Malpositions et malformations congénitales du pied de l'enfant / Solange de Wouters in EMC : Appareil locomoteur, Vol.34, n°3 (Juillet 2020)

Public ISBD [article]  inEMC : Appareil locomoteur > Vol.34, n°3 (Juillet 2020) . - 15-380-A-10 [Tome 6] Titre : Malpositions et malformations congénitales du pied de l'enfant Type de document : texte imprimé Auteurs : Solange de Wouters ; M. Bouchard ; Pierre-Louis Docquier Année de publication : 2020 Article en page(s) : 15-380-A-10 [Tome 6] Note générale : Doi : 10.1016/S0246-0521(20)43448-5 Langues : Français (fre) Mots-clés : Malformation congénitale du pied de l'enfant  Malposition du pied de l'enfant  Pied de l'enfant  Pied bot varus équin  Pied convexe  Metatarsus adductus Résumé : Les déformations du pied du nouveau-né sont fréquentes et source d'angoisse pour les parents. C'est d'ailleurs un motif fréquent de consultation. Il est important par un examen clinique approprié de pouvoir distinguer les malpositions souvent bénignes des véritables malformations qui sont plus difficiles à traiter. Souvent quand la déformation est totalement réductible, il s'agit d'une malposition et quand elle est irréductible, il s'agit d'une vraie malformation. Le diagnostic peut souvent être donné suite à l'examen clinique seul sans nécessité d'examens complémentaires. Dans la grande majorité des cas, le pronostic est très bon car bon nombre de ces anomalies peuvent se corriger complètement soit de façon spontanée, soit après une phase de rééducation. Le clinicien doit être capable de décrire les malpositions et malformations, connaître leur évolution, et rassurer les familles. Même si certaines anomalies devront probablement être corrigées de façon chirurgicale, la chirurgie ne se déroule pas en période néonatale précoce, et ce quel que soit le type de l'anomalie. Permalink : ./index.php?lvl=notice_display&id=93086 [article] Malpositions et malformations congénitales du pied de l'enfant [texte imprimé] / Solange de Wouters ; M. Bouchard ; Pierre-Louis Docquier . - 2020 . - 15-380-A-10 [Tome 6]. Doi : 10.1016/S0246-0521(20)43448-5 Langues : Français (fre) in EMC : Appareil locomoteur > Vol.34, n°3 (Juillet 2020) . - 15-380-A-10 [Tome 6] Mots-clés : Malformation congénitale du pied de l'enfant  Malposition du pied de l'enfant  Pied de l'enfant  Pied bot varus équin  Pied convexe  Metatarsus adductus Résumé : Les déformations du pied du nouveau-né sont fréquentes et source d'angoisse pour les parents. C'est d'ailleurs un motif fréquent de consultation. Il est important par un examen clinique approprié de pouvoir distinguer les malpositions souvent bénignes des véritables malformations qui sont plus difficiles à traiter. Souvent quand la déformation est totalement réductible, il s'agit d'une malposition et quand elle est irréductible, il s'agit d'une vraie malformation. Le diagnostic peut souvent être donné suite à l'examen clinique seul sans nécessité d'examens complémentaires. Dans la grande majorité des cas, le pronostic est très bon car bon nombre de ces anomalies peuvent se corriger complètement soit de façon spontanée, soit après une phase de rééducation. Le clinicien doit être capable de décrire les malpositions et malformations, connaître leur évolution, et rassurer les familles. Même si certaines anomalies devront probablement être corrigées de façon chirurgicale, la chirurgie ne se déroule pas en période néonatale précoce, et ce quel que soit le type de l'anomalie. Permalink : ./index.php?lvl=notice_display&id=93086

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Outpatient total hip arthroplasty : the future? / Solange de Wouters in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319 Titre : Outpatient total hip arthroplasty : the future? Type de document : texte imprimé Auteurs : Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu Année de publication : 2021 Article en page(s) : p. 313-319 Note générale : https://doi.org/10.52628/87.2.16 Langues : Anglais (eng) Mots-clés : total hip arthroplasty  outpatient  ambulatory  safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety. Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered. Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience. With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied. Permalink : ./index.php?lvl=notice_display&id=96666 [article] Outpatient total hip arthroplasty : the future? [texte imprimé] / Solange de Wouters ; Steven Petronilia ; Daniel Paulet ; Tom De Baere ; Etienne Willemart ; Olivier Cornu . - 2021 . - p. 313-319. https://doi.org/10.52628/87.2.16 Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 313-319 Mots-clés : total hip arthroplasty  outpatient  ambulatory  safety Résumé : With advancements in minimally invasive surgical technique, pain management and rehabilitation proto- cols, and prevention of post-operative complications, outpatient total hip arthroplasty became a realistic goal. This study reports our experience of performing outpatient total hip arthroplasty assessing its feasi- bility and safety. Between December 2015 and January 2018, 52 outpatient total hip arthroplasties were performed. We implemented a peri-operative management proto- col that included education, improved analgesia and rapid rehabilitation. Patients were asked about any complications they had experienced after surgery and about the perception of their experience as outpatient. Any early post-operative emergency department visits, acute office appointments or hospital re-ad- missions were registered. Fifty-one of 52 patients (98,1%) enrolled in the study met the discharge criteria and achieved their goal of going home on the day of surgery, and only one patient (1,9%) required an overnight stay. There were two visits to the emergency room, with one hospital re-admission (1,9%) on the night of the surgery. There were no major post-discharge complications in the short-term follow-up (minimum of three months). Only one patient (1,9%) reported a significantly negative experience. With this first Belgian experience reporting on out- patient primary total hip arthroplasty, our data demonstrate that early discharge does not result in excessive re-admissions or other post-discharge complications due to an early discharge. This study suggests that total hip arthroplasty can be performed safely and successfully in appropriately selected patients and that patients who experienced that ambulatory protocol declared themselves highly satisfied. Permalink : ./index.php?lvl=notice_display&id=96666

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Selective Methicillin-Resistant Staphylococcus Aureus (MRSA) screening of a high risk population does not adequately detect MRSA carriers within a country with low MRSA prevalence / Solange de Wouters in Acta Orthopaedica Belgica, Vol.81/4 (Décembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.620-628 Titre : Selective Methicillin-Resistant Staphylococcus Aureus (MRSA) screening of a high risk population does not adequately detect MRSA carriers within a country with low MRSA prevalence Type de document : texte imprimé Auteurs : Solange de Wouters ; Jérémy Daxhelet ; Ludovic Kaminski Année de publication : 2015 Article en page(s) : p.620-628 Langues : Anglais (eng) Résumé : Background : Methicillin-Resistant Staphylococcus Aureus (MRSA) has been widely recognized as a serious problem in hospital settings. The purpose of this study is to evaluate the predictive value of MRSA colonization factors in the detection of MRSA carriers in an orthopedic ward. Materials and Methods : A systematic MRSA detection strategy was set up to assess the predictive value of MRSA colonization factors among 554 patients undergoing elective knee arthroplasty. Results : In total 116 patients were found positive for Staphylococcus Aureus ; among those 110/116 patients were found positive for Methicillin-Sensitive Staphylococcus Aureus (MSSA) and 6/116 for MRSA. Only one patient out of six presented two risk factors according to MRSA risk factors. In this study, no correlation was found between the remaining conventional risk factors, according to Belgian guidelines, defined to target high-risk populations and to identify MRSA carriers. Conclusions : Established criteria for selective MRSA screening do not allow detecting MRSA carriers. The objective of detecting MRSA carriers is not correctly met by the actual applied criteria (Belgian consensus) for a selective screening policy. Future studies should aim at identifying the right risk factors, depending of the country’s prevalence of MRSA, to improve the ability to predict the risk of MRSA carriage at hospital admission. Permalink : ./index.php?lvl=notice_display&id=42343 [article] Selective Methicillin-Resistant Staphylococcus Aureus (MRSA) screening of a high risk population does not adequately detect MRSA carriers within a country with low MRSA prevalence [texte imprimé] / Solange de Wouters ; Jérémy Daxhelet ; Ludovic Kaminski . - 2015 . - p.620-628. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.81/4 (Décembre 2015) . - p.620-628 Résumé : Background : Methicillin-Resistant Staphylococcus Aureus (MRSA) has been widely recognized as a serious problem in hospital settings. The purpose of this study is to evaluate the predictive value of MRSA colonization factors in the detection of MRSA carriers in an orthopedic ward. Materials and Methods : A systematic MRSA detection strategy was set up to assess the predictive value of MRSA colonization factors among 554 patients undergoing elective knee arthroplasty. Results : In total 116 patients were found positive for Staphylococcus Aureus ; among those 110/116 patients were found positive for Methicillin-Sensitive Staphylococcus Aureus (MSSA) and 6/116 for MRSA. Only one patient out of six presented two risk factors according to MRSA risk factors. In this study, no correlation was found between the remaining conventional risk factors, according to Belgian guidelines, defined to target high-risk populations and to identify MRSA carriers. Conclusions : Established criteria for selective MRSA screening do not allow detecting MRSA carriers. The objective of detecting MRSA carriers is not correctly met by the actual applied criteria (Belgian consensus) for a selective screening policy. Future studies should aim at identifying the right risk factors, depending of the country’s prevalence of MRSA, to improve the ability to predict the risk of MRSA carriage at hospital admission. Permalink : ./index.php?lvl=notice_display&id=42343

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