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![détail détail](./getgif.php?nomgif=plus)
[article]
Titre : |
Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison |
Type de document : |
texte imprimé |
Auteurs : |
Qidong ZHANG, Auteur ; Wanshou GUO, Auteur ; Zhaohui LIU, Auteur |
Année de publication : |
2015 |
Article en page(s) : |
p.333-339 |
Langues : |
Anglais (eng) |
Mots-clés : |
Unicompartmental knee arthroplasty spontaneous osteonecrosis of the knee osteoarthritis minimally invasive medial unicompartment |
Résumé : |
This study was conducted to compare the differences of the outcome and surgical technique for minimally invasive unicompartmental knee arthroplasty(UKA) in treatment of osteonecrosis versus osteoarthritis. Twenty-nine spontaneous osteonecrosis of the knee (SONK) cases were reviewed retrospectively. An equal number of patients with osteoarthritis (OA) performed in the same period were selected and matched with respect to age, preoperative range of motion and radiological grade of knee arthrosis. The mean follow up time were 44.14 ± 14.05 and 44.45 ± 14.45 months, respectively. The preoperative hospital for special surgery knee score and visual analogue score were significantly better in group OA than those of group SONK. However, the results were comparable in terms of postoperative pain, knee score, range of motion and axial alignment. From a technical point of view, the osteonecrosis stage and bone defect must be taken into account when using UKA for SONK. |
Permalink : |
./index.php?lvl=notice_display&id=40665 |
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.333-339
[article] Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison [texte imprimé] / Qidong ZHANG, Auteur ; Wanshou GUO, Auteur ; Zhaohui LIU, Auteur . - 2015 . - p.333-339. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.333-339
Mots-clés : |
Unicompartmental knee arthroplasty spontaneous osteonecrosis of the knee osteoarthritis minimally invasive medial unicompartment |
Résumé : |
This study was conducted to compare the differences of the outcome and surgical technique for minimally invasive unicompartmental knee arthroplasty(UKA) in treatment of osteonecrosis versus osteoarthritis. Twenty-nine spontaneous osteonecrosis of the knee (SONK) cases were reviewed retrospectively. An equal number of patients with osteoarthritis (OA) performed in the same period were selected and matched with respect to age, preoperative range of motion and radiological grade of knee arthrosis. The mean follow up time were 44.14 ± 14.05 and 44.45 ± 14.45 months, respectively. The preoperative hospital for special surgery knee score and visual analogue score were significantly better in group OA than those of group SONK. However, the results were comparable in terms of postoperative pain, knee score, range of motion and axial alignment. From a technical point of view, the osteonecrosis stage and bone defect must be taken into account when using UKA for SONK. |
Permalink : |
./index.php?lvl=notice_display&id=40665 |
| ![Minimally Invasive Unicompartmental Knee Arthroplasty In Treatment Of Osteonecrosisversus Osteoarthritis : A Matched-Pair Comparison vignette](./images/vide.png) |
Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
![détail détail](./getgif.php?nomgif=plus)
[article]
Titre : |
Low blood transfusion rate after implementation of tranexamic acid for fast- track hip- and knee arthroplasty. An observational study of 5205 patients |
Type de document : |
texte imprimé |
Auteurs : |
Yoeri Bemelmans ; Emil Van Haaren ; Bert Boonen ; Roel Hendrickx ; Martijn Schotanus |
Année de publication : |
2021 |
Article en page(s) : |
p. 9-16 |
Note générale : |
https://doi.org/10.52628/87.1.02 |
Langues : |
Anglais (eng) |
Mots-clés : |
Tranexamic acid fast-track surgery knee arthroplasty hip arthroplasty unicompartmental knee arthroplasty |
Résumé : |
The purpose of this study was to retrospectively evaluate the efficacy of a tranexamic acid (TXA) perioperative protocol for primary hip- and knee arthroplasty, in terms of allogenic blood transfusion rates. A retrospective cohort study was conducted and included all primary hip and knee arthroplasty procedures in the period of 2014-2019. Patients who underwent surgery due to trauma or revision were excluded. A total amount of 5205 patients were eligible for inclusion. Two equal and weight depending doses of TXA were given, preoperative as an oral dose and intravenously at wound closure. The primary outcome was blood transfusion rate. Further analysis on patient characteristics (e.g. age, gender), blood loss, perioperative haemoglobin (Hb) levels and complication/readmission rate was performed.
A total of 49 (0.9%) patients received perioperative allogenic blood transfusions. Mean age, distribution of gender, body-mass index, American Society of Anaesthesiologists score, duration of surgery, type of arthroplasty, estimated blood loss, perioperative Hb levels and length of stay were statistically significant different between transfused and not-transfused patients. The incidence of thromboembolic adverse events (e.g. deep vein thrombosis/lung embolism) was 0.5%. Low blood transfusion rate was found after implementation of a standardized perioperative TXA protocol for primary hip and knee arthroplasty. |
Permalink : |
./index.php?lvl=notice_display&id=96571 |
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 9-16
[article] Low blood transfusion rate after implementation of tranexamic acid for fast- track hip- and knee arthroplasty. An observational study of 5205 patients [texte imprimé] / Yoeri Bemelmans ; Emil Van Haaren ; Bert Boonen ; Roel Hendrickx ; Martijn Schotanus . - 2021 . - p. 9-16. https://doi.org/10.52628/87.1.02 Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 9-16
Mots-clés : |
Tranexamic acid fast-track surgery knee arthroplasty hip arthroplasty unicompartmental knee arthroplasty |
Résumé : |
The purpose of this study was to retrospectively evaluate the efficacy of a tranexamic acid (TXA) perioperative protocol for primary hip- and knee arthroplasty, in terms of allogenic blood transfusion rates. A retrospective cohort study was conducted and included all primary hip and knee arthroplasty procedures in the period of 2014-2019. Patients who underwent surgery due to trauma or revision were excluded. A total amount of 5205 patients were eligible for inclusion. Two equal and weight depending doses of TXA were given, preoperative as an oral dose and intravenously at wound closure. The primary outcome was blood transfusion rate. Further analysis on patient characteristics (e.g. age, gender), blood loss, perioperative haemoglobin (Hb) levels and complication/readmission rate was performed.
A total of 49 (0.9%) patients received perioperative allogenic blood transfusions. Mean age, distribution of gender, body-mass index, American Society of Anaesthesiologists score, duration of surgery, type of arthroplasty, estimated blood loss, perioperative Hb levels and length of stay were statistically significant different between transfused and not-transfused patients. The incidence of thromboembolic adverse events (e.g. deep vein thrombosis/lung embolism) was 0.5%. Low blood transfusion rate was found after implementation of a standardized perioperative TXA protocol for primary hip and knee arthroplasty. |
Permalink : |
./index.php?lvl=notice_display&id=96571 |
|
Exemplaires (1)
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Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |
![détail détail](./getgif.php?nomgif=plus)
[article]
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 |
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 84-89
[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 |
| ![MRI following UKA : The component-bone interface vignette](./images/vide.png) |
Exemplaires (1)
|
Revue | Revue | Centre de Documentation HELHa Campus Montignies | Armoires à volets | Document exclu du prêt - à consulter sur place Exclu du prêt |