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Hip Resurfacing Arthroplasty : A New Method To Assess And Quantify Learning Phase / Tajeshwar S. AULAKH in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : Hip Resurfacing Arthroplasty : A New Method To Assess And Quantify Learning Phase Type de document : texte imprimé Auteurs : Tajeshwar S. AULAKH, Auteur Année de publication : 2014 Article en page(s) : p.397-402 Langues : Anglais (eng) Mots-clés : hip resurfacing learning quantify Résumé : Hip resurfacing had initially gained acceptance and popularity as it helps preserve femoral bone stock. In this study we tried to answer the following questions ; 1. Whether there is a learning curve for hip resurfacing ? 2. Is it present in surgeons from non-developer centres ? 3. Is it present in surgeons from developer centres as well ? The Oswestry outcome centre was setup to serve an independent international registry for collecting, analysing and reporting outcomes following hip resurfacing. Over a 10 year period, 4535 patients (5000 hips) were recruited from different countries and within the UK from different centres in this study by 139 surgeons from 37 different countries. Our study has shown that function can be used to assess the level of surgical competence. The results from this multilevel analysis have helped to answer the questions posed in the introduction. Hip resurfacing is a surgical procedure with a learning phase and this learning effect is more pronounced in non-developer surgeons as compared to developer surgeons. Hip scores can be used to assess proficiency and competence of surgeons undertaking hip resurfacing arthroplasty. Permalink : ./index.php?lvl=notice_display&id=34655
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.397-402[article] Hip Resurfacing Arthroplasty : A New Method To Assess And Quantify Learning Phase [texte imprimé] / Tajeshwar S. AULAKH, Auteur . - 2014 . - p.397-402.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.397-402
Mots-clés : hip resurfacing learning quantify Résumé : Hip resurfacing had initially gained acceptance and popularity as it helps preserve femoral bone stock. In this study we tried to answer the following questions ; 1. Whether there is a learning curve for hip resurfacing ? 2. Is it present in surgeons from non-developer centres ? 3. Is it present in surgeons from developer centres as well ? The Oswestry outcome centre was setup to serve an independent international registry for collecting, analysing and reporting outcomes following hip resurfacing. Over a 10 year period, 4535 patients (5000 hips) were recruited from different countries and within the UK from different centres in this study by 139 surgeons from 37 different countries. Our study has shown that function can be used to assess the level of surgical competence. The results from this multilevel analysis have helped to answer the questions posed in the introduction. Hip resurfacing is a surgical procedure with a learning phase and this learning effect is more pronounced in non-developer surgeons as compared to developer surgeons. Hip scores can be used to assess proficiency and competence of surgeons undertaking hip resurfacing arthroplasty. Permalink : ./index.php?lvl=notice_display&id=34655 Exemplaires (1)
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Exclu du prêtThe impact of direct oral anti-coagulants on hip fracture management : a systematic review and meta-analysis / Samuel Holmes in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : The impact of direct oral anti-coagulants on hip fracture management : a systematic review and meta-analysis Type de document : texte imprimé Auteurs : Samuel Holmes ; Sarmad Bahnam Année de publication : 2021 Article en page(s) : p. 321-326 Note générale : https://doi.org/10.52628/87.2.17 Langues : Anglais (eng) Mots-clés : anti-coagulation DOAC NOAC hip fracture NOF neck of femur Résumé : Hip fractures are a common presentation in the elderly, a group who commonly have co-morbidities requiring the use of anticoagulants. Recently, direct oral anti-coagulants (DOAC) have become a popular method of anticoagulating patients. The primary aim of this review is to determine if the use of DOAC in elderly patients with hip fractures results in delays to theatre and/or an increased mortality risk.
Major databases including Pubmed, MEDLINE and Embase were searched for relevant studies and the included studies reference lists were screened for further studies. A total of 6 studies were included in meta-analysis which was undertaken using RevMan software with 95% confidence interval (CI). Compared to control groups, patients who were anticoagulated with DOAC and required operative management of a hip fracture experienced a statistically significant delay to treatment. However independent analysis showed these patients did not experience an increased mortality risk when compared to the control group. While data is limited, treating clinicians should be comforted by these findings as operative manage- ment can be safely delayed to reduce the risk of intraoperative bleeding.Permalink : ./index.php?lvl=notice_display&id=96667
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 321-326[article] The impact of direct oral anti-coagulants on hip fracture management : a systematic review and meta-analysis [texte imprimé] / Samuel Holmes ; Sarmad Bahnam . - 2021 . - p. 321-326.
https://doi.org/10.52628/87.2.17
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 321-326
Mots-clés : anti-coagulation DOAC NOAC hip fracture NOF neck of femur Résumé : Hip fractures are a common presentation in the elderly, a group who commonly have co-morbidities requiring the use of anticoagulants. Recently, direct oral anti-coagulants (DOAC) have become a popular method of anticoagulating patients. The primary aim of this review is to determine if the use of DOAC in elderly patients with hip fractures results in delays to theatre and/or an increased mortality risk.
Major databases including Pubmed, MEDLINE and Embase were searched for relevant studies and the included studies reference lists were screened for further studies. A total of 6 studies were included in meta-analysis which was undertaken using RevMan software with 95% confidence interval (CI). Compared to control groups, patients who were anticoagulated with DOAC and required operative management of a hip fracture experienced a statistically significant delay to treatment. However independent analysis showed these patients did not experience an increased mortality risk when compared to the control group. While data is limited, treating clinicians should be comforted by these findings as operative manage- ment can be safely delayed to reduce the risk of intraoperative bleeding.Permalink : ./index.php?lvl=notice_display&id=96667 Exemplaires (1)
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Exclu du prêtAcute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients / Stefan B.T. Bolder in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Acute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients Type de document : texte imprimé Auteurs : Stefan B.T. Bolder ; Elsa A. Spaans ; Joost A.A.M. Van Den Hout ; Robert Wagenmakers ; Keon L.M. Koenraadt Année de publication : 2021 Article en page(s) : p. 332-338 Note générale : https://doi.org/10.52628/87.2.19 Langues : Anglais (eng) Mots-clés : hip arthroplasty femoral neck fracture osteoarthritis Résumé : National arthroplasty registries reveal a higher risk of revision for periprosthetic fracture and dislocation after total hip arthroplasty (THA) in patients with a femoral neck fracture compared to those with osteoarthritis (OA). Since these registries may con- tain confounding factors, we conducted a single center cohort study comparing survival and reason for failure between THA for an acute femoral neck fracture and OA using the same hip prosthesis after a minimum follow-up of 2 years.
We retrospectively analyzed 2782 patients who had undergone THA with an Accolade TMZF stem and a Trident cup between March 2009 and September 2014. Primary diagnosis before THA was osteoarthritis (OA group : n=2610) or acute femoral fracture (Fracture group : n=172). Patients in both groups were operated on by the same hip surgeons. Effect of diagnosis on THA survival was analyzed using Cox-regression analysis. Chi-square tests were used to illustrate the different reasons for revision between the groups.
Mean follow-up was 4.6 years (2-7.6). A total of 100 revisions were performed. The revision risk was comparable between the OA and Fracture group (HR=1.04, 95% CI :0.46-2.39). No differences were found between the OA and Fracture group with respect to the occurrence of periprosthetic fractures (0.8% vs. 0.6%, p=0.71) and revisions for dislocation (0.6% vs. 1.2%, p=0.38).
We found no difference in outcome or reason for revision between THA for OA or femoral neck frac- ture. Using an implant with a proven ODEP rating and having experienced hip surgeons carry out the procedures may be more important than the primary diagnosis.Permalink : ./index.php?lvl=notice_display&id=96669
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 332-338[article] Acute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients [texte imprimé] / Stefan B.T. Bolder ; Elsa A. Spaans ; Joost A.A.M. Van Den Hout ; Robert Wagenmakers ; Keon L.M. Koenraadt . - 2021 . - p. 332-338.
https://doi.org/10.52628/87.2.19
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 332-338
Mots-clés : hip arthroplasty femoral neck fracture osteoarthritis Résumé : National arthroplasty registries reveal a higher risk of revision for periprosthetic fracture and dislocation after total hip arthroplasty (THA) in patients with a femoral neck fracture compared to those with osteoarthritis (OA). Since these registries may con- tain confounding factors, we conducted a single center cohort study comparing survival and reason for failure between THA for an acute femoral neck fracture and OA using the same hip prosthesis after a minimum follow-up of 2 years.
We retrospectively analyzed 2782 patients who had undergone THA with an Accolade TMZF stem and a Trident cup between March 2009 and September 2014. Primary diagnosis before THA was osteoarthritis (OA group : n=2610) or acute femoral fracture (Fracture group : n=172). Patients in both groups were operated on by the same hip surgeons. Effect of diagnosis on THA survival was analyzed using Cox-regression analysis. Chi-square tests were used to illustrate the different reasons for revision between the groups.
Mean follow-up was 4.6 years (2-7.6). A total of 100 revisions were performed. The revision risk was comparable between the OA and Fracture group (HR=1.04, 95% CI :0.46-2.39). No differences were found between the OA and Fracture group with respect to the occurrence of periprosthetic fractures (0.8% vs. 0.6%, p=0.71) and revisions for dislocation (0.6% vs. 1.2%, p=0.38).
We found no difference in outcome or reason for revision between THA for OA or femoral neck frac- ture. Using an implant with a proven ODEP rating and having experienced hip surgeons carry out the procedures may be more important than the primary diagnosis.Permalink : ./index.php?lvl=notice_display&id=96669 Exemplaires (1)
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Exclu du prêtClinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia / Engin Eren Desteli in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia Type de document : texte imprimé Auteurs : Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur Année de publication : 2015 Article en page(s) : p. 30-35 Langues : Anglais (eng) Mots-clés : Total hip replacement Developmental dysplasia Shortening osteotomy Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35[article] Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia [texte imprimé] / Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur . - 2015 . - p. 30-35.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35
Mots-clés : Total hip replacement Developmental dysplasia Shortening osteotomy Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994 Exemplaires (1)
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Exclu du prêtGanz osteotomy for treatment of hip dysplasia through intra-pelvic approach / Ahmed M. Saied in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Ganz osteotomy for treatment of hip dysplasia through intra-pelvic approach : early results Type de document : texte imprimé Auteurs : Ahmed M. Saied ; Bassam Abouelnas ; Wael El-Adl Année de publication : 2021 Article en page(s) : p. 643-647 Note générale : https://doi.org/10.52628/87.4.09 Langues : Anglais (eng) Mots-clés : dysplasia hip Ganz Stoppa osteotomy periacetabular Résumé : Ganz periacetabular osteotomy (PAO) is a technically demanding surgical procedure. It requires cutting around the acetabulum to mobilize it under fluoro- scopic control. The radiolucent table and good quality imaging are mandatory to perform this osteotomy in a safe way. Modification of Ganz osteotomy was developed a with minimal soft tissue exposure using intra-pelvic approach which allows direct visualization of the quadrilateral plate. The purpose of the present study was to review the early results in the initial group of patients who had this procedure. The Ganz PAO was performed on 8 cases painful dysplastic hips, using the intra-pelvic approach through the Pfannenstiel incision. All of the osteotomies were performed under fluoroscopic control and direct visualizing the osteotomy site from the same incision. The acetabular fragment was medialized and redirected anterolaterally then fixed with 3 screws. The pre-operative Harris hip score mean was 66.8 and improved to be 92.7 (p value <0.0005) and this was statistically significant. Radiologically the CEA improved in the pre-operative X-ray from mean of 13.12 degree to 28.37 degrees (p value <0.0005) and this was statistically significant. Painful dysplastic hips should be treated before function becomes seriously impaired. The Ganz osteotomy through an intra-pelvic approach, can be done with minimal exposure to radiation in a relatively short time. Permalink : ./index.php?lvl=notice_display&id=102014
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 643-647[article] Ganz osteotomy for treatment of hip dysplasia through intra-pelvic approach : early results [texte imprimé] / Ahmed M. Saied ; Bassam Abouelnas ; Wael El-Adl . - 2021 . - p. 643-647.
https://doi.org/10.52628/87.4.09
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 643-647
Mots-clés : dysplasia hip Ganz Stoppa osteotomy periacetabular Résumé : Ganz periacetabular osteotomy (PAO) is a technically demanding surgical procedure. It requires cutting around the acetabulum to mobilize it under fluoro- scopic control. The radiolucent table and good quality imaging are mandatory to perform this osteotomy in a safe way. Modification of Ganz osteotomy was developed a with minimal soft tissue exposure using intra-pelvic approach which allows direct visualization of the quadrilateral plate. The purpose of the present study was to review the early results in the initial group of patients who had this procedure. The Ganz PAO was performed on 8 cases painful dysplastic hips, using the intra-pelvic approach through the Pfannenstiel incision. All of the osteotomies were performed under fluoroscopic control and direct visualizing the osteotomy site from the same incision. The acetabular fragment was medialized and redirected anterolaterally then fixed with 3 screws. The pre-operative Harris hip score mean was 66.8 and improved to be 92.7 (p value <0.0005) and this was statistically significant. Radiologically the CEA improved in the pre-operative X-ray from mean of 13.12 degree to 28.37 degrees (p value <0.0005) and this was statistically significant. Painful dysplastic hips should be treated before function becomes seriously impaired. The Ganz osteotomy through an intra-pelvic approach, can be done with minimal exposure to radiation in a relatively short time. Permalink : ./index.php?lvl=notice_display&id=102014 Réservation
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DisponibleTest-retest reliability of the 50-foot timed walk and 30-second chair stand test in patients with total hip arthroplasty / Bayram UNVER in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
PermalinkTransient synovitis of the hip : is systematic radiological screening necessary for the detection of Perthes disease? / Charles Edouard Heylen in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
PermalinkLong-Term Follow-Up Of A Cemented Titanium Stem / Benjamin BLOCH in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
PermalinkShort-term results of surgical treatment with cephalomedullary nails for basicervical proximal femoral fractures / Levent TASYIKAN in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
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