Πιο κάτω παρατίθενται οι δημοσιεύσεις που συμμετείχε σε έγκριτα διεθνή περιοδικά
Ο Δρ. Χριστοδούλου μέχρι πρόσφατα έχει παρουσιάσει σημαντική συγγραφική δραστηριότητα στη βιβλιογραφία με μεγάλο αριθμό ορθοπαιδικών δημοσιεύσεων σε έγκριτα διεθνή περιοδικά καθώς και πλούσια συμμετοχή ως ακροατής αλλά και ως ομιλητής σε διεθνή και κυπριακά συνέδρια
Charalambos P Economides , Loizos Christodoulou , Theodoros Kyriakides and Elpidoforos S Soteriades
Economides et al. Journal of Medical Case Reports 2011, 5:419
An unusual case of suprascapular nerve neuropathy: a case report
Suprascapular nerve neuropathy constitutes an unusual cause of shoulder weakness, with the most common etiology being nerve compression from a ganglion cyst at the suprascapular or spinoglenoid notch. We present a puzzling case of a man with suprascapular nerve neuropathy that may have been associated with an appendectomy. The case was attributed to nerve injury as the most likely cause that may have occurred during improper post-operative patient mobilization.
L. Christodoulou, X.B. Yang, S.T. Chamberlain *
Injury, Int. J. Care Injured 31 (2000) 744–745
Rupture of flexor pollicis longus after carpal tunnel decompression
We describe a patient with a 50-year-old ununited scaphoid fracture who ruptured the flexor pollicis longus tendon following carpal tunnel decompression.
L.S. Christodoulou, C.K. Kitsis *, S.T. Chamberlain
Injury, Int. J. Care Injured 32 (2001) 625–630
Internal fixation of scaphoid non-union: a comparative study of three methods
In this study we compared the results of three methods of fixation for scaphoid non-union. The implants used were the AO 2 mm mini-fragment screw, the Herbert screw and the Kirschner (K) wires. Between 1990 and 1999, 132 patients underwent surgery for scaphoid fractures. We used the modified Filan and Herbert classification. Patients with acute fractures and patients requiring vascularised bone grafts were excluded. Twenty-six non-unions were fixed with an AO mini-fragment screw, 58 with a Herbert screw, and nine with K-wires. Radiological union was achieved in 85% of cases using the AO screw, 77% using the Herbert screw and 55% using the K-wire fixation. Statistically there was no significant difference between the AO and Herbert screw groups in terms of rate and speed of radiological union. The mechanical strength of the implant and the compression achieved did not seem to influence the union rate and speed. The type of bone graft (iliac crest or distal radius) did not significantly affect the union rates. Finally, K-wire fixation, either as a primary method or as a salvage procedure, produced inferior results and required prolonged immobilisation in plaster.
Loizos Christodoulou, MD, Erman Y. Melikyan, MD, Sarah Woodbridge, SROT, MSc(Erg), and Frank D. Burke, MB, BS, FRCS
The Journal of TRAUMA® Injury, Infection, and Critical Care,
J Trauma. 2001;50:717–720.
Functional Outcome of High-Pressure Injection Injuries of the Hand
Background: High-pressure injection (HPI) injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment, but we are not aware of a report on the functional outcome of these hands.
Methods: We assessed the functional outcome of 15 patients with HPI injuries. All patients were treated operatively, with a mean delay of 11.7 hours. The patients were examined by a doctor and an occupational therapist using a work simulator. Results: Our study revealed a significant reduction of static and dynamic muscle testing parameters compared with the uninjured hand. Six patients lost a digit and four patients had to change their occupation after the injury.
Conclusion: Deterioration of hand function is a predictable outcome of HPI injury. This information should be shared with the patient at the outset so as to avoid subsequent disappointment.
