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Combination of transpedicular enucleation and Plate-Rod System for single-stage correction of progressive hemivertebral scoliosis / Kuang Zhengda in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Combination of transpedicular enucleation and Plate-Rod System for single-stage correction of progressive hemivertebral scoliosis Type de document : texte imprimé Auteurs : Kuang Zhengda ; Wang Guanjun ; Ye Qibin ; [et al...] Année de publication : 2016 Article en page(s) : p. 420-424 Langues : Anglais (eng) Mots-clés : scoliose chirugie Résumé : The purpose of this study is to report the effectiveness of transpedicular enucleation and Plate-Rod System for Scoliosis (PRSS) fixation for the treatment of hemivertebral (HV) scoliosis. 16 patients with progressive HV scoliosis underwent the combined procedure. The technique involves excision of cancellous bone to eliminate the blood supply of the cartilaginous endplate and destroy the superior and inferior vertebral end plates, followed by PRSS fixation to correct the main curve and compensatory curve. The mean age at operation was 8.125 ± 1.82 years. The scoliosis curve was corrected from average 55.06 ± 25.68° preoperatively to 21.25 ± 15.51° postoperatively. At the latest follow-up, the Cobb angle was 24.38 ± 16.44°, and there was no significant difference compared with immediate postoperative angle (P > 0.05). No surgical complication of neurological deficits occurred in any patients. Combined use of transpedicular enucleation and PRSS fixation is a safe and effective single-stage method for the management of HV scoliosis in growing children. Permalink : ./index.php?lvl=notice_display&id=46254
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 420-424[article] Combination of transpedicular enucleation and Plate-Rod System for single-stage correction of progressive hemivertebral scoliosis [texte imprimé] / Kuang Zhengda ; Wang Guanjun ; Ye Qibin ; [et al...] . - 2016 . - p. 420-424.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 420-424
Mots-clés : scoliose chirugie Résumé : The purpose of this study is to report the effectiveness of transpedicular enucleation and Plate-Rod System for Scoliosis (PRSS) fixation for the treatment of hemivertebral (HV) scoliosis. 16 patients with progressive HV scoliosis underwent the combined procedure. The technique involves excision of cancellous bone to eliminate the blood supply of the cartilaginous endplate and destroy the superior and inferior vertebral end plates, followed by PRSS fixation to correct the main curve and compensatory curve. The mean age at operation was 8.125 ± 1.82 years. The scoliosis curve was corrected from average 55.06 ± 25.68° preoperatively to 21.25 ± 15.51° postoperatively. At the latest follow-up, the Cobb angle was 24.38 ± 16.44°, and there was no significant difference compared with immediate postoperative angle (P > 0.05). No surgical complication of neurological deficits occurred in any patients. Combined use of transpedicular enucleation and PRSS fixation is a safe and effective single-stage method for the management of HV scoliosis in growing children. Permalink : ./index.php?lvl=notice_display&id=46254 Exemplaires (1)
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Exclu du prêtEchec des reconstructions du ligament croisé antérieur / Céline Barette
Titre : Echec des reconstructions du ligament croisé antérieur : Revue de la littérature et perspectives d’avenir Type de document : TFE / Mémoire Auteurs : Céline Barette, Auteur ; Vincent Swartenbroekx, Directeur de la recherche Editeur : Montignies-sur-Sambre : Haute Ecole Louvain en Hainaut Année de publication : 2016 Importance : 82p. Format : 30cm Note générale : Le fichier numérique de ce document est disponible uniquement pour les membres de la Haute Ecole Louvain-en-Hainaut.
Veuillez vous connecter pour accéder à votre compte lecteur.Langues : Français (fre) Mots-clés : Genou ligament croisé antérieur chirugie traumatologie sport Index. décimale : MK Gn T Mémoire Kiné - Genou/tibia Permalink : ./index.php?lvl=notice_display&id=44479 Echec des reconstructions du ligament croisé antérieur : Revue de la littérature et perspectives d’avenir [TFE / Mémoire] / Céline Barette, Auteur ; Vincent Swartenbroekx, Directeur de la recherche . - Montignies-sur-Sambre : Haute Ecole Louvain en Hainaut, 2016 . - 82p. ; 30cm.
Le fichier numérique de ce document est disponible uniquement pour les membres de la Haute Ecole Louvain-en-Hainaut.
Veuillez vous connecter pour accéder à votre compte lecteur.
