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A comparative study of three different surgical methods for both-forearm-bone fractures in adults / Sang Ki Lee in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 305-316 Titre : A comparative study of three different surgical methods for both-forearm-bone fractures in adults Type de document : texte imprimé Auteurs : Sang Ki Lee Année de publication : 2019 Article en page(s) : p. 305-316 Langues : Anglais (eng) Mots-clés : Fractures osseuses des deux avant-bras  Ostéosynthèse  Plaques orthopédiques  Clouage intramédullaire  Fixation hybride  Clous orthopédiques  Adulte Résumé : The purpose of this study was to evaluate and compare the results of plate osteosynthesis, intramedullary nailing (IMN), and hybrid fixation for the treatment of both-forearm-bone shaft fractures in adults. One-hundred-one cases of both-forearm-bone shaft fractures were retrospectively reviewed. All fractures were divided into the following three groups, according to the method used for internal fixation : open reduction and internal fixation ORIF group (plate osteosynthesis), IMN group, and HYBRID group (plate osteosynthesis for the radius and intramedullary nail for the ulna). The results were assessed based on the time to union, functional recovery, restoration of the ulna and radial bow, operating time, complications, and patient satisfaction. In the ORIF, IMN, and HYBRID groups, the average union time was 10.8, 14.9, and 11.5 weeks, respectively. No intergroup differences were observed in the functional outcomes. The ORIF and HYBRID groups had a significantly better radial bow ratio compared to the IMN group. All patients in the three groups achieved union, with the exception of a single case of nonunion in the IMN group. ORIF and HYBRID fixation resulted in a more anatomical restoration of radial bow ratio, compared to the contralateral side. Such significant differences in the restoration of the radial bow had no effect on the final functional outcomes and minimal effect on forearm range of motion. Although there are statistically significant effects on the final forearm range of motion, the difference was only 5°. Thus, if the indication is properly selected, our results suggest that hybrid fixation would be acceptable and effective treatment options for both-forearm-bone fractures in adults. Permalink : ./index.php?lvl=notice_display&id=92184 [article] A comparative study of three different surgical methods for both-forearm-bone fractures in adults [texte imprimé] / Sang Ki Lee . - 2019 . - p. 305-316. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 305-316 Mots-clés : Fractures osseuses des deux avant-bras  Ostéosynthèse  Plaques orthopédiques  Clouage intramédullaire  Fixation hybride  Clous orthopédiques  Adulte Résumé : The purpose of this study was to evaluate and compare the results of plate osteosynthesis, intramedullary nailing (IMN), and hybrid fixation for the treatment of both-forearm-bone shaft fractures in adults. One-hundred-one cases of both-forearm-bone shaft fractures were retrospectively reviewed. All fractures were divided into the following three groups, according to the method used for internal fixation : open reduction and internal fixation ORIF group (plate osteosynthesis), IMN group, and HYBRID group (plate osteosynthesis for the radius and intramedullary nail for the ulna). The results were assessed based on the time to union, functional recovery, restoration of the ulna and radial bow, operating time, complications, and patient satisfaction. In the ORIF, IMN, and HYBRID groups, the average union time was 10.8, 14.9, and 11.5 weeks, respectively. No intergroup differences were observed in the functional outcomes. The ORIF and HYBRID groups had a significantly better radial bow ratio compared to the IMN group. All patients in the three groups achieved union, with the exception of a single case of nonunion in the IMN group. ORIF and HYBRID fixation resulted in a more anatomical restoration of radial bow ratio, compared to the contralateral side. Such significant differences in the restoration of the radial bow had no effect on the final functional outcomes and minimal effect on forearm range of motion. Although there are statistically significant effects on the final forearm range of motion, the difference was only 5°. Thus, if the indication is properly selected, our results suggest that hybrid fixation would be acceptable and effective treatment options for both-forearm-bone fractures in adults. Permalink : ./index.php?lvl=notice_display&id=92184

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Anterior-medial collateral ligament portal : easy access to the torn posteromedial horn of the medial meniscus / Guman Duan in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 360-363 Titre : Anterior-medial collateral ligament portal : easy access to the torn posteromedial horn of the medial meniscus Type de document : texte imprimé Auteurs : Guman Duan Année de publication : 2019 Article en page(s) : p. 360-363 Langues : Anglais (eng) Mots-clés : Ligament collatéral tibial du genou  Déchirure méniscale  Méniscectomie  Arthroscopie Résumé : The posteromedial horn of the medial meniscus is prone to injury, and repair of a tear in this portion of the medial meniscus is especially challenging for the arthroscopist. We present a novel technique that allows good management of the posterior horn of the medial meniscus, even in patients with tight medial compartments. This technique uses two standard portals (the anterolateral portal and the anteromedial portal) to conduct arthroscopic examination, and uses a third portal as the workhorse portal to manage the posterior region so that the posterior horn tear can be easily removed. This new third portal is named the anterior-medial collateral ligament portal, and is positioned anterior to the anterior rim of the medial collateral ligament. This three-portal technique decreases the difficulty associated with management of the posteromedial region in knees with tight medial compartments. Permalink : ./index.php?lvl=notice_display&id=92186 [article] Anterior-medial collateral ligament portal : easy access to the torn posteromedial horn of the medial meniscus [texte imprimé] / Guman Duan . - 2019 . - p. 360-363. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 360-363 Mots-clés : Ligament collatéral tibial du genou  Déchirure méniscale  Méniscectomie  Arthroscopie Résumé : The posteromedial horn of the medial meniscus is prone to injury, and repair of a tear in this portion of the medial meniscus is especially challenging for the arthroscopist. We present a novel technique that allows good management of the posterior horn of the medial meniscus, even in patients with tight medial compartments. This technique uses two standard portals (the anterolateral portal and the anteromedial portal) to conduct arthroscopic examination, and uses a third portal as the workhorse portal to manage the posterior region so that the posterior horn tear can be easily removed. This new third portal is named the anterior-medial collateral ligament portal, and is positioned anterior to the anterior rim of the medial collateral ligament. This three-portal technique decreases the difficulty associated with management of the posteromedial region in knees with tight medial compartments. Permalink : ./index.php?lvl=notice_display&id=92186

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Asymmetry and pelvic movements 6 months after total hip replacement Secondary analyses from a randomized controlled trial / Lone R. Mikkelsen in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 338-345 Titre : Asymmetry and pelvic movements 6 months after total hip replacement Secondary analyses from a randomized controlled trial Type de document : texte imprimé Auteurs : Lone R. Mikkelsen Année de publication : 2019 Article en page(s) : p. 338-345 Langues : Anglais (eng) Mots-clés : Arthroplastie totale de la hanche  Réadaptation  Force musculaire  Entraînement de résistance Résumé : The aim was to investigate gait asymmetry and pelvic range of motion during walking and stair ascending after total hip replacement, and secondly to test whether these parameters were influenced by resistance training. A consecutive sample of 32 patients within a randomized controlled trial (control versus exercise group) was included. Speed, asymmetry and pelvic range of motion (walk and stair test) and leg power were measured preoperative, 10weeks and 6 months postoperative. Walking and stair ascending speed, leg power and pelvic movements (frontal plane) during walking increased to 6 months follow up (p<0.005). There were no significant changes in gait asymmetry or the remaining pelvic movements (p>0.05) and no between-group differences. Pelvic movements in the frontal plane during walking increased after surgery. No changes occurred in gait asymmetry and pelvic movements 6 months after total hip replacement while leg power and speed during walking and stair ascending increased significantly. Permalink : ./index.php?lvl=notice_display&id=92187 [article] Asymmetry and pelvic movements 6 months after total hip replacement Secondary analyses from a randomized controlled trial [texte imprimé] / Lone R. Mikkelsen . - 2019 . - p. 338-345. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 338-345 Mots-clés : Arthroplastie totale de la hanche  Réadaptation  Force musculaire  Entraînement de résistance Résumé : The aim was to investigate gait asymmetry and pelvic range of motion during walking and stair ascending after total hip replacement, and secondly to test whether these parameters were influenced by resistance training. A consecutive sample of 32 patients within a randomized controlled trial (control versus exercise group) was included. Speed, asymmetry and pelvic range of motion (walk and stair test) and leg power were measured preoperative, 10weeks and 6 months postoperative. Walking and stair ascending speed, leg power and pelvic movements (frontal plane) during walking increased to 6 months follow up (p<0.005). There were no significant changes in gait asymmetry or the remaining pelvic movements (p>0.05) and no between-group differences. Pelvic movements in the frontal plane during walking increased after surgery. No changes occurred in gait asymmetry and pelvic movements 6 months after total hip replacement while leg power and speed during walking and stair ascending increased significantly. Permalink : ./index.php?lvl=notice_display&id=92187

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Clinical study of the novel FlexitSystem implant for high tibial open wedge osteotomy / Nienke Van Egmond in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 381-386 Titre : Clinical study of the novel FlexitSystem implant for high tibial open wedge osteotomy Type de document : texte imprimé Auteurs : Nienke Van Egmond Année de publication : 2019 Article en page(s) : p. 381-386 Langues : Anglais (eng) Mots-clés : Ostéotomie tibiale haute ouverte  Implant FlexitSystem  Prothèses et implants Résumé : The FlexitSystem implant is a novel implant used in open wedge high tibial osteotomy. A clinical safety study was performed. Retrospectively 50 patients were analyzed who were treated with an open wedge high tibial osteotomy and the new FlexitSystem implant, with a minimal follow-up of one year. Complication rate, radiographic outcomes and implant removal were investigated. One patient underwent a revision surgery because of loss of correction and non-union. The complication rate was 10.0%. No other radiographic complications (screw breakage, implant failure) were found. In 24 patients (48%) the FlexitSystem implant was removed at a mean follow-up of 12.6 months (range 2.6 till 24.0 months). The mean reason was irritation of the implant. The FlexitSystem implant is a clinical safe and stable implant for an open wedge high tibial osteotomy, with a low complication rate. The rate of implant irritation requiring removal remained high. Permalink : ./index.php?lvl=notice_display&id=92189 [article] Clinical study of the novel FlexitSystem implant for high tibial open wedge osteotomy [texte imprimé] / Nienke Van Egmond . - 2019 . - p. 381-386. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 381-386 Mots-clés : Ostéotomie tibiale haute ouverte  Implant FlexitSystem  Prothèses et implants Résumé : The FlexitSystem implant is a novel implant used in open wedge high tibial osteotomy. A clinical safety study was performed. Retrospectively 50 patients were analyzed who were treated with an open wedge high tibial osteotomy and the new FlexitSystem implant, with a minimal follow-up of one year. Complication rate, radiographic outcomes and implant removal were investigated. One patient underwent a revision surgery because of loss of correction and non-union. The complication rate was 10.0%. No other radiographic complications (screw breakage, implant failure) were found. In 24 patients (48%) the FlexitSystem implant was removed at a mean follow-up of 12.6 months (range 2.6 till 24.0 months). The mean reason was irritation of the implant. The FlexitSystem implant is a clinical safe and stable implant for an open wedge high tibial osteotomy, with a low complication rate. The rate of implant irritation requiring removal remained high. Permalink : ./index.php?lvl=notice_display&id=92189