L. CHRISTODOULOU, C. H. PALOU and S. T. CHAMBERLAIN
Journal of Hand Surgery (British and European Volume, 1999) 24B: 6: 744±746
PROXIMAL ROW TRANSCARPAL FRACTURE FROM A PUNCHING INJURY
We describe an unusual case of a 31-year-old woman who injured the right dominant wrist when she punched an assailant’s shoulder. She described a mechanism of direct compression, with the wrist in hyperextension, radial deviation and the forearm in pronation. She sustained an oblique transverse fracture of the proximal pole of the scaphoid and a coronal plane fracture of the lunate and the triquetrum. This unusual proximal row transcarpal fracture is in con¯ict with the May®eld sequence and was caused by a low velocity injury. Journal of Hand Surgery (British and European Volume, 1999) 24B: 6: 744±746
L. CHRISTODOULOU and S. T. CHAMBERLAIN
Journal of Hand Surgery (British and European Volume, 1999) 24B: 6: 676±678
INTERNAL FIXATION OF SCAPHOID FRACTURES WITH ANAO MINI-FRAGMENT LAG SCREW, USING TEMPORARY INTEROPERATIVE AO MINI EXTERNAL FIXATION
We present the results of our technique for bone grafting and internal ®xation of scaphoid fractures using 2.0 mm or 1.5 mm AO mini fragment screws and temporary intraoperative AO mini external ®xation. Union was achieved in 14 out of 16 fractures.
L. CHRISTODOULOU and L. C. BAINBRIDGE
Journal of Hand Surgery (British and European Volume, 1999) 24B: 5: 598-600
CLINICAL DIAGNOSIS OF TRIQUETROLUNATE LIGAMENT INJURIES
The clinical diagnosis of peritriquetral injuries is difficult. We describe our diagnostic technique based on specific questions and three clinical tests. The accuracy of our diagnostic technique was compared prospectively with the definitive diagnosis made at arthroscopy. Preoperatively, 19 patients were diagnosed as having triquetrolunate dissociation. This was confirmed at arthroscopy in 17. Another five patients not diagnosed preoperatively were also diagnosed at arthroscopy as having mainly triquetrolunate dissociation. The sensitivity of our diagnostic protocol was 0.77 and the positive predictive value was 0.89.
L. CHRISTODOULOU and L. C. BAINBRIDGE
Journal of Hand Surgery (British and European Volume, 1999) 24B: 6: 662-666
OPEN AND CLOSED ARTHRODESIS OF THE RHEUMATOID WRIST USING A MODIFIED (STANLEY) STEINMANN PIN
In a series of 21 patients (22 wrists) with rheumatoid arthritis, arthrodesis of the wrist was done using a modi®ed Steinmann pin (Stanley) either by an open or closed technique. The open technique, which included fragmenting the carpal bones (12 cases), was mainly used when additional procedures were needed simultaneously. The closed technique simply required insertion of the Stanley pin under fluoroscan control through a small incision over the metacarpal head. Nine out of 12 wrists treated with the open technique and nine out of ten of those treated by the closed technique were successfully fused. Complications were few. A single patient was dissatisfied due to continuing pain. Two out of the four pins that migrated (both involving the open technique) have been removed.
G. J. Shepard, D. Sochart, L. Christodoulou and J. Doyle
The effect of ongoing litigation on outcome scores following open reduction and internal fixation of the calcaneum
Due to the nature of the common mechanisms of injury in fractures of the calcaneum, i.e. falls at the workplace and road traffic accidents, patients often are involved in litigation in attempt to gain compensation. Previously, outcome scores have been used to allow comparison between patients following ORIF of the calcaneum. Kerr et al.” produced a rational scoring system based on a statistical analysis of the important factors in each scoring system. Such scores have become the foundation for comparative analyses, however, on reviewing the literature it was found that there was no previous mention given to the effect of litigation on such scores.
This paper examines whether there is any correlation between the presence of ongoing litigation and poor outcome scores using three scoring systems. The effect of ongoing litigation on outcome scores following open reduction and internal fixation of the calcaneum