Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures / Benedikt SCHLIEMANN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.106-111 Titre : Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures Type de document : texte imprimé Auteurs : Benedikt SCHLIEMANN, Auteur Année de publication : 2014 Article en page(s) : p.106-111 Langues : Français (fre) Résumé : Aim of the present study was to compare the clinical and radiographic outcome of tension band wiring and precontoured locking compression plate fixation in patients treated surgically for an isolated olecranon fractures type IIA according to the Mayo classification. Of 26 patients presenting with an isolated Mayo type IIA olecranon fracture, 13 underwent fixation with a precontoured locking compression plate (group A), 13 patients were treated with tension band wiring (group B). At a mean follow-up of 43 months, patients were clinically and radiographically re-examined using the DASH score, the Mayo Elbow Performance score (MEPS) and anteroposterior and lateral radiographs. The mean DASH score was 14 points in group A and 12.5 points in group B. Regarding the MEPS, 92% of the patients in group A achieved a good to excellent results in comparison to 77% in group B. No significant differences between the two groups could be detected regarding the clinical and radiographic outcome. Implant-related irritations requiring hardware removal occurred more frequently in group B (12 vs. 7). Procedure and implant related costs were significantly higher in group A. Tension band wiring is still a preferable surgical method to treat simple isolated olecranon fractures. The patient must be informed that in all likelihood implant removal will be required once the fracture has healed. Fixation with precontoured locking compression plates does not provide better functional and radiographic outcome but is more expensive than tension band wiring. Permalink : ./index.php?lvl=notice_display&id=33533 [article] Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures [texte imprimé] / Benedikt SCHLIEMANN, Auteur . - 2014 . - p.106-111. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.106-111 Résumé : Aim of the present study was to compare the clinical and radiographic outcome of tension band wiring and precontoured locking compression plate fixation in patients treated surgically for an isolated olecranon fractures type IIA according to the Mayo classification. Of 26 patients presenting with an isolated Mayo type IIA olecranon fracture, 13 underwent fixation with a precontoured locking compression plate (group A), 13 patients were treated with tension band wiring (group B). At a mean follow-up of 43 months, patients were clinically and radiographically re-examined using the DASH score, the Mayo Elbow Performance score (MEPS) and anteroposterior and lateral radiographs. The mean DASH score was 14 points in group A and 12.5 points in group B. Regarding the MEPS, 92% of the patients in group A achieved a good to excellent results in comparison to 77% in group B. No significant differences between the two groups could be detected regarding the clinical and radiographic outcome. Implant-related irritations requiring hardware removal occurred more frequently in group B (12 vs. 7). Procedure and implant related costs were significantly higher in group A. Tension band wiring is still a preferable surgical method to treat simple isolated olecranon fractures. The patient must be informed that in all likelihood implant removal will be required once the fracture has healed. Fixation with precontoured locking compression plates does not provide better functional and radiographic outcome but is more expensive than tension band wiring. Permalink : ./index.php?lvl=notice_display&id=33533

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years / C. KÖSTERS in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.257-263 Titre : The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years Type de document : texte imprimé Auteurs : C. KÖSTERS, Auteur ; Benedikt SCHLIEMANN, Auteur ; D. DECKING, Auteur Année de publication : 2015 Article en page(s) : p.257-263 Langues : Anglais (eng) Mots-clés : Revision total hip arthroplasty  Müller Ring  acetabular reinforcement ring  clinical outcome  Paprosky classification Résumé : Introduction: Aim of this study was to measure the clinical and radiological longterm outcome after acetabular revision arthroplasty (RTHA) using the Müller acetabular reinforcement ring. Materials and Methods: 86 patients with 90 revision arthroplasties and a mean age of 68 years (41 to 84) were included. The mean follow-up was 10 years (range 7-12). The Harris Hip Score and the WOMAC Index were used to assess pain and functional outcome. Furthermore clinical examination of range of motion and radiologic examinations were performed in 34 patients. Results: The radiologic analysis reports no signs of loosening in 79%, 15% showed possibly loosening and 6% probable loosening. Definite radiologic loosening has not been detected. In the meantime 12 patients (13.3%) of 90 revision total hip arthroplasty underwent a revision of the acetabulum with change of the acetabular component which means a survival rate of 86.7% after 10 years follow-up. The mean center of rotation of the hip moved 0.15 cm (SD 0.74 cm) laterally and 0.1 cm (SD 0.97 cm) cranially based on the geometrically reconstructed center of rotation. A mean score of 58 points for the Harris Hip Score (range 14-93) indicated a poor functional outcome, while a mean value of 96 points (range 0-223) for the WOMAC Index indicated good results for functional outcome in daily living. Conclusions: The revision arthroplasty in cases with acetabular defects using the Müller acetabular reinforcement ring shows acceptable longterm results. Level of Evidence: Level IV. Permalink : ./index.php?lvl=notice_display&id=40573 [article] The Müller Acetabular Reinforcement Ring – Still An Option In Acetabular Revision Of Paprosky 2 Defects? Longterm Results After 10 Years [texte imprimé] / C. KÖSTERS, Auteur ; Benedikt SCHLIEMANN, Auteur ; D. DECKING, Auteur . - 2015 . - p.257-263. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.257-263 Mots-clés : Revision total hip arthroplasty  Müller Ring  acetabular reinforcement ring  clinical outcome  Paprosky classification Résumé : Introduction: Aim of this study was to measure the clinical and radiological longterm outcome after acetabular revision arthroplasty (RTHA) using the Müller acetabular reinforcement ring. Materials and Methods: 86 patients with 90 revision arthroplasties and a mean age of 68 years (41 to 84) were included. The mean follow-up was 10 years (range 7-12). The Harris Hip Score and the WOMAC Index were used to assess pain and functional outcome. Furthermore clinical examination of range of motion and radiologic examinations were performed in 34 patients. Results: The radiologic analysis reports no signs of loosening in 79%, 15% showed possibly loosening and 6% probable loosening. Definite radiologic loosening has not been detected. In the meantime 12 patients (13.3%) of 90 revision total hip arthroplasty underwent a revision of the acetabulum with change of the acetabular component which means a survival rate of 86.7% after 10 years follow-up. The mean center of rotation of the hip moved 0.15 cm (SD 0.74 cm) laterally and 0.1 cm (SD 0.97 cm) cranially based on the geometrically reconstructed center of rotation. A mean score of 58 points for the Harris Hip Score (range 14-93) indicated a poor functional outcome, while a mean value of 96 points (range 0-223) for the WOMAC Index indicated good results for functional outcome in daily living. Conclusions: The revision arthroplasty in cases with acetabular defects using the Müller acetabular reinforcement ring shows acceptable longterm results. Level of Evidence: Level IV. Permalink : ./index.php?lvl=notice_display&id=40573

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

---

1 (1 - 2 / 2)