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Search Results: 1 - 10 of 467 matches for " Zflan Fowler "
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Ankle Arthroscopy, Lateral Ligament Repair and Peroneal Tendon Reefing for Chronic Lateral Ankle Instability: The Triad vs Arthroscopy with Ligament Repair  [PDF]
John J. Anderson, Loren K. Spencer, Zflan Fowler
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.69058
Abstract: Peroneal tendon and retinacular pathology contributes to chronic lateral ankle instability. The “gold standard” surgical treatment for chronic lateral ankle instability has been the Brostrom-Gould procedure with its modifications. An ankle arthroscopy is an adjuvant procedure to address any intra-articular pathology. We review our results of two study groups. The first group underwent an ankle arthroscopy and a Brostrom-Gould procedure. The second group (triad) underwent an ankle arthroscopy, the Brostrom-Gould procedure and excision of low lying peroneal muscle belly with tightening of the inferior peroneal retinaculum. The triad technique was performed on 97 patients and results compared to 71 ankle arthroscopies with the Brostrom-Gould procedure. The patients were contacted at a mean follow-up time of 30 months for postoperative ACFAS scores, VAS scores, and overall satisfaction. Patients were also asked to report incidence of ankle sprain recurrence. The average postoperative ACFAS hindfoot and ankle score was 92 for the triad group and 89 for the arthroscopic debridement and Brostrom-Gould group. The average overall satisfaction was 98% in the triad group and 91% in the scope and Brostrom group. There were 4 (4.3%) recurrences in the triad group and 12 (17.6%) in the Brostrom-Gould with scope group. Each group had a similar incidence of wound healing complications. Peroneal tendon and retinacular pathology contributes to continued ankle instability and pain. We believe that the triad procedure is superior to the Brostrom-Gould procedure.
First Metatarsophalangeal Joint Arthrodesis: Comparison of Mesenchymal Stem Cell Allograft versus Autogenous Bone Graft Fusion Rates  [PDF]
John Anderson, Nathan Jeppesen, Myron Hansen, Chad Brady, Adam Gough, Zflan Fowler
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.45051
Abstract:

With patients undergoing first time 1st metatarsophalangeal joint arthrodesis using graft material when it was required to fill cystic bone voids, we retrospectively compared the time to fusion (clinical and radiographic), and non-union rate between the patient’s own bone autograft (n = 62) versus a mesenchymal stem cell impregnated allograft group (n = 51). A third control group (n = 52) was included in which an end-to-end arthrodesis was performed and no graft interposition was used or necessary. The non-union rate was 4% (n = 2) in the control group, 5.9% (n = 4) in the autograft group, and 9.5% (n = 5) in the mesenchymal stem cell allograft group. The time for radiographic fusion was 6.46 weeks for the control group, 6.52 weeks for the autograft group, and 6.53 weeks for the mesenchymal stem cell allograft group. The difference in time to clinical and radiographic union and the non-union rate were not found to be statistically significant among all 3 groups. Patient comorbidities and their possible effects on union rates were also analyzed within the populations. Some comorbidities had statistically significantly non-unions within the population, notably smoking (p = 0.024) and Rheumatoid arthritis (p = 0.001), however the populations were fairly small. The use of allogeneic bone graft impregnated with mesenchymal stem cells yields a similar fusion rate as with the use of autologous bone graft harvested from the surrounding area. The allograft impregnated with mesenchymal stem cells is a viable alternative yielding similar results when local autogenous bone graft is not available, not obtainable, or conditions warrant its use.

The Use of Human Amniotic Allograft on Osteochondritis Dissecans of the Talar Dome: A Comparison with and without Allografts in Arthroscopically Treated Ankles  [PDF]
J. Joseph Anderson, Zflan Swayzee
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.69059
Abstract: Arthroscopy of the ankle with micro-fracture technique is one way to initially treat symptomatic talar dome lesions. Human amniotic allograft has been used in similar bone, soft tissue and cartilage defects to aid in healing of tissue using graft cells that have not differentiated into a particular cell line. Patients were taken from the primary surgeon’s practice to include those who had undergone arthroscopy with micro-fracture technique for treatment of a talar dome lesion less than 2 cm2. 101 patient surgeries were completed arthroscopically without additional major procedures. 54 surgeries were completed with human amniotic allograft; 47 were completed without (control group). Modified ACFAS ankle scores were taken pre-operatively, 3, 12 and 24 months post-operatively. Visual analog pain scores were taken pre-operatively and 24 months post-operatively. Results comparing pre-operative modified ACFAS scores between the control and graft groups were not significantly different (p = 0.14). There was a significant improvement in both groups’ scores following ankle arthroscopy with micro-fracture as expected. However, the amniotic tissue group did significantly better when comparing the post-operative scores between the control and graft group. Pain scores comparing control and amniotic patient groups were significant (p < 0.001) with amniotic allograft patients achieving a greater improvement in pain reduction than the control both early and at 24 months. There were no complications, wound dehiscence or infections recorded. Combining ankle arthroscopy/micro-fracture technique with human amniotic allograft on talar dome lesions, less than 2 cm2, significantly improves the patients’ pain and ACFAS scores.
El pronunciamiento mexicano del siglo XIX: Hacia una nueva tipología
Fowler, Will;
Estudios de historia moderna y contemporánea de México , 2009,
Abstract: following the war of independence (1810-1821), over 1 500 pronunciamientos erupted between the 1821 plan of iguala and the 1876 plan of tuxtepec. in a number of cases they degenerated into clashes of appalling violence such as the mexico city parián riot of 1828. in others they resulted in brutal civil wars (1832, 1854-1855, 1858-1860). in many cases, however, their demands were appeased or quelled depending on how many pronunciamientos of allegiance they received. this article aims to redefine the practice of the pronunciamiento in mexico, by emphasizing the leading role civilian groups and institutions had in adopting this legitimate, albeit unconstitutional, means of effecting political change at a regional and at a national level during the early national period.
El pronunciamiento mexicano del siglo XIX: Hacia una nueva tipología
Will Fowler
Estudios de historia moderna y contemporánea de México , 2009,
Abstract: Tras la Guerra de Independencia (1810-1821) estallaron más de 1 500 pronunciamientos entre el Plan de Iguala de 1821 y el Plan de Tuxtepec de 1876. En varios casos degeneraron en enfrentamientos de una violencia atroz como el saqueo del Parián en la Ciudad de México de 1828. En otros resultaron en guerras civiles brutales (1832, 1854-1855, 1858-1860). En muchos casos, sin embargo, sus demandas fueron atendidas o sofocadas dependiendo de cuántos pronunciamientos de adhesión recibieron. Este artículo busca redefinir la práctica del pronunciamiento en México, haciendo hincapié en el protagonismo que tuvieron grupos e instituciones civiles al adoptar este medio legítimo, aunque no constitucional, para forzar cambios políticos tanto a nivel regional como nacional durante las primeras décadas nacionales. Following the war of Independence (1810-1821), over 1 500 pronunciamientos erupted between the 1821 Plan of Iguala and the 1876 Plan of Tuxtepec. In a number of cases they degenerated into clashes of appalling violence such as the Mexico City Parián Riot of 1828. In others they resulted in brutal civil wars (1832, 1854-1855, 1858-1860). In many cases, however, their demands were appeased or quelled depending on how many pronunciamientos of allegiance they received. This article aims to redefine the practice of the pronunciamiento in Mexico, by emphasizing the leading role civilian groups and institutions had in adopting this legitimate, albeit unconstitutional, means of effecting political change at a regional and at a national level during the early national period.
Human Amniotic Allograft in Use on Talar Dome Lesions: A Prospective Report of 37 Patients  [PDF]
John Joseph Anderson, Zflan Swayzee, Myron Holbert Hansen
Stem Cell Discovery (SCD) , 2014, DOI: 10.4236/scd.2014.43006
Abstract:

One of the most challenging joint conditions facing ankle surgeons today is the treatment of Osteochondritis Dissecans (OCD) of the talar dome. The use of human amniotic allograft (HAA) in various surgical procedures, has been proven to facilitate bone growth and both soft tissue and cartilage healing. The authors of this paper propose the addition of HAA to the surgical repair of talar dome lesions to improve postoperative results, specifically pain reduction. For the study, 37 patients were identified having an OCD lesion of the talus measuring no larger than 2 cm2. All patients were treated surgically with an arthroscopic micro-fracture repair along with the addition of HHA. Modified ACFAS ankle scores were taken pre-operatively and at 3 months, 12 months, and at 24 months postoperatively. Visual analog scores were also taken preoperative and 24 months postoperatively. The size of the talar lesions documented with pre-operative MRI’s was compared with intra-operative measurements for each patient. Additional surgical repairs, comorbidities and any complications were also recorded and evaluated. All patients were treated with micro-fracture with HAA. Postoperative ACFAS scores for 3 months, 12 months and 24 months were significantly improved (p < 0.0001) compared with average preoperative scores. Additionally, VAS scores were also significantly improved when comparing the average pre-operative (4.9) and post-operative (1.1) pain scores (p < 0.0001). The size of the lesions documented by pre-operative MRI correlated to intra-operative measurements. There were no identified complications. The addition of HAA to arthroscopic micro-fracture repair of talar dome lesions measuring less than 2 cm2 has shown to significantly improve both post-operative VAS scores, when compared to preoperative scores. This improvement in ACFAS and VAS scores speaks to the potential use of HAA in the treatment of OCD.

Initial Experience with Tricortical Iliac Crest Bone Graft and Human Amniotic Allograft in Evans Calcaneal Osteotomy  [PDF]
J. Joseph Anderson, Adam F. Gough, Myron H. Hansen, Zflan Swayzee
Stem Cell Discovery (SCD) , 2015, DOI: 10.4236/scd.2015.52002
Abstract: Background: Adult acquired flatfoot deformity is generally mediated with an Evans procedure where a wedge of bone is placed into the calcaneus to better align the foot and decrease the deformity. The purpose of this study was to assess the efficacy and safety of human amniotic allograft applied to allogeneic tri-cortical grafts in Evans calcaneal osteotomy. Methods: The medical records of patients who had Evans calcaneal osteotomy with implantation of tri-cortical iliac crest bone graft with human anmiotic allograft for surgical management of adult acquired flatfoot deformity with 2 years follow-up data were reviewed. Results: A total of 63 patients (mean age: 33.3 yr, range: 18 - 66 yr) were enrolled with adult acquired flatfoot deformity. Median time to weight-bearing was 6 weeks. Time to wearing normal shoes was 10 weeks, and time to radiographic healing was 16 weeks. Conclusions: The use of human amniotic allograft did not diminish the long term outcome of procedure or the short term benchmarks for healing after surgery. There were no nonunion, wound dehiscence, infection, or allergic or immune reaction reported. This retrospective study demonstrated that tri-cortical iliac crest bone graft and HAA could be safely used in Evans calcaneal osteotomy with favorable results.
Towards authentic development
S. Fowler
Koers : Bulletin for Christian Scholarship , 2010, DOI: 10.4102/koers.v75i1.76
Abstract: This article explores the basis of the current definition of social development and deficiencies in this definition. In this context the power of today’s global commercial empire is explored with well-documented evidence of the damage being done to human well-being in the interest of profit. An alternative definition of development is proposed concluding with a profile of a developed society. It is suggested that, on the basis of the current definition, there is little hope of African countries ever becoming “developed”. On the other hand, while there are still challenges to be faced, the proposed alternative profile offers a realistic possibility of being achieved.
The Christian voice in philosophy
Stuart Fowler
Koers : Bulletin for Christian Scholarship , 1982, DOI: 10.4102/koers.v47i3.1026
Abstract: In this paper the Rev. Stuart Fowler outlines a Christian voice in Philosophy and urges the Christian philosopher to investigate his position and his stance with integrity and honesty.
Some California Bees
Carroll Fowler
Psyche , 1899, DOI: 10.1155/1899/42026
Abstract:
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