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Functional outcome after proximal humerus fracture fixation : understanding the risk factors / Anthony Christiano in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 1-7 Titre : Functional outcome after proximal humerus fracture fixation : understanding the risk factors Type de document : texte imprimé Auteurs : Anthony Christiano, Auteur ; Christian Pean, Auteur Année de publication : 2017 Article en page(s) : p. 1-7 Langues : Anglais (eng) Résumé : The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data registry. Patients were evaluated for function using the Disability of the Arm, Shoulder and Hand score for 12 months and as available beyond 12 months. Univariate analyses were conducted to identify variables associated with functional outcome. Significant variables were included in a multivariate regression predicting functional outcome. Demographics and minimum of 12 month follow-up were available for 129 patients (75%). Multiple regression demonstrated postoperative complication (B=8.515 p=0.045), education level (B=-6.269p<0.0005), age (B=0.241p=0.049) and Charlson Comorbidity Index (B=6.578, p=0.001) were all significant predictors of func-tional outcome. Orthopaedic surgeons can use education level, comorbidities, age, and postoperative complication information to screen patients for worse outcomes, establish expectations, and guide care. Permalink : ./index.php?lvl=notice_display&id=92962 [article] Functional outcome after proximal humerus fracture fixation : understanding the risk factors [texte imprimé] / Anthony Christiano, Auteur ; Christian Pean, Auteur . - 2017 . - p. 1-7. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 1-7 Résumé : The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data registry. Patients were evaluated for function using the Disability of the Arm, Shoulder and Hand score for 12 months and as available beyond 12 months. Univariate analyses were conducted to identify variables associated with functional outcome. Significant variables were included in a multivariate regression predicting functional outcome. Demographics and minimum of 12 month follow-up were available for 129 patients (75%). Multiple regression demonstrated postoperative complication (B=8.515 p=0.045), education level (B=-6.269p<0.0005), age (B=0.241p=0.049) and Charlson Comorbidity Index (B=6.578, p=0.001) were all significant predictors of func-tional outcome. Orthopaedic surgeons can use education level, comorbidities, age, and postoperative complication information to screen patients for worse outcomes, establish expectations, and guide care. Permalink : ./index.php?lvl=notice_display&id=92962

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Epidemiology of scapular fractures / Antonin Chochola in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 8-15 Titre : Epidemiology of scapular fractures Type de document : texte imprimé Auteurs : Antonin Chochola, Auteur ; Daniel Klika, Auteur Année de publication : 2017 Article en page(s) : p. 8-15 Langues : Anglais (eng) Résumé : The aim of the study has been to acquire basic epidemiological data based on a representative group of patients with scap-ular fractures treated in one centre. The study analyses group of 250 patients. Diagnostics was based on CT examinations, in 227 cases with 3D reconstructions, in 97 cases compared with operative findings. Fractures were classified according to the modified anatomical classification of Tscherne and Christ. The analysed groups of patients include only the fracture lines whose existence has been verified by 3D CT reconstructions and intraoperative findings. The most common fracture in the group was that of the scapular body (52%), followed by fractures of the glenoid fossa (29%), fractures of the processes (11%) and fractures of the scapular neck (8%). The most frequent associated injuries to the ipsilateral shoulder girdle were clavicular fractures (19%). Scapular fractures occur primarily in men, predominantly in 4th – 6th decades (66 % patients). The group of women was significantly older as compared to men (p = 0.017). The group of patients with scapular neck fractures was significantly younger as compared to the age of patients with glenoid fracture (p = 0.021) and scapular body fracture (p = 0.035). Permalink : ./index.php?lvl=notice_display&id=92963 [article] Epidemiology of scapular fractures [texte imprimé] / Antonin Chochola, Auteur ; Daniel Klika, Auteur . - 2017 . - p. 8-15. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 8-15 Résumé : The aim of the study has been to acquire basic epidemiological data based on a representative group of patients with scap-ular fractures treated in one centre. The study analyses group of 250 patients. Diagnostics was based on CT examinations, in 227 cases with 3D reconstructions, in 97 cases compared with operative findings. Fractures were classified according to the modified anatomical classification of Tscherne and Christ. The analysed groups of patients include only the fracture lines whose existence has been verified by 3D CT reconstructions and intraoperative findings. The most common fracture in the group was that of the scapular body (52%), followed by fractures of the glenoid fossa (29%), fractures of the processes (11%) and fractures of the scapular neck (8%). The most frequent associated injuries to the ipsilateral shoulder girdle were clavicular fractures (19%). Scapular fractures occur primarily in men, predominantly in 4th – 6th decades (66 % patients). The group of women was significantly older as compared to men (p = 0.017). The group of patients with scapular neck fractures was significantly younger as compared to the age of patients with glenoid fracture (p = 0.021) and scapular body fracture (p = 0.035). Permalink : ./index.php?lvl=notice_display&id=92963

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Outcomes of open reduction and internal fixation in displaced intra-articular scapular fractures : a case series / Marij Zahid in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 16-21 Titre : Outcomes of open reduction and internal fixation in displaced intra-articular scapular fractures : a case series Type de document : texte imprimé Auteurs : Marij Zahid, Auteur ; Rizwan Haroon Rashid, Auteur ; Hinaz Inam, Auteur Année de publication : 2017 Article en page(s) : p. 16-21 Langues : Anglais (eng) Résumé : Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usu-ally require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open re-duction and internal fixation. 12 patients were retrospectively reviewed and included in the study. Post-operative functional outcomes were assessed using mean quick DASH (Disability of arm, hand and shoulder) score while radiological outcomes were analyzed as percentage of implant cut-through, mal-union, non-union or infection. The mean follow up was 14 months. Mean age was 40 years. The mean quick DASH score was 7.19 +/- 4.86. All of the pa-tients had successful clinical and radiological healing and pain-free movements. Open reduction and internal fixation in displaced intra-articular scapular-fractures yields excellent and promising out-comes. Permalink : ./index.php?lvl=notice_display&id=92964 [article] Outcomes of open reduction and internal fixation in displaced intra-articular scapular fractures : a case series [texte imprimé] / Marij Zahid, Auteur ; Rizwan Haroon Rashid, Auteur ; Hinaz Inam, Auteur . - 2017 . - p. 16-21. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 16-21 Résumé : Scapular fractures are rare injuries and usually occur due to high energy trauma. Displaced Intra articular fractures usu-ally require operative treatment and yields better outcomes as compared to conservative management. To assess the functional and radiological outcomes of displaced intra-articular scapular fractures managed with open re-duction and internal fixation. 12 patients were retrospectively reviewed and included in the study. Post-operative functional outcomes were assessed using mean quick DASH (Disability of arm, hand and shoulder) score while radiological outcomes were analyzed as percentage of implant cut-through, mal-union, non-union or infection. The mean follow up was 14 months. Mean age was 40 years. The mean quick DASH score was 7.19 +/- 4.86. All of the pa-tients had successful clinical and radiological healing and pain-free movements. Open reduction and internal fixation in displaced intra-articular scapular-fractures yields excellent and promising out-comes. Permalink : ./index.php?lvl=notice_display&id=92964

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An analysis of the course of carpal tunnel syndrome before operation / Piotr PUCHALSKI in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 22-29 Titre : An analysis of the course of carpal tunnel syndrome before operation Type de document : texte imprimé Auteurs : Piotr PUCHALSKI, Auteur ; Andrzej ZYLUK, Auteur Année de publication : 2017 Article en page(s) : p. 22-29 Langues : Anglais (eng) Résumé : This work reports the results of an analysis into the course of carpal tunnel syndrome before operation in 479 patients, predominantly women, aged a mean of 58 years, who were scheduled for carpal tunnel operation. The patients were asked to characterise in detail the course of the disease and what determined the decision to undergo surgery. Results. We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced the functional impairment. In a proportion of patients with longer-lasting disease, spontaneous resolution may occur, for up to a year or more. Bilateral involvement is more common than unilateral and the interval between involvement of the other hand is a mean of 10 months. For most patients the primary motivation to undergo surgery is troublesome symptoms (pain and paraesthesia). Functional impairment is of secondary importance, however, its prominence increases in older patients and in those with longer-lasting disease. Permalink : ./index.php?lvl=notice_display&id=92965 [article] An analysis of the course of carpal tunnel syndrome before operation [texte imprimé] / Piotr PUCHALSKI, Auteur ; Andrzej ZYLUK, Auteur . - 2017 . - p. 22-29. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 22-29 Résumé : This work reports the results of an analysis into the course of carpal tunnel syndrome before operation in 479 patients, predominantly women, aged a mean of 58 years, who were scheduled for carpal tunnel operation. The patients were asked to characterise in detail the course of the disease and what determined the decision to undergo surgery. Results. We identified two specific patterns of CTS course: progressive and preservative/mild. Patients with short-lasting disease suffer first of all from symptoms, but the longer the duration, the more pronounced the functional impairment. In a proportion of patients with longer-lasting disease, spontaneous resolution may occur, for up to a year or more. Bilateral involvement is more common than unilateral and the interval between involvement of the other hand is a mean of 10 months. For most patients the primary motivation to undergo surgery is troublesome symptoms (pain and paraesthesia). Functional impairment is of secondary importance, however, its prominence increases in older patients and in those with longer-lasting disease. Permalink : ./index.php?lvl=notice_display&id=92965

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Eaton and Littler Ligament Reconstruction for the Painful first Carpometacarpal Joint / Martijn Schonaers in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 30-34 Titre : Eaton and Littler Ligament Reconstruction for the Painful first Carpometacarpal Joint : patient satisfaction Type de document : texte imprimé Auteurs : Martijn Schonaers, Auteur ; Ilse Degreef, Auteur ; Luc De Smet, Auteur Année de publication : 2017 Article en page(s) : p. 30-34 Langues : Anglais (eng) Résumé : The ligamentous reconstruction according to Eaton and Littler (7) was designed to restore the stability of the carpometa-carpal joint of the thumb. We evaluated the patients' satisfaction after an Eaton and Littler-procedure as well as possible risk factors in the development of thumb basal joint instability. A retrospective chart review and clinical assessment or telephone survey are executed in 33 patients, with a mean follow-up of 7 years. Only 45% of the patients were satisfied. Within the group of clinical assessed patients, there were significant differences in thumb function comparing operated with not operated side. Overall joint hypermobility can be a contributing factor for this thumb basal joint instability, but has no effect on the outcome after an Eaton-Littler procedure. Permalink : ./index.php?lvl=notice_display&id=92966 [article] Eaton and Littler Ligament Reconstruction for the Painful first Carpometacarpal Joint : patient satisfaction [texte imprimé] / Martijn Schonaers, Auteur ; Ilse Degreef, Auteur ; Luc De Smet, Auteur . - 2017 . - p. 30-34. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 30-34 Résumé : The ligamentous reconstruction according to Eaton and Littler (7) was designed to restore the stability of the carpometa-carpal joint of the thumb. We evaluated the patients' satisfaction after an Eaton and Littler-procedure as well as possible risk factors in the development of thumb basal joint instability. A retrospective chart review and clinical assessment or telephone survey are executed in 33 patients, with a mean follow-up of 7 years. Only 45% of the patients were satisfied. Within the group of clinical assessed patients, there were significant differences in thumb function comparing operated with not operated side. Overall joint hypermobility can be a contributing factor for this thumb basal joint instability, but has no effect on the outcome after an Eaton-Littler procedure. Permalink : ./index.php?lvl=notice_display&id=92966

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Could the orthopaedic surgeon deployed in austere setting perform flaps on the leg? / Olivier Barbier in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 35-39 Titre : Could the orthopaedic surgeon deployed in austere setting perform flaps on the leg? Type de document : texte imprimé Auteurs : Olivier Barbier, Auteur ; OLLAT D., Auteur Année de publication : 2017 Article en page(s) : p. 35-39 Langues : Anglais (eng) Résumé : The orthopaedic military surgeons deployed in operations are led to perform soft tissue coverage on the lower limb. The purpose of this study was to evaluate if flaps performed by surgeons' non-specialist in reconstructive surgery are associated with good outcome. All patients operated for a flap on the leg in French Forward Surgical Team deployed in theatre of operations between 2003 and 2013 were retrospectively reviewed. Forty-nine patients were included, for a total of 54 flaps' procedures. Indications were open fractures in 25 cases and osseous infections in 29 cases. No flap was performed on French soldiers. All the flaps were pedicle. Outcome was favourable for more than 90% of flaps with no statistical dif-ference between muscular and fasciocutaneous flap and with regard to the indication. In conclusion, an orthopaedic surgeon deployed in austere setting with significant good outcome can perform reconstructive surgery with legs' flaps. Permalink : ./index.php?lvl=notice_display&id=92967 [article] Could the orthopaedic surgeon deployed in austere setting perform flaps on the leg? [texte imprimé] / Olivier Barbier, Auteur ; OLLAT D., Auteur . - 2017 . - p. 35-39. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 35-39 Résumé : The orthopaedic military surgeons deployed in operations are led to perform soft tissue coverage on the lower limb. The purpose of this study was to evaluate if flaps performed by surgeons' non-specialist in reconstructive surgery are associated with good outcome. All patients operated for a flap on the leg in French Forward Surgical Team deployed in theatre of operations between 2003 and 2013 were retrospectively reviewed. Forty-nine patients were included, for a total of 54 flaps' procedures. Indications were open fractures in 25 cases and osseous infections in 29 cases. No flap was performed on French soldiers. All the flaps were pedicle. Outcome was favourable for more than 90% of flaps with no statistical dif-ference between muscular and fasciocutaneous flap and with regard to the indication. In conclusion, an orthopaedic surgeon deployed in austere setting with significant good outcome can perform reconstructive surgery with legs' flaps. Permalink : ./index.php?lvl=notice_display&id=92967

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Long term self esteem assessment after height increase by lengthening and then nailing / Khaled Emara in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 40-44 Titre : Long term self esteem assessment after height increase by lengthening and then nailing Type de document : texte imprimé Auteurs : Khaled Emara, Auteur Année de publication : 2017 Article en page(s) : p. 40-44 Langues : Anglais (eng) Résumé : The purpose of the study is to assess the long term psychosocial functioning after height increase, using the external fixation then nailing method. Rosenberg Self-esteem scale and a questionnaire to assess social functioning were completed by 28 patients both preoperatively and at a mean follow-up of 7 years. The mean total score of RSE self-esteem for the 28 patients before lengthening was 21.5 (SD 1.03) (20-24). The mean total score of RSE for the patients 1 year after lengthening was 22 (SD 1.17) (20-24) with highly significant difference (p = 0.002).The mean total RSE self-esteem score after 7 years was 21.7 (SD 1.12) (21-25) with no significant difference (p = 0.11) Improvement was an evident in the short term self esteem after 1 year of follow up of the patients with height increase. On the other hand, there was an evident deterioration in the long term psychosocial evaluation during follow up after 7 years of height increase, returning to near pre-operative levels of self esteem. Permalink : ./index.php?lvl=notice_display&id=92968 [article] Long term self esteem assessment after height increase by lengthening and then nailing [texte imprimé] / Khaled Emara, Auteur . - 2017 . - p. 40-44. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 40-44 Résumé : The purpose of the study is to assess the long term psychosocial functioning after height increase, using the external fixation then nailing method. Rosenberg Self-esteem scale and a questionnaire to assess social functioning were completed by 28 patients both preoperatively and at a mean follow-up of 7 years. The mean total score of RSE self-esteem for the 28 patients before lengthening was 21.5 (SD 1.03) (20-24). The mean total score of RSE for the patients 1 year after lengthening was 22 (SD 1.17) (20-24) with highly significant difference (p = 0.002).The mean total RSE self-esteem score after 7 years was 21.7 (SD 1.12) (21-25) with no significant difference (p = 0.11) Improvement was an evident in the short term self esteem after 1 year of follow up of the patients with height increase. On the other hand, there was an evident deterioration in the long term psychosocial evaluation during follow up after 7 years of height increase, returning to near pre-operative levels of self esteem. Permalink : ./index.php?lvl=notice_display&id=92968

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Patient restrictions following total hip arthroplasty / Anil Peters in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 45-52 Titre : Patient restrictions following total hip arthroplasty : a national survey Type de document : texte imprimé Auteurs : Anil Peters, Auteur ; Miranda Tijink, Auteur Année de publication : 2017 Article en page(s) : p. 45-52 Langues : Anglais (eng) Résumé : In this prospective nation-wide web based survey we describe the current practice regarding patient restrictions following total hip arthroplasty. A web-based survey involving 20 items was developed and tested prior to administration. The questionnaire included gen-eral information, type of restrictions, specification and duration of restrictions. The target population consisted of all or-thopaedic surgeons registered with the Dutch Orthopaedic Association working at one of the 94 orthopaedic departments in the Netherlands. The response rate of the orthopaedic departments was 78% (n=74). The majority of orthopaedic departments use patient restrictions following THA. Restrictions were used with different rates per type of surgical approach: anterior (69%), an-terolateral (100%), straight lateral (94%) and posterolateral (93%). The duration of these restrictions is generally six weeks. Patient restrictions following THA are current practice, regardless of the surgical approach. Permalink : ./index.php?lvl=notice_display&id=92969 [article] Patient restrictions following total hip arthroplasty : a national survey [texte imprimé] / Anil Peters, Auteur ; Miranda Tijink, Auteur . - 2017 . - p. 45-52. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 45-52 Résumé : In this prospective nation-wide web based survey we describe the current practice regarding patient restrictions following total hip arthroplasty. A web-based survey involving 20 items was developed and tested prior to administration. The questionnaire included gen-eral information, type of restrictions, specification and duration of restrictions. The target population consisted of all or-thopaedic surgeons registered with the Dutch Orthopaedic Association working at one of the 94 orthopaedic departments in the Netherlands. The response rate of the orthopaedic departments was 78% (n=74). The majority of orthopaedic departments use patient restrictions following THA. Restrictions were used with different rates per type of surgical approach: anterior (69%), an-terolateral (100%), straight lateral (94%) and posterolateral (93%). The duration of these restrictions is generally six weeks. Patient restrictions following THA are current practice, regardless of the surgical approach. Permalink : ./index.php?lvl=notice_display&id=92969

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Union rates and midterm results after Extended Trochanteric Osteotomy in Revision Hip Arthroplasty / Konrad Sebastian Wronka in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 53-56 Titre : Union rates and midterm results after Extended Trochanteric Osteotomy in Revision Hip Arthroplasty : useful and safe tecgnique Type de document : texte imprimé Auteurs : Konrad Sebastian Wronka, Auteur ; Peter Herman Johan Cnudde, Auteur Année de publication : 2017 Article en page(s) : p. 53-56 Langues : Anglais (eng) Résumé : Aim of this study was to evaluate the outcome fol-lowing extended trochanteric osteotomy in series of single surgeon, with emphasis on complications and union of osteotomy. Retrospective Case Series of all patients who had revision Total Hip Replacement surgery performed by senior author between 2003 and 2012, with follow up between 1 and 10 years. 108 cases of revision hip arthroplasty with use of Extended Trochanteric Osteotomy were evaluated. In 101 cases solid bony union was achieved. In 7 cases where the bony union was not established, an asymptomatic and stable position was achieved. In 12 cases greater trochanter fracture was noted postoperatively with proximal migration 5 to 15mm. 1 patient required surgery to re-attach greater trochanter. Extended Trochanteric Osteotomy is a safe and very useful technique that can be used in revision hip surgery. Permalink : ./index.php?lvl=notice_display&id=92970 [article] Union rates and midterm results after Extended Trochanteric Osteotomy in Revision Hip Arthroplasty : useful and safe tecgnique [texte imprimé] / Konrad Sebastian Wronka, Auteur ; Peter Herman Johan Cnudde, Auteur . - 2017 . - p. 53-56. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 53-56 Résumé : Aim of this study was to evaluate the outcome fol-lowing extended trochanteric osteotomy in series of single surgeon, with emphasis on complications and union of osteotomy. Retrospective Case Series of all patients who had revision Total Hip Replacement surgery performed by senior author between 2003 and 2012, with follow up between 1 and 10 years. 108 cases of revision hip arthroplasty with use of Extended Trochanteric Osteotomy were evaluated. In 101 cases solid bony union was achieved. In 7 cases where the bony union was not established, an asymptomatic and stable position was achieved. In 12 cases greater trochanter fracture was noted postoperatively with proximal migration 5 to 15mm. 1 patient required surgery to re-attach greater trochanter. Extended Trochanteric Osteotomy is a safe and very useful technique that can be used in revision hip surgery. Permalink : ./index.php?lvl=notice_display&id=92970

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Survival of the Birmingham hip resurfacing in young men up to 13 years post-operatively / Nicholas Frew in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 67-73 Titre : Survival of the Birmingham hip resurfacing in young men up to 13 years post-operatively Type de document : texte imprimé Auteurs : Nicholas Frew, Auteur ; Geoffrey Johnson, Auteur Année de publication : 2017 Article en page(s) : p. 67-73 Langues : Anglais (eng) Résumé : The aim of this study was to determine the medium to long term survivorship of the Birmingham Hip Resurfacing prosthesis in an independent series of young men. The medical records and radiographs of all men aged 55 and under who had undergone Birmingham hip resurfacing by the senior author were reviewed. Patients who had not attended recent follow-up or had been previously discharged were contacted by telephone. Between 1999 and 2011 a total of 147 hips were resurfaced in 155 patients (mean age 47 years (19 to 55)) with minimum 5 year follow-up (mean 8.2, range 5 to 13.9 years). Eleven hips were revised giving overall cumulative survival of 88.8% at 13 years. In conclusion, this independent, single surgeon series demonstrates acceptable survival of the Birmingham Hip resurfacing in young men. It remains a valid option in certain cases but we believe alternative bearings are more suitable for most patients. Permalink : ./index.php?lvl=notice_display&id=92971 [article] Survival of the Birmingham hip resurfacing in young men up to 13 years post-operatively [texte imprimé] / Nicholas Frew, Auteur ; Geoffrey Johnson, Auteur . - 2017 . - p. 67-73. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 67-73 Résumé : The aim of this study was to determine the medium to long term survivorship of the Birmingham Hip Resurfacing prosthesis in an independent series of young men. The medical records and radiographs of all men aged 55 and under who had undergone Birmingham hip resurfacing by the senior author were reviewed. Patients who had not attended recent follow-up or had been previously discharged were contacted by telephone. Between 1999 and 2011 a total of 147 hips were resurfaced in 155 patients (mean age 47 years (19 to 55)) with minimum 5 year follow-up (mean 8.2, range 5 to 13.9 years). Eleven hips were revised giving overall cumulative survival of 88.8% at 13 years. In conclusion, this independent, single surgeon series demonstrates acceptable survival of the Birmingham Hip resurfacing in young men. It remains a valid option in certain cases but we believe alternative bearings are more suitable for most patients. Permalink : ./index.php?lvl=notice_display&id=92971

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The complications after open hip dislocation in hip surgery / Deniz Kargin in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 74-80 Titre : The complications after open hip dislocation in hip surgery Type de document : texte imprimé Auteurs : Deniz Kargin, Auteur ; Akif Albayrak, Auteur Année de publication : 2017 Article en page(s) : p. 74-80 Langues : Anglais (eng) Résumé : Our purpose is to evaluate the complications of open hip dislocation, which is used as a helpful technique in hip surgery. We have retrospectively reviewed 45 hips of 44 cases who applied open hip dislocation with various indications in our institute between the years 2006-2013. There were 27 males and 17 females whose mean age was 31,9 (range, 11-58) years with mean follow-up time of 56,9 months (range, 13-106). The number of cases with at least one complication related to open hip dislocation was 27. Within our series 14 hips have developed only 1 complication, 1 hip have 2, 10 hips have 3 and 2 hips have 4 different complications. Regarding Dindo-Clavien classification 17 hips were evaluated as Grade I (38%), 3 hips were Grade IIa (7%), 2 hips were Grade IIb (4%) and 5 hips were Grade III (11%). In conclusion, the absence of major complications after open hip dislocation does not make it absolutely safe. Open hip dislocations can only be indicated when trochanteric complications are considered. The patients need to be well informed on potential issues and risks. Permalink : ./index.php?lvl=notice_display&id=92972 [article] The complications after open hip dislocation in hip surgery [texte imprimé] / Deniz Kargin, Auteur ; Akif Albayrak, Auteur . - 2017 . - p. 74-80. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 74-80 Résumé : Our purpose is to evaluate the complications of open hip dislocation, which is used as a helpful technique in hip surgery. We have retrospectively reviewed 45 hips of 44 cases who applied open hip dislocation with various indications in our institute between the years 2006-2013. There were 27 males and 17 females whose mean age was 31,9 (range, 11-58) years with mean follow-up time of 56,9 months (range, 13-106). The number of cases with at least one complication related to open hip dislocation was 27. Within our series 14 hips have developed only 1 complication, 1 hip have 2, 10 hips have 3 and 2 hips have 4 different complications. Regarding Dindo-Clavien classification 17 hips were evaluated as Grade I (38%), 3 hips were Grade IIa (7%), 2 hips were Grade IIb (4%) and 5 hips were Grade III (11%). In conclusion, the absence of major complications after open hip dislocation does not make it absolutely safe. Open hip dislocations can only be indicated when trochanteric complications are considered. The patients need to be well informed on potential issues and risks. Permalink : ./index.php?lvl=notice_display&id=92972

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Is the pelvis stable during supine total hip arthroplasty? / Siddarth M. Shah in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 81-86 Titre : Is the pelvis stable during supine total hip arthroplasty? Type de document : texte imprimé Auteurs : Siddarth M. Shah, Auteur ; Jessica Ngo, Auteur Année de publication : 2017 Article en page(s) : p. 81-86 Langues : Anglais (eng) Résumé : Intra- operative changes in pelvic position during total hip arthroplasty (THA) can affect acetabular orientation. We evaluated these changes during supine THA using a proprietary mobile application called PelvicTracker. Twenty- two patients undergoing THA using direct anterior approach were included in the study. In the sagittal plane, the pelvis was extended (anterior tilt) as compared to the start of surgery in 19/ 22 hips at the time of cup implantation (mean extension: 3.1°; range: 1°-6°). In the transverse plane, the pelvis was rolled to the opposite side of surgery in 12 hips (mean roll: 2.8°; range: 1°-5°), to the same side in 8 hips (mean roll: 3.9°, range: 1°-9°) and unchanged in 2 hips at the time of cup implantation. Predicted change in cup version of ≥5° due to changes in pelvic position was seen in 7/22 (32%) patients. Although minor, changes in pelvic position do occur during supine THA which may affect acetabular orientation. Permalink : ./index.php?lvl=notice_display&id=92973 [article] Is the pelvis stable during supine total hip arthroplasty? [texte imprimé] / Siddarth M. Shah, Auteur ; Jessica Ngo, Auteur . - 2017 . - p. 81-86. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 81-86 Résumé : Intra- operative changes in pelvic position during total hip arthroplasty (THA) can affect acetabular orientation. We evaluated these changes during supine THA using a proprietary mobile application called PelvicTracker. Twenty- two patients undergoing THA using direct anterior approach were included in the study. In the sagittal plane, the pelvis was extended (anterior tilt) as compared to the start of surgery in 19/ 22 hips at the time of cup implantation (mean extension: 3.1°; range: 1°-6°). In the transverse plane, the pelvis was rolled to the opposite side of surgery in 12 hips (mean roll: 2.8°; range: 1°-5°), to the same side in 8 hips (mean roll: 3.9°, range: 1°-9°) and unchanged in 2 hips at the time of cup implantation. Predicted change in cup version of ≥5° due to changes in pelvic position was seen in 7/22 (32%) patients. Although minor, changes in pelvic position do occur during supine THA which may affect acetabular orientation. Permalink : ./index.php?lvl=notice_display&id=92973

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Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates / Valentinas Uvarovas in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 93-97 Titre : Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates Type de document : texte imprimé Auteurs : Valentinas Uvarovas, Auteur ; Igoris Satkauskas, Auteur Année de publication : 2017 Article en page(s) : p. 93-97 Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=92974 [article] Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates [texte imprimé] / Valentinas Uvarovas, Auteur ; Igoris Satkauskas, Auteur . - 2017 . - p. 93-97. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 93-97 Permalink : ./index.php?lvl=notice_display&id=92974

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Comparison between the Harris- and Oxford Hip Score to evaluate outcomes one-year after total hip arthroplasty / Hanneke Weel in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 98-109 Titre : Comparison between the Harris- and Oxford Hip Score to evaluate outcomes one-year after total hip arthroplasty Type de document : texte imprimé Auteurs : Hanneke Weel, Auteur ; Robert Lindeboom, Auteur Année de publication : 2017 Article en page(s) : p. 98-109 Langues : Anglais (eng) Résumé : Harris Hip Score (HHS) is a surgeon administered measurement for assessing hip function before and after total hip arthroplasties (THA). Patient reported outcome measurements (PROMs) such as the Oxford Hip Score (OHS) are in-creasingly used. HHS was compaired to the OHS assessing whether the HHS can be replaced by the OHS for clinical eval-uation of THAs. All 155 patients (167 THAs) were asked to complete an OHS before and one-year after surgery. The surgeon independently scored the HHS at the same time points. We examined and compared the clinimetric properties of both instruments. Internal consistency reliability of the OHS was notably higher than that of the HHS at all occasions. HHS had a higher effect size (4.1) than the OHS (2.1). Ceiling effect at follow up was 55.6% (HHS) and 36.4% (OHS). Spearman's rank correlation between HHS and OHS was 0.57 at baseline and 0.65 and after one year. The correlation between the change scores was 0.50. The Oxford Hip Score is of good use in quality assessment after THA. Permalink : ./index.php?lvl=notice_display&id=92975 [article] Comparison between the Harris- and Oxford Hip Score to evaluate outcomes one-year after total hip arthroplasty [texte imprimé] / Hanneke Weel, Auteur ; Robert Lindeboom, Auteur . - 2017 . - p. 98-109. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 98-109 Résumé : Harris Hip Score (HHS) is a surgeon administered measurement for assessing hip function before and after total hip arthroplasties (THA). Patient reported outcome measurements (PROMs) such as the Oxford Hip Score (OHS) are in-creasingly used. HHS was compaired to the OHS assessing whether the HHS can be replaced by the OHS for clinical eval-uation of THAs. All 155 patients (167 THAs) were asked to complete an OHS before and one-year after surgery. The surgeon independently scored the HHS at the same time points. We examined and compared the clinimetric properties of both instruments. Internal consistency reliability of the OHS was notably higher than that of the HHS at all occasions. HHS had a higher effect size (4.1) than the OHS (2.1). Ceiling effect at follow up was 55.6% (HHS) and 36.4% (OHS). Spearman's rank correlation between HHS and OHS was 0.57 at baseline and 0.65 and after one year. The correlation between the change scores was 0.50. The Oxford Hip Score is of good use in quality assessment after THA. Permalink : ./index.php?lvl=notice_display&id=92975

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Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infections / J. C. Yombi in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 110-123 Titre : Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infections Type de document : texte imprimé Auteurs : J. C. Yombi, Auteur ; Lucie Seyler, Auteur Année de publication : 2017 Article en page(s) : p. 110-123 Langues : Anglais (eng) Résumé : Bone and joint infections are rare but often devastating. While bacteria are most commonly encountered organisms, my-cobacteria and fungi are less frequent. Management of the latter is often more complex, especially in the presence of foreign material. We will increasingly be faced with mycobacterial and fungal bone infections, as medical conditions and newer therapeutics lead to more immunosuppression. In this article, we will review osteomyelitis, septic arthritis and pe-ri-prosthetic joint infections related to mycobacteria and fungi. Permalink : ./index.php?lvl=notice_display&id=92976 [article] Difficult to treat osteoarticulars infections : Focus on Mycobacterial and Fungal infections [texte imprimé] / J. C. Yombi, Auteur ; Lucie Seyler, Auteur . - 2017 . - p. 110-123. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 110-123 Résumé : Bone and joint infections are rare but often devastating. While bacteria are most commonly encountered organisms, my-cobacteria and fungi are less frequent. Management of the latter is often more complex, especially in the presence of foreign material. We will increasingly be faced with mycobacterial and fungal bone infections, as medical conditions and newer therapeutics lead to more immunosuppression. In this article, we will review osteomyelitis, septic arthritis and pe-ri-prosthetic joint infections related to mycobacteria and fungi. Permalink : ./index.php?lvl=notice_display&id=92976

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Modular bicompartmental knee arthroplasty : Indications, technique, prosthetic design, and results / Raj Kanna in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 124-131 Titre : Modular bicompartmental knee arthroplasty : Indications, technique, prosthetic design, and results Type de document : texte imprimé Auteurs : Raj Kanna, Auteur Année de publication : 2017 Article en page(s) : p. 124-131 Langues : Anglais (eng) Résumé : The shifting demographics of patients with localized knee arthritis, including younger, more active patients, is a chief mo-tivation for mounting interest in tissue preserving surgical substitutes for total knee arthroplasty (TKA). Unlinked, modular bi-compartmental knee arthroplasty (MBKA) is an emerging knee-resurfacing approach that provides a conservative alternative to TKA. Arthritis involving both patellofemoral and either medial or lateral tibiofemoral compartments, with no significant deformity or bone deficiency, preserved motion, and intact cruciate ligaments, can be effectively managed with MBKA. It is tailored to treat the pathologic areas of knees with bicompartmental arthritis with the benefit of improved function and tissue conservation. MBKA done in appropriate patients, using precise technique, with appropriate implants has shown to give good short and long term functional results. Long term results using modern MBKA implants are awaited and may further establish the durability and success of the procedure. Permalink : ./index.php?lvl=notice_display&id=92977 [article] Modular bicompartmental knee arthroplasty : Indications, technique, prosthetic design, and results [texte imprimé] / Raj Kanna, Auteur . - 2017 . - p. 124-131. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 124-131 Résumé : The shifting demographics of patients with localized knee arthritis, including younger, more active patients, is a chief mo-tivation for mounting interest in tissue preserving surgical substitutes for total knee arthroplasty (TKA). Unlinked, modular bi-compartmental knee arthroplasty (MBKA) is an emerging knee-resurfacing approach that provides a conservative alternative to TKA. Arthritis involving both patellofemoral and either medial or lateral tibiofemoral compartments, with no significant deformity or bone deficiency, preserved motion, and intact cruciate ligaments, can be effectively managed with MBKA. It is tailored to treat the pathologic areas of knees with bicompartmental arthritis with the benefit of improved function and tissue conservation. MBKA done in appropriate patients, using precise technique, with appropriate implants has shown to give good short and long term functional results. Long term results using modern MBKA implants are awaited and may further establish the durability and success of the procedure. Permalink : ./index.php?lvl=notice_display&id=92977

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