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        Core Decompression for Post-Arthroscopic Osteonecrosis of the Lateral Tibial Plateau

        Harry W. Sargeant,Haroon Rehman,George Zafiropoulos 대한슬관절학회 2019 대한슬관절학회지 Vol.31 No.1

        Post­arthroscopic osteonecrosis is a rare complication that mostly occurs in the over 50s. It most commonly occurs in the medial femoral condyle, followed by the lateral femoral condyle then medial tibial plateau. We report the first case of lateral tibial plateau osteonecrosis in a young patient after arthroscopic lateral meniscectomy. This patient developed progressively deteriorating symptoms after uncomplicated arthroscopy; with a subsequent magnetic resonance imaging (MRI) showing bone oedema and some overlying cartilage damage. Conservative measures were unsuccessful, so core decompression was undertaken. This has resulted in improved symptoms and subsequent follow­up MRI demonstrates resolution of oedema with no progressive cartilage change. This is a rare condition with a poor outcome, usually resulting in arthroplasty. This technique may work in the younger patient. However, since post­arthroscopic osteonecrosis is so rare in this age group, there is limited evidence for its success, and it should be evaluated with further study.

      • KCI등재

        Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis

        Ivan Puhar,Amalija Kapudija,Adrian Kasaj,Gregory-George Zafiropoulos,Andrija Bosnjak,Darije Plancak,Brita Willershausen 대한치주과학회 2011 Journal of Periodontal & Implant Science Vol.41 No.3

        Purpose: The purpose of the present randomized controlled clinical study was to evaluate the short-term outcomes of microcurrent electrical neuromuscular stimulation (MENS) as an adjunct method to nonsurgical periodontal therapy. Methods: Twenty patients with moderate to severe chronic periodontitis were recruited into the study and randomly treated with either nonsurgical periodontal therapy followed by 5 MENS treatments with a microcurrent device or by nonsurgical periodontal therapy alone. Periodontal parameters were measured at baseline and 6 weeks following therapy, and included the plaque index, bleeding on probing, probing depth, and clinical attachment level (CAL). Results: All measured values were reduced at the time of re-evaluation. The amount of inflammation was significantly reduced in both the test (P=0.002) and control group (P=0.015). The test group demonstrated a significant CAL gain at 6 weeks following therapy, including non-molar (P=0.009) and molar teeth (P=0.028). In comparison with the control group, the test group showed statistically significant differences in the CAL on both molar (P=0.027) and non-molar teeth (P=0.031). Conclusions: In conclusion, the short-term results of the study indicate that MENS could be a suitable adjunctive method in the treatment of chronic periodontitis.

      • SCIESCOPUSKCI등재

        Efficacy of electrical neuromuscular stimulation in the treatment of chronic periodontitis

        Puhar, Ivan,Kapudija, Amalija,Kasaj, Adrian,Willershausen, Brita,Zafiropoulos, Gregory-George,Bosnjak, Andrija,Plancak, Darije Korean Academy of Periodontology 2011 Journal of Periodontal & Implant Science Vol.41 No.3

        Purpose: The purpose of the present randomized controlled clinical study was to evaluate the short-term outcomes of micro-current electrical neuromuscular stimulation (MENS) as an adjunct method to nonsurgical periodontal therapy. Methods: Twenty patients with moderate to severe chronic periodontitis were recruited into the study and randomly treated with either nonsurgical periodontal therapy followed by 5 MENS treatments with a micro current device or by nonsurgical periodontal therapy alone. Periodontal parameters were measured at baseline and 6 weeks following therapy, and included the plaque index, bleeding on probing, probing depth, and clinical attachment level (CAL). Results: All measured values were reduced at the time of re-evaluation. The amount of inflammation was significantly reduced in both the test (P=0.002) and control group (P=0.015). The test group demonstrated a significant CAL gain at 6 weeks following therapy, including non-molar (P=0.009) and molar teeth (P=0.028). In comparison with the control group, the test group showed statistically significant differences in the CAL on both molar (P=0.027) and non-molar teeth (P=0.031). Conclusions: In conclusion, the short-term results of the study indicate that MENS could be a suitable adjunctive method in the treatment of chronic periodontitis.

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