10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes / Jan Peter Van Meirhaeghe in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 169-181 Titre : 10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes Type de document : texte imprimé Auteurs : Jan Peter Van Meirhaeghe Année de publication : 2019 Article en page(s) : p. 169-181 Langues : Anglais (eng) Mots-clés : Hernie : Sport  Douleur à l'aine  Nesovic  Libération d'adducteurs  Résultats sur 10 ans Résumé : The authors present a 10-year review of the postoperative bilateral release of the adductor brevis and gracilis muscles combined with a bilateral abdominal myo-fascio-plasty according to Nesovic for groin pain in competitive athletes. We present the 10 years results of 33 patients operated on between April 2002 and May 2006 diagnosed with a “sports hernia”. The injury was treated with a bilateral abdominal procedure according to Nesovic combined with a bilateral adductor release after unsuccessful conservative treatment of at least 2 months. There were 32 male patients between 18 and 43 years and one female patient aged 25 years with a mean age of 28.8 at time of surgery. All procedures were bilateral. Patients were seen in the postoperative clinic and a questionnaire was collected after 2 years and 10 years. Within 16 weeks, 30 patients (90,9 %) returned to the same or a higher level of sports activities. 10 years after surgery 31 patients (93,9%) remained free of pain. 1 patient has minor pain after training (VAS 0-1) and only 1 patient still experiences pain (VAS ≥ 5) after heavy work. 13 patients (39,3%) are still performing sports today, and 19 of 20 patients (95%, 57% of total cohort) were pain free to the end of their sporting careers. The bilateral Nesovic procedure with bilateral adductor release has a high success rate for the competitive athlete with chronic groin pain. It also is a procedure that gave most athletes suffering from a certain type of groin pain a solution till the end of their sporting careers. Permalink : ./index.php?lvl=notice_display&id=92182 [article] 10-year results of the Nesovic procedure combined with adductor release for groin pain in 33 competitive athletes [texte imprimé] / Jan Peter Van Meirhaeghe . - 2019 . - p. 169-181. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 169-181 Mots-clés : Hernie : Sport  Douleur à l'aine  Nesovic  Libération d'adducteurs  Résultats sur 10 ans Résumé : The authors present a 10-year review of the postoperative bilateral release of the adductor brevis and gracilis muscles combined with a bilateral abdominal myo-fascio-plasty according to Nesovic for groin pain in competitive athletes. We present the 10 years results of 33 patients operated on between April 2002 and May 2006 diagnosed with a “sports hernia”. The injury was treated with a bilateral abdominal procedure according to Nesovic combined with a bilateral adductor release after unsuccessful conservative treatment of at least 2 months. There were 32 male patients between 18 and 43 years and one female patient aged 25 years with a mean age of 28.8 at time of surgery. All procedures were bilateral. Patients were seen in the postoperative clinic and a questionnaire was collected after 2 years and 10 years. Within 16 weeks, 30 patients (90,9 %) returned to the same or a higher level of sports activities. 10 years after surgery 31 patients (93,9%) remained free of pain. 1 patient has minor pain after training (VAS 0-1) and only 1 patient still experiences pain (VAS ≥ 5) after heavy work. 13 patients (39,3%) are still performing sports today, and 19 of 20 patients (95%, 57% of total cohort) were pain free to the end of their sporting careers. The bilateral Nesovic procedure with bilateral adductor release has a high success rate for the competitive athlete with chronic groin pain. It also is a procedure that gave most athletes suffering from a certain type of groin pain a solution till the end of their sporting careers. Permalink : ./index.php?lvl=notice_display&id=92182

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Fracture risk during extraction of well-fixed extended cementless stems : porous versus hydroxyapatite coated / Frederik Matthys in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 41-45 Titre : Fracture risk during extraction of well-fixed extended cementless stems : porous versus hydroxyapatite coated Type de document : texte imprimé Auteurs : Frederik Matthys ; Jan Peter Van Meirhaeghe ; Christophe Pattyn Année de publication : 2021 Article en page(s) : p. 41-45 Note générale : https://doi.org/10.52628/87.1.06 Langues : Anglais (eng) Mots-clés : Hydroxyapatite coating  porous coated  fracture risk  revision surgery  hip replacement  Harris hip score Résumé : The concern of extensive fracturing and bone damage during implant removal has been reported for ingrowing stems, in particular in extended porous coated stems, potentially impeding successful re- implantation of a femoral revision implant and con- sequently debilitating patients for life. The aim of the present study is to describe this par- ticular complication and comparing the occurrence in porous coated and hydroxyapatite (HA) coated femoral implants. 62 consecutive revision hip replacements were per- formed between January 2010 and December 2016 at a single academic institution. Only revisions of a primary total hip replacement were included. All surgeries were performed by the same senior surgeon. Clinical follow-up involved examination with the Harris hip score (HHS) at 2 years post surgical intervention. Fracture occurrence and severity were compared between groups by means of the Vancouver classification for intraoperative fractures. Overall, significant higher rates of fracturing were observed in the porous coated group (81.8%, p<0.05) compared to the HA coated group (43.5%, p<0.05). Of these fractures, the majority (72,7%) were B3 fractures. There was a significant difference between the mean HHS in the porous-coated group versus the group with HA coating (mean Harris Hip Scores of 68,45 vs 86,17, p = .004). Surgeons have to be wary with implanting porous coated stems in primary hip arthroplasty, especially in younger patients who have a high likelihood of future revision surgery, due to the catastrophic peri- operative fractures associated with the removal of these stems. Permalink : ./index.php?lvl=notice_display&id=96575 [article] Fracture risk during extraction of well-fixed extended cementless stems : porous versus hydroxyapatite coated [texte imprimé] / Frederik Matthys ; Jan Peter Van Meirhaeghe ; Christophe Pattyn . - 2021 . - p. 41-45. https://doi.org/10.52628/87.1.06 Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 41-45 Mots-clés : Hydroxyapatite coating  porous coated  fracture risk  revision surgery  hip replacement  Harris hip score Résumé : The concern of extensive fracturing and bone damage during implant removal has been reported for ingrowing stems, in particular in extended porous coated stems, potentially impeding successful re- implantation of a femoral revision implant and con- sequently debilitating patients for life. The aim of the present study is to describe this par- ticular complication and comparing the occurrence in porous coated and hydroxyapatite (HA) coated femoral implants. 62 consecutive revision hip replacements were per- formed between January 2010 and December 2016 at a single academic institution. Only revisions of a primary total hip replacement were included. All surgeries were performed by the same senior surgeon. Clinical follow-up involved examination with the Harris hip score (HHS) at 2 years post surgical intervention. Fracture occurrence and severity were compared between groups by means of the Vancouver classification for intraoperative fractures. Overall, significant higher rates of fracturing were observed in the porous coated group (81.8%, p<0.05) compared to the HA coated group (43.5%, p<0.05). Of these fractures, the majority (72,7%) were B3 fractures. There was a significant difference between the mean HHS in the porous-coated group versus the group with HA coating (mean Harris Hip Scores of 68,45 vs 86,17, p = .004). Surgeons have to be wary with implanting porous coated stems in primary hip arthroplasty, especially in younger patients who have a high likelihood of future revision surgery, due to the catastrophic peri- operative fractures associated with the removal of these stems. Permalink : ./index.php?lvl=notice_display&id=96575

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