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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 : |
Cementation of proximal femoral nails of the very elderly subject in per-trochanteric fractures |
| Type de document : |
texte imprimé |
| Auteurs : |
Sorya Plang ; Romain Dayan ; Frédéric Khami ; Clément Preneau ; Olivier Barbier ; Camille Choufani |
| Année de publication : |
2021 |
| Article en page(s) : |
p. 293-298 |
| Note générale : |
https://doi.org/10.52628/87.2.13 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
pertrochanteric fracture osteosynthesis surgery elderly |
| Résumé : |
The management of pertrochanteric fractures (PTF) in the very elderly relies on early verticalisation to limit complications of the decubitus and this requires stable osteosynthesis allowing immediate full support without risk of mechanical failure. The aim of the study was to analyse the value of cementing the cervicocephalic blade during osteosynthesis with a proximal femoral nail.
A prospective bicentric comparative study was con- ducted. Patients over 90 years of age with PTF were included. Centre A used a PFNA (Proximal Femoral Nail Antirotation) nail without blade cementing and Centre B used the same nail with blade cementing. The primary endpoint was the occurrence of disassembly of the osteosynthesis requiring revision surgery. Secondary endpoints were functional out- come (resumption of walking), postoperative pain and duration of surgery.
Sixty-four patients were included in Centre A and 23 patients were included in Centre B. Mean age, gender, functional abilities before fracture, fracture type and tip-apex distance were comparable between the groups. Postoperative pain and duration of surgery did not show significant differences between the groups. Four patients operated on with an uncemented PFNA (6.25%) and one patient operated on with a cemented PFNA nail (4.35%) showed early dismantling. The rate of patients returning to walking was significantly higher in the cemented group (p=0.00005).
No significant differences in the rate of dismantling were observed between the two groups. However, the group operated on with a cemented PFNA showed better functional recovery with a significantly higher rate of walking recovery. |
| Permalink : |
./index.php?lvl=notice_display&id=96635 |
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 293-298
[article] Cementation of proximal femoral nails of the very elderly subject in per-trochanteric fractures [texte imprimé] / Sorya Plang ; Romain Dayan ; Frédéric Khami ; Clément Preneau ; Olivier Barbier ; Camille Choufani . - 2021 . - p. 293-298. https://doi.org/10.52628/87.2.13 Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 293-298
| Mots-clés : |
pertrochanteric fracture osteosynthesis surgery elderly |
| Résumé : |
The management of pertrochanteric fractures (PTF) in the very elderly relies on early verticalisation to limit complications of the decubitus and this requires stable osteosynthesis allowing immediate full support without risk of mechanical failure. The aim of the study was to analyse the value of cementing the cervicocephalic blade during osteosynthesis with a proximal femoral nail.
A prospective bicentric comparative study was con- ducted. Patients over 90 years of age with PTF were included. Centre A used a PFNA (Proximal Femoral Nail Antirotation) nail without blade cementing and Centre B used the same nail with blade cementing. The primary endpoint was the occurrence of disassembly of the osteosynthesis requiring revision surgery. Secondary endpoints were functional out- come (resumption of walking), postoperative pain and duration of surgery.
Sixty-four patients were included in Centre A and 23 patients were included in Centre B. Mean age, gender, functional abilities before fracture, fracture type and tip-apex distance were comparable between the groups. Postoperative pain and duration of surgery did not show significant differences between the groups. Four patients operated on with an uncemented PFNA (6.25%) and one patient operated on with a cemented PFNA nail (4.35%) showed early dismantling. The rate of patients returning to walking was significantly higher in the cemented group (p=0.00005).
No significant differences in the rate of dismantling were observed between the two groups. However, the group operated on with a cemented PFNA showed better functional recovery with a significantly higher rate of walking recovery. |
| Permalink : |
./index.php?lvl=notice_display&id=96635 |
|
Exemplaires (1)
|
| Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place
Exclu du prêt |
[article]
| 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 |
in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 35-39
[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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Exemplaires
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 |
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