Dépouillements

Arthroscopy in knee osteoarthritis : a systematic review of the literature / Timothy Barlow in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 1-8 Titre : Arthroscopy in knee osteoarthritis : a systematic review of the literature Type de document : texte imprimé Auteurs : Timothy Barlow, Auteur ; Christopher Downham, Auteur ; Damian Griffin, Auteur Année de publication : 2015 Article en page(s) : p. 1-8 Langues : Anglais (eng) Mots-clés : Knee osteoarthritis  Arthroscopy Résumé : Knee arthroscopy has historically been a common treatment for knee osteoarthritis. A Cochrane review of the literature up to 2006 has resulted in guidance that arthroscopy is not effective in knee osteoarthritis. It cited that deficiencies in the evidence base prevented widespread acceptance of the recommendations. The aim of this review is to update the evidence base for the efficacy of arthroscopy in knee osteoarthritis. The authors searched CINHAL, EMBASE, MEDLINE, and CENTRAL for randomised controlled trials that compared arthroscopic surgery in knee osteoarthritis with a control group (e.g. lavage, best medical care). The primary outcome measure was patient reported functional outcome. The study methodology was registered on Prospero, a systematic review register ; Registration number CRD42012002891. Five randomised controlled trials included 516 patients, almost double the 271 episodes contained in previous reviews. Two high quality studies, according to the Jadad classification, published since the Cochrane review, addressed many of the methodological flaws criticised in previous reviews. However, certain subgroup analyses (e.g. patients with meniscal tears and mechanical symptoms) are still underpowered. Permalink : ./index.php?lvl=notice_display&id=35990 [article] Arthroscopy in knee osteoarthritis : a systematic review of the literature [texte imprimé] / Timothy Barlow, Auteur ; Christopher Downham, Auteur ; Damian Griffin, Auteur . - 2015 . - p. 1-8. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 1-8 Mots-clés : Knee osteoarthritis  Arthroscopy Résumé : Knee arthroscopy has historically been a common treatment for knee osteoarthritis. A Cochrane review of the literature up to 2006 has resulted in guidance that arthroscopy is not effective in knee osteoarthritis. It cited that deficiencies in the evidence base prevented widespread acceptance of the recommendations. The aim of this review is to update the evidence base for the efficacy of arthroscopy in knee osteoarthritis. The authors searched CINHAL, EMBASE, MEDLINE, and CENTRAL for randomised controlled trials that compared arthroscopic surgery in knee osteoarthritis with a control group (e.g. lavage, best medical care). The primary outcome measure was patient reported functional outcome. The study methodology was registered on Prospero, a systematic review register ; Registration number CRD42012002891. Five randomised controlled trials included 516 patients, almost double the 271 episodes contained in previous reviews. Two high quality studies, according to the Jadad classification, published since the Cochrane review, addressed many of the methodological flaws criticised in previous reviews. However, certain subgroup analyses (e.g. patients with meniscal tears and mechanical symptoms) are still underpowered. Permalink : ./index.php?lvl=notice_display&id=35990

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Fixation of the greater tuberosity in proximal humeral fractures : FiberWire® or wire cerclage ? / Benjamin Bockmann in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 9-16 Titre : Fixation of the greater tuberosity in proximal humeral fractures : FiberWire® or wire cerclage ? Type de document : texte imprimé Auteurs : Benjamin Bockmann, Auteur ; Benjamin Buecking, Auteur ; Daphne Asimenia Eschbach, Auteur Année de publication : 2015 Article en page(s) : p. 9-16 Langues : Anglais (eng) Mots-clés : Proximal humeral fracture  Polyaxial locking plate  Greater tuberosity Résumé : Proximal humeral fractures remain a surgical challenge, and scientific discussions are commonly focused on their ideal treatment. One possible treatment involves the use of an angle stable plate osteosynthesis. However, which material can most feasibly be used to attach the greater tuberosity to the implant remains unknown. In two prospective, nonrandomized trials, we compared the results of a FiberWire ® and a wire cerclage. A total of 104 patients with 3- and 4-part fractures were included in this examination. In 25 cases, the greater tuberosity was fixated with a FiberWire®, size 2, while 79 cases received a wire cerclage. Plate osteosynthesis was constantly performed via the anterolateral delta-split approach using the NCB®-PH-plate by Zimmer®. The patients were followed clinically at discharge, 6 weeks and 6 months postoperatively and were examined for relevant complications. Age and gender were equally distributed in both groups. Concerning the follow-up after 6 weeks, a significant benefit concerning shoulder function was observed in the Fiber- Wire®- group (wire cerclage : 39.20 ± 11.85, 95% CI 32.37-44.56, FiberWire® : 45.84 ± 16.80, 95% CI 28.34-61.56 ; p = 0.049). After 6 months, the difference between the groups was not significant (wire cerclage : 58.13 ± 18.73, 95% CI 50.25-72.40, Fiber-Wire® : 68.85 ± 23.10, 95% CI 46.83-99.53 ; p = 0.06) Permalink : ./index.php?lvl=notice_display&id=35991 [article] Fixation of the greater tuberosity in proximal humeral fractures : FiberWire® or wire cerclage ? [texte imprimé] / Benjamin Bockmann, Auteur ; Benjamin Buecking, Auteur ; Daphne Asimenia Eschbach, Auteur . - 2015 . - p. 9-16. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 9-16 Mots-clés : Proximal humeral fracture  Polyaxial locking plate  Greater tuberosity Résumé : Proximal humeral fractures remain a surgical challenge, and scientific discussions are commonly focused on their ideal treatment. One possible treatment involves the use of an angle stable plate osteosynthesis. However, which material can most feasibly be used to attach the greater tuberosity to the implant remains unknown. In two prospective, nonrandomized trials, we compared the results of a FiberWire ® and a wire cerclage. A total of 104 patients with 3- and 4-part fractures were included in this examination. In 25 cases, the greater tuberosity was fixated with a FiberWire®, size 2, while 79 cases received a wire cerclage. Plate osteosynthesis was constantly performed via the anterolateral delta-split approach using the NCB®-PH-plate by Zimmer®. The patients were followed clinically at discharge, 6 weeks and 6 months postoperatively and were examined for relevant complications. Age and gender were equally distributed in both groups. Concerning the follow-up after 6 weeks, a significant benefit concerning shoulder function was observed in the Fiber- Wire®- group (wire cerclage : 39.20 ± 11.85, 95% CI 32.37-44.56, FiberWire® : 45.84 ± 16.80, 95% CI 28.34-61.56 ; p = 0.049). After 6 months, the difference between the groups was not significant (wire cerclage : 58.13 ± 18.73, 95% CI 50.25-72.40, Fiber-Wire® : 68.85 ± 23.10, 95% CI 46.83-99.53 ; p = 0.06) Permalink : ./index.php?lvl=notice_display&id=35991

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Treatment of large diaphyseal bone defect of the tibia by the “fibula pro tibia” technique : application in developing countries / René Castro Gayito in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 17-22 Titre : Treatment of large diaphyseal bone defect of the tibia by the “fibula pro tibia” technique : application in developing countries Type de document : texte imprimé Auteurs : René Castro Gayito, Auteur ; Giambattista Priuli, Auteur ; Sidi Yaya Traore, Auteur Année de publication : 2015 Article en page(s) : p. 17-22 Langues : Anglais (eng) Mots-clés : Tibialization of fibula  Fibular transfert to the tibia  Large defect of the tibia Résumé : Large segmental bone defects of the tibia may be due to infections, high-energy fractures, congenital diseases or tumors and represent a challenge for both the physician and the patient. In developing countries, the use of expansive techniques is not possible so that amputation is sometimes proposed. However, an alternative technique for limb salvage, applicable in developing countries consists of tibialization of the ipsilateral fibula. This technique is also called “Fibula pro Tibia”, fibular transfer to the tibia or fibular centralization. We report this transfer in 4 patients with an average defect length of 11.8 cm. Union between the transferred fibula and the tibia was obtained in all patients, for both proximal and distal junctions, after an average time of 8.5 months (range, 4 to 18 months). Three patients returned to a normal walking function while one was still limping, but was able to walk independently without need of crutches. Permalink : ./index.php?lvl=notice_display&id=35992 [article] Treatment of large diaphyseal bone defect of the tibia by the “fibula pro tibia” technique : application in developing countries [texte imprimé] / René Castro Gayito, Auteur ; Giambattista Priuli, Auteur ; Sidi Yaya Traore, Auteur . - 2015 . - p. 17-22. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 17-22 Mots-clés : Tibialization of fibula  Fibular transfert to the tibia  Large defect of the tibia Résumé : Large segmental bone defects of the tibia may be due to infections, high-energy fractures, congenital diseases or tumors and represent a challenge for both the physician and the patient. In developing countries, the use of expansive techniques is not possible so that amputation is sometimes proposed. However, an alternative technique for limb salvage, applicable in developing countries consists of tibialization of the ipsilateral fibula. This technique is also called “Fibula pro Tibia”, fibular transfer to the tibia or fibular centralization. We report this transfer in 4 patients with an average defect length of 11.8 cm. Union between the transferred fibula and the tibia was obtained in all patients, for both proximal and distal junctions, after an average time of 8.5 months (range, 4 to 18 months). Three patients returned to a normal walking function while one was still limping, but was able to walk independently without need of crutches. Permalink : ./index.php?lvl=notice_display&id=35992

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Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture / Gijs De Klerk in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29 Titre : Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture Type de document : texte imprimé Auteurs : Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur Année de publication : 2015 Article en page(s) : p. 23-29 Langues : Français (fre) Mots-clés : Calscan  Dual x-ray absorptiometry  Osteoporosis  Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993 [article] Use of Calscan for improving osteoporosis care in the older patient admitted with hip fracture [texte imprimé] / Gijs De Klerk, Auteur ; J. Han Hegeman, Auteur ; Detlef Van Der Velde, Auteur . - 2015 . - p. 23-29. Langues : Français (fre) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 23-29 Mots-clés : Calscan  Dual x-ray absorptiometry  Osteoporosis  Hip fracture Résumé : To determine whether bone mineral density measurement using the Calscan successfully predicts the Actual bone mineral density, as measured by dualenergy X-ray absorptiometry. We included all patients = 65 years with a hip fracture screened on osteoporosis by both dual-energy X-ray absorptiometry and the Calscan during the period April 2008 to April 2011. The bone mineral density was expressed as a T-score. For the Calscan T-score, thresholds were defined such that patients with and without osteoporosis could be identified with 90% certainty. Patients with a Calscan T-score above the upper threshold were considered to be non-osteoporotic and those with a Calscan T-score below the lower threshold considered osteoporotic. Patients whose Calscan T-score lay between the two thresholds could only be classified by means of DXA. The correlation between dual-energy X-ray absorptiometry and the Calscan was 0.61. The Calscan identified approximately 25% of patients as osteoporotic and 25% as non-osteoporotic. The upper threshold was found to be -1.8SD and the lower threshold -3.5SD. Osteoporosis screening by dual-energy X-ray absorptiometry had been carried out in 44% of patients. This percentage could theoretically rise to > 70% if the Calscan is implemented in osteoporosis screening, while costs of such screening appear to be lower, as long as a sufficient number of patients are screened. Permalink : ./index.php?lvl=notice_display&id=35993

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Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia / Engin Eren Desteli in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35 Titre : Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia Type de document : texte imprimé Auteurs : Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur Année de publication : 2015 Article en page(s) : p. 30-35 Langues : Anglais (eng) Mots-clés : Total hip replacement  Developmental dysplasia  Shortening osteotomy  Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994 [article] Clinical results of cementless total hip arthroplasty with shortening osteotomy for high dislocation with developmental dysplasia [texte imprimé] / Engin Eren Desteli, Auteur ; Yunus Imren, Auteur ; Erkan TAN, Auteur . - 2015 . - p. 30-35. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 30-35 Mots-clés : Total hip replacement  Developmental dysplasia  Shortening osteotomy  Hip Résumé : Total hip arthroplasty for severe developmental dysplasia of the hip is a technically challenging procedure. Subtrochanteric femoral osteotomy enables reducing the femoral head and restoring abductor muscle strength without compromising proximal femoral bone stock in advanced dysplasia.We aimed to retrospectively evaluate Crowe type III or IV developmental dysplasia of the hip who underwent reconstruction with cementless total hip arthroplasty combined with a transverse subtrochanteric femoral osteotomy. Sixty hips of 52 patients (11 male, 49 female) with Crowe type III (n : 37) or IV (n : 23) developmental dysplasia of the hip were included. The average age was 51.4 years. Surgery was performed in lateral decubitis position with posterolateral approach. Subtrochanteric transverse femoral osteotomy were used with cementless components. 40 of the femoral components were Secur-Fit type, and 20 of them were secur-fit plus max type. Ceramic-ceramic coupling was used in 24 cases and metalpolyethylene coupling was used in 36 cases. Merle D'Aubigne and Harris Hip score were used to rate the clinical outcome at the final follow up. All femoral shortening osteotomies were united at a mean of 5.7 months. Mean Merle D'Aubigne pain score was increased from 3.1 to 5.4, and mean Harris Hip score improved from 39 to 92.8, postoperatively (p < 0.01). There was no significant difference in time to union between different types of stems. 4 femoral stems had asymptomatic radiolucent lines. There was no significant difference in time to union between different types of stems. Permalink : ./index.php?lvl=notice_display&id=35994

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Association between the capitate-triquetrum distance and carpal collapse in scaphoid nonunion / Anastasios Dimitriadis in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 36-40 Titre : Association between the capitate-triquetrum distance and carpal collapse in scaphoid nonunion Type de document : texte imprimé Auteurs : Anastasios Dimitriadis, Auteur ; George Paraskevas, Auteur ; Panagiotis Kanavaros, Auteur Année de publication : 2015 Article en page(s) : p. 36-40 Langues : Anglais (eng) Mots-clés : Lunate type  Scaphoid nonunion  SNAC wrist Résumé : The effect of the lunate type on carpal collapse in cases of scaphoid nonunion has not been thoroughly investigated. The purpose of the present study was to determine whether any association exists or not between the capitate-triquetrum distance and occurrence of carpal collapse in cases of scaphoid nonunion. In a retrospective study, 76 patients with scaphoid nonunion formed two groups based on the capitatetriquetrum distance ; forty-three patients with distance of less than 5 mm and 33 patients with distance of 5 mm or more. The two groups were comparable with respect to sex distribution, age, dominant hand involvement, manual labor, nonunion location and time from injury to final x-rays. Six patients (13.9%) in the capitate-triquetrum < 5 mm group and 13 patients (39.4%) in the capitate-triquetrum = 5 mm group had no signs of collapse, with significant difference (p < 0.05). Capitate-triquetrum distance could contribute in the decision making process for cases of scaphoid nonunion without straightforward indication for surgical intervention. Permalink : ./index.php?lvl=notice_display&id=35995 [article] Association between the capitate-triquetrum distance and carpal collapse in scaphoid nonunion [texte imprimé] / Anastasios Dimitriadis, Auteur ; George Paraskevas, Auteur ; Panagiotis Kanavaros, Auteur . - 2015 . - p. 36-40. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 36-40 Mots-clés : Lunate type  Scaphoid nonunion  SNAC wrist Résumé : The effect of the lunate type on carpal collapse in cases of scaphoid nonunion has not been thoroughly investigated. The purpose of the present study was to determine whether any association exists or not between the capitate-triquetrum distance and occurrence of carpal collapse in cases of scaphoid nonunion. In a retrospective study, 76 patients with scaphoid nonunion formed two groups based on the capitatetriquetrum distance ; forty-three patients with distance of less than 5 mm and 33 patients with distance of 5 mm or more. The two groups were comparable with respect to sex distribution, age, dominant hand involvement, manual labor, nonunion location and time from injury to final x-rays. Six patients (13.9%) in the capitate-triquetrum < 5 mm group and 13 patients (39.4%) in the capitate-triquetrum = 5 mm group had no signs of collapse, with significant difference (p < 0.05). Capitate-triquetrum distance could contribute in the decision making process for cases of scaphoid nonunion without straightforward indication for surgical intervention. Permalink : ./index.php?lvl=notice_display&id=35995

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Effects of body mass index, infrapatellar fat pad volume and age on patellar cartilage defect / Semra Duran in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 41-46 Titre : Effects of body mass index, infrapatellar fat pad volume and age on patellar cartilage defect Type de document : texte imprimé Auteurs : Semra Duran, Auteur ; Ertugrul Aksahin, Auteur ; Onur Kocadal, Auteur Année de publication : 2015 Article en page(s) : p. 41-46 Langues : Anglais (eng) Mots-clés : Obesity  Adipocyte, cartilage defects  Infrapatellar fat pad  Magnetic resonance imaging Résumé : The aim of this study was to evaluate the associations between patellar cartilage defects and body mass index (BMI), infrapatellar fat pad (IPFP) volume and age. 100 patients who met the inclusion criteria and were aged 18 to 60, were evaluated retrospectively. For detecting and measuring patellar cartilage defects, axial sequences were used and sagittal sequences were used to evaluate IPFP volumes. In total, 40 patients had patellar cartilage defects. In this group, age and BMI were higher in both sexes when compared with the controls (p < 0.05). The IPFP volume was lower in the group with the patellar cartilage defect when compared with the control group (p < 0.05). The IPFP volume was statistically significantly lower in women (p < 0.05). Patellar cartilage defect was found to be related to age and BMI. In women, the decrease in IPFP volume seems to be one of the causative factors for patellar cartilage defect. Permalink : ./index.php?lvl=notice_display&id=35996 [article] Effects of body mass index, infrapatellar fat pad volume and age on patellar cartilage defect [texte imprimé] / Semra Duran, Auteur ; Ertugrul Aksahin, Auteur ; Onur Kocadal, Auteur . - 2015 . - p. 41-46. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 41-46 Mots-clés : Obesity  Adipocyte, cartilage defects  Infrapatellar fat pad  Magnetic resonance imaging Résumé : The aim of this study was to evaluate the associations between patellar cartilage defects and body mass index (BMI), infrapatellar fat pad (IPFP) volume and age. 100 patients who met the inclusion criteria and were aged 18 to 60, were evaluated retrospectively. For detecting and measuring patellar cartilage defects, axial sequences were used and sagittal sequences were used to evaluate IPFP volumes. In total, 40 patients had patellar cartilage defects. In this group, age and BMI were higher in both sexes when compared with the controls (p < 0.05). The IPFP volume was lower in the group with the patellar cartilage defect when compared with the control group (p < 0.05). The IPFP volume was statistically significantly lower in women (p < 0.05). Patellar cartilage defect was found to be related to age and BMI. In women, the decrease in IPFP volume seems to be one of the causative factors for patellar cartilage defect. Permalink : ./index.php?lvl=notice_display&id=35996

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Intra- and periarticular osteoid osteoma : Percutaneous destruction and alcoholisation / Hani El-Mowafi in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 47-51 Titre : Intra- and periarticular osteoid osteoma : Percutaneous destruction and alcoholisation Type de document : texte imprimé Auteurs : Hani El-Mowafi, Auteur ; Ahmed El-Hawary, Auteur ; Mona Hegazi, Auteur Année de publication : 2015 Article en page(s) : p. 47-51 Langues : Anglais (eng) Mots-clés : Osteoid osteoma  Peri-articular  Alcoholisation Résumé : Intra- or periarticular osteoid osteoma (00) is uncommon, and therefore a diagnostic challenge. Symptoms are : chronic synovitis, decreased range of motion, joint effusion, and joint contracture. Radiographically, the classical perifocal sclerotic margin is often absent, which leads to a significant delay in diagnosis. The authors retrospectively studied 50 cases of intraand peri-articular OO, treated with percutaneous destruction and alcoholisation. The mean follow-up period was 8.7 years (range, 1 to 15 years). The diagnosis was only made after +/- 14 months (range, 8 to 18 months), due to atypical symptoms (nightly pain absent in 38%) and uselessness of plain radiographs (in 100%). CT-scan, contrast enhanced MRI and bone scan brought the solution. The technique was successful in 48 out of 50 cases (96%) : incomplete excision occurred in 2 patients. The diagnosis of intraor periarticular OO should be considered in case of unexplained joint pain where conservative treatment is inefficient. Permalink : ./index.php?lvl=notice_display&id=35997 [article] Intra- and periarticular osteoid osteoma : Percutaneous destruction and alcoholisation [texte imprimé] / Hani El-Mowafi, Auteur ; Ahmed El-Hawary, Auteur ; Mona Hegazi, Auteur . - 2015 . - p. 47-51. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 47-51 Mots-clés : Osteoid osteoma  Peri-articular  Alcoholisation Résumé : Intra- or periarticular osteoid osteoma (00) is uncommon, and therefore a diagnostic challenge. Symptoms are : chronic synovitis, decreased range of motion, joint effusion, and joint contracture. Radiographically, the classical perifocal sclerotic margin is often absent, which leads to a significant delay in diagnosis. The authors retrospectively studied 50 cases of intraand peri-articular OO, treated with percutaneous destruction and alcoholisation. The mean follow-up period was 8.7 years (range, 1 to 15 years). The diagnosis was only made after +/- 14 months (range, 8 to 18 months), due to atypical symptoms (nightly pain absent in 38%) and uselessness of plain radiographs (in 100%). CT-scan, contrast enhanced MRI and bone scan brought the solution. The technique was successful in 48 out of 50 cases (96%) : incomplete excision occurred in 2 patients. The diagnosis of intraor periarticular OO should be considered in case of unexplained joint pain where conservative treatment is inefficient. Permalink : ./index.php?lvl=notice_display&id=35997

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Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN / Santoshkumar Hakkalamani in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 52-56 Titre : Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN Type de document : texte imprimé Auteurs : Santoshkumar Hakkalamani, Auteur ; Vicki Clark, Auteur ; Nikhil Pradhan, Auteur Année de publication : 2015 Article en page(s) : p. 52-56 Langues : Anglais (eng) Mots-clés : Total knee replacement  Tourniquet Résumé : We performed a prospective, randomized, controlled trial to know whether a short duration of tourniquet application affects surgical time, post-operative swelling, pain, early rehabilitation and complications compared to standard use of tourniquet throughout the procedure. Sixty knees were randomized. There were no differences in terms of surgical time and pain experienced between the two groups. Patients in the short duration tourniquet group had significantly less thigh swelling (3.7 ± 1.6 versus 4.8 ± 2.35 p < 0.01). There were no differences in the early rehabilitation between the groups. Soft tissue complications were higher in standard duration group. The use of tourniquet only during cementation of the implants reduces the thigh swelling and soft tissue complications associated with tourniquet use throughout the procedure. Permalink : ./index.php?lvl=notice_display&id=35998 [article] Short versus standard duration tourniquet use during Total Knee Replacement: A pilot study , , Nikhil PRADHAN [texte imprimé] / Santoshkumar Hakkalamani, Auteur ; Vicki Clark, Auteur ; Nikhil Pradhan, Auteur . - 2015 . - p. 52-56. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 52-56 Mots-clés : Total knee replacement  Tourniquet Résumé : We performed a prospective, randomized, controlled trial to know whether a short duration of tourniquet application affects surgical time, post-operative swelling, pain, early rehabilitation and complications compared to standard use of tourniquet throughout the procedure. Sixty knees were randomized. There were no differences in terms of surgical time and pain experienced between the two groups. Patients in the short duration tourniquet group had significantly less thigh swelling (3.7 ± 1.6 versus 4.8 ± 2.35 p < 0.01). There were no differences in the early rehabilitation between the groups. Soft tissue complications were higher in standard duration group. The use of tourniquet only during cementation of the implants reduces the thigh swelling and soft tissue complications associated with tourniquet use throughout the procedure. Permalink : ./index.php?lvl=notice_display&id=35998

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The modified scarf osteotomy in the treatment of tailor’s bunion : midterm follow-up Maros HRUBINA, Miroslav SKOTAK, Jaroslav LETOCHA, Valer DZUPA / Maros Hrubina in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 57-64 Titre : The modified scarf osteotomy in the treatment of tailor’s bunion : midterm follow-up Maros HRUBINA, Miroslav SKOTAK, Jaroslav LETOCHA, Valer DZUPA Type de document : texte imprimé Auteurs : Maros Hrubina, Auteur ; Miroslav Skotak, Auteur ; Jaroslav Letocha, Auteur Année de publication : 2015 Article en page(s) : p. 57-64 Langues : Anglais (eng) Mots-clés : Tailor's bunion  Fifth metatarsal bone  Scarf osteotomy Résumé : The aim of this study was to present the midterm results of modified scarf osteotomy in the treatment of tailor’s bunion. From 2004 to 2011, 23 modified scarf osteotomies (with the fifth metatarsal shortening) were performed in group of 18 patients for the treatment of tailor’s bunion. The mean follow-up period was 58.8 (range : 24-89) months. Patients were evaluated retrospectively – clinically and radiographically, using the American Orthopaedic Foot & Ankle Society scoring system with weight-beared radiographs at the end of 2013. Five males and thirteen females (mean age : 46.5 years) were included in the study. Two males and three females were operated bilaterally. Average American Orthopaedic Foot & Ankle Society scores were 59.8 preoperatively and 92.3 at the final followup. Three patients had complications : delayed union, superficial wound infection and distal screw migration. The modified scarf osteotomy in the correction of tailor’s bunion offers promising results in the midterm. Permalink : ./index.php?lvl=notice_display&id=35999 [article] The modified scarf osteotomy in the treatment of tailor’s bunion : midterm follow-up Maros HRUBINA, Miroslav SKOTAK, Jaroslav LETOCHA, Valer DZUPA [texte imprimé] / Maros Hrubina, Auteur ; Miroslav Skotak, Auteur ; Jaroslav Letocha, Auteur . - 2015 . - p. 57-64. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 57-64 Mots-clés : Tailor's bunion  Fifth metatarsal bone  Scarf osteotomy Résumé : The aim of this study was to present the midterm results of modified scarf osteotomy in the treatment of tailor’s bunion. From 2004 to 2011, 23 modified scarf osteotomies (with the fifth metatarsal shortening) were performed in group of 18 patients for the treatment of tailor’s bunion. The mean follow-up period was 58.8 (range : 24-89) months. Patients were evaluated retrospectively – clinically and radiographically, using the American Orthopaedic Foot & Ankle Society scoring system with weight-beared radiographs at the end of 2013. Five males and thirteen females (mean age : 46.5 years) were included in the study. Two males and three females were operated bilaterally. Average American Orthopaedic Foot & Ankle Society scores were 59.8 preoperatively and 92.3 at the final followup. Three patients had complications : delayed union, superficial wound infection and distal screw migration. The modified scarf osteotomy in the correction of tailor’s bunion offers promising results in the midterm. Permalink : ./index.php?lvl=notice_display&id=35999

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Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures / Omer Karatoprak in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71 Titre : Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures Type de document : texte imprimé Auteurs : Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur Année de publication : 2015 Article en page(s) : p. 65-71 Langues : Anglais (eng) Mots-clés : Distal radius  Fracture  Osteoporosis  Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000 [article] Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures [texte imprimé] / Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur . - 2015 . - p. 65-71. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71 Mots-clés : Distal radius  Fracture  Osteoporosis  Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000

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Review of quality of x-rays for templating for total hip arthroplasty / Faiz Khan in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 72-76 Titre : Review of quality of x-rays for templating for total hip arthroplasty Type de document : texte imprimé Auteurs : Faiz Khan, Auteur ; Tayyab Ahmad, Auteur ; Finbarr Condon, Auteur Année de publication : 2015 Article en page(s) : p. 72-76 Langues : Anglais (eng) Mots-clés : Hip templating  Total hip arthroplasty  Preoperative hip arthroplasty planning Résumé : Digital templating of x-rays for total hip arthroplasty is used routinely for pre-operative planning. This is to assure that appropriately sized implants are selected to replicate patient’s hip biomechanics. Multiple studies have shown that templating does not always correspond to the final implants used. The aim of this study was to assess the suitability of the x-rays taken pre-operatively for templating for total hip arthro-plasty. We undertook a review of a series of pre-operative templating pelvis x-rays in 100 consecutive patients undergoing total hip arthroplasty. These x-rays were compared against set criteria to determine their suitability for use for templating. We determined that six x-rays met the criteria whereas ninety four x-rays did not meet the criteria for suitable x-rays. Twenty patients had repeat x-rays. The reasons for unsuitability were inadequate opposite femur (66%), absence or incomplete template (54%), inadequate femur length (47%), external rotation (39%), absence of opposite hip (4%). The twenty repeated x-rays were also reviewed for the same parameters and two (10%) satisfied the established criteria. It is imperative that x-rays for templating for total hip arthroplasty are done to a strict standard to obtain an x-ray that is appropriate for templating and there is minimal exposure of the patient to irradiation. Permalink : ./index.php?lvl=notice_display&id=36001 [article] Review of quality of x-rays for templating for total hip arthroplasty [texte imprimé] / Faiz Khan, Auteur ; Tayyab Ahmad, Auteur ; Finbarr Condon, Auteur . - 2015 . - p. 72-76. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 72-76 Mots-clés : Hip templating  Total hip arthroplasty  Preoperative hip arthroplasty planning Résumé : Digital templating of x-rays for total hip arthroplasty is used routinely for pre-operative planning. This is to assure that appropriately sized implants are selected to replicate patient’s hip biomechanics. Multiple studies have shown that templating does not always correspond to the final implants used. The aim of this study was to assess the suitability of the x-rays taken pre-operatively for templating for total hip arthro-plasty. We undertook a review of a series of pre-operative templating pelvis x-rays in 100 consecutive patients undergoing total hip arthroplasty. These x-rays were compared against set criteria to determine their suitability for use for templating. We determined that six x-rays met the criteria whereas ninety four x-rays did not meet the criteria for suitable x-rays. Twenty patients had repeat x-rays. The reasons for unsuitability were inadequate opposite femur (66%), absence or incomplete template (54%), inadequate femur length (47%), external rotation (39%), absence of opposite hip (4%). The twenty repeated x-rays were also reviewed for the same parameters and two (10%) satisfied the established criteria. It is imperative that x-rays for templating for total hip arthroplasty are done to a strict standard to obtain an x-ray that is appropriate for templating and there is minimal exposure of the patient to irradiation. Permalink : ./index.php?lvl=notice_display&id=36001

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Endo medullary extractability of cementless full HA coated femoral stem : Results from 19 cases / François Lecuire in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 77-83 Titre : Endo medullary extractability of cementless full HA coated femoral stem : Results from 19 cases Type de document : texte imprimé Auteurs : François Lecuire, Auteur ; Gilles Melere, Auteur ; Sébastien Martres, Auteur Année de publication : 2015 Article en page(s) : p. 77-83 Langues : Anglais (eng) Mots-clés : Extraction  Full HA coated stem  Endomedullary approach Résumé : The Aura cementless full HA coated stem is an anatomical femoral component with a different surface treatment in the metaphyseal and diaphyseal areas. We have studied the feasibility of isolated endo-medullar extraction of the stem. 19 patients (6 infections, 6 neck fractures, 3 stems with risk of fracture, 3 head fractures, and 1 recurrent dislocation) were subjected to the removal of a stable and bone integrated implant at a mean of 4.5 years after surgery. The 19 cases represent the entire population of Aura cementless integrated stem requiring revision during the period of 2003 through 2011, excluding periprosthetic bone fracture cases. The technique consisted of a careful release of the metaphyseal part of the implant with thin osteotomes, followed by the use of a highly efficient extractor. The re-implanted procedure always utilised standard stems : 17 cementless stems full HA coated (13 had the same size as the removed implant, 4 cases had larger sizes) and two received cemented stems. The 19 stems were extracted by simple endo-medullary approach, without the need for additional action. Several complications were encountered, 1 intraoperative diaphyseal fracture, requiring a wiring, 1 fracture of the lesser trochanter at 15 days post-surgery, requiring a revision and 2 postoperative dislocations. Except for the early revision due to fracture, no other stem was revised. There was no recurrence of infection and the functional results were satisfactory (PMA 15-18). 3 patients showed metaphyseal lucent lines on X-Ray leading us to advise the use of a standard stem with larger size after distal reaming, combined with preventive circulate of the calcar. The use of dedicated instrumentation allows successful extraction of full HA coated short stem by endomedullary approach. Permalink : ./index.php?lvl=notice_display&id=36002 [article] Endo medullary extractability of cementless full HA coated femoral stem : Results from 19 cases [texte imprimé] / François Lecuire, Auteur ; Gilles Melere, Auteur ; Sébastien Martres, Auteur . - 2015 . - p. 77-83. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 77-83 Mots-clés : Extraction  Full HA coated stem  Endomedullary approach Résumé : The Aura cementless full HA coated stem is an anatomical femoral component with a different surface treatment in the metaphyseal and diaphyseal areas. We have studied the feasibility of isolated endo-medullar extraction of the stem. 19 patients (6 infections, 6 neck fractures, 3 stems with risk of fracture, 3 head fractures, and 1 recurrent dislocation) were subjected to the removal of a stable and bone integrated implant at a mean of 4.5 years after surgery. The 19 cases represent the entire population of Aura cementless integrated stem requiring revision during the period of 2003 through 2011, excluding periprosthetic bone fracture cases. The technique consisted of a careful release of the metaphyseal part of the implant with thin osteotomes, followed by the use of a highly efficient extractor. The re-implanted procedure always utilised standard stems : 17 cementless stems full HA coated (13 had the same size as the removed implant, 4 cases had larger sizes) and two received cemented stems. The 19 stems were extracted by simple endo-medullary approach, without the need for additional action. Several complications were encountered, 1 intraoperative diaphyseal fracture, requiring a wiring, 1 fracture of the lesser trochanter at 15 days post-surgery, requiring a revision and 2 postoperative dislocations. Except for the early revision due to fracture, no other stem was revised. There was no recurrence of infection and the functional results were satisfactory (PMA 15-18). 3 patients showed metaphyseal lucent lines on X-Ray leading us to advise the use of a standard stem with larger size after distal reaming, combined with preventive circulate of the calcar. The use of dedicated instrumentation allows successful extraction of full HA coated short stem by endomedullary approach. Permalink : ./index.php?lvl=notice_display&id=36002

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MRI following UKA : The component-bone interface / Dominik Malcherczyk in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 84-89 Titre : MRI following UKA : The component-bone interface Type de document : texte imprimé Auteurs : Dominik Malcherczyk, Auteur ; Jens Figiel, Auteur ; Ulrike Hähnlein, Auteur Année de publication : 2015 Article en page(s) : p. 84-89 Langues : Anglais (eng) Mots-clés : UKA  MRI  Knee  Unicompartmental Knee Arthroplasty  Magnet Resonance Imaging  Component-bone interface Résumé : Introduction : Loosening is one of the major longterm failure modes in unicondylar knee arthroplasty (UKA). The aim of the study is to describe and characterize implant-bone interface of femoral and tibial components after UKA by means of magnet resonance imaging (MRI). Material and Methods : MRI tailored to reduce metallic artefact of the knee after medial UKA was performed in 10 patients as a pilot study. The component-bone interface at femoral and tibial components was evaluated by two independent investigators. They gave degree of confidence to their evaluation of each parameter on a five-point scale. Inter-observer reliability was determined. Results : Artefacts provoked by the implants were rare. Inter-observer reliability and confidence were excellent for the femoral interface. They were lower at the tibial interface but results were still satisfactory. Conclusion : Tailored MRI allows reproducible analysis of the component-bone interface after UKA. It is helpful in assessment of suspected loosening after UKA. Permalink : ./index.php?lvl=notice_display&id=36003 [article] MRI following UKA : The component-bone interface [texte imprimé] / Dominik Malcherczyk, Auteur ; Jens Figiel, Auteur ; Ulrike Hähnlein, Auteur . - 2015 . - p. 84-89. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 84-89 Mots-clés : UKA  MRI  Knee  Unicompartmental Knee Arthroplasty  Magnet Resonance Imaging  Component-bone interface Résumé : Introduction : Loosening is one of the major longterm failure modes in unicondylar knee arthroplasty (UKA). The aim of the study is to describe and characterize implant-bone interface of femoral and tibial components after UKA by means of magnet resonance imaging (MRI). Material and Methods : MRI tailored to reduce metallic artefact of the knee after medial UKA was performed in 10 patients as a pilot study. The component-bone interface at femoral and tibial components was evaluated by two independent investigators. They gave degree of confidence to their evaluation of each parameter on a five-point scale. Inter-observer reliability was determined. Results : Artefacts provoked by the implants were rare. Inter-observer reliability and confidence were excellent for the femoral interface. They were lower at the tibial interface but results were still satisfactory. Conclusion : Tailored MRI allows reproducible analysis of the component-bone interface after UKA. It is helpful in assessment of suspected loosening after UKA. Permalink : ./index.php?lvl=notice_display&id=36003

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Sport and physical activity in patients after derotational corticotomies with the Ilizarov method / Piotr Morasiewicz in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 90-99 Titre : Sport and physical activity in patients after derotational corticotomies with the Ilizarov method Type de document : texte imprimé Auteurs : Piotr Morasiewicz, Auteur ; Grzegorz Konieczny, Auteur ; Lukasz Pawik, Auteur Année de publication : 2015 Article en page(s) : p. 90-99 Langues : Anglais (eng) Mots-clés : Sport activity  Derotational corticotomies  Ilizarov method Résumé : Background : Torsional distortion causes numerous musculoskeletal pathologies. Effective treatment allows restoring limb function and return to sport activity. Objectives was to assess the sport activity in patients with derotational corticotomies using the Ilizarov method. Methods : It was case series retrospective study. The study examined 56 patients. The control group consisted of 54 patients. A mean follow-up time was 5 years and 6 months. A mean age at the start of treatment was 19 years and 10 months. Patients underwent derotational corticotomies of distal epiphysis of the femur or proximal epiphysis of the tibia using the Ilizarov method. The effect of etiology, type of treatment strategy, and rate, size, and level of derotation on the scores of four activity scales was evaluated ; additionally, the activity was compared with the control group. Results : There were no differences in the scales of activity before and after treatment in the study and control groups. In the study group, higher activity after treatment was reported in the level of GRIMBY activity. Patients with internal torsion had a higher VAS activity level after treatment as compared to patients with external torsion. Conclusions : Derotational corticotomies allow returning to or increasing physical and sport activity ; they do not have a negative influence on physical activity after treatment as compared to the control group. Permalink : ./index.php?lvl=notice_display&id=36004 [article] Sport and physical activity in patients after derotational corticotomies with the Ilizarov method [texte imprimé] / Piotr Morasiewicz, Auteur ; Grzegorz Konieczny, Auteur ; Lukasz Pawik, Auteur . - 2015 . - p. 90-99. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 90-99 Mots-clés : Sport activity  Derotational corticotomies  Ilizarov method Résumé : Background : Torsional distortion causes numerous musculoskeletal pathologies. Effective treatment allows restoring limb function and return to sport activity. Objectives was to assess the sport activity in patients with derotational corticotomies using the Ilizarov method. Methods : It was case series retrospective study. The study examined 56 patients. The control group consisted of 54 patients. A mean follow-up time was 5 years and 6 months. A mean age at the start of treatment was 19 years and 10 months. Patients underwent derotational corticotomies of distal epiphysis of the femur or proximal epiphysis of the tibia using the Ilizarov method. The effect of etiology, type of treatment strategy, and rate, size, and level of derotation on the scores of four activity scales was evaluated ; additionally, the activity was compared with the control group. Results : There were no differences in the scales of activity before and after treatment in the study and control groups. In the study group, higher activity after treatment was reported in the level of GRIMBY activity. Patients with internal torsion had a higher VAS activity level after treatment as compared to patients with external torsion. Conclusions : Derotational corticotomies allow returning to or increasing physical and sport activity ; they do not have a negative influence on physical activity after treatment as compared to the control group. Permalink : ./index.php?lvl=notice_display&id=36004

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A minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis / Mohamed Nabil in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 100-106 Titre : A minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis Type de document : texte imprimé Auteurs : Mohamed Nabil, Auteur ; Ahmed Matthana, Auteur ; Mohamed A. Imam, Auteur Année de publication : 2015 Article en page(s) : p. 100-106 Langues : Anglais (eng) Mots-clés : Conversion  Hemiarthroplasty  Total hip replacement  Multihole mega cup Résumé : The introduction of multihole mega cup has proposed innovative answers in the management of acetabular impediments that ensued from the use of bipolar hemiarthroplasty. This study bestows a prospective analysis of the outcome of conversion surgery from bipolar hemiarthroplasty to total hip replacement in patients with acetabular complications. Forty-two patients, 22 men and 20 women, with a mean age of 59 years (range 46-69 years) who experienced complex acetabular deficiencies following bipolar hemiarthroplasty, were converted to total hip replacement between January 2008 and June 2010. Pain was the main complaint in all cases. It was primarily confined to the groin region. Limping due to shortening of the affected limb was the second main complaint (30 cases). All cases had erosion of the acetabulum with varying degrees of protrusion. Cementless mutihole cups with augmentation by autogenous bone graft from the iliac crest and large metal heads’ sizes were used for conversion in all cases. After a minimum follow-up of 36 months, Harris hip scores (HHS) improved from a mean of 36.8 ± 6.8 (range 21-59) preoperatively to a mean of 85.9 ± 5.6 (range 71 to 94) postoperatively. Thirty six (85.7%) patients experienced no groin pain postoperatively while six patients (14.3%) described limited improvement. Postoperative complications included ; dislocation in two cases which were reduced and did not result in a poor outcome later on. No patients were lost to follow-up. Conclusion : Short-term results at minimum three years follow-up of multihole mega cup were encouraging regarding high capability of acetabular reconstruction with less morbidity of recipient site. Significant pain and functional improvement were noticeable, however further longer term studies are consequently recommended. Permalink : ./index.php?lvl=notice_display&id=36005 [article] A minimum three-year clinical and radiological follow up of the utilisation of a Cementless Multihole Mega cups in conversion hip arthroplasty – a prospective analysis [texte imprimé] / Mohamed Nabil, Auteur ; Ahmed Matthana, Auteur ; Mohamed A. Imam, Auteur . - 2015 . - p. 100-106. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 100-106 Mots-clés : Conversion  Hemiarthroplasty  Total hip replacement  Multihole mega cup Résumé : The introduction of multihole mega cup has proposed innovative answers in the management of acetabular impediments that ensued from the use of bipolar hemiarthroplasty. This study bestows a prospective analysis of the outcome of conversion surgery from bipolar hemiarthroplasty to total hip replacement in patients with acetabular complications. Forty-two patients, 22 men and 20 women, with a mean age of 59 years (range 46-69 years) who experienced complex acetabular deficiencies following bipolar hemiarthroplasty, were converted to total hip replacement between January 2008 and June 2010. Pain was the main complaint in all cases. It was primarily confined to the groin region. Limping due to shortening of the affected limb was the second main complaint (30 cases). All cases had erosion of the acetabulum with varying degrees of protrusion. Cementless mutihole cups with augmentation by autogenous bone graft from the iliac crest and large metal heads’ sizes were used for conversion in all cases. After a minimum follow-up of 36 months, Harris hip scores (HHS) improved from a mean of 36.8 ± 6.8 (range 21-59) preoperatively to a mean of 85.9 ± 5.6 (range 71 to 94) postoperatively. Thirty six (85.7%) patients experienced no groin pain postoperatively while six patients (14.3%) described limited improvement. Postoperative complications included ; dislocation in two cases which were reduced and did not result in a poor outcome later on. No patients were lost to follow-up. Conclusion : Short-term results at minimum three years follow-up of multihole mega cup were encouraging regarding high capability of acetabular reconstruction with less morbidity of recipient site. Significant pain and functional improvement were noticeable, however further longer term studies are consequently recommended. Permalink : ./index.php?lvl=notice_display&id=36005

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Is conservative treatment still defensible in grade III acromioclavicular dislocation ? Are there predictive factors of poor outcome ? / Quentin Rasmont in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 107-114 Titre : Is conservative treatment still defensible in grade III acromioclavicular dislocation ? Are there predictive factors of poor outcome ? Type de document : texte imprimé Auteurs : Quentin Rasmont, Auteur ; Christian Delloye, Auteur ; Elisa Bigare, Auteur Année de publication : 2015 Article en page(s) : p. 107-114 Langues : Anglais (eng) Mots-clés : Acromioclavicular dislocation  Scapular dyskinesis  Grade III dislocation  Non-operative treatment Résumé : The optimal treatment of grade III acromioclavicular (AC) dislocation is still controversial. Recent studies recommend surgery at that stage whereas meta-analysis favours conservative management. The objective of the present investigation was to analyse a clinical series of non-operated grade III AC dislocations and to determine their functional status. Thirty-five patients treated conservatively with a grade III acromioclavicular dislocation were retrospectively reviewed. Simple shoulder test, Oxford shoulder and bilateral Constant shoulder score were used for assessment. Various predictive criteria of poor outcome, particularly scapular dyskinesis were taken into account for analysis. Overall mean and median Constant Score of the injured side were 92.9 and 94, whilst the contralateral shoulder values were respectively 94.9 and 95 (mean and median scores). Ten patients had scapular dyskinesis. Laterality, shoulder activity and scapular dyskinesis were not statistically related to worse outcome. Twenty-eight (80%) patients resumed normal activity within six months. All but two patients were subjectively very satisfied or satisfied. Conservative treatment provided satisfactory results whatever the shoulder activity. No risk factors were predictive of a poorer outcome. Conservative management should remain the first option to manage these injuries. Permalink : ./index.php?lvl=notice_display&id=36006 [article] Is conservative treatment still defensible in grade III acromioclavicular dislocation ? Are there predictive factors of poor outcome ? [texte imprimé] / Quentin Rasmont, Auteur ; Christian Delloye, Auteur ; Elisa Bigare, Auteur . - 2015 . - p. 107-114. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 107-114 Mots-clés : Acromioclavicular dislocation  Scapular dyskinesis  Grade III dislocation  Non-operative treatment Résumé : The optimal treatment of grade III acromioclavicular (AC) dislocation is still controversial. Recent studies recommend surgery at that stage whereas meta-analysis favours conservative management. The objective of the present investigation was to analyse a clinical series of non-operated grade III AC dislocations and to determine their functional status. Thirty-five patients treated conservatively with a grade III acromioclavicular dislocation were retrospectively reviewed. Simple shoulder test, Oxford shoulder and bilateral Constant shoulder score were used for assessment. Various predictive criteria of poor outcome, particularly scapular dyskinesis were taken into account for analysis. Overall mean and median Constant Score of the injured side were 92.9 and 94, whilst the contralateral shoulder values were respectively 94.9 and 95 (mean and median scores). Ten patients had scapular dyskinesis. Laterality, shoulder activity and scapular dyskinesis were not statistically related to worse outcome. Twenty-eight (80%) patients resumed normal activity within six months. All but two patients were subjectively very satisfied or satisfied. Conservative treatment provided satisfactory results whatever the shoulder activity. No risk factors were predictive of a poorer outcome. Conservative management should remain the first option to manage these injuries. Permalink : ./index.php?lvl=notice_display&id=36006

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Sample size calculations in orthopaedics randomised controlled trials : revisiting research practices / Sanjeeve Sabharwal in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 115-122 Titre : Sample size calculations in orthopaedics randomised controlled trials : revisiting research practices Type de document : texte imprimé Auteurs : Sanjeeve Sabharwal, Auteur ; Nirav K. Patel, Auteur ; Ian Holloway, Auteur Année de publication : 2015 Article en page(s) : p. 115-122 Langues : Anglais (eng) Mots-clés : Sample size  Power calculation  Research quality Résumé : The purpose of this study was to identify how often sample size calculations were reported in recent orthopaedic randomized controlled trials (RCTs) and to determine what proportion of studies that failed to find a significant treatment effect were at risk of type II error. A pre-defined computerized search was performed in MEDLINE to identify RCTs published in 2012 in the 20 highest ranked orthopaedic journals based on impact factor. Data from these studies was used to perform post hoc analysis to determine whether each study was sufficiently powered to detect a small (0.2), medium (0.5) and large (0.8) effect size as defined by Cohen. Sufficient power (1-ß) was considered to be 80% and a two-tailed test was performed with an alpha value of 0.05. 120 RCTs were identified using our stated search protocol and just 73 studies (60.80%) described an appropriate sample size calculation. Examination of studies with negative primary outcome revealed that 68 (93.15%) were at risk of type II error for a small treatment effect and only 4 (5.48%) were at risk of type II error for a medium sized treatment effect. Although comparison of the results with existing data from over 10 years ago infers improved practice in sample size calculations within orthopaedic surgery, there remains an ongoing need for improvement of practice. Orthopaedic researchers, as well as journal reviewers and editors have a responsibility to ensure that RCTs conform to standardized methodological guidelines and perform appropriate sample size calculations. Permalink : ./index.php?lvl=notice_display&id=36007 [article] Sample size calculations in orthopaedics randomised controlled trials : revisiting research practices [texte imprimé] / Sanjeeve Sabharwal, Auteur ; Nirav K. Patel, Auteur ; Ian Holloway, Auteur . - 2015 . - p. 115-122. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 115-122 Mots-clés : Sample size  Power calculation  Research quality Résumé : The purpose of this study was to identify how often sample size calculations were reported in recent orthopaedic randomized controlled trials (RCTs) and to determine what proportion of studies that failed to find a significant treatment effect were at risk of type II error. A pre-defined computerized search was performed in MEDLINE to identify RCTs published in 2012 in the 20 highest ranked orthopaedic journals based on impact factor. Data from these studies was used to perform post hoc analysis to determine whether each study was sufficiently powered to detect a small (0.2), medium (0.5) and large (0.8) effect size as defined by Cohen. Sufficient power (1-ß) was considered to be 80% and a two-tailed test was performed with an alpha value of 0.05. 120 RCTs were identified using our stated search protocol and just 73 studies (60.80%) described an appropriate sample size calculation. Examination of studies with negative primary outcome revealed that 68 (93.15%) were at risk of type II error for a small treatment effect and only 4 (5.48%) were at risk of type II error for a medium sized treatment effect. Although comparison of the results with existing data from over 10 years ago infers improved practice in sample size calculations within orthopaedic surgery, there remains an ongoing need for improvement of practice. Orthopaedic researchers, as well as journal reviewers and editors have a responsibility to ensure that RCTs conform to standardized methodological guidelines and perform appropriate sample size calculations. Permalink : ./index.php?lvl=notice_display&id=36007

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A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children / Liao-Jun Sun in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 123-130 Titre : A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children Type de document : texte imprimé Auteurs : Liao-Jun Sun, Auteur ; Zhi-Peng Wu, Auteur ; Cheng-Qian Dai, Auteur Année de publication : 2015 Article en page(s) : p. 123-130 Langues : Anglais (eng) Mots-clés : Children  Subtrochanteric femur fractures  Less invasive stabilization system  Titanium elastic nails Résumé : The objective of this study was to compare prospectively the complications and the radiographic and clinical outcomes of reverse less invasive stabilization system (LISS) and titanium elastic nailing (TEN) for the treatment of subtrochanteric femur fractures in older children. From April 2004 to February 2012, 52 children aged from 10 to 15 years old with subtrochanteric fractures were included in this study. 26 patients were treated with reverse LISS (LISS group) and 26 children treated with titanium elastic nails (TEN group) respectively. Perioperative care was standardized. Surgical time, blood loss, length of hospitalization, hospital costs, fracture union time, full weight-bearing time and complications were analyzed. The radiologic results as well as hip functional outcomes were evaluated. The average follow-up time of LISS group was 36.5 ± 9.3 months and TEN group was 40.2 ± 10.6 months. No significant difference between these two groups was found in union time, full weight-bearing time and average length of hospitalization. However, the patients of LISS group had longer operation time (60.0 ± 10.6 min vs. 40.5 ± 7.4 min, p < 0.01), more blood loss (130.0 ± 45.0 ml vs. 15.5 ± 10.2 ml, p < 0.01), and more hospital costs (25000 ± 700 RMB vs. 10800 ± 500 RMB, p < 0.01). The overall complication rate was significantly higher in the LISS group than in the TEN group (12/26 vs. 5/26, p = 0.039). There was no significant difference between the two groups in terms of early and late radiological results. Using the Sanders score system, there were 13 excellent, 6 good and 7 fair results in the LISS group compared with 22 excellent and 4 good results in the TEN group. The excellent and good rate was significantly different between the two groups (p = 0.010). Our results indicated that TEN fixation of subtrochanteric femur fractures in older children was associated with better function scores and a lower overall complication rate when compared with reverse LISS. Permalink : ./index.php?lvl=notice_display&id=36008 [article] A comparative study of less invasive stabilization system and titanium elastic nailing for subtrochanteric femur fractures in older children [texte imprimé] / Liao-Jun Sun, Auteur ; Zhi-Peng Wu, Auteur ; Cheng-Qian Dai, Auteur . - 2015 . - p. 123-130. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 123-130 Mots-clés : Children  Subtrochanteric femur fractures  Less invasive stabilization system  Titanium elastic nails Résumé : The objective of this study was to compare prospectively the complications and the radiographic and clinical outcomes of reverse less invasive stabilization system (LISS) and titanium elastic nailing (TEN) for the treatment of subtrochanteric femur fractures in older children. From April 2004 to February 2012, 52 children aged from 10 to 15 years old with subtrochanteric fractures were included in this study. 26 patients were treated with reverse LISS (LISS group) and 26 children treated with titanium elastic nails (TEN group) respectively. Perioperative care was standardized. Surgical time, blood loss, length of hospitalization, hospital costs, fracture union time, full weight-bearing time and complications were analyzed. The radiologic results as well as hip functional outcomes were evaluated. The average follow-up time of LISS group was 36.5 ± 9.3 months and TEN group was 40.2 ± 10.6 months. No significant difference between these two groups was found in union time, full weight-bearing time and average length of hospitalization. However, the patients of LISS group had longer operation time (60.0 ± 10.6 min vs. 40.5 ± 7.4 min, p < 0.01), more blood loss (130.0 ± 45.0 ml vs. 15.5 ± 10.2 ml, p < 0.01), and more hospital costs (25000 ± 700 RMB vs. 10800 ± 500 RMB, p < 0.01). The overall complication rate was significantly higher in the LISS group than in the TEN group (12/26 vs. 5/26, p = 0.039). There was no significant difference between the two groups in terms of early and late radiological results. Using the Sanders score system, there were 13 excellent, 6 good and 7 fair results in the LISS group compared with 22 excellent and 4 good results in the TEN group. The excellent and good rate was significantly different between the two groups (p = 0.010). Our results indicated that TEN fixation of subtrochanteric femur fractures in older children was associated with better function scores and a lower overall complication rate when compared with reverse LISS. Permalink : ./index.php?lvl=notice_display&id=36008

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Functional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph / Quen O. Tang in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 131-140 Titre : Functional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph Type de document : texte imprimé Auteurs : Quen O. Tang, Auteur ; Panagiotis D. Gikas, Auteur ; Philippa A. Tyler, Auteur Année de publication : 2015 Article en page(s) : p. 131-140 Langues : Anglais (eng) Mots-clés : Primary knee arthroplasty  Functional outcome  Plain radiograph  Total knee arthroplasty  Functional score Résumé : Obtaining standardised post-operative radiographs following total knee arthroplasty is common practice. Little is known regarding how measurements taken from the initial post-operative radiograph correlate to functional outcome. The initial post-operative radiographs for 110 primary total knee arthroplasties were reviewed retrospectively. Femoral and tibial component alignment was measured by two independent consultant radiologists. Functional outcome was assessed by the Oxford Knee Score pre-operatively and one year post-operatively. Correlation was determined by Pearson correlation analysis. There was no significant correlation between the radiographic measurements with the one year post-operative Oxford Knee Score nor was there significant correlation with the difference in pre-operative and post-operative scores. The initial post-operative radiograph cannot be used as a tool to reliably predict functional outcome at one year. Permalink : ./index.php?lvl=notice_display&id=36009 [article] Functional outcome following primary total knee arthroplasty cannot be predicted using the initial post-operative radiograph [texte imprimé] / Quen O. Tang, Auteur ; Panagiotis D. Gikas, Auteur ; Philippa A. Tyler, Auteur . - 2015 . - p. 131-140. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 131-140 Mots-clés : Primary knee arthroplasty  Functional outcome  Plain radiograph  Total knee arthroplasty  Functional score Résumé : Obtaining standardised post-operative radiographs following total knee arthroplasty is common practice. Little is known regarding how measurements taken from the initial post-operative radiograph correlate to functional outcome. The initial post-operative radiographs for 110 primary total knee arthroplasties were reviewed retrospectively. Femoral and tibial component alignment was measured by two independent consultant radiologists. Functional outcome was assessed by the Oxford Knee Score pre-operatively and one year post-operatively. Correlation was determined by Pearson correlation analysis. There was no significant correlation between the radiographic measurements with the one year post-operative Oxford Knee Score nor was there significant correlation with the difference in pre-operative and post-operative scores. The initial post-operative radiograph cannot be used as a tool to reliably predict functional outcome at one year. Permalink : ./index.php?lvl=notice_display&id=36009

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Arthroscopic treatment of avulsed tibial spine fractures using a transosseous sutures technique / Ahmad M. Wagih in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 141-146 Titre : Arthroscopic treatment of avulsed tibial spine fractures using a transosseous sutures technique Type de document : texte imprimé Auteurs : Ahmad M. Wagih, Auteur Année de publication : 2015 Article en page(s) : p. 141-146 Langues : Anglais (eng) Mots-clés : Arthroscopy  Tibial spine  Anterior cruciate ligament  Fixation  Suture Résumé : Severely displaced tibial spine fractures should be treated surgically to restore joint congruity and cruciate integrity with reduction and fixation through an arthrotomy or arthroscopic techniques. Arthroscopy is preferred as it allows for accurate diagnosis and treatment of associated injuries and reduction and fixation of all types of tibial spine fractures while reducing the morbidity associated with open techniques. We report the clinical and radiographical results of 11 cases treated with a technique of arthroscopic internal fixation with non-absorbable sutures, after an average follow-up of 16.3 months (range, 11 to 21 months). The clinical examination using the IKDC system revealed all patients to have a negative Lachman test and no quadriceps weakness except one patient with some laxity (hard end 1+ Lachman test). One patient had a minor extension deficit of approximately 5°. The other patients showed a full range of motion without extension loss. This technique is simple, reproducible and very useful in dealing with these fractures. Permalink : ./index.php?lvl=notice_display&id=36010 [article] Arthroscopic treatment of avulsed tibial spine fractures using a transosseous sutures technique [texte imprimé] / Ahmad M. Wagih, Auteur . - 2015 . - p. 141-146. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 141-146 Mots-clés : Arthroscopy  Tibial spine  Anterior cruciate ligament  Fixation  Suture Résumé : Severely displaced tibial spine fractures should be treated surgically to restore joint congruity and cruciate integrity with reduction and fixation through an arthrotomy or arthroscopic techniques. Arthroscopy is preferred as it allows for accurate diagnosis and treatment of associated injuries and reduction and fixation of all types of tibial spine fractures while reducing the morbidity associated with open techniques. We report the clinical and radiographical results of 11 cases treated with a technique of arthroscopic internal fixation with non-absorbable sutures, after an average follow-up of 16.3 months (range, 11 to 21 months). The clinical examination using the IKDC system revealed all patients to have a negative Lachman test and no quadriceps weakness except one patient with some laxity (hard end 1+ Lachman test). One patient had a minor extension deficit of approximately 5°. The other patients showed a full range of motion without extension loss. This technique is simple, reproducible and very useful in dealing with these fractures. Permalink : ./index.php?lvl=notice_display&id=36010

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Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate / Chi-Chuan Wu in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 147-154 Titre : Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate Type de document : texte imprimé Auteurs : Chi-Chuan Wu, Auteur ; Ching-Lung Tai, Auteur Année de publication : 2015 Article en page(s) : p. 147-154 Langues : Anglais (eng) Mots-clés : Drop foot  Tibialis anterior  Tibialis posterior  Tendon transfer Résumé : An absolutely convincing technique of anterior transfer of the tibialis posterior (TP) tendon for treating drop foot has not been developed. Thirty-seven consecutive adult patients with drop foot owing to deep peroneal nerve injury were treated with bone-to-bone TP tendon transfer. The TP tendon with a small bony attachment was procured from the undersurface of the navicula and then transferred through a tunnel of the interosseous membrane. The navicular attachment was implanted in the tunnel of the navicula or intermediate cuneiform. Cancellous bone graft procured from the distal tibial metaphysis was packed into the tunnel inlet. Side-to-side tendon suturing was performed between the TP tendon and tibialis anterior tendon. Thirty-one patients were followed for a mean of 2.8 years (range, 1.2-4.8 years), and all achieved satisfactory outcome for the ankle. All patients achieved a normal gait after one year and at the latest follow-up. Conclusions : The described technique may provide a high success rate. This surgical technique is not complex, and complications are few. Permalink : ./index.php?lvl=notice_display&id=36011 [article] Anterior transfer of tibialis posterior tendon for treating drop foot : Technique of enforcing tendon implantation to improve success rate [texte imprimé] / Chi-Chuan Wu, Auteur ; Ching-Lung Tai, Auteur . - 2015 . - p. 147-154. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 147-154 Mots-clés : Drop foot  Tibialis anterior  Tibialis posterior  Tendon transfer Résumé : An absolutely convincing technique of anterior transfer of the tibialis posterior (TP) tendon for treating drop foot has not been developed. Thirty-seven consecutive adult patients with drop foot owing to deep peroneal nerve injury were treated with bone-to-bone TP tendon transfer. The TP tendon with a small bony attachment was procured from the undersurface of the navicula and then transferred through a tunnel of the interosseous membrane. The navicular attachment was implanted in the tunnel of the navicula or intermediate cuneiform. Cancellous bone graft procured from the distal tibial metaphysis was packed into the tunnel inlet. Side-to-side tendon suturing was performed between the TP tendon and tibialis anterior tendon. Thirty-one patients were followed for a mean of 2.8 years (range, 1.2-4.8 years), and all achieved satisfactory outcome for the ankle. All patients achieved a normal gait after one year and at the latest follow-up. Conclusions : The described technique may provide a high success rate. This surgical technique is not complex, and complications are few. Permalink : ./index.php?lvl=notice_display&id=36011

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Isolated subtalar arthrodesis / Timur Yildirim in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 155-160 Titre : Isolated subtalar arthrodesis Type de document : texte imprimé Auteurs : Timur Yildirim, Auteur ; Hakan Sofu, Auteur ; Yalkin Çamurcu, Auteur Année de publication : 2015 Article en page(s) : p. 155-160 Langues : Anglais (eng) Mots-clés : Subtalar joint  Arthrodesis  Calcaneal fracture  Hindfoot Résumé : The aim of this study is to review the results of isolated subtalar arthrodesis in adults and to make a comparative analysis of the clinical outcomes between the patients with posttraumatic subtalar arthritis and the ones with other etiologic factors, and to evaluate the effects of grafting. This study included 19 men and 12 women. The mean postoperative follow-up was 36.8 months. The mean AOFAS hindfoot score improved from a mean of 46 preoperatively to a mean of 77.3 postoperatively. Thirty-one of 33 arthrodeses achieved bony union at a mean time of 15.7 weeks. The mean increase in the talocalcaneal height was 3.8 mm in the feet operated without grafting, whereas it was 8.1 mm in the feet for which grafting was performed. Improvement in talocalcaneal angle was significantly better in the feet operated with bone grafting. The feet with posttraumatic subtalar arthritis were more prone to Reflex Sympathetic Dystrophy. Permalink : ./index.php?lvl=notice_display&id=36012 [article] Isolated subtalar arthrodesis [texte imprimé] / Timur Yildirim, Auteur ; Hakan Sofu, Auteur ; Yalkin Çamurcu, Auteur . - 2015 . - p. 155-160. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 155-160 Mots-clés : Subtalar joint  Arthrodesis  Calcaneal fracture  Hindfoot Résumé : The aim of this study is to review the results of isolated subtalar arthrodesis in adults and to make a comparative analysis of the clinical outcomes between the patients with posttraumatic subtalar arthritis and the ones with other etiologic factors, and to evaluate the effects of grafting. This study included 19 men and 12 women. The mean postoperative follow-up was 36.8 months. The mean AOFAS hindfoot score improved from a mean of 46 preoperatively to a mean of 77.3 postoperatively. Thirty-one of 33 arthrodeses achieved bony union at a mean time of 15.7 weeks. The mean increase in the talocalcaneal height was 3.8 mm in the feet operated without grafting, whereas it was 8.1 mm in the feet for which grafting was performed. Improvement in talocalcaneal angle was significantly better in the feet operated with bone grafting. The feet with posttraumatic subtalar arthritis were more prone to Reflex Sympathetic Dystrophy. Permalink : ./index.php?lvl=notice_display&id=36012

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Acute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? / Sergi Sastre in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 161-164 Titre : Acute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? Type de document : texte imprimé Auteurs : Sergi Sastre, Auteur ; Michelle Dada, Auteur ; Simon Santos, Auteur Année de publication : 2015 Article en page(s) : p. 161-164 Langues : Anglais (eng) Mots-clés : Acromioclavicular  Suture repair  Surgery  Type III acromioclavicular dislocation  Economic cost Résumé : The objective of this manuscript is to show an effective, easier and cheaper way to reduce acute acromioclavicular (AC) dislocation type III and V (Rockwood classification). Numerous procedures have been described for surgical management of acromioclavicular joint disruption. Newest devices involve an arthroscopic technique that allows nonrigid anatomic fixation of the acromioclavicular joint. Arthroscopically assisted treatment of acute AC joint dislocation is advantageous because it provides good clinical results and few complications. It also allows reviewing glenohumeral associated lesions. This surgical technique requires no specific implants to achieve a correct AC reduction. Actually, economical advantages are very important factors to decide the use of determinate surgical techniques. Permalink : ./index.php?lvl=notice_display&id=36013 [article] Acute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? [texte imprimé] / Sergi Sastre, Auteur ; Michelle Dada, Auteur ; Simon Santos, Auteur . - 2015 . - p. 161-164. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 161-164 Mots-clés : Acromioclavicular  Suture repair  Surgery  Type III acromioclavicular dislocation  Economic cost Résumé : The objective of this manuscript is to show an effective, easier and cheaper way to reduce acute acromioclavicular (AC) dislocation type III and V (Rockwood classification). Numerous procedures have been described for surgical management of acromioclavicular joint disruption. Newest devices involve an arthroscopic technique that allows nonrigid anatomic fixation of the acromioclavicular joint. Arthroscopically assisted treatment of acute AC joint dislocation is advantageous because it provides good clinical results and few complications. It also allows reviewing glenohumeral associated lesions. This surgical technique requires no specific implants to achieve a correct AC reduction. Actually, economical advantages are very important factors to decide the use of determinate surgical techniques. Permalink : ./index.php?lvl=notice_display&id=36013

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