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Fracture-dislocation of the humeral condyles in adults?: results of surgical treatment / Abdelhakim BENTOUNSI in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Fracture-dislocation of the humeral condyles in adults?: results of surgical treatment Type de document : texte imprimé Auteurs : Abdelhakim BENTOUNSI, Auteur Année de publication : 2015 Article en page(s) : p.493-500 Langues : Anglais (eng) Mots-clés : Unicondylar fractures elbow dislocation distal humerus adults Résumé : Fracture-dislocation of the humeral condyle is exceptional in adults. The purpose was to analyze the results of surgical treatment by open reduction and internal fixation without ligamentous repair. There were six men with an average age of 31 years. According to the AO classification, five fractures were classified as AO type B1 and one as B2. Dislocation was reduced in emergency before osteosynthesis. Postoperatively, the joint was held immobile with a brace for 25.40 days. Five patients were reviewed after a mean follow-up of 52.96 months. The median arc of flexion/extension was 104.80° and 157.8° for pronation-supination.
All elbows were stable and all fractures were consolidated. Two elbows were painful.
The results were satisfactory in five patients. The elbow stability can be ensured only by the synthesis of bone structures. Surgical treatment should restore exact anatomy between the condyle and trochlea. This protocol may provide a joint stability and satisfactory results.Permalink : ./index.php?lvl=notice_display&id=40926
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.493-500[article] Fracture-dislocation of the humeral condyles in adults?: results of surgical treatment [texte imprimé] / Abdelhakim BENTOUNSI, Auteur . - 2015 . - p.493-500.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.493-500
Mots-clés : Unicondylar fractures elbow dislocation distal humerus adults Résumé : Fracture-dislocation of the humeral condyle is exceptional in adults. The purpose was to analyze the results of surgical treatment by open reduction and internal fixation without ligamentous repair. There were six men with an average age of 31 years. According to the AO classification, five fractures were classified as AO type B1 and one as B2. Dislocation was reduced in emergency before osteosynthesis. Postoperatively, the joint was held immobile with a brace for 25.40 days. Five patients were reviewed after a mean follow-up of 52.96 months. The median arc of flexion/extension was 104.80° and 157.8° for pronation-supination.
All elbows were stable and all fractures were consolidated. Two elbows were painful.
The results were satisfactory in five patients. The elbow stability can be ensured only by the synthesis of bone structures. Surgical treatment should restore exact anatomy between the condyle and trochlea. This protocol may provide a joint stability and satisfactory results.Permalink : ./index.php?lvl=notice_display&id=40926 Exemplaires (1)
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Exclu du prêtLa luxation antérieure du coude associée à une fracture de l’olécrâne : une forme rare de luxation du coude chez l’enfant / L. CHATER in Journal de traumatologie du sport, Volume 31 numéro 1 (Mars 2014)
[article]
Titre : La luxation antérieure du coude associée à une fracture de l’olécrâne : une forme rare de luxation du coude chez l’enfant Titre original : Anterior elbow dislocation associated with olecranon fracture: A rare form of elbow dislocation in children Type de document : texte imprimé Auteurs : L. CHATER, Auteur ; K. ATARRAF, Auteur Année de publication : 2014 Article en page(s) : p.43-45 Langues : Français (fre) Mots-clés : Luxation Antérieure Coude Enfant Dislocation Anterior Elbow Children Résumé : Résumé
Les luxations du coude sont des lésions rares chez l’enfant du fait de la relative résistance des structures capsulo-ligamentaires (articulations) par rapport aux structures osseuses. Comparé à la fréquence des luxations postérieures, il est assez remarquable que les formes antérieures soient parmi les plus exceptionnelles des luxations du coude. Leur rareté fait que le diagnostic initial est souvent méconnu. Nous rapportons un cas survenu chez l’enfant.
Abstract
Elbow dislocation is exceptional in children due to the minimal resistance of the joint capsule and ligaments compared with the bony structure. Posterior dislocations do occur, but anterior dislocation is even more exceptional. The diagnosis is often missed. We report a case of anterior elbow dislocation in a child.Permalink : ./index.php?lvl=notice_display&id=34503
in Journal de traumatologie du sport > Volume 31 numéro 1 (Mars 2014) . - p.43-45[article] La luxation antérieure du coude associée à une fracture de l’olécrâne : une forme rare de luxation du coude chez l’enfant = Anterior elbow dislocation associated with olecranon fracture: A rare form of elbow dislocation in children [texte imprimé] / L. CHATER, Auteur ; K. ATARRAF, Auteur . - 2014 . - p.43-45.
Langues : Français (fre)
in Journal de traumatologie du sport > Volume 31 numéro 1 (Mars 2014) . - p.43-45
Mots-clés : Luxation Antérieure Coude Enfant Dislocation Anterior Elbow Children Résumé : Résumé
Les luxations du coude sont des lésions rares chez l’enfant du fait de la relative résistance des structures capsulo-ligamentaires (articulations) par rapport aux structures osseuses. Comparé à la fréquence des luxations postérieures, il est assez remarquable que les formes antérieures soient parmi les plus exceptionnelles des luxations du coude. Leur rareté fait que le diagnostic initial est souvent méconnu. Nous rapportons un cas survenu chez l’enfant.
Abstract
Elbow dislocation is exceptional in children due to the minimal resistance of the joint capsule and ligaments compared with the bony structure. Posterior dislocations do occur, but anterior dislocation is even more exceptional. The diagnosis is often missed. We report a case of anterior elbow dislocation in a child.Permalink : ./index.php?lvl=notice_display&id=34503 Exemplaires (1)
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Exclu du prêtDual mobility versus unipolar total hip arthroplasty for neck of femur fractures : a single centre study / Zain Sadozai in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Dual mobility versus unipolar total hip arthroplasty for neck of femur fractures : a single centre study Type de document : texte imprimé Auteurs : Zain Sadozai ; Richard Limb ; Syed Awais Bokhari ; Aaron Ng ; Manjit Bhamra Année de publication : 2021 Article en page(s) : p. 35-39 Note générale : https://doi.org/10.52628/87.1.05 Langues : Anglais (eng) Mots-clés : Dual mobility fracture femur dislocation comparison hip arthroplasty Résumé : Current national guidelines (NICE) recommends that all medically fit, independently-mobile patients without cognitive impairment receive a total hip arTHAoplasty(THA) for displaced intracapsular neck of femur (NOF) fractures. Dislocation is a concern(2-10%). Dual mobility cups have been suggested to address this complication. Our study sets out to compare dislocation rates between dual mobility cups versus unipolar cups.
We performed a retrospective single centre multiple surgeon study of all THAs performed for NOFs between January 2012 and May 2018. A total of 322 total hip replacements (127 dual mobility and 195 unipolar ; Age range of patients, 29 to 91, mean 70 years) were identified for analysis using a database. Data was obtained from electronic patient records and radiographs.
12 patients sustained a dislocation of their THA out of our 322 patients. Of these, 10 dislocations occurred in the unipolar group (5.13%). From the dual mobility cups, 2 had dislocations(1.57%), both with a 28mm head. Both of these dislocations were in alcohol dependent patients with increased susceptibility to falls. Statistical analysis of our data was performed using chi-squared test (p value = 0.0723)
In ‘Getting It Right First Time’ (GIRFT), the authors recommend that all patients that sustain a NOF fracture meeting the criteria of a THA to be offered a dual mobility acetabular cup to reduce the risk of dislocation. The cost of the dual mobility acetabular cup is offset from the cost of overall revision surgery. Limitations of our study are its retrospective nature and selection bias.Permalink : ./index.php?lvl=notice_display&id=96574
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 35-39[article] Dual mobility versus unipolar total hip arthroplasty for neck of femur fractures : a single centre study [texte imprimé] / Zain Sadozai ; Richard Limb ; Syed Awais Bokhari ; Aaron Ng ; Manjit Bhamra . - 2021 . - p. 35-39.
https://doi.org/10.52628/87.1.05
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 35-39
Mots-clés : Dual mobility fracture femur dislocation comparison hip arthroplasty Résumé : Current national guidelines (NICE) recommends that all medically fit, independently-mobile patients without cognitive impairment receive a total hip arTHAoplasty(THA) for displaced intracapsular neck of femur (NOF) fractures. Dislocation is a concern(2-10%). Dual mobility cups have been suggested to address this complication. Our study sets out to compare dislocation rates between dual mobility cups versus unipolar cups.
We performed a retrospective single centre multiple surgeon study of all THAs performed for NOFs between January 2012 and May 2018. A total of 322 total hip replacements (127 dual mobility and 195 unipolar ; Age range of patients, 29 to 91, mean 70 years) were identified for analysis using a database. Data was obtained from electronic patient records and radiographs.
12 patients sustained a dislocation of their THA out of our 322 patients. Of these, 10 dislocations occurred in the unipolar group (5.13%). From the dual mobility cups, 2 had dislocations(1.57%), both with a 28mm head. Both of these dislocations were in alcohol dependent patients with increased susceptibility to falls. Statistical analysis of our data was performed using chi-squared test (p value = 0.0723)
In ‘Getting It Right First Time’ (GIRFT), the authors recommend that all patients that sustain a NOF fracture meeting the criteria of a THA to be offered a dual mobility acetabular cup to reduce the risk of dislocation. The cost of the dual mobility acetabular cup is offset from the cost of overall revision surgery. Limitations of our study are its retrospective nature and selection bias.Permalink : ./index.php?lvl=notice_display&id=96574 Exemplaires (1)
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Exclu du prêtLes fractures-luxations radiocarpiennes : à propos d’une série de 10 cas et revue de la littérature / K. LAHRACH in Journal de traumatologie du sport, Volume 31 numéro 3 (Septembre 2014)
[article]
Titre : Les fractures-luxations radiocarpiennes : à propos d’une série de 10 cas et revue de la littérature Titre original : Radiocarpal fractures dislocations: Ten cases and review of the literature Type de document : texte imprimé Auteurs : K. LAHRACH, Auteur ; S. ALMOUBAKER, Auteur ; O. AMMOUMRI, Auteur ; A. MEZZANI, Auteur Année de publication : 2014 Article en page(s) : p.133-136 Langues : Français (fre) Mots-clés : Fracture Luxation Poignet Dislocation Wrist Résumé : Les auteurs rapportent une série rétrospective de dix cas de fractures-luxations radiocarpiennes (FLRC) faisant suite à un accident sportif. Nous avons noté deux LRC à déplacement antérieur et huit à déplacement postérieur, dont une était ouverte. L’âge moyen de nos patients était de 34ans, avec une nette prédominance masculine (9 hommes et une femme). Le diagnostic a été confirmé par des radiographies du poignet de face et de profil. La fracture de la styloïde radiale et l’arrachement du rebord marginal postérieur étaient constants dans les formes postérieures. Sept patients ont été traités chirurgicalement et trois orthopédiquement. Selon la cotation de Grumillier, les résultats fonctionnels ont été globalement satisfaisants.
The authors report a retrospective series of ten cases of radiocarpal fracture-dislocation after sport injuries. Anterior displacement for two dislocations and dorsal displacement was observed for eight dislocations, of which one was complicated by anterior cutaneous opening. Average age of patients was 34 years, with a male predominance (9 men and a woman). Diagnosis was confirmed by x-ray of the wrist. Radial styloid fracture and posterior rim avulsion were constant in dorsal displacement. Three patients were treated conservatively and seven surgically. The overall functional outcome was satisfactory according the Grumillier score.
Permalink : ./index.php?lvl=notice_display&id=34513
in Journal de traumatologie du sport > Volume 31 numéro 3 (Septembre 2014) . - p.133-136[article] Les fractures-luxations radiocarpiennes : à propos d’une série de 10 cas et revue de la littérature = Radiocarpal fractures dislocations: Ten cases and review of the literature [texte imprimé] / K. LAHRACH, Auteur ; S. ALMOUBAKER, Auteur ; O. AMMOUMRI, Auteur ; A. MEZZANI, Auteur . - 2014 . - p.133-136.
Langues : Français (fre)
in Journal de traumatologie du sport > Volume 31 numéro 3 (Septembre 2014) . - p.133-136
Mots-clés : Fracture Luxation Poignet Dislocation Wrist Résumé : Les auteurs rapportent une série rétrospective de dix cas de fractures-luxations radiocarpiennes (FLRC) faisant suite à un accident sportif. Nous avons noté deux LRC à déplacement antérieur et huit à déplacement postérieur, dont une était ouverte. L’âge moyen de nos patients était de 34ans, avec une nette prédominance masculine (9 hommes et une femme). Le diagnostic a été confirmé par des radiographies du poignet de face et de profil. La fracture de la styloïde radiale et l’arrachement du rebord marginal postérieur étaient constants dans les formes postérieures. Sept patients ont été traités chirurgicalement et trois orthopédiquement. Selon la cotation de Grumillier, les résultats fonctionnels ont été globalement satisfaisants.
The authors report a retrospective series of ten cases of radiocarpal fracture-dislocation after sport injuries. Anterior displacement for two dislocations and dorsal displacement was observed for eight dislocations, of which one was complicated by anterior cutaneous opening. Average age of patients was 34 years, with a male predominance (9 men and a woman). Diagnosis was confirmed by x-ray of the wrist. Radial styloid fracture and posterior rim avulsion were constant in dorsal displacement. Three patients were treated conservatively and seven surgically. The overall functional outcome was satisfactory according the Grumillier score.
Permalink : ./index.php?lvl=notice_display&id=34513 Exemplaires (1)
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Exclu du prêtReversed Revised : What To Do When It Goes Wrong ? / Bart MIDDERNACHT in Acta Orthopaedica Belgica, Vol 80/3 (Septembre 2014)
[article]
Titre : Reversed Revised : What To Do When It Goes Wrong ? Type de document : texte imprimé Auteurs : Bart MIDDERNACHT, Auteur Année de publication : 2014 Article en page(s) : p.314-321 Langues : Anglais (eng) Mots-clés : reversed total shoulder prothesis revision complications infection dislocation malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321[article] Reversed Revised : What To Do When It Goes Wrong ? [texte imprimé] / Bart MIDDERNACHT, Auteur . - 2014 . - p.314-321.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 80/3 (Septembre 2014) . - p.314-321
Mots-clés : reversed total shoulder prothesis revision complications infection dislocation malpositioning Résumé : Reversed total shoulder arthroplasty (RTSA) has well known indications and good to excellent results are described in the literature. When the arthroplasty fails however, revision remains a technical challenge with many questions unanswered. To analyse retrospectively and consecutively the indications and results of primary RTSA-revision. All patients that underwent revision RTSA between 2004 and 2009 were included. Indications for surgery, surgical details and clinical evaluation with the preand postoperative Constant-score (CS) were analyzed. 37 Revisions (37 patients) of RTSA were analysed with an average follow up of 41.2 months (24-84). Indications were infection (23), glenoid loosening (9), instability (2) malpositioning (2) and suprascapular nerve irritation (1). 25 patients obtained a one-stage conversion to a new reversed prosthesis ; 4 patients obtained a two-stage revision ; 8 patients got a megahead prosthesis. No difference in reinfection rate is seen between one- and two stage techniques. An overall lower CS is seen for the mega-head prosthesis. Conclusions : The main indication for revision was infection. Revision of RTSA to a new reversed prosthesis is to prefer even when several procedures are necessary in one patient. When this is impossible, a mega-head prosthesis is to consider and gives reasonable results. Permalink : ./index.php?lvl=notice_display&id=34645 Exemplaires (1)
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Exclu du prêt