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Bienvenue sur le catalogue du centre de documentation du campus de Montignies.
Mention de date : Juin 2014
Paru le : 01/06/2014
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[article]
Titre : |
An Assessment Of The Readability And Quality Of Elective Orthopaedic Information On The Internet |
Type de document : |
texte imprimé |
Auteurs : |
Shane C. O'NEILL, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.153-160 |
Langues : |
Français (fre) |
Résumé : |
This study assessed the readability and quality of websites related to ; total hip replacement, total knee replacement and anterior cruciate ligament reconstruction using validated instruments. 225 websites were analyzed from Google, Yahoo and Bing. Readability was assessed using the Flesch Reading Ease Score and Flesch-Kincaid grade level. Quality was assessed using the LIDA tool, HON-code status and an original assessment tool. Only 13.7% were set at or below the recommended 6th grade readability level. 27.35% were HON-code certified. There was a wide variation in quality scores between websites and the information relating to the three procedures was inconsistent and generally of poor quality. Given the deficit in information it is important Orthopaedic surgeons provide patients with high quality, readable information or direct them to an appropriate source. |
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./index.php?lvl=notice_display&id=33541 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.153-160
[article] An Assessment Of The Readability And Quality Of Elective Orthopaedic Information On The Internet [texte imprimé] / Shane C. O'NEILL, Auteur . - 2014 . - p.153-160. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.153-160
Résumé : |
This study assessed the readability and quality of websites related to ; total hip replacement, total knee replacement and anterior cruciate ligament reconstruction using validated instruments. 225 websites were analyzed from Google, Yahoo and Bing. Readability was assessed using the Flesch Reading Ease Score and Flesch-Kincaid grade level. Quality was assessed using the LIDA tool, HON-code status and an original assessment tool. Only 13.7% were set at or below the recommended 6th grade readability level. 27.35% were HON-code certified. There was a wide variation in quality scores between websites and the information relating to the three procedures was inconsistent and generally of poor quality. Given the deficit in information it is important Orthopaedic surgeons provide patients with high quality, readable information or direct them to an appropriate source. |
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./index.php?lvl=notice_display&id=33541 |
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Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
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.161-165 |
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. |
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./index.php?lvl=notice_display&id=33543 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.161-165
[article] Online Radiographic Survey Of Midshaft Clavicular Fractures : No Consensus On Treatment For Displaced Fractures [texte imprimé] / Sylvia A. STEGEMAN, Auteur . - 2014 . - p.161-165. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.161-165
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. |
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./index.php?lvl=notice_display&id=33543 |
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Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Intra-Articular Shoulder Infiltrations. A Study Of Dutch And Flemish Shoulder Specialists. |
Type de document : |
texte imprimé |
Auteurs : |
Kristof SMEETS, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.166-171 |
Langues : |
Français (fre) |
Résumé : |
It has been demonstrated that the use of echography during intra-articular shoulder infiltrations provides superior results. The correct infiltration technique and the related (contra-) indications are still under discussion. The authors’ objective was to ascertain how intra-articular shoulder infiltrations are done in Holland and Flanders. An electronic questionnaire was answered by 35 members of the FLESSS (Flanders) and 30 members of the WSE (Nether lands) and was then processed statistically. Results : 21.54% of those questioned think they have sufficient experience with the use of echography during intra-articular infiltrations. 87.7% of the orthopaedists give a normal dose of corticoids to diabetes patients and more than 71% infiltrate when anticoagulants are used. Whereas 68.57% of the Flemish use posterior infiltration, 76.67% of the Dutch give an anterior injection. Conclusions : Echography is not used enough as an aid for intra-articular shoulder infiltrations. Neither diabetes mellitus nor anticoagulants are considered to be contra-indications. The Flemish shoulder specialists mainly administer posterior infiltration with methylprednisolone. The Dutch ortho-paedists mainly administer anterior infiltration with triamcinolone.
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./index.php?lvl=notice_display&id=33544 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.166-171
[article] Intra-Articular Shoulder Infiltrations. A Study Of Dutch And Flemish Shoulder Specialists. [texte imprimé] / Kristof SMEETS, Auteur . - 2014 . - p.166-171. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.166-171
Résumé : |
It has been demonstrated that the use of echography during intra-articular shoulder infiltrations provides superior results. The correct infiltration technique and the related (contra-) indications are still under discussion. The authors’ objective was to ascertain how intra-articular shoulder infiltrations are done in Holland and Flanders. An electronic questionnaire was answered by 35 members of the FLESSS (Flanders) and 30 members of the WSE (Nether lands) and was then processed statistically. Results : 21.54% of those questioned think they have sufficient experience with the use of echography during intra-articular infiltrations. 87.7% of the orthopaedists give a normal dose of corticoids to diabetes patients and more than 71% infiltrate when anticoagulants are used. Whereas 68.57% of the Flemish use posterior infiltration, 76.67% of the Dutch give an anterior injection. Conclusions : Echography is not used enough as an aid for intra-articular shoulder infiltrations. Neither diabetes mellitus nor anticoagulants are considered to be contra-indications. The Flemish shoulder specialists mainly administer posterior infiltration with methylprednisolone. The Dutch ortho-paedists mainly administer anterior infiltration with triamcinolone.
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./index.php?lvl=notice_display&id=33544 |
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Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Frozen Shoulder – Comparison Of Different Surgical Treatment Options |
Type de document : |
texte imprimé |
Auteurs : |
Marina WALTHER, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.172-177 |
Langues : |
Français (fre) |
Résumé : |
In this study data from 54 patients with persisting primary frozen shoulder were collected and evaluated retrospectively. All included patients underwent a specific kind of surgical treatment of the shoulder. three different surgical techniques were compared to each other. A group of 21 patients received a combination of arthroscopic capsular release and subacromial decompression. 18 patients were treated by subacromial decompression combined with mobilization under anesthesia and 15 patients underwent selective arthroscopic capsular release. We evaluated glenohumeral range of motion in every patient pre-and postoperatively. the investigated directions of motion were abduction, flexion and external rotation. the collected results were compared statistically. the mean follow-up of the treated patients was 37 weeks (range 11-52 weeks). All three surgical treatments improved the range of movement in every glenohumeral direction significantly. they achieved equal improvements in abduction and flexion. regarding external rotation selective arthroscopic capsular release revealed not significantly better results than the other two surgical treatments, but there was a trend towards significance (p-value 0.0694). this study showed that all performed surgical techniques improved ranges of movement in the glenohumeral joint in patients with persistent frozen shoulder. Arthroscopic capsular release, alone or with subacromial decompression, is a safe procedure and showed the best results postoperatively. In our opinion arthroscopic capsular release should be recommended as the first choice treatment in persistent frozen shoulder. |
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./index.php?lvl=notice_display&id=33545 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.172-177
[article] Frozen Shoulder – Comparison Of Different Surgical Treatment Options [texte imprimé] / Marina WALTHER, Auteur . - 2014 . - p.172-177. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.172-177
Résumé : |
In this study data from 54 patients with persisting primary frozen shoulder were collected and evaluated retrospectively. All included patients underwent a specific kind of surgical treatment of the shoulder. three different surgical techniques were compared to each other. A group of 21 patients received a combination of arthroscopic capsular release and subacromial decompression. 18 patients were treated by subacromial decompression combined with mobilization under anesthesia and 15 patients underwent selective arthroscopic capsular release. We evaluated glenohumeral range of motion in every patient pre-and postoperatively. the investigated directions of motion were abduction, flexion and external rotation. the collected results were compared statistically. the mean follow-up of the treated patients was 37 weeks (range 11-52 weeks). All three surgical treatments improved the range of movement in every glenohumeral direction significantly. they achieved equal improvements in abduction and flexion. regarding external rotation selective arthroscopic capsular release revealed not significantly better results than the other two surgical treatments, but there was a trend towards significance (p-value 0.0694). this study showed that all performed surgical techniques improved ranges of movement in the glenohumeral joint in patients with persistent frozen shoulder. Arthroscopic capsular release, alone or with subacromial decompression, is a safe procedure and showed the best results postoperatively. In our opinion arthroscopic capsular release should be recommended as the first choice treatment in persistent frozen shoulder. |
Permalink : |
./index.php?lvl=notice_display&id=33545 |
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Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Multistrand Titanium Cable For The Coracoclavicular Stabilization Of Acute Acromioclavicular Joint Dislocation |
Type de document : |
texte imprimé |
Auteurs : |
Tianwen YE, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.178-182 |
Langues : |
Français (fre) |
Résumé : |
The aim of this retrospective study was to evaluate the outcome of the surgical treatment of acute complete acromioclavicular (AC) joint dislocation with multistrand titanium cable for coracoclavicular (CC) stabilization. Forty-two patients with acute complete AC joint dislocation, Rockwood III, IV, V, were treated with CC stabilization using multistrand titanium cable. Thirty-nine patients could be evaluated after a mean follow-up period of 42 months (range, 34-60). The mean VAS score improved from 5.6 ± 1.5 to 0.4 ± 1.2 (p < 0.05). The mean Constant score from 64.8 ± 8.9 preoperatively to 95.3 ± 9.3 (p < 0.05). Radiographs showed anatomical reduction in 32 out of 39 patients. Cable breakage occurred in 2 patients. CC stabilization with multistrand titanium cables is an effective and safe alternative to other procedures. This procedure provides immediate joint stabilization and allows early mobilization with satisfying functional recovery. |
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./index.php?lvl=notice_display&id=33546 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.178-182
[article] Multistrand Titanium Cable For The Coracoclavicular Stabilization Of Acute Acromioclavicular Joint Dislocation [texte imprimé] / Tianwen YE, Auteur . - 2014 . - p.178-182. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.178-182
Résumé : |
The aim of this retrospective study was to evaluate the outcome of the surgical treatment of acute complete acromioclavicular (AC) joint dislocation with multistrand titanium cable for coracoclavicular (CC) stabilization. Forty-two patients with acute complete AC joint dislocation, Rockwood III, IV, V, were treated with CC stabilization using multistrand titanium cable. Thirty-nine patients could be evaluated after a mean follow-up period of 42 months (range, 34-60). The mean VAS score improved from 5.6 ± 1.5 to 0.4 ± 1.2 (p < 0.05). The mean Constant score from 64.8 ± 8.9 preoperatively to 95.3 ± 9.3 (p < 0.05). Radiographs showed anatomical reduction in 32 out of 39 patients. Cable breakage occurred in 2 patients. CC stabilization with multistrand titanium cables is an effective and safe alternative to other procedures. This procedure provides immediate joint stabilization and allows early mobilization with satisfying functional recovery. |
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./index.php?lvl=notice_display&id=33546 |
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Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
[article]
Titre : |
Functional Evaluation Of Unstable Distal Radius Fractures Treated With An Angle-Stable Volar T-Plate |
Type de document : |
texte imprimé |
Auteurs : |
Serge AYONG, Auteur |
Année de publication : |
2014 |
Article en page(s) : |
p.183-189 |
Langues : |
Français (fre) |
Résumé : |
Evaluation of the levels of function, disability and quality of life of 23 patients with an unstable fracture of the distal radius treated with an angle-stable volar T-plate. During the period from 24/10/2004 to 01/02/2006 we carried out a prospective study including 23 patients. The fractures were 23A22 (n = 5), 23C11 (n = 4), 23C12 (n = 4) and 23C13 (n = 6). Impairment, disability and quality of life were evaluated 6 months after the injury. The evaluation of impairment included assessment of mobility of the wrist, global hand strength, key pinch strength and sensibility. There was an average loss of 0.715 for the Zscore of the grip strength and 0.531 for the Z-score of the key pinch strength. For sensibility, there was no significant difference between the fractured side and the uninjured side. The radiographs demonstrated a correction of volar tilt from -11.2° to 4.9°, of ulnar inclination from 14.3° to 22.9°, of radial shift from 19.9 mm to 16.8 mm, of radial length from 5.7 mm to 11.2 mm and of the RUI from -1.9 mm to 0.6 mm. The global DASH score was 55.7. The level of pain was 1.3 on the VAS. The mental SF-12 score was 48.4 and the physical SF-12 score 46.4. Treatment of unstable distal radius fractures with volar fixed-angle plates without additional bone graft led to good reduction of the fractures without significant secondary displacement |
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./index.php?lvl=notice_display&id=33547 |
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.183-189
[article] Functional Evaluation Of Unstable Distal Radius Fractures Treated With An Angle-Stable Volar T-Plate [texte imprimé] / Serge AYONG, Auteur . - 2014 . - p.183-189. Langues : Français ( fre) in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.183-189
Résumé : |
Evaluation of the levels of function, disability and quality of life of 23 patients with an unstable fracture of the distal radius treated with an angle-stable volar T-plate. During the period from 24/10/2004 to 01/02/2006 we carried out a prospective study including 23 patients. The fractures were 23A22 (n = 5), 23C11 (n = 4), 23C12 (n = 4) and 23C13 (n = 6). Impairment, disability and quality of life were evaluated 6 months after the injury. The evaluation of impairment included assessment of mobility of the wrist, global hand strength, key pinch strength and sensibility. There was an average loss of 0.715 for the Zscore of the grip strength and 0.531 for the Z-score of the key pinch strength. For sensibility, there was no significant difference between the fractured side and the uninjured side. The radiographs demonstrated a correction of volar tilt from -11.2° to 4.9°, of ulnar inclination from 14.3° to 22.9°, of radial shift from 19.9 mm to 16.8 mm, of radial length from 5.7 mm to 11.2 mm and of the RUI from -1.9 mm to 0.6 mm. The global DASH score was 55.7. The level of pain was 1.3 on the VAS. The mental SF-12 score was 48.4 and the physical SF-12 score 46.4. Treatment of unstable distal radius fractures with volar fixed-angle plates without additional bone graft led to good reduction of the fractures without significant secondary displacement |
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