Dépouillements

Role Of Motor End Plate-Targeted Botulinum Toxin Type A Injections In Children With Cerebral Palsy / Anja Van Campenhout in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.167-171 Titre : Role Of Motor End Plate-Targeted Botulinum Toxin Type A Injections In Children With Cerebral Palsy Type de document : texte imprimé Auteurs : Anja Van Campenhout, Auteur ; Lynn BAR-ON, Auteur ; Kaat Desloovere, Auteur Année de publication : 2015 Article en page(s) : p.167-171 Langues : Anglais (eng) Mots-clés : Botulinum toxin  cerebral palsy  motor end plate Résumé : Botulinum toxin type A (BTX) injections are frequently used in children with cerebral palsy (CP) to control spasticity. Injection variables still lead to variable outcomes of this treatment. Using instrumented spasticity assessment and muscle volume assessment the most effective location of the injection was demonstrated for gracilis and psoas muscles in children withCP. It was found that this treatment is most effectivewhen injected in the motor endplate zones of the selected muscles. This review article presents all available research on the role of motor endplate-targeting of BTX injections in children with CP. Permalink : ./index.php?lvl=notice_display&id=40531 [article] Role Of Motor End Plate-Targeted Botulinum Toxin Type A Injections In Children With Cerebral Palsy [texte imprimé] / Anja Van Campenhout, Auteur ; Lynn BAR-ON, Auteur ; Kaat Desloovere, Auteur . - 2015 . - p.167-171. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.167-171 Mots-clés : Botulinum toxin  cerebral palsy  motor end plate Résumé : Botulinum toxin type A (BTX) injections are frequently used in children with cerebral palsy (CP) to control spasticity. Injection variables still lead to variable outcomes of this treatment. Using instrumented spasticity assessment and muscle volume assessment the most effective location of the injection was demonstrated for gracilis and psoas muscles in children withCP. It was found that this treatment is most effectivewhen injected in the motor endplate zones of the selected muscles. This review article presents all available research on the role of motor endplate-targeting of BTX injections in children with CP. Permalink : ./index.php?lvl=notice_display&id=40531

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Surgical treatment of the adult acquired flexible flatfoot / Lise Van Gestel in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.172-183 Titre : Surgical treatment of the adult acquired flexible flatfoot Type de document : texte imprimé Auteurs : Lise Van Gestel, Auteur ; Saskia Van Bouwel, Auteur ; Johan Somville, Auteur Année de publication : 2015 Article en page(s) : p.172-183 Langues : Anglais (eng) Mots-clés : foot  adult  flatfoot  surgery  osteotomy Résumé : In this review article, the authors give an overview of the currently available soft tissue and bony procedures in the treatment of the adult acquired flexible flatfoot. Instead of starting from the classification for posterior tibial tendon dysfunction, described by Johnson and Storm, the authors address the flatfoot from a more anatomical point of view. Based on this, they will try to define a treatment algorithm. Permalink : ./index.php?lvl=notice_display&id=40532 [article] Surgical treatment of the adult acquired flexible flatfoot [texte imprimé] / Lise Van Gestel, Auteur ; Saskia Van Bouwel, Auteur ; Johan Somville, Auteur . - 2015 . - p.172-183. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.172-183 Mots-clés : foot  adult  flatfoot  surgery  osteotomy Résumé : In this review article, the authors give an overview of the currently available soft tissue and bony procedures in the treatment of the adult acquired flexible flatfoot. Instead of starting from the classification for posterior tibial tendon dysfunction, described by Johnson and Storm, the authors address the flatfoot from a more anatomical point of view. Based on this, they will try to define a treatment algorithm. Permalink : ./index.php?lvl=notice_display&id=40532

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Antibiotic-Loaded Bone Cement In Total Joint Arthroplasty / Daniel SOARES in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.184-190 Titre : Antibiotic-Loaded Bone Cement In Total Joint Arthroplasty Type de document : texte imprimé Auteurs : Daniel SOARES, Auteur ; Pedro LEITE, Auteur ; Pedro BARREIRA, Auteur Année de publication : 2015 Article en page(s) : p.184-190 Langues : Anglais (eng) Mots-clés : Bone cements  arthroplasty, replacement  prosthesis-related infections  anti-bacterial agents  administration & dosage. Résumé : Periprosthetic joint infection is a devastating complication after total joint replacement. Prevention is mandatory and systemic antibiotic prophylaxis is nowadays a recognized cornerstone. Further addition of local antibiotics eluting from bone cement is a real possibility but its routine use is controversial. Pros and cons of its routine use in primary and revision total joint arthroplasty will be discussed. Cement spacers carrying high doses of antibiotic(s) are currently accepted during two-stage treatment of infected prosthetic joints. Several issues such as alternatives to classic antibiotics, optimal dosages and others will also be explored. Permalink : ./index.php?lvl=notice_display&id=40533 [article] Antibiotic-Loaded Bone Cement In Total Joint Arthroplasty [texte imprimé] / Daniel SOARES, Auteur ; Pedro LEITE, Auteur ; Pedro BARREIRA, Auteur . - 2015 . - p.184-190. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.184-190 Mots-clés : Bone cements  arthroplasty, replacement  prosthesis-related infections  anti-bacterial agents  administration & dosage. Résumé : Periprosthetic joint infection is a devastating complication after total joint replacement. Prevention is mandatory and systemic antibiotic prophylaxis is nowadays a recognized cornerstone. Further addition of local antibiotics eluting from bone cement is a real possibility but its routine use is controversial. Pros and cons of its routine use in primary and revision total joint arthroplasty will be discussed. Cement spacers carrying high doses of antibiotic(s) are currently accepted during two-stage treatment of infected prosthetic joints. Several issues such as alternatives to classic antibiotics, optimal dosages and others will also be explored. Permalink : ./index.php?lvl=notice_display&id=40533

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Hand Disorders Associated With Diabetes : A Review / Andrzej ZYLUK in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.191-196 Titre : Hand Disorders Associated With Diabetes : A Review Type de document : texte imprimé Auteurs : Andrzej ZYLUK, Auteur ; Piotr PUCHALSKI, Auteur Année de publication : 2015 Article en page(s) : p.191-196 Langues : Anglais (eng) Mots-clés : Diabetes mellitus complications  Diabetic hand  Microvascular disease Résumé : The diabetes may cause damage many structures and organs of a human body and predispose to secondary disorders, including involvement of the hand. Carpal tunnel syndrome, trigger finger or Dupuytren’s disease occur more frequently in diabetic patients as well as other, poorer recognized conditions such as limited joint mobility, or hand weakness. The paper presents these disorders, emphasizes differences in clinical presentation, methods and outcomes of treatment, comparing to the non-diabetic patients. Although there are not call complications, some evidence suggests that they may be, as their prevalence is related to the duration of the diabetes, poor metabolic control and occurrence of other disorders such as retino- and nephropathy. Permalink : ./index.php?lvl=notice_display&id=40534 [article] Hand Disorders Associated With Diabetes : A Review [texte imprimé] / Andrzej ZYLUK, Auteur ; Piotr PUCHALSKI, Auteur . - 2015 . - p.191-196. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.191-196 Mots-clés : Diabetes mellitus complications  Diabetic hand  Microvascular disease Résumé : The diabetes may cause damage many structures and organs of a human body and predispose to secondary disorders, including involvement of the hand. Carpal tunnel syndrome, trigger finger or Dupuytren’s disease occur more frequently in diabetic patients as well as other, poorer recognized conditions such as limited joint mobility, or hand weakness. The paper presents these disorders, emphasizes differences in clinical presentation, methods and outcomes of treatment, comparing to the non-diabetic patients. Although there are not call complications, some evidence suggests that they may be, as their prevalence is related to the duration of the diabetes, poor metabolic control and occurrence of other disorders such as retino- and nephropathy. Permalink : ./index.php?lvl=notice_display&id=40534

