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Total Hip Arthroplasty In Belgium : The Contribution Of A Social Health Insurer To The Debate / Xavier DE BETHUNE in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : Total Hip Arthroplasty In Belgium : The Contribution Of A Social Health Insurer To The Debate Type de document : texte imprimé Auteurs : Xavier DE BETHUNE, Auteur Année de publication : 2014 Article en page(s) : p.348-356 Langues : Anglais (eng) Mots-clés : total hip arthroplasty benchmarking revision rate costs variability of care Résumé : This study describes current clinical practice and outcomes of Total Hip Arthroplasty in Belgian hospitals. Orthopaedic registries concentrate on implant related analyses and sometimes on patient reported outcomes. Our aim was to describe the extent and to generate hypotheses about the determinants of the variability of health care practices and of prosthesis survival in Belgium. Only unilateral elective primary Total Hip Arthroplasties were included. Length of stay, costs, transfusion rates and other care activities were analysed over 2008 and 2009 together. Prosthesis survival was studied using Kaplan-Meier and Cox regression hazard ratio computations over the period 2000-2009. 36798 elective Total Hip Arthroplasties have been included in a study of all members of the Belgian Christian Sickness Fund. The non-standardised ten year Total Hip Arthroplasty survival rate is 93% (Kaplan-Meier). Quality has progressed notably compared with 10 years earlier. Important variations still persist though between hospitals, for all studied indicators. Permalink : ./index.php?lvl=notice_display&id=34649
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.348-356[article] Total Hip Arthroplasty In Belgium : The Contribution Of A Social Health Insurer To The Debate [texte imprimé] / Xavier DE BETHUNE, Auteur . - 2014 . - p.348-356.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.348-356
Mots-clés : total hip arthroplasty benchmarking revision rate costs variability of care Résumé : This study describes current clinical practice and outcomes of Total Hip Arthroplasty in Belgian hospitals. Orthopaedic registries concentrate on implant related analyses and sometimes on patient reported outcomes. Our aim was to describe the extent and to generate hypotheses about the determinants of the variability of health care practices and of prosthesis survival in Belgium. Only unilateral elective primary Total Hip Arthroplasties were included. Length of stay, costs, transfusion rates and other care activities were analysed over 2008 and 2009 together. Prosthesis survival was studied using Kaplan-Meier and Cox regression hazard ratio computations over the period 2000-2009. 36798 elective Total Hip Arthroplasties have been included in a study of all members of the Belgian Christian Sickness Fund. The non-standardised ten year Total Hip Arthroplasty survival rate is 93% (Kaplan-Meier). Quality has progressed notably compared with 10 years earlier. Important variations still persist though between hospitals, for all studied indicators. Permalink : ./index.php?lvl=notice_display&id=34649 Exemplaires (1)
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Exclu du prêtDynamic trial fitting of the cup in press-fit total hip arthroplasty, a feasibility study / Daniël Hoornenborg in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Dynamic trial fitting of the cup in press-fit total hip arthroplasty, a feasibility study Type de document : texte imprimé Auteurs : Daniël Hoornenborg ; Justin Van Loon ; Sheryl De Waard ; Inger Sierevelt ; Kim T.M. Opdam ; Gino M.M.J. Kerkhoffs ; Daniël Haverkamp Année de publication : 2021 Article en page(s) : p. 327-331 Note générale : https://doi.org/10.52628/87.2.18 Langues : Anglais (eng) Mots-clés : press-fit trial fitting acetabular component total hip arthroplasty Résumé : Trial fitting of the cup during total hip arthroplasty (THA) is done by trial cups, which do not resemble the real press-fit obtained by the definitive implant. Our goal is to judge feasibility of the X-pander® in clinical practice ; a device developed to mimic the real press-fit obtained by the definitive cup, to ensure satisfactory press-fit.
In this feasibility study 45 experienced orthopaedic surgeons from 7 European countries filled in a structured survey after 78 primary THA and 31 revision surgeries, using the X-pander instead of traditional trial cups. Primary outcomes were decision change concerning cup size or further reaming and increased confidence regarding cup insertion and size. Additionally, potential association between the primary outcomes and procedure (primary or revi- sion), bone quality and experience of the surgeon were evaluated.
In 33.3% of the primary and 32.2% of the revision cases the X-pander measurement changed the deci- sion and further reaming or change of cup size was decided. In 61.5% and 58.1% of respectively the primary and revision THAs the X-pander was judged to give fairly to much more reliable information than traditional trial cups. The X-pander could lead to less additional screw fixation, as stated in 37.2% of the primary and 25.8% of the revision cases and to better cup insertion in respectively 50.0% and 51.6%.
This study validates that the X-pander may be a suitable option for accurate sizing and assessment of the reamed acetabulum and could replace traditional trial cups in THA.Permalink : ./index.php?lvl=notice_display&id=96668
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 327-331[article] Dynamic trial fitting of the cup in press-fit total hip arthroplasty, a feasibility study [texte imprimé] / Daniël Hoornenborg ; Justin Van Loon ; Sheryl De Waard ; Inger Sierevelt ; Kim T.M. Opdam ; Gino M.M.J. Kerkhoffs ; Daniël Haverkamp . - 2021 . - p. 327-331.
https://doi.org/10.52628/87.2.18
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 327-331
Mots-clés : press-fit trial fitting acetabular component total hip arthroplasty Résumé : Trial fitting of the cup during total hip arthroplasty (THA) is done by trial cups, which do not resemble the real press-fit obtained by the definitive implant. Our goal is to judge feasibility of the X-pander® in clinical practice ; a device developed to mimic the real press-fit obtained by the definitive cup, to ensure satisfactory press-fit.
In this feasibility study 45 experienced orthopaedic surgeons from 7 European countries filled in a structured survey after 78 primary THA and 31 revision surgeries, using the X-pander instead of traditional trial cups. Primary outcomes were decision change concerning cup size or further reaming and increased confidence regarding cup insertion and size. Additionally, potential association between the primary outcomes and procedure (primary or revi- sion), bone quality and experience of the surgeon were evaluated.
In 33.3% of the primary and 32.2% of the revision cases the X-pander measurement changed the deci- sion and further reaming or change of cup size was decided. In 61.5% and 58.1% of respectively the primary and revision THAs the X-pander was judged to give fairly to much more reliable information than traditional trial cups. The X-pander could lead to less additional screw fixation, as stated in 37.2% of the primary and 25.8% of the revision cases and to better cup insertion in respectively 50.0% and 51.6%.
This study validates that the X-pander may be a suitable option for accurate sizing and assessment of the reamed acetabulum and could replace traditional trial cups in THA.Permalink : ./index.php?lvl=notice_display&id=96668 Exemplaires (1)
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Exclu du prêtEarly follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups / Jeroen C. VAN EGMOND in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Early follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups Type de document : texte imprimé Auteurs : Jeroen C. VAN EGMOND, Auteur ; Hennie VERBURG, Auteur ; Stephan B.W. VEHMEIJER, Auteur Année de publication : 2015 Article en page(s) : p.447-453 Langues : Anglais (eng) Mots-clés : Total knee arthroplasty total hip arthroplasty rapid recovery focus group rehabilitation qualitative study Résumé : Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA surgery with rapid recovery.
We invited twenty patients for a focus group meeting which discussed various subjects regarding the first six weeks after hospital discharge. The focus group meetings were analysed qualitatively.
Patients were mostly satisfied by the short length of hospital stay. Patients who lived alone needs more care and would like to stay longer in the hospital.
After THA surgery all patients complained of inability to sleep. More patients experienced pain after TKA surgery compared to THA surgery. All patients had various experiences regarding physical therapy therefore an evidence based rehabilitation protocol might be needed.Permalink : ./index.php?lvl=notice_display&id=40920
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.447-453[article] Early follow-up after primary total knee and total hip arthroplasty with rapid recovery?: Focus groups [texte imprimé] / Jeroen C. VAN EGMOND, Auteur ; Hennie VERBURG, Auteur ; Stephan B.W. VEHMEIJER, Auteur . - 2015 . - p.447-453.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.447-453
Mots-clés : Total knee arthroplasty total hip arthroplasty rapid recovery focus group rehabilitation qualitative study Résumé : Rapid recovery protocols reduce the length of hospital stay after Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). However, little is known about the early postoperative phase. The purpose of this study was to examine which problems patients encountered during the first six weeks after primary TKA or THA surgery with rapid recovery.
We invited twenty patients for a focus group meeting which discussed various subjects regarding the first six weeks after hospital discharge. The focus group meetings were analysed qualitatively.
Patients were mostly satisfied by the short length of hospital stay. Patients who lived alone needs more care and would like to stay longer in the hospital.
After THA surgery all patients complained of inability to sleep. More patients experienced pain after TKA surgery compared to THA surgery. All patients had various experiences regarding physical therapy therefore an evidence based rehabilitation protocol might be needed.Permalink : ./index.php?lvl=notice_display&id=40920 Exemplaires (1)
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Exclu du prêtOutpatient total hip arthroplasty : the future? / Solange de Wouters in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Outpatient total hip arthroplasty : the future? Type de document : texte imprimé Auteurs : Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu Année de publication : 2021 Article en page(s) : p. 313-319 Note générale : https://doi.org/10.52628/87.2.16 Langues : Anglais (eng) Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319[article] Outpatient total hip arthroplasty : the future? [texte imprimé] / Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu . - 2021 . - p. 313-319.
https://doi.org/10.52628/87.2.16
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319
Mots-clés : total hip arthroplasty outpatient ambulatory safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety.
Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered.
Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience.
With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied.Permalink : ./index.php?lvl=notice_display&id=96666 Exemplaires (1)
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Exclu du prêtReview of quality of x-rays for templating for total hip arthroplasty / Faiz Khan in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Review of quality of x-rays for templating for total hip arthroplasty Type de document : texte imprimé Auteurs : Faiz Khan, Auteur ; Tayyab Ahmad, Auteur ; Finbarr Condon, Auteur Année de publication : 2015 Article en page(s) : p. 72-76 Langues : Anglais (eng) Mots-clés : Hip templating Total hip arthroplasty Preoperative hip arthroplasty planning Résumé : Digital templating of x-rays for total hip arthroplasty is used routinely for pre-operative planning. This is to assure that appropriately sized implants are selected to replicate patient’s hip biomechanics. Multiple studies have shown that templating does not always correspond to the final implants used. The aim of this study was to assess the suitability of the x-rays taken pre-operatively for templating for total hip arthro-plasty. We undertook a review of a series of pre-operative templating pelvis x-rays in 100 consecutive patients undergoing total hip arthroplasty. These x-rays were compared against set criteria to determine their suitability for use for templating. We determined that six x-rays met the criteria whereas ninety four x-rays did not meet the criteria for suitable x-rays. Twenty patients had repeat x-rays. The reasons for unsuitability were inadequate opposite femur (66%), absence or incomplete template (54%), inadequate femur length (47%), external rotation (39%), absence of opposite hip (4%). The twenty repeated x-rays were also reviewed for the same parameters and two (10%) satisfied the established criteria. It is imperative that x-rays for templating for total hip arthroplasty are done to a strict standard to obtain an x-ray that is appropriate for templating and there is minimal exposure of the patient to irradiation. Permalink : ./index.php?lvl=notice_display&id=36001
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 72-76[article] Review of quality of x-rays for templating for total hip arthroplasty [texte imprimé] / Faiz Khan, Auteur ; Tayyab Ahmad, Auteur ; Finbarr Condon, Auteur . - 2015 . - p. 72-76.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 72-76
Mots-clés : Hip templating Total hip arthroplasty Preoperative hip arthroplasty planning Résumé : Digital templating of x-rays for total hip arthroplasty is used routinely for pre-operative planning. This is to assure that appropriately sized implants are selected to replicate patient’s hip biomechanics. Multiple studies have shown that templating does not always correspond to the final implants used. The aim of this study was to assess the suitability of the x-rays taken pre-operatively for templating for total hip arthro-plasty. We undertook a review of a series of pre-operative templating pelvis x-rays in 100 consecutive patients undergoing total hip arthroplasty. These x-rays were compared against set criteria to determine their suitability for use for templating. We determined that six x-rays met the criteria whereas ninety four x-rays did not meet the criteria for suitable x-rays. Twenty patients had repeat x-rays. The reasons for unsuitability were inadequate opposite femur (66%), absence or incomplete template (54%), inadequate femur length (47%), external rotation (39%), absence of opposite hip (4%). The twenty repeated x-rays were also reviewed for the same parameters and two (10%) satisfied the established criteria. It is imperative that x-rays for templating for total hip arthroplasty are done to a strict standard to obtain an x-ray that is appropriate for templating and there is minimal exposure of the patient to irradiation. Permalink : ./index.php?lvl=notice_display&id=36001 Exemplaires (1)
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Exclu du prêtAcetabular distraction hip arthroplasty in neglected transverse and T-shape acetabular fractures : a different application / Ayman Abdelaziz Bassiony in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
PermalinkSubcuticular sutures versus staples for skin closure after primary hip arthroplasty / Hany Elbardesy in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
PermalinkThe 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)
PermalinkShape Memory Embracing Fixator For Vancouver Type B And Type C Periprosthetic Femoral Fractures / Yan XIONG in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
PermalinkUltra-short cementless anatomical stem for intracapsular femoral neck fractures in patients younger than 60 years / Marian Melisik in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
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