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Développements de l’Europe sociale / Frédéric de Wispelare in Revue belge de sécurité sociale, 3 / 2016 (juillet-septembre 2016)
[article]
Titre : Développements de l’Europe sociale : proposition de révision de la législation européenne en matière de coordination des systèmes de sécurité sociale : examen critique spécifiquement axé sur la Belgique Type de document : texte imprimé Auteurs : Frédéric de Wispelare ; Jozef Pacolet Année de publication : 2016 Article en page(s) : p. 443-475 Langues : Français (fre) Mots-clés : Europe législation révision projet sécurité sociale allocations chômage soins fraudes allocations familiales Note de contenu : PROPOSITION DE REVISION DE LA LEGISLATION EUROPEENNE EN MATIERE
DE COORDINATION DES SYSTEMES DE SECURITE SOCIALE : EXAMEN CRITIQUE
SPECIFIQUEMENT AXE SUR LA BELGIQUE
443
Permalink : ./index.php?lvl=notice_display&id=54214
in Revue belge de sécurité sociale > 3 / 2016 (juillet-septembre 2016) . - p. 443-475[article] Développements de l’Europe sociale : proposition de révision de la législation européenne en matière de coordination des systèmes de sécurité sociale : examen critique spécifiquement axé sur la Belgique [texte imprimé] / Frédéric de Wispelare ; Jozef Pacolet . - 2016 . - p. 443-475.
Langues : Français (fre)
in Revue belge de sécurité sociale > 3 / 2016 (juillet-septembre 2016) . - p. 443-475
Mots-clés : Europe législation révision projet sécurité sociale allocations chômage soins fraudes allocations familiales Note de contenu : PROPOSITION DE REVISION DE LA LEGISLATION EUROPEENNE EN MATIERE
DE COORDINATION DES SYSTEMES DE SECURITE SOCIALE : EXAMEN CRITIQUE
SPECIFIQUEMENT AXE SUR LA BELGIQUE
443
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DisponibleProtocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study / Stefano Zaffagnini in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)
[article]
Titre : Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study Type de document : texte imprimé Auteurs : Stefano Zaffagnini Année de publication : 2019 Article en page(s) : p. 159-168 Langues : Anglais (eng) Mots-clés : Reconstruction du ligament croisé antérieur Révision SIGASCOT Genou Italie Résumé : The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS).
Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 + 9.3 years (median 29; 23-38), mean BMI was 22.6 + 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually performed with a single-bundle technique, using allograft and autograft almost in the same extentPermalink : ./index.php?lvl=notice_display&id=92203
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 159-168[article] Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study [texte imprimé] / Stefano Zaffagnini . - 2019 . - p. 159-168.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 159-168
Mots-clés : Reconstruction du ligament croisé antérieur Révision SIGASCOT Genou Italie Résumé : The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS).
Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 + 9.3 years (median 29; 23-38), mean BMI was 22.6 + 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually performed with a single-bundle technique, using allograft and autograft almost in the same extentPermalink : ./index.php?lvl=notice_display&id=92203 Exemplaires (1)
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Exclu du prêtFunctional outcome of ligament reconstruction with tendon interposition after failed first carpometacarpal joint prosthesis / Lyne Anthonissen in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Functional outcome of ligament reconstruction with tendon interposition after failed first carpometacarpal joint prosthesis Type de document : texte imprimé Auteurs : Lyne Anthonissen ; Elke Van Eynde ; Maarten Van Nuffel ; Luc De Smet Année de publication : 2021 Article en page(s) : p. 137-142 Note générale : https://doi.org/10.52628/87.1.17 Langues : Anglais (eng) Mots-clés : thumb LRTI first carpometacarpal joint prosthesis revision strength loss Résumé : The purpose is to determine if ligament reconstruction with tendon interposition (LRTI) is a recommendable salvage option for failed total joint prosthesis of the first carpometacarpal joint.
Twenty-two patients in our database met the in- clusion criteria for this retrospective study, with at least 6 months follow-up. Fourteen participated and were invited for a clinical examination and asked to fill out two questionnaires. They were evaluated for pain (VAS), impairment (NHS), disability (Quick DASH), opposition (Kapandji test) and grip strength (hydraulic dynamometer). Results of the questionnaires were compared to a cohort study of primary LRTI’s. Kapandji test and grip strength were compared to the contralateral side.
Compared to primary LRTI’s, revision surgery showed mild deterioration of impairment and disability. The average VAS score was 2.9 out of 10. Twelve patients mentioned a sense of strength loss, which could be quantified with the dynamometer : a mean of 15.1 kg (operated thumb) versus 20.5 kg (contralateral). There was a relatively small decline of opposition with Kapandji 8.6 versus 9.9. The overall satisfaction was good for 8 patients, fair for 3 and poor for the remaining 3 (mainly based on strength loss). One patient needed a second revision.
Failed first carpometacarpal joint replacement can be salvaged by ligament reconstruction with tendon interposition, providing an acceptable functional outcome in 79% of cases studied. However, compared to the functional outcome of primary LRTI’s, mild aggravation of impairment and disability should be taken into account.Permalink : ./index.php?lvl=notice_display&id=96597
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 137-142[article] Functional outcome of ligament reconstruction with tendon interposition after failed first carpometacarpal joint prosthesis [texte imprimé] / Lyne Anthonissen ; Elke Van Eynde ; Maarten Van Nuffel ; Luc De Smet . - 2021 . - p. 137-142.
https://doi.org/10.52628/87.1.17
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 137-142
Mots-clés : thumb LRTI first carpometacarpal joint prosthesis revision strength loss Résumé : The purpose is to determine if ligament reconstruction with tendon interposition (LRTI) is a recommendable salvage option for failed total joint prosthesis of the first carpometacarpal joint.
Twenty-two patients in our database met the in- clusion criteria for this retrospective study, with at least 6 months follow-up. Fourteen participated and were invited for a clinical examination and asked to fill out two questionnaires. They were evaluated for pain (VAS), impairment (NHS), disability (Quick DASH), opposition (Kapandji test) and grip strength (hydraulic dynamometer). Results of the questionnaires were compared to a cohort study of primary LRTI’s. Kapandji test and grip strength were compared to the contralateral side.
Compared to primary LRTI’s, revision surgery showed mild deterioration of impairment and disability. The average VAS score was 2.9 out of 10. Twelve patients mentioned a sense of strength loss, which could be quantified with the dynamometer : a mean of 15.1 kg (operated thumb) versus 20.5 kg (contralateral). There was a relatively small decline of opposition with Kapandji 8.6 versus 9.9. The overall satisfaction was good for 8 patients, fair for 3 and poor for the remaining 3 (mainly based on strength loss). One patient needed a second revision.
Failed first carpometacarpal joint replacement can be salvaged by ligament reconstruction with tendon interposition, providing an acceptable functional outcome in 79% of cases studied. However, compared to the functional outcome of primary LRTI’s, mild aggravation of impairment and disability should be taken into account.Permalink : ./index.php?lvl=notice_display&id=96597 Exemplaires (1)
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Exclu du prêtReversed Revised : What To Do When It Goes Wrong ? / Bart MIDDERNACHT in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : Reversed Revised : What To Do When It Goes Wrong ? Type de document : texte imprimé Auteurs : Bart MIDDERNACHT, Auteur Année de publication : 2014 Article en page(s) : p.314-321 Langues : Anglais (eng) Mots-clés : reversed total shoulder prothesis revision complications infection dislocation malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321[article] Reversed Revised : What To Do When It Goes Wrong ? [texte imprimé] / Bart MIDDERNACHT, Auteur . - 2014 . - p.314-321.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321
Mots-clés : reversed total shoulder prothesis revision complications infection dislocation malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645 Exemplaires (1)
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Exclu du prêtThe majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study / Georges Vles in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : The majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study Type de document : texte imprimé Auteurs : Georges Vles ; Luke Simmonds ; Mark Roussot ; Andrea Volpin ; Fares Haddad ; Sujith Konan Année de publication : 2021 Article en page(s) : p. 17-23 Note générale : https://doi.org/10.52628/87.1.03 Langues : Anglais (eng) Mots-clés : Proximal femur fracture Total Hip Arthroplasty Conversion Primary Revision Matched cohort study Résumé : The success of conversion Total Hip Arthroplasty (THA) among primary THA and revision THA re- mains unclear. We hypothesized that most conversion THAss can be performed using primary implants and will have an uncomplicated post-operative course. Thirty-six patients (23 females, mean age 68,0y) who underwent conversion THA for failed interventions for proximal femur fractures in the period 2006-2018 were matched sequentially against patients of the same sex and age who underwent primary THA or revision THA. Data was collected on implants used, major complications, and mortality. PROMs used included the Western Ontario and McMaster Osteoarthritis Index, Harris Hip Score, Visual Analogue Scale and the EQ-5D Health Questionnaire. Seventy- two percent of patients who underwent conversion THA were treated with primary implants and never suffered from a major complication. PROMs were excellent for this group of patients. The distinction primary / conversion / revision THA could not explain differences in outcomes, however the necessity of using revision implants and the development of major complications could. The majority of conversion total hip arthroplasties can be considered a primary replacement. Predicting outcomes for THA should focus on patient frailty and technical difficulties dealing with infection, stability and loss of bone stock and should discard the conversion versus revision terminology. Permalink : ./index.php?lvl=notice_display&id=96572
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 17-23[article] The majority of conversion total hip arthroplasties can be considered primary replacements - a matched cohort study [texte imprimé] / Georges Vles ; Luke Simmonds ; Mark Roussot ; Andrea Volpin ; Fares Haddad ; Sujith Konan . - 2021 . - p. 17-23.
https://doi.org/10.52628/87.1.03
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 17-23
Mots-clés : Proximal femur fracture Total Hip Arthroplasty Conversion Primary Revision Matched cohort study Résumé : The success of conversion Total Hip Arthroplasty (THA) among primary THA and revision THA re- mains unclear. We hypothesized that most conversion THAss can be performed using primary implants and will have an uncomplicated post-operative course. Thirty-six patients (23 females, mean age 68,0y) who underwent conversion THA for failed interventions for proximal femur fractures in the period 2006-2018 were matched sequentially against patients of the same sex and age who underwent primary THA or revision THA. Data was collected on implants used, major complications, and mortality. PROMs used included the Western Ontario and McMaster Osteoarthritis Index, Harris Hip Score, Visual Analogue Scale and the EQ-5D Health Questionnaire. Seventy- two percent of patients who underwent conversion THA were treated with primary implants and never suffered from a major complication. PROMs were excellent for this group of patients. The distinction primary / conversion / revision THA could not explain differences in outcomes, however the necessity of using revision implants and the development of major complications could. The majority of conversion total hip arthroplasties can be considered a primary replacement. Predicting outcomes for THA should focus on patient frailty and technical difficulties dealing with infection, stability and loss of bone stock and should discard the conversion versus revision terminology. Permalink : ./index.php?lvl=notice_display&id=96572 Exemplaires (1)
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Exclu du prêtLa Constitution belge / Marc Verdussen ; Belgique
PermalinkMedium term outcome of Titanium Nitride, mobile bearing total knee Replacement. / Aso MOHAMMED in Acta Orthopaedica Belgica, Vol.80/2 (Juin 2014)
Permalink