Langues : Français (fre)
Mots-clés : Genou ligament croisé antérieur chirugie traumatologie sport Index. décimale : MK Gn T Mémoire Kiné - Genou/tibia Permalink : ./index.php?lvl=notice_display&id=44479 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Long term results after bipolar radial head arthroplasty / Emanuel Van Hoecke in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Long term results after bipolar radial head arthroplasty Type de document : texte imprimé Auteurs : Emanuel Van Hoecke ; Arne Van De Wijver ; Francis Van Glabbeek ; Jan Gielen Année de publication : 2016 Article en page(s) : p. 382-388 Langues : Anglais (eng) Mots-clés : Fracture coude radius chirugie prothèse Résumé : Radial head fractures are common injuries, occurring mostly in active young people 85%. Treatment of the more complex radial head fractures (Mason type III and IV), appear to be challenging and remain a subject of controversy. Replacement of the radial head with a metal prosthesis imitates the stabilizing role of the radial head and has been considered as the treatment of choice. However, long-term results are scarce. We report our mid to long-term (mean 9.4 year) clinical and radiographic results after insertion of a Judet Bipolar Radial Head prosthesis. 34 patients were treated with the Judet Bipolar Head prosthesis between 2000 and 2008. In this study, 21 patients were re-examined after a mean period of 113 months (range, 174-84), ie, 9.4 years (range, 14.5- 7). Follow-up examinations included both the Mayo Elbow Performance Index (MEPI) and Dis- abilities of the arm, shoulder and hand (DASH) score. Range of motion was measured with a hand goniometer. X-rays were evaluated for peri-articular ossifications, radiolucent lines and signs of proximal erosion, capitellar erosion. Mean Mayo Elbow Performance Index was 88.6 (Range 100-50). According to the MEPI score we had 14 excellent, 1 good, 5 fair results and one poor result. One patient reported severe pain, 3 patients reported moderate pain, one patient reported mild pain and 16 patients reported no pain at all. Difference between pronation-suppination range was noted between primary or secondary indication of the radial head, no other significant differences were found. Mean DASH score was 23.1° (Range 0-63) without difference between primary and secondary indication. Mean flexion was 121.8° (Range : 110-140), mean extension deficit was 24.8° (Range 15-40), mean pronation was 62.4° (Range : 50-80) and suppination 58.8° (Range : 45-80). Ten patients showed signs of ulnohumeral joint degenerative arthritis. One patient developed symptomatic ulna plus. One patient showed radiolucent lines surrounding the prosthesis with proximal bone erosion. There were no reports of dislocations of the prosthesis. One case of radiological signs of overlenghtening was noted. Mainly good clinical results are achieved with the Judet bipolar radial head implant. Functional results after long term follow-up are, however less optimistic then the excellent results achieved after short- to midterm follow-up. No clear link between radiological signs and functional results can be found. Permalink : ./index.php?lvl=notice_display&id=46249
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 382-388[article] Long term results after bipolar radial head arthroplasty [texte imprimé] / Emanuel Van Hoecke ; Arne Van De Wijver ; Francis Van Glabbeek ; Jan Gielen . - 2016 . - p. 382-388.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 382-388
Mots-clés : Fracture coude radius chirugie prothèse Résumé : Radial head fractures are common injuries, occurring mostly in active young people 85%. Treatment of the more complex radial head fractures (Mason type III and IV), appear to be challenging and remain a subject of controversy. Replacement of the radial head with a metal prosthesis imitates the stabilizing role of the radial head and has been considered as the treatment of choice. However, long-term results are scarce. We report our mid to long-term (mean 9.4 year) clinical and radiographic results after insertion of a Judet Bipolar Radial Head prosthesis. 34 patients were treated with the Judet Bipolar Head prosthesis between 2000 and 2008. In this study, 21 patients were re-examined after a mean period of 113 months (range, 174-84), ie, 9.4 years (range, 14.5- 7). Follow-up examinations included both the Mayo Elbow Performance Index (MEPI) and Dis- abilities of the arm, shoulder and hand (DASH) score. Range of motion was measured with a hand goniometer. X-rays were evaluated for peri-articular ossifications, radiolucent lines and signs of proximal erosion, capitellar erosion. Mean Mayo Elbow Performance Index was 88.6 (Range 100-50). According to the MEPI score we had 14 excellent, 1 good, 5 fair results and one poor result. One patient reported severe pain, 3 patients reported moderate pain, one patient reported mild pain and 16 patients reported no pain at all. Difference between pronation-suppination range was noted between primary or secondary indication of the radial head, no other significant differences were found. Mean DASH score was 23.1° (Range 0-63) without difference between primary and secondary indication. Mean flexion was 121.8° (Range : 110-140), mean extension deficit was 24.8° (Range 15-40), mean pronation was 62.4° (Range : 50-80) and suppination 58.8° (Range : 45-80). Ten patients showed signs of ulnohumeral joint degenerative arthritis. One patient developed symptomatic ulna plus. One patient showed radiolucent lines surrounding the prosthesis with proximal bone erosion. There were no reports of dislocations of the prosthesis. One case of radiological signs of overlenghtening was noted. Mainly good clinical results are achieved with the Judet bipolar radial head implant. Functional results after long term follow-up are, however less optimistic then the excellent results achieved after short- to midterm follow-up. No clear link between radiological signs and functional results can be found. Permalink : ./index.php?lvl=notice_display&id=46249 Exemplaires (1)