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Efficacy Of Hip Resurfacing Arthroplasty: 6 Year Results From An International Multisurgeon Prospective Cohort Study / Tajeshwar S. AULAKH in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.197-208 Titre : Efficacy Of Hip Resurfacing Arthroplasty: 6 Year Results From An International Multisurgeon Prospective Cohort Study : Tajeshwar S. AULAKH, Narlaka JAYASEKERA Type de document : texte imprimé Auteurs : Tajeshwar S. AULAKH, Auteur ; Narlaka JAYASEKERA, Auteur ; Rohit SINGH, Auteur Année de publication : 2015 Article en page(s) : p.197-208 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=40535 [article] Efficacy Of Hip Resurfacing Arthroplasty: 6 Year Results From An International Multisurgeon Prospective Cohort Study : Tajeshwar S. AULAKH, Narlaka JAYASEKERA [texte imprimé] / Tajeshwar S. AULAKH, Auteur ; Narlaka JAYASEKERA, Auteur ; Rohit SINGH, Auteur . - 2015 . - p.197-208. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.197-208 Permalink : ./index.php?lvl=notice_display&id=40535

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Unusual Localizations Of Unicameral Bone Cysts And Aneurysmal Bone Cysts: A Retrospective Review Of 451 Cases / Osman Emre AYCAN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.209-212 Titre : Unusual Localizations Of Unicameral Bone Cysts And Aneurysmal Bone Cysts: A Retrospective Review Of 451 Cases Type de document : texte imprimé Auteurs : Osman Emre AYCAN, Auteur ; Ismet Yalkin ÇAMURCU, Auteur ; Devrim ÖZER, Auteur Année de publication : 2015 Article en page(s) : p.209-212 Langues : Anglais (eng) Mots-clés : Unicameral bone cyst  aneurysmal bone cyst  unusual localizations Résumé : Unicameral bone cysts (UBC) and aneurysmal bone cysts (ABC) are benign cystic lesions of bone which are easily diagnosed. However, unusual locations may lead to a false diagnosis. Therefore the aim of this retrospective study was to determine the frequency of unusual localizations. The authors studied 451 cases with histopathologically confirmed diagnosis of UBC or ABC, seen between 1981 and 2012. In the UBC group (352 cases) humerus, femur and calcaneus were found to be the most common sites, while acetabulum, scapula, scaphoid, lunatum, metacarpals, metatarsals, toe phalanges and ulna each accounted for less than 1%. In the ABC group (99 cases) the most common sites of involvement were femur, humerus and tibia, while finger phalanges, ilium, acetabulum, pubis, calcaneus, cuboid, and toe phalanges each accounted for only 1%. The differential diagnosis of cystic bone lesions should include both UBC and ABC. Pain complaints plead for the latter, except in case of fracture. Permalink : ./index.php?lvl=notice_display&id=40561 [article] Unusual Localizations Of Unicameral Bone Cysts And Aneurysmal Bone Cysts: A Retrospective Review Of 451 Cases [texte imprimé] / Osman Emre AYCAN, Auteur ; Ismet Yalkin ÇAMURCU, Auteur ; Devrim ÖZER, Auteur . - 2015 . - p.209-212. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.209-212 Mots-clés : Unicameral bone cyst  aneurysmal bone cyst  unusual localizations Résumé : Unicameral bone cysts (UBC) and aneurysmal bone cysts (ABC) are benign cystic lesions of bone which are easily diagnosed. However, unusual locations may lead to a false diagnosis. Therefore the aim of this retrospective study was to determine the frequency of unusual localizations. The authors studied 451 cases with histopathologically confirmed diagnosis of UBC or ABC, seen between 1981 and 2012. In the UBC group (352 cases) humerus, femur and calcaneus were found to be the most common sites, while acetabulum, scapula, scaphoid, lunatum, metacarpals, metatarsals, toe phalanges and ulna each accounted for less than 1%. In the ABC group (99 cases) the most common sites of involvement were femur, humerus and tibia, while finger phalanges, ilium, acetabulum, pubis, calcaneus, cuboid, and toe phalanges each accounted for only 1%. The differential diagnosis of cystic bone lesions should include both UBC and ABC. Pain complaints plead for the latter, except in case of fracture. Permalink : ./index.php?lvl=notice_display&id=40561

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Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint / Hayk BAAZIL in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217 Titre : Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint Type de document : texte imprimé Auteurs : Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur Année de publication : 2015 Article en page(s) : p.213-217 Langues : Anglais (eng) Mots-clés : Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand Résumé : Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences. Permalink : ./index.php?lvl=notice_display&id=40562 [article] Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint [texte imprimé] / Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur . - 2015 . - p.213-217. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217 Mots-clés : Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand Résumé : Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences. Permalink : ./index.php?lvl=notice_display&id=40562

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Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures / Mário BAPTISTA in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224 Titre : Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures Type de document : texte imprimé Auteurs : Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur Année de publication : 2015 Article en page(s) : p.218-224 Langues : Anglais (eng) Mots-clés : Calcaneus  foo  fracture  outcome assessment  surgery  radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563 [article] Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures [texte imprimé] / Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur . - 2015 . - p.218-224. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224 Mots-clés : Calcaneus  foo  fracture  outcome assessment  surgery  radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563

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Long-Term Follow-Up Of A Cemented Titanium Stem / Benjamin BLOCH in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.225-232 Titre : Long-Term Follow-Up Of A Cemented Titanium Stem Type de document : texte imprimé Auteurs : Benjamin BLOCH, Auteur ; Sue BROWN, Auteur ; Darshan ANGADI, Auteur Année de publication : 2015 Article en page(s) : p.225-232 Langues : Anglais (eng) Mots-clés : Hip  arthroplasty  titanium  surgery  survival  prothesis Résumé : We present the outcome of 270 cemented titanium alloy femoral stems. These patients were followed up annually both clinically and radiologically, and were included up until their last follow-up. 120 patients completed a 10-year follow-up. The 10-year survival of the Ultima Straight Stem cemented femoral component (defined by revision of the femoral stem) was 90.1% (95% CI = 84.0-94.0%), with aseptic loosening being the major reason for failure. The preoperative Harris Hip Score improved from 35.3 to 79.3 at 10 years. There were 17 cases of stem subsidence, radiolucent lines in 11 hips, 5 cases of cement fracture and 18 hips had osteolysis in 2 adjacent Gruen zones. This is the largest study in the English literature of this implant, and reflects UK district general hospital practice with surgery performed by a variety of surgical grades and via different surgical approaches. Although the outcome of this implant was within the previous standard set by the National Institute for Health and Clinical Excellence and is comparable to other series of titanium stems, it is inferior to that of more modern cemented and uncemented implants, and falls outside the new NICE recommendation of <5% revision rate at ten year. As a result this implant is no longer used in our institution, and it has also now been withdrawn from the market. We suggest that patients with this implant should be followed up radiologically due to the relatively high rate of stem subsidence and lucency between the cement and prosthesis, to identify those who may be at risk of failure. Permalink : ./index.php?lvl=notice_display&id=40564 [article] Long-Term Follow-Up Of A Cemented Titanium Stem [texte imprimé] / Benjamin BLOCH, Auteur ; Sue BROWN, Auteur ; Darshan ANGADI, Auteur . - 2015 . - p.225-232. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.225-232 Mots-clés : Hip  arthroplasty  titanium  surgery  survival  prothesis Résumé : We present the outcome of 270 cemented titanium alloy femoral stems. These patients were followed up annually both clinically and radiologically, and were included up until their last follow-up. 120 patients completed a 10-year follow-up. The 10-year survival of the Ultima Straight Stem cemented femoral component (defined by revision of the femoral stem) was 90.1% (95% CI = 84.0-94.0%), with aseptic loosening being the major reason for failure. The preoperative Harris Hip Score improved from 35.3 to 79.3 at 10 years. There were 17 cases of stem subsidence, radiolucent lines in 11 hips, 5 cases of cement fracture and 18 hips had osteolysis in 2 adjacent Gruen zones. This is the largest study in the English literature of this implant, and reflects UK district general hospital practice with surgery performed by a variety of surgical grades and via different surgical approaches. Although the outcome of this implant was within the previous standard set by the National Institute for Health and Clinical Excellence and is comparable to other series of titanium stems, it is inferior to that of more modern cemented and uncemented implants, and falls outside the new NICE recommendation of <5% revision rate at ten year. As a result this implant is no longer used in our institution, and it has also now been withdrawn from the market. We suggest that patients with this implant should be followed up radiologically due to the relatively high rate of stem subsidence and lucency between the cement and prosthesis, to identify those who may be at risk of failure. Permalink : ./index.php?lvl=notice_display&id=40564