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Comparison of corticosteroid injection and ozone injection for relief of pain in chronic lateral epicondylitis / Gökhan Ragip Ulusoy in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 317-324 Titre : Comparison of corticosteroid injection and ozone injection for relief of pain in chronic lateral epicondylitis Type de document : texte imprimé Auteurs : Gökhan Ragip Ulusoy Année de publication : 2019 Article en page(s) : p. 317-324 Langues : Anglais (eng) Mots-clés : Épicondylite latérale chronique  Injections  Corticostéroïdes  Ozone Résumé : To evaluate and compare the therapeutic effects of corticosteroid and ozone injections in the alleviation of pain associated with chronic lateral epicondylitis . Data was collected from the medical records of 80 patients (56 women, 24 men ; average age : 45.8+7.5). Corticosteroid injection was performed once a week for three times, and ozone was injected 6-8 times at 3 day intervals. No additional analgesics were given. Pain assessment was made by means of Verhaar scores before and after the first injection, on 3rd, 6th and 9th months. The duration of pain was 24.4+12.5 months and the right side was more commonly affected (47, 58.8% vs. 33, 41.2%). Corticosteroid and ozone groups were similar with respect to age (p=0.45), gender distribution (p=0.43) and side of epicondylitis (p=0.88). Pain scores at rest, at compression and on activity were not different in two groups before and following injection. Notably, ozone group displayed better scores compared to corticosteroid in terms of pain on 3rd, 6th and 9th months after injection (p<0.001 for all). Our results demonstrated that ozone injection can be an effective therapeutic option for CLE patients who are refractory to conservative treatment. Permalink : ./index.php?lvl=notice_display&id=92191 [article] Comparison of corticosteroid injection and ozone injection for relief of pain in chronic lateral epicondylitis [texte imprimé] / Gökhan Ragip Ulusoy . - 2019 . - p. 317-324. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 317-324 Mots-clés : Épicondylite latérale chronique  Injections  Corticostéroïdes  Ozone Résumé : To evaluate and compare the therapeutic effects of corticosteroid and ozone injections in the alleviation of pain associated with chronic lateral epicondylitis . Data was collected from the medical records of 80 patients (56 women, 24 men ; average age : 45.8+7.5). Corticosteroid injection was performed once a week for three times, and ozone was injected 6-8 times at 3 day intervals. No additional analgesics were given. Pain assessment was made by means of Verhaar scores before and after the first injection, on 3rd, 6th and 9th months. The duration of pain was 24.4+12.5 months and the right side was more commonly affected (47, 58.8% vs. 33, 41.2%). Corticosteroid and ozone groups were similar with respect to age (p=0.45), gender distribution (p=0.43) and side of epicondylitis (p=0.88). Pain scores at rest, at compression and on activity were not different in two groups before and following injection. Notably, ozone group displayed better scores compared to corticosteroid in terms of pain on 3rd, 6th and 9th months after injection (p<0.001 for all). Our results demonstrated that ozone injection can be an effective therapeutic option for CLE patients who are refractory to conservative treatment. Permalink : ./index.php?lvl=notice_display&id=92191

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Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation / Xuetao Xie in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 283-288 Titre : Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation Type de document : texte imprimé Auteurs : Xuetao Xie Année de publication : 2019 Article en page(s) : p. 283-288 Langues : Anglais (eng) Mots-clés : Fractures de fatigue  Plaques à crochets  Fractures de la clavicule  Traitement conservateur Résumé : We investigated the outcome of conservative treatment and potential causes for clavicle stress fractures following the clavicular hook plate fixation. Six cases of clavicle stress fractures were retrospectively reviewed. All the stress fractures occurred near the medial end of the hook plates. The average interval between the hook plate fixation and the clavicle stress fractures was 28.3 days (range, 18 to 60 days). The mean follow-up was 27 months (range, 15 to 42 months). Fracture union was achieved in all 6 cases. The most proximal screws in the hook plates were found to be eccentric in the clavicular midshaft in 5 cases. At the final follow-up, the average Constant and Murley scores of the operated shoulders were 91.7 (range, 83 to 96). Clavicle stress fractures could be treated conservatively with satisfactory results. Attention should be paid to the position of the most proximal screws in the hook plates. Permalink : ./index.php?lvl=notice_display&id=92192 [article] Conservative treatment for clavicle stress fractures following the clavicular hook plate fixation [texte imprimé] / Xuetao Xie . - 2019 . - p. 283-288. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 283-288 Mots-clés : Fractures de fatigue  Plaques à crochets  Fractures de la clavicule  Traitement conservateur Résumé : We investigated the outcome of conservative treatment and potential causes for clavicle stress fractures following the clavicular hook plate fixation. Six cases of clavicle stress fractures were retrospectively reviewed. All the stress fractures occurred near the medial end of the hook plates. The average interval between the hook plate fixation and the clavicle stress fractures was 28.3 days (range, 18 to 60 days). The mean follow-up was 27 months (range, 15 to 42 months). Fracture union was achieved in all 6 cases. The most proximal screws in the hook plates were found to be eccentric in the clavicular midshaft in 5 cases. At the final follow-up, the average Constant and Murley scores of the operated shoulders were 91.7 (range, 83 to 96). Clavicle stress fractures could be treated conservatively with satisfactory results. Attention should be paid to the position of the most proximal screws in the hook plates. Permalink : ./index.php?lvl=notice_display&id=92192

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Hamstring injury prevention in Belgian and English elite football teams / Glenn Van Crombrugge in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 373-380 Titre : Hamstring injury prevention in Belgian and English elite football teams Type de document : texte imprimé Auteurs : Glenn Van Crombrugge Année de publication : 2019 Article en page(s) : p. 373-380 Langues : Anglais (eng) Mots-clés : Blessure à la cuisse  Prévention des blessures  Football  Footballeur  Enquêtes et questionnaires  Belgique  Angleterre Résumé : Hamstring injury is the most common injury in European professional football. The purpose of this study was to provide insight into the content of hamstring injury prevention programmes in English and Belgian elite football teams. Fifteen premier league teams (10 from Belgium and 5 from England) completed a questionnaire on hamstring injury prevention. Most football teams (93%) screened for hamstring injury risk factors. Less than 60% screened for risk factors including gluteus muscle strength, neural tension and body posture during running. While 80% of the teams had a hamstring injury prevention programme during preseason and official season ; only 47% had a prevention programme during mid-season break. Hamstring muscle strength exercises were mainly performed before (77%) instead of after warming-up. In conclusion, while most investigated football teams perform hamstring injury prevention, the content and implementation of the prevention programmes is suboptimal in many Belgian and English elite football teams. Permalink : ./index.php?lvl=notice_display&id=92196 [article] Hamstring injury prevention in Belgian and English elite football teams [texte imprimé] / Glenn Van Crombrugge . - 2019 . - p. 373-380. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 373-380 Mots-clés : Blessure à la cuisse  Prévention des blessures  Football  Footballeur  Enquêtes et questionnaires  Belgique  Angleterre Résumé : Hamstring injury is the most common injury in European professional football. The purpose of this study was to provide insight into the content of hamstring injury prevention programmes in English and Belgian elite football teams. Fifteen premier league teams (10 from Belgium and 5 from England) completed a questionnaire on hamstring injury prevention. Most football teams (93%) screened for hamstring injury risk factors. Less than 60% screened for risk factors including gluteus muscle strength, neural tension and body posture during running. While 80% of the teams had a hamstring injury prevention programme during preseason and official season ; only 47% had a prevention programme during mid-season break. Hamstring muscle strength exercises were mainly performed before (77%) instead of after warming-up. In conclusion, while most investigated football teams perform hamstring injury prevention, the content and implementation of the prevention programmes is suboptimal in many Belgian and English elite football teams. Permalink : ./index.php?lvl=notice_display&id=92196

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Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis / Saad Gad Abdelkader in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 269-273 Titre : Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis Type de document : texte imprimé Auteurs : Saad Gad Abdelkader Année de publication : 2019 Article en page(s) : p. 269-273 Langues : Anglais (eng) Mots-clés : Fusion intersomatique  Fusion postéro-latérale  Spondylolisthésis lytique de bas grade  Traitement  Thérapeutique Résumé : This is a prospective randomized study to compare the outcome of two widely used fusion methods ; posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in treatment of adult low grade lytic spondylolisthesis to know which is ideal. 40 consecutive patients with single level lytic spondylolisthesis were randomly divided into two treatment groups when undergoing surgery. Blood loss and operative time were recorded. Patients were postoperatively assessed using JOA score. Union rate was assessed. They were followed up for a minimum of 2 years. No differences were found between both groups as regards operative time and blood loss. At 2 years follow up, statistically significant improvement in JOA scores were found in both fusion groups. However, no difference could be found between the groups. Both groups showed solid fusion with no evidence of non-union in all cases. Both methods appear to be equally effective in treatment of the condition. Permalink : ./index.php?lvl=notice_display&id=92197 [article] Interbody fusion versus posterolateral fusion in treatment of low grade lytic spondylolisthesis [texte imprimé] / Saad Gad Abdelkader . - 2019 . - p. 269-273. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 269-273 Mots-clés : Fusion intersomatique  Fusion postéro-latérale  Spondylolisthésis lytique de bas grade  Traitement  Thérapeutique Résumé : This is a prospective randomized study to compare the outcome of two widely used fusion methods ; posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF) in treatment of adult low grade lytic spondylolisthesis to know which is ideal. 40 consecutive patients with single level lytic spondylolisthesis were randomly divided into two treatment groups when undergoing surgery. Blood loss and operative time were recorded. Patients were postoperatively assessed using JOA score. Union rate was assessed. They were followed up for a minimum of 2 years. No differences were found between both groups as regards operative time and blood loss. At 2 years follow up, statistically significant improvement in JOA scores were found in both fusion groups. However, no difference could be found between the groups. Both groups showed solid fusion with no evidence of non-union in all cases. Both methods appear to be equally effective in treatment of the condition. Permalink : ./index.php?lvl=notice_display&id=92197

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Patient specific instrumentation for corrective osteotomy in case of posttraumatic cubitus varus in children / Nicolas F. Barbier in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 297-304 Titre : Patient specific instrumentation for corrective osteotomy in case of posttraumatic cubitus varus in children Type de document : texte imprimé Auteurs : Nicolas F. Barbier Année de publication : 2019 Article en page(s) : p. 297-304 Langues : Anglais (eng) Mots-clés : Cubitus varus  Planification tridimensionnelle  Ostéotomie de l'humérus  Enfants  Fractures supracondylienne Résumé : Malunion in cubitus varus most often results from inadequate supracondylar fracture reduction or from secondary displacement. Treatment of cubitus varus needs an accurate preoperative planning to obtain a good functional and esthetical outcome. Planning based on conventional radiology is source of inaccuracy and clinical results are variable. Developments of computer-assisted orthopaedic surgery (CAOS) and of patient specific instruments (PSI) have made accurate three dimensional (3D) preoperative simulation possible. This original technique based on 3D-osteotomy planning and using PSI was developed to correct cubitus varus deformity in the three dimensions. A 3D-model of the deformity was created based on a CT-scan of the distal humerus. Ideal correction was calculated by software and a PSI was designed. The PSI was used to guide the saw blade on the deformed bone. After resection of a wedge fragment, osteosynthesis was performed using two crossed K-wires. Elbow radiographs were performed at least six months after surgery. At the latest follow-up, the correction of cubitus varus obtained was satisfying in the five cases of our series and all the patients had pain free elbow mobility. Ulnar nerve palsy complicated the evolution in one patient, which fully recovered within 6 months. Advantages of this technique include a decreased operating time and a smaller surgical incision. More-over, results showed increased correction accuracy without the need of fluoroscopy during the osteotomy procedure. These benefits are counterbalanced by the need of a preoperative CT-scan of the distal humerus and the additional cost for the PSI. Permalink : ./index.php?lvl=notice_display&id=92200 [article] Patient specific instrumentation for corrective osteotomy in case of posttraumatic cubitus varus in children [texte imprimé] / Nicolas F. Barbier . - 2019 . - p. 297-304. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 297-304 Mots-clés : Cubitus varus  Planification tridimensionnelle  Ostéotomie de l'humérus  Enfants  Fractures supracondylienne Résumé : Malunion in cubitus varus most often results from inadequate supracondylar fracture reduction or from secondary displacement. Treatment of cubitus varus needs an accurate preoperative planning to obtain a good functional and esthetical outcome. Planning based on conventional radiology is source of inaccuracy and clinical results are variable. Developments of computer-assisted orthopaedic surgery (CAOS) and of patient specific instruments (PSI) have made accurate three dimensional (3D) preoperative simulation possible. This original technique based on 3D-osteotomy planning and using PSI was developed to correct cubitus varus deformity in the three dimensions. A 3D-model of the deformity was created based on a CT-scan of the distal humerus. Ideal correction was calculated by software and a PSI was designed. The PSI was used to guide the saw blade on the deformed bone. After resection of a wedge fragment, osteosynthesis was performed using two crossed K-wires. Elbow radiographs were performed at least six months after surgery. At the latest follow-up, the correction of cubitus varus obtained was satisfying in the five cases of our series and all the patients had pain free elbow mobility. Ulnar nerve palsy complicated the evolution in one patient, which fully recovered within 6 months. Advantages of this technique include a decreased operating time and a smaller surgical incision. More-over, results showed increased correction accuracy without the need of fluoroscopy during the osteotomy procedure. These benefits are counterbalanced by the need of a preoperative CT-scan of the distal humerus and the additional cost for the PSI. Permalink : ./index.php?lvl=notice_display&id=92200

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Porous titanium revision shells permit early weight-bearing and rapid rehabilitation in revision hip surgery / Fiachra E. Rowan in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 352-359 Titre : Porous titanium revision shells permit early weight-bearing and rapid rehabilitation in revision hip surgery Type de document : texte imprimé Auteurs : Fiachra E. Rowan Année de publication : 2019 Article en page(s) : p. 352-359 Langues : Anglais (eng) Mots-clés : Titane poreux  Non cimenté  Arthroplastie de révision  Paprosky Résumé : An aging population and younger primary arthroplasty candidates have led to increased demand for acetabular bone deficient revision hip surgery. Seventy consecutive revision arthroplasty porous titanium shells prior to December 2011 were reviewed. We sought to determine evidence of implant instability in a cohort of patients that are mobilised early. Radiological data were analysed for stability. Primary endpoint was revision of implant. Mean age at surgery was 69.9 (+10) years. Median time since primary surgery was 13 years (range: 0.3-37). Forty-nine per cent had Paprosky Type IIb or greater acetabular deficiency. Bone graft and augments were not used. One shell was revised for ingrowth failure. Mean acetabular inclination was 35.4 ? (+7.3) post- operatively and 36.9 ? (+7.28) at latest follow up. There were no screw fractures. Porous titanium shells in revision arthroplasty are stable and permit rapid rehabilitation. Permalink : ./index.php?lvl=notice_display&id=92202 [article] Porous titanium revision shells permit early weight-bearing and rapid rehabilitation in revision hip surgery [texte imprimé] / Fiachra E. Rowan . - 2019 . - p. 352-359. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 352-359 Mots-clés : Titane poreux  Non cimenté  Arthroplastie de révision  Paprosky Résumé : An aging population and younger primary arthroplasty candidates have led to increased demand for acetabular bone deficient revision hip surgery. Seventy consecutive revision arthroplasty porous titanium shells prior to December 2011 were reviewed. We sought to determine evidence of implant instability in a cohort of patients that are mobilised early. Radiological data were analysed for stability. Primary endpoint was revision of implant. Mean age at surgery was 69.9 (+10) years. Median time since primary surgery was 13 years (range: 0.3-37). Forty-nine per cent had Paprosky Type IIb or greater acetabular deficiency. Bone graft and augments were not used. One shell was revised for ingrowth failure. Mean acetabular inclination was 35.4 ? (+7.3) post- operatively and 36.9 ? (+7.28) at latest follow up. There were no screw fractures. Porous titanium shells in revision arthroplasty are stable and permit rapid rehabilitation. Permalink : ./index.php?lvl=notice_display&id=92202

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Reverse shoulder arthroplasty for patients with glenohumeral osteoarthritis secondary to glenoid dysplasia / Eduard Alentorn - Geli in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 274-282 Titre : Reverse shoulder arthroplasty for patients with glenohumeral osteoarthritis secondary to glenoid dysplasia Type de document : texte imprimé Auteurs : Eduard Alentorn - Geli Année de publication : 2019 Article en page(s) : p. 274-282 Langues : Anglais (eng) Mots-clés : Dysplasie glénoïdienne  Ostéo-arthrite gléno-humérale secondaire  Epaule inversée  Arthroplastie de l'épaule Résumé : The purpose is to report the clinical and radiographic outcomes, complications and reoperations of reverse shoulder arthroplasty (RSA) for glenoid dysplasia. All patients who had undergone RSA for osteoarthritis secondary to underlying glenoid dysplasia were retrospectively identified. The study included twelve shoulders (11 patients), with a mean (SD) patient age of 62.2 (13.2) years and median (range) clinical follow-up of 28 (24-34) months. RSA resulted in substantial improvements in pain and function. At most recent follow-up, there was a significant improvement in forward flexion range of motion (ROM), a non-significant improvement in internal rotation ROM, and no changes in external rotation ROM. The mean (SD) SST and ASES scores were 7.8 (3.7) and 73.5 (20.4), respectively. There were no reoperations or radiographic loosening. The results were excellent in 1 case, satisfactory in 8, and unsatisfactory in 3. RSA provides acceptable function and good pain relief, though patients should be advised that shoulder rotation may be somewhat limited. Permalink : ./index.php?lvl=notice_display&id=92206 [article] Reverse shoulder arthroplasty for patients with glenohumeral osteoarthritis secondary to glenoid dysplasia [texte imprimé] / Eduard Alentorn - Geli . - 2019 . - p. 274-282. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 274-282 Mots-clés : Dysplasie glénoïdienne  Ostéo-arthrite gléno-humérale secondaire  Epaule inversée  Arthroplastie de l'épaule Résumé : The purpose is to report the clinical and radiographic outcomes, complications and reoperations of reverse shoulder arthroplasty (RSA) for glenoid dysplasia. All patients who had undergone RSA for osteoarthritis secondary to underlying glenoid dysplasia were retrospectively identified. The study included twelve shoulders (11 patients), with a mean (SD) patient age of 62.2 (13.2) years and median (range) clinical follow-up of 28 (24-34) months. RSA resulted in substantial improvements in pain and function. At most recent follow-up, there was a significant improvement in forward flexion range of motion (ROM), a non-significant improvement in internal rotation ROM, and no changes in external rotation ROM. The mean (SD) SST and ASES scores were 7.8 (3.7) and 73.5 (20.4), respectively. There were no reoperations or radiographic loosening. The results were excellent in 1 case, satisfactory in 8, and unsatisfactory in 3. RSA provides acceptable function and good pain relief, though patients should be advised that shoulder rotation may be somewhat limited. Permalink : ./index.php?lvl=notice_display&id=92206

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Safe zones in volar portals for wrist arthroscopy, evaluation of central portal : a cadaveric study / Georgios Antonoglou in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 330-337 Titre : Safe zones in volar portals for wrist arthroscopy, evaluation of central portal : a cadaveric study Type de document : texte imprimé Auteurs : Georgios Antonoglou Année de publication : 2019 Article en page(s) : p. 330-337 Langues : Anglais (eng) Mots-clés : Arthroscopie du poignet  Approche palmaire  Etude sur des corps Résumé : The purpose of this cadaveric study is to determine safe zones utilizing volar portals for wrist arthroscopy, by quantitatively describing the neurovascular relationships of a volar radial and a volar ulnar wrist arthroscopy portals in comparison with those of a newly described volar central portal (7) , considering the advantages in visualization of volar portals for wrist arthroscopy over the standard dorsal (19) . The neurovascular structures and the tendons of nine frozen human cadaveric upper limbs were exposed, while the aforementioned volar portal sites were pointed out with pins. The horizontal distance between the portals and the closest neurovascular branch or tendon was measured with a digital caliper, followed by statistical analysis of the data. The median interquartile range distances from portals to structures at risk were measured and safe zones around each portal were established. This study provides a safe approach to the volar radial and ulnar aspects of the radiocarpal and midcarpal joints, while volar radial and ulnar portals should be considered for inclusion in the arthroscopic examination of any patient with radial and ulnar sided wrist pain respectively (17,18) . Regarding the volar central portal, it is reproducible, safe and both the above joints can be inspected through one single incision (7) . Permalink : ./index.php?lvl=notice_display&id=92207 [article] Safe zones in volar portals for wrist arthroscopy, evaluation of central portal : a cadaveric study [texte imprimé] / Georgios Antonoglou . - 2019 . - p. 330-337. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 330-337 Mots-clés : Arthroscopie du poignet  Approche palmaire  Etude sur des corps Résumé : The purpose of this cadaveric study is to determine safe zones utilizing volar portals for wrist arthroscopy, by quantitatively describing the neurovascular relationships of a volar radial and a volar ulnar wrist arthroscopy portals in comparison with those of a newly described volar central portal (7) , considering the advantages in visualization of volar portals for wrist arthroscopy over the standard dorsal (19) . The neurovascular structures and the tendons of nine frozen human cadaveric upper limbs were exposed, while the aforementioned volar portal sites were pointed out with pins. The horizontal distance between the portals and the closest neurovascular branch or tendon was measured with a digital caliper, followed by statistical analysis of the data. The median interquartile range distances from portals to structures at risk were measured and safe zones around each portal were established. This study provides a safe approach to the volar radial and ulnar aspects of the radiocarpal and midcarpal joints, while volar radial and ulnar portals should be considered for inclusion in the arthroscopic examination of any patient with radial and ulnar sided wrist pain respectively (17,18) . Regarding the volar central portal, it is reproducible, safe and both the above joints can be inspected through one single incision (7) . Permalink : ./index.php?lvl=notice_display&id=92207

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Salvage revision arthroplasty after failed TMC joint prosthesis / Katrien Cootjans in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 325-329 Titre : Salvage revision arthroplasty after failed TMC joint prosthesis Type de document : texte imprimé Auteurs : Katrien Cootjans Année de publication : 2019 Article en page(s) : p. 325-329 Langues : Anglais (eng) Mots-clés : Procédure de sauvetage du trapézio métacarpien  TMC  Prothèses et implants Résumé : The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a salvage revision arthroplasty. We only performed this salvage arthroplasty when partial (cup replacement) or total replacement of TMC prosthesis was not possible. We performed a resection arthroplasty with (partial) trapezial excision and spacer insertion to prevent scaphometacarpal collaps. We used the proximal part of the Ascencion® MCP implant (Integra) as spacer. Among our 7 patients, 3 were satisfied with a VAS satisfaction of 8 or more. Four patients had pain levels less than or equal to 3. Our mean DASH score was 32.7. Our patients had good opposition and retropulsion scores and the mean TMC joint flexion and abduction values were both 40°. But tip and key pinch ipsilateral was insufficient (mean tip pinch of 2kg and key pinch of 1kg). We believe that the salvage revision arthroplasty with (partial) trapezial excision and spacer insertion is a valuable treatment option for failed TMC joint replacement. But further research needs to compare all the different revision options after TMC joint replacement in a multicenter randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=92208 [article] Salvage revision arthroplasty after failed TMC joint prosthesis [texte imprimé] / Katrien Cootjans . - 2019 . - p. 325-329. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 325-329 Mots-clés : Procédure de sauvetage du trapézio métacarpien  TMC  Prothèses et implants Résumé : The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a salvage revision arthroplasty. We only performed this salvage arthroplasty when partial (cup replacement) or total replacement of TMC prosthesis was not possible. We performed a resection arthroplasty with (partial) trapezial excision and spacer insertion to prevent scaphometacarpal collaps. We used the proximal part of the Ascencion® MCP implant (Integra) as spacer. Among our 7 patients, 3 were satisfied with a VAS satisfaction of 8 or more. Four patients had pain levels less than or equal to 3. Our mean DASH score was 32.7. Our patients had good opposition and retropulsion scores and the mean TMC joint flexion and abduction values were both 40°. But tip and key pinch ipsilateral was insufficient (mean tip pinch of 2kg and key pinch of 1kg). We believe that the salvage revision arthroplasty with (partial) trapezial excision and spacer insertion is a valuable treatment option for failed TMC joint replacement. But further research needs to compare all the different revision options after TMC joint replacement in a multicenter randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=92208

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Single dose Intravenous Tranexamic acid may not be adequate to reduce blood loss and blood transfusion requirement in patients undergoing single stage bilateral total knee arthroplasty / Somnath Mukherjee in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 364-372 Titre : Single dose Intravenous Tranexamic acid may not be adequate to reduce blood loss and blood transfusion requirement in patients undergoing single stage bilateral total knee arthroplasty Type de document : texte imprimé Auteurs : Somnath Mukherjee Année de publication : 2019 Article en page(s) : p. 364-372 Langues : Anglais (eng) Mots-clés : Acide tranexamique  Arthroplastie totale du genou  Arthroplastie  Hémorragie  Transfusion sanguine Résumé : Simultaneous bilateral total knee arthroplasty (TKA) causes increased blood loss and increases the risk of venous thromboembolism. Tranexamic acid (TXA) is commonly used to minimize blood loss and transfusion requirements. However, the optimal regimen of TXA in single stage bilateral TKA is still not defined. In this retrospective study, 35 patients who received TXA and 31 patients who did not receive TXA were evaluated for blood loss and transfusion requirement. Both the groups were comparable in terms of age, sex, body mass index and preoperative haemoglobin (Hb) and haematocrit (Hct). There was no significant difference in the change in Hb levels (2.42 + 1.28 vs 2.44 + 1.31 ; p=0.95) and Hct (1.37 + 0.96 vs 1.62 + 0.98, p=0.22) between the groups. There were no significant differences between the study and control groups in the intraoperative blood loss (163.71 vs 165.32 ml, p=0.92), drain output (621.71 vs 695.65 ml, p=0.65) and total blood loss (785.0 vs 860.97, p=0.40). There was no significant difference in allogeneic blood transfusion between the groups (62.85% received blood in the study group vs 58.06% in the control group, p>0.05). Single intraoperative dose of TXA may not be adequate to reduce blood loss and blood transfusion requirement in bilateral TKA. Permalink : ./index.php?lvl=notice_display&id=92209 [article] Single dose Intravenous Tranexamic acid may not be adequate to reduce blood loss and blood transfusion requirement in patients undergoing single stage bilateral total knee arthroplasty [texte imprimé] / Somnath Mukherjee . - 2019 . - p. 364-372. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 364-372 Mots-clés : Acide tranexamique  Arthroplastie totale du genou  Arthroplastie  Hémorragie  Transfusion sanguine Résumé : Simultaneous bilateral total knee arthroplasty (TKA) causes increased blood loss and increases the risk of venous thromboembolism. Tranexamic acid (TXA) is commonly used to minimize blood loss and transfusion requirements. However, the optimal regimen of TXA in single stage bilateral TKA is still not defined. In this retrospective study, 35 patients who received TXA and 31 patients who did not receive TXA were evaluated for blood loss and transfusion requirement. Both the groups were comparable in terms of age, sex, body mass index and preoperative haemoglobin (Hb) and haematocrit (Hct). There was no significant difference in the change in Hb levels (2.42 + 1.28 vs 2.44 + 1.31 ; p=0.95) and Hct (1.37 + 0.96 vs 1.62 + 0.98, p=0.22) between the groups. There were no significant differences between the study and control groups in the intraoperative blood loss (163.71 vs 165.32 ml, p=0.92), drain output (621.71 vs 695.65 ml, p=0.65) and total blood loss (785.0 vs 860.97, p=0.40). There was no significant difference in allogeneic blood transfusion between the groups (62.85% received blood in the study group vs 58.06% in the control group, p>0.05). Single intraoperative dose of TXA may not be adequate to reduce blood loss and blood transfusion requirement in bilateral TKA. Permalink : ./index.php?lvl=notice_display&id=92209

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Suture anchors for primary deltoid ligament repair associated with acute ankle fractures / Jian-Jian Shen in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 387-391 Titre : Suture anchors for primary deltoid ligament repair associated with acute ankle fractures Type de document : texte imprimé Auteurs : Jian-Jian Shen Année de publication : 2019 Article en page(s) : p. 387-391 Langues : Anglais (eng) Mots-clés : Entorses de la cheville  Ligament deltoïde  Rupture  Ancrages de suture  Radiographies en stress Résumé : The aim of the study is to evaluate the clinical effect of primary suture anchors repair in the treatment of deltoid ligament rupture associated with ankle fractures. 34 patients with acute deltoid ligament rupture associated with ankle fractures were selected between 2011 and 2014. Medial clear space (MCS), American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) were noted. The mean follow-up was 28.4 (range, 22-35) months. The mean AOFAS score was 92.6 (range, 90-95) and the mean VAS score was 1.06+0.65 (range 0 to 2) points at the final follow-up. The mean MCS is (9.10+4.99) mm before and (3.71+0.33) mm after surgery in radiographs. At the postoperative final follow-up, the mean MCS of injured ankle is (3.74+0.32) mm in radiographs, and (3.65+0.17) mm of uninjured contralateral ankle. Using suture anchors for the primary repair of deltoid ligament rupture during the treatment of ankle fractures can achieve satisfactory outcomes. Permalink : ./index.php?lvl=notice_display&id=92211 [article] Suture anchors for primary deltoid ligament repair associated with acute ankle fractures [texte imprimé] / Jian-Jian Shen . - 2019 . - p. 387-391. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 387-391 Mots-clés : Entorses de la cheville  Ligament deltoïde  Rupture  Ancrages de suture  Radiographies en stress Résumé : The aim of the study is to evaluate the clinical effect of primary suture anchors repair in the treatment of deltoid ligament rupture associated with ankle fractures. 34 patients with acute deltoid ligament rupture associated with ankle fractures were selected between 2011 and 2014. Medial clear space (MCS), American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) were noted. The mean follow-up was 28.4 (range, 22-35) months. The mean AOFAS score was 92.6 (range, 90-95) and the mean VAS score was 1.06+0.65 (range 0 to 2) points at the final follow-up. The mean MCS is (9.10+4.99) mm before and (3.71+0.33) mm after surgery in radiographs. At the postoperative final follow-up, the mean MCS of injured ankle is (3.74+0.32) mm in radiographs, and (3.65+0.17) mm of uninjured contralateral ankle. Using suture anchors for the primary repair of deltoid ligament rupture during the treatment of ankle fractures can achieve satisfactory outcomes. Permalink : ./index.php?lvl=notice_display&id=92211

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The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations / Amir Herman in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 289-296 Titre : The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations Type de document : texte imprimé Auteurs : Amir Herman Année de publication : 2019 Article en page(s) : p. 289-296 Langues : Anglais (eng) Mots-clés : Fractures de la clavicule  Radiographie verticale  Déplacement  Traitement  Thérapeutique Résumé : Clavicle fractures’ treatment recommendations are based on displacement. The goal of this paper is to determine upright clavicle radiographs at initial presentation changes timing and method of treatment. Retrospective study in a level 1 trauma center. 356 patients with clavicle fractures were reviewed. Patients with only supine radiographs (Group 1, 285 patients) were compared to patients with supine and upright radiographs (Group 2, 71 patients). Higher proportion of fractures in the upright vs supine radiographs were displaced 100% or more of the clavicle width, (52.1% vs. 33.5%, p =0.004). Treatment assignment changed from nonoperative to operative treatment more commonly in the Group 2 compared to Group 1 (43.7% vs 21.9%, p =0.019). The most common reason for surgery in Group 1 was presence of continued pain or failure to develop radiographic evidence of callus on serial radiographs (17, 53.1%) as compared to Group 2 (2, 14.2%, p =0.014). In Group 2 the most common cause for treatment change was displacement (12, 85.7%) as compared to Group 1 (15, 46.9%, p =0.014). Patients with upright x-rays are more likely to have a change in treatment because of displacement while patients that had supine x-rays have more delayed/nonunion. Permalink : ./index.php?lvl=notice_display&id=92212 [article] The impact of upright radiographs of midshaft clavicle fractures on treatment recommendations [texte imprimé] / Amir Herman . - 2019 . - p. 289-296. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 289-296 Mots-clés : Fractures de la clavicule  Radiographie verticale  Déplacement  Traitement  Thérapeutique Résumé : Clavicle fractures’ treatment recommendations are based on displacement. The goal of this paper is to determine upright clavicle radiographs at initial presentation changes timing and method of treatment. Retrospective study in a level 1 trauma center. 356 patients with clavicle fractures were reviewed. Patients with only supine radiographs (Group 1, 285 patients) were compared to patients with supine and upright radiographs (Group 2, 71 patients). Higher proportion of fractures in the upright vs supine radiographs were displaced 100% or more of the clavicle width, (52.1% vs. 33.5%, p =0.004). Treatment assignment changed from nonoperative to operative treatment more commonly in the Group 2 compared to Group 1 (43.7% vs 21.9%, p =0.019). The most common reason for surgery in Group 1 was presence of continued pain or failure to develop radiographic evidence of callus on serial radiographs (17, 53.1%) as compared to Group 2 (2, 14.2%, p =0.014). In Group 2 the most common cause for treatment change was displacement (12, 85.7%) as compared to Group 1 (15, 46.9%, p =0.014). Patients with upright x-rays are more likely to have a change in treatment because of displacement while patients that had supine x-rays have more delayed/nonunion. Permalink : ./index.php?lvl=notice_display&id=92212

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The role of edmonton frailty scale and asa grade in the assessment of morbidity and mortality after fracture neck of femur in elderly / Aysha Rajeev in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 346-351 Titre : The role of edmonton frailty scale and asa grade in the assessment of morbidity and mortality after fracture neck of femur in elderly Type de document : texte imprimé Auteurs : Aysha Rajeev Année de publication : 2019 Article en page(s) : p. 346-351 Langues : Anglais (eng) Mots-clés : Indice de fragilité  Score ASA  Morbidité  Mortalité  Fractures du col fémoral  Sujet âgé Résumé : Frailty is a complex syndrome which affects the energy, physical ability, cognition and general health. Hip fractures are associated with causes and consequences of frailty such as osteoporosis, frequent falls, low body mass index, multiple medications and cognitive impairment. The aim of our study is to assess the value of ASA grade and Edmonton frailty score in the outcome of treatment of fracture neck of femurs in elderly patients. 192 patients admitted with fracture neck of femur were included in the study. The mean age was 79.23 years .120 patients had ASA grade 3, 56 patients had ASA grade 2 and 16 patients had ASA grade 1.The frailty index was calculated using Edmonton scoring index. Ninety four patients (49%) had low frailty score and 88 patients (51%) had a high frailty score of more than 10.All patients were followed up 4 weeks and one year after the surgery. In conclusion the patients with frailty scores and ASA grade have got more chance of developing wound infection. They also have got higher incidence of mortality and morbidity following fracture neck of femur. Permalink : ./index.php?lvl=notice_display&id=92213 [article] The role of edmonton frailty scale and asa grade in the assessment of morbidity and mortality after fracture neck of femur in elderly [texte imprimé] / Aysha Rajeev . - 2019 . - p. 346-351. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 346-351 Mots-clés : Indice de fragilité  Score ASA  Morbidité  Mortalité  Fractures du col fémoral  Sujet âgé Résumé : Frailty is a complex syndrome which affects the energy, physical ability, cognition and general health. Hip fractures are associated with causes and consequences of frailty such as osteoporosis, frequent falls, low body mass index, multiple medications and cognitive impairment. The aim of our study is to assess the value of ASA grade and Edmonton frailty score in the outcome of treatment of fracture neck of femurs in elderly patients. 192 patients admitted with fracture neck of femur were included in the study. The mean age was 79.23 years .120 patients had ASA grade 3, 56 patients had ASA grade 2 and 16 patients had ASA grade 1.The frailty index was calculated using Edmonton scoring index. Ninety four patients (49%) had low frailty score and 88 patients (51%) had a high frailty score of more than 10.All patients were followed up 4 weeks and one year after the surgery. In conclusion the patients with frailty scores and ASA grade have got more chance of developing wound infection. They also have got higher incidence of mortality and morbidity following fracture neck of femur. Permalink : ./index.php?lvl=notice_display&id=92213

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What have animals taught us about total joint arthroplasty ? A review of the literature / Garwin Chin in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 261-268 Titre : What have animals taught us about total joint arthroplasty ? A review of the literature Type de document : texte imprimé Auteurs : Garwin Chin Année de publication : 2019 Article en page(s) : p. 261-268 Langues : Anglais (eng) Mots-clés : Arthroplastie prothétique  Modèle animal Résumé : Animal models for total joint arthroplasty (TJA) have been reported on extensively in the literature. This work seeks to objectively review the most relevant and recent studies performed using these models, and to provide insight into the strengths and weaknesses of each. The terms joint arthroplasty and animal model were searched on Pubmed on March 1, 2015. Animal models included bovine, canine, ovine, goat, rat, and rabbit. Much of the work in animal models for TJA has focused on the biologic response to novel materials, biologics, and surgical techniques ; as interest grows the use of animal models may increase. Permalink : ./index.php?lvl=notice_display&id=92214 [article] What have animals taught us about total joint arthroplasty ? A review of the literature [texte imprimé] / Garwin Chin . - 2019 . - p. 261-268. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 261-268 Mots-clés : Arthroplastie prothétique  Modèle animal Résumé : Animal models for total joint arthroplasty (TJA) have been reported on extensively in the literature. This work seeks to objectively review the most relevant and recent studies performed using these models, and to provide insight into the strengths and weaknesses of each. The terms joint arthroplasty and animal model were searched on Pubmed on March 1, 2015. Animal models included bovine, canine, ovine, goat, rat, and rabbit. Much of the work in animal models for TJA has focused on the biologic response to novel materials, biologics, and surgical techniques ; as interest grows the use of animal models may increase. Permalink : ./index.php?lvl=notice_display&id=92214

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Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt