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Isolated subtalar arthrodesis / Timur Yildirim in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
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
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 155-160[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 Exemplaires (1)
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Exclu du prêtOrthopaedic surgery for patients with central nervous system lesions: Concepts and techniques / F. Genêt in Annals of physical and rehabilitation medicine, Vol. 62, n°4 (Juillet 2019)
[article]
Titre : Orthopaedic surgery for patients with central nervous system lesions: Concepts and techniques Type de document : texte imprimé Auteurs : F. Genêt ; Philippe Denormandie ; M.A. Keenan Année de publication : 2019 Article en page(s) : p. 225-233 Note générale : https://doi.org/10.1016/j.rehab.2018.09.004 Langues : Anglais (eng) Mots-clés : Orthopaedic surgery Spasticity Neurotimy Neurectomy Hyponeurotization Tendon lengthening Tendon transfer Arthrodesis Heterotopic ossification Résumé : Since ancient times, the aim of orthopedic surgery has been to correct limb and joint deformities, including those resulting from central nervous system lesions. Recent developments in the treatment of spasticity have led to changes in concepts and management strategies. The increase in life expectancy has increased the functional needs of patients. Orthopedic surgery, along with treatments for spasticity, improves the functional capacity of patients with neuro-orthopaedic disorders, improving their autonomy. In this paper, we describe key moments in the history of orthopedic surgery regarding the treatment of patients with central nervous system lesions, from poliomyelitis to stroke-related hemiplegia, from the limbs to the spine, and from contractures to heterotopic ossification. A synthesis of the current surgical techniques is then provided, and the importance of multidisciplinary evaluation and management is highlighted, along with indications for medical, rehabilitation and surgical treatments and their combinations. We explain why it is essential to consider patients’ expectations and to set achievable goals, particularly before surgery, which is by nature irreversible. More recently, specialized surgical teams have begun to favor the use of soft-tissue techniques over bony and joint procedures, except for spinal disorders. We highlight that orthopedic surgery is no longer the end-point of treatment. For example, lengthening a contractured muscle improves the balance around a joint, improving mobility and stability but may be only part of the problem. Further medical treatment and rehabilitation, or additional surgery, are often necessary to continue to improve the function of the limb. Despite the recognized effectiveness of orthopedic surgery for neuro-orthopedic disorders, few studies have formally evaluated them. Hence, there is a need for research to provide evidence to support orthopedic surgery for treating neuro-orthopedic disorders. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314507 Permalink : ./index.php?lvl=notice_display&id=84127
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 225-233[article] Orthopaedic surgery for patients with central nervous system lesions: Concepts and techniques [texte imprimé] / F. Genêt ; Philippe Denormandie ; M.A. Keenan . - 2019 . - p. 225-233.
https://doi.org/10.1016/j.rehab.2018.09.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°4 (Juillet 2019) . - p. 225-233
Mots-clés : Orthopaedic surgery Spasticity Neurotimy Neurectomy Hyponeurotization Tendon lengthening Tendon transfer Arthrodesis Heterotopic ossification Résumé : Since ancient times, the aim of orthopedic surgery has been to correct limb and joint deformities, including those resulting from central nervous system lesions. Recent developments in the treatment of spasticity have led to changes in concepts and management strategies. The increase in life expectancy has increased the functional needs of patients. Orthopedic surgery, along with treatments for spasticity, improves the functional capacity of patients with neuro-orthopaedic disorders, improving their autonomy. In this paper, we describe key moments in the history of orthopedic surgery regarding the treatment of patients with central nervous system lesions, from poliomyelitis to stroke-related hemiplegia, from the limbs to the spine, and from contractures to heterotopic ossification. A synthesis of the current surgical techniques is then provided, and the importance of multidisciplinary evaluation and management is highlighted, along with indications for medical, rehabilitation and surgical treatments and their combinations. We explain why it is essential to consider patients’ expectations and to set achievable goals, particularly before surgery, which is by nature irreversible. More recently, specialized surgical teams have begun to favor the use of soft-tissue techniques over bony and joint procedures, except for spinal disorders. We highlight that orthopedic surgery is no longer the end-point of treatment. For example, lengthening a contractured muscle improves the balance around a joint, improving mobility and stability but may be only part of the problem. Further medical treatment and rehabilitation, or additional surgery, are often necessary to continue to improve the function of the limb. Despite the recognized effectiveness of orthopedic surgery for neuro-orthopedic disorders, few studies have formally evaluated them. Hence, there is a need for research to provide evidence to support orthopedic surgery for treating neuro-orthopedic disorders. En ligne : https://www.sciencedirect.com/science/article/pii/S1877065718314507 Permalink : ./index.php?lvl=notice_display&id=84127 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