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Dépouillements
Ajouter le résultat dans votre panier10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes / Jan Peter Van Meirhaeghe in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)
inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 169-181
Titre : 10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes Type de document : texte imprimé Auteurs : Jan Peter Van Meirhaeghe Année de publication : 2019 Article en page(s) : p. 169-181 Langues : Anglais (eng) Mots-clés : Hernie : Sport Douleur à l'aine Nesovic Libération d'adducteurs Résultats sur 10 ans Résumé : The authors present a 10-year review of the postoperative bilateral release of the adductor brevis and gracilis muscles combined with a bilateral abdominal myo-fascio-plasty according to Nesovic for groin pain in competitive athletes.
We present the 10 years results of 33 patients operated on between April 2002 and May 2006 diagnosed with a “sports hernia”. The injury was treated with a bilateral abdominal procedure according to Nesovic combined with a bilateral adductor release after unsuccessful conservative treatment of at least 2 months. There were 32 male patients between 18 and 43 years and one female patient aged 25 years with a mean age of 28.8 at time of surgery. All procedures were bilateral. Patients were seen in the postoperative clinic and a questionnaire was collected after 2 years and 10 years.
Within 16 weeks, 30 patients (90,9 %) returned to the same or a higher level of sports activities. 10 years after surgery 31 patients (93,9%) remained free of pain. 1 patient has minor pain after training (VAS 0-1) and only 1 patient still experiences pain (VAS ≥ 5) after heavy work. 13 patients (39,3%) are still performing sports today, and 19 of 20 patients (95%, 57% of total cohort) were pain free to the end of their sporting careers.
The bilateral Nesovic procedure with bilateral adductor release has a high success rate for the competitive athlete with chronic groin pain. It also is a procedure that gave most athletes suffering from a certain type of groin pain a solution till the end of their sporting careers.Permalink : ./index.php?lvl=notice_display&id=92182 [article] 10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes [texte imprimé] / Jan Peter Van Meirhaeghe . - 2019 . - p. 169-181.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 169-181
Mots-clés : Hernie : Sport Douleur à l'aine Nesovic Libération d'adducteurs Résultats sur 10 ans Résumé : The authors present a 10-year review of the postoperative bilateral release of the adductor brevis and gracilis muscles combined with a bilateral abdominal myo-fascio-plasty according to Nesovic for groin pain in competitive athletes.
We present the 10 years results of 33 patients operated on between April 2002 and May 2006 diagnosed with a “sports hernia”. The injury was treated with a bilateral abdominal procedure according to Nesovic combined with a bilateral adductor release after unsuccessful conservative treatment of at least 2 months. There were 32 male patients between 18 and 43 years and one female patient aged 25 years with a mean age of 28.8 at time of surgery. All procedures were bilateral. Patients were seen in the postoperative clinic and a questionnaire was collected after 2 years and 10 years.
Within 16 weeks, 30 patients (90,9 %) returned to the same or a higher level of sports activities. 10 years after surgery 31 patients (93,9%) remained free of pain. 1 patient has minor pain after training (VAS 0-1) and only 1 patient still experiences pain (VAS ≥ 5) after heavy work. 13 patients (39,3%) are still performing sports today, and 19 of 20 patients (95%, 57% of total cohort) were pain free to the end of their sporting careers.
The bilateral Nesovic procedure with bilateral adductor release has a high success rate for the competitive athlete with chronic groin pain. It also is a procedure that gave most athletes suffering from a certain type of groin pain a solution till the end of their sporting careers.Permalink : ./index.php?lvl=notice_display&id=92182 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.182-191
Titre : A combination of the modified Stoppa approach and the iliac fossa approach in treating compound acetabular fractures by using an anterior ilioischial plate Type de document : texte imprimé Auteurs : Zhong Chen Année de publication : 2019 Article en page(s) : p.182-191 Langues : Anglais (eng) Mots-clés : Fracture acétabulaire Plaque ilio-ischique Approche chirurgicale Cimentation Fractures osseuses Chirurgie Résumé : Most compound acetabular fractures involving both the anterior and posterior columns are caused by high-energy injuries. Patients with compound acetabular fractures are often in critical or poor condition and cannot tolerate major surgery. This study aims to investigate the effectiveness of an ilioischial plate in treating compound acetabular fractures. A consecutive series of 40 patients with complex acetabular fractures were surgically treated and retrospectively reviewed. A modified Stoppa approach in combination with an iliac fossa approach was used. In all of the cases, the anterior column was stabilized with reconstruction plates for the iliac wing and along the iliopectineal line to the pubis. The posterior column was fixed either with the newly developed ilioischial plate running from the ilium to the ischial ramus or with standard fixation techniques. These included either conventional posterior column screws or quadrilateral plate fixation. Patients were divided into an experimental group (ilioischial plate for posterior column fixation) and a control group (standard fixation techniques).
In both groups, we found that 90% of all reductions were good to excellent. According to the modified Merle Aubigne and Postel scoring system, the percentage of good to excellent was 85% in the experimental group as compared to 80% in the control group. Compared with the control group, physical function (PF), role physical (RP) and social function (SF) were significantly better in the experimental group (P<0.05). Fracture healing was achieved in all patients.
By using the modified Stoppa approach combined with the iliac fossa approach, the ilioischial plate can be directly fixed to the posterior column and the ilium to stabilize the posterior column in patients with complex acetabular fractures.Permalink : ./index.php?lvl=notice_display&id=92183 [article] A combination of the modified Stoppa approach and the iliac fossa approach in treating compound acetabular fractures by using an anterior ilioischial plate [texte imprimé] / Zhong Chen . - 2019 . - p.182-191.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.182-191
Mots-clés : Fracture acétabulaire Plaque ilio-ischique Approche chirurgicale Cimentation Fractures osseuses Chirurgie Résumé : Most compound acetabular fractures involving both the anterior and posterior columns are caused by high-energy injuries. Patients with compound acetabular fractures are often in critical or poor condition and cannot tolerate major surgery. This study aims to investigate the effectiveness of an ilioischial plate in treating compound acetabular fractures. A consecutive series of 40 patients with complex acetabular fractures were surgically treated and retrospectively reviewed. A modified Stoppa approach in combination with an iliac fossa approach was used. In all of the cases, the anterior column was stabilized with reconstruction plates for the iliac wing and along the iliopectineal line to the pubis. The posterior column was fixed either with the newly developed ilioischial plate running from the ilium to the ischial ramus or with standard fixation techniques. These included either conventional posterior column screws or quadrilateral plate fixation. Patients were divided into an experimental group (ilioischial plate for posterior column fixation) and a control group (standard fixation techniques).
In both groups, we found that 90% of all reductions were good to excellent. According to the modified Merle Aubigne and Postel scoring system, the percentage of good to excellent was 85% in the experimental group as compared to 80% in the control group. Compared with the control group, physical function (PF), role physical (RP) and social function (SF) were significantly better in the experimental group (P<0.05). Fracture healing was achieved in all patients.
By using the modified Stoppa approach combined with the iliac fossa approach, the ilioischial plate can be directly fixed to the posterior column and the ilium to stabilize the posterior column in patients with complex acetabular fractures.Permalink : ./index.php?lvl=notice_display&id=92183 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 210-217
Titre : An evaluation of treating non-union of femoral neck fractures with valgus angulation osteotomy using sliding hip screws Type de document : texte imprimé Auteurs : Emin Özkul Année de publication : 2019 Article en page(s) : p. 210-217 Langues : Anglais (eng) Mots-clés : Fractures du col fémoral Ostéotomie tibiale Ostéosynthèse avec DHS Genu valgus Vis orthopédiques Résumé : This study presents the outcomes of patients treated with non-union of femoral neck fractures healed with valgus osteotomy, fixed with a Dynamic Hip Screw (DHS). The study retrospectively evaluated 16 patients who, between 2007 and 2014, developed pseudarthrosis following treatment for a femoral neck fracture and who were treated with DHS- osteosynthesis, after a valgus subtrochanteric osteotomy. Postoperative clinical evaluation of the patients was done? using the Harris Hip Scoring (HHS) system.
Union of both the fracture and the osteotomy site was achieved in 17.2 weeks (range: 14-24 weeks) in all patients. The average Pauwels angle decreased from 72o (range 62–80) preoperatively to 26o (range 20–50) postoperatively. All fractures were Pauwels type III preoperatively and 4 type II and 12 type I postoperatively. The average HHS increased from 26 (range 18–34) preoperatively to 85 (range 68–94) postoperatively. Of the patients who were followed up for a mean duration of 3.1 years (range: 1-5 years), four had 1-cm shortening. No patient developed postoperative AVN of the femoral head.
For patients with non-union after femoral neck fracture, DHS-osteosynthesis after valgus osteotomy is a method with a shorter learning curve, which can be successfully performed.Permalink : ./index.php?lvl=notice_display&id=92185 [article] An evaluation of treating non-union of femoral neck fractures with valgus angulation osteotomy using sliding hip screws [texte imprimé] / Emin Özkul . - 2019 . - p. 210-217.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 210-217
Mots-clés : Fractures du col fémoral Ostéotomie tibiale Ostéosynthèse avec DHS Genu valgus Vis orthopédiques Résumé : This study presents the outcomes of patients treated with non-union of femoral neck fractures healed with valgus osteotomy, fixed with a Dynamic Hip Screw (DHS). The study retrospectively evaluated 16 patients who, between 2007 and 2014, developed pseudarthrosis following treatment for a femoral neck fracture and who were treated with DHS- osteosynthesis, after a valgus subtrochanteric osteotomy. Postoperative clinical evaluation of the patients was done? using the Harris Hip Scoring (HHS) system.
Union of both the fracture and the osteotomy site was achieved in 17.2 weeks (range: 14-24 weeks) in all patients. The average Pauwels angle decreased from 72o (range 62–80) preoperatively to 26o (range 20–50) postoperatively. All fractures were Pauwels type III preoperatively and 4 type II and 12 type I postoperatively. The average HHS increased from 26 (range 18–34) preoperatively to 85 (range 68–94) postoperatively. Of the patients who were followed up for a mean duration of 3.1 years (range: 1-5 years), four had 1-cm shortening. No patient developed postoperative AVN of the femoral head.
For patients with non-union after femoral neck fracture, DHS-osteosynthesis after valgus osteotomy is a method with a shorter learning curve, which can be successfully performed.Permalink : ./index.php?lvl=notice_display&id=92185 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 218-223
Titre : Biomechanical comparison of fracture site stabilities of femur nails after fracture site resorption Type de document : texte imprimé Auteurs : Ahmet Adnan KARAARSLAN Année de publication : 2019 Article en page(s) : p. 218-223 Langues : Anglais (eng) Mots-clés : Fractures du fémur Ostéosynthese intramedullaire Consolidation de fracture Résorption osseuse Clous orthopédiques Résumé : Instability increases after fracture site resorption. This study aimed to compare the fracture site stabilities of different femoral nails after fracture site resorption. Thirty composite femurs were divided into three groups of 10 interlocking nails. Using axial compression–distraction machines and a custom- made torsion device, the fracture site rotational and axial stabilities after 1 mm fracture site resorption were determined. Between 6 Nm external and 6 Nm internal rotation torques, the means of the maximum fracture site rotation arc of motion were 5.94 mm for compression nails, 5.9 mm for interlocking nails and 3.5 mm for CAROT nails. Between 2300 N compression and 150 N distraction forces, the means of the fracture site axial motion were 3.15 mm for interlocking nails, 1.26 mm for compression nails and 1.26 mm for CAROT nails. CAROT nails are superior to compression and interlocking nails in fracture site rotational and axial stabilities after 1 mm fracture site resorption. Permalink : ./index.php?lvl=notice_display&id=92188 [article] Biomechanical comparison of fracture site stabilities of femur nails after fracture site resorption [texte imprimé] / Ahmet Adnan KARAARSLAN . - 2019 . - p. 218-223.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 218-223
Mots-clés : Fractures du fémur Ostéosynthese intramedullaire Consolidation de fracture Résorption osseuse Clous orthopédiques Résumé : Instability increases after fracture site resorption. This study aimed to compare the fracture site stabilities of different femoral nails after fracture site resorption. Thirty composite femurs were divided into three groups of 10 interlocking nails. Using axial compression–distraction machines and a custom- made torsion device, the fracture site rotational and axial stabilities after 1 mm fracture site resorption were determined. Between 6 Nm external and 6 Nm internal rotation torques, the means of the maximum fracture site rotation arc of motion were 5.94 mm for compression nails, 5.9 mm for interlocking nails and 3.5 mm for CAROT nails. Between 2300 N compression and 150 N distraction forces, the means of the fracture site axial motion were 3.15 mm for interlocking nails, 1.26 mm for compression nails and 1.26 mm for CAROT nails. CAROT nails are superior to compression and interlocking nails in fracture site rotational and axial stabilities after 1 mm fracture site resorption. Permalink : ./index.php?lvl=notice_display&id=92188 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 192-198
Titre : Comparative analysis of different total hip replacement implants used in a single health region of the United Kingdom - minimum 15 years follow-up Type de document : texte imprimé Auteurs : Manish Kiran Année de publication : 2019 Article en page(s) : p. 192-198 Langues : Anglais (eng) Mots-clés : Remplacement total de la hanche Prothèses et implants Résumé : We describe the functional and radiological results at minimum 15 years follow up of four groups of total hip replacement(THR) implants used in our health region.
876 THRs in 837 patients who were included in the study that used prospectively collected data in the Tayside Arthroplasty Audit Group(TAAG) database. There were 387 Charnley/Ogee cemented THRs, 188 hips in the cemented CPT/ZCA group, 106 hips in the uncemented Bicontact/Plasmacup group and 195 hips in the hybrid Exeter/Trident group.
The most common complications were dislocation (3.88%) and superficial infection (3.76%). With revision surgery for any reason as the end point, the survivorship of at 15 years in our series was 98.45% in the cemented Charnley/Ogee THR group, 96.8% in the cemented CPT/ZCA group, 96.22% in the uncemented Bicontact/Plasmacup group and 97.94% in the Exeter/Trident hybrid THR group. There was no statistically significant difference in the number of hips at risk of revision, Harris Hip Scores and complication rates at 15 years.
We feel that the choice of implant is best based on individual templating and training of the surgeon. Prospective randomised controlled trials and joint registry data may make implant selection easier in the future.Permalink : ./index.php?lvl=notice_display&id=92190 [article] Comparative analysis of different total hip replacement implants used in a single health region of the United Kingdom - minimum 15 years follow-up [texte imprimé] / Manish Kiran . - 2019 . - p. 192-198.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 192-198
Mots-clés : Remplacement total de la hanche Prothèses et implants Résumé : We describe the functional and radiological results at minimum 15 years follow up of four groups of total hip replacement(THR) implants used in our health region.
876 THRs in 837 patients who were included in the study that used prospectively collected data in the Tayside Arthroplasty Audit Group(TAAG) database. There were 387 Charnley/Ogee cemented THRs, 188 hips in the cemented CPT/ZCA group, 106 hips in the uncemented Bicontact/Plasmacup group and 195 hips in the hybrid Exeter/Trident group.
The most common complications were dislocation (3.88%) and superficial infection (3.76%). With revision surgery for any reason as the end point, the survivorship of at 15 years in our series was 98.45% in the cemented Charnley/Ogee THR group, 96.8% in the cemented CPT/ZCA group, 96.22% in the uncemented Bicontact/Plasmacup group and 97.94% in the Exeter/Trident hybrid THR group. There was no statistically significant difference in the number of hips at risk of revision, Harris Hip Scores and complication rates at 15 years.
We feel that the choice of implant is best based on individual templating and training of the surgeon. Prospective randomised controlled trials and joint registry data may make implant selection easier in the future.Permalink : ./index.php?lvl=notice_display&id=92190 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 234-239
Titre : Demographics, fracture patterns and treatment strategies following wrist trauma Type de document : texte imprimé Auteurs : M.A.M. Mulders Année de publication : 2019 Article en page(s) : p. 234-239 Langues : Anglais (eng) Mots-clés : Traumatismes du poignet Fractures osseuses Radius distal Traitement Thérapeutique Résumé : The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospitals. A retrospective cohort study was performed in three Dutch hospitals in all consecutive adult patients with wrist trauma who presented at the ED. A fracture of the wrist was defined as a fracture of the distal one-third part of the radius, the distal one-third part of the ulna or any carpal bone. Fracture classification according to the AO/OTA classification, the amount of displaced fractures, and the received treatment were recorded. Out of 1740 patients with wrist trauma, 49% sustained one or more fractures of the wrist. The distal radius was most frequently fractured (61%). Almost half of the distal radius fractures was extra-articular (AO/OTA type A2-3) and 61% of fractures was displaced. Of all patients who sustained a distal radius fracture, 14% was treated operatively. Significantly more patients were treated operatively in the academic hospital in comparison to the teaching and non-teaching hospital. Permalink : ./index.php?lvl=notice_display&id=92193 [article] Demographics, fracture patterns and treatment strategies following wrist trauma [texte imprimé] / M.A.M. Mulders . - 2019 . - p. 234-239.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 234-239
Mots-clés : Traumatismes du poignet Fractures osseuses Radius distal Traitement Thérapeutique Résumé : The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospitals. A retrospective cohort study was performed in three Dutch hospitals in all consecutive adult patients with wrist trauma who presented at the ED. A fracture of the wrist was defined as a fracture of the distal one-third part of the radius, the distal one-third part of the ulna or any carpal bone. Fracture classification according to the AO/OTA classification, the amount of displaced fractures, and the received treatment were recorded. Out of 1740 patients with wrist trauma, 49% sustained one or more fractures of the wrist. The distal radius was most frequently fractured (61%). Almost half of the distal radius fractures was extra-articular (AO/OTA type A2-3) and 61% of fractures was displaced. Of all patients who sustained a distal radius fracture, 14% was treated operatively. Significantly more patients were treated operatively in the academic hospital in comparison to the teaching and non-teaching hospital. Permalink : ./index.php?lvl=notice_display&id=92193 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 240-246
Titre : Excellent functional recovery after Kirschner-wire extension blocking technique for displaced closed bony mallet finger injuries; results of 36 cases Type de document : texte imprimé Auteurs : Armelle J.A. Meershoek Année de publication : 2019 Article en page(s) : p. 240-246 Langues : Anglais (eng) Mots-clés : Blessure au mallet finger Technique de blocage d'extension Evaluation du poignet / de la main Fractures osseuses Données de santé générées par les patients Résumé : Bony mallet finger injuries comprise 30% of all mallet injuries. Operative treatment of bony mallet fingers injuries still remains controversial. The aim of this study was to describe the k-wire extension blocking technique and the functional results using the PRWHE questionnaire.
A single center retrospective observational cohort of 36 patients was defined between January 2010 and December 2015. Inclusion criteria for this study were acute fractures with 1) persistent displacement of more than 3 mm in extension splint, 2) palmar subluxation of the distal phalanx or 3) fracture fragments consisting of more than one third of the joint surface. According to the PRWHE questionnaire, excellent results were observed with a mean follow up period of 32 months of all patients. Two patients developed a clinically relevant superficial wound infection and one patient developed a nail deformity. In conclusion, the k-wire extension blocking technique is safe and results in excellent mid-term functional outcome.Permalink : ./index.php?lvl=notice_display&id=92194 [article] Excellent functional recovery after Kirschner-wire extension blocking technique for displaced closed bony mallet finger injuries; results of 36 cases [texte imprimé] / Armelle J.A. Meershoek . - 2019 . - p. 240-246.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 240-246
Mots-clés : Blessure au mallet finger Technique de blocage d'extension Evaluation du poignet / de la main Fractures osseuses Données de santé générées par les patients Résumé : Bony mallet finger injuries comprise 30% of all mallet injuries. Operative treatment of bony mallet fingers injuries still remains controversial. The aim of this study was to describe the k-wire extension blocking technique and the functional results using the PRWHE questionnaire.
A single center retrospective observational cohort of 36 patients was defined between January 2010 and December 2015. Inclusion criteria for this study were acute fractures with 1) persistent displacement of more than 3 mm in extension splint, 2) palmar subluxation of the distal phalanx or 3) fracture fragments consisting of more than one third of the joint surface. According to the PRWHE questionnaire, excellent results were observed with a mean follow up period of 32 months of all patients. Two patients developed a clinically relevant superficial wound infection and one patient developed a nail deformity. In conclusion, the k-wire extension blocking technique is safe and results in excellent mid-term functional outcome.Permalink : ./index.php?lvl=notice_display&id=92194 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.150-158
Titre : Fractures and dislocations of the lisfranc tarso-metatarsal articulation: outcome related to timing and choice of treatment Type de document : texte imprimé Auteurs : Pietro PERSIANI Année de publication : 2019 Article en page(s) : p.150-158 Langues : Anglais (eng) Mots-clés : Procédures de chirurgie opératoire Blessure manquée Fixation de fracture Ostéosynthèse Traitement Thérapeutique Résumé : A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis. Permalink : ./index.php?lvl=notice_display&id=92195 [article] Fractures and dislocations of the lisfranc tarso-metatarsal articulation: outcome related to timing and choice of treatment [texte imprimé] / Pietro PERSIANI . - 2019 . - p.150-158.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.150-158
Mots-clés : Procédures de chirurgie opératoire Blessure manquée Fixation de fracture Ostéosynthèse Traitement Thérapeutique Résumé : A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis. Permalink : ./index.php?lvl=notice_display&id=92195 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 224-233
Titre : Minimally Invasive Plate Osteosynthesis (MIPO) technique for complex tibial shaft fracture Type de document : texte imprimé Auteurs : Sungwook Choi Année de publication : 2019 Article en page(s) : p. 224-233 Langues : Anglais (eng) Mots-clés : Fracture complexe de la diaphyse tibiale Ostéosynthèse mini-invasive par plaques Fixation externe temporaire Plaque de compression verrouillable Fixateurs externes MIPO Résumé : To evaluate the clinical and radiological results of the treatment of complex tibial shaft fracture (AO/OTA type 42-C) with minimally invasive plate osteosynthesis(MIPO).
Twenty patients diagnosed with complex tibial shaft fracture without extension to the articular surface and treated with MIPO, including 9 cases of AO/ OTA type 42-C2 and 11 cases of AO/OTA type 42-C3, 6 of which were open fractures. External fixation was used for open fractures until the soft tissue damage had healed; then, 2nd stage operation with MIPO was performed to stabilize the fracture. Each patient was followed up for a minimum of 12 months.
The mean time to union was 20.1 weeks. Delayed union was observed in 4 cases. Angular deformity, length shortening and non-union were not observed. Severely comminuted and open fractures of the tibial shaft may benefit from temporary external fixation prior to performing MIPO.Permalink : ./index.php?lvl=notice_display&id=92198 [article] Minimally Invasive Plate Osteosynthesis (MIPO) technique for complex tibial shaft fracture [texte imprimé] / Sungwook Choi . - 2019 . - p. 224-233.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 224-233
Mots-clés : Fracture complexe de la diaphyse tibiale Ostéosynthèse mini-invasive par plaques Fixation externe temporaire Plaque de compression verrouillable Fixateurs externes MIPO Résumé : To evaluate the clinical and radiological results of the treatment of complex tibial shaft fracture (AO/OTA type 42-C) with minimally invasive plate osteosynthesis(MIPO).
Twenty patients diagnosed with complex tibial shaft fracture without extension to the articular surface and treated with MIPO, including 9 cases of AO/ OTA type 42-C2 and 11 cases of AO/OTA type 42-C3, 6 of which were open fractures. External fixation was used for open fractures until the soft tissue damage had healed; then, 2nd stage operation with MIPO was performed to stabilize the fracture. Each patient was followed up for a minimum of 12 months.
The mean time to union was 20.1 weeks. Delayed union was observed in 4 cases. Angular deformity, length shortening and non-union were not observed. Severely comminuted and open fractures of the tibial shaft may benefit from temporary external fixation prior to performing MIPO.Permalink : ./index.php?lvl=notice_display&id=92198 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 145-149
Titre : Musculoskeletal injuries among elite artistic and rhythmic Greek gymnasts: A ten-year study of 156 elite athletes Type de document : texte imprimé Auteurs : Odysseas Paxinos Année de publication : 2019 Article en page(s) : p. 145-149 Langues : Anglais (eng) Mots-clés : Gymnastique Plaies et blessures Athlètes de haut niveau Recherche sur 10 ans Résumé : Data on elite gymnast injuries outside North America is sparse. We report the injuries recorded over a period of 10 years in 156 Greek elite male and female gymnasts. A total of 2390 injuries were reported for a rate of 1,5 new injuries per year per athlete. Most commonly affected areas were the hip (18.5%), the ankle (16.5%), the lumbar spine (16%) and the foot (16%). The most frequent diagnosis was tendinitis (32%), followed by low back pain (20%), and sprains (12%). Fifteen athletes (9%) sustained serious injuries that required surgery. Rhythmic gymnasts had significantly more overuse type injuries compared to artistic gymnasts (p = 0.049). Gymnastics is a sport with a high incidence of musculoskeletal pathology that needs proper documentation in order to establish preventive measures. Permalink : ./index.php?lvl=notice_display&id=92199 [article] Musculoskeletal injuries among elite artistic and rhythmic Greek gymnasts: A ten-year study of 156 elite athletes [texte imprimé] / Odysseas Paxinos . - 2019 . - p. 145-149.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 145-149
Mots-clés : Gymnastique Plaies et blessures Athlètes de haut niveau Recherche sur 10 ans Résumé : Data on elite gymnast injuries outside North America is sparse. We report the injuries recorded over a period of 10 years in 156 Greek elite male and female gymnasts. A total of 2390 injuries were reported for a rate of 1,5 new injuries per year per athlete. Most commonly affected areas were the hip (18.5%), the ankle (16.5%), the lumbar spine (16%) and the foot (16%). The most frequent diagnosis was tendinitis (32%), followed by low back pain (20%), and sprains (12%). Fifteen athletes (9%) sustained serious injuries that required surgery. Rhythmic gymnasts had significantly more overuse type injuries compared to artistic gymnasts (p = 0.049). Gymnastics is a sport with a high incidence of musculoskeletal pathology that needs proper documentation in order to establish preventive measures. Permalink : ./index.php?lvl=notice_display&id=92199 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209
Titre : Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails Type de document : texte imprimé Auteurs : Hany El Zahlawy Année de publication : 2019 Article en page(s) : p. 205-209 Langues : Anglais (eng) Mots-clés : Pseudarthrose fémorale Augmentation de la plaque Clous orthopédiques Résumé : The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union. Permalink : ./index.php?lvl=notice_display&id=92201 [article] Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails [texte imprimé] / Hany El Zahlawy . - 2019 . - p. 205-209.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209
Mots-clés : Pseudarthrose fémorale Augmentation de la plaque Clous orthopédiques Résumé : The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union. Permalink : ./index.php?lvl=notice_display&id=92201 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 159-168
Titre : Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study Type de document : texte imprimé Auteurs : Stefano Zaffagnini Année de publication : 2019 Article en page(s) : p. 159-168 Langues : Anglais (eng) Mots-clés : Reconstruction du ligament croisé antérieur Révision SIGASCOT Genou Italie Résumé : The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS).
Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 + 9.3 years (median 29; 23-38), mean BMI was 22.6 + 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually performed with a single-bundle technique, using allograft and autograft almost in the same extentPermalink : ./index.php?lvl=notice_display&id=92203 [article] Protocol and descriptive epidemiology of the SIGASCOT Italian multicentric registry of revision ACL reconstruction: a 1-year pilot study [texte imprimé] / Stefano Zaffagnini . - 2019 . - p. 159-168.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 159-168
Mots-clés : Reconstruction du ligament croisé antérieur Révision SIGASCOT Genou Italie Résumé : The aim of the present study was to present the demographic and baseline results of the first year of course of the SIGASCOT Italian registry of Revision ACL reconstruction.The data of the patients undergoing revision ACL reconstruction, enrolled in by 20 SIGASCOT members from March 2015 to May 2016, were extracted from the Surgical Outcome System (SOS).
Overall, 126 patients were enrolled; 18 were excluded due to incomplete data. Mean age at surgery was 30.4 + 9.3 years (median 29; 23-38), mean BMI was 22.6 + 2.3 kg/m2 and 77% were males. Revision was performed with a single-bundle technique in 94%, using allograft in 57% of cases and autograft in 43%. Only 28% had both menisci intact, and meniscal repair or replacement was performed in 25% of patients for medial meniscus and 8% for lateral meniscus. During the first year of enrollment, the SIGASCOT Italian ACL revision registry was able to collect the data of more than 100 patients. The revision ACL reconstruction was usually performed with a single-bundle technique, using allograft and autograft almost in the same extentPermalink : ./index.php?lvl=notice_display&id=92203 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.199-204
Titre : Proximal femoral nail anti-rotation (PFNA) and hemi-arthroplasty in the treatment of elderly intertrochanteric fractures Type de document : texte imprimé Auteurs : Ye Xie Année de publication : 2019 Article en page(s) : p.199-204 Langues : Anglais (eng) Mots-clés : Fractures intertrochantériennes Arthroplastie Remplacement de la hanche PFNA Traitement Thérapeutique Sujet âgé Note de contenu : To determine reasonable treatment of intertrochanteric fractures with proximal femoral nail anti-rotation (PFNA) or hemi-arthroplasty (HA) in elderly patients.
Between January 2009 and June 2013, a total of 367 patients were admitted to the Orthopedics Department of The Second Affiliated Hospital of Soochow University. Patient data were retrospectively analyzed and included 160 males and 207 females. The ages of the patients were between 60 and 97 years and the average age was 72 +/- 3.9 years. According to the Evans-Jensen classification scheme, the fracture types were type IA (n = 18), type IB (n =3 1), type II (n=154), and type III (n = 164). A comparison between the two surgical methods (PFNA and HA) included the duration of surgery, intra-operative blood loss, post-operative weight-bearing time, implant complications, and the Harris hip score.
The data were analyzed after 14-50 months (average 24 months) of follow-up. The gender and age of the patients did not differ significantly between the two methods of treatment; however, the duration of surgery between the PFNA hemi-arthroplasty groups did differ (hemi-arthroplasty required less time), the intra-operative blood loss in the PFNA group was significantly less than the hemi-arthroplasty group, and the post-operative weight-bearing time was significantly shorter in the hemi-arthroplasty group than the PFNA group.
A retrospective study was conducted in 367 patients during the 42-month study period (January 2009–June 2013) to observe the efficacy of PFNA and hemi-arthroplasty. Complete data were available for analysis. There are significant advantages and disadvantages with respect to the two surgical treatment modalities. For elderly patients with unstable fractures, severe osteoporosis, and pre- operative mobility, hemi-arthroplasty is preferred because hemi-arthroplasty has fewer disadvantages compared to PFNA, which is not suitable for full weight bearing and bone union. PFNA for the treatment of intertrochanteric fractures has been increasingly accepted and widely used; however the use of arthroplasty remains controversial (3) . Conservative treatment for intertrochanteric fractures in elderly patients has become a main trend and often takes longer, gives rise to more complications, and has mortality rates higher than surgical treatment.Permalink : ./index.php?lvl=notice_display&id=92204 [article] Proximal femoral nail anti-rotation (PFNA) and hemi-arthroplasty in the treatment of elderly intertrochanteric fractures [texte imprimé] / Ye Xie . - 2019 . - p.199-204.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p.199-204
Mots-clés : Fractures intertrochantériennes Arthroplastie Remplacement de la hanche PFNA Traitement Thérapeutique Sujet âgé Note de contenu : To determine reasonable treatment of intertrochanteric fractures with proximal femoral nail anti-rotation (PFNA) or hemi-arthroplasty (HA) in elderly patients.
Between January 2009 and June 2013, a total of 367 patients were admitted to the Orthopedics Department of The Second Affiliated Hospital of Soochow University. Patient data were retrospectively analyzed and included 160 males and 207 females. The ages of the patients were between 60 and 97 years and the average age was 72 +/- 3.9 years. According to the Evans-Jensen classification scheme, the fracture types were type IA (n = 18), type IB (n =3 1), type II (n=154), and type III (n = 164). A comparison between the two surgical methods (PFNA and HA) included the duration of surgery, intra-operative blood loss, post-operative weight-bearing time, implant complications, and the Harris hip score.
The data were analyzed after 14-50 months (average 24 months) of follow-up. The gender and age of the patients did not differ significantly between the two methods of treatment; however, the duration of surgery between the PFNA hemi-arthroplasty groups did differ (hemi-arthroplasty required less time), the intra-operative blood loss in the PFNA group was significantly less than the hemi-arthroplasty group, and the post-operative weight-bearing time was significantly shorter in the hemi-arthroplasty group than the PFNA group.
A retrospective study was conducted in 367 patients during the 42-month study period (January 2009–June 2013) to observe the efficacy of PFNA and hemi-arthroplasty. Complete data were available for analysis. There are significant advantages and disadvantages with respect to the two surgical treatment modalities. For elderly patients with unstable fractures, severe osteoporosis, and pre- operative mobility, hemi-arthroplasty is preferred because hemi-arthroplasty has fewer disadvantages compared to PFNA, which is not suitable for full weight bearing and bone union. PFNA for the treatment of intertrochanteric fractures has been increasingly accepted and widely used; however the use of arthroplasty remains controversial (3) . Conservative treatment for intertrochanteric fractures in elderly patients has become a main trend and often takes longer, gives rise to more complications, and has mortality rates higher than surgical treatment.Permalink : ./index.php?lvl=notice_display&id=92204 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252
Titre : Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up Type de document : texte imprimé Auteurs : Sinan Karaca Année de publication : 2019 Article en page(s) : p. 247-252 Langues : Anglais (eng) Mots-clés : Vis pédiculaires Les patients ostéoporotiques Augmentation de ciment Ostéoporose Desserrage de la vis Fusion intersomatique Les patients ostéoporotiques âgés Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205 [article] Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up [texte imprimé] / Sinan Karaca . - 2019 . - p. 247-252.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252
Mots-clés : Vis pédiculaires Les patients ostéoporotiques Augmentation de ciment Ostéoporose Desserrage de la vis Fusion intersomatique Les patients ostéoporotiques âgés Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205 Exemplaires (1)
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inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p 253-259
Titre : Spinopelvic parameters in degenerative spondylolisthesis Type de document : texte imprimé Auteurs : Jung-Ki Ha Année de publication : 2019 Article en page(s) : p 253-259 Langues : Anglais (eng) Mots-clés : Paramètres spino-pelviens sagittales Incidence pelvienne Muscle extenseur du dos Spondylolisthésis lombaire dégénérative Résumé : The purpose of this study was to compare various sagittal spinopelvic parameters between patients with and without degenerative lumbar spondylolisthesis (DLS).
A total of 165 patients who underwent surgery for low back and/or radicular pain were divided into two groups: those without DLS (non-DLS group; n = 85) and those with DLS (DLS group; n = 80).
In all sagittal spinopelvic parameters, no significant difference was found between the non-DLS and DLS groups. The mean pelvic incidence (PI) value of the DLS group (56.4°) was almost similar to that of the non-DLS group (57.5°). The cross-sectional ratio of lumbar musculature was significantly smaller in the DLS group than in thenon-DLS group (p = 0.046). Contrary to the results of previous studies, a high PI may not be a predisposing factor for DLS development. Atrophy of back extensor muscles may play a role in the pathogenesis of DLS.Permalink : ./index.php?lvl=notice_display&id=92210 [article] Spinopelvic parameters in degenerative spondylolisthesis [texte imprimé] / Jung-Ki Ha . - 2019 . - p 253-259.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p 253-259
Mots-clés : Paramètres spino-pelviens sagittales Incidence pelvienne Muscle extenseur du dos Spondylolisthésis lombaire dégénérative Résumé : The purpose of this study was to compare various sagittal spinopelvic parameters between patients with and without degenerative lumbar spondylolisthesis (DLS).
A total of 165 patients who underwent surgery for low back and/or radicular pain were divided into two groups: those without DLS (non-DLS group; n = 85) and those with DLS (DLS group; n = 80).
In all sagittal spinopelvic parameters, no significant difference was found between the non-DLS and DLS groups. The mean pelvic incidence (PI) value of the DLS group (56.4°) was almost similar to that of the non-DLS group (57.5°). The cross-sectional ratio of lumbar musculature was significantly smaller in the DLS group than in thenon-DLS group (p = 0.046). Contrary to the results of previous studies, a high PI may not be a predisposing factor for DLS development. Atrophy of back extensor muscles may play a role in the pathogenesis of DLS.Permalink : ./index.php?lvl=notice_display&id=92210 Exemplaires (1)
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