Centre de Documentation Campus Montignies
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Mardi : 8h-17h30
Mercredi 9h-16h30
Jeudi : 8h30-18h30
Vendredi : 8h30-12h30 et 13h-14h30
Votre centre de documentation sera exceptionnellement fermé de 12h30 à 13h ce lundi 18 novembre.
Egalement, il sera fermé de 12h30 à 13h30 ce mercredi 20 novembre.
Bienvenue sur le catalogue du centre de documentation du campus de Montignies.
Mention de date : Décembre 2015
Paru le : 01/12/2015
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
Unicompartmental knee replacement in the elderly : a systematic review |
| Type de document : |
texte imprimé |
| Auteurs : |
Alan Howieson ; William Farrington |
| Année de publication : |
2015 |
| Article en page(s) : |
p.565-571 |
| Langues : |
Anglais (eng) |
| Résumé : |
Unicompartmental knee replacement in the elderly may be associated with a better outcome than total knee replacement. The purpose of this review was to assess the clinical outcome in patients over the age of 70. A computerised search was performed using Pubmed and Embase. Quality assessment was performed using the Newcastle-Ottawa Scale. Eligible studies were identified according to defined criteria and reviewed in terms of peri-operative events, functional outcome and long-term results. 20 studies, representing a minimum of 2956 knees were included. There was a significant increase in the knee society score in the majority of studies to 89.5 (objective) and 80 (function) and the median range of motion (ROM) achieved was 115 degrees. There was no peri-operative mortality and the 10 year prosthesis survival rate was 87.5-98% Revision for periprosthetic infection was low at 0.13-0.30% |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.565-571
[article] Unicompartmental knee replacement in the elderly : a systematic review [texte imprimé] / Alan Howieson ; William Farrington . - 2015 . - p.565-571. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.565-571
| Résumé : |
Unicompartmental knee replacement in the elderly may be associated with a better outcome than total knee replacement. The purpose of this review was to assess the clinical outcome in patients over the age of 70. A computerised search was performed using Pubmed and Embase. Quality assessment was performed using the Newcastle-Ottawa Scale. Eligible studies were identified according to defined criteria and reviewed in terms of peri-operative events, functional outcome and long-term results. 20 studies, representing a minimum of 2956 knees were included. There was a significant increase in the knee society score in the majority of studies to 89.5 (objective) and 80 (function) and the median range of motion (ROM) achieved was 115 degrees. There was no peri-operative mortality and the 10 year prosthesis survival rate was 87.5-98% Revision for periprosthetic infection was low at 0.13-0.30% |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
Communication between Health Care Professionals and Chronic Pain Patients : Time to change the “Pain Game” |
| Type de document : |
texte imprimé |
| Auteurs : |
Patricia Lavand'Homme |
| Année de publication : |
2015 |
| Article en page(s) : |
p.572-577 |
| Langues : |
Anglais (eng) |
| Résumé : |
Patient satisfaction is currently used as a comparative measure to evaluate the quality of health care programs. This seems the best way to evaluate results although an important discordance might exist between patient’s perception and doctor’s opinion regarding satisfactory outcome after surgery, including that after joint replacement. Pain remains a major cause of dissatisfaction for many patients. To understand the meaning of pain, i.e. “why does pain hurt” in some patients but not in other ones, and to decipher patient’s pain expression is a key feature of patientdoctor communication. Questionnaires based on patient’s personality traits (integrated and comprehensive reflection of psychological traits) are still underused but might help the doctors to get closer to their patients and understand them better. Besides the source of the relationship, dysfunction should not be attributed only to the person with pain, as the lack of doctors’ training to capture and understand the psycho-social dimensions of pain can be pointed out too. Failure to address the psycho-social dimensions of patient’s pain and suffering, a skill which relies on patients-doctor communication, represents a major socio-economic problem as it may negatively impact postoperative outcome both in terms of poor management of treatment failure and in term of poor prediction of surgical outcome. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.572-577
[article] Communication between Health Care Professionals and Chronic Pain Patients : Time to change the “Pain Game” [texte imprimé] / Patricia Lavand'Homme . - 2015 . - p.572-577. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.572-577
| Résumé : |
Patient satisfaction is currently used as a comparative measure to evaluate the quality of health care programs. This seems the best way to evaluate results although an important discordance might exist between patient’s perception and doctor’s opinion regarding satisfactory outcome after surgery, including that after joint replacement. Pain remains a major cause of dissatisfaction for many patients. To understand the meaning of pain, i.e. “why does pain hurt” in some patients but not in other ones, and to decipher patient’s pain expression is a key feature of patientdoctor communication. Questionnaires based on patient’s personality traits (integrated and comprehensive reflection of psychological traits) are still underused but might help the doctors to get closer to their patients and understand them better. Besides the source of the relationship, dysfunction should not be attributed only to the person with pain, as the lack of doctors’ training to capture and understand the psycho-social dimensions of pain can be pointed out too. Failure to address the psycho-social dimensions of patient’s pain and suffering, a skill which relies on patients-doctor communication, represents a major socio-economic problem as it may negatively impact postoperative outcome both in terms of poor management of treatment failure and in term of poor prediction of surgical outcome. |
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./index.php?lvl=notice_display&id=42336 |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
The role of other stakeholders than the surgeon in relation to surgical site infections following total joint replacement |
| Type de document : |
texte imprimé |
| Auteurs : |
Bart Stuyts ; Elke Van den Eeden ; Peter Fennema |
| Année de publication : |
2015 |
| Article en page(s) : |
p.578-586 |
| Langues : |
Anglais (eng) |
| Résumé : |
In contemporary orthopaedics, surgical site infections (SSIs) can have significant negative consequences for both patients and the healthcare system overall. To date, most efforts at combating the risk of SSIs have focused on the role of the surgeon, yet recent data suggest that a more expansive approach is warranted. The current review offers an overview of the most-relevant factors associated with SSIs in orthopaedic surgery, and the crucial role that the full surgical staff can play in addressing them.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.578-586
[article] The role of other stakeholders than the surgeon in relation to surgical site infections following total joint replacement [texte imprimé] / Bart Stuyts ; Elke Van den Eeden ; Peter Fennema . - 2015 . - p.578-586. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.578-586
| Résumé : |
In contemporary orthopaedics, surgical site infections (SSIs) can have significant negative consequences for both patients and the healthcare system overall. To date, most efforts at combating the risk of SSIs have focused on the role of the surgeon, yet recent data suggest that a more expansive approach is warranted. The current review offers an overview of the most-relevant factors associated with SSIs in orthopaedic surgery, and the crucial role that the full surgical staff can play in addressing them.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
The impact of patellofemoral arthritis on unicompartmental knee arthroplasty |
| Type de document : |
texte imprimé |
| Auteurs : |
Jiaji Yue ; Li Zhang ; Chunxi Yang |
| Année de publication : |
2015 |
| Article en page(s) : |
p.578-593 |
| Langues : |
Anglais (eng) |
| Résumé : |
Unicompartmental knee arthroplasty (UKA) is an efficient surgical treatment for osteoarthritis or avascular osteonecrosis by resurfacing the medial or lateral compartment of the tibiofemoral joint. If compared to total knee arthroplasty (TKA), UKA can reach the same long-term curative effect, but superiority in less invasive soft tissue dissection, preservation of bone stock, minimal blood loss, faster post-operative rehabilitation and less complications. For the last 15 years, the Oxford Knee phase 3 has been implanted through a minimally invasive approach, and multicenter studies using this approach have reported high survival rates at long-term follow-up. Up to now, UKA has accounted for a significant portion of the patients who need knee replacement. However, there remain some controversies on UKA indications, such as the debate regarding associated patellofemoral arthritis as a contraindication for UKA. As clear indications for UKA are usually rare, surgeon’s experience seems to be the key factor for a successful selection of patients. Better understanding of indications may add to improved outcome of UKA. This narrative review aims to summarize the current pros and cons to eliminate patellofemoral arthritis (PFA) as a contraindication for UKA. |
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./index.php?lvl=notice_display&id=42338 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.578-593
[article] The impact of patellofemoral arthritis on unicompartmental knee arthroplasty [texte imprimé] / Jiaji Yue ; Li Zhang ; Chunxi Yang . - 2015 . - p.578-593. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.578-593
| Résumé : |
Unicompartmental knee arthroplasty (UKA) is an efficient surgical treatment for osteoarthritis or avascular osteonecrosis by resurfacing the medial or lateral compartment of the tibiofemoral joint. If compared to total knee arthroplasty (TKA), UKA can reach the same long-term curative effect, but superiority in less invasive soft tissue dissection, preservation of bone stock, minimal blood loss, faster post-operative rehabilitation and less complications. For the last 15 years, the Oxford Knee phase 3 has been implanted through a minimally invasive approach, and multicenter studies using this approach have reported high survival rates at long-term follow-up. Up to now, UKA has accounted for a significant portion of the patients who need knee replacement. However, there remain some controversies on UKA indications, such as the debate regarding associated patellofemoral arthritis as a contraindication for UKA. As clear indications for UKA are usually rare, surgeon’s experience seems to be the key factor for a successful selection of patients. Better understanding of indications may add to improved outcome of UKA. This narrative review aims to summarize the current pros and cons to eliminate patellofemoral arthritis (PFA) as a contraindication for UKA. |
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./index.php?lvl=notice_display&id=42338 |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
Arthroplasty Registries, Patient Safety and Outlier Surgeons : the case for change |
| Type de document : |
texte imprimé |
| Auteurs : |
Justin Cobb |
| Année de publication : |
2015 |
| Article en page(s) : |
p.594-599 |
| Langues : |
Anglais (eng) |
| Résumé : |
Joint registries were created to follow-up on the failure rate of different types of joint replacements. Since the only end-point is revision to another implant the registries are missing out today on essential data informing us about patients’ outcome. Ideally, a modern and complete registry should capture 3 strata of data : 1) patient reported outcomes including both function and activity levels from before and after surgery, 2) morbidity including infection rates and mortality related to surgery, and 3) the cost of consecutive revision surgery. A modern knee specialist offering conservative solutions for defined problems enabling return to higher level activities may be reported as an outlier surgeon by registries today. |
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./index.php?lvl=notice_display&id=42339 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.594-599
[article] Arthroplasty Registries, Patient Safety and Outlier Surgeons : the case for change [texte imprimé] / Justin Cobb . - 2015 . - p.594-599. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.594-599
| Résumé : |
Joint registries were created to follow-up on the failure rate of different types of joint replacements. Since the only end-point is revision to another implant the registries are missing out today on essential data informing us about patients’ outcome. Ideally, a modern and complete registry should capture 3 strata of data : 1) patient reported outcomes including both function and activity levels from before and after surgery, 2) morbidity including infection rates and mortality related to surgery, and 3) the cost of consecutive revision surgery. A modern knee specialist offering conservative solutions for defined problems enabling return to higher level activities may be reported as an outlier surgeon by registries today. |
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./index.php?lvl=notice_display&id=42339 |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Unfolding the Remarkable Orthopedic Surgeon : How to unleash the quest for excellence and the sense of caring |
| Type de document : |
texte imprimé |
| Auteurs : |
Philippe Rosinski ; Emmanuel Thienpont |
| Année de publication : |
2015 |
| Article en page(s) : |
p.600-608 |
| Langues : |
Anglais (eng) |
| Résumé : |
Orthopedic surgery is a challenging profession, both at the diagnostic and therapeutic level. Successful treatment of patients requires teamwork with different stakeholders, with various personalities and motives. Coping with the stress of the quest for the ultimate surgical result might not be easy for everyone. While some surgeons see their activities as a job or at best as a career, others who face similar difficulties seem to respond to a higher calling. They are the ones striving for continuous improvement and excellence, and are committed to serving their patients with a deep sense of caring. In this article, we introduce a surgeon typology based on these two variables. We also introduce global coaching as a novel approach to help surgeons on this potentially transformational journey. We focus on the qualities that global coaching can help to develop as well as briefly mention some of the models and tools that can be called upon. Evidence from the Harvard Grant longitudinal study confirms that humans continue to develop during their adulthood and suggests that the following hypothesis is likely to be accurate: remarkable surgeons committed to technical excellence and caring deeply for their patients are likely to be most successful both in their careers and in their lives. If necessary, surgeons have a chance, a choice and a responsibility to change course, to reconnect with their profession and to establish more intimate relationships with their patients, colleagues as well as in their personal lives. By growing into becoming remarkable surgeons, they will serve others as well as themselves. |
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./index.php?lvl=notice_display&id=42340 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.600-608
[article] Unfolding the Remarkable Orthopedic Surgeon : How to unleash the quest for excellence and the sense of caring [texte imprimé] / Philippe Rosinski ; Emmanuel Thienpont . - 2015 . - p.600-608. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.600-608
| Résumé : |
Orthopedic surgery is a challenging profession, both at the diagnostic and therapeutic level. Successful treatment of patients requires teamwork with different stakeholders, with various personalities and motives. Coping with the stress of the quest for the ultimate surgical result might not be easy for everyone. While some surgeons see their activities as a job or at best as a career, others who face similar difficulties seem to respond to a higher calling. They are the ones striving for continuous improvement and excellence, and are committed to serving their patients with a deep sense of caring. In this article, we introduce a surgeon typology based on these two variables. We also introduce global coaching as a novel approach to help surgeons on this potentially transformational journey. We focus on the qualities that global coaching can help to develop as well as briefly mention some of the models and tools that can be called upon. Evidence from the Harvard Grant longitudinal study confirms that humans continue to develop during their adulthood and suggests that the following hypothesis is likely to be accurate: remarkable surgeons committed to technical excellence and caring deeply for their patients are likely to be most successful both in their careers and in their lives. If necessary, surgeons have a chance, a choice and a responsibility to change course, to reconnect with their profession and to establish more intimate relationships with their patients, colleagues as well as in their personal lives. By growing into becoming remarkable surgeons, they will serve others as well as themselves. |
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./index.php?lvl=notice_display&id=42340 |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
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[article]
| Titre : |
Effect of patellar denervation on mid-term results after non-resurfaced total knee arthroplasty : A randomised, controlled trial |
| Type de document : |
texte imprimé |
| Auteurs : |
Abdullah Alomran |
| Année de publication : |
2015 |
| Article en page(s) : |
p.609-613 |
| Langues : |
Anglais (eng) |
| Résumé : |
Aim of this study is to determine the clinical effect of circumpatellar electrocautery on cases undergoing non-resurfaced total knee arthroplasty. Patients and methods : 184 patients undergoing nonresurfaced total knee arthroplasty were included and randomized into two, patient and outcome assessorblinded, parallel groups : 92 patient in denervation group & 92 patients in no-denervation group. Preoperative and final most recent follow up’s Western Ontario McMaster score and anterior knee pain rating were used for statistical analysis. Results : There was no statistically significant difference between both groups preoperatively in anterior knee pain, WOMAC score, or range of motion. While on all the three parameters there was a statistically significant difference in improvement in favor of denervation group. Discussion : Our study demonstrated that post-operative functional score and anterior knee pain score were significantly better in electrocauterised group. This shows that patellar denervation significantly improve clinical outcome and decreased anterior knee pain in NR-TKA.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.609-613
[article] Effect of patellar denervation on mid-term results after non-resurfaced total knee arthroplasty : A randomised, controlled trial [texte imprimé] / Abdullah Alomran . - 2015 . - p.609-613. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.609-613
| Résumé : |
Aim of this study is to determine the clinical effect of circumpatellar electrocautery on cases undergoing non-resurfaced total knee arthroplasty. Patients and methods : 184 patients undergoing nonresurfaced total knee arthroplasty were included and randomized into two, patient and outcome assessorblinded, parallel groups : 92 patient in denervation group & 92 patients in no-denervation group. Preoperative and final most recent follow up’s Western Ontario McMaster score and anterior knee pain rating were used for statistical analysis. Results : There was no statistically significant difference between both groups preoperatively in anterior knee pain, WOMAC score, or range of motion. While on all the three parameters there was a statistically significant difference in improvement in favor of denervation group. Discussion : Our study demonstrated that post-operative functional score and anterior knee pain score were significantly better in electrocauterised group. This shows that patellar denervation significantly improve clinical outcome and decreased anterior knee pain in NR-TKA.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Prepatellar Friction Syndrome : a common cause of knee pain in the elite cyclist |
| Type de document : |
texte imprimé |
| Auteurs : |
Tom Claes ; Steven Claes ; Jeoffrey De Roeck |
| Année de publication : |
2015 |
| Article en page(s) : |
p.614-619 |
| Langues : |
Anglais (eng) |
| Résumé : |
Background : Although anterior knee pain is extremely common in high-level road cyclists, the exact etiology still remains unclear. Methods : A group of 28 professional male elite cyclists diagnosed with Prepatellar Friction Syndrome (PPFS) were retrospectively reviewed with specific attention for the typical history, clinical findings and treatment modalities. Results : A traumatic onset of the complaints was reported by 10 athletes, while the complaints were caused by chronic overuse in the remaining 18 subjects. Conservative treatment delivered poor results and all cases were eventually treated surgically. Surgery confirmed macroscopic damage to at least one prepatellar fascial layer in all patients, after which partial fasciectomy was performed through a mini incision. Conclusion : PPFS is a new clinical entity of the triple-layered prepatellar fascial structures. Correct diagnosis is critical and based on the typical history and clinical findings. Partial prepatellar fasciectomy is the treatment of choice in order to regain the preinjury performance level. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.614-619
[article] Prepatellar Friction Syndrome : a common cause of knee pain in the elite cyclist [texte imprimé] / Tom Claes ; Steven Claes ; Jeoffrey De Roeck . - 2015 . - p.614-619. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.614-619
| Résumé : |
Background : Although anterior knee pain is extremely common in high-level road cyclists, the exact etiology still remains unclear. Methods : A group of 28 professional male elite cyclists diagnosed with Prepatellar Friction Syndrome (PPFS) were retrospectively reviewed with specific attention for the typical history, clinical findings and treatment modalities. Results : A traumatic onset of the complaints was reported by 10 athletes, while the complaints were caused by chronic overuse in the remaining 18 subjects. Conservative treatment delivered poor results and all cases were eventually treated surgically. Surgery confirmed macroscopic damage to at least one prepatellar fascial layer in all patients, after which partial fasciectomy was performed through a mini incision. Conclusion : PPFS is a new clinical entity of the triple-layered prepatellar fascial structures. Correct diagnosis is critical and based on the typical history and clinical findings. Partial prepatellar fasciectomy is the treatment of choice in order to regain the preinjury performance level. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Selective Methicillin-Resistant Staphylococcus Aureus (MRSA) screening of a high risk population does not adequately detect MRSA carriers within a country with low MRSA prevalence |
| Type de document : |
texte imprimé |
| Auteurs : |
Solange de Wouters ; Jérémy Daxhelet ; Ludovic Kaminski |
| Année de publication : |
2015 |
| Article en page(s) : |
p.620-628 |
| Langues : |
Anglais (eng) |
| Résumé : |
Background : Methicillin-Resistant Staphylococcus Aureus (MRSA) has been widely recognized as a serious problem in hospital settings. The purpose of this study is to evaluate the predictive value of MRSA colonization factors in the detection of MRSA carriers in an orthopedic ward. Materials and Methods : A systematic MRSA detection strategy was set up to assess the predictive value of MRSA colonization factors among 554 patients undergoing elective knee arthroplasty. Results : In total 116 patients were found positive for Staphylococcus Aureus ; among those 110/116 patients were found positive for Methicillin-Sensitive Staphylococcus Aureus (MSSA) and 6/116 for MRSA. Only one patient out of six presented two risk factors according to MRSA risk factors. In this study, no correlation was found between the remaining conventional risk factors, according to Belgian guidelines, defined to target high-risk populations and to identify MRSA carriers. Conclusions : Established criteria for selective MRSA screening do not allow detecting MRSA carriers. The objective of detecting MRSA carriers is not correctly met by the actual applied criteria (Belgian consensus) for a selective screening policy. Future studies should aim at identifying the right risk factors, depending of the country’s prevalence of MRSA, to improve the ability to predict the risk of MRSA carriage at hospital admission. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.620-628
[article] Selective Methicillin-Resistant Staphylococcus Aureus (MRSA) screening of a high risk population does not adequately detect MRSA carriers within a country with low MRSA prevalence [texte imprimé] / Solange de Wouters ; Jérémy Daxhelet ; Ludovic Kaminski . - 2015 . - p.620-628. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.620-628
| Résumé : |
Background : Methicillin-Resistant Staphylococcus Aureus (MRSA) has been widely recognized as a serious problem in hospital settings. The purpose of this study is to evaluate the predictive value of MRSA colonization factors in the detection of MRSA carriers in an orthopedic ward. Materials and Methods : A systematic MRSA detection strategy was set up to assess the predictive value of MRSA colonization factors among 554 patients undergoing elective knee arthroplasty. Results : In total 116 patients were found positive for Staphylococcus Aureus ; among those 110/116 patients were found positive for Methicillin-Sensitive Staphylococcus Aureus (MSSA) and 6/116 for MRSA. Only one patient out of six presented two risk factors according to MRSA risk factors. In this study, no correlation was found between the remaining conventional risk factors, according to Belgian guidelines, defined to target high-risk populations and to identify MRSA carriers. Conclusions : Established criteria for selective MRSA screening do not allow detecting MRSA carriers. The objective of detecting MRSA carriers is not correctly met by the actual applied criteria (Belgian consensus) for a selective screening policy. Future studies should aim at identifying the right risk factors, depending of the country’s prevalence of MRSA, to improve the ability to predict the risk of MRSA carriage at hospital admission. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Clinical and MRI outcome of an osteochondral scaffold plug for the treatment of cartilage lesions in the knee 2015, N° 4 (Vol. 81/4) p.629-638 |
| Type de document : |
texte imprimé |
| Auteurs : |
Aad Dhollander ; Peter Verdonk ; Rene Almqvist |
| Année de publication : |
2015 |
| Article en page(s) : |
p.629-638 |
| Langues : |
Anglais (eng) |
| Résumé : |
Conflicting clinical outcomes have been reported recently with the use of an osteochondral scaffold plugs for cartilage repair in the knee. In this study, twenty patients were consecutively treated for their cartilage lesions with the synthetic plug technique. These patients were prospectively clinically evaluated with a mean follow-up of 34.15 months. Magnetic resonance imaging (MRI) was used for morphologic analysis of the cartilage repair. The patients included in this study showed a significant gradual clinical improvement after the osteochondral scaffold plug. However, this clinical improvement was not confirmed by the MRI findings of this cohort study. Subchondral bone changes were seen in all patients on MRI and deficient filling of the defect was noticed in in 30.7% of the cases at 24 months of follow-up. There was no evidence found to support osteoconductive bone ingrowth. Therefore, the use of this type of osteochondral scaffold plug in osteochondral repair is questionable. Level of evidence : IV |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.629-638
[article] Clinical and MRI outcome of an osteochondral scaffold plug for the treatment of cartilage lesions in the knee 2015, N° 4 (Vol. 81/4) p.629-638 [texte imprimé] / Aad Dhollander ; Peter Verdonk ; Rene Almqvist . - 2015 . - p.629-638. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.629-638
| Résumé : |
Conflicting clinical outcomes have been reported recently with the use of an osteochondral scaffold plugs for cartilage repair in the knee. In this study, twenty patients were consecutively treated for their cartilage lesions with the synthetic plug technique. These patients were prospectively clinically evaluated with a mean follow-up of 34.15 months. Magnetic resonance imaging (MRI) was used for morphologic analysis of the cartilage repair. The patients included in this study showed a significant gradual clinical improvement after the osteochondral scaffold plug. However, this clinical improvement was not confirmed by the MRI findings of this cohort study. Subchondral bone changes were seen in all patients on MRI and deficient filling of the defect was noticed in in 30.7% of the cases at 24 months of follow-up. There was no evidence found to support osteoconductive bone ingrowth. Therefore, the use of this type of osteochondral scaffold plug in osteochondral repair is questionable. Level of evidence : IV |
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[article]
| Titre : |
Investigation of knee pain in osteoarthritic and neuropathic pain awareness |
| Type de document : |
texte imprimé |
| Auteurs : |
Umut Hatay Gölge ; Halil Murat Sen ; Ersin Kuyucu |
| Année de publication : |
2015 |
| Article en page(s) : |
p.639-646 |
| Langues : |
Anglais (eng) |
| Résumé : |
The mechanism of neuropathic pain (NP) and osteoarthritic (OA) pain, although different, are both defined as chronic pain, and combinations are possible. In this study, the awareness of both types of chronic pain was investigated among patients and doctors. This prospective study was planned and coordinated by the orthopedic and internal medicine clinics and included 100 patients with a diagnosis of knee OA evaluated with the DN4 questionnaire. Patients with an OA diagnosis included those with NP linked to diabetes and those without NP, and these groups were compared using a visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritic Index (WOMAC). Data analysis of both groups focused on descriptive statistics of demographic and clinical characteristics. Twenty-four of the patients with type 2 diabetes mellitus (DM) were diagnosed with NP according to DN4 criteria, and began treatment. Of these patients, 21 (84%) had DM for 10 years or more, while 19 (86.4%) had HbA1c of 7 and above. The average WOMAC pain score for patients with NP was 4.33 ± 1.2 while the score for VAS was 8.25 ± 0.8. Patients without NP had a WOMAC pain score of 2.49 ± 0.6 and a VAS of 6.28 ± 1.8. It was observed that in these two knee OA patient groups, NP had a statistically significant enhancing effect on the WOMAC pain score and the VAS (p < 0.001). As underlying pathophysiological mechanism of pain caused by OA is complex, and OA is considered to have a component of NP, it has been proven to be useful to use drugs apart from conventional treatments for NP. We believe that, as a source of pain that is not relieved after arthroplasty, awareness level of NP among orthopedists should be increased and multidisciplinary studies are required on this topic.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.639-646
[article] Investigation of knee pain in osteoarthritic and neuropathic pain awareness [texte imprimé] / Umut Hatay Gölge ; Halil Murat Sen ; Ersin Kuyucu . - 2015 . - p.639-646. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.639-646
| Résumé : |
The mechanism of neuropathic pain (NP) and osteoarthritic (OA) pain, although different, are both defined as chronic pain, and combinations are possible. In this study, the awareness of both types of chronic pain was investigated among patients and doctors. This prospective study was planned and coordinated by the orthopedic and internal medicine clinics and included 100 patients with a diagnosis of knee OA evaluated with the DN4 questionnaire. Patients with an OA diagnosis included those with NP linked to diabetes and those without NP, and these groups were compared using a visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritic Index (WOMAC). Data analysis of both groups focused on descriptive statistics of demographic and clinical characteristics. Twenty-four of the patients with type 2 diabetes mellitus (DM) were diagnosed with NP according to DN4 criteria, and began treatment. Of these patients, 21 (84%) had DM for 10 years or more, while 19 (86.4%) had HbA1c of 7 and above. The average WOMAC pain score for patients with NP was 4.33 ± 1.2 while the score for VAS was 8.25 ± 0.8. Patients without NP had a WOMAC pain score of 2.49 ± 0.6 and a VAS of 6.28 ± 1.8. It was observed that in these two knee OA patient groups, NP had a statistically significant enhancing effect on the WOMAC pain score and the VAS (p < 0.001). As underlying pathophysiological mechanism of pain caused by OA is complex, and OA is considered to have a component of NP, it has been proven to be useful to use drugs apart from conventional treatments for NP. We believe that, as a source of pain that is not relieved after arthroplasty, awareness level of NP among orthopedists should be increased and multidisciplinary studies are required on this topic.
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[article]
| Titre : |
Risk factors for renal dysfunction after total knee joint replacement |
| Type de document : |
texte imprimé |
| Auteurs : |
Basim K. Hassan ; Arne Sahlström ; Ram B. Dessau |
| Année de publication : |
2015 |
| Article en page(s) : |
p.647-653 |
| Langues : |
Anglais (eng) |
| Résumé : |
Renal injury and dysfunction are serious complications after major surgery, which may lead to increased morbidity and mortality. The objective of our study was to identify the possible risk factors for renal dysfunction after total knee joint replacement. A retrospective study was conducted among 702 consecutive primary knee joint replacements performed between January 2009 and December 2012 in our department. Increased postoperative serum creatinine was considered indicative of postoperative renal injury according to RIFLE criteria. Sixty three patients (9.7%) had significant moderate or severe postoperative renal dysfunction in which 8 patients (1.2%) ended with severe and permanent renal impairment. Advanced age, low intraoperative blood pressure, hypertension, general anaesthesia, and prophylactic dicloxacillin were identified as significant risk factors. Male gender and BMI were independent risk factors for postoperative increase in serum creatinine. Smoking, female gender, diabetes mellitus and duration of surgery were not identified as significant risk factors. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.647-653
[article] Risk factors for renal dysfunction after total knee joint replacement [texte imprimé] / Basim K. Hassan ; Arne Sahlström ; Ram B. Dessau . - 2015 . - p.647-653. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.647-653
| Résumé : |
Renal injury and dysfunction are serious complications after major surgery, which may lead to increased morbidity and mortality. The objective of our study was to identify the possible risk factors for renal dysfunction after total knee joint replacement. A retrospective study was conducted among 702 consecutive primary knee joint replacements performed between January 2009 and December 2012 in our department. Increased postoperative serum creatinine was considered indicative of postoperative renal injury according to RIFLE criteria. Sixty three patients (9.7%) had significant moderate or severe postoperative renal dysfunction in which 8 patients (1.2%) ended with severe and permanent renal impairment. Advanced age, low intraoperative blood pressure, hypertension, general anaesthesia, and prophylactic dicloxacillin were identified as significant risk factors. Male gender and BMI were independent risk factors for postoperative increase in serum creatinine. Smoking, female gender, diabetes mellitus and duration of surgery were not identified as significant risk factors. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Evaluation of implant alignment in navigated unicompartmental knee arthroplasty : a comparison of 2D and 3D imaging |
| Type de document : |
texte imprimé |
| Auteurs : |
Kazunari Ishida ; Akihiko Toda ; Nao Shibanuma |
| Année de publication : |
2015 |
| Article en page(s) : |
p.654-661 |
| Langues : |
Anglais (eng) |
| Résumé : |
This study aimed to compare two-dimensional (2D) and three-dimensional (3D) methods for evaluating implant alignment in navigated UKA. Nineteen UKAs in 18 subjects (7 men) were performed using an image- free navigation system. Coronal and sagittal implant alignments were assessed using radiographs (2D evaluation) and 3D image-matching software. The accuracy of 2D evaluation was compared with that of 3D evaluation. A deviation > 3° from the 3D evaluation was defined as an outlier. In the 2D evaluation, outliers for the femoral component were observed in both the coronal plane (6/19 subjects) and the sagittal plane (3/19 subjects). In UKA, assessment of the implant position might be misjudged because of the design of the implant, especially for the femoral component ; 3D methods are ideal for assessment of implant alignment. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.654-661
[article] Evaluation of implant alignment in navigated unicompartmental knee arthroplasty : a comparison of 2D and 3D imaging [texte imprimé] / Kazunari Ishida ; Akihiko Toda ; Nao Shibanuma . - 2015 . - p.654-661. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.654-661
| Résumé : |
This study aimed to compare two-dimensional (2D) and three-dimensional (3D) methods for evaluating implant alignment in navigated UKA. Nineteen UKAs in 18 subjects (7 men) were performed using an image- free navigation system. Coronal and sagittal implant alignments were assessed using radiographs (2D evaluation) and 3D image-matching software. The accuracy of 2D evaluation was compared with that of 3D evaluation. A deviation > 3° from the 3D evaluation was defined as an outlier. In the 2D evaluation, outliers for the femoral component were observed in both the coronal plane (6/19 subjects) and the sagittal plane (3/19 subjects). In UKA, assessment of the implant position might be misjudged because of the design of the implant, especially for the femoral component ; 3D methods are ideal for assessment of implant alignment. |
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
The influence of rating volume in the effects of expert versus patient online ratings |
| Type de document : |
texte imprimé |
| Auteurs : |
C.H. Jans Lieke ; Anne-Madeleine Kranzbühler |
| Année de publication : |
2015 |
| Article en page(s) : |
p.662-667 |
| Langues : |
Anglais (eng) |
| Résumé : |
Gaining access to ratings has become much easier due to the internet and research shows that they are of influence on consumer decision making. At healthcare comparison websites, patients are gradually sharing their opinions online whereby the number of ratings can differ significantly per provider. Because patients may lack the necessary skills and information to judge health care quality, some platforms complement patient ratings with an expert rating. It is unclear however which source has the biggest influence on decision making. A previous study found that generally people seem to follow their peers, but only when they are in large numbers. Otherwise, they follow the expert. The present study aims to find out how many peers are necessary to “overrule” the expert. An online experiment is conducted and the results indicate that rating volume does play a role in the effects of patient versus expert ratings. This finding can, for example, support platform providers in understanding how to use online ratings to ensure that patients benefit most of them.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.662-667
[article] The influence of rating volume in the effects of expert versus patient online ratings [texte imprimé] / C.H. Jans Lieke ; Anne-Madeleine Kranzbühler . - 2015 . - p.662-667. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.662-667
| Résumé : |
Gaining access to ratings has become much easier due to the internet and research shows that they are of influence on consumer decision making. At healthcare comparison websites, patients are gradually sharing their opinions online whereby the number of ratings can differ significantly per provider. Because patients may lack the necessary skills and information to judge health care quality, some platforms complement patient ratings with an expert rating. It is unclear however which source has the biggest influence on decision making. A previous study found that generally people seem to follow their peers, but only when they are in large numbers. Otherwise, they follow the expert. The present study aims to find out how many peers are necessary to “overrule” the expert. An online experiment is conducted and the results indicate that rating volume does play a role in the effects of patient versus expert ratings. This finding can, for example, support platform providers in understanding how to use online ratings to ensure that patients benefit most of them.
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Reliability of patient specific instrumentation in total knee arthroplasty |
| Type de document : |
texte imprimé |
| Auteurs : |
Harold Jennart ; Marie-Ange Ngo Yamben ; Theofylaktos Kyriakidis |
| Année de publication : |
2015 |
| Article en page(s) : |
p.668-672 |
| Langues : |
Anglais (eng) |
| Résumé : |
The aim of this study was to compare the precision between Patient Specific Instrumentation (PSI) and Conventional Instrumentation (CI) as determined intra-operatively by a pinless navigation system. Eighty patients were included in this prospective comparative study and they were divided into two homogeneous groups. We defined an original score from 6 to 30 points to evaluate the accuracy of the position of the cutting guides. This score is based on 6 objective criteria. The analysis indicated that PSI was not superior to conventional instrumentation in the overall score (p = 0.949). Moreover, no statistically significant difference was observed for any individual criteria of our score. Level of evidence II. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.668-672
[article] Reliability of patient specific instrumentation in total knee arthroplasty [texte imprimé] / Harold Jennart ; Marie-Ange Ngo Yamben ; Theofylaktos Kyriakidis . - 2015 . - p.668-672. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.668-672
| Résumé : |
The aim of this study was to compare the precision between Patient Specific Instrumentation (PSI) and Conventional Instrumentation (CI) as determined intra-operatively by a pinless navigation system. Eighty patients were included in this prospective comparative study and they were divided into two homogeneous groups. We defined an original score from 6 to 30 points to evaluate the accuracy of the position of the cutting guides. This score is based on 6 objective criteria. The analysis indicated that PSI was not superior to conventional instrumentation in the overall score (p = 0.949). Moreover, no statistically significant difference was observed for any individual criteria of our score. Level of evidence II. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Computer navigation helps achieving appropriate gap balancing and restoration of alignment in total knee arthroplasty for fixed valgus knee osteoarthritis irrespective of the surgical approach |
| Type de document : |
texte imprimé |
| Auteurs : |
Nikolai Kornilov ; Taras Kulyaba ; Alexey Petukhov |
| Année de publication : |
2015 |
| Article en page(s) : |
p.673-681 |
| Langues : |
Anglais (eng) |
| Résumé : |
The aim of this study was to describe the deformity of both bone and soft tissues in valgus knees and attempt, with the help of computer-assisted total knee arthroplasty (CAS-TKA), to answer the question whether a medial or lateral approach should be used in a fixed deformity. This was a prospective study of 52 consecutive patients with valgus knee osteoarthritis (OA) on who CAS-TKA was performed between 2008 and 2012. Only patients (N = 42) with valgus deformity Krackow type II and III were included for detailed analysis : 17 were operated utilizing a medial and 25 using a lateral approach. Computer navigation was used to perform quantitative control of alignment and gap changes in the medial and lateral knee compartment after each step of the release. Radiological alignment as well as functional results with Knee Society and WOMAC scores were evaluated after a mean (SD) of 23 (5) months in all patients. Twenty-eight different combinations of pathological changes of bone and soft-tissues were described in the 52 patients making the identification of a typical pathological pattern for valgus deformity impossible. In 60% of patients, irrespective from the approach, the valgus deformity was reduced after release of the ilio-tibial tract. No significant difference between both groups was observed in the extent of releases, gap balancing, surgical time, implants constraint, leg alignment and mid-term functional outcomes. None of the included patients were revised for any reason. In conclusion, regardless of the approach, CAS TKA facilitates the achievement of precise soft tissue balancing and alignment in patients with valgus type II and III deformity leading to good mid-term functional and radiological outcomes. Level of evidence : Level IV study. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.673-681
[article] Computer navigation helps achieving appropriate gap balancing and restoration of alignment in total knee arthroplasty for fixed valgus knee osteoarthritis irrespective of the surgical approach [texte imprimé] / Nikolai Kornilov ; Taras Kulyaba ; Alexey Petukhov . - 2015 . - p.673-681. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.673-681
| Résumé : |
The aim of this study was to describe the deformity of both bone and soft tissues in valgus knees and attempt, with the help of computer-assisted total knee arthroplasty (CAS-TKA), to answer the question whether a medial or lateral approach should be used in a fixed deformity. This was a prospective study of 52 consecutive patients with valgus knee osteoarthritis (OA) on who CAS-TKA was performed between 2008 and 2012. Only patients (N = 42) with valgus deformity Krackow type II and III were included for detailed analysis : 17 were operated utilizing a medial and 25 using a lateral approach. Computer navigation was used to perform quantitative control of alignment and gap changes in the medial and lateral knee compartment after each step of the release. Radiological alignment as well as functional results with Knee Society and WOMAC scores were evaluated after a mean (SD) of 23 (5) months in all patients. Twenty-eight different combinations of pathological changes of bone and soft-tissues were described in the 52 patients making the identification of a typical pathological pattern for valgus deformity impossible. In 60% of patients, irrespective from the approach, the valgus deformity was reduced after release of the ilio-tibial tract. No significant difference between both groups was observed in the extent of releases, gap balancing, surgical time, implants constraint, leg alignment and mid-term functional outcomes. None of the included patients were revised for any reason. In conclusion, regardless of the approach, CAS TKA facilitates the achievement of precise soft tissue balancing and alignment in patients with valgus type II and III deformity leading to good mid-term functional and radiological outcomes. Level of evidence : Level IV study. |
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Exclu du prêt |
[article]
| Titre : |
Are patients more satisfied and have better functional outcome after bilateral total knee arthroplasty as compared to total hip arthroplasty and unilateral total knee arthroplasty surgery ? A two-year follow-up study |
| Type de document : |
texte imprimé |
| Auteurs : |
Jason Beng Teck Lim ; Andew Chia Chen Chou ; Hwei Chi Chong |
| Année de publication : |
2015 |
| Article en page(s) : |
p.682-689 |
| Langues : |
Anglais (eng) |
| Résumé : |
This study aims to review the quality of life and physical improvement achieved by total joint arthroplasty surgery, namely unilateral TKA, bilateral TKA and THA. We hypothesize that patients who undergo bilateral TKA should have greater improvement in patient-reported outcome measures, as compared to patients who had unilateral TKA, and their outcomes may be comparable to that of THA. We analyzed prospectively collected data of all patients who underwent unilateral TKA, bilateral TKA and THA (5291, 187 and 529 patients respectively) for end-stage osteoarthritis at a tertiary hospital during the 5-year period. Patients who underwent bilateral TKA had a greater degree of improvement in SF-36 and Knee Society Scores as compared to unilateral TKA at 6 months and 2 years follow-up. Bilateral TKA had the highest proportion of patients who were satisfied and had expectations met by surgery. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.682-689
[article] Are patients more satisfied and have better functional outcome after bilateral total knee arthroplasty as compared to total hip arthroplasty and unilateral total knee arthroplasty surgery ? A two-year follow-up study [texte imprimé] / Jason Beng Teck Lim ; Andew Chia Chen Chou ; Hwei Chi Chong . - 2015 . - p.682-689. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.682-689
| Résumé : |
This study aims to review the quality of life and physical improvement achieved by total joint arthroplasty surgery, namely unilateral TKA, bilateral TKA and THA. We hypothesize that patients who undergo bilateral TKA should have greater improvement in patient-reported outcome measures, as compared to patients who had unilateral TKA, and their outcomes may be comparable to that of THA. We analyzed prospectively collected data of all patients who underwent unilateral TKA, bilateral TKA and THA (5291, 187 and 529 patients respectively) for end-stage osteoarthritis at a tertiary hospital during the 5-year period. Patients who underwent bilateral TKA had a greater degree of improvement in SF-36 and Knee Society Scores as compared to unilateral TKA at 6 months and 2 years follow-up. Bilateral TKA had the highest proportion of patients who were satisfied and had expectations met by surgery. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Clinical results following meniscal sutures : does concomitant acl repair make a difference ? |
| Type de document : |
texte imprimé |
| Auteurs : |
Ana Ma Martin-Fuentes ; Cristina Ojeda-Thies ; Jesus Vila-Rico |
| Année de publication : |
2015 |
| Article en page(s) : |
p.690-697 |
| Langues : |
Anglais (eng) |
| Résumé : |
Introduction : The purpose of this study is to analyze the clinical results of meniscal tears repaired with an all-inside suture with special attention to the results in stable versus anterior cruciate ligament (ACL)-deficient knees. Methods : We studied 45 meniscal tears (32 medial, 13 lateral) repaired in 43 patients using a single all-inside suture system. The patients were divided in two groups and followed-up for at least 12 months. Group A (stable knees with isolated meniscal tears) consisted of 19 patients treated with all-inside sutures. Group B (ACL-deficient knees with meniscal tears) consisted of 24 patients treated with ACL reconstruction together with the meniscal repair. All the meniscal tears were located in red/red (35) or red/white (10) zone. Criteria for clinical success included absence of joint-line tenderness, locking, swelling, and a negative McMurray test. Preoperative and postoperative clinical evaluation also included the Tegner and Lysholm knee scores. Results : The clinical success rate of the repairs was 86%. According to our criteria, six of 43 repaired menisci (14%) were considered failures. Mean Lysholm scores improved significantly in both groups (58 to 88.20) and the improvement was significantly greater in group B (From 54.47 to 88, p < 0.05). Twenty patients (83.3%) had an excellent or good result in group B and sixteen (84%) in group A, according to the Lysholm knee score. Conclusions : Our clinical results show that arthroscopic meniscal repair with all-inside devices provided a high rate of meniscus healing and seem to be safe and effective, for isolated meniscal tears as well as for ACL-deficient knees with meniscal tears. Final functional scores were similar for ACL-competent and ACL-deficient knees. |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.690-697
[article] Clinical results following meniscal sutures : does concomitant acl repair make a difference ? [texte imprimé] / Ana Ma Martin-Fuentes ; Cristina Ojeda-Thies ; Jesus Vila-Rico . - 2015 . - p.690-697. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.690-697
| Résumé : |
Introduction : The purpose of this study is to analyze the clinical results of meniscal tears repaired with an all-inside suture with special attention to the results in stable versus anterior cruciate ligament (ACL)-deficient knees. Methods : We studied 45 meniscal tears (32 medial, 13 lateral) repaired in 43 patients using a single all-inside suture system. The patients were divided in two groups and followed-up for at least 12 months. Group A (stable knees with isolated meniscal tears) consisted of 19 patients treated with all-inside sutures. Group B (ACL-deficient knees with meniscal tears) consisted of 24 patients treated with ACL reconstruction together with the meniscal repair. All the meniscal tears were located in red/red (35) or red/white (10) zone. Criteria for clinical success included absence of joint-line tenderness, locking, swelling, and a negative McMurray test. Preoperative and postoperative clinical evaluation also included the Tegner and Lysholm knee scores. Results : The clinical success rate of the repairs was 86%. According to our criteria, six of 43 repaired menisci (14%) were considered failures. Mean Lysholm scores improved significantly in both groups (58 to 88.20) and the improvement was significantly greater in group B (From 54.47 to 88, p < 0.05). Twenty patients (83.3%) had an excellent or good result in group B and sixteen (84%) in group A, according to the Lysholm knee score. Conclusions : Our clinical results show that arthroscopic meniscal repair with all-inside devices provided a high rate of meniscus healing and seem to be safe and effective, for isolated meniscal tears as well as for ACL-deficient knees with meniscal tears. Final functional scores were similar for ACL-competent and ACL-deficient knees. |
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
The effect of local and systemic application of tranexamic acid on the amount of blood loss and allogeneic blood transfusion after total knee replacement |
| Type de document : |
texte imprimé |
| Auteurs : |
Savas Öztas ; Alpaslan Öztürk ; Yavuz Akalin |
| Année de publication : |
2015 |
| Article en page(s) : |
p.698-707 |
| Langues : |
Anglais (eng) |
| Résumé : |
The effect of local and systemic Tranexamic Acid on blood loss and need for transfusion after total knee replacement was compared prospectively. Between 2012-2013, 90 patients with unilateral TKR were included. They were randomly divided into 3 and 15 mg/kg TXA was infused before and 10 mg/kg 1 hour after surgery in Group 1, 2 gr TXA was used topically in 2 and no TXA was applied in 3. Total blood loss and transfusion rate were used as outcome. Mean amounts of blood loss were 898.03 ± 298.21, 823.64 ± 224.33 and 1263.77 ± 298.79 ml in Groups 1, 2 and 3 respectively. There was a decrease in blood loss in TXA groups (p < 0.001). No difference was found between local and systemic groups (p = 0.385). Transfusion wasnot required in TXA groups but it was 8 in control group. No thromboembolic problem was seen in any patient. Since TXA decreased blood loss and lessen the need for transfusion significantly without increasing thromboembolic events in TKR, we suggest its usage in TKR either systemically or topically whenever possible. Level of evidence : Prospective Randomized Controlled Trial, Level II). |
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.698-707
[article] The effect of local and systemic application of tranexamic acid on the amount of blood loss and allogeneic blood transfusion after total knee replacement [texte imprimé] / Savas Öztas ; Alpaslan Öztürk ; Yavuz Akalin . - 2015 . - p.698-707. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.698-707
| Résumé : |
The effect of local and systemic Tranexamic Acid on blood loss and need for transfusion after total knee replacement was compared prospectively. Between 2012-2013, 90 patients with unilateral TKR were included. They were randomly divided into 3 and 15 mg/kg TXA was infused before and 10 mg/kg 1 hour after surgery in Group 1, 2 gr TXA was used topically in 2 and no TXA was applied in 3. Total blood loss and transfusion rate were used as outcome. Mean amounts of blood loss were 898.03 ± 298.21, 823.64 ± 224.33 and 1263.77 ± 298.79 ml in Groups 1, 2 and 3 respectively. There was a decrease in blood loss in TXA groups (p < 0.001). No difference was found between local and systemic groups (p = 0.385). Transfusion wasnot required in TXA groups but it was 8 in control group. No thromboembolic problem was seen in any patient. Since TXA decreased blood loss and lessen the need for transfusion significantly without increasing thromboembolic events in TKR, we suggest its usage in TKR either systemically or topically whenever possible. Level of evidence : Prospective Randomized Controlled Trial, Level II). |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Complications resulting from tracker pin-sites in computer navigated knee replacement surgery |
| Type de document : |
texte imprimé |
| Auteurs : |
Anna Thomas ; Gopalakrishna Pemmaraju ; Gurpreet Nagra |
| Année de publication : |
2015 |
| Article en page(s) : |
p.708-712 |
| Langues : |
Anglais (eng) |
| Résumé : |
Intra-osseous pin sites used in Computer Navigated knee Arthroplasty are known to cause complications including infection, neurovascular injury, thermal necrosis and peri-prosthetic fracture. Many studies have looked at ways of reducing these risks to improve results in computer-navigated surgery. We present our complication rates and techniques used to reduce complications in a retrospective study of 321 patients performed by a single surgeon in between 2009 and 2013. One patient was identified with a superficial pin site infection. No major complications were recorded during a mean follow up period of 31 months. Attention to detail in every aspect of pin insertion reduces the rates of both minor and major complications. In particular rates of peri-prosthetic fracture were shown to be lower when using a unicortical drilling technique compared with the use of bicortical drilling in other studies. |
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./index.php?lvl=notice_display&id=42355 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.708-712
[article] Complications resulting from tracker pin-sites in computer navigated knee replacement surgery [texte imprimé] / Anna Thomas ; Gopalakrishna Pemmaraju ; Gurpreet Nagra . - 2015 . - p.708-712. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.708-712
| Résumé : |
Intra-osseous pin sites used in Computer Navigated knee Arthroplasty are known to cause complications including infection, neurovascular injury, thermal necrosis and peri-prosthetic fracture. Many studies have looked at ways of reducing these risks to improve results in computer-navigated surgery. We present our complication rates and techniques used to reduce complications in a retrospective study of 321 patients performed by a single surgeon in between 2009 and 2013. One patient was identified with a superficial pin site infection. No major complications were recorded during a mean follow up period of 31 months. Attention to detail in every aspect of pin insertion reduces the rates of both minor and major complications. In particular rates of peri-prosthetic fracture were shown to be lower when using a unicortical drilling technique compared with the use of bicortical drilling in other studies. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
A new score assessing the surgical wound of a TKA and its relation with pain, infection and functional outcome |
| Type de document : |
texte imprimé |
| Auteurs : |
Raul Torres-Claramunt ; Sergi Gil-Gonzalez ; Joan Leal |
| Année de publication : |
2015 |
| Article en page(s) : |
p.713-719 |
| Langues : |
Anglais (eng) |
| Résumé : |
The aim of this study was to describe a new score to evaluate the clinical aspect of the TKA surgical wound and to correlate it with postoperative pain, infection and functional outcome at 1 year of follow-up. This score, ranging from 0 to 10, assessed 5 parameters ; swelling, haematoma, erythema, blood drainage and blisters. One hundred fifty-nine consecutive TKA were prospectively evaluated. Intra and inter-rate reliability was superior to 0.9. No differences were obtained comparing the aspect of the surgical wound with postoperative pain or functional outcomes. Incidence of deep infection is directly related with an increased score (p = 0.0025). |
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./index.php?lvl=notice_display&id=42356 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.713-719
[article] A new score assessing the surgical wound of a TKA and its relation with pain, infection and functional outcome [texte imprimé] / Raul Torres-Claramunt ; Sergi Gil-Gonzalez ; Joan Leal . - 2015 . - p.713-719. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.713-719
| Résumé : |
The aim of this study was to describe a new score to evaluate the clinical aspect of the TKA surgical wound and to correlate it with postoperative pain, infection and functional outcome at 1 year of follow-up. This score, ranging from 0 to 10, assessed 5 parameters ; swelling, haematoma, erythema, blood drainage and blisters. One hundred fifty-nine consecutive TKA were prospectively evaluated. Intra and inter-rate reliability was superior to 0.9. No differences were obtained comparing the aspect of the surgical wound with postoperative pain or functional outcomes. Incidence of deep infection is directly related with an increased score (p = 0.0025). |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Local Infiltration Analgesia reduces pain and hospital stay after primary TKA : randomized controlled double blind trial |
| Type de document : |
texte imprimé |
| Auteurs : |
Raju Vaishya ; Ajaz Majeed Wani ; Vipul Vijay |
| Année de publication : |
2015 |
| Article en page(s) : |
p.720-729 |
| Langues : |
Anglais (eng) |
| Résumé : |
Postoperative analgesia following Total Knee Arthroplasty (TKA) with the use of parenteral opioids or epidural analgesia can be associated with important side effects. Good perioperative analgesia facilitates faster rehabilitation, improves patient satisfaction, and may reduce the hospital stay. We investigated the analgesic effect of a locally injected mixture of drugs, in a double blinded RCT in 80 primary TKA. They were randomized either to receive a periarticular mixture of drugs containing bupivacaine, ketorolac, morphine, and adrenalline or to receive normal saline. Visual analog scores (VAS) for pain (at rest and during activity) and for patient satisfaction and range of motion were recorded postoperatively. The patients who had received the periarticular injection used significantly less the Patient Controlled Analgesia (PCA) after the surgery as compared to the control group. In addition, they had lower VAS for pain during rest and activity and higher visual analog scores for patient satisfaction 72 hours postoperatively. No major complication related to the drugs was observed. Intraoperative periarticular injection with multimodal drugs following TKA can significantly reduce the postoperative pain and hence the requirements for PCA and hospital stay, with no apparent risks. |
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./index.php?lvl=notice_display&id=42357 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.720-729
[article] Local Infiltration Analgesia reduces pain and hospital stay after primary TKA : randomized controlled double blind trial [texte imprimé] / Raju Vaishya ; Ajaz Majeed Wani ; Vipul Vijay . - 2015 . - p.720-729. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.720-729
| Résumé : |
Postoperative analgesia following Total Knee Arthroplasty (TKA) with the use of parenteral opioids or epidural analgesia can be associated with important side effects. Good perioperative analgesia facilitates faster rehabilitation, improves patient satisfaction, and may reduce the hospital stay. We investigated the analgesic effect of a locally injected mixture of drugs, in a double blinded RCT in 80 primary TKA. They were randomized either to receive a periarticular mixture of drugs containing bupivacaine, ketorolac, morphine, and adrenalline or to receive normal saline. Visual analog scores (VAS) for pain (at rest and during activity) and for patient satisfaction and range of motion were recorded postoperatively. The patients who had received the periarticular injection used significantly less the Patient Controlled Analgesia (PCA) after the surgery as compared to the control group. In addition, they had lower VAS for pain during rest and activity and higher visual analog scores for patient satisfaction 72 hours postoperatively. No major complication related to the drugs was observed. Intraoperative periarticular injection with multimodal drugs following TKA can significantly reduce the postoperative pain and hence the requirements for PCA and hospital stay, with no apparent risks. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Flexion and anterior knee pain after high flexion posterior stabilized or cruciate retaining knee replacement |
| Type de document : |
texte imprimé |
| Auteurs : |
Sebastiaan Van De Groes ; Paul Van Der Ven ; Keetie Kremers-van de Hei |
| Année de publication : |
2015 |
| Article en page(s) : |
p.730-737 |
| Langues : |
Anglais (eng) |
| Résumé : |
Background : Special high-flexion prosthetic designs show a small increase in postoperative flexion compared to standard designs and some papers show increased anterior knee pain with these prosthesis. Methods : A prospective double blind randomized controlled trial investigates the difference in flexion and anterior knee pain between standard and highflexion total knee arthroplasty. In total 47 patients were randomly allocated to a standard cruciate retaining fixed bearing design (CR) in 23 patients and to a high-flexion posterior stabilized mobile bearing design (HF-PS) in 24 patients. Results : The HF-PS did show a significantly higher passive postoperative flexion ; 120.8° (SD 10.3°) vs. 112.0° (SD 9.5°) for the CR group (p = 0.004). The active postoperative flexion, VAS-pain score and Feller score did not show significant differences between both groups. Sub analysis with the HF-PS group showed a higher VAS-pain for the patients achieving =130° of flexion ; 30.5 (SD 32.2) vs. 12.2 (SD 12.5) (p = 0.16). Conclusion : The present study showed a significant higher passive flexion in the high-flexion prosthesis compared to the standard prosthesis. However this difference disappeared when comparing active flexion. No difference in anterior knee pain was found between both groups. |
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./index.php?lvl=notice_display&id=42358 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.730-737
[article] Flexion and anterior knee pain after high flexion posterior stabilized or cruciate retaining knee replacement [texte imprimé] / Sebastiaan Van De Groes ; Paul Van Der Ven ; Keetie Kremers-van de Hei . - 2015 . - p.730-737. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.730-737
| Résumé : |
Background : Special high-flexion prosthetic designs show a small increase in postoperative flexion compared to standard designs and some papers show increased anterior knee pain with these prosthesis. Methods : A prospective double blind randomized controlled trial investigates the difference in flexion and anterior knee pain between standard and highflexion total knee arthroplasty. In total 47 patients were randomly allocated to a standard cruciate retaining fixed bearing design (CR) in 23 patients and to a high-flexion posterior stabilized mobile bearing design (HF-PS) in 24 patients. Results : The HF-PS did show a significantly higher passive postoperative flexion ; 120.8° (SD 10.3°) vs. 112.0° (SD 9.5°) for the CR group (p = 0.004). The active postoperative flexion, VAS-pain score and Feller score did not show significant differences between both groups. Sub analysis with the HF-PS group showed a higher VAS-pain for the patients achieving =130° of flexion ; 30.5 (SD 32.2) vs. 12.2 (SD 12.5) (p = 0.16). Conclusion : The present study showed a significant higher passive flexion in the high-flexion prosthesis compared to the standard prosthesis. However this difference disappeared when comparing active flexion. No difference in anterior knee pain was found between both groups. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Surgical management of anterior cruciate ligament injuries in Belgium anno 2013 |
