Dépouillements

Mental-health, coping and support following adverse events on the work-floor : a cross-sectional study among Dutch orthopaedic surgeons / Lynn M. Sligter in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 349-362 Titre : Mental-health, coping and support following adverse events on the work-floor : a cross-sectional study among Dutch orthopaedic surgeons Type de document : texte imprimé Auteurs : Lynn M. Sligter, Auteur Année de publication : 2020 Article en page(s) : p. 349-362 Langues : Anglais (eng) Résumé : Physicians are frequently exposed to adverse events on the work-floor, which puts them at risk for depression, anxiety- or posttraumatic stress disorder. This study aims to explore what events orthopaedic surgeons consider to have the highest emotional impact as well as support, coping strategies and mental health. A questionnaire was emailed to all members of the Dutch Society of Orthopaedic Surgeons which included resident, attending, non-practicing and retired orthopaedic surgeons. The questionnaire in- cluded questions about demographics, personal experiences and subsequent support and coping. Also the Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included, which are validated screening instruments for anxiety, depression and posttraumatic stress disorder (PTSD), respectively. A total of 292 questionnaires were eligible for analysis. Most common events considered a high emotional impact stressor were : missing a diagnosis (59.2%), when a patient becomes severely handicapped (36.6%) or doubting whether one is making the right decision (36.6%). Permalink : ./index.php?lvl=notice_display&id=91999 [article] Mental-health, coping and support following adverse events on the work-floor : a cross-sectional study among Dutch orthopaedic surgeons [texte imprimé] / Lynn M. Sligter, Auteur . - 2020 . - p. 349-362. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 349-362 Résumé : Physicians are frequently exposed to adverse events on the work-floor, which puts them at risk for depression, anxiety- or posttraumatic stress disorder. This study aims to explore what events orthopaedic surgeons consider to have the highest emotional impact as well as support, coping strategies and mental health. A questionnaire was emailed to all members of the Dutch Society of Orthopaedic Surgeons which included resident, attending, non-practicing and retired orthopaedic surgeons. The questionnaire in- cluded questions about demographics, personal experiences and subsequent support and coping. Also the Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included, which are validated screening instruments for anxiety, depression and posttraumatic stress disorder (PTSD), respectively. A total of 292 questionnaires were eligible for analysis. Most common events considered a high emotional impact stressor were : missing a diagnosis (59.2%), when a patient becomes severely handicapped (36.6%) or doubting whether one is making the right decision (36.6%). Permalink : ./index.php?lvl=notice_display&id=91999

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Symptomatic venous thromboembolism after trauma surgery : a study on 56.884 procedures / Wietse Melman in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 363-368 Titre : Symptomatic venous thromboembolism after trauma surgery : a study on 56.884 procedures Type de document : texte imprimé Auteurs : Wietse Melman, Auteur Année de publication : 2020 Article en page(s) : p. 363-368 Langues : Anglais (eng) Résumé : Patients undergoing trauma surgery are at significant risk for developing thromboembolism. Venous thromboembolism rates, especially after less common surgical procedures are unknown. The purpose of this study is to establish data on the incidence of venous thromboembolism in trauma practice following a surgical procedure. All surgical trauma procedures between 2006 and 2011 were identified within the Achmea Health Database. This database records medical care to persons insured at the Achmea health insurance company. This is the largest health insurance company in the Netherlands. In the year following the surgical procedure we analyzed if a claim was filed concerning a deep venous thrombosis or pulmonary embolism. 56.884 surgical trauma procedures were included in the analysis and followed for one year thereafter. Venous thromboembolism development was raised most markedly until 100 days after the surgical procedure. Relatively high incidences of venous thromboembolism were found after surgical lower extremity and pelvic procedures. The present large database study provides a com- prehensive view on the epidemiology of venous thromboembolism after different traumatic injuries requiring a surgical procedure. Permalink : ./index.php?lvl=notice_display&id=92000 [article] Symptomatic venous thromboembolism after trauma surgery : a study on 56.884 procedures [texte imprimé] / Wietse Melman, Auteur . - 2020 . - p. 363-368. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 363-368 Résumé : Patients undergoing trauma surgery are at significant risk for developing thromboembolism. Venous thromboembolism rates, especially after less common surgical procedures are unknown. The purpose of this study is to establish data on the incidence of venous thromboembolism in trauma practice following a surgical procedure. All surgical trauma procedures between 2006 and 2011 were identified within the Achmea Health Database. This database records medical care to persons insured at the Achmea health insurance company. This is the largest health insurance company in the Netherlands. In the year following the surgical procedure we analyzed if a claim was filed concerning a deep venous thrombosis or pulmonary embolism. 56.884 surgical trauma procedures were included in the analysis and followed for one year thereafter. Venous thromboembolism development was raised most markedly until 100 days after the surgical procedure. Relatively high incidences of venous thromboembolism were found after surgical lower extremity and pelvic procedures. The present large database study provides a com- prehensive view on the epidemiology of venous thromboembolism after different traumatic injuries requiring a surgical procedure. Permalink : ./index.php?lvl=notice_display&id=92000

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

The pathogenesis of heterotopic ossification after traumatic brain injury. A review of current literature / Joris ANTHONISSEN in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 369-377 Titre : The pathogenesis of heterotopic ossification after traumatic brain injury. A review of current literature Type de document : texte imprimé Auteurs : Joris ANTHONISSEN, Auteur Année de publication : 2020 Article en page(s) : p. 369-377 Langues : Anglais (eng) Résumé : Neurogenic heterotopic ossification (NHO), mostly defined as a benign process of formation of bone outside the skeletal system, after traumatic brain injury (TBI) is a musculoskeletal disorder that causes pain and reduces the range of motion, often leading to marked impairment of quality of life. The pathogenic factors that link the brain and bone and cause the formation of heterotopic bone are largely unknown. This article will try to summarize the current literature on the pathogenesis of NHO and accelerated fracture healing after TBI. The heterotopic formation of bone after TBI seems to be inducted by a complex interplay between local and systemic factors. For all different forms of HO, the same three conditions are required for the formation of ectopic bone : The presence of osteoprogenitor cells, a permissive environment, and a stimulating factor. The osteoprogenitor cells are thought to be of mesenchymal origin, however recent research suggests a possible neural origin. The permissive environment is created mainly by reactions to hypoxia and both local and sensory nerve inflammation. Many possible inducing factors have been described ; the endogenic route is thought to be the most dominant in the stimulation of HO formation after TBI. The pathogenesis of NHO remains largely unknown, recent research, however, has discovered interesting topics for further research and new possible targets in the prevention of NHO. Permalink : ./index.php?lvl=notice_display&id=92001 [article] The pathogenesis of heterotopic ossification after traumatic brain injury. A review of current literature [texte imprimé] / Joris ANTHONISSEN, Auteur . - 2020 . - p. 369-377. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 369-377 Résumé : Neurogenic heterotopic ossification (NHO), mostly defined as a benign process of formation of bone outside the skeletal system, after traumatic brain injury (TBI) is a musculoskeletal disorder that causes pain and reduces the range of motion, often leading to marked impairment of quality of life. The pathogenic factors that link the brain and bone and cause the formation of heterotopic bone are largely unknown. This article will try to summarize the current literature on the pathogenesis of NHO and accelerated fracture healing after TBI. The heterotopic formation of bone after TBI seems to be inducted by a complex interplay between local and systemic factors. For all different forms of HO, the same three conditions are required for the formation of ectopic bone : The presence of osteoprogenitor cells, a permissive environment, and a stimulating factor. The osteoprogenitor cells are thought to be of mesenchymal origin, however recent research suggests a possible neural origin. The permissive environment is created mainly by reactions to hypoxia and both local and sensory nerve inflammation. Many possible inducing factors have been described ; the endogenic route is thought to be the most dominant in the stimulation of HO formation after TBI. The pathogenesis of NHO remains largely unknown, recent research, however, has discovered interesting topics for further research and new possible targets in the prevention of NHO. Permalink : ./index.php?lvl=notice_display&id=92001

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Orthopaedic support with 3D printing in children : marketing effect or solution of the future? / David Marzy in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 378-382 Titre : Orthopaedic support with 3D printing in children : marketing effect or solution of the future? Type de document : texte imprimé Auteurs : David Marzy, Auteur Année de publication : 2020 Article en page(s) : p. 378-382 Langues : Anglais (eng) Résumé : In pediatric orthopaedics, the immobilization of a limb is traditionally done by a cast. The emergence of 3D technologies allows us to produce restraints specific to the anatomical characteristics of the patient. This paper aims to determine the feasibility of the process of developing these restraints. Descriptive study of the creation process involving 19 patients aged 2 to 14 years for whom a restraint was placed between April 2018 and November 2018. This was mainly post-traumatic pathology (12) and children having a clubfoot (7). This type of restraint has the following characteristics : use of recyclable material ; lightness ; ventilation ; visibility of the underlying skin tissue and its hydro-compatibility. The major limitations remaining are production time and printing errors. The emergence of 3D printing, allows us to extend its application to the medical world. When the therapeutic effectiveness of a restraint is achieved, quality of life becomes the main selection criterion. Based on observations already made in the past, we were able to develop a model that combines the advantages of the different approaches. New 3D printing technologies allow the creation of restraint devices with many advantages and customized adaptation possibilities. Permalink : ./index.php?lvl=notice_display&id=92002 [article] Orthopaedic support with 3D printing in children : marketing effect or solution of the future? [texte imprimé] / David Marzy, Auteur . - 2020 . - p. 378-382. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 378-382 Résumé : In pediatric orthopaedics, the immobilization of a limb is traditionally done by a cast. The emergence of 3D technologies allows us to produce restraints specific to the anatomical characteristics of the patient. This paper aims to determine the feasibility of the process of developing these restraints. Descriptive study of the creation process involving 19 patients aged 2 to 14 years for whom a restraint was placed between April 2018 and November 2018. This was mainly post-traumatic pathology (12) and children having a clubfoot (7). This type of restraint has the following characteristics : use of recyclable material ; lightness ; ventilation ; visibility of the underlying skin tissue and its hydro-compatibility. The major limitations remaining are production time and printing errors. The emergence of 3D printing, allows us to extend its application to the medical world. When the therapeutic effectiveness of a restraint is achieved, quality of life becomes the main selection criterion. Based on observations already made in the past, we were able to develop a model that combines the advantages of the different approaches. New 3D printing technologies allow the creation of restraint devices with many advantages and customized adaptation possibilities. Permalink : ./index.php?lvl=notice_display&id=92002

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Three-dimensional correction of fibular hemimelia using a computer-assisted planning : technical report and literature review / Arne Bursens in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 383-390 Titre : Three-dimensional correction of fibular hemimelia using a computer-assisted planning : technical report and literature review Type de document : texte imprimé Auteurs : Arne Bursens, Auteur Année de publication : 2020 Article en page(s) : p. 383-390 Langues : Anglais (eng) Résumé : The purpose of this study is to investigate a stepwise approach to translate the principles of deformity correction from 2D plain radiographs to a 3D computer assisted pre-operative planning (CAP), when treating a complex case of fibular hemimelia. Computed tomography slices were used to perform a 3D reconstruction of the deformity. CAP determined the different axes and apex of deformity based on geometrical functions of the software. The obtuse angle was computed and used to determine the concomitant osteotomy angle. An additional review of the literature was performed, allowing comparison towards the current treatment approaches. The pre- and post-operative clinical and radiographic follow up is reported. The computer assisted planning was applicable in a complex fibular hemimelia deformity. The literature review demonstrated no previous use of a 3D computer assisted planning. This case report provides a feasible and effective method to convert the principles of deformity planning from a 2D to a 3D setting. The added value of this technique for clinical practice should be confirmed in further prospective studies. Level of evidence : Level V, Case report Permalink : ./index.php?lvl=notice_display&id=92003 [article] Three-dimensional correction of fibular hemimelia using a computer-assisted planning : technical report and literature review [texte imprimé] / Arne Bursens, Auteur . - 2020 . - p. 383-390. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 383-390 Résumé : The purpose of this study is to investigate a stepwise approach to translate the principles of deformity correction from 2D plain radiographs to a 3D computer assisted pre-operative planning (CAP), when treating a complex case of fibular hemimelia. Computed tomography slices were used to perform a 3D reconstruction of the deformity. CAP determined the different axes and apex of deformity based on geometrical functions of the software. The obtuse angle was computed and used to determine the concomitant osteotomy angle. An additional review of the literature was performed, allowing comparison towards the current treatment approaches. The pre- and post-operative clinical and radiographic follow up is reported. The computer assisted planning was applicable in a complex fibular hemimelia deformity. The literature review demonstrated no previous use of a 3D computer assisted planning. This case report provides a feasible and effective method to convert the principles of deformity planning from a 2D to a 3D setting. The added value of this technique for clinical practice should be confirmed in further prospective studies. Level of evidence : Level V, Case report Permalink : ./index.php?lvl=notice_display&id=92003

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Surgical management of rickets-like bone deformities (knock-knee and bow-leg) in children in sub-Saharan Africa / Roméo Haoudou in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 391-396 Titre : Surgical management of rickets-like bone deformities (knock-knee and bow-leg) in children in sub-Saharan Africa Type de document : texte imprimé Auteurs : Roméo Haoudou, Auteur Année de publication : 2020 Article en page(s) : p. 391-396 Langues : Anglais (eng) Résumé : Rickets-like deformities of the lower limb (knock- knee or bow-leg) are very frequent in sub-Saharan Africa. A prospective study was carried out over a period of 5 years. Forty-eight children were treated surgically for rickets-like deformities. The surgical technique was guided growth using a tension-band plate (eight plate). One patient was lost to follow- up. The technique failed in two cases (absence of correction in one case and hypercorrection in one case). Five patients are still under follow-up with progressive correction and were excluded from the study. A full correction was achieved in 40 patients (73 knees). There were 33 bilateral and 7 unilateral deformities. The deformities were knock-knees in 20 cases, bowlegs in 18 cases and there were 2 windswept deformities Good correction was obtained after a mean time of 11.4 months for genu varum and after a mean time of 12.4 months. The two windswept deformities were corrected after 8 and 9 months respectively. The guided growth technique using eight plate is effective as well in Africa. The needed material is not expensive if a two-hole tubular plate is used with two 3.5 screws. Permalink : ./index.php?lvl=notice_display&id=92004 [article] Surgical management of rickets-like bone deformities (knock-knee and bow-leg) in children in sub-Saharan Africa [texte imprimé] / Roméo Haoudou, Auteur . - 2020 . - p. 391-396. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 391-396 Résumé : Rickets-like deformities of the lower limb (knock- knee or bow-leg) are very frequent in sub-Saharan Africa. A prospective study was carried out over a period of 5 years. Forty-eight children were treated surgically for rickets-like deformities. The surgical technique was guided growth using a tension-band plate (eight plate). One patient was lost to follow- up. The technique failed in two cases (absence of correction in one case and hypercorrection in one case). Five patients are still under follow-up with progressive correction and were excluded from the study. A full correction was achieved in 40 patients (73 knees). There were 33 bilateral and 7 unilateral deformities. The deformities were knock-knees in 20 cases, bowlegs in 18 cases and there were 2 windswept deformities Good correction was obtained after a mean time of 11.4 months for genu varum and after a mean time of 12.4 months. The two windswept deformities were corrected after 8 and 9 months respectively. The guided growth technique using eight plate is effective as well in Africa. The needed material is not expensive if a two-hole tubular plate is used with two 3.5 screws. Permalink : ./index.php?lvl=notice_display&id=92004

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Tranexamic acid in joint replacement : a randomized trial comparing intravenous oral and topical routes / Youssef Othman in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 397-404 Titre : Tranexamic acid in joint replacement : a randomized trial comparing intravenous oral and topical routes Type de document : texte imprimé Auteurs : Youssef Othman, Auteur Année de publication : 2020 Article en page(s) : p. 397-404 Langues : Anglais (eng) Résumé : Our purpose is to compare intravenous, oral and topical routes of tranexamic acid in terms of reducing perioperative blood loss and blood transfusion rates in total knee and hip arthroplasty. In this prospective randomized comparative study, 57 patients undergoing primary knee or hip arthroplasty were assigned to receive intravenous, oral or topical tranexamic acid. Primary outcomes were blood loss at day 1 and day 3. The mean blood loss at day 1 was 954 ±356 mL in the intravenous group, 880 ±506 mL in the oral group and 754 ±382 mL in topical group with no statistically significant difference (p=0.15). The mean blood loss at day 3 was 1659 ±637 mL in the intravenous group, 1530 ±686 mL in the oral group and 1296 ±588 mL in topical group. With no statistically significant difference (p=0.22). None of the 3 routes was found to be superior in terms of reducing perioperative blood loss in joint replacement. Permalink : ./index.php?lvl=notice_display&id=92005 [article] Tranexamic acid in joint replacement : a randomized trial comparing intravenous oral and topical routes [texte imprimé] / Youssef Othman, Auteur . - 2020 . - p. 397-404. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 397-404 Résumé : Our purpose is to compare intravenous, oral and topical routes of tranexamic acid in terms of reducing perioperative blood loss and blood transfusion rates in total knee and hip arthroplasty. In this prospective randomized comparative study, 57 patients undergoing primary knee or hip arthroplasty were assigned to receive intravenous, oral or topical tranexamic acid. Primary outcomes were blood loss at day 1 and day 3. The mean blood loss at day 1 was 954 ±356 mL in the intravenous group, 880 ±506 mL in the oral group and 754 ±382 mL in topical group with no statistically significant difference (p=0.15). The mean blood loss at day 3 was 1659 ±637 mL in the intravenous group, 1530 ±686 mL in the oral group and 1296 ±588 mL in topical group. With no statistically significant difference (p=0.22). None of the 3 routes was found to be superior in terms of reducing perioperative blood loss in joint replacement. Permalink : ./index.php?lvl=notice_display&id=92005

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Neutrophil-to-lymphocyte ratio (NLR) distribution shows an advantage compared to C-reactive protein (CRP) for the early inflammation monitoring after total hip arthroplasty / M. Mundama in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 405-411 Titre : Neutrophil-to-lymphocyte ratio (NLR) distribution shows an advantage compared to C-reactive protein (CRP) for the early inflammation monitoring after total hip arthroplasty Type de document : texte imprimé Auteurs : M. Mundama, Auteur Année de publication : 2020 Article en page(s) : p. 405-411 Langues : Anglais (eng) Résumé : C-reactive protein (CRP) distribution has been used to monitor early inflammation after total hip arthroplasty (THA). Neutrophil to lymphocyte ratio (NLR) is a new and cheap inflammatory marker. This study aimed to verify whether Neutrophil to lymphocyte ratio (NLR) distribution has an advantage when compared to C-reactive protein (CRP) distribution for the inflammation monitoring after total hip arthroplasty (THA). 116 THA patients were retrospectively selected over a 2 years period. They all had available blood tests preoperatively and at postoperative days 2, 4 and 42. Median peak values were compared between CRP and NLR. The effect of demographics on CRP and NLR was tested. At days 4 and 42, 100% and 16.3% of patients had not reached normal CRP (< 10mg/L) while 56.8% and 6.8% of patients had not reached normal NLR (<5) respectively. There was no effect of demographics on NLR except for age. Older patients had higher NLR (p 0.037). NLR showed a quicker return to normal than CRP. Our results show that NLR seems to be a better marker to follow inflammation after THA than CRP. Permalink : ./index.php?lvl=notice_display&id=92006 [article] Neutrophil-to-lymphocyte ratio (NLR) distribution shows an advantage compared to C-reactive protein (CRP) for the early inflammation monitoring after total hip arthroplasty [texte imprimé] / M. Mundama, Auteur . - 2020 . - p. 405-411. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 405-411 Résumé : C-reactive protein (CRP) distribution has been used to monitor early inflammation after total hip arthroplasty (THA). Neutrophil to lymphocyte ratio (NLR) is a new and cheap inflammatory marker. This study aimed to verify whether Neutrophil to lymphocyte ratio (NLR) distribution has an advantage when compared to C-reactive protein (CRP) distribution for the inflammation monitoring after total hip arthroplasty (THA). 116 THA patients were retrospectively selected over a 2 years period. They all had available blood tests preoperatively and at postoperative days 2, 4 and 42. Median peak values were compared between CRP and NLR. The effect of demographics on CRP and NLR was tested. At days 4 and 42, 100% and 16.3% of patients had not reached normal CRP (< 10mg/L) while 56.8% and 6.8% of patients had not reached normal NLR (<5) respectively. There was no effect of demographics on NLR except for age. Older patients had higher NLR (p 0.037). NLR showed a quicker return to normal than CRP. Our results show that NLR seems to be a better marker to follow inflammation after THA than CRP. Permalink : ./index.php?lvl=notice_display&id=92006

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Conservative treatment of knee osteoarthritis / Charlotte Allaeys in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 412-421 Titre : Conservative treatment of knee osteoarthritis Type de document : texte imprimé Auteurs : Charlotte Allaeys, Auteur Année de publication : 2020 Article en page(s) : p. 412-421 Langues : Anglais (eng) Résumé : Osteoarthritis of the knee causes chronic knee pain, loss of function and disability in the ageing population. When no treatment is applied, a guaranteed onset of symptoms and/or structural damage can be observed in the diseased knee. This work reviewed the different published guidelines, proposing combinations of weight reduction, physical therapy and rehabilitation, self-management education programs and pharmacological treatment. Randomized clinical trials, systematic reviews and guidelines were identified using the databases PubMed and Web of Science. Specific journals and reference lists were investigated. Sixty high quality articles were included concerning the conservative treatment of knee osteoarthritis. Weight loss when BMI > 28kg/m 2 ; aerobic, proprioception and strengthening training; NSAIDs (ibuprofen, diclofenac, aceclofenac), IA corticosteroid and IA hyaluronic acid has the highest evidence. To achieve the greatest positive clinical and structural outcome, a combined conservative therapy is recommended. Permalink : ./index.php?lvl=notice_display&id=92007 [article] Conservative treatment of knee osteoarthritis [texte imprimé] / Charlotte Allaeys, Auteur . - 2020 . - p. 412-421. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 412-421 Résumé : Osteoarthritis of the knee causes chronic knee pain, loss of function and disability in the ageing population. When no treatment is applied, a guaranteed onset of symptoms and/or structural damage can be observed in the diseased knee. This work reviewed the different published guidelines, proposing combinations of weight reduction, physical therapy and rehabilitation, self-management education programs and pharmacological treatment. Randomized clinical trials, systematic reviews and guidelines were identified using the databases PubMed and Web of Science. Specific journals and reference lists were investigated. Sixty high quality articles were included concerning the conservative treatment of knee osteoarthritis. Weight loss when BMI > 28kg/m 2 ; aerobic, proprioception and strengthening training; NSAIDs (ibuprofen, diclofenac, aceclofenac), IA corticosteroid and IA hyaluronic acid has the highest evidence. To achieve the greatest positive clinical and structural outcome, a combined conservative therapy is recommended. Permalink : ./index.php?lvl=notice_display&id=92007

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

The effect of anti-gravity training after meniscal or chondral injury in the knee. A systematic review / Nina Debecker in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 422-433 Titre : The effect of anti-gravity training after meniscal or chondral injury in the knee. A systematic review Type de document : texte imprimé Auteurs : Nina Debecker, Auteur Année de publication : 2020 Article en page(s) : p. 422-433 Langues : Anglais (eng) Résumé : Reduced impact loading or anti-gravity training has recently been introduced as a new tool in the rehabilitation of orthopaedic conditions that require restricted weight bearing. The purpose of this strategy is to speed up the functional rehabilitation while at the same time protect the healing structures from harmful effects associated with impact loading. Anti- gravity treadmills (AlterG ® ) and harness suspension devices seem to be the two most promising techniques. It is however today unclear how effective these devices are. The purpose of our study was therefore to perform a systematic literature review on the actual technology available and its effect on impact load reduction, as well as its effectiveness in accelerating functional recovery after meniscal and chondral injury to the knee. The results from our work demonstrate that only a limited number of studies are available, usually of moderate quality. The data suggest a variable effect on cartilage regeneration, and a potential for accelerated functional recovery in gait and running dynamics both with anti-gravity treadmill as well as suspension harness systems. Permalink : ./index.php?lvl=notice_display&id=92008 [article] The effect of anti-gravity training after meniscal or chondral injury in the knee. A systematic review [texte imprimé] / Nina Debecker, Auteur . - 2020 . - p. 422-433. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 422-433 Résumé : Reduced impact loading or anti-gravity training has recently been introduced as a new tool in the rehabilitation of orthopaedic conditions that require restricted weight bearing. The purpose of this strategy is to speed up the functional rehabilitation while at the same time protect the healing structures from harmful effects associated with impact loading. Anti- gravity treadmills (AlterG ® ) and harness suspension devices seem to be the two most promising techniques. It is however today unclear how effective these devices are. The purpose of our study was therefore to perform a systematic literature review on the actual technology available and its effect on impact load reduction, as well as its effectiveness in accelerating functional recovery after meniscal and chondral injury to the knee. The results from our work demonstrate that only a limited number of studies are available, usually of moderate quality. The data suggest a variable effect on cartilage regeneration, and a potential for accelerated functional recovery in gait and running dynamics both with anti-gravity treadmill as well as suspension harness systems. Permalink : ./index.php?lvl=notice_display&id=92008

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Non-invasive navigation in total knee arthroplasty : a validation study / Harold Jennart in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 434-439 Titre : Non-invasive navigation in total knee arthroplasty : a validation study Type de document : texte imprimé Auteurs : Harold Jennart, Auteur Année de publication : 2020 Article en page(s) : p. 434-439 Langues : Anglais (eng) Résumé : The purpose of this study was to evaluate intraope- rative alignment during total knee arthroplasty using a handheld navigation system, iAssist, in comparison with conventional optical surgical navigation. Sixty-two consecutive patients were enrolled in this prospective study. iAssist was used to determine implant component positioning. Orientation of the cuts were verified using a conventional optical sur- gical navigation system. We compared the iAssist system with the conventional system in terms of accuracy, percentage of outliers, bias, and precision. The occurrence of component malalignment was low. Taking standard radiography as the reference, there were no relevant differences between the handheld device and optical navigation in terms of measure- ment of accuracy or in outlier occurrence. Bias was small for both technologies, and precision was com- parable. The study provides preliminary evidence that the use of iAssist leads to satisfactory implant alignment. The results from this study imply that iAssist could be a viable alternative to conventional optical navigation. Permalink : ./index.php?lvl=notice_display&id=92009 [article] Non-invasive navigation in total knee arthroplasty : a validation study [texte imprimé] / Harold Jennart, Auteur . - 2020 . - p. 434-439. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 434-439 Résumé : The purpose of this study was to evaluate intraope- rative alignment during total knee arthroplasty using a handheld navigation system, iAssist, in comparison with conventional optical surgical navigation. Sixty-two consecutive patients were enrolled in this prospective study. iAssist was used to determine implant component positioning. Orientation of the cuts were verified using a conventional optical sur- gical navigation system. We compared the iAssist system with the conventional system in terms of accuracy, percentage of outliers, bias, and precision. The occurrence of component malalignment was low. Taking standard radiography as the reference, there were no relevant differences between the handheld device and optical navigation in terms of measure- ment of accuracy or in outlier occurrence. Bias was small for both technologies, and precision was com- parable. The study provides preliminary evidence that the use of iAssist leads to satisfactory implant alignment. The results from this study imply that iAssist could be a viable alternative to conventional optical navigation. Permalink : ./index.php?lvl=notice_display&id=92009

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Coronal alignment in osteoarthritic knees, does it change in flexion? / Jef Neirynck in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 440-446 Titre : Coronal alignment in osteoarthritic knees, does it change in flexion? Type de document : texte imprimé Auteurs : Jef Neirynck, Auteur Année de publication : 2020 Article en page(s) : p. 440-446 Langues : Anglais (eng) Résumé : Changes in coronal alignment in osteoarthritic knees evolving from extension to flexion remain poorly studied. Using an imageless computer-navigation system (Stryker©) we prospectively collected measurements of dynamic coronal pre-implant alignment during primary total knee arthroplasty. Coronal alignment of the osteoarthritic knee was determined at maxi- mal extension and 90° flexion. Measurements were subgrouped as varus (≤-3°), neutral (>-3°, <+3°) or valgus (≥+3°). Of 545 osteoarthritic knees (347 females), coronal alignment in extension was 261 (48%) varus, 197 (36%) neutral and 87 (16%) valgus. Varus extension alignment was more common in male versus female knees (p< .0001). Valgus ex- tension alignment was more common in female versus male knees (p= .002). In flexion, 174 (66%) of varus knees remained varus. Coronal alignment remained unchanged (within +3° ; -3°) in flexion versus extension in approximately half of the OA knees observed. This insight into a changing coronal deformity might contribute to a better understanding of osteoarthritic knee behaviour. Permalink : ./index.php?lvl=notice_display&id=92011 [article] Coronal alignment in osteoarthritic knees, does it change in flexion? [texte imprimé] / Jef Neirynck, Auteur . - 2020 . - p. 440-446. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 440-446 Résumé : Changes in coronal alignment in osteoarthritic knees evolving from extension to flexion remain poorly studied. Using an imageless computer-navigation system (Stryker©) we prospectively collected measurements of dynamic coronal pre-implant alignment during primary total knee arthroplasty. Coronal alignment of the osteoarthritic knee was determined at maxi- mal extension and 90° flexion. Measurements were subgrouped as varus (≤-3°), neutral (>-3°, <+3°) or valgus (≥+3°). Of 545 osteoarthritic knees (347 females), coronal alignment in extension was 261 (48%) varus, 197 (36%) neutral and 87 (16%) valgus. Varus extension alignment was more common in male versus female knees (p< .0001). Valgus ex- tension alignment was more common in female versus male knees (p= .002). In flexion, 174 (66%) of varus knees remained varus. Coronal alignment remained unchanged (within +3° ; -3°) in flexion versus extension in approximately half of the OA knees observed. This insight into a changing coronal deformity might contribute to a better understanding of osteoarthritic knee behaviour. Permalink : ./index.php?lvl=notice_display&id=92011

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

A revisited technique for combined anterior cruciate ligament and anterolateral ligament reconstructions / Kristof SMEETS in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 447-452 Titre : A revisited technique for combined anterior cruciate ligament and anterolateral ligament reconstructions Type de document : texte imprimé Auteurs : Kristof SMEETS, Auteur Année de publication : 2020 Article en page(s) : p. 447-452 Langues : Anglais (eng) Résumé : A new technique for combined anterior cruciate ligament and anterolateral ligament reconstructions is described. An iliotibial band strip is used as an ALL graft , leaving the distal insertion intact and fix it with a knotless anchor on the femoral origin, after tunneling it under the lateral collateral ligament. Permalink : ./index.php?lvl=notice_display&id=92012 [article] A revisited technique for combined anterior cruciate ligament and anterolateral ligament reconstructions [texte imprimé] / Kristof SMEETS, Auteur . - 2020 . - p. 447-452. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 447-452 Résumé : A new technique for combined anterior cruciate ligament and anterolateral ligament reconstructions is described. An iliotibial band strip is used as an ALL graft , leaving the distal insertion intact and fix it with a knotless anchor on the femoral origin, after tunneling it under the lateral collateral ligament. Permalink : ./index.php?lvl=notice_display&id=92012

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

What are the determinants for return to work after primary total knee arthroplasty? / Anthony Timmerman in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 453-462 Titre : What are the determinants for return to work after primary total knee arthroplasty? Type de document : texte imprimé Auteurs : Anthony Timmerman, Auteur Année de publication : 2020 Article en page(s) : p. 453-462 Langues : Anglais (eng) Résumé : Total knee arthroplasty is increasingly performed on patients of working age, although little is known about return to work. This study aims to analyse the return to work percentage in a Belgian population and to identify underlying determinants. Data was gathered by analysing patients’ files and sending a questionnaire to patients aged ≤ 62 years who underwent a total knee arthroplasty between January 2013 and December 2017 in the University Hospitals of Leuven. A total of 99 patients were included in the study and 66 patients returned to work. Significant factors included preoperative sick leave, availability of job adaptations, employment type and postoperative Knee Society Score. The return to work percentage of 67% in this Belgian population is slightly lower in comparison with similar studies in other countries. This difference could be driven by Belgium’s specific insurance system or due to a lack of clear prescription guidelines for medical doctors. Permalink : ./index.php?lvl=notice_display&id=92013 [article] What are the determinants for return to work after primary total knee arthroplasty? [texte imprimé] / Anthony Timmerman, Auteur . - 2020 . - p. 453-462. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 453-462 Résumé : Total knee arthroplasty is increasingly performed on patients of working age, although little is known about return to work. This study aims to analyse the return to work percentage in a Belgian population and to identify underlying determinants. Data was gathered by analysing patients’ files and sending a questionnaire to patients aged ≤ 62 years who underwent a total knee arthroplasty between January 2013 and December 2017 in the University Hospitals of Leuven. A total of 99 patients were included in the study and 66 patients returned to work. Significant factors included preoperative sick leave, availability of job adaptations, employment type and postoperative Knee Society Score. The return to work percentage of 67% in this Belgian population is slightly lower in comparison with similar studies in other countries. This difference could be driven by Belgium’s specific insurance system or due to a lack of clear prescription guidelines for medical doctors. Permalink : ./index.php?lvl=notice_display&id=92013

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Cryotherapy after Total Knee Arthroplasty provides faster recovery and better ranges of motion in short term follow up. Results of a prospective comparative study / B. Van Ooij in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 463-469 Titre : Cryotherapy after Total Knee Arthroplasty provides faster recovery and better ranges of motion in short term follow up. Results of a prospective comparative study Type de document : texte imprimé Auteurs : B. Van Ooij, Auteur Année de publication : 2020 Article en page(s) : p. 463-469 Langues : Anglais (eng) Résumé : Cryotherapy is applied in Total Knee Arthroplasty (TKA) to improve functional outcome. The aim of this study is to investigate whether an advanced cryotherapy device does not increase the risk of com- plications and improves knee function or decreases swelling. A prospective cohort of TKA patients was formed by a cryotherapy group and a control group. The primary outcome was complication ratio. Our secondary outcomes were functional results and swelling. No significant differences were found in complication ratio between 31 patients in the cryotherapy group and 31 patients in the control group. The cryotherapy group showed a significant better knee flexion and less swelling in the early rehabilitation phase. No differences were found at the other follow-up moments or in the other outcomes. This advanced cryotherapy device is safe in respect of postoperative complications, improves knee function and decreases swelling in the early rehabilitation phase. However, it is questionable if an advanced cryotherapy device with its additional costs is necessary to provide the desired effects of cryotherapy. Permalink : ./index.php?lvl=notice_display&id=92014 [article] Cryotherapy after Total Knee Arthroplasty provides faster recovery and better ranges of motion in short term follow up. Results of a prospective comparative study [texte imprimé] / B. Van Ooij, Auteur . - 2020 . - p. 463-469. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 463-469 Résumé : Cryotherapy is applied in Total Knee Arthroplasty (TKA) to improve functional outcome. The aim of this study is to investigate whether an advanced cryotherapy device does not increase the risk of com- plications and improves knee function or decreases swelling. A prospective cohort of TKA patients was formed by a cryotherapy group and a control group. The primary outcome was complication ratio. Our secondary outcomes were functional results and swelling. No significant differences were found in complication ratio between 31 patients in the cryotherapy group and 31 patients in the control group. The cryotherapy group showed a significant better knee flexion and less swelling in the early rehabilitation phase. No differences were found at the other follow-up moments or in the other outcomes. This advanced cryotherapy device is safe in respect of postoperative complications, improves knee function and decreases swelling in the early rehabilitation phase. However, it is questionable if an advanced cryotherapy device with its additional costs is necessary to provide the desired effects of cryotherapy. Permalink : ./index.php?lvl=notice_display&id=92014

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability / Jordy Van Sambeek in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 470-481 Titre : Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability Type de document : texte imprimé Auteurs : Jordy Van Sambeek, Auteur Année de publication : 2020 Article en page(s) : p. 470-481 Langues : Anglais (eng) Résumé : Recently, two new English specific patient reported outcome measures (PROMs) to evaluate treatment of patients with patellofemoral complaints have been developed : the Banff Patella Instability Instrument (BPII) and the Norwich Patellar Instability (NPI) score. This study was designed to translate and validate the BPII and NPI in Dutch patients after surgical treatment for patellar instability. Forward and backward translation of the outcome measures was performed. Patients who had been surgically treated for patellar instability filled out the NPI and BPII together with the Kujala Knee Score, numeric rating scales, Knee disability and Osteoarthritis Outcome Score (KOOS) and SF- 36. We assessed internal consistency and construct validity. We evaluated the presence of ceiling and floor effects. Ninety-seven patients completed the online questionnaires. The internal consistency of the NPI and BPII score was excellent for both outcome measures. The BPII and NPI had good correlations with other PROMs. For the BPII we found no floor nor ceiling effect. For the NPI we found a floor effect but no ceiling effect. Our results indicate that the Dutch version of the BPII and the NPI can be used for patients with patellar instability. Both PROMs have specific (dis) advantages. Permalink : ./index.php?lvl=notice_display&id=92015 [article] Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability [texte imprimé] / Jordy Van Sambeek, Auteur . - 2020 . - p. 470-481. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 470-481 Résumé : Recently, two new English specific patient reported outcome measures (PROMs) to evaluate treatment of patients with patellofemoral complaints have been developed : the Banff Patella Instability Instrument (BPII) and the Norwich Patellar Instability (NPI) score. This study was designed to translate and validate the BPII and NPI in Dutch patients after surgical treatment for patellar instability. Forward and backward translation of the outcome measures was performed. Patients who had been surgically treated for patellar instability filled out the NPI and BPII together with the Kujala Knee Score, numeric rating scales, Knee disability and Osteoarthritis Outcome Score (KOOS) and SF- 36. We assessed internal consistency and construct validity. We evaluated the presence of ceiling and floor effects. Ninety-seven patients completed the online questionnaires. The internal consistency of the NPI and BPII score was excellent for both outcome measures. The BPII and NPI had good correlations with other PROMs. For the BPII we found no floor nor ceiling effect. For the NPI we found a floor effect but no ceiling effect. Our results indicate that the Dutch version of the BPII and the NPI can be used for patients with patellar instability. Both PROMs have specific (dis) advantages. Permalink : ./index.php?lvl=notice_display&id=92015

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Reduced joint awareness after total knee arthroplasty with a cruciate retaining design / Gilles THUYSBAERT in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 482-488 Titre : Reduced joint awareness after total knee arthroplasty with a cruciate retaining design Type de document : texte imprimé Auteurs : Gilles THUYSBAERT, Auteur Année de publication : 2020 Article en page(s) : p. 482-488 Langues : Anglais (eng) Résumé : A range of different total knee arthroplasty (TKA) designs have been developed, each specifically designed to relieve pain and restore knee function with the greatest possible patient satisfaction. The purpose of this study was to compare a posterior stabilized design and a cruciate-retaining design. We hypothesized that a cruciate-retaining design would have a higher Forgotten Joint Score (FJS) than a posterior stabilized design. Ninety-two patients were used in our analysis (46 patients in each group) involving TKA (Attune, Depuy-Synthes) between January 2014 and March 2015. We excluded patients with valgus alignment, post-traumatic arthritis, rheumatoid arthritis and major previous surgery on the knee. We compared the FJS, the Oxford Knee Score (OKS) and their ceiling effects. FJS was significantly higher in the fixed-bearing cruciate-retaining group (P=0.043). The mean (-SD) FJS for the cruciate-retaining group was 78,4-25.1 compared to 67.6-27.6 for the posterior stabilized group. No significant difference in OKS was detected. The total ceiling effect for FJS and OKS was 32.2% and 45.5%, respectively. In conclusion, patients with cruciate-retaining TKA showed a better FJS in comparison to posterior stabilized TKA. FJS has a higher discriminatory power compared to OKS. Permalink : ./index.php?lvl=notice_display&id=92016 [article] Reduced joint awareness after total knee arthroplasty with a cruciate retaining design [texte imprimé] / Gilles THUYSBAERT, Auteur . - 2020 . - p. 482-488. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 482-488 Résumé : A range of different total knee arthroplasty (TKA) designs have been developed, each specifically designed to relieve pain and restore knee function with the greatest possible patient satisfaction. The purpose of this study was to compare a posterior stabilized design and a cruciate-retaining design. We hypothesized that a cruciate-retaining design would have a higher Forgotten Joint Score (FJS) than a posterior stabilized design. Ninety-two patients were used in our analysis (46 patients in each group) involving TKA (Attune, Depuy-Synthes) between January 2014 and March 2015. We excluded patients with valgus alignment, post-traumatic arthritis, rheumatoid arthritis and major previous surgery on the knee. We compared the FJS, the Oxford Knee Score (OKS) and their ceiling effects. FJS was significantly higher in the fixed-bearing cruciate-retaining group (P=0.043). The mean (-SD) FJS for the cruciate-retaining group was 78,4-25.1 compared to 67.6-27.6 for the posterior stabilized group. No significant difference in OKS was detected. The total ceiling effect for FJS and OKS was 32.2% and 45.5%, respectively. In conclusion, patients with cruciate-retaining TKA showed a better FJS in comparison to posterior stabilized TKA. FJS has a higher discriminatory power compared to OKS. Permalink : ./index.php?lvl=notice_display&id=92016

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Primary bone and soft tissue tumours : epidemiological data from a non-referral teaching department in Belgium / Loïc Vercruysse in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 489-496 Titre : Primary bone and soft tissue tumours : epidemiological data from a non-referral teaching department in Belgium Type de document : texte imprimé Auteurs : Loïc Vercruysse, Auteur Année de publication : 2020 Article en page(s) : p. 489-496 Langues : Anglais (eng) Résumé : Primary bone and soft tissue tumours are rare in a non-referral teaching department. The incidence varies greatly among the different subtypes and every Orthopaedic surgeon will encounter one or more benign or malignant lesions during their careers. History, clinical examination and technical investigations are of great importance, but basic knowledge and basic principles are necessary for a correct clinical practice. It was the purpose of this study to raise awareness towards such pathology by exemplifying our cases from a two-year period in our community-based hospital and if necessary, to refer patients to specialised sarcoma centres. Permalink : ./index.php?lvl=notice_display&id=92017 [article] Primary bone and soft tissue tumours : epidemiological data from a non-referral teaching department in Belgium [texte imprimé] / Loïc Vercruysse, Auteur . - 2020 . - p. 489-496. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 489-496 Résumé : Primary bone and soft tissue tumours are rare in a non-referral teaching department. The incidence varies greatly among the different subtypes and every Orthopaedic surgeon will encounter one or more benign or malignant lesions during their careers. History, clinical examination and technical investigations are of great importance, but basic knowledge and basic principles are necessary for a correct clinical practice. It was the purpose of this study to raise awareness towards such pathology by exemplifying our cases from a two-year period in our community-based hospital and if necessary, to refer patients to specialised sarcoma centres. Permalink : ./index.php?lvl=notice_display&id=92017

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method / Joris Beckers in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 497-501 Titre : Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method Type de document : texte imprimé Auteurs : Joris Beckers, Auteur Année de publication : 2020 Article en page(s) : p. 497-501 Langues : Anglais (eng) Résumé : The Latarjet procedure alters scapulothoracic motion by releasing the pectoralis minor insertion to the coracoid process and by changing the vector of the conjoint tendon. The purpose of this study is to evaluate the feasibility of retaining the pectoralis minor insertion and a part of the conjoint tendon on to the remainder of the coracoid, and to evaluate the efficiency of the procedure in avoiding scapular dyskinesis, without concessions to glenohumeral stability. Since June 2017, a modification to the Latarjet pro- cedure has been used in the treatment of posttraumatic anterior shoulder instability. The pectoralis minor insertion and a part of the conjoint tendon is retained on its anatomical position, by harvesting only the lateral part of the coracoid. We retrospectively enrolled the first 9 consecutively treated shoulders with a minimum of 6 months follow up and recorded scapulothoracic position and scapulothoracic motion, patient satisfaction, Oxford score, and Short Form (SF)-36. All patients underwent a radiographic review at final follow up. No scapular dyskinesis was observed at final follow- up. Radiographies consistently showed a bony spur at the original osteotomy site, suggesting a functional attachment of the pectoralis minor tendon to the scapula. Harvesting only the lateral part of the coracoid is technically feasible, efficient in treating anterior shoulder instability and avoids scapular dyskinesis. Level of evidence : Level IV, Retrospective Cohort study, Treatment study. Permalink : ./index.php?lvl=notice_display&id=92018 [article] Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method [texte imprimé] / Joris Beckers, Auteur . - 2020 . - p. 497-501. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 497-501 Résumé : The Latarjet procedure alters scapulothoracic motion by releasing the pectoralis minor insertion to the coracoid process and by changing the vector of the conjoint tendon. The purpose of this study is to evaluate the feasibility of retaining the pectoralis minor insertion and a part of the conjoint tendon on to the remainder of the coracoid, and to evaluate the efficiency of the procedure in avoiding scapular dyskinesis, without concessions to glenohumeral stability. Since June 2017, a modification to the Latarjet pro- cedure has been used in the treatment of posttraumatic anterior shoulder instability. The pectoralis minor insertion and a part of the conjoint tendon is retained on its anatomical position, by harvesting only the lateral part of the coracoid. We retrospectively enrolled the first 9 consecutively treated shoulders with a minimum of 6 months follow up and recorded scapulothoracic position and scapulothoracic motion, patient satisfaction, Oxford score, and Short Form (SF)-36. All patients underwent a radiographic review at final follow up. No scapular dyskinesis was observed at final follow- up. Radiographies consistently showed a bony spur at the original osteotomy site, suggesting a functional attachment of the pectoralis minor tendon to the scapula. Harvesting only the lateral part of the coracoid is technically feasible, efficient in treating anterior shoulder instability and avoids scapular dyskinesis. Level of evidence : Level IV, Retrospective Cohort study, Treatment study. Permalink : ./index.php?lvl=notice_display&id=92018

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Midterm outcome after AC Tightrope fixation / Andreas DOBBELAERE in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 502-508 Titre : Midterm outcome after AC Tightrope fixation Type de document : texte imprimé Auteurs : Andreas DOBBELAERE, Auteur Année de publication : 2020 Article en page(s) : p. 502-508 Langues : Anglais (eng) Résumé : The purpose of our study was to evaluate the clinical and radiological outcome after a single AC TightRope® fixation in patients with an acute Rockwood type III-VI AC joint dislocation. We performed a retrospective cohort study of patients who underwent AC TightRope® fixation for an acute Rockwood type III-VI AC joint dislocation. During follow-up functional outcome was assessed using the Constant Murley Score (CS) and the UCLA Shoulder Rating Scale. A standard anteroposterior x-ray of both the operated and the contralateral shoulder was performed. The coracoclavicular (CC) distance was measured and compared with the day 1 postoperative x-ray. Twenty-nine patients participated the study. Mean follow-up time after surgery was 43,4 months. Clini- cally the results were excellent : The mean CS was 91, the mean UCLA score was 33. Radiologically a mean loss of reduction of 3.2mm was seen. Fol- lowing radiological findings were seen : Clavicular tunnel widening, coracoclavicular calcifications, and osteolysis at the clavicular button site. Patients treated with a mini-open single AC TightRope® fixation had excellent midterm functional outcomes. Permalink : ./index.php?lvl=notice_display&id=92019 [article] Midterm outcome after AC Tightrope fixation [texte imprimé] / Andreas DOBBELAERE, Auteur . - 2020 . - p. 502-508. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 502-508 Résumé : The purpose of our study was to evaluate the clinical and radiological outcome after a single AC TightRope® fixation in patients with an acute Rockwood type III-VI AC joint dislocation. We performed a retrospective cohort study of patients who underwent AC TightRope® fixation for an acute Rockwood type III-VI AC joint dislocation. During follow-up functional outcome was assessed using the Constant Murley Score (CS) and the UCLA Shoulder Rating Scale. A standard anteroposterior x-ray of both the operated and the contralateral shoulder was performed. The coracoclavicular (CC) distance was measured and compared with the day 1 postoperative x-ray. Twenty-nine patients participated the study. Mean follow-up time after surgery was 43,4 months. Clini- cally the results were excellent : The mean CS was 91, the mean UCLA score was 33. Radiologically a mean loss of reduction of 3.2mm was seen. Fol- lowing radiological findings were seen : Clavicular tunnel widening, coracoclavicular calcifications, and osteolysis at the clavicular button site. Patients treated with a mini-open single AC TightRope® fixation had excellent midterm functional outcomes. Permalink : ./index.php?lvl=notice_display&id=92019

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture. A systematic review / Laura Loomans in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 509-524 Titre : Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture. A systematic review Type de document : texte imprimé Auteurs : Laura Loomans, Auteur Année de publication : 2020 Article en page(s) : p. 509-524 Langues : Anglais (eng) Résumé : Postoperative scapular fractures are infrequent complications of reverse total shoulder arthroplasty (RTSA). The aim of this study is to discuss the functional outcome, clinical outcome and pain scores of these fractures and to analyze these outcome results based on fracture location. A systematic review in accordance with the PRISMA guidelines was conducted. Pubmed, EMBASE, Web of Science, Cochrane library and Ovid have been screened. A total of 78 RTSA in 12 articles were retained for qualitative analysis. The average minimum follow- up was 33.3 ± 14.4 months (range 12-60 months) and the mean age was 74.4 ± 5.6 years (range 63-85 years) with a mean female percentage of 90.9%. Overall, the mean DASH score was 39.8 ± 9.4 points (range 29.5- 48.0 points), ASES score 53.4 ± 23.3 points (range 13.3-95.0 points), SST 3.2 ± 2.2 points (range 0.0- 5.1 points), the only OSS 28.0 points and Constant- Murley shoulder score 50.5 ± 20.0 points (range 31.5- 69.0). The mean anterior elevation was 91.5° ± 30.7° (range 46.0°-160.0°), abduction 87.8° ± 21.8° (range 55.0°-125.0°), external rotation 33.2° ± 22.2° (range 9.0°-85°) and the only internal rotation was 60.0°. The VAS score averaged of 3.8 ± 2.8 points (range 0.8-9.0 points). A subgroup analysis of acromial and scapular spine fractures was performed. Acromial and scapular spine fractures have an undeniable effect on RTSA outcomes, however patients still improve compared to their preoperative state. We advise to consider acromial and scapular fractures as different problems, as prognosis is worse for more medial fractures. Permalink : ./index.php?lvl=notice_display&id=92020 [article] Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture. A systematic review [texte imprimé] / Laura Loomans, Auteur . - 2020 . - p. 509-524. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 509-524 Résumé : Postoperative scapular fractures are infrequent complications of reverse total shoulder arthroplasty (RTSA). The aim of this study is to discuss the functional outcome, clinical outcome and pain scores of these fractures and to analyze these outcome results based on fracture location. A systematic review in accordance with the PRISMA guidelines was conducted. Pubmed, EMBASE, Web of Science, Cochrane library and Ovid have been screened. A total of 78 RTSA in 12 articles were retained for qualitative analysis. The average minimum follow- up was 33.3 ± 14.4 months (range 12-60 months) and the mean age was 74.4 ± 5.6 years (range 63-85 years) with a mean female percentage of 90.9%. Overall, the mean DASH score was 39.8 ± 9.4 points (range 29.5- 48.0 points), ASES score 53.4 ± 23.3 points (range 13.3-95.0 points), SST 3.2 ± 2.2 points (range 0.0- 5.1 points), the only OSS 28.0 points and Constant- Murley shoulder score 50.5 ± 20.0 points (range 31.5- 69.0). The mean anterior elevation was 91.5° ± 30.7° (range 46.0°-160.0°), abduction 87.8° ± 21.8° (range 55.0°-125.0°), external rotation 33.2° ± 22.2° (range 9.0°-85°) and the only internal rotation was 60.0°. The VAS score averaged of 3.8 ± 2.8 points (range 0.8-9.0 points). A subgroup analysis of acromial and scapular spine fractures was performed. Acromial and scapular spine fractures have an undeniable effect on RTSA outcomes, however patients still improve compared to their preoperative state. We advise to consider acromial and scapular fractures as different problems, as prognosis is worse for more medial fractures. Permalink : ./index.php?lvl=notice_display&id=92020

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study / Jan Louwerens in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 525-531 Titre : Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study Type de document : texte imprimé Auteurs : Jan Louwerens, Auteur Année de publication : 2020 Article en page(s) : p. 525-531 Langues : Anglais (eng) Résumé : The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radio- graphs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way. Permalink : ./index.php?lvl=notice_display&id=92022 [article] Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study [texte imprimé] / Jan Louwerens, Auteur . - 2020 . - p. 525-531. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 525-531 Résumé : The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radio- graphs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Inter and intraobserver agreement among observers was measured using the Siegel and Castellan multirater κ. Both classification systems had fair interobserver agreement : κ was 0.25 for the Molé classification and 0.34 for the Gärtner classification. The Gärtner classification was significantly more reliable than the Molé classification. Currently there is no radiographic classification that can serve the purpose of guiding the treatment in a reliable way. Permalink : ./index.php?lvl=notice_display&id=92022

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Surgical treatment of acromioclavicular dislocation associated with midshaft fracture of the ipsilateral clavicle / Judith Schots in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 532-538 Titre : Surgical treatment of acromioclavicular dislocation associated with midshaft fracture of the ipsilateral clavicle Type de document : texte imprimé Auteurs : Judith Schots, Auteur Année de publication : 2020 Article en page(s) : p. 532-538 Langues : Anglais (eng) Résumé : Acromioclavicular dislocation combined with a midshaft clavicle fracture is a rare traumatic shoulder problem. Various treatment options have been described in literature. We describe a new technique using a hook plate and coracoclavicular sling to replace the ruptured coracoclavicular ligaments in combination with plate osteosynthesis of the clavicle fracture. Furthermore, we provide a short overview of the few cases described in literature and their treatment options. Permalink : ./index.php?lvl=notice_display&id=92024 [article] Surgical treatment of acromioclavicular dislocation associated with midshaft fracture of the ipsilateral clavicle [texte imprimé] / Judith Schots, Auteur . - 2020 . - p. 532-538. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 532-538 Résumé : Acromioclavicular dislocation combined with a midshaft clavicle fracture is a rare traumatic shoulder problem. Various treatment options have been described in literature. We describe a new technique using a hook plate and coracoclavicular sling to replace the ruptured coracoclavicular ligaments in combination with plate osteosynthesis of the clavicle fracture. Furthermore, we provide a short overview of the few cases described in literature and their treatment options. Permalink : ./index.php?lvl=notice_display&id=92024

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Retrograde intramedullary nailing for humeral midshaft fractures : a retrospective cohort study / Femke Nawijn in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 539-548 Titre : Retrograde intramedullary nailing for humeral midshaft fractures : a retrospective cohort study Type de document : texte imprimé Auteurs : Femke Nawijn, Auteur Année de publication : 2020 Article en page(s) : p. 539-548 Langues : Anglais (eng) Résumé : This study evaluates the patient-reported functional outcome, clinical functional outcome and frequency of complications of simple oblique and transverse humeral midshaft fractures treated with a retrograde expert humeral nail. A retrospective cohort study of humeral midshaft fractures (AO 12-A2, 12-A3) treated with retrograde nailing between January 2010 and February 2018 in a level II trauma center was performed. Patients’ perception of functional outcome was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) scores. Thirteen patients with a median age of 20-years were treated with a retrograde nail. The median DASH score, administered 29 months (IQR 74) after surgery, was 7.9 (IQR 15.9). There were no perioperative frac- tures and the frequency of complications was 8%, being one nonunion. Retrograde nailing for humeral midshaft fractures is a safe technique, with excellent patient reported and clinical functional outcome. No iatrogenic peri- operative fractures occurred and the frequency of complications was low. We recommend the retrograde technique, if surgical fixation of humeral midshaft fractures is needed, especially in younger patients for who rotator cuff associated injuries will have a major impact on quality of life. Permalink : ./index.php?lvl=notice_display&id=92026 [article] Retrograde intramedullary nailing for humeral midshaft fractures : a retrospective cohort study [texte imprimé] / Femke Nawijn, Auteur . - 2020 . - p. 539-548. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 539-548 Résumé : This study evaluates the patient-reported functional outcome, clinical functional outcome and frequency of complications of simple oblique and transverse humeral midshaft fractures treated with a retrograde expert humeral nail. A retrospective cohort study of humeral midshaft fractures (AO 12-A2, 12-A3) treated with retrograde nailing between January 2010 and February 2018 in a level II trauma center was performed. Patients’ perception of functional outcome was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) scores. Thirteen patients with a median age of 20-years were treated with a retrograde nail. The median DASH score, administered 29 months (IQR 74) after surgery, was 7.9 (IQR 15.9). There were no perioperative frac- tures and the frequency of complications was 8%, being one nonunion. Retrograde nailing for humeral midshaft fractures is a safe technique, with excellent patient reported and clinical functional outcome. No iatrogenic peri- operative fractures occurred and the frequency of complications was low. We recommend the retrograde technique, if surgical fixation of humeral midshaft fractures is needed, especially in younger patients for who rotator cuff associated injuries will have a major impact on quality of life. Permalink : ./index.php?lvl=notice_display&id=92026

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Medium term outcomes of the Universal 2 total wrist arthroplasty in patients with degenerative or posttraumatic osteoarthritis of the wrist / Helene Gendera in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 549-554 Titre : Medium term outcomes of the Universal 2 total wrist arthroplasty in patients with degenerative or posttraumatic osteoarthritis of the wrist Type de document : texte imprimé Auteurs : Helene Gendera, Auteur Année de publication : 2020 Article en page(s) : p. 549-554 Langues : Anglais (eng) Résumé : This retrospective study reports medium term outcomes of 14 total wrist arthroplasties in patients with especially, non-rheumatoid, degenerative osteo- arthritis and post-traumatic osteoarthritis with a mean follow up of 5 to 10 years. Information of fourteen patients, 6 men and 8 women with a mean age of 61 years, was collected before and after total wrist arthroplasty (Universal 2 prosthesis, Integra) carried out by a single surgeon. Pre-operative mobility was determined by range of motion and compared to post- operative range of motion. Post-operative function was determined using the DASH (The disabilities of the arm, shoulder and hand) score and the PRWE (patient-rated wrist evaluation and grip strength) score. Grip force between the operated and non- operated hand were compared postoperatively. Three patients experienced complications. Range of motion improved post-operatively, although not significantly, due to an increase in palmar flexion. The mean DASH score was 20% and the mean total PRWE was 54%. This study shows that total wrist arthroplasty, using the Universal 2 wrist prosthesis, gives reasonable results (survival rate 84%) by decreasing pain while preserving range of motion in patients with degenerative osteoarthritis of the wrist after 5 years. However the 10-year survival rate decreases steeply to an unsatisfying 35%. Permalink : ./index.php?lvl=notice_display&id=92028 [article] Medium term outcomes of the Universal 2 total wrist arthroplasty in patients with degenerative or posttraumatic osteoarthritis of the wrist [texte imprimé] / Helene Gendera, Auteur . - 2020 . - p. 549-554. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 549-554 Résumé : This retrospective study reports medium term outcomes of 14 total wrist arthroplasties in patients with especially, non-rheumatoid, degenerative osteo- arthritis and post-traumatic osteoarthritis with a mean follow up of 5 to 10 years. Information of fourteen patients, 6 men and 8 women with a mean age of 61 years, was collected before and after total wrist arthroplasty (Universal 2 prosthesis, Integra) carried out by a single surgeon. Pre-operative mobility was determined by range of motion and compared to post- operative range of motion. Post-operative function was determined using the DASH (The disabilities of the arm, shoulder and hand) score and the PRWE (patient-rated wrist evaluation and grip strength) score. Grip force between the operated and non- operated hand were compared postoperatively. Three patients experienced complications. Range of motion improved post-operatively, although not significantly, due to an increase in palmar flexion. The mean DASH score was 20% and the mean total PRWE was 54%. This study shows that total wrist arthroplasty, using the Universal 2 wrist prosthesis, gives reasonable results (survival rate 84%) by decreasing pain while preserving range of motion in patients with degenerative osteoarthritis of the wrist after 5 years. However the 10-year survival rate decreases steeply to an unsatisfying 35%. Permalink : ./index.php?lvl=notice_display&id=92028

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Pain in Dupuytren's disease / Leen Vandecasteele in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 555-562 Titre : Pain in Dupuytren's disease Type de document : texte imprimé Auteurs : Leen Vandecasteele, Auteur Année de publication : 2020 Article en page(s) : p. 555-562 Langues : Anglais (eng) Résumé : To investigate pain in patients with Dupuytren disease, we analyzed the literature on pre- and post-interventional pain and complex regional pain syndrome. The pre-interventional pain intensity score of primary Dupuytren ranged from 0.3/10 to 2.0/10. One year after surgery or needle fasciotomy, no significant change of pain could be found. Collagenase therapy significantly reduced the mean pain intensity score from 1.3/10 [SD 2.2] to 0.5/10 [1.5] (p<0.01) after one year. The prevalence of complex regional pain syndrome after fasciectomy ranged from 0% to 12.8%, after needle fasciotomy from 0% to 6.3%, and after collagenase therapy from 0% to 3.0%. We conclude that for most Dupuytren patients, pain is not an issue. A minority seems to suffer pain and collagenase treatment appears to reduce this complaint significantly. However, complex regional pain syndrome is a known complication of Dupuytren treatment, with a low incidence after minimal invasive treatment. Permalink : ./index.php?lvl=notice_display&id=92032 [article] Pain in Dupuytren's disease [texte imprimé] / Leen Vandecasteele, Auteur . - 2020 . - p. 555-562. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 555-562 Résumé : To investigate pain in patients with Dupuytren disease, we analyzed the literature on pre- and post-interventional pain and complex regional pain syndrome. The pre-interventional pain intensity score of primary Dupuytren ranged from 0.3/10 to 2.0/10. One year after surgery or needle fasciotomy, no significant change of pain could be found. Collagenase therapy significantly reduced the mean pain intensity score from 1.3/10 [SD 2.2] to 0.5/10 [1.5] (p<0.01) after one year. The prevalence of complex regional pain syndrome after fasciectomy ranged from 0% to 12.8%, after needle fasciotomy from 0% to 6.3%, and after collagenase therapy from 0% to 3.0%. We conclude that for most Dupuytren patients, pain is not an issue. A minority seems to suffer pain and collagenase treatment appears to reduce this complaint significantly. However, complex regional pain syndrome is a known complication of Dupuytren treatment, with a low incidence after minimal invasive treatment. Permalink : ./index.php?lvl=notice_display&id=92032

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible

Frequency and risk factors of complications after surgical treatment of ankle fractures : a retrospective study of 433 patients / Claire Cammas in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 563-574 Titre : Frequency and risk factors of complications after surgical treatment of ankle fractures : a retrospective study of 433 patients Type de document : texte imprimé Auteurs : Claire Cammas, Auteur Année de publication : 2020 Article en page(s) : p. 563-574 Langues : Anglais (eng) Résumé : Ankle fractures are frequently treated using surgical interventions, and are associated with a high rate of postoperative complications. We wonder if complications can be anticipated and correlated to patient demographics, lifestyle, fracture or surgery related factors. We retrospectively reviewed all medical reports of patients who underwent ankle fracture surgery between 2013 and 2017. We focused our risks factors analysis on 5 common complications : poor wound healing, surgical site infection, malunion, nonunion and chronic pain. Multivariate logistic regression was performed to analyze significant risk factors for these complications. We identified 433 patients. Complications were present in 26% of the cases. The most frequent complication was poor wound healing (10%) associated with deep surgical site infection in 6%. Malunion was found in 7% and nonunion in 3%. Seven percent of patients suffered from chronic pain. More severe fractures happened to be a risk factor for poor wound healing (p = 0,032) and malunion (p < 0,001). Open fractures had respectively 6 to 9 times more mal- (p = 0,012) and nonunion (p = 0,018). Overweight patients with alcohol abuse were doubling their chances of cutaneous (p = 0,030) and infectious (p = 0,040) complications, and tripling their risks of ankle fracture nonunion (p = 0,003). Female and patients operated at night (p = 0,045) seemed to be more at risk to develop chronic pain (p = 0,028). Complications of ankle fracture treatment are frequent and their risks increases with more complex and open fractures. This study brings new evidence concerning the combined effect of overweight and alcohol abuse on poor wound healing, surgical site infection and non-union. Permalink : ./index.php?lvl=notice_display&id=92034 [article] Frequency and risk factors of complications after surgical treatment of ankle fractures : a retrospective study of 433 patients [texte imprimé] / Claire Cammas, Auteur . - 2020 . - p. 563-574. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 563-574 Résumé : Ankle fractures are frequently treated using surgical interventions, and are associated with a high rate of postoperative complications. We wonder if complications can be anticipated and correlated to patient demographics, lifestyle, fracture or surgery related factors. We retrospectively reviewed all medical reports of patients who underwent ankle fracture surgery between 2013 and 2017. We focused our risks factors analysis on 5 common complications : poor wound healing, surgical site infection, malunion, nonunion and chronic pain. Multivariate logistic regression was performed to analyze significant risk factors for these complications. We identified 433 patients. Complications were present in 26% of the cases. The most frequent complication was poor wound healing (10%) associated with deep surgical site infection in 6%. Malunion was found in 7% and nonunion in 3%. Seven percent of patients suffered from chronic pain. More severe fractures happened to be a risk factor for poor wound healing (p = 0,032) and malunion (p < 0,001). Open fractures had respectively 6 to 9 times more mal- (p = 0,012) and nonunion (p = 0,018). Overweight patients with alcohol abuse were doubling their chances of cutaneous (p = 0,030) and infectious (p = 0,040) complications, and tripling their risks of ankle fracture nonunion (p = 0,003). Female and patients operated at night (p = 0,045) seemed to be more at risk to develop chronic pain (p = 0,028). Complications of ankle fracture treatment are frequent and their risks increases with more complex and open fractures. This study brings new evidence concerning the combined effect of overweight and alcohol abuse on poor wound healing, surgical site infection and non-union. Permalink : ./index.php?lvl=notice_display&id=92034

Réservation

Réserver ce document

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Disponible Disponible