for surgery.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180098
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joint (MTPJ) fusion. (A) Weight-bearing anteroposterior (AP) left-foot radiograph taken 101 days post surgery demonstrating painful delayed union. (B) Weight-bearing oblique view left-foot radiograph taken 101 days post surgery, demonstrating painful
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
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Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
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Department of Rehabilitation Medicine, Rotterdam, The Netherlands
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Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands
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one specific surgeon. The graph depicts the outcome for open TFCC surgery from baseline to 12 months post surgery for pain during activity and function via the PRWE score. The green line is the median (p50) surgeon’s personal result (1st author) of his
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Department of Orthopedic Surgery, University Hospital Odense, Odense C, Denmark
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risk for post-surgery complications was significantly reduced when iNPWT was applied (OR = 0.52; 95% CI: 0.30–0.89; P = 0.02). Subgroup analysis revealed a significantly lower wound infection rate when iNPWT was used for wound dressing (OR= 0.24; 95
Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands
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-mix-adjusted proportion of complications within 14 days post-surgery cannot be pooled with another study where it is defined as non-case-mix-adjusted proportion of complications within 30 days post-surgery ( 9 , 21 ). The present study, therefore, aims to
Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
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Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
Department of Medical Psychology, Elisabeth-TweeSteden Hospital, Tilburg, Netherlands
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Center of Research on Psychological and Somatic Disorders (CoRPS), Tilburg University, Tilburg, Netherlands
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, could lead to satisfaction. 13 , 22 , 25 , 26 In fact, fulfilment of expectations was the most important factor linked with post-surgery satisfaction in several studies. 22 , 25 , 28 Patients’ outcome expectations particularly concern a belief
Department of Orthopaedics and Trauma Surgery, Hospital San José – Clínica Santa María, Santiago, Chile
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Shoulder, Elbow Unit, Sportsclinicnumber1, Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
Campus Stiftung Lindenhof Bern, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland
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limited range of motion. This affects mainly abduction and internal rotation/adduction. This might be triggered by an extraarticular hematoma secondary to the fracture or post-surgery ( 9 ). Adhesions can be from surfaces that are intended to slide with
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examined for longer-term results at a mean of 12 years post-surgery 22 . Initially, 44 knees were followed up for a mean of 3.5 years. The combined operation was shown to improve clinical symptoms, and clinical and functional stability. Pre
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of motion/reduced muscle strength Medical complications post-surgery Medical complications post-surgery Infection (prosthesis, wound, urinary, pulmonary) Infection (material, wound) Dislocation Nerve lesion Peri