AMIC Cartilage Repair in a Professional Soccer Player.
AMIC Cartilage Repair in a Professional Soccer Player.
Filed under: Rehab Centers
Case Rep Orthop. 2012; 2012: 364342
Bark S, Riepenhof H, Gille J
We report a case of a professional soccer player suffering from a traumatic cartilage lesion grade IV according to the Outerbridge classification at the femoral condyle treated with an enhanced microfracture technique (AMIC). Autologous Matrix-Induced Chondrogenesis (AMIC) is an innovative treatment for localized full-thickness cartilage defects combining the well-known microfracturing with collagen scaffold and fibrin glue. Because of the cartilage lesion (3?cm(2)), an AMIC procedure was performed followed by a rehabilitation program according to the protocols in the literature, (Steadman et al.; 2003). After 8 months of rehabilitation, the player returned to team training and after 10 months to competition. Altogether he returned to the same skill level for almost one year after the index operation. He is very satisfied with the clinical results after AMIC, which corresponds with the Lysholm score of 90 points at 12 months.
HubMed – rehab
Complex Decongestive Physiotherapy Treats Skin Changes like Hyperkeratosis Caused by Lymphedema.
Filed under: Rehab Centers
Case Rep Dermatol Med. 2012; 2012: 416421
Kaba H, Bakar Y, Ozdemir OÇ, Sertel S
Lymphedema is a chronic, progressive, and often debilitating condition. Primary lymphedema is a lymphatic malformation developing during the later stage of lymph angiogenesis. Secondary lymphedema is the result of obstruction or disruption of the lymphatic system, which can occur as a consequence of tumors, surgery, trauma, infection, inflammation, and radiation therapy. Here, we report a 64-year-old woman presenting with hyperkeratosis, a lymphedema due to metastatic uterus carcinoma. In this paper, we present the effects of complex decongestive physiotherapy on lymphedema and hyperkeratosis.
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Determining fitness to drive in older persons: a survey of medical and surgical specialists.
Filed under: Rehab Centers
Can Geriatr J. 2012 Dec; 15(4): 101-19
Marshall S, Demmings EM, Woolnough A, Salim D, Man-Son-Hing M
Many specialists encounter issues related to fitness to drive in their practices. We sought to determine the attitudes and practices of Canadian specialists regarding the assessment of medical fitness to drive in older persons.We present data from a postal survey of 842 physicians certified in cardiology, endocrinology, geriatric medicine, neurology, neurosurgery, orthopaedic surgery, physical medicine and rehabilitation, or rheumatology regarding their attitudes and practices relating to the assessment of their patients’ fitness to drive.Overall response rate was 55.1%. Except for rheumatologists (18%), most specialists reported that fitness to drive is an important issue in their practices (68%). Confidence in the ability to assess fitness to drive was low (33%), and the majority (73%) felt they would benefit from further education. There were significant differences (p < .05) in responses between physicians from different provinces, owing to reporting policies. More geriatricians than neurologists report drivers with mild Alzheimer disease to authorities regardless of reporting policy (mandatory 90.7% vs. 56.0%; non-mandatory 84.1% vs. 40.0%) (p < .05).Canadian specialists accept the responsibility of determining their patients' fitness to drive but are not fully confident in their ability to do so. However, they are receptive to education to improve their skills in this area. HubMed – rehab
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