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Ajouter le résultat dans votre panierA demographic study of acurate injuries in basketball players / Charlotte Schepens in Acta Orthopaedica Belgica, Vol. 86/2 (Juin 2020)
Titre : A demographic study of acurate injuries in basketball players Type de document : texte imprimé Auteurs : Charlotte Schepens, Auteur Année de publication : 2020 Article en page(s) : p. 177-184 Langues : Anglais (eng) Résumé : Basketball is one of the most popular sports all over the world and keeps gaining popularity. The game requires intermittent high intensity efforts of the basketball players. Agility, explosive power and strength will partially determine whether or not a basketball player is successful. Permalink : ./index.php?lvl=notice_display&id=91976
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 177-184[article] A demographic study of acurate injuries in basketball players [texte imprimé] / Charlotte Schepens, Auteur . - 2020 . - p. 177-184.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 177-184
Résumé : Basketball is one of the most popular sports all over the world and keeps gaining popularity. The game requires intermittent high intensity efforts of the basketball players. Agility, explosive power and strength will partially determine whether or not a basketball player is successful. Permalink : ./index.php?lvl=notice_display&id=91976 Réservation
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Titre : Vitamin D, calcium and albumin bloodserum levels in Belgian orthopedic patients - is systematic screening justified ? Type de document : texte imprimé Auteurs : Robin Tjeenk, Auteur Année de publication : 2020 Article en page(s) : p. 185-192 Langues : Anglais (eng) Résumé : Fracture care is one of the main focusses in orthopedic surgery. However, many authors believe that fracture prevention and osteoporosis treatment are equally important. The socio-economic burden of fractures has been studied extensively and should not be underestimated. Permalink : ./index.php?lvl=notice_display&id=91977
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 185-192[article] Vitamin D, calcium and albumin bloodserum levels in Belgian orthopedic patients - is systematic screening justified ? [texte imprimé] / Robin Tjeenk, Auteur . - 2020 . - p. 185-192.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 185-192
Résumé : Fracture care is one of the main focusses in orthopedic surgery. However, many authors believe that fracture prevention and osteoporosis treatment are equally important. The socio-economic burden of fractures has been studied extensively and should not be underestimated. Permalink : ./index.php?lvl=notice_display&id=91977 Réservation
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Titre : Bilateral posterior fracture dislocation of the soulders : review of case and treatment Type de document : texte imprimé Auteurs : Jan Wouter Huizing, Auteur Année de publication : 2020 Article en page(s) : p. 193-200 Langues : Anglais (eng) Résumé : Bilateral Posterior Fracture Dislocation (BPFD) of the shoulder is an uncommon but not rare presentation. We describe etiology, diagnotics, treatments and outcome and give a historic review and with a current approach of this pathology. Permalink : ./index.php?lvl=notice_display&id=91978
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 193-200[article] Bilateral posterior fracture dislocation of the soulders : review of case and treatment [texte imprimé] / Jan Wouter Huizing, Auteur . - 2020 . - p. 193-200.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 193-200
Résumé : Bilateral Posterior Fracture Dislocation (BPFD) of the shoulder is an uncommon but not rare presentation. We describe etiology, diagnotics, treatments and outcome and give a historic review and with a current approach of this pathology. Permalink : ./index.php?lvl=notice_display&id=91978 Réservation
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Titre : Nocardia Farcinica infection of a reversed shoulder prosthesis : case report and review Type de document : texte imprimé Auteurs : Sofie Mylle, Auteur Année de publication : 2020 Article en page(s) : p. 200-204 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91979
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 200-204[article] Nocardia Farcinica infection of a reversed shoulder prosthesis : case report and review [texte imprimé] / Sofie Mylle, Auteur . - 2020 . - p. 200-204.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 200-204
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Titre : Shoulder arthroplasty for glenohumeral osteoarthritis : results from a comprehensive survey in Belgium and the Netherlands Type de document : texte imprimé Auteurs : P. C. Geervliet, Auteur Année de publication : 2020 Article en page(s) : p. 205-215 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91980
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 205-215[article] Shoulder arthroplasty for glenohumeral osteoarthritis : results from a comprehensive survey in Belgium and the Netherlands [texte imprimé] / P. C. Geervliet, Auteur . - 2020 . - p. 205-215.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 205-215
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Titre : Forestier's syndrome : a rare cause of dysphagia. A case report and review of the literature Type de document : texte imprimé Auteurs : Jean Legaye, Auteur Année de publication : 2020 Article en page(s) : p. 216-219 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91981
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 216-219[article] Forestier's syndrome : a rare cause of dysphagia. A case report and review of the literature [texte imprimé] / Jean Legaye, Auteur . - 2020 . - p. 216-219.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 216-219
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Titre : Treatment of distal radius fractures with palmar plates and locking screws. Comparisson of two different types of plate Type de document : texte imprimé Auteurs : Jonas Declerq, Auteur Année de publication : 2020 Article en page(s) : p. 220-226 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91982
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 220-226[article] Treatment of distal radius fractures with palmar plates and locking screws. Comparisson of two different types of plate [texte imprimé] / Jonas Declerq, Auteur . - 2020 . - p. 220-226.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 220-226
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Titre : Trapeziectomy with ligament reconstruction and tendon interposition arthroplasty in a male cohort : a retrospective study Type de document : texte imprimé Auteurs : Liselore Maeckelbergh, Auteur Année de publication : 2020 Article en page(s) : p. 227-232 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91983
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 227-232[article] Trapeziectomy with ligament reconstruction and tendon interposition arthroplasty in a male cohort : a retrospective study [texte imprimé] / Liselore Maeckelbergh, Auteur . - 2020 . - p. 227-232.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 227-232
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Titre : The addition of an anti-rotation screw to the dynamic hip screw Type de document : texte imprimé Auteurs : Stijn Voeten, Auteur Année de publication : 2020 Article en page(s) : p. 233-238 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=91984
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 233-238[article] The addition of an anti-rotation screw to the dynamic hip screw [texte imprimé] / Stijn Voeten, Auteur . - 2020 . - p. 233-238.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 233-238
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Titre : Good midterm results after Birmingham hip resurfacing and total hip arthroplasty Type de document : texte imprimé Auteurs : Luc Vanlomel, Auteur Année de publication : 2020 Article en page(s) : p. 243-248 Langues : Anglais (eng) Résumé : The aim of this study is to determine the functional outcome and midterm survival rates of the Birmingham Hip Resurfacing and Birmingham Total Hip Arthroplasty.
This retrospective, observational study included 150 surgeries (46 resurfacing procedures and 104 arthroplasty procedures) performed in 127 patients from 2005 to 2012. The Resurfacing and Arthroplasty study groups were evaluated with clinical (Harris Hip Score and Hip Disability and Osteoarthritis Outcome Score) and radiological follow-up. Cobalt and chromium levels were measured via blood samples.Permalink : ./index.php?lvl=notice_display&id=91985
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 243-248[article] Good midterm results after Birmingham hip resurfacing and total hip arthroplasty [texte imprimé] / Luc Vanlomel, Auteur . - 2020 . - p. 243-248.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 243-248
Résumé : The aim of this study is to determine the functional outcome and midterm survival rates of the Birmingham Hip Resurfacing and Birmingham Total Hip Arthroplasty.
This retrospective, observational study included 150 surgeries (46 resurfacing procedures and 104 arthroplasty procedures) performed in 127 patients from 2005 to 2012. The Resurfacing and Arthroplasty study groups were evaluated with clinical (Harris Hip Score and Hip Disability and Osteoarthritis Outcome Score) and radiological follow-up. Cobalt and chromium levels were measured via blood samples.Permalink : ./index.php?lvl=notice_display&id=91985 Réservation
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Titre : Delayed total hip arthroplasty infection with Mycobacterium Tuberculosis complex Type de document : texte imprimé Auteurs : Hervé Poilvache, Auteur Année de publication : 2020 Article en page(s) : p. 249-252 Langues : Anglais (eng) Résumé : Total Hip Arthroplasty (THA) joint infection is an uncommon (0,3-1,7%) (20) but devastating complication after THA. While mostly caused by Gram-positive bacteria, with staphylococci and streptococci accounting for up to 76% of cases (21), orthopaedic surgeons are sometimes faced with atypical germs such as fungi or mycobacteria. We present a case of THA joint infection caused by Mycobacterium tuberculosis (MT) in a patient without a previous history of MT infection. A literature review was performed, and the treatment is discussed. Permalink : ./index.php?lvl=notice_display&id=91986
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 249-252[article] Delayed total hip arthroplasty infection with Mycobacterium Tuberculosis complex [texte imprimé] / Hervé Poilvache, Auteur . - 2020 . - p. 249-252.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 249-252
Résumé : Total Hip Arthroplasty (THA) joint infection is an uncommon (0,3-1,7%) (20) but devastating complication after THA. While mostly caused by Gram-positive bacteria, with staphylococci and streptococci accounting for up to 76% of cases (21), orthopaedic surgeons are sometimes faced with atypical germs such as fungi or mycobacteria. We present a case of THA joint infection caused by Mycobacterium tuberculosis (MT) in a patient without a previous history of MT infection. A literature review was performed, and the treatment is discussed. Permalink : ./index.php?lvl=notice_display&id=91986 Réservation
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Titre : Trends in the utilisation rates and acute hospital capacity needs total hip replacements : results of an analysis of administrative data Type de document : texte imprimé Auteurs : Nicolas Bouckaert, Auteur Année de publication : 2020 Article en page(s) : p. 253-261 Langues : Anglais (eng) Résumé : Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models.
The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273).
The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age.
Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.Permalink : ./index.php?lvl=notice_display&id=91987
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 253-261[article] Trends in the utilisation rates and acute hospital capacity needs total hip replacements : results of an analysis of administrative data [texte imprimé] / Nicolas Bouckaert, Auteur . - 2020 . - p. 253-261.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 253-261
Résumé : Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models.
The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273).
The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age.
Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.Permalink : ./index.php?lvl=notice_display&id=91987 Réservation
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Titre : Etiology of knee pain in elite cyclists: A 14-month consecutive case series Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 262-271 Langues : Anglais (eng) Résumé : Overuse injuries of the knee are a common cause of missed training and competition days in elite cyclists, however the underlying conditions causing this knee pain are not well defined. We conducted a diagnostic study, investigating a consecutive series of 53 high level cyclists with non-traumatic knee pain over a 14 month period. Demographic data on the participants’ cycling specialty and training level was noted. Clinical information concerning knee pain intensity, location and occurrence were collected using a questionnaire.
Our results show 7 different overuse injuries were identified. The prepatellar friction syndrome accounted for the majority of these overuse injuries (46%), while medial plica syndrome (15%), biceps femoris tendinopathy (7.5%), patellar tendinopathy (9.4%), infrapatellar plica friction syndrome (7.5%), infrapatellar fat pad impingement (5.7%) and iliotibial band syndrome (3.7%) were other causes of knee pain in these athletes. In contrast to current belief, our results show that instead of patellofemoral cartilage overload, friction related overuse injuries are the most frequent and underestimated cause of knee pain in high level cyclists.Permalink : ./index.php?lvl=notice_display&id=91988
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 262-271[article] Etiology of knee pain in elite cyclists: A 14-month consecutive case series [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 262-271.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 262-271
Résumé : Overuse injuries of the knee are a common cause of missed training and competition days in elite cyclists, however the underlying conditions causing this knee pain are not well defined. We conducted a diagnostic study, investigating a consecutive series of 53 high level cyclists with non-traumatic knee pain over a 14 month period. Demographic data on the participants’ cycling specialty and training level was noted. Clinical information concerning knee pain intensity, location and occurrence were collected using a questionnaire.
Our results show 7 different overuse injuries were identified. The prepatellar friction syndrome accounted for the majority of these overuse injuries (46%), while medial plica syndrome (15%), biceps femoris tendinopathy (7.5%), patellar tendinopathy (9.4%), infrapatellar plica friction syndrome (7.5%), infrapatellar fat pad impingement (5.7%) and iliotibial band syndrome (3.7%) were other causes of knee pain in these athletes. In contrast to current belief, our results show that instead of patellofemoral cartilage overload, friction related overuse injuries are the most frequent and underestimated cause of knee pain in high level cyclists.Permalink : ./index.php?lvl=notice_display&id=91988 Réservation
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Titre : Mucoid degeneration of the anterior cruciate ligament. Complete resection as equivalent treatment to partial resection Type de document : texte imprimé Auteurs : Nicolas Himpe, Auteur Année de publication : 2020 Article en page(s) : p. 272-279 Langues : Anglais (eng) Résumé : Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL.
Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Symptoms included limited range of motion (ROM) and posterior knee pain.
Preoperative and postoperative results of eleven patient were compared. Postoperative recovery was four weeks on average. All patients (100%, n=11) reported an improvement in pain. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. All patients (100%, n=11) reported a good to very good surgery satisfaction. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories.
Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL.Permalink : ./index.php?lvl=notice_display&id=91989
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 272-279[article] Mucoid degeneration of the anterior cruciate ligament. Complete resection as equivalent treatment to partial resection [texte imprimé] / Nicolas Himpe, Auteur . - 2020 . - p. 272-279.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 272-279
Résumé : Mucoid degeneration (MD) of the anterior cruciate ligament (ACL) is a benign knee pathology, which is often indicated for surgical treatment if symptomatic. Most authors believe that partial ACL resection is the treatment of choice in symptomatic MD of the ACL. This study concerns complete ACL resection as a treatment of mucoid degenerated ACL.
Thirteen patients were treated with complete ACL resection for symptomatic MD of the ACL from 2006-2016. Symptoms included limited range of motion (ROM) and posterior knee pain.
Preoperative and postoperative results of eleven patient were compared. Postoperative recovery was four weeks on average. All patients (100%, n=11) reported an improvement in pain. All patients with a preoperative limited ROM (100%, n=9) reported a return to a normal (subjective) ROM. Eight patients (72.7%, n=8) reported an improvement of knee instability, while three patients (27.3%, n=3) experienced an unchanged knee stability. All patients (100%, n=11) reported a good to very good surgery satisfaction. Preoperative and postoperative KOOS questionnaires were compared and showed improvement in all categories.
Complete resection of the ACL without ACL reconstruction is a reliable treatment for symptomatic cases of mucoid degenerated ACL.Permalink : ./index.php?lvl=notice_display&id=91989 Réservation
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Titre : Valgus stress radiography following superficial medial collateral ligament reconstruction using a modified LaPrade technique with adjustable loop femoral fixation Type de document : texte imprimé Auteurs : Aad Dhollander, Auteur Année de publication : 2020 Article en page(s) : p. 280-286 Langues : Anglais (eng) Résumé : Purpose of this study was to assess postoperative laxity of MCL reconstructions utilizing a modified LaPrade superficial MCL reconstruction. We retrospectively reviewed post-operative valgus stress radiographs in 23 multiligament injured patients who underwent concurrent sMCL and cruciate ligament reconstruction by a single surgeon. Post- operatively, 23 patients underwent valgus stress radiographs that were assessed at a mean of 8.7 months (range: 4-13 months), and mean SSD was 0.64mm ± 0.42mm. Eight patients underwent both pre- and post-operative valgus stress radiographs. Post-operative (0.09mm ± 0.63mm) SSD was found to be significantly reduced compared to pre-operative (2.07mm ± 0.44mm) SSD (mean diff. = 1.98mm, 95% CI = 0.72-3.24, P=0.007). Inter-observer reliability value for medial compartment gap measurement was 0.91 with a 95% confidence interval of 0.34- 0.97. In conclusion, presented technique results in excellent static stability of the knee as measured by valgus stress radiography at a minimum of 6 months postoperative.
Level of Evidence: IVPermalink : ./index.php?lvl=notice_display&id=91990
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 280-286[article] Valgus stress radiography following superficial medial collateral ligament reconstruction using a modified LaPrade technique with adjustable loop femoral fixation [texte imprimé] / Aad Dhollander, Auteur . - 2020 . - p. 280-286.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 280-286
Résumé : Purpose of this study was to assess postoperative laxity of MCL reconstructions utilizing a modified LaPrade superficial MCL reconstruction. We retrospectively reviewed post-operative valgus stress radiographs in 23 multiligament injured patients who underwent concurrent sMCL and cruciate ligament reconstruction by a single surgeon. Post- operatively, 23 patients underwent valgus stress radiographs that were assessed at a mean of 8.7 months (range: 4-13 months), and mean SSD was 0.64mm ± 0.42mm. Eight patients underwent both pre- and post-operative valgus stress radiographs. Post-operative (0.09mm ± 0.63mm) SSD was found to be significantly reduced compared to pre-operative (2.07mm ± 0.44mm) SSD (mean diff. = 1.98mm, 95% CI = 0.72-3.24, P=0.007). Inter-observer reliability value for medial compartment gap measurement was 0.91 with a 95% confidence interval of 0.34- 0.97. In conclusion, presented technique results in excellent static stability of the knee as measured by valgus stress radiography at a minimum of 6 months postoperative.
Level of Evidence: IVPermalink : ./index.php?lvl=notice_display&id=91990 Réservation
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Titre : A prospective comparative study between a cooling device and manual cooling after total knee arthroplasty Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 287-293 Langues : Anglais (eng) Résumé : Studies have shown that the use of cryotherapy after a total knee arthroplasty can have beneficial effect on blood loss, pain and medication usage. In this study, the effect of the applied cryotherapy procedure is investigated.
52 patients underwent a total knee arthroplasty. The test group received continuous cooling, whereas the control group received manual conventional cooling with ice dressing. The knee circumference and range of motion, medication use, satisfaction and pain were investigated.
There is no statistical significant difference in pain and medication usage. A significant difference is observed in the swelling of the knee on the first postoperative day, the range of motion on the 7 th , 10 th , 11 th and 12 th postoperative day, and the satisfaction rate.
This study shows that continuous cooling has a positive effect on the swelling and range of motion of the knee, and on the satisfaction of the treatment.Permalink : ./index.php?lvl=notice_display&id=91991
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 287-293[article] A prospective comparative study between a cooling device and manual cooling after total knee arthroplasty [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 287-293.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 287-293
Résumé : Studies have shown that the use of cryotherapy after a total knee arthroplasty can have beneficial effect on blood loss, pain and medication usage. In this study, the effect of the applied cryotherapy procedure is investigated.
52 patients underwent a total knee arthroplasty. The test group received continuous cooling, whereas the control group received manual conventional cooling with ice dressing. The knee circumference and range of motion, medication use, satisfaction and pain were investigated.
There is no statistical significant difference in pain and medication usage. A significant difference is observed in the swelling of the knee on the first postoperative day, the range of motion on the 7 th , 10 th , 11 th and 12 th postoperative day, and the satisfaction rate.
This study shows that continuous cooling has a positive effect on the swelling and range of motion of the knee, and on the satisfaction of the treatment.Permalink : ./index.php?lvl=notice_display&id=91991 Réservation
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Titre : An evaluation of the influence of force- and weight bearing (a)symmetry on patient reported outcomes after total knee arthroplasty Type de document : texte imprimé Auteurs : Anton Borgers, Auteur Année de publication : 2020 Article en page(s) : p. 294-302 Langues : Anglais (eng) Résumé : It has been reported that balance impairments and asymmetrical movement patterns occur in patients after total kne arthroplasty (TKA). The purpose of this study was to evaluate if force- and weight-bearing asymmetry correlate with patient-reported outcomes (PROMs).
Twenty patients were prospectively analysed up to 6 months after TKA. Quadriceps- and hamstring force were measured using a hand-held dynamometer. Vertical ground reaction forces during sit-to-stand, stair descending and squatting were assessed by force plates. Patients were asked to complete the KOOS, OKS and 2011 KSS.
The symmetry-ratios during sit-to-stand, squat and stair-descent improved significantly. Preopera-tive quadriceps-force was positively correlated with KOOS-Symptoms (r=0.583, p=0.037). The pre-operative load-symmetry ratio during STS was negatively correlated with improvement in KOOS Pain (r=-0.675, p=0.011) and Symptoms (r=-0.674, p=0.008). In deep flexion, preoperative bodyweight ratio was positively correlated with postoperative OKS (r=0.601, p=0.039), KSS-Satisfaction (r=0.675, p=0.011) and improvement in KSS-Satisfaction (r=0.684, p=0.029).
Weight bearing and force asymmetry do exist before TKA and take up to at least 6-months to fully recover. The more symmetry in muscle-force and weight-bearing is found preoperatively, the better the PROMs will be at 6 months after surgery.Permalink : ./index.php?lvl=notice_display&id=91992
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 294-302[article] An evaluation of the influence of force- and weight bearing (a)symmetry on patient reported outcomes after total knee arthroplasty [texte imprimé] / Anton Borgers, Auteur . - 2020 . - p. 294-302.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 294-302
Résumé : It has been reported that balance impairments and asymmetrical movement patterns occur in patients after total kne arthroplasty (TKA). The purpose of this study was to evaluate if force- and weight-bearing asymmetry correlate with patient-reported outcomes (PROMs).
Twenty patients were prospectively analysed up to 6 months after TKA. Quadriceps- and hamstring force were measured using a hand-held dynamometer. Vertical ground reaction forces during sit-to-stand, stair descending and squatting were assessed by force plates. Patients were asked to complete the KOOS, OKS and 2011 KSS.
The symmetry-ratios during sit-to-stand, squat and stair-descent improved significantly. Preopera-tive quadriceps-force was positively correlated with KOOS-Symptoms (r=0.583, p=0.037). The pre-operative load-symmetry ratio during STS was negatively correlated with improvement in KOOS Pain (r=-0.675, p=0.011) and Symptoms (r=-0.674, p=0.008). In deep flexion, preoperative bodyweight ratio was positively correlated with postoperative OKS (r=0.601, p=0.039), KSS-Satisfaction (r=0.675, p=0.011) and improvement in KSS-Satisfaction (r=0.684, p=0.029).
Weight bearing and force asymmetry do exist before TKA and take up to at least 6-months to fully recover. The more symmetry in muscle-force and weight-bearing is found preoperatively, the better the PROMs will be at 6 months after surgery.Permalink : ./index.php?lvl=notice_display&id=91992 Réservation
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Titre : Dislocation of modern design rotating hinge total knee arthroplasty : case series and narrative review Type de document : texte imprimé Auteurs : Nikolai Kornilov, Auteur Année de publication : 2020 Article en page(s) : p. 303-312 Langues : Anglais (eng) Résumé : Knee dislocation is an infrequent complication after rotating hinge total knee arthroplasty (RHTKA). The aim of the present study was to describe our experience with dislocating RHTKA in a consecutive prospective large series, its occurrence rate, causative mechanisms and to perform a review of available literature.
In total, six dislocations were observed in 303 RHTKA procedures (NexGen RHK, ZimmerBiomet, Warsaw, Indiana, US) at a mean of 10 (range, 2 – 24) months after surgery. This results in a 2% dislocation rate, which is lower than the 3.1% cumulative rate reported earlier in literature. Men and women were distributed equally, with a mean age of 56 years old. The indication for RHTKA among the six dislocations was revision in 4 cases and primary arthroplasty for the other 2 cases.
Analysis revealed that the main mechanism of hinge dislocation was forced knee flexion with concomitant extensor mechanism insufficiency (4/6 cases). The second cause was unscrewing of the locking pin (2/6 cases). This is probably caused by the screw home mechanism that results in a counterclockwise torque -and therefore a loosening- effect on locking bolts, specifically in right-sided RHTKA. Obesity probably predisposes to hinge dislocation since 83% of patients in this series were obese (BMI, range 34 to 52). The findings of this study suggest that dislocation of RHTKA is a rare complication that could happen to obsese patients without an adequate extensor mechanism.
Level of evidence : IVPermalink : ./index.php?lvl=notice_display&id=91993
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 303-312[article] Dislocation of modern design rotating hinge total knee arthroplasty : case series and narrative review [texte imprimé] / Nikolai Kornilov, Auteur . - 2020 . - p. 303-312.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 303-312
Résumé : Knee dislocation is an infrequent complication after rotating hinge total knee arthroplasty (RHTKA). The aim of the present study was to describe our experience with dislocating RHTKA in a consecutive prospective large series, its occurrence rate, causative mechanisms and to perform a review of available literature.
In total, six dislocations were observed in 303 RHTKA procedures (NexGen RHK, ZimmerBiomet, Warsaw, Indiana, US) at a mean of 10 (range, 2 – 24) months after surgery. This results in a 2% dislocation rate, which is lower than the 3.1% cumulative rate reported earlier in literature. Men and women were distributed equally, with a mean age of 56 years old. The indication for RHTKA among the six dislocations was revision in 4 cases and primary arthroplasty for the other 2 cases.
Analysis revealed that the main mechanism of hinge dislocation was forced knee flexion with concomitant extensor mechanism insufficiency (4/6 cases). The second cause was unscrewing of the locking pin (2/6 cases). This is probably caused by the screw home mechanism that results in a counterclockwise torque -and therefore a loosening- effect on locking bolts, specifically in right-sided RHTKA. Obesity probably predisposes to hinge dislocation since 83% of patients in this series were obese (BMI, range 34 to 52). The findings of this study suggest that dislocation of RHTKA is a rare complication that could happen to obsese patients without an adequate extensor mechanism.
Level of evidence : IVPermalink : ./index.php?lvl=notice_display&id=91993 Réservation
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Titre : Can infection be predicted after intramedullary nailing of tibial shaft fractures? Type de document : texte imprimé Auteurs : Julie Manon, Auteur Année de publication : 2020 Article en page(s) : p. 313-319 Langues : Anglais (eng) Résumé : Despite the progress in tibial fracture care, some patients contract infection following intramedullary nailing. We analyzed which risk factors could predict infection in 171 tibial fractures. The independent variables included age, gender, body mass index, and comorbidities, along with external factors of fracture pattern, nailing settings, and treatment processing time. A multiple logistic regression was used to identify infection risk factors.
The risk of infection significantly increased according to the open grading, the fractures’ classification, time until antibiotic administration, and time until nailing. Gustilo type I fractures presented a higher rate of infection than expected, explained by a longer delay before surgery. The probabilistic equation allows infection prediction with high sensitivity and specificity. In total, we showed that no antibiotics’ prescription in emergency service and a transverse fracture pattern were predictors of infection. An infection risk score can be computed, aiding surgeons in decision making. Outcomes could improve keeping these observations in mind.Permalink : ./index.php?lvl=notice_display&id=91994
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 313-319[article] Can infection be predicted after intramedullary nailing of tibial shaft fractures? [texte imprimé] / Julie Manon, Auteur . - 2020 . - p. 313-319.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 313-319
Résumé : Despite the progress in tibial fracture care, some patients contract infection following intramedullary nailing. We analyzed which risk factors could predict infection in 171 tibial fractures. The independent variables included age, gender, body mass index, and comorbidities, along with external factors of fracture pattern, nailing settings, and treatment processing time. A multiple logistic regression was used to identify infection risk factors.
The risk of infection significantly increased according to the open grading, the fractures’ classification, time until antibiotic administration, and time until nailing. Gustilo type I fractures presented a higher rate of infection than expected, explained by a longer delay before surgery. The probabilistic equation allows infection prediction with high sensitivity and specificity. In total, we showed that no antibiotics’ prescription in emergency service and a transverse fracture pattern were predictors of infection. An infection risk score can be computed, aiding surgeons in decision making. Outcomes could improve keeping these observations in mind.Permalink : ./index.php?lvl=notice_display&id=91994 Réservation
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Titre : Health care and productivity costs for isolated tibia shaft fracture admissions in The Netherlands Type de document : texte imprimé Auteurs : Mandala S. Leliveld, Auteur Année de publication : 2020 Article en page(s) : p. 320-326 Langues : Anglais (eng) Résumé : The aim of this study was to provide a detailed overview of age and gender specific health care costs and costs due to lost productivity for hospital admitted patients with an isolated tibia shaft fracture in The Netherlands between 2008 and 2012. Injury cases and length of hospital stay were extracted from the National Medical Registration. Information on extramural health care and work absence were retrieved from a patient follow-up survey on health care use. Medical costs included ambulance care, in- hospital care, general practitioner care, home care, physical therapy, and rehabilitation/nursing care. An incidence-based cost model was applied to calculate direct health care costs and lost productivity in 2012. Total direct health care costs for all patients admitted with a tibia shaft fracture (n = 1,635) were €13.6 million. Costs for productivity loss were € 23.0 million. Total costs (direct health care and lost productivity) per patient were highest for men aged 40-49 years mainly due to lost productivity, and for women aged > 80 years, due to high direct medical costs. Permalink : ./index.php?lvl=notice_display&id=91995
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 320-326[article] Health care and productivity costs for isolated tibia shaft fracture admissions in The Netherlands [texte imprimé] / Mandala S. Leliveld, Auteur . - 2020 . - p. 320-326.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 320-326
Résumé : The aim of this study was to provide a detailed overview of age and gender specific health care costs and costs due to lost productivity for hospital admitted patients with an isolated tibia shaft fracture in The Netherlands between 2008 and 2012. Injury cases and length of hospital stay were extracted from the National Medical Registration. Information on extramural health care and work absence were retrieved from a patient follow-up survey on health care use. Medical costs included ambulance care, in- hospital care, general practitioner care, home care, physical therapy, and rehabilitation/nursing care. An incidence-based cost model was applied to calculate direct health care costs and lost productivity in 2012. Total direct health care costs for all patients admitted with a tibia shaft fracture (n = 1,635) were €13.6 million. Costs for productivity loss were € 23.0 million. Total costs (direct health care and lost productivity) per patient were highest for men aged 40-49 years mainly due to lost productivity, and for women aged > 80 years, due to high direct medical costs. Permalink : ./index.php?lvl=notice_display&id=91995 Réservation
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Titre : Surgical treatment of lateral ankle instability. Does allograft tendon have a better functional result? Type de document : texte imprimé Année de publication : 2020 Article en page(s) : p. 327-334 Langues : Anglais (eng) Résumé : Surgical treatment of lateral ankle instability can be performed with or without allograft. We compared these two technical options referring to patients’ functional, radiological and ultrasound data.
Forty patients were surgically treated for lateral pain- ful instability of the ankle. Twenty patients underwent ligamentoplasty using the Broström-Gould technique and twenty underwent a ligamentoplasty by allograft tendon. Patients were matched in age and gender. The assessment was done at 2.5 years postoperatively by functional scores (Olerud & Molander, and Foot & Ankle Outcome), dynamic x-rays (focused on varus and anterior drawer stress tests) and ultrasound examination (focused on anterior talo-fibular and calcaneo-fibular ligaments).
No significant difference was found between the two techniques for all scores.
Functional scores were more than 75% and the complication rate was low (<10%). Regarding the surgical technique, the tendon allograft could not prove to be more beneficial.Permalink : ./index.php?lvl=notice_display&id=91996
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 327-334[article] Surgical treatment of lateral ankle instability. Does allograft tendon have a better functional result? [texte imprimé] . - 2020 . - p. 327-334.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 327-334
Résumé : Surgical treatment of lateral ankle instability can be performed with or without allograft. We compared these two technical options referring to patients’ functional, radiological and ultrasound data.
Forty patients were surgically treated for lateral pain- ful instability of the ankle. Twenty patients underwent ligamentoplasty using the Broström-Gould technique and twenty underwent a ligamentoplasty by allograft tendon. Patients were matched in age and gender. The assessment was done at 2.5 years postoperatively by functional scores (Olerud & Molander, and Foot & Ankle Outcome), dynamic x-rays (focused on varus and anterior drawer stress tests) and ultrasound examination (focused on anterior talo-fibular and calcaneo-fibular ligaments).
No significant difference was found between the two techniques for all scores.
Functional scores were more than 75% and the complication rate was low (<10%). Regarding the surgical technique, the tendon allograft could not prove to be more beneficial.Permalink : ./index.php?lvl=notice_display&id=91996 Réservation
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Titre : The challenge of the infected pilon tibial non-union: treatment with radical resection, bone transport and ankle arthrodesis Type de document : texte imprimé Auteurs : Annelien Brauns, Auteur Année de publication : 2020 Article en page(s) : p. 335-341 Langues : Anglais (eng) Résumé : A significant number of patients with pilon tibial fractures develop complications, the most devastating being a combination of infection and non-union with bone loss.
The results of the Ilizarov bone transport technique were retrospectively evaluated in ten patients. All underwent an extensive resection and reconstruction aiming at an ankle arthrodesis. The outcome was registered by clinical and radiographic examination as proposed by Paley’s functional and bone results classification.
A good healing at the level of the docking site could be obtained in all patients but with a re- intervention in 8 of the 10. In 5 of these patients, re-intervention with a transcalcaneal nailing leaded to the final healing. Other options are debridement of the docking site (2 patients) and a new Ilizarov procedure (1 patient).
If patients are prepared to participate in a long-term treatment with the risk of multiple interventions a reconstruction can be performed, resulting in a limb with an acceptable function, allowing all activities of daily life and even a professional occupation. To obtain this final result with a definite union at the docking site a secondary retrograde intramedullary nailing is considered a valuable and safe procedure.Permalink : ./index.php?lvl=notice_display&id=91997
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 335-341[article] The challenge of the infected pilon tibial non-union: treatment with radical resection, bone transport and ankle arthrodesis [texte imprimé] / Annelien Brauns, Auteur . - 2020 . - p. 335-341.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 335-341
Résumé : A significant number of patients with pilon tibial fractures develop complications, the most devastating being a combination of infection and non-union with bone loss.
The results of the Ilizarov bone transport technique were retrospectively evaluated in ten patients. All underwent an extensive resection and reconstruction aiming at an ankle arthrodesis. The outcome was registered by clinical and radiographic examination as proposed by Paley’s functional and bone results classification.
A good healing at the level of the docking site could be obtained in all patients but with a re- intervention in 8 of the 10. In 5 of these patients, re-intervention with a transcalcaneal nailing leaded to the final healing. Other options are debridement of the docking site (2 patients) and a new Ilizarov procedure (1 patient).
If patients are prepared to participate in a long-term treatment with the risk of multiple interventions a reconstruction can be performed, resulting in a limb with an acceptable function, allowing all activities of daily life and even a professional occupation. To obtain this final result with a definite union at the docking site a secondary retrograde intramedullary nailing is considered a valuable and safe procedure.Permalink : ./index.php?lvl=notice_display&id=91997 Réservation
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Titre : Spontaneous swelling of the ankle in a child : a difficult diagnosis Type de document : texte imprimé Auteurs : Jonas Declerq, Auteur Année de publication : 2020 Article en page(s) : p. 342-346 Langues : Anglais (eng) Résumé : The authors present a case of monoarticular localized pigmented villonodular synovitis (PVNS) in a 7-year old girl. PVNS is a rare benign disease of the synovial tissue. It is especially rare in ankles of children, with only 15 cases reported in literature.
The girl presented with swelling and pain in the left ankle since 4 weeks. The tentative diagnosis was made after a joint puncture and a MRI scan. A synovial mass with a brown-yellowish appearance was seen during the excisional biopsy. After removing the entire mass and without adjuvant therapy, no recurrence was detected after 12 months.
As it is very rare in children, PVNS is easily misdiagnosed. Early diagnosis is important to prevent bone and cartilage damage. A review of the clinical, radiological and therapeutical features of PVNS are presented.Permalink : ./index.php?lvl=notice_display&id=91998
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 342-346[article] Spontaneous swelling of the ankle in a child : a difficult diagnosis [texte imprimé] / Jonas Declerq, Auteur . - 2020 . - p. 342-346.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 342-346
Résumé : The authors present a case of monoarticular localized pigmented villonodular synovitis (PVNS) in a 7-year old girl. PVNS is a rare benign disease of the synovial tissue. It is especially rare in ankles of children, with only 15 cases reported in literature.
The girl presented with swelling and pain in the left ankle since 4 weeks. The tentative diagnosis was made after a joint puncture and a MRI scan. A synovial mass with a brown-yellowish appearance was seen during the excisional biopsy. After removing the entire mass and without adjuvant therapy, no recurrence was detected after 12 months.
As it is very rare in children, PVNS is easily misdiagnosed. Early diagnosis is important to prevent bone and cartilage damage. A review of the clinical, radiological and therapeutical features of PVNS are presented.Permalink : ./index.php?lvl=notice_display&id=91998 Réservation
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