Publications by authors named "Heli Keskinen"

Article Synopsis
  • - The study examined the differences in Achilles tendon rupture rates and treatment methods across Finland from 1997 to 2019, using national health registers to track cases.
  • - The incidence of Achilles tendon ruptures rose significantly across the board, from 17.3 to 32.3 per 105 person-years, with varying rates in different regions, such as North Savo and Central Ostrobothnia.
  • - There was a clear trend toward more non-surgical treatments over the years, with some areas moving from only 7% non-surgical cases in 1997 to 100% in certain districts by 2019.
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Background: To evaluate the radiological outcome, especially undercorrection of hallux valgus deformity correction with first metatarsal osteotomy.

Patients And Methods: 439 1st metatarsal osteotomies including 241 distal (55 %), 175 midshaft (40 %), and 23 proximal (5 %) were available for analysis with median follow-up time was 48 days (range 27-990 days).

Results: The postoperative HVA was normal in 237 (54 %), mild in 110 (25 %), moderate in 87 (20 %), and severe in 5 (1 %) of the cases.

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Background: Global reports indicate rising Achilles tendon rupture (ATR) incidence. In recent decades, the optimal treatment for this injury has been widely studied. Alongside the cumulating comparative evidence regarding the optimal method of treatment, nonoperative treatment has increased in popularity compared with operative treatment.

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Background And Purpose: Amongst people of working age, the return to work (RTW) after anterior cruciate ligament (ACL) reconstruction is an important marker of success of surgery. We determined when patients are able to return to work after ACL reconstruction and identified factors that are associated with the timing of RTW.

Patients And Methods: We used logistic regression analyses to examine patient-related factors that may be associated with the length of RTW (above vs.

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Purpose: To determine predictors for postoperative urinary retention in adolescents undergoing posterior spinal fusion for idiopathic scoliosis. Postoperative urinary retention affects almost every third adolescent after spinal fusion for idiopathic scoliosis. There are limited data regarding the risk factors of postoperative urinary retention in this patient group.

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Background: Postoperative urinary retention has been reported to affect up to 27% of adults undergoing degenerative lumbar spine surgery and approximately one-third of children undergoing lower-extremity orthopedic surgery. No data exist on the incidence and risk factors of postoperative urinary tract retention/difficulties to empty the bladder in young patients undergoing instrumented posterior spinal fusion. We aimed to characterize incidence, risk factors and treatment of postoperative urinary retention (POUR) and difficulties to empty the bladder in young patients undergoing posterior spinal fusion (PSF) for idiopathic scoliosis.

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Background and purpose - Routine outcome measurement has been shown to improve performance in several fields of healthcare. National spine surgery registries have been initiated in 5 Nordic countries. However, there is no agreement on which outcomes are essential to measure for adolescent and young adult patients with a spinal deformity.

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Purpose: Non-invasive distraction of magnetically controlled growing rods (MCGR) avoids repeated surgical lengthening in patients with early onset scoliosis, but it is not known how effective this technique is in previously operated children.

Methods: In a retrospective, multicentre study, the data were obtained for 27 primary (P) patients [mean age 7.0 (2.

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Background: Patients with neuromuscular disorders often have an increased risk of pneumonia and decreased lung function, which may further be compromised by scoliosis. Scoliosis surgery may improve pulmonary function in otherwise healthy patients, but no study has evaluated its effect on the risk of pneumonia in patients with neuromuscular scoliosis (NMS).

Methods: The patient charts of 42 patients (mean age 14.

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Duodenal injuries in children are rare. However, we should keep in mind the possibility of duodenal injury in blunt abdominal trauma. Findings on imaging can be normal in spite of duodenal perforation and symptoms may become manifest later after trauma.

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