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Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment / Bruce E. DALL in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.233-239 Titre : Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment Type de document : texte imprimé Auteurs : Bruce E. DALL, Auteur ; Sonia V. EDEN, Auteur Année de publication : 2015 Article en page(s) : p.233-239 Langues : Anglais (eng) Mots-clés : Sacroiliac  joint  fusion  surgery, outcomes  bilateral  lumbosacral  algorithm  treatment Résumé : Only one study in the literature describes performing a bilateral sacroiliac joint fusion, and the results were poor. Many patients needing a bilateral sacroiliac joint fusion frequently have had previous lumbosacral surgeries and present with lumbosacral pain as well. This study reviews our results in consecutive patients having had a bilateral sacroiliac joint fusion over a five-year period. Fifteen patients had bilateral sacroiliac joint fusions with 13 having concurrent lumbosacral fusions. The modified posterior midline fascial splitting approach, first described by Belanger was utilized. Patients were followed for an average of 30.3 months. There were no infections, neurovascular injuries, lasting morbidity or deaths. One non-union of a sacroiliac joint (7%) occurred, which after revision was satisfactory. There was a statistically significant drop in pain (p = 0.01488) using the VAS, and patient satisfaction rates were 86%. With all those patients saying they would have the surgery again for the same result. There was no significant increase in functionality. Patients needing bilateral sacroiliac joint fusions frequently fall into the “failed back” category, and it is important to evaluate both the sacroiliac joints and the lumbosacral spine for potential pain generators. This study shows that by treating all the pain generators in both areas there were significant decreases in pain, low complications, low re-operation rates, and high patient satisfaction scores. Overall functionality, however, was not positively affected. Permalink : ./index.php?lvl=notice_display&id=40565 [article] Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment [texte imprimé] / Bruce E. DALL, Auteur ; Sonia V. EDEN, Auteur . - 2015 . - p.233-239. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.233-239 Mots-clés : Sacroiliac  joint  fusion  surgery, outcomes  bilateral  lumbosacral  algorithm  treatment Résumé : Only one study in the literature describes performing a bilateral sacroiliac joint fusion, and the results were poor. Many patients needing a bilateral sacroiliac joint fusion frequently have had previous lumbosacral surgeries and present with lumbosacral pain as well. This study reviews our results in consecutive patients having had a bilateral sacroiliac joint fusion over a five-year period. Fifteen patients had bilateral sacroiliac joint fusions with 13 having concurrent lumbosacral fusions. The modified posterior midline fascial splitting approach, first described by Belanger was utilized. Patients were followed for an average of 30.3 months. There were no infections, neurovascular injuries, lasting morbidity or deaths. One non-union of a sacroiliac joint (7%) occurred, which after revision was satisfactory. There was a statistically significant drop in pain (p = 0.01488) using the VAS, and patient satisfaction rates were 86%. With all those patients saying they would have the surgery again for the same result. There was no significant increase in functionality. Patients needing bilateral sacroiliac joint fusions frequently fall into the “failed back” category, and it is important to evaluate both the sacroiliac joints and the lumbosacral spine for potential pain generators. This study shows that by treating all the pain generators in both areas there were significant decreases in pain, low complications, low re-operation rates, and high patient satisfaction scores. Overall functionality, however, was not positively affected. Permalink : ./index.php?lvl=notice_display&id=40565

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The Effect Of The Intercondylar Notch Width Index On Anterior Cruciate Ligament Injuries: A Study On Groups With Unilateral And Bilateral ACL Injury / Cemile Ayse Görmeli in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.240-244 Titre : The Effect Of The Intercondylar Notch Width Index On Anterior Cruciate Ligament Injuries: A Study On Groups With Unilateral And Bilateral ACL Injury Type de document : texte imprimé Auteurs : Cemile Ayse Görmeli, Auteur ; Gökay GÖRMELI, Auteur ; Burak Yagmur ÖZTÜRK, Auteur Année de publication : 2015 Article en page(s) : p.240-244 Langues : Anglais (eng) Mots-clés : Knee  ACL  anatomy Résumé : Background: To evaluate the relationship of the intercondylar notch width with unilateral and bilateral ACL injury by using MR images. Materials and Methods: The intercondylar notch width index was measured on the MR images of 18 patients with a bilateral ACL injury, 38 patients with a unilateral ACL injury and 53 healthy subjects with a normal ACL and the results of all groups were compared with each other. Results: The mean NWI values were 0,227 (± 0.008) in bilateral injured; 0,245 (± 0.009) in unilateral injured and 0,272 (± 0.01) in control groups and 0,251(± 0.01) in unaffected side of the unilateral group. There were statistically significant differences in intercondylar notch width index (NWI) values between all groups and there was a significant difference between the affected and the unaffected sides in group with unilateral ACL injury. A cutoff value of 0.25 for NWI gave an odds ratio of 26.5 for bilateral and 3.23 for unilateral ACL injuries. Conclusions: The finding that NWI is significantly narrowed in patients with bilateral and unilateral ACL tears compared with the healthy controls suggest a relationship between a narrow NWI and an increased risk of ACL injury. The patients with a narrow NWI should also be screened contralaterally for assessment of ACL injury risk on the other knee. So, specialized training programmes for the people with narrow NWI can be prepared for preventing ACL injuries. Permalink : ./index.php?lvl=notice_display&id=40570 [article] The Effect Of The Intercondylar Notch Width Index On Anterior Cruciate Ligament Injuries: A Study On Groups With Unilateral And Bilateral ACL Injury [texte imprimé] / Cemile Ayse Görmeli, Auteur ; Gökay GÖRMELI, Auteur ; Burak Yagmur ÖZTÜRK, Auteur . - 2015 . - p.240-244. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.240-244 Mots-clés : Knee  ACL  anatomy Résumé : Background: To evaluate the relationship of the intercondylar notch width with unilateral and bilateral ACL injury by using MR images. Materials and Methods: The intercondylar notch width index was measured on the MR images of 18 patients with a bilateral ACL injury, 38 patients with a unilateral ACL injury and 53 healthy subjects with a normal ACL and the results of all groups were compared with each other. Results: The mean NWI values were 0,227 (± 0.008) in bilateral injured; 0,245 (± 0.009) in unilateral injured and 0,272 (± 0.01) in control groups and 0,251(± 0.01) in unaffected side of the unilateral group. There were statistically significant differences in intercondylar notch width index (NWI) values between all groups and there was a significant difference between the affected and the unaffected sides in group with unilateral ACL injury. A cutoff value of 0.25 for NWI gave an odds ratio of 26.5 for bilateral and 3.23 for unilateral ACL injuries. Conclusions: The finding that NWI is significantly narrowed in patients with bilateral and unilateral ACL tears compared with the healthy controls suggest a relationship between a narrow NWI and an increased risk of ACL injury. The patients with a narrow NWI should also be screened contralaterally for assessment of ACL injury risk on the other knee. So, specialized training programmes for the people with narrow NWI can be prepared for preventing ACL injuries. Permalink : ./index.php?lvl=notice_display&id=40570

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A New Compression Design That Increases Proximal Locking Screw Bending Resistance In Femur Compression Nails / Ahmet Adnan KARAARSLAN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.245-250 Titre : A New Compression Design That Increases Proximal Locking Screw Bending Resistance In Femur Compression Nails Type de document : texte imprimé Auteurs : Ahmet Adnan KARAARSLAN, Auteur ; Ahmet Karakasli, Auteur ; Tolga KARCI, Auteur Année de publication : 2015 Article en page(s) : p.245-250 Langues : Anglais (eng) Mots-clés : Femoral shaft fractures  compression nail  femur locking screws  bending test Résumé : The aim is to present our new method of compression, a compression tube instead of conventional compression screw and to investigate the difference of proximal locking screw bending resistance between compression screw application (6 mm wide contact) and compression tube (two contact points with 13 mm gap) application. We formed six groups each consisting of 10 proximal locking screws. On metal cylinder representing lesser trochanter level, we performed 3-point bending tests with compression screw and with compression tube. We determined the yield points of the screws in 3-point bending tests using an axial compression testing machine. We determined the yield point of 5 mm screws as 1963 ± 53 N (mean ± SD) with compression screw, and as 2929 ± 140 N with compression tubes. We found 51% more locking screw bending resistance with compression tube than with compression screw (p = 0,000). Therefore compression tubes instead of compression screw must be preferred at femur compression nails. Permalink : ./index.php?lvl=notice_display&id=40571 [article] A New Compression Design That Increases Proximal Locking Screw Bending Resistance In Femur Compression Nails [texte imprimé] / Ahmet Adnan KARAARSLAN, Auteur ; Ahmet Karakasli, Auteur ; Tolga KARCI, Auteur . - 2015 . - p.245-250. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.245-250 Mots-clés : Femoral shaft fractures  compression nail  femur locking screws  bending test Résumé : The aim is to present our new method of compression, a compression tube instead of conventional compression screw and to investigate the difference of proximal locking screw bending resistance between compression screw application (6 mm wide contact) and compression tube (two contact points with 13 mm gap) application. We formed six groups each consisting of 10 proximal locking screws. On metal cylinder representing lesser trochanter level, we performed 3-point bending tests with compression screw and with compression tube. We determined the yield points of the screws in 3-point bending tests using an axial compression testing machine. We determined the yield point of 5 mm screws as 1963 ± 53 N (mean ± SD) with compression screw, and as 2929 ± 140 N with compression tubes. We found 51% more locking screw bending resistance with compression tube than with compression screw (p = 0,000). Therefore compression tubes instead of compression screw must be preferred at femur compression nails. Permalink : ./index.php?lvl=notice_display&id=40571

