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10.1371/journal.pone.0143495 http://scihub22266oqcxt.onion/10.1371/journal.pone.0143495 C4666589!4666589 !26624990     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26624990 &cmd=llinks): Failed to open stream: HTTP request failed! 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Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study |pdf=|usr=}}{{26624990 }} gab.com Text Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=26624990 #FOAvip BACKGROUND: Twenty-two percent of institutionalised elderly persons have muscle contractures. Contractures have important functional consequences, rendering hygiene and positioning in bed or in a chair difficult. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not very effective and surgery may be required. Surgery is carried out in the operating theatre, under local or general anaesthesia but is often not possible in fragile patients. Mini-invasive tenotomy could be a useful alternative as it can be carried out in ambulatory care, under local anaesthesia. OBJECTIVE: To evaluate the effectiveness of percutaneous needle tenotomy and the risks of damage to adjacent structures in cadavers. METHOD: Thirty two doctors who had never practiced the technique (physical medicine and rehabilitation specialists, geriatricians and orthopaedic surgeons) carried out 401 tenotomies on the upper and lower limbs of 8 fresh cadavers. A 16G needle was used percutaneous following location of the tendons. After each tenotomy, a neuro-orthopaedic surgeon and an anatomist dissected the area in order to evaluate the success of the tenotomy and any adjacent lesions which had occurred. RESULTS: Of the 401 tenotomies, 72% were complete, 24.9% partial and 2.7% failed. Eight adjacent lesions occurred (2%): 4 (1%) in tendons or muscles, 3 (0.7%) in nerves and 1 (0.2%) in a vessel. CONCLUSION: This percutaneous needle technique effectively ruptured the desired tendons, with few injuries to adjacent structures. Although this study was carried out on cadavers, the results suggest it is safe to carry out on patients. Twit Text FOAVip Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=26624990 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26624990 #FOAvip English Wikipedia <ref>{{Cite pmid|26624990 }}</ref> Effectiveness and Complications of Percutaneous Needle Tenotomy with a Large Needle for Muscle Contractures: A Cadaver Study #MMPMID26624990 Chesnel C ; Genêt F ; Almangour W ; Denormandie P ; Parratte B ; Schnitzler A PLoS One 2015[]; 10 (12 ): e0143495 PMID26624990 show ga BACKGROUND: Twenty-two percent of institutionalised elderly persons have muscle contractures. Contractures have important functional consequences, rendering hygiene and positioning in bed or in a chair difficult. Medical treatment (such as botulinum toxin injections, physiotherapy or positioning) is not very effective and surgery may be required. Surgery is carried out in the operating theatre, under local or general anaesthesia but is often not possible in fragile patients. Mini-invasive tenotomy could be a useful alternative as it can be carried out in ambulatory care, under local anaesthesia. OBJECTIVE: To evaluate the effectiveness of percutaneous needle tenotomy and the risks of damage to adjacent structures in cadavers. METHOD: Thirty two doctors who had never practiced the technique (physical medicine and rehabilitation specialists, geriatricians and orthopaedic surgeons) carried out 401 tenotomies on the upper and lower limbs of 8 fresh cadavers. A 16G needle was used percutaneous following location of the tendons. After each tenotomy, a neuro-orthopaedic surgeon and an anatomist dissected the area in order to evaluate the success of the tenotomy and any adjacent lesions which had occurred. RESULTS: Of the 401 tenotomies, 72% were complete, 24.9% partial and 2.7% failed. Eight adjacent lesions occurred (2%): 4 (1%) in tendons or muscles, 3 (0.7%) in nerves and 1 (0.2%) in a vessel. CONCLUSION: This percutaneous needle technique effectively ruptured the desired tendons, with few injuries to adjacent structures. Although this study was carried out on cadavers, the results suggest it is safe to carry out on patients. |*Needles [MESH] |Cadaver [MESH] |Contracture/*surgery [MESH] |Humans [MESH] |Postoperative Complications/*etiology [MESH] |Safety [MESH]Effectiveness and Complications of Percutaneous Needle Tenotomy with a(epmc).pdf DeepDyve Pubget Overpricing