Dépouillements

Animal Models For Acquired Heterotopic Ossification / Joris ANTHONISSEN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.2-10 Titre : Animal Models For Acquired Heterotopic Ossification Type de document : texte imprimé Auteurs : Joris ANTHONISSEN, Auteur ; Christian OSSENDORF, Auteur ; Ulrike RITZ, Auteur ; A HOFFMAN, Auteur ; Pol MARIA ROMMENS, Auteur Année de publication : 2014 Article en page(s) : p.2-10 Langues : Français (fre) Résumé : Heterotopic ossification (HO), the ectopic formation of bone in soft tissues, is a relevant musculoskeletal disorder that, by reduction of range of motion, may lead to significant impairment of quality of live. HO can either be acquired or hereditary. Acquired HO is seen most often after hip prosthetic surgery and pelvic trauma. In contrast, hereditary HO is commonly observed in the axial skeleton, but can affect every joint. Substantial effort has been directed towards understanding the pathophysiology and towards finding both, effective prophylactic and therapeutic treatments. Every improvement of the understanding of the pathophysiologic changes underlying HO as well as the rationale of prophylactic and therapeutic­ treatment regimens in the end, is based on the study of appropriate animal models. Although intriguing models of ‘genetic‘ HO have been developed recently, their relevance to acquired HO remains questionable. As there is still neither proper treatment nor reliable prophylaxis, animal models will remain important in the study of HO. Currently, there are 6 different animal models regularly used for the study of acquired HO. Some of these models can reflect a merely particular part of the disease. Hence, selection of the appropriate animal model for the study of HO is exceedingly important. The present paper reviews the history and major features of the different animal models of acquired HO, and reveals some of the insights gained through the study of animal models?; important biochemical and pathophysiological key features are highlighted. Clinical studies have proved indo­metacine, celecoxib and radiation therapy to be effective in reducing the occurrence of HO, but not always be able to prevent it. Permalink : ./index.php?lvl=notice_display&id=33518 [article] Animal Models For Acquired Heterotopic Ossification [texte imprimé] / Joris ANTHONISSEN, Auteur ; Christian OSSENDORF, Auteur ; Ulrike RITZ, Auteur ; A HOFFMAN, Auteur ; Pol MARIA ROMMENS, Auteur . - 2014 . - p.2-10. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.2-10 Résumé : Heterotopic ossification (HO), the ectopic formation of bone in soft tissues, is a relevant musculoskeletal disorder that, by reduction of range of motion, may lead to significant impairment of quality of live. HO can either be acquired or hereditary. Acquired HO is seen most often after hip prosthetic surgery and pelvic trauma. In contrast, hereditary HO is commonly observed in the axial skeleton, but can affect every joint. Substantial effort has been directed towards understanding the pathophysiology and towards finding both, effective prophylactic and therapeutic treatments. Every improvement of the understanding of the pathophysiologic changes underlying HO as well as the rationale of prophylactic and therapeutic­ treatment regimens in the end, is based on the study of appropriate animal models. Although intriguing models of ‘genetic‘ HO have been developed recently, their relevance to acquired HO remains questionable. As there is still neither proper treatment nor reliable prophylaxis, animal models will remain important in the study of HO. Currently, there are 6 different animal models regularly used for the study of acquired HO. Some of these models can reflect a merely particular part of the disease. Hence, selection of the appropriate animal model for the study of HO is exceedingly important. The present paper reviews the history and major features of the different animal models of acquired HO, and reveals some of the insights gained through the study of animal models?; important biochemical and pathophysiological key features are highlighted. Clinical studies have proved indo­metacine, celecoxib and radiation therapy to be effective in reducing the occurrence of HO, but not always be able to prevent it. Permalink : ./index.php?lvl=notice_display&id=33518

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

The Impact Of Platelet-Rich Plasma On Chronic Synovitis In Hemophilia / Petr TEYSSLER in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.11-17 Titre : The Impact Of Platelet-Rich Plasma On Chronic Synovitis In Hemophilia Type de document : texte imprimé Auteurs : Petr TEYSSLER, Auteur ; Katarina KOLOSTOVA, Auteur ; Vladimir BOBEK, Auteur Année de publication : 2014 Article en page(s) : p.11-17 Langues : Français (fre) Résumé : Untreated chronic haemophiliac synovitis leads to the development of haemophilic arthropathy (HA) by affecting the metabolism of chondrocytes. Symptoms are progressive and often surgical intervention is required to prevent total loss of joint function. The focus of our study was to influence the chronic haemophiliac synovitis by means of autologous platelet-rich plasma (PRP) injection. Six patients with hemophilia (PWH), aged between 9 and 45 and manifesting chronic synovitis of the ankle joint on one or on both sides (8 joints in total) were included into the PRP-study. The patients were classified depending on their joint status using the Hemophilia Joint Health Score (HJHS) prior to and again two months after treatment. Three to five ml of PRP was injected into the joint cavity within 30 seconds. In all of the tested PWH pain relief has been reported subjectively by means of the HJHS and VAS scoring systems, comparing the pain intensity before PRP injection and two months after. The difference of pain perception has been found statistically significant for the VAS-scores. Considering the objective synovitis signs shown on MRI before and after PRP injection we recorded a decrease in the volume of free synovial fluid after PRP. All of the tested patients reported benefit of the PRP therapy. Permalink : ./index.php?lvl=notice_display&id=33519 [article] The Impact Of Platelet-Rich Plasma On Chronic Synovitis In Hemophilia [texte imprimé] / Petr TEYSSLER, Auteur ; Katarina KOLOSTOVA, Auteur ; Vladimir BOBEK, Auteur . - 2014 . - p.11-17. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.11-17 Résumé : Untreated chronic haemophiliac synovitis leads to the development of haemophilic arthropathy (HA) by affecting the metabolism of chondrocytes. Symptoms are progressive and often surgical intervention is required to prevent total loss of joint function. The focus of our study was to influence the chronic haemophiliac synovitis by means of autologous platelet-rich plasma (PRP) injection. Six patients with hemophilia (PWH), aged between 9 and 45 and manifesting chronic synovitis of the ankle joint on one or on both sides (8 joints in total) were included into the PRP-study. The patients were classified depending on their joint status using the Hemophilia Joint Health Score (HJHS) prior to and again two months after treatment. Three to five ml of PRP was injected into the joint cavity within 30 seconds. In all of the tested PWH pain relief has been reported subjectively by means of the HJHS and VAS scoring systems, comparing the pain intensity before PRP injection and two months after. The difference of pain perception has been found statistically significant for the VAS-scores. Considering the objective synovitis signs shown on MRI before and after PRP injection we recorded a decrease in the volume of free synovial fluid after PRP. All of the tested patients reported benefit of the PRP therapy. Permalink : ./index.php?lvl=notice_display&id=33519

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

The Significance Of Interleukin-6 And Lactate In The Synovial Fluid For Diagnosing Native Septic Arthritis / Marcus LENSKI in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.18-25 Titre : The Significance Of Interleukin-6 And Lactate In The Synovial Fluid For Diagnosing Native Septic Arthritis Type de document : texte imprimé Auteurs : Marcus LENSKI, Auteur ; Michael A. SCHERER, Auteur Année de publication : 2014 Article en page(s) : p.18-25 Langues : Français (fre) Résumé : Aim of this study was to evaluate the role of synovial interleukin-6 and synovial lactate for predicting native septic arthritis. We analyzed retrospectively synovial fluid parameters (interleukin-6, total-protein, glucose, lactate, synovial-fluid-white-blood-cell-count) of 62 patients with culture-verified native septic arthritis and compared them to 57 patients with acute aseptic arthritis. Receiver-Operating-Characteristic-curves were calculated to determine the ‘Area-under-the-curves’ (AUC), the best thresholds and the corresponding likelihood-ratios. The best parameter for diagnosing septic arthritis was synovial lactate (AUC = 0.864, sensitivity = 74.5%, specificity = 87.2%), followed by synovial interleukin-6 (AUC = 0.803, sensitivity = 92.5%, specifi­city = 64.1%) and the synovial-fluid-white-blood-cell-count (AUC = 0.782, sensitivity = 71.2%, specificity = 84.9%). Synovial lactate levels above 10 mmol/l almost proofed septic arthritis (interval-Likelihood-Ratio = 20.4), synovial interleukin-6 levels lower than 7000 pg/ml almost ruled out infection (interval-Likelihood-Ratio = 0.12). If none of these thresholds are met, physicians should estimate disease probability by the simultaneous use of the interval-Likelihood-Ratios of synovial lactate, synovial interleukin-6 and synovial-fluid-white-blood-cell-count. Permalink : ./index.php?lvl=notice_display&id=33520 [article] The Significance Of Interleukin-6 And Lactate In The Synovial Fluid For Diagnosing Native Septic Arthritis [texte imprimé] / Marcus LENSKI, Auteur ; Michael A. SCHERER, Auteur . - 2014 . - p.18-25. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.18-25 Résumé : Aim of this study was to evaluate the role of synovial interleukin-6 and synovial lactate for predicting native septic arthritis. We analyzed retrospectively synovial fluid parameters (interleukin-6, total-protein, glucose, lactate, synovial-fluid-white-blood-cell-count) of 62 patients with culture-verified native septic arthritis and compared them to 57 patients with acute aseptic arthritis. Receiver-Operating-Characteristic-curves were calculated to determine the ‘Area-under-the-curves’ (AUC), the best thresholds and the corresponding likelihood-ratios. The best parameter for diagnosing septic arthritis was synovial lactate (AUC = 0.864, sensitivity = 74.5%, specificity = 87.2%), followed by synovial interleukin-6 (AUC = 0.803, sensitivity = 92.5%, specifi­city = 64.1%) and the synovial-fluid-white-blood-cell-count (AUC = 0.782, sensitivity = 71.2%, specificity = 84.9%). Synovial lactate levels above 10 mmol/l almost proofed septic arthritis (interval-Likelihood-Ratio = 20.4), synovial interleukin-6 levels lower than 7000 pg/ml almost ruled out infection (interval-Likelihood-Ratio = 0.12). If none of these thresholds are met, physicians should estimate disease probability by the simultaneous use of the interval-Likelihood-Ratios of synovial lactate, synovial interleukin-6 and synovial-fluid-white-blood-cell-count. Permalink : ./index.php?lvl=notice_display&id=33520

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Does The Wedge Wing In The Neck Screw Prevent Cut-Out Failure In OTA/AO 31-A2 Trochanteric Fractures In Elderly Patients? / Cuneyd GUNEY in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.26-33 Titre : Does The Wedge Wing In The Neck Screw Prevent Cut-Out Failure In OTA/AO 31-A2 Trochanteric Fractures In Elderly Patients? Type de document : texte imprimé Auteurs : Cuneyd GUNEY, Auteur Année de publication : 2014 Article en page(s) : p.26-33 Langues : Français (fre) Résumé : The purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eighty-seven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of follow-up was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device. Permalink : ./index.php?lvl=notice_display&id=33521 [article] Does The Wedge Wing In The Neck Screw Prevent Cut-Out Failure In OTA/AO 31-A2 Trochanteric Fractures In Elderly Patients? [texte imprimé] / Cuneyd GUNEY, Auteur . - 2014 . - p.26-33. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.26-33 Résumé : The purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eighty-seven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of follow-up was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device. Permalink : ./index.php?lvl=notice_display&id=33521

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Risk Factors Associated With The Early Failure Of Cannulated Hip Screws / Robert W. Jordan in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.34-38 Titre : Risk Factors Associated With The Early Failure Of Cannulated Hip Screws Type de document : texte imprimé Auteurs : Robert W. Jordan, Auteur Année de publication : 2014 Article en page(s) : p.34-38 Langues : Français (fre) Résumé : Aim : We report our experience with cannulated hip screws and analyse the risk factors associated with their early failure. Materials and methods : All patients undergoing cannulated hip screws at a single UK Major Trauma Centre between November 2009 and November 2011 were retrospectively identified. Radiographs were ana­lysed for fracture displacement, successful reduction, and screw configuration. Risk factors predicting early failure, defined as re-operation within 6 months, were identified using logistic regression models. Results : 340 patients were included in the study, 70% were female and the mean age was 81 years. After six months 23% patients had undergone revision surgery. Initial fracture displacement (p = 0.02) and unsuccessful lateral reduction (p = 0.04) were significant predictors of early failure. Conclusion : Initial fracture displacement and successful fracture reduction are the most important factors­ related to the risk of early re-operation. We found no evidence that screw configuration is an important predictor of outcome. Permalink : ./index.php?lvl=notice_display&id=33522 [article] Risk Factors Associated With The Early Failure Of Cannulated Hip Screws [texte imprimé] / Robert W. Jordan, Auteur . - 2014 . - p.34-38. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.34-38 Résumé : Aim : We report our experience with cannulated hip screws and analyse the risk factors associated with their early failure. Materials and methods : All patients undergoing cannulated hip screws at a single UK Major Trauma Centre between November 2009 and November 2011 were retrospectively identified. Radiographs were ana­lysed for fracture displacement, successful reduction, and screw configuration. Risk factors predicting early failure, defined as re-operation within 6 months, were identified using logistic regression models. Results : 340 patients were included in the study, 70% were female and the mean age was 81 years. After six months 23% patients had undergone revision surgery. Initial fracture displacement (p = 0.02) and unsuccessful lateral reduction (p = 0.04) were significant predictors of early failure. Conclusion : Initial fracture displacement and successful fracture reduction are the most important factors­ related to the risk of early re-operation. We found no evidence that screw configuration is an important predictor of outcome. Permalink : ./index.php?lvl=notice_display&id=33522

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Results Of The Learning Curve For Interventional Hip Arthroscopy?: A Prospective Study / Richard A. BODEN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.39-44 Titre : Results Of The Learning Curve For Interventional Hip Arthroscopy?: A Prospective Study Type de document : texte imprimé Auteurs : Richard A. BODEN, Auteur Année de publication : 2014 Article en page(s) : p.39-44 Langues : Français (fre) Résumé : This prospective study aims to explore hip arthros­copy, outcome and the effect of the learning curve. Using the non-arthritic hip score preoperatively and postoperatively in 120 patients with an average 23-month follow-up, a median improvement of 16 points was seen at 6 months (p < 0.0001, Wilcoxon’s signed ranks) remaining at 2 years (15, p < 0.05). Dividing patients into consecutive chronological groups of 40, the learning curve was explored. At six-months scores improved by 12 (p < 0.05) in first 40, 15 (p < 0.0001) in second and 20 (p < 0.0001) in third. A reduction in THR (22.5%, 5%, 2.5%) and revision rates (10%, 7.5%, 0) was seen. An increase in cumulative per­centage satisfaction (defined as minimum 10 points increase) was seen from 20th (45%) to 100th procedure (65%). Results significantly improve as experience increases, possibly due to improved surgical skill, preoperative workup or improved understanding of operative indications. Permalink : ./index.php?lvl=notice_display&id=33523 [article] Results Of The Learning Curve For Interventional Hip Arthroscopy?: A Prospective Study [texte imprimé] / Richard A. BODEN, Auteur . - 2014 . - p.39-44. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.39-44 Résumé : This prospective study aims to explore hip arthros­copy, outcome and the effect of the learning curve. Using the non-arthritic hip score preoperatively and postoperatively in 120 patients with an average 23-month follow-up, a median improvement of 16 points was seen at 6 months (p < 0.0001, Wilcoxon’s signed ranks) remaining at 2 years (15, p < 0.05). Dividing patients into consecutive chronological groups of 40, the learning curve was explored. At six-months scores improved by 12 (p < 0.05) in first 40, 15 (p < 0.0001) in second and 20 (p < 0.0001) in third. A reduction in THR (22.5%, 5%, 2.5%) and revision rates (10%, 7.5%, 0) was seen. An increase in cumulative per­centage satisfaction (defined as minimum 10 points increase) was seen from 20th (45%) to 100th procedure (65%). Results significantly improve as experience increases, possibly due to improved surgical skill, preoperative workup or improved understanding of operative indications. Permalink : ./index.php?lvl=notice_display&id=33523

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

High Prevalence Of Anterolateral Ligament Abnormalities In Magnetic Resonance Images Of Anterior Cruciate Ligament-Injured Knees / Steven Claes in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.45-49 Titre : High Prevalence Of Anterolateral Ligament Abnormalities In Magnetic Resonance Images Of Anterior Cruciate Ligament-Injured Knees Type de document : texte imprimé Auteurs : Steven Claes, Auteur Année de publication : 2014 Article en page(s) : p.45-49 Langues : Français (fre) Résumé : The purpose of this study was to identify the newly described anterolateral ligament of the human knee on magnetic resonance imaging and to describe its eventual radiological abnormalities in anterior cruciate ligament-injured subjects. A retrospective cohort study on a series of consecutive subjects undergoing anterior cruciate ligament reconstructive surgery was performed. The MR images of 206 included knees were studied and the status of the anterolateral ligament status was judged to be either “non-visualized”, “normal” or “abnormal”. Of all the visualized anterolateral ligaments, 44 (21.3%) were considered uninjured, while 162 (78.8%) knees demonstrated radiological ALL abnormalities. The majority of ALL abnormalities were situated in the distal part of the ligament (77.8%). In conclusion, the anterolateral ligament can be identified on classic knee magnetic resonance images. Although anterior cruciate ligament injured subjects often demonstrated associated anterolateral ligament lesions, further research is needed in order to establish the clinical relevance of these highly frequent radiological abnormalities. Permalink : ./index.php?lvl=notice_display&id=33524 [article] High Prevalence Of Anterolateral Ligament Abnormalities In Magnetic Resonance Images Of Anterior Cruciate Ligament-Injured Knees [texte imprimé] / Steven Claes, Auteur . - 2014 . - p.45-49. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.45-49 Résumé : The purpose of this study was to identify the newly described anterolateral ligament of the human knee on magnetic resonance imaging and to describe its eventual radiological abnormalities in anterior cruciate ligament-injured subjects. A retrospective cohort study on a series of consecutive subjects undergoing anterior cruciate ligament reconstructive surgery was performed. The MR images of 206 included knees were studied and the status of the anterolateral ligament status was judged to be either “non-visualized”, “normal” or “abnormal”. Of all the visualized anterolateral ligaments, 44 (21.3%) were considered uninjured, while 162 (78.8%) knees demonstrated radiological ALL abnormalities. The majority of ALL abnormalities were situated in the distal part of the ligament (77.8%). In conclusion, the anterolateral ligament can be identified on classic knee magnetic resonance images. Although anterior cruciate ligament injured subjects often demonstrated associated anterolateral ligament lesions, further research is needed in order to establish the clinical relevance of these highly frequent radiological abnormalities. Permalink : ./index.php?lvl=notice_display&id=33524

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Vascularized Fibular Transfer In Longstanding And Infected Large Bone Defects / Trung-Hau LÊ THUA in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.50-55 Titre : Vascularized Fibular Transfer In Longstanding And Infected Large Bone Defects Type de document : texte imprimé Auteurs : Trung-Hau LÊ THUA, Auteur Année de publication : 2014 Article en page(s) : p.50-55 Langues : Français (fre) Résumé : The reconstruction of large bone defects in the infectious environment is still a big challenge for limb salvage because of disturbance in bacterial flora, bacterial resistance and limitation of blood supply at scarred tissue. This retrospective study was to evaluate long-term outcomes in patients who were performed vascularized fibular transfers for treatment of large bone defects in the infectious environment. The review included 26 patients with an average age of 27 years old. Bone defects were located at the arm in 1 patient, the forearm in 2 patients, the thigh in 6 patients and the leg in 17 patients. The cause of the bone defects included high-energy trauma in 14 cases, chronic osteomyelitis in 7 cases, infected non-union in 5 cases. All patients had had several previous operative procedures. The average length of fibular vascularized graft was 16.6 cm (range, 10-22 cm), and the average size of the associated fasciocutaneous component in 16 patients was 3.6 × 8.5 cm. Three patients had partial necrosis of skin paddle. Three patients, who were stabilized by screw and external fixator, had an infection at the distal part of the fibular graft and pin tracts. 25 fibular grafts (96%) showed complete bone union. This review has showed that the vascularized fibular transfer can be effective for management of large segmental bone defects in the infectious environment. Permalink : ./index.php?lvl=notice_display&id=33525 [article] Vascularized Fibular Transfer In Longstanding And Infected Large Bone Defects [texte imprimé] / Trung-Hau LÊ THUA, Auteur . - 2014 . - p.50-55. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.50-55 Résumé : The reconstruction of large bone defects in the infectious environment is still a big challenge for limb salvage because of disturbance in bacterial flora, bacterial resistance and limitation of blood supply at scarred tissue. This retrospective study was to evaluate long-term outcomes in patients who were performed vascularized fibular transfers for treatment of large bone defects in the infectious environment. The review included 26 patients with an average age of 27 years old. Bone defects were located at the arm in 1 patient, the forearm in 2 patients, the thigh in 6 patients and the leg in 17 patients. The cause of the bone defects included high-energy trauma in 14 cases, chronic osteomyelitis in 7 cases, infected non-union in 5 cases. All patients had had several previous operative procedures. The average length of fibular vascularized graft was 16.6 cm (range, 10-22 cm), and the average size of the associated fasciocutaneous component in 16 patients was 3.6 × 8.5 cm. Three patients had partial necrosis of skin paddle. Three patients, who were stabilized by screw and external fixator, had an infection at the distal part of the fibular graft and pin tracts. 25 fibular grafts (96%) showed complete bone union. This review has showed that the vascularized fibular transfer can be effective for management of large segmental bone defects in the infectious environment. Permalink : ./index.php?lvl=notice_display&id=33525

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Salter Pelvic Osteotomy In The Treatment Of Legg-Calve-Perthes Disease?: The Medium Term Results / M. Bulut in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.56-62 Titre : Salter Pelvic Osteotomy In The Treatment Of Legg-Calve-Perthes Disease?: The Medium Term Results Type de document : texte imprimé Auteurs : M. Bulut, Auteur Année de publication : 2014 Article en page(s) : p.56-62 Langues : Français (fre) Résumé : In this study, clinical and radiological results were evaluated in patients with Legg-Calve-Perthes disease treated with Salter pelvic osteotomy. Between 2004 and 2008, 16 patients underwent a Salter osteotomy as treatment for Legg-Calve-Perthes disease (15 male, 1 female ; 10 right hip, 6 left hip). The mean age at the time of surgery was 8.1 ± 1.4 (range : 6 to 10) years. Surgical indications were : age between 6-10 years at the onset of the disease ; Herring classification type B, B/C, or C ; and at least one risk sign. 6-8 year old patients were classified as group I and 9-10 year olds were classified as group II. We investigated the effects of age and Herring classification on radiological outcomes. The final radiographic evaluation according to the Stulberg classification showed nine hips (56.25%) classified as good (Stulberg I/II), five (31.25%) as fair (Stulberg III) ; and two (12.5%) as poor (Stulberg IV). In group I, 7 patients (70%) had good results, while only 2 (33.3%) in group II. The results in group I were statistically better than group II (p < 0.05). Based on the Herring lateral pillar type, of the 12 patients classified as B or B/C, at final follow-up, 8 (66.6%) had a good outcome (Stulberg I/II), whereas in the four patients classified as type C, only one (25%) had a good outcome. The Salter pelvic osteotomy is an effective method of surgical treatment for Legg-Cave-Perthes in patients between 6-8 years of age. Permalink : ./index.php?lvl=notice_display&id=33526 [article] Salter Pelvic Osteotomy In The Treatment Of Legg-Calve-Perthes Disease?: The Medium Term Results [texte imprimé] / M. Bulut, Auteur . - 2014 . - p.56-62. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.56-62 Résumé : In this study, clinical and radiological results were evaluated in patients with Legg-Calve-Perthes disease treated with Salter pelvic osteotomy. Between 2004 and 2008, 16 patients underwent a Salter osteotomy as treatment for Legg-Calve-Perthes disease (15 male, 1 female ; 10 right hip, 6 left hip). The mean age at the time of surgery was 8.1 ± 1.4 (range : 6 to 10) years. Surgical indications were : age between 6-10 years at the onset of the disease ; Herring classification type B, B/C, or C ; and at least one risk sign. 6-8 year old patients were classified as group I and 9-10 year olds were classified as group II. We investigated the effects of age and Herring classification on radiological outcomes. The final radiographic evaluation according to the Stulberg classification showed nine hips (56.25%) classified as good (Stulberg I/II), five (31.25%) as fair (Stulberg III) ; and two (12.5%) as poor (Stulberg IV). In group I, 7 patients (70%) had good results, while only 2 (33.3%) in group II. The results in group I were statistically better than group II (p < 0.05). Based on the Herring lateral pillar type, of the 12 patients classified as B or B/C, at final follow-up, 8 (66.6%) had a good outcome (Stulberg I/II), whereas in the four patients classified as type C, only one (25%) had a good outcome. The Salter pelvic osteotomy is an effective method of surgical treatment for Legg-Cave-Perthes in patients between 6-8 years of age. Permalink : ./index.php?lvl=notice_display&id=33526

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Femoral Fractures In Infants?: A Comparison Of Bryant Traction And Modified Pavlik Harness / Chao Nan WANG in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.63-68 Titre : Femoral Fractures In Infants?: A Comparison Of Bryant Traction And Modified Pavlik Harness Type de document : texte imprimé Auteurs : Chao Nan WANG, Auteur Année de publication : 2014 Article en page(s) : p.63-68 Langues : Français (fre) Résumé : Bryant traction is a commonly used method for femoral shaft fractures in children, but many disadvantages have been reported. Pavlik harness with exact clinical effect and fewer complications has gained increasing popularity in resent years. The objective of this study was to evaluate and compare modified Pavlik harness with Bryant traction for infant with a femoral shaft fracture. A retrospective study was performed of 38 infants treated with either modified Pavlik Harness or Bryant traction. All fractures were closed, isolated, and diaphyseal. We analyzed operative and radiographic data, complications, hospital charges, and functional outcome. Twenty-one patients, with a mean age of 5.9 months, were treated with modified Pavlik harnesses. Seventeen infants, with a mean age of 6.3 months, were treated with Bryant tractions. All fractures united within 3-5 weeks. The two cohorts were similar with respect to age, weight, and fracture union time. Four of the seventeen children treated with Bryant tractions had a skin complication that needed second intervention. No similar complications occurred in the modified Pavlik group (p = 0.03). There was a significant difference in hospital stay (modified Pavlik harness 1.4 days versus Bryant traction 17.8 days) and hospital charge (modified Pavlik harness 3209 Yuan versus Bryant traction 3759 Yuan) (p < 0.001). At one year visit, no difference existed between the two groups for standard clinical/functional criteria. There were no malunion, nonunion, or rotational deformities. Nor were there any significant limb length discrepancies, residual angular deformities. Permalink : ./index.php?lvl=notice_display&id=33527 [article] Femoral Fractures In Infants?: A Comparison Of Bryant Traction And Modified Pavlik Harness [texte imprimé] / Chao Nan WANG, Auteur . - 2014 . - p.63-68. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.63-68 Résumé : Bryant traction is a commonly used method for femoral shaft fractures in children, but many disadvantages have been reported. Pavlik harness with exact clinical effect and fewer complications has gained increasing popularity in resent years. The objective of this study was to evaluate and compare modified Pavlik harness with Bryant traction for infant with a femoral shaft fracture. A retrospective study was performed of 38 infants treated with either modified Pavlik Harness or Bryant traction. All fractures were closed, isolated, and diaphyseal. We analyzed operative and radiographic data, complications, hospital charges, and functional outcome. Twenty-one patients, with a mean age of 5.9 months, were treated with modified Pavlik harnesses. Seventeen infants, with a mean age of 6.3 months, were treated with Bryant tractions. All fractures united within 3-5 weeks. The two cohorts were similar with respect to age, weight, and fracture union time. Four of the seventeen children treated with Bryant tractions had a skin complication that needed second intervention. No similar complications occurred in the modified Pavlik group (p = 0.03). There was a significant difference in hospital stay (modified Pavlik harness 1.4 days versus Bryant traction 17.8 days) and hospital charge (modified Pavlik harness 3209 Yuan versus Bryant traction 3759 Yuan) (p < 0.001). At one year visit, no difference existed between the two groups for standard clinical/functional criteria. There were no malunion, nonunion, or rotational deformities. Nor were there any significant limb length discrepancies, residual angular deformities. Permalink : ./index.php?lvl=notice_display&id=33527

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Randomized Controlled Trial Comparing Stabilization Of Fresh Close Femoral Shaft Fractures In Children With Titanium Elastic Nail System Versus Stainless Steel Elastic Nail System / Naveen GOYAL in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.69-75 Titre : Randomized Controlled Trial Comparing Stabilization Of Fresh Close Femoral Shaft Fractures In Children With Titanium Elastic Nail System Versus Stainless Steel Elastic Nail System Type de document : texte imprimé Auteurs : Naveen GOYAL, Auteur Année de publication : 2014 Article en page(s) : p.69-75 Langues : Français (fre) Résumé : In vitro mechanical studies have demonstrated equal or superior fixation of pediatric femoral fractures with use of titanium elastic nails (TENS) as compared with stainless steel elastic nails (SSEN). SSEN are less expensive as compared to TENS. However, there are only two studies in the English literature which have compared the results of TENS and SSEN in paediatric femoral shaft fracture. The present study compares the clinical and radiological outcomes of femoral shaft fracture in patients 6-12 years of age, operatively stabilised either by TENS or SSEN. 35 children (6-12 years) with closed, post traumatic femoral shaft fractures were randomized into two treatment groups. Both groups underwent closed reduction internal fixation (CRIF) by either of the implants (TENS OR SSENS) as per randomization protocol and followed up for six months. Comparison of clinical and radiological outcomes in both the groups was done in terms of time to union of fracture and radiological angulations in coronal and sagittal plane. There was no significant difference in both groups with respect to fracture site tenderness and presence of bridging callus at fracture site at 3 weeks, 6 weeks and 6 months follow up (p-value = 1.000). There was no significant difference in radiological angulation rate in both groups in the sagittal (p-value = 0.661) as well as in the coronal plane (p-value = 0.219) at six month follow up. Both groups showed a similar rate of complication, most common being prominent hardware. TENS and SSENS are equally effective treatment modalities for paediatric femoral shaft fracture with similar rate of complications. However, SSENS is less costly as compared to TENS and can be considered as an alternative in a resource constrained setup. Permalink : ./index.php?lvl=notice_display&id=33528 [article] Randomized Controlled Trial Comparing Stabilization Of Fresh Close Femoral Shaft Fractures In Children With Titanium Elastic Nail System Versus Stainless Steel Elastic Nail System [texte imprimé] / Naveen GOYAL, Auteur . - 2014 . - p.69-75. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.69-75 Résumé : In vitro mechanical studies have demonstrated equal or superior fixation of pediatric femoral fractures with use of titanium elastic nails (TENS) as compared with stainless steel elastic nails (SSEN). SSEN are less expensive as compared to TENS. However, there are only two studies in the English literature which have compared the results of TENS and SSEN in paediatric femoral shaft fracture. The present study compares the clinical and radiological outcomes of femoral shaft fracture in patients 6-12 years of age, operatively stabilised either by TENS or SSEN. 35 children (6-12 years) with closed, post traumatic femoral shaft fractures were randomized into two treatment groups. Both groups underwent closed reduction internal fixation (CRIF) by either of the implants (TENS OR SSENS) as per randomization protocol and followed up for six months. Comparison of clinical and radiological outcomes in both the groups was done in terms of time to union of fracture and radiological angulations in coronal and sagittal plane. There was no significant difference in both groups with respect to fracture site tenderness and presence of bridging callus at fracture site at 3 weeks, 6 weeks and 6 months follow up (p-value = 1.000). There was no significant difference in radiological angulation rate in both groups in the sagittal (p-value = 0.661) as well as in the coronal plane (p-value = 0.219) at six month follow up. Both groups showed a similar rate of complication, most common being prominent hardware. TENS and SSENS are equally effective treatment modalities for paediatric femoral shaft fracture with similar rate of complications. However, SSENS is less costly as compared to TENS and can be considered as an alternative in a resource constrained setup. Permalink : ./index.php?lvl=notice_display&id=33528

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

How Safe Is Titanium Elastic Nail Application In The SurgicalTreatment Of Tibia Fractures In Children?? / Emine OZKUL in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.79-81 Titre : How Safe Is Titanium Elastic Nail Application In The SurgicalTreatment Of Tibia Fractures In Children?? Type de document : texte imprimé Auteurs : Emine OZKUL, Auteur Année de publication : 2014 Article en page(s) : p.79-81 Langues : Français (fre) Résumé : Tibia fractures in children are generally treated successfully by conservative means. The aim of this study was to evaluate the efficacy and safety of fixation using Titanium elastic nails (TEN) in pediatric tibia fractures in which conservative measures failed or were deemed inapplicable. In this study, 30 patients who had tibia fractures and were fixated with TEN between 2007 and 2011 were analyzed retrospectively. The procedure was performed after poly-trauma in six patients, open fracture in seven, reduction loss in twelve, and unsuccessful closed reduction in five patients. The number of girls and boys was 3 and 27, respectively, with a mean age of 9.8 years. The evaluation criteria of Flynn et al. were used in the analysis of the results. The mean follow-up period was 18 months. The mean period of union was 8 weeks and 14 weeks in closed and open fractures, respectively. Epiphyseal damage, rotational deformity, need for reintervention, deep infection, implant failure, or recurrent fracture was not observed in any case. According to the Flynn evaluation system, 23 cases were evaluated as excellent, and 7 as good. Fixation with TEN is an easy, effective, and safe method that can be used in tibia fractures that are open, irreducible, or with loss of reduction and in cases with accompanying trauma, such as floating knee. Permalink : ./index.php?lvl=notice_display&id=33529 [article] How Safe Is Titanium Elastic Nail Application In The SurgicalTreatment Of Tibia Fractures In Children?? [texte imprimé] / Emine OZKUL, Auteur . - 2014 . - p.79-81. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.79-81 Résumé : Tibia fractures in children are generally treated successfully by conservative means. The aim of this study was to evaluate the efficacy and safety of fixation using Titanium elastic nails (TEN) in pediatric tibia fractures in which conservative measures failed or were deemed inapplicable. In this study, 30 patients who had tibia fractures and were fixated with TEN between 2007 and 2011 were analyzed retrospectively. The procedure was performed after poly-trauma in six patients, open fracture in seven, reduction loss in twelve, and unsuccessful closed reduction in five patients. The number of girls and boys was 3 and 27, respectively, with a mean age of 9.8 years. The evaluation criteria of Flynn et al. were used in the analysis of the results. The mean follow-up period was 18 months. The mean period of union was 8 weeks and 14 weeks in closed and open fractures, respectively. Epiphyseal damage, rotational deformity, need for reintervention, deep infection, implant failure, or recurrent fracture was not observed in any case. According to the Flynn evaluation system, 23 cases were evaluated as excellent, and 7 as good. Fixation with TEN is an easy, effective, and safe method that can be used in tibia fractures that are open, irreducible, or with loss of reduction and in cases with accompanying trauma, such as floating knee. Permalink : ./index.php?lvl=notice_display&id=33529

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Online Radiographic Survey Of Midshaft Clavicular Fractures?: No Consensus On Treatment For Displaced Fractures / Sylvia A. STEGEMAN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.82-87 Titre : Online Radiographic Survey Of Midshaft Clavicular Fractures?: No Consensus On Treatment For Displaced Fractures Type de document : texte imprimé Auteurs : Sylvia A. STEGEMAN, Auteur Année de publication : 2014 Article en page(s) : p.82-87 Langues : Français (fre) Résumé : The choice of treatment for midshaft clavicular fractures is not straightforward, but depends on fracture characteristics such as comminution, angulation and displacement. An online survey was conducted amongst trauma and orthopaedic surgeons to determine the preferred treatment for midshaft clavicular fractures, based on anteroposterior radiographs, for 17 randomly selected displaced or comminuted midshaft clavicular fractures. The background and experience of the respondents were documented. Data were analyzed using a Generalized Estimating Equations (GEE) model. The 102 respondents preferred non-operative treatment more frequently for displaced fractures than for comminuted fractures (OR 3.24, 95% CI 2.55-4.12). Locking plate fixation was more often preferred over other surgical modalities for comminuted than for displaced fractures (OR 1.50, 95% CI 1.17-1.91). In clinical practice, there is no consensus between surgeons on the choice of treatment for displaced or comminuted midshaft clavicular fractures. This lack of agreement calls for evidence-based treatment guidelines for these fractures. Permalink : ./index.php?lvl=notice_display&id=33530 [article] Online Radiographic Survey Of Midshaft Clavicular Fractures?: No Consensus On Treatment For Displaced Fractures [texte imprimé] / Sylvia A. STEGEMAN, Auteur . - 2014 . - p.82-87. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.82-87 Résumé : The choice of treatment for midshaft clavicular fractures is not straightforward, but depends on fracture characteristics such as comminution, angulation and displacement. An online survey was conducted amongst trauma and orthopaedic surgeons to determine the preferred treatment for midshaft clavicular fractures, based on anteroposterior radiographs, for 17 randomly selected displaced or comminuted midshaft clavicular fractures. The background and experience of the respondents were documented. Data were analyzed using a Generalized Estimating Equations (GEE) model. The 102 respondents preferred non-operative treatment more frequently for displaced fractures than for comminuted fractures (OR 3.24, 95% CI 2.55-4.12). Locking plate fixation was more often preferred over other surgical modalities for comminuted than for displaced fractures (OR 1.50, 95% CI 1.17-1.91). In clinical practice, there is no consensus between surgeons on the choice of treatment for displaced or comminuted midshaft clavicular fractures. This lack of agreement calls for evidence-based treatment guidelines for these fractures. Permalink : ./index.php?lvl=notice_display&id=33530

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Glenoid Fractures?: A Review Of Pathology, Classification, Treatment And Results / Dirk P.H. VAN OOSTVEEN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.88-98 Titre : Glenoid Fractures?: A Review Of Pathology, Classification, Treatment And Results Type de document : texte imprimé Auteurs : Dirk P.H. VAN OOSTVEEN, Auteur Année de publication : 2014 Article en page(s) : p.88-98 Langues : Français (fre) Résumé : Glenoid fractures are rare, and relatively little is known about their mechanism, fracture pattern and optimal treatment strategies. The avulsions and rim fractures are strongly associated with anterior shoulder dislocations. Fossa fractures are mostly seen in high energy trauma patients as direct impact of the humeral head against the glenoid fossa. CT-scanning can be very useful in diagnosing the extend of injury and relation of humeral head with the main fragment of the glenoid. Fracture classification systems, have been designed mainly based on trauma mechanism, location and severity of fracture pattern. Treatment depends on instability, the degree of displacement and the articular surface fragment size, but is conservative in most cases. Due to the increase of arthroscopic fixation possibilities, operative treatment may increase. In this review, we have tried to summarize the available evidence into a treatment algorithm for different types of glenoid fractures. With regard to best functional outcome, an anatomical and concentric joint restoration should be the goal of treatment. Outcome is generally good in conservative and operative treatment, but exact data is difficult to appreciate, due to heterogeneity and comorbidities in different studies. Permalink : ./index.php?lvl=notice_display&id=33531 [article] Glenoid Fractures?: A Review Of Pathology, Classification, Treatment And Results [texte imprimé] / Dirk P.H. VAN OOSTVEEN, Auteur . - 2014 . - p.88-98. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.88-98 Résumé : Glenoid fractures are rare, and relatively little is known about their mechanism, fracture pattern and optimal treatment strategies. The avulsions and rim fractures are strongly associated with anterior shoulder dislocations. Fossa fractures are mostly seen in high energy trauma patients as direct impact of the humeral head against the glenoid fossa. CT-scanning can be very useful in diagnosing the extend of injury and relation of humeral head with the main fragment of the glenoid. Fracture classification systems, have been designed mainly based on trauma mechanism, location and severity of fracture pattern. Treatment depends on instability, the degree of displacement and the articular surface fragment size, but is conservative in most cases. Due to the increase of arthroscopic fixation possibilities, operative treatment may increase. In this review, we have tried to summarize the available evidence into a treatment algorithm for different types of glenoid fractures. With regard to best functional outcome, an anatomical and concentric joint restoration should be the goal of treatment. Outcome is generally good in conservative and operative treatment, but exact data is difficult to appreciate, due to heterogeneity and comorbidities in different studies. Permalink : ./index.php?lvl=notice_display&id=33531

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Reverse Shoulder Arthroplasty For The Treatment Of Three And Four Part Fractures Of The Proximal Humerus In Patients Older Than 75 Years Old / Aristotelis KAISIDIS in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.99-105 Titre : Reverse Shoulder Arthroplasty For The Treatment Of Three And Four Part Fractures Of The Proximal Humerus In Patients Older Than 75 Years Old Type de document : texte imprimé Auteurs : Aristotelis KAISIDIS, Auteur Année de publication : 2014 Article en page(s) : p.99-105 Langues : Français (fre) Résumé : Reverse shoulder arthroplasty is an attractive alternative option in treating three- or four-part fractures of the proximal humerus. The main goal of the current study was to evaluate the functional and radiographic results after primary reverse shoulder arthroplasty of three- or four-part fractures of the proximal humerus in patients older than 75 years old. Between 2008 and 2010, 29 consecutive patients with a three- or four-part fracture of the proximal humerus undergoing a reversed shoulder prosthesis were included. There were 16 women and 13 men, with a mean age of 81 years (range 78 to 85). The dominant arm was involved in 18 patients (62%). All of the operations were carried out within 10 days of the injury. The patients were followed up for a mean of 26 months (range 10 to 36). The mean postoperative Constant-Murley score at the end of the follow-up period for each patient (age- and gender-matched) was 73.3% (range 58 to 92%). The mean Constant score was 75% in the group of patients with fixation of the tuberosities and 72.3% in the patients with no fixation of the tuberosities (p = 0.06). There was no significant difference in Constant score between patients who were operated by the fifth day after the fracture and patients who had an operation between the sixth and tenth day after the injury (Constant score of 74% and 71%, respectively, p = 0.07). Complications occurred in 12 patients. One patient sustained a fracture of the acromion intraoperatively. Four patients (13.8%) developed heterotopic ossification. One had a non-traumatic anterior dislocation due to wrong retroversion of the glenoid component. Scapular notching was observed in six shoulders (20.6%). Permalink : ./index.php?lvl=notice_display&id=33532 [article] Reverse Shoulder Arthroplasty For The Treatment Of Three And Four Part Fractures Of The Proximal Humerus In Patients Older Than 75 Years Old [texte imprimé] / Aristotelis KAISIDIS, Auteur . - 2014 . - p.99-105. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.99-105 Résumé : Reverse shoulder arthroplasty is an attractive alternative option in treating three- or four-part fractures of the proximal humerus. The main goal of the current study was to evaluate the functional and radiographic results after primary reverse shoulder arthroplasty of three- or four-part fractures of the proximal humerus in patients older than 75 years old. Between 2008 and 2010, 29 consecutive patients with a three- or four-part fracture of the proximal humerus undergoing a reversed shoulder prosthesis were included. There were 16 women and 13 men, with a mean age of 81 years (range 78 to 85). The dominant arm was involved in 18 patients (62%). All of the operations were carried out within 10 days of the injury. The patients were followed up for a mean of 26 months (range 10 to 36). The mean postoperative Constant-Murley score at the end of the follow-up period for each patient (age- and gender-matched) was 73.3% (range 58 to 92%). The mean Constant score was 75% in the group of patients with fixation of the tuberosities and 72.3% in the patients with no fixation of the tuberosities (p = 0.06). There was no significant difference in Constant score between patients who were operated by the fifth day after the fracture and patients who had an operation between the sixth and tenth day after the injury (Constant score of 74% and 71%, respectively, p = 0.07). Complications occurred in 12 patients. One patient sustained a fracture of the acromion intraoperatively. Four patients (13.8%) developed heterotopic ossification. One had a non-traumatic anterior dislocation due to wrong retroversion of the glenoid component. Scapular notching was observed in six shoulders (20.6%). Permalink : ./index.php?lvl=notice_display&id=33532

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures / Benedikt SCHLIEMANN in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.106-111 Titre : Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures Type de document : texte imprimé Auteurs : Benedikt SCHLIEMANN, Auteur Année de publication : 2014 Article en page(s) : p.106-111 Langues : Français (fre) Résumé : Aim of the present study was to compare the clinical and radiographic outcome of tension band wiring and precontoured locking compression plate fixation in patients treated surgically for an isolated olecranon fractures type IIA according to the Mayo classification. Of 26 patients presenting with an isolated Mayo type IIA olecranon fracture, 13 underwent fixation with a precontoured locking compression plate (group A), 13 patients were treated with tension band wiring (group B). At a mean follow-up of 43 months, patients were clinically and radiographically re-examined using the DASH score, the Mayo Elbow Performance score (MEPS) and anteroposterior and lateral radiographs. The mean DASH score was 14 points in group A and 12.5 points in group B. Regarding the MEPS, 92% of the patients in group A achieved a good to excellent results in comparison to 77% in group B. No significant differences between the two groups could be detected regarding the clinical and radiographic outcome. Implant-related irritations requiring hardware removal occurred more frequently in group B (12 vs. 7). Procedure and implant related costs were significantly higher in group A. Tension band wiring is still a preferable surgical method to treat simple isolated olecranon fractures. The patient must be informed that in all likelihood implant removal will be required once the fracture has healed. Fixation with precontoured locking compression plates does not provide better functional and radiographic outcome but is more expensive than tension band wiring. Permalink : ./index.php?lvl=notice_display&id=33533 [article] Comparison Of Tension Band Wiring And Precontoured Locking Compression Plate Fixation In Mayo Type IIA Olecranon Fractures [texte imprimé] / Benedikt SCHLIEMANN, Auteur . - 2014 . - p.106-111. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.106-111 Résumé : Aim of the present study was to compare the clinical and radiographic outcome of tension band wiring and precontoured locking compression plate fixation in patients treated surgically for an isolated olecranon fractures type IIA according to the Mayo classification. Of 26 patients presenting with an isolated Mayo type IIA olecranon fracture, 13 underwent fixation with a precontoured locking compression plate (group A), 13 patients were treated with tension band wiring (group B). At a mean follow-up of 43 months, patients were clinically and radiographically re-examined using the DASH score, the Mayo Elbow Performance score (MEPS) and anteroposterior and lateral radiographs. The mean DASH score was 14 points in group A and 12.5 points in group B. Regarding the MEPS, 92% of the patients in group A achieved a good to excellent results in comparison to 77% in group B. No significant differences between the two groups could be detected regarding the clinical and radiographic outcome. Implant-related irritations requiring hardware removal occurred more frequently in group B (12 vs. 7). Procedure and implant related costs were significantly higher in group A. Tension band wiring is still a preferable surgical method to treat simple isolated olecranon fractures. The patient must be informed that in all likelihood implant removal will be required once the fracture has healed. Fixation with precontoured locking compression plates does not provide better functional and radiographic outcome but is more expensive than tension band wiring. Permalink : ./index.php?lvl=notice_display&id=33533

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Which Measure Should Be Used To Assess The Patient’s Functional Outcome After Distal Radius Fracture?? / Sanjay GUPTA in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.116-118 Titre : Which Measure Should Be Used To Assess The Patient’s Functional Outcome After Distal Radius Fracture?? Type de document : texte imprimé Auteurs : Sanjay GUPTA, Auteur Année de publication : 2014 Article en page(s) : p.116-118 Langues : Français (fre) Note de contenu : The Disability of the Arm, Shoulder and Hand (DASH) and the Patient-Rated Wrist Evaluation (PRWE) scores appear most frequently in the literature when assessing functional outcome after distal radius fracture. We aimed to evaluate if the two questionnaires correlate. We reviewed 258 cases of adults who sustained a distal radius fracture over a one year period. At mean follow-up of 17 months the disability of the arm, shoulder and hand (DASH) and the patient-rated wrist evaluation (PRWE) scores were recorded. The outcome scores for each group were not statistically different (DASH p = 0.86, PRWE p = 0.80). The results of both questionnaires correlated strongly (Spearman’s coefficient = 0.90). As the DASH score is potentially influenced by concomitant upper limb problems we suggest that the specific patient rated wrist evaluation (PRWE) be the sole instrument for assessing the functional outcome of distal radius fractures. This will reduce questionnaire fatigue and standardise the literature. Permalink : ./index.php?lvl=notice_display&id=33535 [article] Which Measure Should Be Used To Assess The Patient’s Functional Outcome After Distal Radius Fracture?? [texte imprimé] / Sanjay GUPTA, Auteur . - 2014 . - p.116-118. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.116-118 Note de contenu : The Disability of the Arm, Shoulder and Hand (DASH) and the Patient-Rated Wrist Evaluation (PRWE) scores appear most frequently in the literature when assessing functional outcome after distal radius fracture. We aimed to evaluate if the two questionnaires correlate. We reviewed 258 cases of adults who sustained a distal radius fracture over a one year period. At mean follow-up of 17 months the disability of the arm, shoulder and hand (DASH) and the patient-rated wrist evaluation (PRWE) scores were recorded. The outcome scores for each group were not statistically different (DASH p = 0.86, PRWE p = 0.80). The results of both questionnaires correlated strongly (Spearman’s coefficient = 0.90). As the DASH score is potentially influenced by concomitant upper limb problems we suggest that the specific patient rated wrist evaluation (PRWE) be the sole instrument for assessing the functional outcome of distal radius fractures. This will reduce questionnaire fatigue and standardise the literature. Permalink : ./index.php?lvl=notice_display&id=33535

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Comparison Of Proximal Turndown Of Central Slip Combined With Suture Of Lateral Bands Versus Free Tendon Grafting For Central Slip Reconstruction After An Open Finger Injury / Ying LI in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.119-125 Titre : Comparison Of Proximal Turndown Of Central Slip Combined With Suture Of Lateral Bands Versus Free Tendon Grafting For Central Slip Reconstruction After An Open Finger Injury Type de document : texte imprimé Auteurs : Ying LI, Auteur Année de publication : 2014 Article en page(s) : p.119-125 Langues : Français (fre) Résumé : We randomized patients with open finger injury and central slip insertion defects into a proximal turndown group (final n = 28) and a palmaris longus tendon graft group (final n = 20). In the proximal turndown group, the dorsal central slip of the extensor tendon in the proximal phalanx was split, leaving it attached distally. We turned the strip from proximal to distal and fixed it using the distal joint capsule of the proximal interphalangeal joint as the distal insertion of reconstruction, and the extended central slips were then fixed to the middle phalanx. The dorsal traumatic central slip was stitched with lateral bands using 2-0 suture to form a new conjoint tendon. The injured central slip in the comparison group was sutured using autogenous palmaris longus tendon and fixed in drilled holes in the middle phalanx. Outcomes assessment was performed according toDargan’s criteria during postoperative follow-up. Motion range in the proximal turndown group was significantly greater than in the graft group (p < 0.05). We observed no boutonniere deformity in both the proximal turndown and graft group. Permalink : ./index.php?lvl=notice_display&id=33536 [article] Comparison Of Proximal Turndown Of Central Slip Combined With Suture Of Lateral Bands Versus Free Tendon Grafting For Central Slip Reconstruction After An Open Finger Injury [texte imprimé] / Ying LI, Auteur . - 2014 . - p.119-125. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.119-125 Résumé : We randomized patients with open finger injury and central slip insertion defects into a proximal turndown group (final n = 28) and a palmaris longus tendon graft group (final n = 20). In the proximal turndown group, the dorsal central slip of the extensor tendon in the proximal phalanx was split, leaving it attached distally. We turned the strip from proximal to distal and fixed it using the distal joint capsule of the proximal interphalangeal joint as the distal insertion of reconstruction, and the extended central slips were then fixed to the middle phalanx. The dorsal traumatic central slip was stitched with lateral bands using 2-0 suture to form a new conjoint tendon. The injured central slip in the comparison group was sutured using autogenous palmaris longus tendon and fixed in drilled holes in the middle phalanx. Outcomes assessment was performed according toDargan’s criteria during postoperative follow-up. Motion range in the proximal turndown group was significantly greater than in the graft group (p < 0.05). We observed no boutonniere deformity in both the proximal turndown and graft group. Permalink : ./index.php?lvl=notice_display&id=33536

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Successful NBCA Embolization Of A T2 Aneurysmal Bone Cyst / Andreas F. Mavrogenis in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.126-131 Titre : Successful NBCA Embolization Of A T2 Aneurysmal Bone Cyst Type de document : texte imprimé Auteurs : Andreas F. Mavrogenis, Auteur Année de publication : 2014 Article en page(s) : p.126-131 Langues : Français (fre) Résumé : Surgically accessible aneurysmal bone cysts (ABC) have traditionally been treated with curettage. Selective arterial embolization was initially proposed as a preoperative adjuvant to reduce peroperative bleeding. Currently, the role of embolization has been extended to the definitive treatment of aneurysmal bone cyst of the spine in children, as well as to other locations in the skeleton. The authors describe the technique in a 15-year-old girl with a T2 aneurysmal bone cyst. Digital subtraction angiography was performed for tumor vascular mapping, followed by selective arterial embolization with N-butyl 2 cyanoacrylate (NBCA). Because of persistent local pain, repeat embolization was done at 8 months. Pain relief and progressive ossification of the lesion were now observed. At 4-year follow-up, the patient was asymptomatic, with complete ossification of the lesion. Selective arterial embolization (SAE) is a minimally invasive, safe and effective procedure for the permanent occlusion of the pathological feeding vessels of spinal ABC. It should be considered as the treatment of choice for lesions difficult to access with surgery, especially in young patients. Careful pre-embolization vascular mapping of the lesion, operator’s experience and use of NBCA are the keys to success. Permalink : ./index.php?lvl=notice_display&id=33537 [article] Successful NBCA Embolization Of A T2 Aneurysmal Bone Cyst [texte imprimé] / Andreas F. Mavrogenis, Auteur . - 2014 . - p.126-131. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.126-131 Résumé : Surgically accessible aneurysmal bone cysts (ABC) have traditionally been treated with curettage. Selective arterial embolization was initially proposed as a preoperative adjuvant to reduce peroperative bleeding. Currently, the role of embolization has been extended to the definitive treatment of aneurysmal bone cyst of the spine in children, as well as to other locations in the skeleton. The authors describe the technique in a 15-year-old girl with a T2 aneurysmal bone cyst. Digital subtraction angiography was performed for tumor vascular mapping, followed by selective arterial embolization with N-butyl 2 cyanoacrylate (NBCA). Because of persistent local pain, repeat embolization was done at 8 months. Pain relief and progressive ossification of the lesion were now observed. At 4-year follow-up, the patient was asymptomatic, with complete ossification of the lesion. Selective arterial embolization (SAE) is a minimally invasive, safe and effective procedure for the permanent occlusion of the pathological feeding vessels of spinal ABC. It should be considered as the treatment of choice for lesions difficult to access with surgery, especially in young patients. Careful pre-embolization vascular mapping of the lesion, operator’s experience and use of NBCA are the keys to success. Permalink : ./index.php?lvl=notice_display&id=33537

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Three-Dimensional Virtual Reality Simulation Of Periarticular Tumors Using Dextroscope Reconstruction And Simulated Surgery?: A Preliminary 10 Case Study / Jingsheng SHI in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.132-138 Titre : Three-Dimensional Virtual Reality Simulation Of Periarticular Tumors Using Dextroscope Reconstruction And Simulated Surgery?: A Preliminary 10 Case Study Type de document : texte imprimé Auteurs : Jingsheng SHI, Auteur Année de publication : 2014 Article en page(s) : p.132-138 Langues : Français (fre) Résumé : Dextroscope® three-dimensional (3D) imaging has been extensively applied for generation of virtual reality (VR) workspaces for in neurosurgery and laparoscopy, though few applications in orthopedic surgery have been reported. Patients undergoing surgery for periarticular tumors (n = 10) from Oct. 2008 to Jun. 2010 were enrolled and presurgically subjected to computed tomography (CT), magnetic resonance imaging (MRI), and MRI angiography (MRI-A). Imaging data was transferred and integrated in Dextroscope, producing a VR simulation. Resultant presurgical 3D anatomical reconstructions and intraoperative anatomical characteristics (virtual vs. actual data) and surgical approach (virtual vs. actual situation) measurement and subjective appearance were compared. Anatomical characteristics in the area of interest and tumor diameters were consistent between virtual and actual data. However, the virtual surgical situations remained inconsistent with the actual intraoperative situation in many cases, leading to complications. The resolution of original CT, MRI, and MRI-A images directly correlated with the quality of 3D simulations, with soft tissues most poorly represented. Tumor tissue imaging quality in 3D varied extensively by tumor type. Conclusions : Anatomical structures of periarticular tumors can be reconstructed using the Dextroscope system with good accuracy in the case of simple fenestration, increasing individualization of treatment, surgical competence level, and potentially reducing intraoperative complications. However, further specialization of VR tools for use in orthopedic applications that involve specialized tools and procedures, such as drilling and implant placement, are urgently required. Permalink : ./index.php?lvl=notice_display&id=33538 [article] Three-Dimensional Virtual Reality Simulation Of Periarticular Tumors Using Dextroscope Reconstruction And Simulated Surgery?: A Preliminary 10 Case Study [texte imprimé] / Jingsheng SHI, Auteur . - 2014 . - p.132-138. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.132-138 Résumé : Dextroscope® three-dimensional (3D) imaging has been extensively applied for generation of virtual reality (VR) workspaces for in neurosurgery and laparoscopy, though few applications in orthopedic surgery have been reported. Patients undergoing surgery for periarticular tumors (n = 10) from Oct. 2008 to Jun. 2010 were enrolled and presurgically subjected to computed tomography (CT), magnetic resonance imaging (MRI), and MRI angiography (MRI-A). Imaging data was transferred and integrated in Dextroscope, producing a VR simulation. Resultant presurgical 3D anatomical reconstructions and intraoperative anatomical characteristics (virtual vs. actual data) and surgical approach (virtual vs. actual situation) measurement and subjective appearance were compared. Anatomical characteristics in the area of interest and tumor diameters were consistent between virtual and actual data. However, the virtual surgical situations remained inconsistent with the actual intraoperative situation in many cases, leading to complications. The resolution of original CT, MRI, and MRI-A images directly correlated with the quality of 3D simulations, with soft tissues most poorly represented. Tumor tissue imaging quality in 3D varied extensively by tumor type. Conclusions : Anatomical structures of periarticular tumors can be reconstructed using the Dextroscope system with good accuracy in the case of simple fenestration, increasing individualization of treatment, surgical competence level, and potentially reducing intraoperative complications. However, further specialization of VR tools for use in orthopedic applications that involve specialized tools and procedures, such as drilling and implant placement, are urgently required. Permalink : ./index.php?lvl=notice_display&id=33538

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Solitary Bone Metastases Of Unknown Origin / Nesrine UGRAS in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.139-143 Titre : Solitary Bone Metastases Of Unknown Origin Type de document : texte imprimé Auteurs : Nesrine UGRAS, Auteur Année de publication : 2014 Article en page(s) : p.139-143 Langues : Français (fre) Résumé : Patients with a newly detected solitary bone metastasis and no history of cancer need extensive diagnostic testing. One hundred and twenty biopsy samples of patients with metastatic bone disease were referred to the authors’ pathology department between June 2005 and December 2012. Thirty-three (27,5%) of these patients with a solitary metastasis of unknown origin, and without visceral metastases, were studied retrospectively. Most metastases were found in the spine (14/33 or 42.4%), or in the pelvis (7/33 or 21.2%). The lung was the most common primary site, but this is not universal in the literature. A useful flowchart for the clinician, confronted with a bone metastasis from an unknown primary site, is the following, according to the literature : history and physical examination, biochemistry with tumor markers and immunoelectrophoresis, chest radiograph, CT-scan of chest and abdomen, and bone scan. Permalink : ./index.php?lvl=notice_display&id=33539 [article] Solitary Bone Metastases Of Unknown Origin [texte imprimé] / Nesrine UGRAS, Auteur . - 2014 . - p.139-143. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.139-143 Résumé : Patients with a newly detected solitary bone metastasis and no history of cancer need extensive diagnostic testing. One hundred and twenty biopsy samples of patients with metastatic bone disease were referred to the authors’ pathology department between June 2005 and December 2012. Thirty-three (27,5%) of these patients with a solitary metastasis of unknown origin, and without visceral metastases, were studied retrospectively. Most metastases were found in the spine (14/33 or 42.4%), or in the pelvis (7/33 or 21.2%). The lung was the most common primary site, but this is not universal in the literature. A useful flowchart for the clinician, confronted with a bone metastasis from an unknown primary site, is the following, according to the literature : history and physical examination, biochemistry with tumor markers and immunoelectrophoresis, chest radiograph, CT-scan of chest and abdomen, and bone scan. Permalink : ./index.php?lvl=notice_display&id=33539

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur / Shai SHEMESH in Acta Orthopaedica Belgica, Vol 80/1 (Mars 2014)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.144-150 Titre : Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur Type de document : texte imprimé Auteurs : Shai SHEMESH, Auteur Année de publication : 2014 Article en page(s) : p.144-150 Langues : Français (fre) Résumé : Metastases in the proximal femur and in the femoral diaphysis are usually treated with either cephalo­medullary or intramedullary nailing. The benefit of curettage and augmentation of the nail with methyl methacrylate remains controversial. The authors retrospectively studied the outcomes with cephalo­medullary and intramedullary nailing without curettage and methyl-methacrylate augmentation for lytic metastases of the proximal/diaphyseal femur. Twenty-one complete (11) or impending (10) pathological fractures in 19 consecutive patients were treated between January 2006 and August 2013. There were 11 women and 8 men. Their mean age was 62 years (range, 38 to 87). All patients received adjuvant chemotherapy or radiotherapy.The average postsurgical survival was 9.7 months (range 1-36 months). A single deep infection was débrided. Seventeen out of 19 patients were ambulatory, with or without a walking aid. No implant failure was noted. In other words, patients succumbed to the disease prior to hardware failure. Femoral nail insertion without curettage and cement augmentation provided satisfactory stabilization of proximal and diaphyseal femur fractures, impending or complete, even when there was massive bone destruction. Permalink : ./index.php?lvl=notice_display&id=33540 [article] Intramedullary Nailing Without Curettage And Cement Augmentation For The Treatment Of Impending And Complete Pathological Fractures Of The Proximal Or Midshaft Femur [texte imprimé] / Shai SHEMESH, Auteur . - 2014 . - p.144-150. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol 80/1 (Mars 2014) . - p.144-150 Résumé : Metastases in the proximal femur and in the femoral diaphysis are usually treated with either cephalo­medullary or intramedullary nailing. The benefit of curettage and augmentation of the nail with methyl methacrylate remains controversial. The authors retrospectively studied the outcomes with cephalo­medullary and intramedullary nailing without curettage and methyl-methacrylate augmentation for lytic metastases of the proximal/diaphyseal femur. Twenty-one complete (11) or impending (10) pathological fractures in 19 consecutive patients were treated between January 2006 and August 2013. There were 11 women and 8 men. Their mean age was 62 years (range, 38 to 87). All patients received adjuvant chemotherapy or radiotherapy.The average postsurgical survival was 9.7 months (range 1-36 months). A single deep infection was débrided. Seventeen out of 19 patients were ambulatory, with or without a walking aid. No implant failure was noted. In other words, patients succumbed to the disease prior to hardware failure. Femoral nail insertion without curettage and cement augmentation provided satisfactory stabilization of proximal and diaphyseal femur fractures, impending or complete, even when there was massive bone destruction. Permalink : ./index.php?lvl=notice_display&id=33540

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt