Dépouillements

Is internal fixation of the intertrochanteric fractures reliable option in patients with cognitive dysfunction? / Cem Coskun Avci in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 1-11 Titre : Is internal fixation of the intertrochanteric fractures reliable option in patients with cognitive dysfunction? Type de document : texte imprimé Auteurs : Cem Coskun Avci ; Necdet Saglam ; Gursel Saka ; [et al...] Année de publication : 2016 Article en page(s) : p. 1-11 Langues : Anglais (eng) Mots-clés : fracture  hanche  fixation interne  arthroplastie  dysfonction cognitive Résumé : The purpose of this study was to compare the results of hemiarthroplasty with those of treatment internal fixation devices for stable intertrochanteric fractures in patients with moderate and severe cognitive dysfunction. 155 patients were evaluated retrospectively. 54 patients were treated with proximal femoral nail (PFN), 57 with dynamic hip screw (DHS) and 44 were underwent hemiarthroplasty (HA). Activities of daily living (ADL) were evaluated with the Barthel Activity Index (BI) score and the Health Related Quality of Life (HRQoL) with the Euroquol-5D (EQ-5D) test. The BI scores in HA patients were found to be at significantly high compared to the PFN and DHS groups both at the one and two years. A significant difference was also found in the EQ-5D scores in favor of HA group at one year. The most common complications in internal fixation patients were malunion (7/54 for PFN, 9/57 for DHS group), fixation failure (8/54 for PFN, 12/57 for DHS group) and dislocation (10/44), deep infection (8/44) for HA group. The strong predictive variables on ADL in dementia patients were, duration time to surgery and pre-operative MMSE score. In conclusion, HA is the prefered treatment for stable intertrochanteric fractures but that the dislocation (10/44) and infection rates (8/44) are very high in dementia. Permalink : ./index.php?lvl=notice_display&id=46038 [article] Is internal fixation of the intertrochanteric fractures reliable option in patients with cognitive dysfunction? [texte imprimé] / Cem Coskun Avci ; Necdet Saglam ; Gursel Saka ; [et al...] . - 2016 . - p. 1-11. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 1-11 Mots-clés : fracture  hanche  fixation interne  arthroplastie  dysfonction cognitive Résumé : The purpose of this study was to compare the results of hemiarthroplasty with those of treatment internal fixation devices for stable intertrochanteric fractures in patients with moderate and severe cognitive dysfunction. 155 patients were evaluated retrospectively. 54 patients were treated with proximal femoral nail (PFN), 57 with dynamic hip screw (DHS) and 44 were underwent hemiarthroplasty (HA). Activities of daily living (ADL) were evaluated with the Barthel Activity Index (BI) score and the Health Related Quality of Life (HRQoL) with the Euroquol-5D (EQ-5D) test. The BI scores in HA patients were found to be at significantly high compared to the PFN and DHS groups both at the one and two years. A significant difference was also found in the EQ-5D scores in favor of HA group at one year. The most common complications in internal fixation patients were malunion (7/54 for PFN, 9/57 for DHS group), fixation failure (8/54 for PFN, 12/57 for DHS group) and dislocation (10/44), deep infection (8/44) for HA group. The strong predictive variables on ADL in dementia patients were, duration time to surgery and pre-operative MMSE score. In conclusion, HA is the prefered treatment for stable intertrochanteric fractures but that the dislocation (10/44) and infection rates (8/44) are very high in dementia. Permalink : ./index.php?lvl=notice_display&id=46038

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Birmingham Hip Resurfacing – Patient reported outcomes pre and post ‘Metal-on-Metal’ media attention / Samuel Barke in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 12-16 Titre : Birmingham Hip Resurfacing – Patient reported outcomes pre and post ‘Metal-on-Metal’ media attention Type de document : texte imprimé Auteurs : Samuel Barke ; Francesc Malagelada ; Giles Stafford ; [et al...] Année de publication : 2016 Article en page(s) : p. 12-16 Langues : Anglais (eng) Mots-clés : resurfaçage de hanche Résumé : We have investigated whether patient reported outcomes provided by patients with Birmingham Hip Resurfacing (BHR) changed after negative media coverage of metal-on-metal (MOM) hip replacement. We also investigated whether patients whose procedures were performed by a designer surgeon behaved differently to those performed elsewhere. 1178 consecutive BHR procedures performed between January 2002 and December 2006, by one of the designer surgeons in his private practice, were reviewed. We also reviewed 402 BHRs undertaken by two non-designer surgeons in both their NHS and private practice. 150 of the latter cohort were undertaken at an NHS hospital and 252 at an independent private hospital. All patients had annual Oxford Hip Scores (OHS) collected. We chose 2007 as pre-“media attention” and compared scores from this year against subsequent years. We found no clinically significant change in OHS between 2007 and subsequent years, at all centres. We conclude that negative media reporting does not appear to have had an impact on patients’ perceived outcome after BHR. In consequence, patients who have undergone this type of hip resurfacing and show deterioration should be investigated. Permalink : ./index.php?lvl=notice_display&id=46039 [article] Birmingham Hip Resurfacing – Patient reported outcomes pre and post ‘Metal-on-Metal’ media attention [texte imprimé] / Samuel Barke ; Francesc Malagelada ; Giles Stafford ; [et al...] . - 2016 . - p. 12-16. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 12-16 Mots-clés : resurfaçage de hanche Résumé : We have investigated whether patient reported outcomes provided by patients with Birmingham Hip Resurfacing (BHR) changed after negative media coverage of metal-on-metal (MOM) hip replacement. We also investigated whether patients whose procedures were performed by a designer surgeon behaved differently to those performed elsewhere. 1178 consecutive BHR procedures performed between January 2002 and December 2006, by one of the designer surgeons in his private practice, were reviewed. We also reviewed 402 BHRs undertaken by two non-designer surgeons in both their NHS and private practice. 150 of the latter cohort were undertaken at an NHS hospital and 252 at an independent private hospital. All patients had annual Oxford Hip Scores (OHS) collected. We chose 2007 as pre-“media attention” and compared scores from this year against subsequent years. We found no clinically significant change in OHS between 2007 and subsequent years, at all centres. We conclude that negative media reporting does not appear to have had an impact on patients’ perceived outcome after BHR. In consequence, patients who have undergone this type of hip resurfacing and show deterioration should be investigated. Permalink : ./index.php?lvl=notice_display&id=46039

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Patella component loosening – A case report / E.M. Bloemheuvel in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 17-22 Titre : Patella component loosening – A case report Type de document : texte imprimé Auteurs : E.M. Bloemheuvel ; W.M.J. van Rooij ; M. van den Besselaar Année de publication : 2016 Article en page(s) : p. 17-22 Langues : Anglais (eng) Résumé : Patellofemoral arthroplasty is a treatment option for the relatively young patient with isolated patellofemoral osteoarthritis where conservative treatment has failed. However, despite of reasonable long term results, complications could be challenging. Loosening of the polyethylene patella component is a serious complication and has been reported in 2%. Dislocation of the polyethylene patella component did ­happen more often in the polyethylene patella metal backed LCS-PFA variant. In this case we describe the diagnostic and treatment challenges of this complication. Permalink : ./index.php?lvl=notice_display&id=46040 [article] Patella component loosening – A case report [texte imprimé] / E.M. Bloemheuvel ; W.M.J. van Rooij ; M. van den Besselaar . - 2016 . - p. 17-22. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 17-22 Résumé : Patellofemoral arthroplasty is a treatment option for the relatively young patient with isolated patellofemoral osteoarthritis where conservative treatment has failed. However, despite of reasonable long term results, complications could be challenging. Loosening of the polyethylene patella component is a serious complication and has been reported in 2%. Dislocation of the polyethylene patella component did ­happen more often in the polyethylene patella metal backed LCS-PFA variant. In this case we describe the diagnostic and treatment challenges of this complication. Permalink : ./index.php?lvl=notice_display&id=46040

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Anterior lumbar inter-body fusion with instrumentation compared with posterolateral fusion for low grade isthmic-spondylolisthesis / Varun Chandra in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 23-30 Titre : Anterior lumbar inter-body fusion with instrumentation compared with posterolateral fusion for low grade isthmic-spondylolisthesis Type de document : texte imprimé Auteurs : Varun Chandra ; Raj Kumar Singh Année de publication : 2016 Article en page(s) : p. 23-30 Langues : Anglais (eng) Résumé : Spondylolisthesis presenting as low back pain is not an uncommon condition. Many of such patients are treated conservatively. For those that require surgical management, various treatment options are in vogue e.g. Postero-lateral fusion (PLF) with decompression or posterior fusion with instrumentation and anterior lumbar inter-body fusion (ALIF). Each technique has produced satisfactory outcome with benefits and disadvantages. Aim of the study : To compare the outcome of surgical management of low grade spondylolisthesis with two treatments modalities – Postero-lateral fusion (PLF) and Anterior lumbar inter-body fusion (ALIF) with posterior instrumentation in similar patient profile. Settings and Design : Prospective study to compare the results of two surgical treatment modalities. Material and Methods : The selected group of patients for surgery based on definite criteria was operated by the same surgeon by two modalities : Postero-lateral fusion with decompression and Anterior Lumbar Inter-body fusion with posterior instrumentation. The outcomes were compared. Statistical analysis used : Analysis of variance (ANOVA) test. Results : Follow up was done at twelve weekly intervals up to 2 years. Both groups showed good recovery in pain as seen in Visual analogue scale (VAS) and Oswestry low back pain scoring. Intra-operative bleeding was observed to be higher in Postero-lateral fusion group. Average length of hospital stay for the patients of PLF group was 6.6 days (Range : 4-7 days) as compared to 12.5 days (Range : 10-16 days) in case of ALIF group. Treatment cost was found to be higher in patients who undergone ALIF with instrumentation. Conclusions : ALIF with posterior instrumentation in low grade isthmic spondylolisthesis provides satisfactory outcome in patients requiring surgical treatment. The results of pain relief and disability index are comparable to time tested posterolateral fusion. ALIF shows a tendency to faster pain relief and return to activity with less intraoperative blood requirement in low grade isthmic spondylolisthesis. Permalink : ./index.php?lvl=notice_display&id=46041 [article] Anterior lumbar inter-body fusion with instrumentation compared with posterolateral fusion for low grade isthmic-spondylolisthesis [texte imprimé] / Varun Chandra ; Raj Kumar Singh . - 2016 . - p. 23-30. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 23-30 Résumé : Spondylolisthesis presenting as low back pain is not an uncommon condition. Many of such patients are treated conservatively. For those that require surgical management, various treatment options are in vogue e.g. Postero-lateral fusion (PLF) with decompression or posterior fusion with instrumentation and anterior lumbar inter-body fusion (ALIF). Each technique has produced satisfactory outcome with benefits and disadvantages. Aim of the study : To compare the outcome of surgical management of low grade spondylolisthesis with two treatments modalities – Postero-lateral fusion (PLF) and Anterior lumbar inter-body fusion (ALIF) with posterior instrumentation in similar patient profile. Settings and Design : Prospective study to compare the results of two surgical treatment modalities. Material and Methods : The selected group of patients for surgery based on definite criteria was operated by the same surgeon by two modalities : Postero-lateral fusion with decompression and Anterior Lumbar Inter-body fusion with posterior instrumentation. The outcomes were compared. Statistical analysis used : Analysis of variance (ANOVA) test. Results : Follow up was done at twelve weekly intervals up to 2 years. Both groups showed good recovery in pain as seen in Visual analogue scale (VAS) and Oswestry low back pain scoring. Intra-operative bleeding was observed to be higher in Postero-lateral fusion group. Average length of hospital stay for the patients of PLF group was 6.6 days (Range : 4-7 days) as compared to 12.5 days (Range : 10-16 days) in case of ALIF group. Treatment cost was found to be higher in patients who undergone ALIF with instrumentation. Conclusions : ALIF with posterior instrumentation in low grade isthmic spondylolisthesis provides satisfactory outcome in patients requiring surgical treatment. The results of pain relief and disability index are comparable to time tested posterolateral fusion. ALIF shows a tendency to faster pain relief and return to activity with less intraoperative blood requirement in low grade isthmic spondylolisthesis. Permalink : ./index.php?lvl=notice_display&id=46041

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Results of a unicentric series of 15 wrist prosthesis implantations at a 5.2 year follow-up / Jérémie Chevrollier in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 31-42 Titre : Results of a unicentric series of 15 wrist prosthesis implantations at a 5.2 year follow-up Type de document : texte imprimé Auteurs : Jérémie Chevrollier ; Clotilde Strugarek-Lecoanet ; François Dap ; [et al...] Année de publication : 2016 Article en page(s) : P. 31-42 Langues : Anglais (eng) Mots-clés : prothèse totale de poignet Résumé : Our retrospective study aimed to evaluate functional and radiological results of a unicentric series of 17 total wrist prostheses implanted between 2001 and 2011. Nine women and seven men, mean age 59, underwent wrist joint arthroplasty, bilateral in one case. Universal Total Wrist and Remotion prostheses were used and followed-up at a mean of 5.2 years (1.1-10). Fifteen patients were reviewed. Four patients had postoperative complications, three of whom required arthrodesis. The rest obtained satisfactory pain relief. Grip strength nevertheless decreased compared to the contralateral side and mobility was reduced : flexion/extension = 33°, ulnar/radial deviation = 20°. The Quick DASH score was 29% and PRWE, 26%. Radiological assessment revealed carpal implant loosening in eight patients. Our series confirms the discordance generally observed between patients’ subjective satisfaction and mediocre clinical and radiological results over the medium term. Permalink : ./index.php?lvl=notice_display&id=46042 [article] Results of a unicentric series of 15 wrist prosthesis implantations at a 5.2 year follow-up [texte imprimé] / Jérémie Chevrollier ; Clotilde Strugarek-Lecoanet ; François Dap ; [et al...] . - 2016 . - P. 31-42. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 31-42 Mots-clés : prothèse totale de poignet Résumé : Our retrospective study aimed to evaluate functional and radiological results of a unicentric series of 17 total wrist prostheses implanted between 2001 and 2011. Nine women and seven men, mean age 59, underwent wrist joint arthroplasty, bilateral in one case. Universal Total Wrist and Remotion prostheses were used and followed-up at a mean of 5.2 years (1.1-10). Fifteen patients were reviewed. Four patients had postoperative complications, three of whom required arthrodesis. The rest obtained satisfactory pain relief. Grip strength nevertheless decreased compared to the contralateral side and mobility was reduced : flexion/extension = 33°, ulnar/radial deviation = 20°. The Quick DASH score was 29% and PRWE, 26%. Radiological assessment revealed carpal implant loosening in eight patients. Our series confirms the discordance generally observed between patients’ subjective satisfaction and mediocre clinical and radiological results over the medium term. Permalink : ./index.php?lvl=notice_display&id=46042

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Adjustments in 2011 KSS increase the clinical suitability / Remco N. Dinjens in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 43-51 Titre : Adjustments in 2011 KSS increase the clinical suitability Type de document : texte imprimé Auteurs : Remco N. Dinjens ; Bernd Grimm ; Ide C. Heyligers ; Rachel Senden Année de publication : 2016 Article en page(s) : p. 43-51 Langues : Anglais (eng) Résumé : The 2011 KSS is a valid clinical TKA questionnaire, but with a low completion rate (42%). Adjustments, focusing on optimizing scale features, are required to improve its clinical use. The low completion rates, non-optimal scale features, lacking rules or a combination of these factors where addressed, leading to the development of the adjusted 2011 KSS (2011 KSSA). Four-hundred-ninety-nine primary TKA patients were addressed pre- and postoperative by mail. Clinimetric quality was evaluated. Seventy percent responded and 90% completed the scale. Internal consistency proved excellent with Cronbach’s Alpha = 0.79 for all subscales. Strong correlations were found between the Functional Activity subscales and KOOS-PS (r = -0.63 to -0.87). All subscales improved significantly after intervention (r-range 14-33%, effect size 0.50-2.85). Postoperatively, ceiling effects were found in the subscales Symptoms (16%) and Walking & Standing (26%). Adjustments led to a shortened and simplified questionnaire while maintaining its clinimetric quality. Permalink : ./index.php?lvl=notice_display&id=46043 [article] Adjustments in 2011 KSS increase the clinical suitability [texte imprimé] / Remco N. Dinjens ; Bernd Grimm ; Ide C. Heyligers ; Rachel Senden . - 2016 . - p. 43-51. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 43-51 Résumé : The 2011 KSS is a valid clinical TKA questionnaire, but with a low completion rate (42%). Adjustments, focusing on optimizing scale features, are required to improve its clinical use. The low completion rates, non-optimal scale features, lacking rules or a combination of these factors where addressed, leading to the development of the adjusted 2011 KSS (2011 KSSA). Four-hundred-ninety-nine primary TKA patients were addressed pre- and postoperative by mail. Clinimetric quality was evaluated. Seventy percent responded and 90% completed the scale. Internal consistency proved excellent with Cronbach’s Alpha = 0.79 for all subscales. Strong correlations were found between the Functional Activity subscales and KOOS-PS (r = -0.63 to -0.87). All subscales improved significantly after intervention (r-range 14-33%, effect size 0.50-2.85). Postoperatively, ceiling effects were found in the subscales Symptoms (16%) and Walking & Standing (26%). Adjustments led to a shortened and simplified questionnaire while maintaining its clinimetric quality. Permalink : ./index.php?lvl=notice_display&id=46043

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Percutaneous iliosacral screw fixation in vertically unstable pelvic injuries, a refined conventional method / Ihab El-Desouky in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 52-59 Titre : Percutaneous iliosacral screw fixation in vertically unstable pelvic injuries, a refined conventional method Type de document : texte imprimé Auteurs : Ihab El-Desouky ; Molham M. Mohamed ; Ahmed E. Kandil Année de publication : 2016 Article en page(s) : p. 52-59 Langues : Anglais (eng) Mots-clés : fracture de bassin  articulation ilio-sacrée Résumé : Percutaneous ilio-sacral screw fixation is a well-established method for fixation of unstable posterior pelvic lesions. Due to unavailability of the navigation system in our institute and the limits of using CT-guided method, we tried to refine the conventional method. Between March 2011 and Nov. 2012, twenty patients with closed vertical pelvic injuries were admitted. They were 17 males and three females with an average age of 34 years (range from 27 to 55). Percutaneous ilio-sacral screw fixation was done in the supine position using a Schanz screw marking of a fixed entry point in the outer iliac table. Closed reduction was done in all cases with excellent reduction in 14 cases, good in two and fair in four cases. The mean duration of screw insertion was 17 minutes (ranged from 10 to 25). One case of injury of the superior gluteal vessels was present and one case with misplacement through the ventral part of contra-lateral sacral ala. No neurological complications were detected. Ilio-sacral screw fixation by this refined technique allows safe stabilization of vertical pelvic lesions with an acceptable complication rate. Permalink : ./index.php?lvl=notice_display&id=46044 [article] Percutaneous iliosacral screw fixation in vertically unstable pelvic injuries, a refined conventional method [texte imprimé] / Ihab El-Desouky ; Molham M. Mohamed ; Ahmed E. Kandil . - 2016 . - p. 52-59. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 52-59 Mots-clés : fracture de bassin  articulation ilio-sacrée Résumé : Percutaneous ilio-sacral screw fixation is a well-established method for fixation of unstable posterior pelvic lesions. Due to unavailability of the navigation system in our institute and the limits of using CT-guided method, we tried to refine the conventional method. Between March 2011 and Nov. 2012, twenty patients with closed vertical pelvic injuries were admitted. They were 17 males and three females with an average age of 34 years (range from 27 to 55). Percutaneous ilio-sacral screw fixation was done in the supine position using a Schanz screw marking of a fixed entry point in the outer iliac table. Closed reduction was done in all cases with excellent reduction in 14 cases, good in two and fair in four cases. The mean duration of screw insertion was 17 minutes (ranged from 10 to 25). One case of injury of the superior gluteal vessels was present and one case with misplacement through the ventral part of contra-lateral sacral ala. No neurological complications were detected. Ilio-sacral screw fixation by this refined technique allows safe stabilization of vertical pelvic lesions with an acceptable complication rate. Permalink : ./index.php?lvl=notice_display&id=46044

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Press-fit versus threaded acetabular cups in total hip arthroplasty: Functional and radiological results after five years / Martin Ellenrieder in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 60-67 Titre : Press-fit versus threaded acetabular cups in total hip arthroplasty: Functional and radiological results after five years Type de document : texte imprimé Auteurs : Martin Ellenrieder ; Rainer Bader ; Philipp Bergschmidt ; Wolfram Mittelmeier Année de publication : 2016 Article en page(s) : p. 60-67 Langues : Anglais (eng) Mots-clés : hanche  prothèse Résumé : Prospectively the outcome after total hip replacement with a new threaded acetabular cup design was compared to an established press-fit cup. After 1, 2 and 5 years, the 36-item Short Form Health Survey, Western Ontario and McMaster University Osteoarthritis Index and Harris Hip Score revealed no significant differences between the two groups (each group : n = 42 patients), except for a higher Harris Hip Score in the threaded cup group after five years (p = 0.02). After five years, one threaded cup had a mild radiolucent line without further signs of loosening. All other cups of both groups (98.6%) showed a full osseous integration. The cup inclination angle ranged from 41-58° (threaded cups) to 39-77° (press-fit cups). The new threaded cup provides equivalent clinical outcomes and osseous integration but more precise implant positioning compared to the press-fit design. No complications typically ascribed to threaded cups (acetabular fractures, bone resorption, nerve impairment) occurred. Permalink : ./index.php?lvl=notice_display&id=46045 [article] Press-fit versus threaded acetabular cups in total hip arthroplasty: Functional and radiological results after five years [texte imprimé] / Martin Ellenrieder ; Rainer Bader ; Philipp Bergschmidt ; Wolfram Mittelmeier . - 2016 . - p. 60-67. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 60-67 Mots-clés : hanche  prothèse Résumé : Prospectively the outcome after total hip replacement with a new threaded acetabular cup design was compared to an established press-fit cup. After 1, 2 and 5 years, the 36-item Short Form Health Survey, Western Ontario and McMaster University Osteoarthritis Index and Harris Hip Score revealed no significant differences between the two groups (each group : n = 42 patients), except for a higher Harris Hip Score in the threaded cup group after five years (p = 0.02). After five years, one threaded cup had a mild radiolucent line without further signs of loosening. All other cups of both groups (98.6%) showed a full osseous integration. The cup inclination angle ranged from 41-58° (threaded cups) to 39-77° (press-fit cups). The new threaded cup provides equivalent clinical outcomes and osseous integration but more precise implant positioning compared to the press-fit design. No complications typically ascribed to threaded cups (acetabular fractures, bone resorption, nerve impairment) occurred. Permalink : ./index.php?lvl=notice_display&id=46045

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Operative treatment of chondroblastoma: a study of 11 cases / Onur Hapa in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 68-71 Titre : Operative treatment of chondroblastoma: a study of 11 cases Type de document : texte imprimé Auteurs : Onur Hapa ; Ahmet Karakasli ; Nihat Demirhan Demirkiran ; [et al...] Année de publication : 2016 Article en page(s) : p. 68-71 Langues : Anglais (eng) Mots-clés : chondroblastome  tumeur  os  chirurgie Résumé : Aim of the study was to review the radiological, clinical results of 11 chondroblastoma cases treated at our institute between 2003-2013. All patients with chondroblastoma included in this study underwent intra­lesional curettage +/- bone grafting. Follow up for healing of chondroblastoma lesions and detection of any local recurrence was assessed on clinical and radiological bases. The functional outcome was assessed by the Musculoskeletal Tumour Society scoring system. The mean follow-up period was 6.1 years. There were three recurrences (two femoral head, one proximal tibia). The mean Musculoskeletal Tumour Society functional score was 21. First line aggressive treatment seems appropriate for chondroblastoma especially when localized at lower extremities. Permalink : ./index.php?lvl=notice_display&id=46046 [article] Operative treatment of chondroblastoma: a study of 11 cases [texte imprimé] / Onur Hapa ; Ahmet Karakasli ; Nihat Demirhan Demirkiran ; [et al...] . - 2016 . - p. 68-71. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 68-71 Mots-clés : chondroblastome  tumeur  os  chirurgie Résumé : Aim of the study was to review the radiological, clinical results of 11 chondroblastoma cases treated at our institute between 2003-2013. All patients with chondroblastoma included in this study underwent intra­lesional curettage +/- bone grafting. Follow up for healing of chondroblastoma lesions and detection of any local recurrence was assessed on clinical and radiological bases. The functional outcome was assessed by the Musculoskeletal Tumour Society scoring system. The mean follow-up period was 6.1 years. There were three recurrences (two femoral head, one proximal tibia). The mean Musculoskeletal Tumour Society functional score was 21. First line aggressive treatment seems appropriate for chondroblastoma especially when localized at lower extremities. Permalink : ./index.php?lvl=notice_display&id=46046

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Role of anthropometric data in the prediction of 4-stranded hamstring graft size in anterior cruciate ligament reconstruction / Sean Wei Loong Ho in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 72-77 Titre : Role of anthropometric data in the prediction of 4-stranded hamstring graft size in anterior cruciate ligament reconstruction Type de document : texte imprimé Auteurs : Sean Wei Loong Ho ; Teong Jin Lester Tan ; Keng Thiam Lee Année de publication : 2016 Article en page(s) : p. 72-77 Langues : Anglais (eng) Mots-clés : reconstruction du ligament croisé antérieur  anthropométrie  greffon Résumé : To evaluate whether pre-operative anthropometric data can predict the optimal diameter and length of hamstring tendon autograft for anterior cruciate ligament (ACL) reconstruction. This was a cohort study that involved 169 patients who underwent single-bundle ACL reconstruction (single surgeon) with 4-stranded MM Gracilis and MM Semi-Tendinosus autografts. Height, weight, body mass index (BMI), gender, race, age and smoking status were recorded pre-operatively. Intraoperatively, the diameter and functional length of the 4-stranded autograft was recorded. Multiple regression analysis was used to determine the relationship between the anthropometric measurements and the length and diameter of the implanted autografts. The strongest correlation between 4-stranded hamstring autograft diameter was height and weight. This correlation was stronger in females than males. BMI had a moderate correlation with the diameter of the graft in females. Females had a significantly smaller graft both in diameter and length when compared with males. Linear regression models did not show any significant correlation between hamstring autograft length with height and weight (p > 0.05). Simple regression analysis demonstrated that height and weight can be used to predict hamstring graft diameter. The following regression equation was obtained for females : Graft diameter = 0.012 + 0.034*Height + 0.026*Weight (R2 = 0.358, p = 0.004) The following regression equation was obtained for males : Graft diameter = 5.130 + 0.012*Height + 0.007*Weight (R2 = 0.086, p = 0.002). Pre-operative anthropometric data has a positive correlation with the diameter of 4 stranded hamstring autografts but no significant correlation with the length. This data can be utilised to predict the autograft diameter and may be useful for pre-operative planning and patient counseling for graft selection. Permalink : ./index.php?lvl=notice_display&id=46047 [article] Role of anthropometric data in the prediction of 4-stranded hamstring graft size in anterior cruciate ligament reconstruction [texte imprimé] / Sean Wei Loong Ho ; Teong Jin Lester Tan ; Keng Thiam Lee . - 2016 . - p. 72-77. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 72-77 Mots-clés : reconstruction du ligament croisé antérieur  anthropométrie  greffon Résumé : To evaluate whether pre-operative anthropometric data can predict the optimal diameter and length of hamstring tendon autograft for anterior cruciate ligament (ACL) reconstruction. This was a cohort study that involved 169 patients who underwent single-bundle ACL reconstruction (single surgeon) with 4-stranded MM Gracilis and MM Semi-Tendinosus autografts. Height, weight, body mass index (BMI), gender, race, age and smoking status were recorded pre-operatively. Intraoperatively, the diameter and functional length of the 4-stranded autograft was recorded. Multiple regression analysis was used to determine the relationship between the anthropometric measurements and the length and diameter of the implanted autografts. The strongest correlation between 4-stranded hamstring autograft diameter was height and weight. This correlation was stronger in females than males. BMI had a moderate correlation with the diameter of the graft in females. Females had a significantly smaller graft both in diameter and length when compared with males. Linear regression models did not show any significant correlation between hamstring autograft length with height and weight (p > 0.05). Simple regression analysis demonstrated that height and weight can be used to predict hamstring graft diameter. The following regression equation was obtained for females : Graft diameter = 0.012 + 0.034*Height + 0.026*Weight (R2 = 0.358, p = 0.004) The following regression equation was obtained for males : Graft diameter = 5.130 + 0.012*Height + 0.007*Weight (R2 = 0.086, p = 0.002). Pre-operative anthropometric data has a positive correlation with the diameter of 4 stranded hamstring autografts but no significant correlation with the length. This data can be utilised to predict the autograft diameter and may be useful for pre-operative planning and patient counseling for graft selection. Permalink : ./index.php?lvl=notice_display&id=46047