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One-Year Follow-Up Of Platelet-Rich Plasma Infiltration To Treat Chronic Proximal Patellar Tendinopathies / Jean-François Kaux in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.251-256 Titre : One-Year Follow-Up Of Platelet-Rich Plasma Infiltration To Treat Chronic Proximal Patellar Tendinopathies Type de document : texte imprimé Auteurs : Jean-François Kaux, Auteur ; Olivier Bruyère, Auteur ; Jean-Louis Croisier, Auteur Année de publication : 2015 Article en page(s) : p.251-256 Langues : Anglais (eng) Mots-clés : Platelet-rich plasma  PRP  jumper’s knee  patellar tendinopathy  sport  apheresis Résumé : Infiltration of Platelet-Rich Plasma (PRP) may be considered as a recent therapeutic option for chronic tendinopathies. The aim of this study is to evaluate the clinical status and the return to sports activities in patients with chronic proximal patellar tendinopathies. Twenty subjects with chronic proximal patellar tendinopathy benefited from 1 infiltration of PRP coupled with a standardized eccentric rehabilitation. The follow-up (up to 1 year) was assessed by means of a Visual Anologue Scale (VAS), the International Knee Documentation Committee (IKDC) form and the Victorian Institute of Sport Assessment (VISA-P) score. Moreover, subjects had to answer an information questionnaire concerning their life and sports activities. Seventy percents of the patients reported a favourable evolution with decrease of pain, and returned to sports activities. With time, VAS dropped significantly and both IKDC and VISA-P scores improved also significantly. This study confirms that a local injection of PRP coupled with a program of eccentric rehabilitation for treating a chronic jumper’s knee, improves pain symptoms and the functionalities of the subjects’ knee up to 1 year after injection. Permalink : ./index.php?lvl=notice_display&id=40572 [article] One-Year Follow-Up Of Platelet-Rich Plasma Infiltration To Treat Chronic Proximal Patellar Tendinopathies [texte imprimé] / Jean-François Kaux, Auteur ; Olivier Bruyère, Auteur ; Jean-Louis Croisier, Auteur . - 2015 . - p.251-256. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.251-256 Mots-clés : Platelet-rich plasma  PRP  jumper’s knee  patellar tendinopathy  sport  apheresis Résumé : Infiltration of Platelet-Rich Plasma (PRP) may be considered as a recent therapeutic option for chronic tendinopathies. The aim of this study is to evaluate the clinical status and the return to sports activities in patients with chronic proximal patellar tendinopathies. Twenty subjects with chronic proximal patellar tendinopathy benefited from 1 infiltration of PRP coupled with a standardized eccentric rehabilitation. The follow-up (up to 1 year) was assessed by means of a Visual Anologue Scale (VAS), the International Knee Documentation Committee (IKDC) form and the Victorian Institute of Sport Assessment (VISA-P) score. Moreover, subjects had to answer an information questionnaire concerning their life and sports activities. Seventy percents of the patients reported a favourable evolution with decrease of pain, and returned to sports activities. With time, VAS dropped significantly and both IKDC and VISA-P scores improved also significantly. This study confirms that a local injection of PRP coupled with a program of eccentric rehabilitation for treating a chronic jumper’s knee, improves pain symptoms and the functionalities of the subjects’ knee up to 1 year after injection. Permalink : ./index.php?lvl=notice_display&id=40572

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The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years / C. KÖSTERS in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.257-263 Titre : The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years Type de document : texte imprimé Auteurs : C. KÖSTERS, Auteur ; Benedikt SCHLIEMANN, Auteur ; D. DECKING, Auteur Année de publication : 2015 Article en page(s) : p.257-263 Langues : Anglais (eng) Mots-clés : Revision total hip arthroplasty  Müller Ring  acetabular reinforcement ring  clinical outcome  Paprosky classification Résumé : Introduction: Aim of this study was to measure the clinical and radiological longterm outcome after acetabular revision arthroplasty (RTHA) using the Müller acetabular reinforcement ring. Materials and Methods: 86 patients with 90 revision arthroplasties and a mean age of 68 years (41 to 84) were included. The mean follow-up was 10 years (range 7-12). The Harris Hip Score and the WOMAC Index were used to assess pain and functional outcome. Furthermore clinical examination of range of motion and radiologic examinations were performed in 34 patients. Results: The radiologic analysis reports no signs of loosening in 79%, 15% showed possibly loosening and 6% probable loosening. Definite radiologic loosening has not been detected. In the meantime 12 patients (13.3%) of 90 revision total hip arthroplasty underwent a revision of the acetabulum with change of the acetabular component which means a survival rate of 86.7% after 10 years follow-up. The mean center of rotation of the hip moved 0.15 cm (SD 0.74 cm) laterally and 0.1 cm (SD 0.97 cm) cranially based on the geometrically reconstructed center of rotation. A mean score of 58 points for the Harris Hip Score (range 14-93) indicated a poor functional outcome, while a mean value of 96 points (range 0-223) for the WOMAC Index indicated good results for functional outcome in daily living. Conclusions: The revision arthroplasty in cases with acetabular defects using the Müller acetabular reinforcement ring shows acceptable longterm results. Level of Evidence: Level IV. Permalink : ./index.php?lvl=notice_display&id=40573 [article] The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years [texte imprimé] / C. KÖSTERS, Auteur ; Benedikt SCHLIEMANN, Auteur ; D. DECKING, Auteur . - 2015 . - p.257-263. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.257-263 Mots-clés : Revision total hip arthroplasty  Müller Ring  acetabular reinforcement ring  clinical outcome  Paprosky classification Résumé : Introduction: Aim of this study was to measure the clinical and radiological longterm outcome after acetabular revision arthroplasty (RTHA) using the Müller acetabular reinforcement ring. Materials and Methods: 86 patients with 90 revision arthroplasties and a mean age of 68 years (41 to 84) were included. The mean follow-up was 10 years (range 7-12). The Harris Hip Score and the WOMAC Index were used to assess pain and functional outcome. Furthermore clinical examination of range of motion and radiologic examinations were performed in 34 patients. Results: The radiologic analysis reports no signs of loosening in 79%, 15% showed possibly loosening and 6% probable loosening. Definite radiologic loosening has not been detected. In the meantime 12 patients (13.3%) of 90 revision total hip arthroplasty underwent a revision of the acetabulum with change of the acetabular component which means a survival rate of 86.7% after 10 years follow-up. The mean center of rotation of the hip moved 0.15 cm (SD 0.74 cm) laterally and 0.1 cm (SD 0.97 cm) cranially based on the geometrically reconstructed center of rotation. A mean score of 58 points for the Harris Hip Score (range 14-93) indicated a poor functional outcome, while a mean value of 96 points (range 0-223) for the WOMAC Index indicated good results for functional outcome in daily living. Conclusions: The revision arthroplasty in cases with acetabular defects using the Müller acetabular reinforcement ring shows acceptable longterm results. Level of Evidence: Level IV. Permalink : ./index.php?lvl=notice_display&id=40573

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Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders / Simon MACLEAN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.264-273 Titre : Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders Type de document : texte imprimé Auteurs : Simon MACLEAN, Auteur ; Scott EVANS, Auteur ; Paul PYNSENT, Auteur Année de publication : 2015 Article en page(s) : p.264-273 Langues : Anglais (eng) Mots-clés : Hip resurfacing  hip dysplasia  young adult hip  survivorship  Perthes’ disease  Developmental dysplasia of the hip Résumé : The aim of our study was to assess survivorship and function in young patients with hip resurfacing for degenerative arthritis secondary to childhood hip diseases. Data was collected retrospectively using the institutional database and patient notes. Between 1999 and 2012, there were 156 hip resurfacings performed in 143 patients (82 females, 73 males). Mean age at the time of surgery was 21.4 years (12.3 to 30.0). The main indications for surgery included; DDH, AVN, Perthes’ and SUFE. Median follow-up was 4.1 years (1.0 to13.2). Median Oxford scores improved from 54.2 pre-op to 18.8 post-op at a minimum of 2 years follow-up. There were 14 failures. Median head size was 46 mm (45 mm in the failures) For the failures, median cup inclination was 44.4 degrees and anteversion 7.6 degrees. We report the largest single surgeon series of resurfacing hip arthroplasty in the under 30’s for childhood hip disorders. 90% 5-year survivorship and good functional outcome can be achieved. Permalink : ./index.php?lvl=notice_display&id=40655 [article] Mid-Term Results For Hip Resurfacing In Patients Under 30 Years Old With Childhood Hip Disorders [texte imprimé] / Simon MACLEAN, Auteur ; Scott EVANS, Auteur ; Paul PYNSENT, Auteur . - 2015 . - p.264-273. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.264-273 Mots-clés : Hip resurfacing  hip dysplasia  young adult hip  survivorship  Perthes’ disease  Developmental dysplasia of the hip Résumé : The aim of our study was to assess survivorship and function in young patients with hip resurfacing for degenerative arthritis secondary to childhood hip diseases. Data was collected retrospectively using the institutional database and patient notes. Between 1999 and 2012, there were 156 hip resurfacings performed in 143 patients (82 females, 73 males). Mean age at the time of surgery was 21.4 years (12.3 to 30.0). The main indications for surgery included; DDH, AVN, Perthes’ and SUFE. Median follow-up was 4.1 years (1.0 to13.2). Median Oxford scores improved from 54.2 pre-op to 18.8 post-op at a minimum of 2 years follow-up. There were 14 failures. Median head size was 46 mm (45 mm in the failures) For the failures, median cup inclination was 44.4 degrees and anteversion 7.6 degrees. We report the largest single surgeon series of resurfacing hip arthroplasty in the under 30’s for childhood hip disorders. 90% 5-year survivorship and good functional outcome can be achieved. Permalink : ./index.php?lvl=notice_display&id=40655

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Grade 3C Open Femur Fractures With Vascular Repair In Adults / Halil I. Balci in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.274-282 Titre : Grade 3C Open Femur Fractures With Vascular Repair In Adults Type de document : texte imprimé Auteurs : Halil I. Balci, Auteur ; Yavuz SAGLAM, Auteur ; Onur TUNALI, Auteur Année de publication : 2015 Article en page(s) : p.274-282 Langues : Anglais (eng) Mots-clés : Open femur fractures  Gustilo-Anderson  grade 3C open fracture  vascular injury  saphenous graft  ankle brachial index (ABI) Résumé : Grade 3C open femur fractures are challenging injuries with higher rates of complications. This is a retrospective review of grade 3C open femur fractures with vascular repair between 2002 and 2012. Outcomes included initial MESS score, additional injuries, duration of operation, complications, secondary operations or amputations, and social life implications. Thirty-one of 39 total patients were selected for revascularization and fracture fixation based on soft tissue injury and MESS score. The intra-operative approach included temporary arterial shunt replacement, orthopedic fixation, arterial reconstruction venous and/or nerve repair and routine fasciotomies. An external fixation and reverse saphenous vein graft was used in a majority of the patients (respectively; 93.5%, 90.3%). The mean follow up was 5.4 years (range 2.2-10). The decision to amputate versus salvage should be left up to patients and their care teams after discussing options and future possibilities rather than using a scoring system. Permalink : ./index.php?lvl=notice_display&id=40656 [article] Grade 3C Open Femur Fractures With Vascular Repair In Adults [texte imprimé] / Halil I. Balci, Auteur ; Yavuz SAGLAM, Auteur ; Onur TUNALI, Auteur . - 2015 . - p.274-282. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.274-282 Mots-clés : Open femur fractures  Gustilo-Anderson  grade 3C open fracture  vascular injury  saphenous graft  ankle brachial index (ABI) Résumé : Grade 3C open femur fractures are challenging injuries with higher rates of complications. This is a retrospective review of grade 3C open femur fractures with vascular repair between 2002 and 2012. Outcomes included initial MESS score, additional injuries, duration of operation, complications, secondary operations or amputations, and social life implications. Thirty-one of 39 total patients were selected for revascularization and fracture fixation based on soft tissue injury and MESS score. The intra-operative approach included temporary arterial shunt replacement, orthopedic fixation, arterial reconstruction venous and/or nerve repair and routine fasciotomies. An external fixation and reverse saphenous vein graft was used in a majority of the patients (respectively; 93.5%, 90.3%). The mean follow up was 5.4 years (range 2.2-10). The decision to amputate versus salvage should be left up to patients and their care teams after discussing options and future possibilities rather than using a scoring system. Permalink : ./index.php?lvl=notice_display&id=40656

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The Young Patient And The Medial Unicompartmental Knee Replacement / Omar FAOUR MARTÍN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.283-288 Titre : The Young Patient And The Medial Unicompartmental Knee Replacement Type de document : texte imprimé Auteurs : Omar FAOUR MARTÍN, Auteur ; Jose Antonio VALVERDE GARCÍA, Auteur ; Miguel Ángel MARTÍN FERRERO, Auteur Année de publication : 2015 Article en page(s) : p.283-288 Langues : Anglais (eng) Mots-clés : Knee  arthroplasty  prosthesis  gonarthrosis  osteoarthritis Résumé : Purpose: Younger patients with unicompartmental degenerative knee joint diseases present a therapeutic dilemma. The purpose of this study is to evaluate the long-term results of the Oxford phase III unicompartmental knee replacement through a minimally invasive approach in the young patient. Methods: We have studied a total of 51 patients (59 interventions) who underwent the Oxford Phase III Unicompartmental Knee Replacement. A clinical, radiographical and functional evaluation was performed twelve years after intervention. Results: According to the American Knee Society Score using Insall’s criteria overall results of unicompartmental knee arthroplasty showed an excellent or good outcome for 53 knees (96.36%), fair for 1 (1.81%) and poor for 1 (1.81%) in the postoperative long term. The survival rate of the implants was close to 95% at follow-up. Conclusions: Twelve years follow-up results of UKA through a minimally invasive exposure in young patients demonstrate predictably good outcomes. Permalink : ./index.php?lvl=notice_display&id=40657 [article] The Young Patient And The Medial Unicompartmental Knee Replacement [texte imprimé] / Omar FAOUR MARTÍN, Auteur ; Jose Antonio VALVERDE GARCÍA, Auteur ; Miguel Ángel MARTÍN FERRERO, Auteur . - 2015 . - p.283-288. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.283-288 Mots-clés : Knee  arthroplasty  prosthesis  gonarthrosis  osteoarthritis Résumé : Purpose: Younger patients with unicompartmental degenerative knee joint diseases present a therapeutic dilemma. The purpose of this study is to evaluate the long-term results of the Oxford phase III unicompartmental knee replacement through a minimally invasive approach in the young patient. Methods: We have studied a total of 51 patients (59 interventions) who underwent the Oxford Phase III Unicompartmental Knee Replacement. A clinical, radiographical and functional evaluation was performed twelve years after intervention. Results: According to the American Knee Society Score using Insall’s criteria overall results of unicompartmental knee arthroplasty showed an excellent or good outcome for 53 knees (96.36%), fair for 1 (1.81%) and poor for 1 (1.81%) in the postoperative long term. The survival rate of the implants was close to 95% at follow-up. Conclusions: Twelve years follow-up results of UKA through a minimally invasive exposure in young patients demonstrate predictably good outcomes. Permalink : ./index.php?lvl=notice_display&id=40657

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Injuries In Male Versus Female Soccer Players: Epidemiology Of A Nationwide Study / S. MUFTY in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.289-295 Titre : Injuries In Male Versus Female Soccer Players: Epidemiology Of A Nationwide Study Type de document : texte imprimé Auteurs : S. MUFTY, Auteur ; P. BOLLARS, Auteur ; L. VANLOMMEL, Auteur Année de publication : 2015 Article en page(s) : p.289-295 Langues : Anglais (eng) Mots-clés : Soccer injuries  female  epidemiology  gender Résumé : The aim of this study is to analyse soccer injuries on a national scale over one decade and to compare injury rates by gender. Detailed injury data obtained from the Royal Belgian Football Association from seasons 1999-2000 and 2009-2010 were recorded and gender differences in incidences of injuries, type of injury, affected body part and timing of injury were compared. A significant decrease in injuries from 7.56 to 5.96 injuries per 100 players was seen (p < 0.0001). Overall male players sustained more cont usions, fractures, joint dislocations and musculotendinous injuries than female players. Proportionally, females sustained more severe injuries than men (p < 0.0001). Significantly more injuries where sustained during competition in both males and females. The number of injuries in male and female soccer players has decreased over the past decade. A higher injury rate was seen in men but proportionally, females sustained more severe injuries. Permalink : ./index.php?lvl=notice_display&id=40658 [article] Injuries In Male Versus Female Soccer Players: Epidemiology Of A Nationwide Study [texte imprimé] / S. MUFTY, Auteur ; P. BOLLARS, Auteur ; L. VANLOMMEL, Auteur . - 2015 . - p.289-295. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.289-295 Mots-clés : Soccer injuries  female  epidemiology  gender Résumé : The aim of this study is to analyse soccer injuries on a national scale over one decade and to compare injury rates by gender. Detailed injury data obtained from the Royal Belgian Football Association from seasons 1999-2000 and 2009-2010 were recorded and gender differences in incidences of injuries, type of injury, affected body part and timing of injury were compared. A significant decrease in injuries from 7.56 to 5.96 injuries per 100 players was seen (p < 0.0001). Overall male players sustained more cont usions, fractures, joint dislocations and musculotendinous injuries than female players. Proportionally, females sustained more severe injuries than men (p < 0.0001). Significantly more injuries where sustained during competition in both males and females. The number of injuries in male and female soccer players has decreased over the past decade. A higher injury rate was seen in men but proportionally, females sustained more severe injuries. Permalink : ./index.php?lvl=notice_display&id=40658

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Treatment Of Mallet Fracture Using A Percutaneous Fixation Technique With An 18-Gauge Needle / Eun young RHA in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.296-302 Titre : Treatment Of Mallet Fracture Using A Percutaneous Fixation Technique With An 18-Gauge Needle Type de document : texte imprimé Auteurs : Eun young RHA, Auteur ; Min cheol LEE, Auteur ; Jung ho LEE, Auteur Année de publication : 2015 Article en page(s) : p.296-302 Langues : Anglais (eng) Mots-clés : Mallet fracture  closed reduction  needle Résumé : The purpose of this paper is to introduce a simple and intuitive treatment method using an 18-gauge needle for mallet fractures that involve more than one-third of the articular surface. We performed a retrospective review of 17 patients who underwent closed reduction using an 18-gauge needle with transfixation of Kirschner wire between March 2007 and October 2013. According to the Wehbe and Schneider classification, 15 cases were type IB, 1 was type IIB, and 1 was type IIC. The mean size of bony fragments at the time of injury was 53 percent of the articular surface of the distal phalanx. According to Crawford’s criteria, 6 of 17 patients had an excellent result, 9 had a good result and 2 had fair results. Our method of percutaneous reduction using an 18-gauge needle with transfixation of Kirschner wire is minimally invasive and is useful for the fixation of mallet fractures. Permalink : ./index.php?lvl=notice_display&id=40659 [article] Treatment Of Mallet Fracture Using A Percutaneous Fixation Technique With An 18-Gauge Needle [texte imprimé] / Eun young RHA, Auteur ; Min cheol LEE, Auteur ; Jung ho LEE, Auteur . - 2015 . - p.296-302. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.296-302 Mots-clés : Mallet fracture  closed reduction  needle Résumé : The purpose of this paper is to introduce a simple and intuitive treatment method using an 18-gauge needle for mallet fractures that involve more than one-third of the articular surface. We performed a retrospective review of 17 patients who underwent closed reduction using an 18-gauge needle with transfixation of Kirschner wire between March 2007 and October 2013. According to the Wehbe and Schneider classification, 15 cases were type IB, 1 was type IIB, and 1 was type IIC. The mean size of bony fragments at the time of injury was 53 percent of the articular surface of the distal phalanx. According to Crawford’s criteria, 6 of 17 patients had an excellent result, 9 had a good result and 2 had fair results. Our method of percutaneous reduction using an 18-gauge needle with transfixation of Kirschner wire is minimally invasive and is useful for the fixation of mallet fractures. Permalink : ./index.php?lvl=notice_display&id=40659

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A Retrospective Analysis Of Osteochondroma Of Scapula Following Excision Biopsy / T. SREENIVAS in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.303-307 Titre : A Retrospective Analysis Of Osteochondroma Of Scapula Following Excision Biopsy Type de document : texte imprimé Auteurs : T. SREENIVAS, Auteur ; N. RAVI KUMAR, Auteur ; A.R. NATARAJ, Auteur Année de publication : 2015 Article en page(s) : p.303-307 Langues : Anglais (eng) Mots-clés : Osteochondroma  scapula  UCLA scale  snapping scapula Résumé : Scapula is an uncommon site for osteochondroma. There is a paucity of information regarding postoperative complications, recurrence of osteochondroma, functional improvement. A retrospective analysis of 9 patients treated for osteochondroma scapula over a period of 4 years was undertaken to assess postoperative complications, recurrence, and functional improvement following excision biopsy for osteochondroma scapula. All patients of any age group who were diagnosed with osteochondroma scapula and treated with excision biopsy in the past 6 years were included in the study. Patients were followed up for recurrence, postoperative complications and functional assessment using modified UCLA shoulder rating scale. The mean age at presentation was 13.7 years. Boys were more commonly affected than girls with a male to female ratio of 7:2. There was no incidence of recurrence of osteochondroma, postoperative wound complications or functional limitation following excision biopsy of osteochondroma scapula. We conclude that preoperative functional restriction in osteochondroma of scapula is mainly due to location of tumour especially when present over ventral or ventromedial aspect scapula. After complete excision they do not cause any functional limitations. Permalink : ./index.php?lvl=notice_display&id=40660 [article] A Retrospective Analysis Of Osteochondroma Of Scapula Following Excision Biopsy [texte imprimé] / T. SREENIVAS, Auteur ; N. RAVI KUMAR, Auteur ; A.R. NATARAJ, Auteur . - 2015 . - p.303-307. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.303-307 Mots-clés : Osteochondroma  scapula  UCLA scale  snapping scapula Résumé : Scapula is an uncommon site for osteochondroma. There is a paucity of information regarding postoperative complications, recurrence of osteochondroma, functional improvement. A retrospective analysis of 9 patients treated for osteochondroma scapula over a period of 4 years was undertaken to assess postoperative complications, recurrence, and functional improvement following excision biopsy for osteochondroma scapula. All patients of any age group who were diagnosed with osteochondroma scapula and treated with excision biopsy in the past 6 years were included in the study. Patients were followed up for recurrence, postoperative complications and functional assessment using modified UCLA shoulder rating scale. The mean age at presentation was 13.7 years. Boys were more commonly affected than girls with a male to female ratio of 7:2. There was no incidence of recurrence of osteochondroma, postoperative wound complications or functional limitation following excision biopsy of osteochondroma scapula. We conclude that preoperative functional restriction in osteochondroma of scapula is mainly due to location of tumour especially when present over ventral or ventromedial aspect scapula. After complete excision they do not cause any functional limitations. Permalink : ./index.php?lvl=notice_display&id=40660

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Measurement Of Ulnar Variance And Radial Inclination On X-Rays Of Healed Distal Radius Fractures. With The Axis Of The Distal Radius Or Ulna ? / Gilles THUYSBAERT in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.308-314 Titre : Measurement Of Ulnar Variance And Radial Inclination On X-Rays Of Healed Distal Radius Fractures. With The Axis Of The Distal Radius Or Ulna ? Type de document : texte imprimé Auteurs : Gilles THUYSBAERT, Auteur ; Akkie RINGBURG, Auteur ; Steven Petronilia, Auteur Année de publication : 2015 Article en page(s) : p.308-314 Langues : Anglais (eng) Mots-clés : Radiological parameters  distal radius fracture  ulnar variance  radial inclination Résumé : Ulnar variance and radial inclination are radiological parameters frequently used to evaluate displacement of distal radius fractures. In most studies measurements are based on the long central axis of the distal radius, although the axis of the distal ulna can also be used. The purpose of this study was to determine which axis is more reliable. Four observers performed measurements on standard anteroposterior digital wrist X-rays of 20 patients taken 1 and 2 months after sustaining an extra-articular distal radius fracture. Intraobserver reliability was similar with both methods. No difference was found in interobserver reliability between both methods for ulnar variance, but for radial inclination it was better with the axis through the radius. Measurements on two X-rays of the same wrist taken at a different moment were similar with both methods. It can be concluded that the central axis of the distal radius can remain the basis to determine ulnar variance and radial inclination. Permalink : ./index.php?lvl=notice_display&id=40661 [article] Measurement Of Ulnar Variance And Radial Inclination On X-Rays Of Healed Distal Radius Fractures. With The Axis Of The Distal Radius Or Ulna ? [texte imprimé] / Gilles THUYSBAERT, Auteur ; Akkie RINGBURG, Auteur ; Steven Petronilia, Auteur . - 2015 . - p.308-314. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.308-314 Mots-clés : Radiological parameters  distal radius fracture  ulnar variance  radial inclination Résumé : Ulnar variance and radial inclination are radiological parameters frequently used to evaluate displacement of distal radius fractures. In most studies measurements are based on the long central axis of the distal radius, although the axis of the distal ulna can also be used. The purpose of this study was to determine which axis is more reliable. Four observers performed measurements on standard anteroposterior digital wrist X-rays of 20 patients taken 1 and 2 months after sustaining an extra-articular distal radius fracture. Intraobserver reliability was similar with both methods. No difference was found in interobserver reliability between both methods for ulnar variance, but for radial inclination it was better with the axis through the radius. Measurements on two X-rays of the same wrist taken at a different moment were similar with both methods. It can be concluded that the central axis of the distal radius can remain the basis to determine ulnar variance and radial inclination. Permalink : ./index.php?lvl=notice_display&id=40661

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Platelet-Rich-Plasma Injection Seems To Be Effective In Treatment Of Plantar Fasciitis : A Case Series / Jeroen C. VAN EGMOND in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.315-320 Titre : Platelet-Rich-Plasma Injection Seems To Be Effective In Treatment Of Plantar Fasciitis : A Case Series Type de document : texte imprimé Auteurs : Jeroen C. VAN EGMOND, Auteur ; Stefan J.M. BREUGEM, Auteur ; Marcel DRIESSEN, Auteur Année de publication : 2015 Article en page(s) : p.315-320 Langues : Anglais (eng) Mots-clés : Platelet-rich-plasma  plantar fasciitis  tendon disorder  plantar fascia Résumé : Plantar fasciitis is the most common cause of heel pain. Diverse non-operative treatment options are available. The purpose of this study was to determine if a single platelet-rich-plasma injection at the origin of the plantar fascia in patients with plantar fasciitis gives a functional improvement. Patients with plantar fasciitis and failed conservative treatment were included in this retrospective study. Included patients were sent four questionnaires after platelet-rich-plasma injection. Primary outcome is functional improvement, determined by foot function index in which lower scores correlates with a better foot function. A total of 61 feet in 58 patients were included. The median foot function index before treatment was 69.4 and after treatment 31.8, which is a significant decrease. In 80.3% of the patients the foot function index decreased. Therefore platelet-rich-plasma injection seems to be effective in treatment of patients with plantar fasciitis when conservative treatment failed. Permalink : ./index.php?lvl=notice_display&id=40662 [article] Platelet-Rich-Plasma Injection Seems To Be Effective In Treatment Of Plantar Fasciitis : A Case Series [texte imprimé] / Jeroen C. VAN EGMOND, Auteur ; Stefan J.M. BREUGEM, Auteur ; Marcel DRIESSEN, Auteur . - 2015 . - p.315-320. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.315-320 Mots-clés : Platelet-rich-plasma  plantar fasciitis  tendon disorder  plantar fascia Résumé : Plantar fasciitis is the most common cause of heel pain. Diverse non-operative treatment options are available. The purpose of this study was to determine if a single platelet-rich-plasma injection at the origin of the plantar fascia in patients with plantar fasciitis gives a functional improvement. Patients with plantar fasciitis and failed conservative treatment were included in this retrospective study. Included patients were sent four questionnaires after platelet-rich-plasma injection. Primary outcome is functional improvement, determined by foot function index in which lower scores correlates with a better foot function. A total of 61 feet in 58 patients were included. The median foot function index before treatment was 69.4 and after treatment 31.8, which is a significant decrease. In 80.3% of the patients the foot function index decreased. Therefore platelet-rich-plasma injection seems to be effective in treatment of patients with plantar fasciitis when conservative treatment failed. Permalink : ./index.php?lvl=notice_display&id=40662

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Evaluation Of Current Treatment Techniques For Distal Radius Fractures Amongst Belgian Orthopaedic Surgeons / D.E.C. VAN SCHAIK in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.321-326 Titre : Evaluation Of Current Treatment Techniques For Distal Radius Fractures Amongst Belgian Orthopaedic Surgeons Type de document : texte imprimé Auteurs : D.E.C. VAN SCHAIK, Auteur ; C.K. GOORENS, Auteur ; P. WERNAERS, Auteur Année de publication : 2015 Article en page(s) : p.321-326 Langues : Anglais (eng) Mots-clés : Distal radius fracture  questionnaire Résumé : This online questionnaire was initiated to investigate if a consensus on the treatment of distal radius fractures amongst orthopaedic surgeons in Belgium exist. Two cases were presented: an extra-articular fracture, with dorsal displacement (Frykman type I) and a displaced intra-articular fracture (Frykman type VII). Treatment of choice and rationale of choice were investigated. 158 responses were collected. In case of a Frykman type I, the majority of surgeons would have performed a closed reduction and intrafocal K-wiring (37.3%) or volar plating (34.8%). In case of a Frykman type VII, volar plating was the primary treatment of choice (66.5%), closed reduction and K-wiring was chosen in 24.7% and external fixation in 4.4%. We cannot conclude on a consensus in treatment choice amongst Belgian orthopaedic surgeons. Compared to previous research, an increase in the use of volar plating in intra- as well as in extraarticular distal radius fractures was noticed. Permalink : ./index.php?lvl=notice_display&id=40663 [article] Evaluation Of Current Treatment Techniques For Distal Radius Fractures Amongst Belgian Orthopaedic Surgeons [texte imprimé] / D.E.C. VAN SCHAIK, Auteur ; C.K. GOORENS, Auteur ; P. WERNAERS, Auteur . - 2015 . - p.321-326. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.321-326 Mots-clés : Distal radius fracture  questionnaire Résumé : This online questionnaire was initiated to investigate if a consensus on the treatment of distal radius fractures amongst orthopaedic surgeons in Belgium exist. Two cases were presented: an extra-articular fracture, with dorsal displacement (Frykman type I) and a displaced intra-articular fracture (Frykman type VII). Treatment of choice and rationale of choice were investigated. 158 responses were collected. In case of a Frykman type I, the majority of surgeons would have performed a closed reduction and intrafocal K-wiring (37.3%) or volar plating (34.8%). In case of a Frykman type VII, volar plating was the primary treatment of choice (66.5%), closed reduction and K-wiring was chosen in 24.7% and external fixation in 4.4%. We cannot conclude on a consensus in treatment choice amongst Belgian orthopaedic surgeons. Compared to previous research, an increase in the use of volar plating in intra- as well as in extraarticular distal radius fractures was noticed. Permalink : ./index.php?lvl=notice_display&id=40663

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A Descriptive Study On The Surgery And The Microbiology Of Gustilo Type III Fractures In An University Hospital In Switzerland / Erlangga YUSUF in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.327-332 Titre : A Descriptive Study On The Surgery And The Microbiology Of Gustilo Type III Fractures In An University Hospital In Switzerland Type de document : texte imprimé Auteurs : Erlangga YUSUF, Auteur ; Julia STEINRÜCKEN, Auteur ; Thomas BUCHEGGER, Auteur Année de publication : 2015 Article en page(s) : p.327-332 Langues : Anglais (eng) Mots-clés : Trauma  open fracture  infection  microbiology  antibiotic prophylaxis Résumé : Objective: To describe the epidemiology, the surgical treatment, the microbiology, the antibiotic prophylaxis and the outcome of patients with the most severe type of open fractures. Methods: Retrospective chart reviews of patients with Gustilo type III open fracture admitted to an university hospital in Switzerland between January 2007 and December 2011. The patient’s and fracture’s characteristics, surgery, antibiotic prophylaxis, and microbiology findings at the initial and at the revision surgery were described. Results: Thirty patients were included (83% male, mean age 41 years). More than half of the patients had polytrauma. In all patients, debridement and stabilization surgery (70% using external fixation) were performed at admission. Soft tissue reconstruction was performed in 87% and in 23% immediate bone graft was performed. Antibiotic prophylaxis were given in all patients for a median duration of 9 days (60% received amoxicillin/clavulanic acid). Positive bacterial culture was found in 53% of the patients at initial surgery and in 88% at revision surgery. At initial and revision surgery, 47% and 88% of the pathogens were amoxicillin/clavulanic acid-resistant. Treatment outcome was favorable in 24 of 30 patients (80%) and in six cases (20%) an amputation had to be performed. None of the patients had chronic bone infection. Conclusions: Positive cultures were found often in open fractures. Amoxicillin/clavulanic acid which is often mentioned in many guidelines as prophylaxis in open fractures does not cover the most common isolated organisms. The combination of surgery and antibiotic prophylaxis leads to good outcome in Gustilo type III fracture. Permalink : ./index.php?lvl=notice_display&id=40664 [article] A Descriptive Study On The Surgery And The Microbiology Of Gustilo Type III Fractures In An University Hospital In Switzerland [texte imprimé] / Erlangga YUSUF, Auteur ; Julia STEINRÜCKEN, Auteur ; Thomas BUCHEGGER, Auteur . - 2015 . - p.327-332. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.327-332 Mots-clés : Trauma  open fracture  infection  microbiology  antibiotic prophylaxis Résumé : Objective: To describe the epidemiology, the surgical treatment, the microbiology, the antibiotic prophylaxis and the outcome of patients with the most severe type of open fractures. Methods: Retrospective chart reviews of patients with Gustilo type III open fracture admitted to an university hospital in Switzerland between January 2007 and December 2011. The patient’s and fracture’s characteristics, surgery, antibiotic prophylaxis, and microbiology findings at the initial and at the revision surgery were described. Results: Thirty patients were included (83% male, mean age 41 years). More than half of the patients had polytrauma. In all patients, debridement and stabilization surgery (70% using external fixation) were performed at admission. Soft tissue reconstruction was performed in 87% and in 23% immediate bone graft was performed. Antibiotic prophylaxis were given in all patients for a median duration of 9 days (60% received amoxicillin/clavulanic acid). Positive bacterial culture was found in 53% of the patients at initial surgery and in 88% at revision surgery. At initial and revision surgery, 47% and 88% of the pathogens were amoxicillin/clavulanic acid-resistant. Treatment outcome was favorable in 24 of 30 patients (80%) and in six cases (20%) an amputation had to be performed. None of the patients had chronic bone infection. Conclusions: Positive cultures were found often in open fractures. Amoxicillin/clavulanic acid which is often mentioned in many guidelines as prophylaxis in open fractures does not cover the most common isolated organisms. The combination of surgery and antibiotic prophylaxis leads to good outcome in Gustilo type III fracture. Permalink : ./index.php?lvl=notice_display&id=40664

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Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison / Qidong ZHANG in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.333-339 Titre : Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison Type de document : texte imprimé Auteurs : Qidong ZHANG, Auteur ; Wanshou GUO, Auteur ; Zhaohui LIU, Auteur Année de publication : 2015 Article en page(s) : p.333-339 Langues : Anglais (eng) Mots-clés : Unicompartmental knee arthroplasty  spontaneous osteonecrosis of the knee  osteoarthritis  minimally invasive  medial unicompartment Résumé : This study was conducted to compare the differences of the outcome and surgical technique for minimally invasive unicompartmental knee arthroplasty(UKA) in treatment of osteonecrosis versus osteoarthritis. Twenty-nine spontaneous osteonecrosis of the knee (SONK) cases were reviewed retrospectively. An equal number of patients with osteoarthritis (OA) performed in the same period were selected and matched with respect to age, preoperative range of motion and radiological grade of knee arthrosis. The mean follow up time were 44.14 ± 14.05 and 44.45 ± 14.45 months, respectively. The preoperative hospital for special surgery knee score and visual analogue score were significantly better in group OA than those of group SONK. However, the results were comparable in terms of postoperative pain, knee score, range of motion and axial alignment. From a technical point of view, the osteonecrosis stage and bone defect must be taken into account when using UKA for SONK. Permalink : ./index.php?lvl=notice_display&id=40665 [article] Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison [texte imprimé] / Qidong ZHANG, Auteur ; Wanshou GUO, Auteur ; Zhaohui LIU, Auteur . - 2015 . - p.333-339. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.333-339 Mots-clés : Unicompartmental knee arthroplasty  spontaneous osteonecrosis of the knee  osteoarthritis  minimally invasive  medial unicompartment Résumé : This study was conducted to compare the differences of the outcome and surgical technique for minimally invasive unicompartmental knee arthroplasty(UKA) in treatment of osteonecrosis versus osteoarthritis. Twenty-nine spontaneous osteonecrosis of the knee (SONK) cases were reviewed retrospectively. An equal number of patients with osteoarthritis (OA) performed in the same period were selected and matched with respect to age, preoperative range of motion and radiological grade of knee arthrosis. The mean follow up time were 44.14 ± 14.05 and 44.45 ± 14.45 months, respectively. The preoperative hospital for special surgery knee score and visual analogue score were significantly better in group OA than those of group SONK. However, the results were comparable in terms of postoperative pain, knee score, range of motion and axial alignment. From a technical point of view, the osteonecrosis stage and bone defect must be taken into account when using UKA for SONK. Permalink : ./index.php?lvl=notice_display&id=40665

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Preventing Mechanical Complications Of Hip Spacer Implantation: Technical Tips And Pearls / Pedro BARREIRA in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.344-348 Titre : Preventing Mechanical Complications Of Hip Spacer Implantation: Technical Tips And Pearls Type de document : texte imprimé Auteurs : Pedro BARREIRA, Auteur ; Pedro LEITE, Auteur ; Pedro NEVES, Auteur Année de publication : 2015 Article en page(s) : p.344-348 Langues : Anglais (eng) Mots-clés : Arthroplasty, replacement, hip  prosthesisrelated infections  postoperative complications  bone cements Résumé : Periprosthetic joint infection is a frequent complication after total hip replacement. Two-stage exchange with the use of a temporary cement spacer is commonplace. Several complications are possible with its use. In addition to infection persistence, mechanical complications such as dislocation or fractures are among the most common. Several risk factors can and should be addressed during first stage or spacer implantation surgery in order to minimize complications. Technical aspects as well as practical tips and pearls to overcome common nuisances such as spacer instability or femoral and acetabular bone loss will be discussed. Permalink : ./index.php?lvl=notice_display&id=40666 [article] Preventing Mechanical Complications Of Hip Spacer Implantation: Technical Tips And Pearls [texte imprimé] / Pedro BARREIRA, Auteur ; Pedro LEITE, Auteur ; Pedro NEVES, Auteur . - 2015 . - p.344-348. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.344-348 Mots-clés : Arthroplasty, replacement, hip  prosthesisrelated infections  postoperative complications  bone cements Résumé : Periprosthetic joint infection is a frequent complication after total hip replacement. Two-stage exchange with the use of a temporary cement spacer is commonplace. Several complications are possible with its use. In addition to infection persistence, mechanical complications such as dislocation or fractures are among the most common. Several risk factors can and should be addressed during first stage or spacer implantation surgery in order to minimize complications. Technical aspects as well as practical tips and pearls to overcome common nuisances such as spacer instability or femoral and acetabular bone loss will be discussed. Permalink : ./index.php?lvl=notice_display&id=40666

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