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[article]
| 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. |
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./index.php?lvl=notice_display&id=92966 |
in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 30-34
[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. |
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./index.php?lvl=notice_display&id=92966 |
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Exemplaires
[article]
| Titre : |
Effectiveness and safety of collagenase Clostridium histolyticum in Dupuytren’s disease : an observational study in Belgium |
| Type de document : |
texte imprimé |
| Auteurs : |
Frederik Verstreken ; Ilse Degreef ; Arne Decramer ; [et al...] |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 397-404 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
maladie de Dupuytren collagène |
| Résumé : |
Dupuytren’s disease is a connective tissue disorder leading to contractures. It can be treated surgically or through injections of collagenase Clostridium histolyticum (CCH). Patients with Dupuytren’s contracture (> 20°) and a palpable cord were included in this observational study, aiming to characterise the Belgian patient population and to assess the effectiveness and safety of CCH. Overall, 108 patients (114 joints) received at least one injection of CCH, and 104 patients completed the study. The percentages of joints achieving a degree of contracture of 5° or less, or a relative contracture reduction of at least 50% after the extension procedure were 64.9% and 90.1%, respectively. The mean number of injections per cord was 1.0. The Unité Rhumatologique des Affections de la Main score decreased from 29.4 ± 11.0 to 12.9 ± 6.3 (mean ± SD ; p < 0.0001). CCH was demonstrated to be effective, safe and able to increase quality of life. |
| Permalink : |
./index.php?lvl=notice_display&id=46251 |
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 397-404
[article] Effectiveness and safety of collagenase Clostridium histolyticum in Dupuytren’s disease : an observational study in Belgium [texte imprimé] / Frederik Verstreken ; Ilse Degreef ; Arne Decramer ; [et al...] . - 2016 . - p. 397-404. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 397-404
| Mots-clés : |
maladie de Dupuytren collagène |
| Résumé : |
Dupuytren’s disease is a connective tissue disorder leading to contractures. It can be treated surgically or through injections of collagenase Clostridium histolyticum (CCH). Patients with Dupuytren’s contracture (> 20°) and a palpable cord were included in this observational study, aiming to characterise the Belgian patient population and to assess the effectiveness and safety of CCH. Overall, 108 patients (114 joints) received at least one injection of CCH, and 104 patients completed the study. The percentages of joints achieving a degree of contracture of 5° or less, or a relative contracture reduction of at least 50% after the extension procedure were 64.9% and 90.1%, respectively. The mean number of injections per cord was 1.0. The Unité Rhumatologique des Affections de la Main score decreased from 29.4 ± 11.0 to 12.9 ± 6.3 (mean ± SD ; p < 0.0001). CCH was demonstrated to be effective, safe and able to increase quality of life. |
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./index.php?lvl=notice_display&id=46251 |
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Exemplaires (1)
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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 |
[article]
| 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 |
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 280-286
[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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Exemplaires (1)
|
| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
Exemplaires (1)
|
| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
