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Acute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients / Stefan B.T. Bolder in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Acute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients Type de document : texte imprimé Auteurs : Stefan B.T. Bolder ; Elsa A. Spaans ; Joost A.A.M. Van Den Hout ; Robert Wagenmakers ; Keon L.M. Koenraadt Année de publication : 2021 Article en page(s) : p. 332-338 Note générale : https://doi.org/10.52628/87.2.19 Langues : Anglais (eng) Mots-clés : hip arthroplasty femoral neck fracture osteoarthritis Résumé : National arthroplasty registries reveal a higher risk of revision for periprosthetic fracture and dislocation after total hip arthroplasty (THA) in patients with a femoral neck fracture compared to those with osteoarthritis (OA). Since these registries may con- tain confounding factors, we conducted a single center cohort study comparing survival and reason for failure between THA for an acute femoral neck fracture and OA using the same hip prosthesis after a minimum follow-up of 2 years.
We retrospectively analyzed 2782 patients who had undergone THA with an Accolade TMZF stem and a Trident cup between March 2009 and September 2014. Primary diagnosis before THA was osteoarthritis (OA group : n=2610) or acute femoral fracture (Fracture group : n=172). Patients in both groups were operated on by the same hip surgeons. Effect of diagnosis on THA survival was analyzed using Cox-regression analysis. Chi-square tests were used to illustrate the different reasons for revision between the groups.
Mean follow-up was 4.6 years (2-7.6). A total of 100 revisions were performed. The revision risk was comparable between the OA and Fracture group (HR=1.04, 95% CI :0.46-2.39). No differences were found between the OA and Fracture group with respect to the occurrence of periprosthetic fractures (0.8% vs. 0.6%, p=0.71) and revisions for dislocation (0.6% vs. 1.2%, p=0.38).
We found no difference in outcome or reason for revision between THA for OA or femoral neck frac- ture. Using an implant with a proven ODEP rating and having experienced hip surgeons carry out the procedures may be more important than the primary diagnosis.Permalink : ./index.php?lvl=notice_display&id=96669
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 332-338[article] Acute femoral fracture does not compromise the outcome of total hip arthroplasty : 5 year results from a single center cohort study in 2,782 patients [texte imprimé] / Stefan B.T. Bolder ; Elsa A. Spaans ; Joost A.A.M. Van Den Hout ; Robert Wagenmakers ; Keon L.M. Koenraadt . - 2021 . - p. 332-338.
https://doi.org/10.52628/87.2.19
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 332-338
Mots-clés : hip arthroplasty femoral neck fracture osteoarthritis Résumé : National arthroplasty registries reveal a higher risk of revision for periprosthetic fracture and dislocation after total hip arthroplasty (THA) in patients with a femoral neck fracture compared to those with osteoarthritis (OA). Since these registries may con- tain confounding factors, we conducted a single center cohort study comparing survival and reason for failure between THA for an acute femoral neck fracture and OA using the same hip prosthesis after a minimum follow-up of 2 years.
We retrospectively analyzed 2782 patients who had undergone THA with an Accolade TMZF stem and a Trident cup between March 2009 and September 2014. Primary diagnosis before THA was osteoarthritis (OA group : n=2610) or acute femoral fracture (Fracture group : n=172). Patients in both groups were operated on by the same hip surgeons. Effect of diagnosis on THA survival was analyzed using Cox-regression analysis. Chi-square tests were used to illustrate the different reasons for revision between the groups.
Mean follow-up was 4.6 years (2-7.6). A total of 100 revisions were performed. The revision risk was comparable between the OA and Fracture group (HR=1.04, 95% CI :0.46-2.39). No differences were found between the OA and Fracture group with respect to the occurrence of periprosthetic fractures (0.8% vs. 0.6%, p=0.71) and revisions for dislocation (0.6% vs. 1.2%, p=0.38).
We found no difference in outcome or reason for revision between THA for OA or femoral neck frac- ture. Using an implant with a proven ODEP rating and having experienced hip surgeons carry out the procedures may be more important than the primary diagnosis.Permalink : ./index.php?lvl=notice_display&id=96669 Exemplaires (1)
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Exclu du prêtMetal wear debris generation in primary total knee arthroplasty / Jonas Kellens in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Metal wear debris generation in primary total knee arthroplasty : is it an issue? Type de document : texte imprimé Auteurs : Jonas Kellens ; Pieter Berger ; Hilde Vandenneucker Année de publication : 2021 Article en page(s) : p. 681-695 Note générale : https://doi.org/10.52628/87.4.13 Langues : Anglais (eng) Mots-clés : knee prosthesis arthroplasty metal adverseeffects Résumé : More durable total knee arthroplasties (TKAs) are needed, due to the rising life expectancy, the higher activity levels of patients and the growing concerns about aseptic loosening being caused by metal hypersensitivity. In response, different hypoallergenic metal coatings have been developed for TKAs. How- ever, possible adverse effects of these different metals (cobalt-chromium-molybdenum, zirconium, titanium and tantalum) have been neglected. The aim was to summarize the local and systemic adverse effects (including metal hypersensitivity), survival ratios, patient-reported outcome measures (PROMs) and the plasma metal ion concentrations of the different TKA coatings. A literature search on PubMed and EMBASE was performed. In total, 15 studies were found eligible. Common adverse effects of TKA were infection, loosening, pain, instability and hyper- coagulation disorders. Serious adverse effects related to TKA implants were not reported. The survival ratios and patient-reported outcome measures seem to confirm these good results. In contrast with chromium and cobalt, no significant differences were reported in the nickel, molybdenum and titanium concentrations. No significant differences between the hypoallergenic and standard TKA implants were found in terms of adverse effects, survival ratios and PROMs. A causal relationship between the common adverse effects and the different metals is unlikely. Due to the heterogeneity of the TKA implants used, no firm conclusions could be made. Further research with longer follow-up studies are needed to find possible adverse effects and differences. Thus far, the hypoallergenic implants seem to perform equal to the standard implants. Permalink : ./index.php?lvl=notice_display&id=102048
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 681-695[article] Metal wear debris generation in primary total knee arthroplasty : is it an issue? [texte imprimé] / Jonas Kellens ; Pieter Berger ; Hilde Vandenneucker . - 2021 . - p. 681-695.
https://doi.org/10.52628/87.4.13
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 681-695
Mots-clés : knee prosthesis arthroplasty metal adverseeffects Résumé : More durable total knee arthroplasties (TKAs) are needed, due to the rising life expectancy, the higher activity levels of patients and the growing concerns about aseptic loosening being caused by metal hypersensitivity. In response, different hypoallergenic metal coatings have been developed for TKAs. How- ever, possible adverse effects of these different metals (cobalt-chromium-molybdenum, zirconium, titanium and tantalum) have been neglected. The aim was to summarize the local and systemic adverse effects (including metal hypersensitivity), survival ratios, patient-reported outcome measures (PROMs) and the plasma metal ion concentrations of the different TKA coatings. A literature search on PubMed and EMBASE was performed. In total, 15 studies were found eligible. Common adverse effects of TKA were infection, loosening, pain, instability and hyper- coagulation disorders. Serious adverse effects related to TKA implants were not reported. The survival ratios and patient-reported outcome measures seem to confirm these good results. In contrast with chromium and cobalt, no significant differences were reported in the nickel, molybdenum and titanium concentrations. No significant differences between the hypoallergenic and standard TKA implants were found in terms of adverse effects, survival ratios and PROMs. A causal relationship between the common adverse effects and the different metals is unlikely. Due to the heterogeneity of the TKA implants used, no firm conclusions could be made. Further research with longer follow-up studies are needed to find possible adverse effects and differences. Thus far, the hypoallergenic implants seem to perform equal to the standard implants. Permalink : ./index.php?lvl=notice_display&id=102048 Réservation
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DisponibleProximal interphalangeal Joint Replacement: Resurfacing Pyrocarbon versus Silicone Arthroplasty / Maarten Van Nuffel in Acta Orthopaedica Belgica, Vol.80/2 (Juin 2014)
[article]
Titre : Proximal interphalangeal Joint Replacement: Resurfacing Pyrocarbon versus Silicone Arthroplasty Type de document : texte imprimé Auteurs : Maarten Van Nuffel, Auteur ; Ilse Degreef, Auteur Année de publication : 2014 Article en page(s) : p.190-195 Langues : Anglais (eng) Mots-clés : proximal interphalangeal joint osteoarthritis arthroplasty silicone resurfacing Permalink : ./index.php?lvl=notice_display&id=34628
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.190-195[article] Proximal interphalangeal Joint Replacement: Resurfacing Pyrocarbon versus Silicone Arthroplasty [texte imprimé] / Maarten Van Nuffel, Auteur ; Ilse Degreef, Auteur . - 2014 . - p.190-195.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.190-195
Mots-clés : proximal interphalangeal joint osteoarthritis arthroplasty silicone resurfacing Permalink : ./index.php?lvl=notice_display&id=34628 Exemplaires (1)
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Exclu du prêtTest-retest reliability of the 50-foot timed walk and 30-second chair stand test in patients with total hip arthroplasty / Bayram UNVER in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)
[article]
Titre : Test-retest reliability of the 50-foot timed walk and 30-second chair stand test in patients with total hip arthroplasty Type de document : texte imprimé Auteurs : Bayram UNVER, Auteur ; Turhan KAHRAMAN, Auteur ; Serpil KALKAN, Auteur Année de publication : 2015 Article en page(s) : p.435-441 Langues : Anglais (eng) Mots-clés : hip gait outcome arthroplasty Résumé : The purpose was to investigate the test-retest reliability of the 50-Foot Timed Walk (50FWT), and 30-Second Chair Stand Test (30CST) in the patients with total hip arthroplasty (THA). The study was a test-retest study. Thirty-seven patients with THA performed two trials for both the 30CTS and 50FWT on the same day with one hour interval. To assess
reliability, the intra-class correlation coefficient [ICC(2,1)], standard error of measurement (SEM), the smallest real difference at the 95% confidence level (SRD95) were calculated. The ICCs for the 50FWT and 30CTS were 0.98 and 0.94, respectively.
The SEM and SRD95 for the 50FWT and 30CTS were 0.3 and 0.8 seconds and 0.4 and 1.2 repeats, respectively. The test-retest reliability of the tests was very high. The 50FWT and 30CST are very reliable to measure the functional performance in patients with THA in the clinical settings.Permalink : ./index.php?lvl=notice_display&id=40916
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.435-441[article] Test-retest reliability of the 50-foot timed walk and 30-second chair stand test in patients with total hip arthroplasty [texte imprimé] / Bayram UNVER, Auteur ; Turhan KAHRAMAN, Auteur ; Serpil KALKAN, Auteur . - 2015 . - p.435-441.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.435-441
Mots-clés : hip gait outcome arthroplasty Résumé : The purpose was to investigate the test-retest reliability of the 50-Foot Timed Walk (50FWT), and 30-Second Chair Stand Test (30CST) in the patients with total hip arthroplasty (THA). The study was a test-retest study. Thirty-seven patients with THA performed two trials for both the 30CTS and 50FWT on the same day with one hour interval. To assess
reliability, the intra-class correlation coefficient [ICC(2,1)], standard error of measurement (SEM), the smallest real difference at the 95% confidence level (SRD95) were calculated. The ICCs for the 50FWT and 30CTS were 0.98 and 0.94, respectively.
The SEM and SRD95 for the 50FWT and 30CTS were 0.3 and 0.8 seconds and 0.4 and 1.2 repeats, respectively. The test-retest reliability of the tests was very high. The 50FWT and 30CST are very reliable to measure the functional performance in patients with THA in the clinical settings.Permalink : ./index.php?lvl=notice_display&id=40916 Exemplaires (1)
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Exclu du prêtThe role of serum D-dimer in the diagnosis of periprosthetic joint infection and timing of reimplantation / erden Sahim in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : The role of serum D-dimer in the diagnosis of periprosthetic joint infection and timing of reimplantation Type de document : texte imprimé Auteurs : erden Sahim ; Bedri Karaismailoglu ; Mahmut Kursat Ozsahim Année de publication : 2021 Article en page(s) : p. 587-592 Note générale : https://doi.org/10.52628/87.4.02 Langues : Anglais (eng) Mots-clés : periprosthetic joint infection diagnosis arthroplasty knee revision hip revision d-dimer Résumé : D-dimer is a fibrin degradation product formed by the destruction of the cross-linked fibrin clot by activation of the coagulation system. Many studies have shown that systemic and local infections cause fibrinolytic activities. The purpose of this study was to determine the role of serum D-dimer in the diagnosis of periprosthetic joint infection (PJI) and the timing of reimplantation. The patients who underwent primary and revision knee or hip arthroplasty between July 2018 and May 2019 were prospectively evaluated. All surgeries were performed by the same surgeon. 60 of 71 patients who met our criteria were included in the study, comprising of 27 primary arthroplasties (PA), 21 two-stage septic revision (SR) and 12 aseptic revision (AR). We analyzed D-dimer, C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels. The values of the septic group were evaluated as two groups; Group 1 (before the first stage) and Group 2 (before the second stage) to investigate the role of D-dimer in determining the timing of reimplantation. D-dimer level was significantly higher in the SR group compared to PA and AR groups (p<0.001 and p=0.045). CRP and ESR levels were significantly higher in the SR group compared to PA and AR groups. There was no statistically significant difference between preoperative D-dimer levels of Group 1 and Group 2 (p=0.2). Serum D-dimer level can be used as an easy and inexpensive test to support the diagnosis of PJI. But the D-dimer level is not useful to determine the timing of reimplantation. Permalink : ./index.php?lvl=notice_display&id=102006
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 587-592[article] The role of serum D-dimer in the diagnosis of periprosthetic joint infection and timing of reimplantation [texte imprimé] / erden Sahim ; Bedri Karaismailoglu ; Mahmut Kursat Ozsahim . - 2021 . - p. 587-592.
https://doi.org/10.52628/87.4.02
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 587-592
Mots-clés : periprosthetic joint infection diagnosis arthroplasty knee revision hip revision d-dimer Résumé : D-dimer is a fibrin degradation product formed by the destruction of the cross-linked fibrin clot by activation of the coagulation system. Many studies have shown that systemic and local infections cause fibrinolytic activities. The purpose of this study was to determine the role of serum D-dimer in the diagnosis of periprosthetic joint infection (PJI) and the timing of reimplantation. The patients who underwent primary and revision knee or hip arthroplasty between July 2018 and May 2019 were prospectively evaluated. All surgeries were performed by the same surgeon. 60 of 71 patients who met our criteria were included in the study, comprising of 27 primary arthroplasties (PA), 21 two-stage septic revision (SR) and 12 aseptic revision (AR). We analyzed D-dimer, C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels. The values of the septic group were evaluated as two groups; Group 1 (before the first stage) and Group 2 (before the second stage) to investigate the role of D-dimer in determining the timing of reimplantation. D-dimer level was significantly higher in the SR group compared to PA and AR groups (p<0.001 and p=0.045). CRP and ESR levels were significantly higher in the SR group compared to PA and AR groups. There was no statistically significant difference between preoperative D-dimer levels of Group 1 and Group 2 (p=0.2). Serum D-dimer level can be used as an easy and inexpensive test to support the diagnosis of PJI. But the D-dimer level is not useful to determine the timing of reimplantation. Permalink : ./index.php?lvl=notice_display&id=102006 Réservation
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DisponibleThe Young Patient And The Medial Unicompartmental Knee Replacement / Omar FAOUR MARTÍN in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
PermalinkValidation of a novel activity monitor in impaired, slow-walking, crutch-supported patients / Simon N. van Laarhoven in Annals of physical and rehabilitation medicine, Vol. 59, n°5-6 (December 2016)
PermalinkLong-Term Follow-Up Of A Cemented Titanium Stem / Benjamin BLOCH in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
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