| Type de document : |
texte imprimé |
| Auteurs : |
Hans Van der Bracht ; Laurent Goubau ; Bart Stuyts |
| Année de publication : |
2015 |
| Article en page(s) : |
p.738-746 |
| Langues : |
Anglais (eng) |
| Résumé : |
Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society. Results : Anatomic single bundle ACL repair with transportal femoral tunnel drilling, using an autologous hamstring graft fixed with a cortical suspension system proximal and an interference screw distal is currently the most common technique. The surgery is usually performed under general anesthesia with a one-night stay in the hospital. Postoperatively a hinge brace is mostly used. Conclusion : Although much research concerning double bundle ACL surgery is performed, only few surgeons perform this technique. Most surgeons perform an anatomic single bundle repair. This is in accordance with the current knowledge regarding cost effective care. Performing this procedure in day care with the aid of loco-regional anesthesia and avoidance of a hinged brace can help to reduce the cost for the healthcare system without compromising the outcome. |
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./index.php?lvl=notice_display&id=42359 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.738-746
[article] Surgical management of anterior cruciate ligament injuries in Belgium anno 2013 [texte imprimé] / Hans Van der Bracht ; Laurent Goubau ; Bart Stuyts . - 2015 . - p.738-746. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.738-746
| Résumé : |
Background : Anatomic ACL surgery, including double bundle ACL reconstruction, has been investigated widely. The purpose of this study was to gain insight in the currently used surgical management of anterior cruciate ligament injuries amongst Belgian orthopaedic surgeons. Methods : A survey consisting of epidemiological questions, ACL surgery related questions and questions concerning rehabilitation was submitted to all members of the Belgian Knee Society. Results : Anatomic single bundle ACL repair with transportal femoral tunnel drilling, using an autologous hamstring graft fixed with a cortical suspension system proximal and an interference screw distal is currently the most common technique. The surgery is usually performed under general anesthesia with a one-night stay in the hospital. Postoperatively a hinge brace is mostly used. Conclusion : Although much research concerning double bundle ACL surgery is performed, only few surgeons perform this technique. Most surgeons perform an anatomic single bundle repair. This is in accordance with the current knowledge regarding cost effective care. Performing this procedure in day care with the aid of loco-regional anesthesia and avoidance of a hinged brace can help to reduce the cost for the healthcare system without compromising the outcome. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Insert dissociation after fixed bearing PS constrained Genesis II total knee arthroplasty. A case series of nine patients |
| Type de document : |
texte imprimé |
| Auteurs : |
Timothy Voskuijl ; Thijs A. Nijenhuis ; Gijs G. Van Hellemondt |
| Année de publication : |
2015 |
| Article en page(s) : |
p.747-751 |
| Langues : |
Anglais (eng) |
| Résumé : |
Dissociation of the polyethylene insert after fixed bearing posterior stabilized Genesis II total knee arthroplasty has been rarely described. We present a case series of nine patients with a dissociation of the insert within a period of two years after surgery. Revision surgery was performed in all patients. In this report we discuss clinical presentation, patient characteristics and possible etiologies for tibial insert dissociation seen in the presented cases. In conclusion, tibial insert dissociation does not lead to a uniform clinical presentation. Therefore, in this point of view regular physical examination and imaging after TKA regardless the presence of symptoms seems to be indicated.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.747-751
[article] Insert dissociation after fixed bearing PS constrained Genesis II total knee arthroplasty. A case series of nine patients [texte imprimé] / Timothy Voskuijl ; Thijs A. Nijenhuis ; Gijs G. Van Hellemondt . - 2015 . - p.747-751. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.747-751
| Résumé : |
Dissociation of the polyethylene insert after fixed bearing posterior stabilized Genesis II total knee arthroplasty has been rarely described. We present a case series of nine patients with a dissociation of the insert within a period of two years after surgery. Revision surgery was performed in all patients. In this report we discuss clinical presentation, patient characteristics and possible etiologies for tibial insert dissociation seen in the presented cases. In conclusion, tibial insert dissociation does not lead to a uniform clinical presentation. Therefore, in this point of view regular physical examination and imaging after TKA regardless the presence of symptoms seems to be indicated.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Results of revision anterior cruciate ligament reconstruction using a transportal technique |
| Type de document : |
texte imprimé |
| Auteurs : |
Bryan Wang ; Keng Thiam Lee |
| Année de publication : |
2015 |
| Article en page(s) : |
p.752-758 |
| Langues : |
Anglais (eng) |
| Résumé : |
Background : As the number of anterior cruciate ligament (ACL) injuries and primary ACL reconstruction surgeries increase, the absolute number of re-ruptures or failures has also subsequently increased. In our study, we look at the causes of failure in the primary surgery and also report the clinical and functional outcomes in our series of patients undergoing revision surgery. Materials and Methods : We performed a retrospective review of all revision ACL reconstructions performed by the senior author over a 3-year period using a single-stage transportal technique. Causes of failure were elucidated through clinical, radiological and intraoperative assessment. Outcomes of revision surgery were assessed clinically as well as functionally through the use of a variety of subjective knee scores, with a mean follow-up time of 27.5 months (range 12-40). Results : In our series of 13 patients, all primary surgeries were performed originally via a transtibial technique, with a mean time to failure of 26.4 months (range 6-65). Tunnel malposition was identified as the most common cause of failure (61.5%), while purely traumatic causes accounted for 38.5% of cases. New meniscal injuries were identified in 77% of the patients, and cartilage loss in 38.5%. There was a statistically significant improvement in functional outcomes in all patients following revision surgery, and whilst majority (92%) were able to return to sporting activities on a regular basis, only 54% were able to return to their previous level of sports. Conclusion : Tunnel malposition was found to be the most common cause of primary graft failure in our series of patients undergoing revision ACL reconstruction. Concomitant meniscal and cartilage pathologies were also common intraoperative findings. Improved knee stability and functional outcomes can be expected following revision surgery, and majority will be able to return to some form of sporting activity, albeit at lower levels than before for some patients.
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./index.php?lvl=notice_display&id=42361 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.752-758
[article] Results of revision anterior cruciate ligament reconstruction using a transportal technique [texte imprimé] / Bryan Wang ; Keng Thiam Lee . - 2015 . - p.752-758. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.752-758
| Résumé : |
Background : As the number of anterior cruciate ligament (ACL) injuries and primary ACL reconstruction surgeries increase, the absolute number of re-ruptures or failures has also subsequently increased. In our study, we look at the causes of failure in the primary surgery and also report the clinical and functional outcomes in our series of patients undergoing revision surgery. Materials and Methods : We performed a retrospective review of all revision ACL reconstructions performed by the senior author over a 3-year period using a single-stage transportal technique. Causes of failure were elucidated through clinical, radiological and intraoperative assessment. Outcomes of revision surgery were assessed clinically as well as functionally through the use of a variety of subjective knee scores, with a mean follow-up time of 27.5 months (range 12-40). Results : In our series of 13 patients, all primary surgeries were performed originally via a transtibial technique, with a mean time to failure of 26.4 months (range 6-65). Tunnel malposition was identified as the most common cause of failure (61.5%), while purely traumatic causes accounted for 38.5% of cases. New meniscal injuries were identified in 77% of the patients, and cartilage loss in 38.5%. There was a statistically significant improvement in functional outcomes in all patients following revision surgery, and whilst majority (92%) were able to return to sporting activities on a regular basis, only 54% were able to return to their previous level of sports. Conclusion : Tunnel malposition was found to be the most common cause of primary graft failure in our series of patients undergoing revision ACL reconstruction. Concomitant meniscal and cartilage pathologies were also common intraoperative findings. Improved knee stability and functional outcomes can be expected following revision surgery, and majority will be able to return to some form of sporting activity, albeit at lower levels than before for some patients.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Outcome of patellofemoral arthroplasty, determinants for success |
| Type de document : |
texte imprimé |
| Auteurs : |
Philippe Willekens ; Jan Victor ; Dimitri Verbruggen |
| Année de publication : |
2015 |
| Article en page(s) : |
p.759-767 |
| Langues : |
Anglais (eng) |
| Résumé : |
The primary aim of this study is to document whether patellofemoral arthroplasty is a good treatment option for patellofemoral osteoarthritis and to identify prognostic outcome factors. Secondary aim is to investigate the influence of preoperative tibiofemoral osteoarthritis on the clinical outcome. From 2004 to 2010, 37 Avon patellofemoral prostheses were implanted in 32 patients. Clinical outcome was evaluated with five questionnaires : KOOS, Kujala, VAS, OKS and Satisfaction Score. Radiographs were analyzed using the IWANO and Kellgren- Lawrence classification. To identify determinants of outcome, subgroups were examined according to sex, age, diagnosis, BMI and prior surgery. Patellofemoral arthroplasty is a valuable treatment for patellofemoral osteoarthritis. After prosthesis placement, KOOS, Kujala, VAS and OKS improved significantly (all p < 0.001). Patients with prior patellofemoral surgery were clinically worse (p < 0.05). Patients with preoperative Kellgren-Lawrence grade 2 tibiofemoral osteoarthritis had a significantly worse outcome compared to grade 1 (p < 0.05). Further research is necessary to determine whether patellofemoral arthroplasty is indicated in these patients. |
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./index.php?lvl=notice_display&id=42362 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.759-767
[article] Outcome of patellofemoral arthroplasty, determinants for success [texte imprimé] / Philippe Willekens ; Jan Victor ; Dimitri Verbruggen . - 2015 . - p.759-767. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.759-767
| Résumé : |
The primary aim of this study is to document whether patellofemoral arthroplasty is a good treatment option for patellofemoral osteoarthritis and to identify prognostic outcome factors. Secondary aim is to investigate the influence of preoperative tibiofemoral osteoarthritis on the clinical outcome. From 2004 to 2010, 37 Avon patellofemoral prostheses were implanted in 32 patients. Clinical outcome was evaluated with five questionnaires : KOOS, Kujala, VAS, OKS and Satisfaction Score. Radiographs were analyzed using the IWANO and Kellgren- Lawrence classification. To identify determinants of outcome, subgroups were examined according to sex, age, diagnosis, BMI and prior surgery. Patellofemoral arthroplasty is a valuable treatment for patellofemoral osteoarthritis. After prosthesis placement, KOOS, Kujala, VAS and OKS improved significantly (all p < 0.001). Patients with prior patellofemoral surgery were clinically worse (p < 0.05). Patients with preoperative Kellgren-Lawrence grade 2 tibiofemoral osteoarthritis had a significantly worse outcome compared to grade 1 (p < 0.05). Further research is necessary to determine whether patellofemoral arthroplasty is indicated in these patients. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Is the use of modern versus conventional wound dressings warranted after primary knee and hip arthroplasty ? Results of a Prospective Comparative Study |
| Type de document : |
texte imprimé |
| Auteurs : |
Kourosh Zarghooni ; Jan Bredow ; Jan Siewe |
| Année de publication : |
2015 |
| Article en page(s) : |
p.768-775 |
| Langues : |
Anglais (eng) |
| Résumé : |
Purpose of the Study : This prospective, open, noncontrolled clinical investigation evaluated the performance of a modern post-operative wound dressing versus conventional dressings used on wounds of patients after undergoing hip or knee replacement. Methods : The clinical investigation started with a two-week observation phase of conventional wound dressings, followed by an intervention phase where patients were treated with Mepilex® Border Post-Op dressings. The primary objective was to evaluate the occurrence of blisters. Results : There was no blistering in any of the patients in the Mepilex group (n = 49), whereas blistering occurred in 27.3% (n = 3) of patients in the conventional group (n = 11, p < 0.01). The Mepilex dressing was left on for seven days in 70% of patients. There was a significant reduction in the total cost for dressing changes with the Mepilex dressings (p = 0.006). Conclusion : By using Mepilex dressings, the risk of blistering was negated and the reduced frequency of dressing changes was associated with the reduced overall cost. Therefore, we recommend the use of Mepilex Border Post-Op dressings. |
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./index.php?lvl=notice_display&id=42363 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.768-775
[article] Is the use of modern versus conventional wound dressings warranted after primary knee and hip arthroplasty ? Results of a Prospective Comparative Study [texte imprimé] / Kourosh Zarghooni ; Jan Bredow ; Jan Siewe . - 2015 . - p.768-775. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.768-775
| Résumé : |
Purpose of the Study : This prospective, open, noncontrolled clinical investigation evaluated the performance of a modern post-operative wound dressing versus conventional dressings used on wounds of patients after undergoing hip or knee replacement. Methods : The clinical investigation started with a two-week observation phase of conventional wound dressings, followed by an intervention phase where patients were treated with Mepilex® Border Post-Op dressings. The primary objective was to evaluate the occurrence of blisters. Results : There was no blistering in any of the patients in the Mepilex group (n = 49), whereas blistering occurred in 27.3% (n = 3) of patients in the conventional group (n = 11, p < 0.01). The Mepilex dressing was left on for seven days in 70% of patients. There was a significant reduction in the total cost for dressing changes with the Mepilex dressings (p = 0.006). Conclusion : By using Mepilex dressings, the risk of blistering was negated and the reduced frequency of dressing changes was associated with the reduced overall cost. Therefore, we recommend the use of Mepilex Border Post-Op dressings. |
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Obesity does not influence the outcome after unicompartmental knee arthroplasty |
| Type de document : |
texte imprimé |
| Auteurs : |
Imme Zengerink ; Tijs Duivenvoorden ; Dieu Niesten |
| Année de publication : |
2015 |
| Article en page(s) : |
p.776-783 |
| Langues : |
Anglais (eng) |
| Résumé : |
We retrospectively reviewed all 147 medial UKA’s placed between 2001 and 2011 with a minimum follow-up of two years. The VAS for pain and satisfaction, the New Knee Society Score (KSS) for satisfaction and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were used as patient reported outcomes (PROs). Pre-operative and follow-up radiographs of the knee were assessed. The survival rate with a median follow-up of 5.0 years is 87%. No significant difference in survival, PROs or radiographical results were seen between the obese and non-obese group. Mid-term survival, radiographical results and PROs of a UKA are not influenced by obesity. Obesity in patients with medial compartment knee osteoarthritis should not form a contra-indication when selecting patients for a UKA.
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in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.776-783
[article] Obesity does not influence the outcome after unicompartmental knee arthroplasty [texte imprimé] / Imme Zengerink ; Tijs Duivenvoorden ; Dieu Niesten . - 2015 . - p.776-783. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.776-783
| Résumé : |
We retrospectively reviewed all 147 medial UKA’s placed between 2001 and 2011 with a minimum follow-up of two years. The VAS for pain and satisfaction, the New Knee Society Score (KSS) for satisfaction and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were used as patient reported outcomes (PROs). Pre-operative and follow-up radiographs of the knee were assessed. The survival rate with a median follow-up of 5.0 years is 87%. No significant difference in survival, PROs or radiographical results were seen between the obese and non-obese group. Mid-term survival, radiographical results and PROs of a UKA are not influenced by obesity. Obesity in patients with medial compartment knee osteoarthritis should not form a contra-indication when selecting patients for a UKA.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Comparison of the effectiveness and safety of one-stage versus two-stage bilateral total knee arthroplasty |
| Type de document : |
texte imprimé |
| Auteurs : |
Yan-Ting Zhao ; Hong-Jun Chu ; De-Feng Heng |
| Année de publication : |
2015 |
| Article en page(s) : |
p.784-789 |
| Langues : |
Anglais (eng) |
| Résumé : |
This study aims to evaluate the effectiveness and safety of the patients receiving simultaneous bilateral TKA (BTKA). A total of 93 consecutive patients with bilateral knee degenerative osteoarthritis from January 2008 to November 2013 were divided into two groups – one-stage group (bilateral TKA under a single anesthetic, n = 54) and two-stage group (bilateral TKA performed during two separate admissions, n = 39). The patients in the both group have a similar incidence of postoperative complications (p = 0.544). The one-stage BTKA can significantly (p < 0.05) decrease the operative time, length of stay, and hospital charges, when compared to two-stage BTKA. The patients in one-stage group have a significantly (p < 0.05) higher postoperative drainage, amount of hidden blood loss, amount of blood loss, allogeneic transfusion and rate of blood transfusion, compared with those in two-stage group. Patients in both groups had a similar KSS (p = 0.839) and ROM (p = 0.383). The findings suggests that one-stage BTKA may be safely performed with similar knee function to those of twostage procedure, and has the added benefit of single anaesthetic, reduced costs and decreased hospital stay when compared to two-stage BTKA.
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./index.php?lvl=notice_display&id=42365 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.784-789
[article] Comparison of the effectiveness and safety of one-stage versus two-stage bilateral total knee arthroplasty [texte imprimé] / Yan-Ting Zhao ; Hong-Jun Chu ; De-Feng Heng . - 2015 . - p.784-789. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.784-789
| Résumé : |
This study aims to evaluate the effectiveness and safety of the patients receiving simultaneous bilateral TKA (BTKA). A total of 93 consecutive patients with bilateral knee degenerative osteoarthritis from January 2008 to November 2013 were divided into two groups – one-stage group (bilateral TKA under a single anesthetic, n = 54) and two-stage group (bilateral TKA performed during two separate admissions, n = 39). The patients in the both group have a similar incidence of postoperative complications (p = 0.544). The one-stage BTKA can significantly (p < 0.05) decrease the operative time, length of stay, and hospital charges, when compared to two-stage BTKA. The patients in one-stage group have a significantly (p < 0.05) higher postoperative drainage, amount of hidden blood loss, amount of blood loss, allogeneic transfusion and rate of blood transfusion, compared with those in two-stage group. Patients in both groups had a similar KSS (p = 0.839) and ROM (p = 0.383). The findings suggests that one-stage BTKA may be safely performed with similar knee function to those of twostage procedure, and has the added benefit of single anaesthetic, reduced costs and decreased hospital stay when compared to two-stage BTKA.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| Titre : |
Unexpected wear of an unicompartimental knee arthroplasty in oxidized zirconium |
| Type de document : |
texte imprimé |
| Auteurs : |
Anais Luyet ; Jean-François Fischer ; Brigitte M. Jolles |
| Année de publication : |
2015 |
| Article en page(s) : |
p.790-795 |
| Langues : |
Anglais (eng) |
| Résumé : |
Unicompartimental knee arthroplasty is a successful procedure for the treatment of localized osteoarthritis to one compartment of the knee with good longterm results. However, several modes of failure of unicompartimental knee arthroplasty have been described, namely aseptic or septic loosening, progression of disease, wear, and instability. Metallosis after unicompartimental knee arthroplasty is rarely reported and is most often related with polyethylene wear or break. We report on a case of rapid failure of unicompartimental knee arthroplasty in oxidized zirconium associated with metallosis secondary to the dislocation of the polyethylene.
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./index.php?lvl=notice_display&id=42366 |
in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.790-795
[article] Unexpected wear of an unicompartimental knee arthroplasty in oxidized zirconium [texte imprimé] / Anais Luyet ; Jean-François Fischer ; Brigitte M. Jolles . - 2015 . - p.790-795. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.790-795
| Résumé : |
Unicompartimental knee arthroplasty is a successful procedure for the treatment of localized osteoarthritis to one compartment of the knee with good longterm results. However, several modes of failure of unicompartimental knee arthroplasty have been described, namely aseptic or septic loosening, progression of disease, wear, and instability. Metallosis after unicompartimental knee arthroplasty is rarely reported and is most often related with polyethylene wear or break. We report on a case of rapid failure of unicompartimental knee arthroplasty in oxidized zirconium associated with metallosis secondary to the dislocation of the polyethylene.
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Exemplaires (1)
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| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
