Modern individuals with a long and healthy life expectancy perform more and more physical activities both in daily life and in sport. This demanding life-style forces the surgeon to perform less radical surgery for meniscal ruptures, thus avoiding the early degenerative changes which frequently occur in totally or partially meniscectomized knees. When repair is possible, meniscal suture must be considered. Various arthroscopic techniques of meniscus suturing have been reported. "Inside-out," "outside-in," and more recently "all-inside" techniques can be used. Complications include saphenous and peroneal nerve damage and vascular lesions. The Biofix arrow fixation technique, which is an all-inside procedure, is easier and in our hands less time-consuming than other arthroscopic suturing techniques. Postoperatively, partial weight bearing is prescribed for 3 weeks. Progressive return to sport activity is allowed after 3 months. Twenty-five patients (26 meniscal repairs) with a mean age of 31.6 years (13-57) were reviewed. Follow-up averaged 16.7 months (12-22). The evaluation was based on the modified Marshall knee score. Three patients had an extra-articular reconstruction for anterior cruciate ligament deficiency, and five had an arthroscopic ACL reconstruction with a ligament allograft. The results were excellent or good in 22 patients (88% "satisfactory" outcome). Three patients had poor results. One patient with a new trauma presented a lateral meniscal lesion associated with an ACL rupture. The Biofix arrow fixation technique allows safe fixation of meniscal ruptures, specifically of posterior horn lesions where injury of neurovascular structures is not uncommon.
Background: Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients’ care. General practitioners (GPs) are invited to join, but their participation is minimal.Objectives: Aim of this study is to explore participating GPs’ perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings.Methods: In May to June 2014, semi-structured interviews (n = 16) were conducted involving GPs with MDT experience in Belgium. The analysis was done according to qualitative content analysis principles.Results: Attendance of an MDT meeting is perceived as part of the GP’s work, especially for complex patient care situations. Interprofessional collaborative relationships and the GP’s perceived benefit to the MDT meeting discussions are important motivators to participate. Enhanced continuity of information flow and optimized organizational time management were practical aspects triggering the GP’s intention to participate. GPs valued the communication with the patient before and after the meeting as an integral part of the MDT dynamics.Conclusion: GPs perceive attendance of the MDT meeting as an integral part of their job. Suggestions are made to enhance the efficiency of the meetings.
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