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Exclu du prêtOutcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability / Gopalakrishna Pemmaraju in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Outcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability Type de document : texte imprimé Auteurs : Gopalakrishna Pemmaraju ; James Bassett ; Raad Abbas ; [et al...] Année de publication : 2016 Article en page(s) : p. 365-371 Langues : Anglais (eng) Mots-clés : Patella instabilité ligament chirugie genou Résumé : Patellofemoral instability is multifactorial and is associated with pathomechanics secondary to anatomical variance. Surgical management of this problem must be tailored to each patient and a thorough clinical and radiological assessment of the anatomical alignment should be carried out pre-operatively. The aim of this study is to assess the role of medial patellofemoral ligament reconstruction combined with tibial tuberosity transfer in patients with increased tibial tuberosity to trochlear groove (TT-TG) distance. Twenty-four patients (27 knees) over 2-years were operated on by a single surgeon, with standardised post-operative rehabilitation and follow up. Mean follow up was 31-months. Two patients had problems with recurrent instability, 1 had a traumatic re-dislocation at 2 years and a total of 4 required further operation for complications. Mean post-operative Kujala scores were 87.4 (SD 9.8). Combined medial patellofemoral ligament reconstruction and tibial tuberosity transfer is an appropriate treatment for patients with increased TT-TG distance. Permalink : ./index.php?lvl=notice_display&id=46246
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 365-371[article] Outcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability [texte imprimé] / Gopalakrishna Pemmaraju ; James Bassett ; Raad Abbas ; [et al...] . - 2016 . - p. 365-371.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 365-371
Mots-clés : Patella instabilité ligament chirugie genou Résumé : Patellofemoral instability is multifactorial and is associated with pathomechanics secondary to anatomical variance. Surgical management of this problem must be tailored to each patient and a thorough clinical and radiological assessment of the anatomical alignment should be carried out pre-operatively. The aim of this study is to assess the role of medial patellofemoral ligament reconstruction combined with tibial tuberosity transfer in patients with increased tibial tuberosity to trochlear groove (TT-TG) distance. Twenty-four patients (27 knees) over 2-years were operated on by a single surgeon, with standardised post-operative rehabilitation and follow up. Mean follow up was 31-months. Two patients had problems with recurrent instability, 1 had a traumatic re-dislocation at 2 years and a total of 4 required further operation for complications. Mean post-operative Kujala scores were 87.4 (SD 9.8). Combined medial patellofemoral ligament reconstruction and tibial tuberosity transfer is an appropriate treatment for patients with increased TT-TG distance. Permalink : ./index.php?lvl=notice_display&id=46246 Exemplaires (1)
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Exclu du prêtUnilateral lumbar interbody fusion (ULIF) / Benoit Zachee in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Unilateral lumbar interbody fusion (ULIF) Type de document : texte imprimé Auteurs : Benoit Zachee ; Luc Vanden Berghe Année de publication : 2016 Article en page(s) : p. 412-420 Langues : Anglais (eng) Mots-clés : colonne lombaire disque intervertébral chirugie Résumé : Results and clinical outcome of a prospective multicenter clinical study involving 100 patients undergoing a lumbar interbody fusion procedure using an unilateral approach to the spine to introduce a new surgical technique as a viable and less invasive alternative to standard posterior (PLIF) or transforaminal (TLIF) lumbar interbody fusion techniques : For certain indications clinical data show that unilateral lumbar interbody fusion (ULIF) offers the surgeon a considerable time advantage compared to standard lumbar interbody fusion techniques. Permalink : ./index.php?lvl=notice_display&id=46253
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 412-420[article] Unilateral lumbar interbody fusion (ULIF) [texte imprimé] / Benoit Zachee ; Luc Vanden Berghe . - 2016 . - p. 412-420.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 412-420
Mots-clés : colonne lombaire disque intervertébral chirugie Résumé : Results and clinical outcome of a prospective multicenter clinical study involving 100 patients undergoing a lumbar interbody fusion procedure using an unilateral approach to the spine to introduce a new surgical technique as a viable and less invasive alternative to standard posterior (PLIF) or transforaminal (TLIF) lumbar interbody fusion techniques : For certain indications clinical data show that unilateral lumbar interbody fusion (ULIF) offers the surgeon a considerable time advantage compared to standard lumbar interbody fusion techniques. Permalink : ./index.php?lvl=notice_display&id=46253 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt