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Hospitalisation en court séjour pour reconstruction du ligament croisé antérieur : étude prospective comparative / N. LEFEVRE in Journal de traumatologie du sport, Volume 31 numéro 2 (Juin 2014)
[article]
Titre : Hospitalisation en court séjour pour reconstruction du ligament croisé antérieur : étude prospective comparative Titre original : Short-stay admission for anterior cruciate ligament reconstruction: Prospective comparative study Type de document : texte imprimé Auteurs : N. LEFEVRE, Auteur ; S. KLOUCHE, Auteur Année de publication : 2014 Article en page(s) : p.71-75 Langues : Français (fre) Mots-clés : Ligament croisé antérieur Ligamentoplastie Court séjour Chirurgie ambulatoire Hospitalisation conventionnelle Anterior cruciate ligament Short-stay Ambulatory surgery Conventional hospitalization Résumé : Résumé
Introduction
En France, la durée médiane d’hospitalisation pour une reconstruction du ligament croisé antérieur (LCA) est de 3jours. Le but de ce travail était d’évaluer la faisabilité et l’acceptabilité d’une hospitalisation d’un jour pour ce geste chirurgical.
Patients et méthodes
Une étude prospective monocentrique menée en 2011 a inclus une série continue de patients opérés pour une rupture du LCA. Les critères d’exclusion étaient un âge>60ans, les scores ASA 3 et 4 et les patients difficilement gérables en court séjour. Deux groupes de patients ont été constitués : « court séjour » avec une sortie à j1 et « hospitalisation conventionnelle » avec une sortie à j3. Le protocole antalgique postopératoire comprenait des antalgiques de palier I-II et de la morphine à la demande en cours d’hospitalisation. Le groupe « court séjour » a bénéficié d’un suivi téléphonique (j1–j3). Le critère de jugement principal était la satisfaction du patient à j3. Les critères de jugement secondaires étaient la douleur postopératoire évaluée sur une échelle visuelle analogique à j3 et les événements indésirables. Trente patients ont été inclus dans chaque groupe, 34 hommes et 26 femmes âgés en moyenne de 29±5ans.
Résultats
Les patients du groupe « court séjour » étaient en moyenne plus satisfaits que le groupe « hospitalisation conventionnelle », p=0,01. La douleur était significativement moins forte dans le groupe « court séjour », p=0,00001. Aucune complication n’est survenue.
Conclusion
Les patients hospitalisés en court séjour étaient significativement plus satisfaits et moins douloureux que ceux pris en charge en hospitalisation conventionnelle. Les études futures devront évaluer la faisabilité de ce geste chirurgical en ambulatoire.
Abstract
Introduction
In France, the median duration of hospitalization for a reconstruction of the anterior cruciate ligament (ACL) is 3 days. The purpose of this study was to evaluate the feasibility and acceptability of hospitalization for one day for this surgery.
Patients and methods
A prospective study conducted in 2011 included patients who underwent surgery for an ACL rupture. Exclusion criteria were age>60 years, scores ASA3-4 and patients unmanageable in short-stay. Two groups of patients were formed: “short-stay” with an output at D1 and “conventional hospitalization” with an output at D3. The postoperative analgesia protocol included analgesics I-II, morphine on demand during hospitalization. “Short-stay” group received a telephone follow-up (D1–D4). The primary outcome was patient satisfaction at D3. The secondary endpoints were postoperative pain assessed on a visual analogue scale at D3 and adverse events. Thirty patients were included in each group, 34 men and 26 women, mean age 29±5 years.
Results
Patients in group “short-stay” were on average more satisfied than the “conventional hospitalization” group, P=0.01. The pain was significantly less pronounced in the “short-stay” group, P=0.00001. No complications occurred.
Conclusion
Inpatients short-stay were significantly more satisfied and less painful than those in conventional hospitalization group. Future studies should evaluate the feasibility of ambulatory surgery for ACL reconstruction.Permalink : ./index.php?lvl=notice_display&id=34505
in Journal de traumatologie du sport > Volume 31 numéro 2 (Juin 2014) . - p.71-75[article] Hospitalisation en court séjour pour reconstruction du ligament croisé antérieur : étude prospective comparative = Short-stay admission for anterior cruciate ligament reconstruction: Prospective comparative study [texte imprimé] / N. LEFEVRE, Auteur ; S. KLOUCHE, Auteur . - 2014 . - p.71-75.
Langues : Français (fre)
in Journal de traumatologie du sport > Volume 31 numéro 2 (Juin 2014) . - p.71-75
Mots-clés : Ligament croisé antérieur Ligamentoplastie Court séjour Chirurgie ambulatoire Hospitalisation conventionnelle Anterior cruciate ligament Short-stay Ambulatory surgery Conventional hospitalization Résumé : Résumé
Introduction
En France, la durée médiane d’hospitalisation pour une reconstruction du ligament croisé antérieur (LCA) est de 3jours. Le but de ce travail était d’évaluer la faisabilité et l’acceptabilité d’une hospitalisation d’un jour pour ce geste chirurgical.
Patients et méthodes
Une étude prospective monocentrique menée en 2011 a inclus une série continue de patients opérés pour une rupture du LCA. Les critères d’exclusion étaient un âge>60ans, les scores ASA 3 et 4 et les patients difficilement gérables en court séjour. Deux groupes de patients ont été constitués : « court séjour » avec une sortie à j1 et « hospitalisation conventionnelle » avec une sortie à j3. Le protocole antalgique postopératoire comprenait des antalgiques de palier I-II et de la morphine à la demande en cours d’hospitalisation. Le groupe « court séjour » a bénéficié d’un suivi téléphonique (j1–j3). Le critère de jugement principal était la satisfaction du patient à j3. Les critères de jugement secondaires étaient la douleur postopératoire évaluée sur une échelle visuelle analogique à j3 et les événements indésirables. Trente patients ont été inclus dans chaque groupe, 34 hommes et 26 femmes âgés en moyenne de 29±5ans.
Résultats
Les patients du groupe « court séjour » étaient en moyenne plus satisfaits que le groupe « hospitalisation conventionnelle », p=0,01. La douleur était significativement moins forte dans le groupe « court séjour », p=0,00001. Aucune complication n’est survenue.
Conclusion
Les patients hospitalisés en court séjour étaient significativement plus satisfaits et moins douloureux que ceux pris en charge en hospitalisation conventionnelle. Les études futures devront évaluer la faisabilité de ce geste chirurgical en ambulatoire.
Abstract
Introduction
In France, the median duration of hospitalization for a reconstruction of the anterior cruciate ligament (ACL) is 3 days. The purpose of this study was to evaluate the feasibility and acceptability of hospitalization for one day for this surgery.
Patients and methods
A prospective study conducted in 2011 included patients who underwent surgery for an ACL rupture. Exclusion criteria were age>60 years, scores ASA3-4 and patients unmanageable in short-stay. Two groups of patients were formed: “short-stay” with an output at D1 and “conventional hospitalization” with an output at D3. The postoperative analgesia protocol included analgesics I-II, morphine on demand during hospitalization. “Short-stay” group received a telephone follow-up (D1–D4). The primary outcome was patient satisfaction at D3. The secondary endpoints were postoperative pain assessed on a visual analogue scale at D3 and adverse events. Thirty patients were included in each group, 34 men and 26 women, mean age 29±5 years.
Results
Patients in group “short-stay” were on average more satisfied than the “conventional hospitalization” group, P=0.01. The pain was significantly less pronounced in the “short-stay” group, P=0.00001. No complications occurred.
Conclusion
Inpatients short-stay were significantly more satisfied and less painful than those in conventional hospitalization group. Future studies should evaluate the feasibility of ambulatory surgery for ACL reconstruction.Permalink : ./index.php?lvl=notice_display&id=34505 Exemplaires (1)
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Exclu du prêtTenosynovial giant cell tumor of the pes anserinus bursa with secondary involvement of a reconstructed autologous anterior cruciate ligament / Loïc Van Oost in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Tenosynovial giant cell tumor of the pes anserinus bursa with secondary involvement of a reconstructed autologous anterior cruciate ligament : a case report Type de document : texte imprimé Auteurs : Loïc Van Oost ; Friedl Sinnaeve Année de publication : 2021 Article en page(s) : p. 723-728 Note générale : https://doi.org/10.52628/87.4.17 Langues : Anglais (eng) Mots-clés : Tenosynovial giant cell tumor anterior cruciate ligament ACL reconstruction pes anserinus case study and pigmented villonodular synovitis Résumé : Tenosynovial giant cell tumor (TGCT) is defined by the World Health Organization (WHO) as a family of lesions most often arising from the synovium of joints, bursae and tendon sheaths. It is composed of synovial- like mononuclear cells, admixed with multinucleate giant cells, foam cells, siderophages and inflammatory cells (1). It can have various clinical manifestations, and is therefore subdivided in a diffuse and a localized/ nodular subtype. Furthermore, the lesions can have an intra- or extra-articular location.
The purpose of this paper is to present the case of a 41-year-old male suffering from multifocal extra- and intra-articular TGCT of the right knee, with involvement of the pes anserinus bursa and an anterior cruciate ligament (ACL) autograft respectively. The ACL reconstruction was performed 11 years prior to the diagnosis of the TGCT, using tendons harvested from the pes anserinus.
Our case illustrates the risk of transferring TGCT from an extra- to intra-articular location during ACL reconstruction, when using tendons of a pes anserinus prone to develop this condition. To our knowledge, no similar case was published in the literature so far.Permalink : ./index.php?lvl=notice_display&id=102052
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 723-728[article] Tenosynovial giant cell tumor of the pes anserinus bursa with secondary involvement of a reconstructed autologous anterior cruciate ligament : a case report [texte imprimé] / Loïc Van Oost ; Friedl Sinnaeve . - 2021 . - p. 723-728.
https://doi.org/10.52628/87.4.17
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 723-728
Mots-clés : Tenosynovial giant cell tumor anterior cruciate ligament ACL reconstruction pes anserinus case study and pigmented villonodular synovitis Résumé : Tenosynovial giant cell tumor (TGCT) is defined by the World Health Organization (WHO) as a family of lesions most often arising from the synovium of joints, bursae and tendon sheaths. It is composed of synovial- like mononuclear cells, admixed with multinucleate giant cells, foam cells, siderophages and inflammatory cells (1). It can have various clinical manifestations, and is therefore subdivided in a diffuse and a localized/ nodular subtype. Furthermore, the lesions can have an intra- or extra-articular location.
The purpose of this paper is to present the case of a 41-year-old male suffering from multifocal extra- and intra-articular TGCT of the right knee, with involvement of the pes anserinus bursa and an anterior cruciate ligament (ACL) autograft respectively. The ACL reconstruction was performed 11 years prior to the diagnosis of the TGCT, using tendons harvested from the pes anserinus.
Our case illustrates the risk of transferring TGCT from an extra- to intra-articular location during ACL reconstruction, when using tendons of a pes anserinus prone to develop this condition. To our knowledge, no similar case was published in the literature so far.Permalink : ./index.php?lvl=notice_display&id=102052 Réservation
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DisponibleDoes anterolateral ligament injury change the treatment option in patients with partial ACL tears? / Burak Gunaydin in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Does anterolateral ligament injury change the treatment option in patients with partial ACL tears? Type de document : texte imprimé Auteurs : Burak Gunaydin ; Tugba Ilkem Kurtoglu Ozcaglayan ; Mehmet Umit Cetin ; Abdulkadir Sari ; Yasar Mahsut Dincel ; Cagatay Tekin Année de publication : 2021 Article en page(s) : p. 366-373 Note générale : https://doi.org/10.52628/87.2.24 Langues : Anglais (eng) Mots-clés : anterior cruciate ligament partial ACL tear anterolateral ligament arthroscopic reconstruction MRI Résumé : Patients with ACL tears with ALL injury have more clinical complaints (instability, feeling of the pop on the knee or knee sliding). patients have ALL injury with partial ACL tears, It is unclear whether the choice of treatment will be conservative or surgical.
This study aimed to determine the effect of anterolateral ligament (ALL) status, whether intact or ruptured, on the choice of conservative or surgical treatment in patients with partial anterior cruciate ligament (ACL) tears.
Between 2015 and 2019, patients with suspected partial ACL tears were identified on both physical examination and MR imaging. 122 patients who had partial ACL tears and also status of patient’s ALL could be evaluated by radiologist were included in the study, retrospectively.
Sixty-two patients who underwent ACL reconstruction were determined as group 1, and 60 patients who did not undergo ACL reconstruction were defined as group 2. In patients with partial ACL rupture with or without ACL reconstruction, it was evaluated whether a ruptured or non- ruptured ALL was effective in this decision of conservative or surgically.
The MRIs of patients with partial ACL tears were evaluated by a radiologist and it was concluded that the ALLs of 50 patients were ruptured, and 72 were intact. The ALLs of 36 patients in group 1 were ruptured, and 26 patients were intact. Fourteen patients in group 2 had ruptured ALLs, 46 patient’s ALLs were intact. Seventy-two percent of the patients with partial ACL tears who had ruptured ALLs in MRI underwent ACL reconstruction.
It was found that ACL reconstruction was performed more frequently in patients with partial ACL tears with ALL rupture. Therefore, we believe that preoperative evaluations of ALLs using MRI in patients with partial ACL tears are essential for surgical planning.Permalink : ./index.php?lvl=notice_display&id=96674
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 366-373[article] Does anterolateral ligament injury change the treatment option in patients with partial ACL tears? [texte imprimé] / Burak Gunaydin ; Tugba Ilkem Kurtoglu Ozcaglayan ; Mehmet Umit Cetin ; Abdulkadir Sari ; Yasar Mahsut Dincel ; Cagatay Tekin . - 2021 . - p. 366-373.
https://doi.org/10.52628/87.2.24
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 366-373
Mots-clés : anterior cruciate ligament partial ACL tear anterolateral ligament arthroscopic reconstruction MRI Résumé : Patients with ACL tears with ALL injury have more clinical complaints (instability, feeling of the pop on the knee or knee sliding). patients have ALL injury with partial ACL tears, It is unclear whether the choice of treatment will be conservative or surgical.
This study aimed to determine the effect of anterolateral ligament (ALL) status, whether intact or ruptured, on the choice of conservative or surgical treatment in patients with partial anterior cruciate ligament (ACL) tears.
Between 2015 and 2019, patients with suspected partial ACL tears were identified on both physical examination and MR imaging. 122 patients who had partial ACL tears and also status of patient’s ALL could be evaluated by radiologist were included in the study, retrospectively.
Sixty-two patients who underwent ACL reconstruction were determined as group 1, and 60 patients who did not undergo ACL reconstruction were defined as group 2. In patients with partial ACL rupture with or without ACL reconstruction, it was evaluated whether a ruptured or non- ruptured ALL was effective in this decision of conservative or surgically.
The MRIs of patients with partial ACL tears were evaluated by a radiologist and it was concluded that the ALLs of 50 patients were ruptured, and 72 were intact. The ALLs of 36 patients in group 1 were ruptured, and 26 patients were intact. Fourteen patients in group 2 had ruptured ALLs, 46 patient’s ALLs were intact. Seventy-two percent of the patients with partial ACL tears who had ruptured ALLs in MRI underwent ACL reconstruction.
It was found that ACL reconstruction was performed more frequently in patients with partial ACL tears with ALL rupture. Therefore, we believe that preoperative evaluations of ALLs using MRI in patients with partial ACL tears are essential for surgical planning.Permalink : ./index.php?lvl=notice_display&id=96674 Exemplaires (1)
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Exclu du prêtArthroscopic treatment of avulsed tibial spine fractures using a transosseous sutures technique / Ahmad M. Wagih in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
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
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 141-146[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 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt