Arthroscopic Debridement With And Without Distal Ulnar Resection In The Treatment Of Triangular Fibrocartilage Complex Tears / Luc De Smet in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.112-115 Titre : Arthroscopic Debridement With And Without Distal Ulnar Resection In The Treatment Of Triangular Fibrocartilage Complex Tears Type de document : texte imprimé Auteurs : Luc De Smet, Auteur Année de publication : 2014 Article en page(s) : p.112-115 Langues : Français (fre) Résumé : A retrospective survey for debridement with or without wafer distal ulna resection was performed. Forty six patients responded to a questionnaire on pain, disability and time off work. The mean DASH score decreased from 42 to 28 on average. Thirty two patients were satisfied. The pain was considered severe in 12 patients. There were significant differences in the outcome between debridement only and debridement with wafer resection of the distal ulna. Permalink : ./index.php?lvl=notice_display&id=33534 [article] Arthroscopic Debridement With And Without Distal Ulnar Resection In The Treatment Of Triangular Fibrocartilage Complex Tears [texte imprimé] / Luc De Smet, Auteur . - 2014 . - p.112-115. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.112-115 Résumé : A retrospective survey for debridement with or without wafer distal ulna resection was performed. Forty six patients responded to a questionnaire on pain, disability and time off work. The mean DASH score decreased from 42 to 28 on average. Thirty two patients were satisfied. The pain was considered severe in 12 patients. There were significant differences in the outcome between debridement only and debridement with wafer resection of the distal ulna. Permalink : ./index.php?lvl=notice_display&id=33534

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Comorbidity in Dupuytren disease / Verena Wijnen in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 643-648 Titre : Comorbidity in Dupuytren disease Type de document : texte imprimé Auteurs : Verena Wijnen ; Frank Buntinx ; Luc De Smet ; [et al...] Année de publication : 2016 Article en page(s) : p. 643-648 Langues : Anglais (eng) Mots-clés : maladie de Dupuytren  épidémiologie Résumé : In this report, a possible association between Dupuytren’s disease (DD) and other health problems was investigated. The health problems included in this study are : cardiac ischemia, hypertension, hyperlipidemia, diabetes mellitus, epilepsy, gout, rheumatoid arthritis, malignancy, asthma and COPD. The data of 725 patients with DD were collected from Intego, a database including all morbidity presented to the General Practitioners (GPs) in Flanders. The control group of 2900 age and sex matched non-DD patients was selected from the same database. A possible influence of severity of DD was evaluated by comparing the data of 333 patients operated for DD with the group of Integopatients with DD. This study showed a significant association of every single studied health condition with DD. Comparison of the operated group with the group from Intego with DD, demonstrated only some significant associations, a difference which may be explained by the difference in data collection. Permalink : ./index.php?lvl=notice_display&id=47195 [article] Comorbidity in Dupuytren disease [texte imprimé] / Verena Wijnen ; Frank Buntinx ; Luc De Smet ; [et al...] . - 2016 . - p. 643-648. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 643-648 Mots-clés : maladie de Dupuytren  épidémiologie Résumé : In this report, a possible association between Dupuytren’s disease (DD) and other health problems was investigated. The health problems included in this study are : cardiac ischemia, hypertension, hyperlipidemia, diabetes mellitus, epilepsy, gout, rheumatoid arthritis, malignancy, asthma and COPD. The data of 725 patients with DD were collected from Intego, a database including all morbidity presented to the General Practitioners (GPs) in Flanders. The control group of 2900 age and sex matched non-DD patients was selected from the same database. A possible influence of severity of DD was evaluated by comparing the data of 333 patients operated for DD with the group of Integopatients with DD. This study showed a significant association of every single studied health condition with DD. Comparison of the operated group with the group from Intego with DD, demonstrated only some significant associations, a difference which may be explained by the difference in data collection. Permalink : ./index.php?lvl=notice_display&id=47195

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Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint / Hayk BAAZIL in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217 Titre : Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint Type de document : texte imprimé Auteurs : Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur Année de publication : 2015 Article en page(s) : p.213-217 Langues : Anglais (eng) Mots-clés : Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand Résumé : Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences. Permalink : ./index.php?lvl=notice_display&id=40562 [article] Comparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint [texte imprimé] / Hayk BAAZIL, Auteur ; Alain DALEMANS, Auteur ; Luc De Smet, Auteur . - 2015 . - p.213-217. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.213-217 Mots-clés : Finger  mucous cysts  tumor  full thickness skin graft  distal interphalangeal joint  surgery  hand Résumé : Mucous cysts of the interphalangeal joints are common. Several surgical techniques have been described, but none has proven to be superior. We compared three techniques that entail complete removal of the cyst together with the concomitant osteophytes. In group A wound closure was obtained by full thickness skin graft, in group B by primary closure and in group C by a local skin graft. Sixty-four patients with 70 cysts were reviewed. An overall recurrence rate of 8.6% was observed. Forty-five of the studied patients received a full thickness skin graft (4 out of 45 recurred), 23 were closed primarily (2 out of 23 recurred) and 2 by a local skin graft (no recurrences). Full thickness skin graft showed no significant higher recurrence compared to primary closure. Full thickness skin graft showed no significant higher pain or satisfaction compared to primary closure. Patients with a recurrent cyst were less satisfied and had more pain than those without recurrences. Permalink : ./index.php?lvl=notice_display&id=40562

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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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Evaluation of the metaphyseal ulnar shortening technique according to Sennwald / Joris Beckers in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 280-286 Titre : Evaluation of the metaphyseal ulnar shortening technique according to Sennwald Type de document : texte imprimé Auteurs : Joris Beckers ; Bertram The ; Ilse Degreef ; Luc De Smet Année de publication : 2016 Article en page(s) : p. 280-286 Langues : Anglais (eng) Mots-clés : ulna  chirurgie Résumé : The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with regard to the functional results, pain relief and incidence of complications. Methods : We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion. Results : Only disability improved significantly with a DASH score of 42 (p = 0.03). The function and pain assessment scores did not improve in 3 patients. We found no correlation between change in functional scores and other measured variables. Six patients were reoperated for prominent screw heads or newonset distal radioulnar joint osteoarthritis. Conclusion : All osteomies healed fast and uneventfully and disability improved in most patients but 25% did not improve and 50% were re-operated. Further investigation is needed to evaluate the value of the metaphyseal osteotomy as an alternative treatment for ulnar abutment syndrome. Permalink : ./index.php?lvl=notice_display&id=46095 [article] Evaluation of the metaphyseal ulnar shortening technique according to Sennwald [texte imprimé] / Joris Beckers ; Bertram The ; Ilse Degreef ; Luc De Smet . - 2016 . - p. 280-286. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 280-286 Mots-clés : ulna  chirurgie Résumé : The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with regard to the functional results, pain relief and incidence of complications. Methods : We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion. Results : Only disability improved significantly with a DASH score of 42 (p = 0.03). The function and pain assessment scores did not improve in 3 patients. We found no correlation between change in functional scores and other measured variables. Six patients were reoperated for prominent screw heads or newonset distal radioulnar joint osteoarthritis. Conclusion : All osteomies healed fast and uneventfully and disability improved in most patients but 25% did not improve and 50% were re-operated. Further investigation is needed to evaluate the value of the metaphyseal osteotomy as an alternative treatment for ulnar abutment syndrome. Permalink : ./index.php?lvl=notice_display&id=46095

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Functional outcome of ligament reconstruction with tendon interposition after failed first carpometacarpal joint prosthesis / Lyne Anthonissen in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)

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