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

How to treat a frozen shoulder? A survey among shoulder specialists in the Netherlands and Belgium / Tim Kraal in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 78-84 Titre : How to treat a frozen shoulder? A survey among shoulder specialists in the Netherlands and Belgium Type de document : texte imprimé Auteurs : Tim Kraal ; Cornelis Visser ; Inger Sierevelt ; Lijkele Beimers Année de publication : 2016 Article en page(s) : p. 78-84 Langues : Anglais (eng) Mots-clés : épaule gelée  rééducation  manipulation  arthroscopie Résumé : A frozen shoulder is a common cause of a painful and stiff shoulder. A web-based survey was conducted to obtain insight in the current preferences about the ­diagnosis and treatment of a frozen shoulder. A response rate of 54% was reached among shoulder specialized orthopaedic surgeons from the Netherlands and Belgium. Non-steroidal anti-inflammatory drugs and intra-articular corticosteroid injections are used frequently in the first phase of the condition. Physiotherapy is assumed to be more important in the final phase. The results of the survey indicate a wide variety of treatment strategies in the different phases of a frozen shoulder. Three out of four respondents considered that the management of a frozen shoulder could benefit from a written guideline. The development of a written guideline should lead to an improved level of consensus and a more standardized approach in the treatment of a frozen shoulder among shoulder specialists in the Netherlands and Belgium. Permalink : ./index.php?lvl=notice_display&id=46048 [article] How to treat a frozen shoulder? A survey among shoulder specialists in the Netherlands and Belgium [texte imprimé] / Tim Kraal ; Cornelis Visser ; Inger Sierevelt ; Lijkele Beimers . - 2016 . - p. 78-84. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 78-84 Mots-clés : épaule gelée  rééducation  manipulation  arthroscopie Résumé : A frozen shoulder is a common cause of a painful and stiff shoulder. A web-based survey was conducted to obtain insight in the current preferences about the ­diagnosis and treatment of a frozen shoulder. A response rate of 54% was reached among shoulder specialized orthopaedic surgeons from the Netherlands and Belgium. Non-steroidal anti-inflammatory drugs and intra-articular corticosteroid injections are used frequently in the first phase of the condition. Physiotherapy is assumed to be more important in the final phase. The results of the survey indicate a wide variety of treatment strategies in the different phases of a frozen shoulder. Three out of four respondents considered that the management of a frozen shoulder could benefit from a written guideline. The development of a written guideline should lead to an improved level of consensus and a more standardized approach in the treatment of a frozen shoulder among shoulder specialists in the Netherlands and Belgium. Permalink : ./index.php?lvl=notice_display&id=46048

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach / Sang Ki Lee in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 85-93 Titre : LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach Type de document : texte imprimé Auteurs : Sang Ki Lee Année de publication : 2016 Article en page(s) : p. 85-93 Langues : Anglais (eng) Mots-clés : humérus  fracture  chirurgie Résumé : The authors retrospectively studied the clinical and radiographic outcomes of locking compressive plate (LCP) metaphyseal plate fixation through the anterolateral approach in patients treated surgically for unstable distal third humeral shaft fractures. Twenty seven patients were treated surgically with LCP metaphyseal plate using brachialis splitting methods through the anterolateral approach. The mean arc of elbow motion was 132.4° with a mean flexion of 133.5° and mean flexion contracture of 1.1°. Three patients had a slight elbow flexion contracture with loss of 5° (n = 1), 10° (n = 1), and 15° (n = 1) of extension. The mean American Shoulder and Elbow Surgeons score was 92.6 points, which corresponded to excellent results in 26 shoulders and a good result in one. The mean Mayo Elbow Performance Score was 90.7 points, which corresponded to excellent results in 24 elbows, a good result in 2, and a fair result in 1. Treatment of distal third humeral shaft fracture using LCP metaphyseal plate through the anterolateral approach is an acceptable and alternative method that can provide good results. Permalink : ./index.php?lvl=notice_display&id=46049 [article] LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach [texte imprimé] / Sang Ki Lee . - 2016 . - p. 85-93. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 85-93 Mots-clés : humérus  fracture  chirurgie Résumé : The authors retrospectively studied the clinical and radiographic outcomes of locking compressive plate (LCP) metaphyseal plate fixation through the anterolateral approach in patients treated surgically for unstable distal third humeral shaft fractures. Twenty seven patients were treated surgically with LCP metaphyseal plate using brachialis splitting methods through the anterolateral approach. The mean arc of elbow motion was 132.4° with a mean flexion of 133.5° and mean flexion contracture of 1.1°. Three patients had a slight elbow flexion contracture with loss of 5° (n = 1), 10° (n = 1), and 15° (n = 1) of extension. The mean American Shoulder and Elbow Surgeons score was 92.6 points, which corresponded to excellent results in 26 shoulders and a good result in one. The mean Mayo Elbow Performance Score was 90.7 points, which corresponded to excellent results in 24 elbows, a good result in 2, and a fair result in 1. Treatment of distal third humeral shaft fracture using LCP metaphyseal plate through the anterolateral approach is an acceptable and alternative method that can provide good results. Permalink : ./index.php?lvl=notice_display&id=46049

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Infrapatellar fat pad syndrome: a review of anatomy, function, treatment and dynamics / James Mace in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 94-101 Titre : Infrapatellar fat pad syndrome: a review of anatomy, function, treatment and dynamics Type de document : texte imprimé Auteurs : James Mace ; Waqar Bhatti ; Sanjay Anand Année de publication : 2016 Article en page(s) : p. 94-101 Langues : Anglais (eng) Mots-clés : Maladie de Hoffa Résumé : The infrapatellar (Hoffa’s) fatpad is an important structure within the knee, whose function and role are both poorly understood. This review explores the anatomy, neural innervation, vascularity, role in biomechanics, pathology, imaging (stressing the importance of dynamic ultrasound assessment) and treatment of disorders presenting within this structure. Permalink : ./index.php?lvl=notice_display&id=46050 [article] Infrapatellar fat pad syndrome: a review of anatomy, function, treatment and dynamics [texte imprimé] / James Mace ; Waqar Bhatti ; Sanjay Anand . - 2016 . - p. 94-101. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 94-101 Mots-clés : Maladie de Hoffa Résumé : The infrapatellar (Hoffa’s) fatpad is an important structure within the knee, whose function and role are both poorly understood. This review explores the anatomy, neural innervation, vascularity, role in biomechanics, pathology, imaging (stressing the importance of dynamic ultrasound assessment) and treatment of disorders presenting within this structure. Permalink : ./index.php?lvl=notice_display&id=46050

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Exostoses, enchondromatosis and metachondromatosis; diagnosis and management / John McFarlane in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 102-105 Titre : Exostoses, enchondromatosis and metachondromatosis; diagnosis and management Type de document : texte imprimé Auteurs : John McFarlane ; Tim Knight ; Anubha Sinha ; [et al...] Année de publication : 2016 Article en page(s) : p. 102-105 Langues : Anglais (eng) Mots-clés : dysplasie osseuse  enchondrome  métachondromatose  malformation osseuse Résumé : We describe a 5 years old girl who presented to the multidisciplinary skeletal dysplasia clinic following excision of two bony lumps from her fingers. Based on clinical examination, radiolographs and histological results an initial diagnosis of hereditary multiple exostosis (HME) was made. Four years later she developed further lumps which had the radiological appearance of enchondromas. The appearance of both exostoses and enchondromas suggested a possible diagnosis of metachondromatosis. Genetic testing revealed a splice site mutation at the end of exon 11 on the PTPN11 gene, confirming the diagnosis of metachondromatosis. While both single or multiple exostoses and enchondromas occur relatively commonly on their own, the appearance of multiple exostoses and enchondromas together is rare and should raise the differential diagnosis of metachondromatosis. Making this diagnosis is important as the lesions in metachondromatosis may spontaneously resolve and therefore surgical intervention is often unnecessary. We discuss the diagnostic findings, genetic causes, treatment and prognosis of this rare condition of which less than thirty cases have previously been reported. Permalink : ./index.php?lvl=notice_display&id=46051 [article] Exostoses, enchondromatosis and metachondromatosis; diagnosis and management [texte imprimé] / John McFarlane ; Tim Knight ; Anubha Sinha ; [et al...] . - 2016 . - p. 102-105. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 102-105 Mots-clés : dysplasie osseuse  enchondrome  métachondromatose  malformation osseuse Résumé : We describe a 5 years old girl who presented to the multidisciplinary skeletal dysplasia clinic following excision of two bony lumps from her fingers. Based on clinical examination, radiolographs and histological results an initial diagnosis of hereditary multiple exostosis (HME) was made. Four years later she developed further lumps which had the radiological appearance of enchondromas. The appearance of both exostoses and enchondromas suggested a possible diagnosis of metachondromatosis. Genetic testing revealed a splice site mutation at the end of exon 11 on the PTPN11 gene, confirming the diagnosis of metachondromatosis. While both single or multiple exostoses and enchondromas occur relatively commonly on their own, the appearance of multiple exostoses and enchondromas together is rare and should raise the differential diagnosis of metachondromatosis. Making this diagnosis is important as the lesions in metachondromatosis may spontaneously resolve and therefore surgical intervention is often unnecessary. We discuss the diagnostic findings, genetic causes, treatment and prognosis of this rare condition of which less than thirty cases have previously been reported. Permalink : ./index.php?lvl=notice_display&id=46051

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Arthroscopic tibiotalocalcaneal arthrodesis in neurological pathologies: outcomes after at least one year of follow up / Maxime-Louis Mencière in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 106-111 Titre : Arthroscopic tibiotalocalcaneal arthrodesis in neurological pathologies: outcomes after at least one year of follow up Type de document : texte imprimé Auteurs : Maxime-Louis Mencière ; Linda Ferraz ; Patrice Mertl ; [et al...] Année de publication : 2016 Article en page(s) : P. 106-111 Langues : Anglais (eng) Mots-clés : arthroscopie  arthrodèse tibio-calcanéenne  cheville  ostéosynthèse intramédullaire Résumé : The main complications of open tibiotalocalcaneal arthrodesis are wound healing disorders and nonunion. Our hypothesis was that arthroscopy and interlocking intramedullary nailing decrease these complications. We retrospectively reviewed six patients (mean age: 58 years; mean preoperative Kitaoka score: 51/100) having undergone arthroscopic tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing between January and November 2011 for equinus deformity of the hindfoot and subtalar instability of neurological origin. Postoperative pain disappeared completely in four cases, one patient presented some pain associated with projection of the proximal locking screw head under the skin and the remaining patient presented fibular tendinitis that resolved after infiltration of anti-inflammatory drugs. The mean postoperative Kitaoka score was 64/100. None of the patients presented any wound healing complications or nonunion. The observed incidence of wound complications and bone consolidation disorders after tibiotalocalcaneal arthrodesis was lower than the ones reported for open tibiotalocalcaneal arthrodesis. Level of clinical evidence IV: retrospective case ­series. Permalink : ./index.php?lvl=notice_display&id=46052 [article] Arthroscopic tibiotalocalcaneal arthrodesis in neurological pathologies: outcomes after at least one year of follow up [texte imprimé] / Maxime-Louis Mencière ; Linda Ferraz ; Patrice Mertl ; [et al...] . - 2016 . - P. 106-111. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 106-111 Mots-clés : arthroscopie  arthrodèse tibio-calcanéenne  cheville  ostéosynthèse intramédullaire Résumé : The main complications of open tibiotalocalcaneal arthrodesis are wound healing disorders and nonunion. Our hypothesis was that arthroscopy and interlocking intramedullary nailing decrease these complications. We retrospectively reviewed six patients (mean age: 58 years; mean preoperative Kitaoka score: 51/100) having undergone arthroscopic tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing between January and November 2011 for equinus deformity of the hindfoot and subtalar instability of neurological origin. Postoperative pain disappeared completely in four cases, one patient presented some pain associated with projection of the proximal locking screw head under the skin and the remaining patient presented fibular tendinitis that resolved after infiltration of anti-inflammatory drugs. The mean postoperative Kitaoka score was 64/100. None of the patients presented any wound healing complications or nonunion. The observed incidence of wound complications and bone consolidation disorders after tibiotalocalcaneal arthrodesis was lower than the ones reported for open tibiotalocalcaneal arthrodesis. Level of clinical evidence IV: retrospective case ­series. Permalink : ./index.php?lvl=notice_display&id=46052

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation / Marwan B. Shadid in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 112-118 Titre : The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation Type de document : texte imprimé Auteurs : Marwan B. Shadid ; Nick S. Vinken ; Louis S. Marting ; Nienke Wolterbeek Année de publication : 2016 Article en page(s) : p. 112-118 Langues : Anglais (eng) Mots-clés : prothèse totale de genou  prothèse totale de hanche Résumé : The aim of this study was to translate the Forgotten Joint Score (FJS) into the Dutch language. This Questionnaire was tested for internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficients (ICC)). 159 patients were included in this study ; 74 with a total hip arthroplasty (THA) and 85 with a total knee arthroplasty (TKA). The FJS showed a high internal consistency (Cronbach’s alpha = 0.957 ; ICC = 0.943). The FJS showed a significant correlation (r = 0.751) with the WOMAC and low ceiling effects (3.1%). This study proved the Dutch FJS to be highly discriminative in patients treated with a THA or TKA. This makes the FJS a reliable patient related outcome measurement, measuring a new dimension in arthroplasty : the ability to forget an artificial joint in everyday life. Permalink : ./index.php?lvl=notice_display&id=46053 [article] The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation [texte imprimé] / Marwan B. Shadid ; Nick S. Vinken ; Louis S. Marting ; Nienke Wolterbeek . - 2016 . - p. 112-118. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 112-118 Mots-clés : prothèse totale de genou  prothèse totale de hanche Résumé : The aim of this study was to translate the Forgotten Joint Score (FJS) into the Dutch language. This Questionnaire was tested for internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficients (ICC)). 159 patients were included in this study ; 74 with a total hip arthroplasty (THA) and 85 with a total knee arthroplasty (TKA). The FJS showed a high internal consistency (Cronbach’s alpha = 0.957 ; ICC = 0.943). The FJS showed a significant correlation (r = 0.751) with the WOMAC and low ceiling effects (3.1%). This study proved the Dutch FJS to be highly discriminative in patients treated with a THA or TKA. This makes the FJS a reliable patient related outcome measurement, measuring a new dimension in arthroplasty : the ability to forget an artificial joint in everyday life. Permalink : ./index.php?lvl=notice_display&id=46053

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Early failure of coracoclavicular ligament reconstruction using TightRope system / Bijayendra Singh in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 119-123 Titre : Early failure of coracoclavicular ligament reconstruction using TightRope system Type de document : texte imprimé Auteurs : Bijayendra Singh ; Paras Mohanlal ; Rajesh Bawale Année de publication : 2016 Article en page(s) : p. 119-123 Langues : Anglais (eng) Mots-clés : articulation acromio-claviculaire  chirurgie Résumé : This prospective study reports the results of early failure of coracoclavicular (CC) ligament reconstruction using TightRope. Nine consecutive patients who had CC ligament reconstruction using TightRope or GraftRope were assessed for radiological and functional outcomes using DASH and Oxford Shoulder scores. With an average age of 38.4 (21-70) years, four patients had type III injuries, two type IV and two type V injuries. The mean follow-up was 22.8 (12-42) months. In 7 out of 9 patients, secondary progressive loss of reduction was observed at an average of 3.1 (1-7) months. Three patients underwent revision. The mean DASH score at latest follow-up was 27.45 (19.6-35) & Oxford shoulder score was 30.5 (20-43). Coraco-clavicular reconstruction with TightRope or GraftRope appears to result in failure with progressive AC joint subluxation perhaps due to ‘windscreen wiper’ micromotion. Surgeons should be wary of this potential problem whilst choosing this method of ­reconstruction for CC ligament reconstructions. Permalink : ./index.php?lvl=notice_display&id=46054 [article] Early failure of coracoclavicular ligament reconstruction using TightRope system [texte imprimé] / Bijayendra Singh ; Paras Mohanlal ; Rajesh Bawale . - 2016 . - p. 119-123. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 119-123 Mots-clés : articulation acromio-claviculaire  chirurgie Résumé : This prospective study reports the results of early failure of coracoclavicular (CC) ligament reconstruction using TightRope. Nine consecutive patients who had CC ligament reconstruction using TightRope or GraftRope were assessed for radiological and functional outcomes using DASH and Oxford Shoulder scores. With an average age of 38.4 (21-70) years, four patients had type III injuries, two type IV and two type V injuries. The mean follow-up was 22.8 (12-42) months. In 7 out of 9 patients, secondary progressive loss of reduction was observed at an average of 3.1 (1-7) months. Three patients underwent revision. The mean DASH score at latest follow-up was 27.45 (19.6-35) & Oxford shoulder score was 30.5 (20-43). Coraco-clavicular reconstruction with TightRope or GraftRope appears to result in failure with progressive AC joint subluxation perhaps due to ‘windscreen wiper’ micromotion. Surgeons should be wary of this potential problem whilst choosing this method of ­reconstruction for CC ligament reconstructions. Permalink : ./index.php?lvl=notice_display&id=46054

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

An alternative treatment method for defective pseudoarthrosis; evaluation of eight patients treated with Artelon + Kryptonite / Ismail Uras in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 124-128 Titre : An alternative treatment method for defective pseudoarthrosis; evaluation of eight patients treated with Artelon + Kryptonite Type de document : texte imprimé Auteurs : Ismail Uras ; Osman Yüksel Yavus ; Murat Uygun ; [et al...] Année de publication : 2016 Article en page(s) : p. 124-128 Langues : Anglais (eng) Mots-clés : pseudarthrose  chirurgie Résumé : Pseudoarthrosis with bone loss is one of the most challenging orthopaedic problems for surgeons. Bone loss usually leads to technical difficulties during surgery due to instability in the fracture area. Eight patients with pseudoarthrosis of different long bones were operated on by the same surgeon. The median age was 53 years (25-61), and the median time period after the index operation was 21 months (12-72 months). Radiographic union was achieved in all patients in 3.62 months (2-5 months). Efficient healing with new bone formation was observed in all of the patients. The result of the current case series is promising. This treatment method can be used for the treatment of pseudoarthrosis without increasing morbidity. Long-term follow-up and larger case series are needed for evidence of the adequacy and reliability of this method of treatment Permalink : ./index.php?lvl=notice_display&id=46055 [article] An alternative treatment method for defective pseudoarthrosis; evaluation of eight patients treated with Artelon + Kryptonite [texte imprimé] / Ismail Uras ; Osman Yüksel Yavus ; Murat Uygun ; [et al...] . - 2016 . - p. 124-128. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 124-128 Mots-clés : pseudarthrose  chirurgie Résumé : Pseudoarthrosis with bone loss is one of the most challenging orthopaedic problems for surgeons. Bone loss usually leads to technical difficulties during surgery due to instability in the fracture area. Eight patients with pseudoarthrosis of different long bones were operated on by the same surgeon. The median age was 53 years (25-61), and the median time period after the index operation was 21 months (12-72 months). Radiographic union was achieved in all patients in 3.62 months (2-5 months). Efficient healing with new bone formation was observed in all of the patients. The result of the current case series is promising. This treatment method can be used for the treatment of pseudoarthrosis without increasing morbidity. Long-term follow-up and larger case series are needed for evidence of the adequacy and reliability of this method of treatment Permalink : ./index.php?lvl=notice_display&id=46055

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

The current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review / Pieter-Jan Vendekerckhove in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 129-142 Titre : The current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review Type de document : texte imprimé Auteurs : Pieter-Jan Vendekerckhove ; Brent Lanting ; Johan Bellemans ; [et al...] Année de publication : 2016 Article en page(s) : p. 129-142 Langues : Anglais (eng) Mots-clés : Prothèse totale de genou Résumé : Background : Based on historical data, the current standard of care in Total Knee Arthroplasty (TKA) is to restore the overall alignment to a neutral mechanical axis of 0° ± 3° or even slight valgus. However, there is significant controversy in literature regarding intentionally placing the TKA in the patient’s physiologic, rather than neutral (0 ± 3°), mechanical alignment. Questions/purposes : The goal of this review is to provide a concise update on the present knowledge of coronal plane alignment TKA in a varus population. Methods : A systematic overview of the present literature was undertaken to determine basic science and clinical results in frontal plane alignment in primary TKA. Results : Results of studies based on laboratory research, retrieval analysis, cadaver research, finite models, survival scores, clinical outcome, gait analysis and radiographic outcome upon today are provided. Conclusions : Currently placement of a TKA in neutral alignment of 0° ± 3° of frontal plane alignment is the standard of care. However, frontal plane alignment in neutral may not be as strongly correlated to survivorship as previously thought. Caution needs to be exercised before changing the standard of care, and more research needs to be performed Permalink : ./index.php?lvl=notice_display&id=46056 [article] The current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review [texte imprimé] / Pieter-Jan Vendekerckhove ; Brent Lanting ; Johan Bellemans ; [et al...] . - 2016 . - p. 129-142. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 129-142 Mots-clés : Prothèse totale de genou Résumé : Background : Based on historical data, the current standard of care in Total Knee Arthroplasty (TKA) is to restore the overall alignment to a neutral mechanical axis of 0° ± 3° or even slight valgus. However, there is significant controversy in literature regarding intentionally placing the TKA in the patient’s physiologic, rather than neutral (0 ± 3°), mechanical alignment. Questions/purposes : The goal of this review is to provide a concise update on the present knowledge of coronal plane alignment TKA in a varus population. Methods : A systematic overview of the present literature was undertaken to determine basic science and clinical results in frontal plane alignment in primary TKA. Results : Results of studies based on laboratory research, retrieval analysis, cadaver research, finite models, survival scores, clinical outcome, gait analysis and radiographic outcome upon today are provided. Conclusions : Currently placement of a TKA in neutral alignment of 0° ± 3° of frontal plane alignment is the standard of care. However, frontal plane alignment in neutral may not be as strongly correlated to survivorship as previously thought. Caution needs to be exercised before changing the standard of care, and more research needs to be performed Permalink : ./index.php?lvl=notice_display&id=46056

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Outcome Predictors in Prosthetic Joint Infections – Validation of a risk stratification score for Prosthetic Joint Infections in 120 cases / Matthias D. Wimmer in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 143-148 Titre : Outcome Predictors in Prosthetic Joint Infections – Validation of a risk stratification score for Prosthetic Joint Infections in 120 cases Type de document : texte imprimé Auteurs : Matthias D. Wimmer ; Thomas M. Randau ; Max J. Friedrich ; [et al...] Année de publication : 2016 Article en page(s) : P. 143-148 Langues : Anglais (eng) Mots-clés : chirurgie  prothèse  infection Résumé : Prosthetic joint infections are a major challenge in Total joint arthroplasty, especially in times of accumulating drug resistancies. Even though predictive risk classifications are a widely accepted tool to define a suitable treatment protocol a classification is still missing considering the difficulty in treating the causative pathogen antibiotically. In this study, we present and evaluate a new predictive risk stratification for prosthetic joint infections in 120 cases, treated with a two-stage exchange. Treatment outcomes in 120 patients with proven prosthetic joint infections in hip and knee prostheses were regressed on time of infection, systemic risk factors, local risk factors and the difficulty in treating the causing pathogen. The main outcome variable was “definitely free of infection” after two years as published. Age, gender, and BMI were included as covariables and analyzed in a logistic regression model. 66 male and 54 female patients, with a mean age at surgery of 68.3 years ± 12.0 and a mean BMI of 26.05 ± 6.21 were included in our survey and followed for 29.0 ± 11.3 months. We found a significant association (p < 0.001) between our score and the outcome parameters evaluated. Age, gender and BMI did not show a significant association with the outcome. These results show that our score is an independent and reliable predictor for the cure rate in prosthetic joint infections in hip and knee prostheses treated within a two-stage exchange protocol. Our score illustrates, that there is a statistically significant, sizable decrease in cure rate with an increase in score. In patients with prosthetic joint infections the validation of a risk score may help to identify patients with local and systemic risk factors or with infectious organisms identified as “difficult to treat” prior to the treatment or the decision about the treatment concept. Thus, appropriate extra care should be considered and provided. Permalink : ./index.php?lvl=notice_display&id=46057 [article] Outcome Predictors in Prosthetic Joint Infections – Validation of a risk stratification score for Prosthetic Joint Infections in 120 cases [texte imprimé] / Matthias D. Wimmer ; Thomas M. Randau ; Max J. Friedrich ; [et al...] . - 2016 . - P. 143-148. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - P. 143-148 Mots-clés : chirurgie  prothèse  infection Résumé : Prosthetic joint infections are a major challenge in Total joint arthroplasty, especially in times of accumulating drug resistancies. Even though predictive risk classifications are a widely accepted tool to define a suitable treatment protocol a classification is still missing considering the difficulty in treating the causative pathogen antibiotically. In this study, we present and evaluate a new predictive risk stratification for prosthetic joint infections in 120 cases, treated with a two-stage exchange. Treatment outcomes in 120 patients with proven prosthetic joint infections in hip and knee prostheses were regressed on time of infection, systemic risk factors, local risk factors and the difficulty in treating the causing pathogen. The main outcome variable was “definitely free of infection” after two years as published. Age, gender, and BMI were included as covariables and analyzed in a logistic regression model. 66 male and 54 female patients, with a mean age at surgery of 68.3 years ± 12.0 and a mean BMI of 26.05 ± 6.21 were included in our survey and followed for 29.0 ± 11.3 months. We found a significant association (p < 0.001) between our score and the outcome parameters evaluated. Age, gender and BMI did not show a significant association with the outcome. These results show that our score is an independent and reliable predictor for the cure rate in prosthetic joint infections in hip and knee prostheses treated within a two-stage exchange protocol. Our score illustrates, that there is a statistically significant, sizable decrease in cure rate with an increase in score. In patients with prosthetic joint infections the validation of a risk score may help to identify patients with local and systemic risk factors or with infectious organisms identified as “difficult to treat” prior to the treatment or the decision about the treatment concept. Thus, appropriate extra care should be considered and provided. Permalink : ./index.php?lvl=notice_display&id=46057

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt