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Lundi : 8h-18h30
Mardi : 8h-18h30
Mercredi 9h-16h30
Jeudi : 8h-18h30
Vendredi : 8h-16h30
Attention, votre centre de documentation sera fermé du 27/04 au 12/05 inclus.
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Current opinions about coronal plane alignment in total knee arthroplasty?: A survey article / Emmanuel Thienpont in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Current opinions about coronal plane alignment in total knee arthroplasty?: A survey article Type de document : texte imprimé Auteurs : Emmanuel Thienpont, Auteur ; O. CORNU, Auteur ; Johan Bellemans, Auteur Année de publication : 2015 Article en page(s) : p.471-477 Langues : Anglais (eng) Mots-clés : Knee arthroplasty alignment varus survey Résumé : Purpose: To survey an audience of international knee surgeons about their current opinions on the analysis of coronal knee alignment and their objectives for postoperative alignment in total knee arthroplasty.
Methods: Survey of 300 surgeons from 32 different countries with an audience response system allowing three possible answers being either a positive or negative answer or an abstention.
Results: Surveyed surgeons perform rarely preoperative and postoperative full leg radiographs and evaluate radiological outcomes more with short films. The main trend in this survey was towards neutral mechanical alignment, however varus alignment is acceptable in constitutional varus patients. This residual varus should be obtained through a femoral varus cut rather than a tibial varus cut. The valgus knee can remain in slight valgus but most of the correction will be performed at the femoral level. The main objective of postoperative alignment in TKA is a joint line parallel to the floor and a central loadbearing axis through the middle of the arthroplasty.
Surgeons prefer unicompartmental arthroplasty more for themselves than for their patients in case of medial bone on bone arthritis.
Conclusions: Neutral mechanical axis with a joint line parallel to the floor and a centrally running load bearing axis remains the central scope of the surveyed surgeons. Because of the literature on residual varus it becomes more acceptable for the orthopaedic community to accept this type of outlier before aiming at a surgical correction.Permalink : ./index.php?lvl=notice_display&id=40923
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.471-477[article] Current opinions about coronal plane alignment in total knee arthroplasty?: A survey article [texte imprimé] / Emmanuel Thienpont, Auteur ; O. CORNU, Auteur ; Johan Bellemans, Auteur . - 2015 . - p.471-477.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.471-477
Mots-clés : Knee arthroplasty alignment varus survey Résumé : Purpose: To survey an audience of international knee surgeons about their current opinions on the analysis of coronal knee alignment and their objectives for postoperative alignment in total knee arthroplasty.
Methods: Survey of 300 surgeons from 32 different countries with an audience response system allowing three possible answers being either a positive or negative answer or an abstention.
Results: Surveyed surgeons perform rarely preoperative and postoperative full leg radiographs and evaluate radiological outcomes more with short films. The main trend in this survey was towards neutral mechanical alignment, however varus alignment is acceptable in constitutional varus patients. This residual varus should be obtained through a femoral varus cut rather than a tibial varus cut. The valgus knee can remain in slight valgus but most of the correction will be performed at the femoral level. The main objective of postoperative alignment in TKA is a joint line parallel to the floor and a central loadbearing axis through the middle of the arthroplasty.
Surgeons prefer unicompartmental arthroplasty more for themselves than for their patients in case of medial bone on bone arthritis.
Conclusions: Neutral mechanical axis with a joint line parallel to the floor and a centrally running load bearing axis remains the central scope of the surveyed surgeons. Because of the literature on residual varus it becomes more acceptable for the orthopaedic community to accept this type of outlier before aiming at a surgical correction.Permalink : ./index.php?lvl=notice_display&id=40923 Exemplaires (1)
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Exclu du prêtShort-term results of surgical treatment with cephalomedullary nails for basicervical proximal femoral fractures / Levent TASYIKAN in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Short-term results of surgical treatment with cephalomedullary nails for basicervical proximal femoral fractures Type de document : texte imprimé Auteurs : Levent TASYIKAN, Auteur ; Ender UGUTMEN, Auteur ; Selim SANEL, Auteur Année de publication : 2015 Article en page(s) : p.427-434 Langues : Anglais (eng) Mots-clés : Hip survey knee arthrrplasty alignment Résumé : The treatment of basicervical femoral fractures remains controversial. The aim of this study was to examine the efficacy of intramedullary nail use in the surgical treatment of basicervical fractures. In total, 28 patients with basicervical fractures treated with proximal femoral nails were examined retrospectively. Fracture healing was in all patients, who were followed at least for 6 months. While the average radiological fracture healing timing was ~10.5 (8-14) weeks, clinical fracture healing occured in 6 (5-9) weeks on average. Screw cut-out, avascular necrosis, femur fracture, and surgical wound infections did not occur in any patient. Severe collapse (> 10%) was not noted in any patient. The postoperative mean Harris hip score was 81.2 ± 21.3. Osteosynthesis application with a proximal femoral nail in basicervical proximal femur fractures in a surgical treatment that can be performed with minimally invasive techniques with-out open surgery. This is a rapid, sound, and simple treatment method with low morbidity. Permalink : ./index.php?lvl=notice_display&id=40915
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.427-434[article] Short-term results of surgical treatment with cephalomedullary nails for basicervical proximal femoral fractures [texte imprimé] / Levent TASYIKAN, Auteur ; Ender UGUTMEN, Auteur ; Selim SANEL, Auteur . - 2015 . - p.427-434.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.427-434
Mots-clés : Hip survey knee arthrrplasty alignment Résumé : The treatment of basicervical femoral fractures remains controversial. The aim of this study was to examine the efficacy of intramedullary nail use in the surgical treatment of basicervical fractures. In total, 28 patients with basicervical fractures treated with proximal femoral nails were examined retrospectively. Fracture healing was in all patients, who were followed at least for 6 months. While the average radiological fracture healing timing was ~10.5 (8-14) weeks, clinical fracture healing occured in 6 (5-9) weeks on average. Screw cut-out, avascular necrosis, femur fracture, and surgical wound infections did not occur in any patient. Severe collapse (> 10%) was not noted in any patient. The postoperative mean Harris hip score was 81.2 ± 21.3. Osteosynthesis application with a proximal femoral nail in basicervical proximal femur fractures in a surgical treatment that can be performed with minimally invasive techniques with-out open surgery. This is a rapid, sound, and simple treatment method with low morbidity. Permalink : ./index.php?lvl=notice_display&id=40915 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