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Cementation of proximal femoral nails of the very elderly subject in per-trochanteric fractures / Sorya Plang in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Cementation of proximal femoral nails of the very elderly subject in per-trochanteric fractures Type de document : texte imprimé Auteurs : Sorya Plang ; Romain Dayan ; Frédéric Khami ; Clément Preneau ; Olivier Barbier ; Camille Choufani Année de publication : 2021 Article en page(s) : p. 293-298 Note générale : https://doi.org/10.52628/87.2.13 Langues : Anglais (eng) Mots-clés : pertrochanteric fracture osteosynthesis surgery elderly Résumé : The management of pertrochanteric fractures (PTF) in the very elderly relies on early verticalisation to limit complications of the decubitus and this requires stable osteosynthesis allowing immediate full support without risk of mechanical failure. The aim of the study was to analyse the value of cementing the cervicocephalic blade during osteosynthesis with a proximal femoral nail.
A prospective bicentric comparative study was con- ducted. Patients over 90 years of age with PTF were included. Centre A used a PFNA (Proximal Femoral Nail Antirotation) nail without blade cementing and Centre B used the same nail with blade cementing. The primary endpoint was the occurrence of disassembly of the osteosynthesis requiring revision surgery. Secondary endpoints were functional out- come (resumption of walking), postoperative pain and duration of surgery.
Sixty-four patients were included in Centre A and 23 patients were included in Centre B. Mean age, gender, functional abilities before fracture, fracture type and tip-apex distance were comparable between the groups. Postoperative pain and duration of surgery did not show significant differences between the groups. Four patients operated on with an uncemented PFNA (6.25%) and one patient operated on with a cemented PFNA nail (4.35%) showed early dismantling. The rate of patients returning to walking was significantly higher in the cemented group (p=0.00005).
No significant differences in the rate of dismantling were observed between the two groups. However, the group operated on with a cemented PFNA showed better functional recovery with a significantly higher rate of walking recovery.Permalink : ./index.php?lvl=notice_display&id=96635
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 293-298[article] Cementation of proximal femoral nails of the very elderly subject in per-trochanteric fractures [texte imprimé] / Sorya Plang ; Romain Dayan ; Frédéric Khami ; Clément Preneau ; Olivier Barbier ; Camille Choufani . - 2021 . - p. 293-298.
https://doi.org/10.52628/87.2.13
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 293-298
Mots-clés : pertrochanteric fracture osteosynthesis surgery elderly Résumé : The management of pertrochanteric fractures (PTF) in the very elderly relies on early verticalisation to limit complications of the decubitus and this requires stable osteosynthesis allowing immediate full support without risk of mechanical failure. The aim of the study was to analyse the value of cementing the cervicocephalic blade during osteosynthesis with a proximal femoral nail.
A prospective bicentric comparative study was con- ducted. Patients over 90 years of age with PTF were included. Centre A used a PFNA (Proximal Femoral Nail Antirotation) nail without blade cementing and Centre B used the same nail with blade cementing. The primary endpoint was the occurrence of disassembly of the osteosynthesis requiring revision surgery. Secondary endpoints were functional out- come (resumption of walking), postoperative pain and duration of surgery.
Sixty-four patients were included in Centre A and 23 patients were included in Centre B. Mean age, gender, functional abilities before fracture, fracture type and tip-apex distance were comparable between the groups. Postoperative pain and duration of surgery did not show significant differences between the groups. Four patients operated on with an uncemented PFNA (6.25%) and one patient operated on with a cemented PFNA nail (4.35%) showed early dismantling. The rate of patients returning to walking was significantly higher in the cemented group (p=0.00005).
No significant differences in the rate of dismantling were observed between the two groups. However, the group operated on with a cemented PFNA showed better functional recovery with a significantly higher rate of walking recovery.Permalink : ./index.php?lvl=notice_display&id=96635 Exemplaires (1)
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Exclu du prêtKnee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature / Gautier Beckers in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Knee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature Type de document : texte imprimé Auteurs : Gautier Beckers ; David Mazy ; Philippe Tollet ; Olivier Van Nieuwenhove Année de publication : 2021 Article en page(s) : p. 347-351 Note générale : https://doi.org/10.52628/87.2.21 Langues : Anglais (eng) Mots-clés : distal femur fracture knee mega-prosthesis elderly osteoporosis Résumé : The management of complicated distal femur fractures (DFF) of the elderly continues to pose a challenge. Knee mega-prosthesis are mostly used for Total knee arthroplasty revision and tumor resection surgery but they can be used for the treatment of complex knee fractures. The purpose of the present study is to examine the short- to mid- term outcomes of their use for complex DFF of the elderly. We retrospectively identified 4 patients with DFF AO33C3 on osteoporotic bone treated by total knee arthroplasty from September 2015 to October 2019. The average age at the time of the surgery was 79,5 years (range, 69 to 95 years). All patients were females and underwent a total knee replacement by one senior surgeon, with the OSS TM Orthopaedic Salvage System (Zimmer Biomet, Warsaw, Indiana, USA). Outcome measures included clinical outcome scores, radiological analyses, reoperation rate and complications.
At an average follow-up of 2,3 years (range, 0,6 to 4,2 years), the average Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was 17,25 (range, 7 to 37), the average Oxford knee score was 35,25 (range, 25 to 41) and the average pain Numerical Rating Scale (NRS) was 0,5 (range, 0 to 1). 3 Patients had postoperative anemia but no implant related complications has been reported.
Complex DFF of the elderly treated with mega knee arthroplasty exhibit good clinical outcomes scores. The patients should be selected carefully as the complication rate found in the literature remains high.Permalink : ./index.php?lvl=notice_display&id=96671
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 347-351[article] Knee mega-prosthesis in the management of complex knee fracture of the elderly : a case series and review of the literature [texte imprimé] / Gautier Beckers ; David Mazy ; Philippe Tollet ; Olivier Van Nieuwenhove . - 2021 . - p. 347-351.
https://doi.org/10.52628/87.2.21
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 347-351
Mots-clés : distal femur fracture knee mega-prosthesis elderly osteoporosis Résumé : The management of complicated distal femur fractures (DFF) of the elderly continues to pose a challenge. Knee mega-prosthesis are mostly used for Total knee arthroplasty revision and tumor resection surgery but they can be used for the treatment of complex knee fractures. The purpose of the present study is to examine the short- to mid- term outcomes of their use for complex DFF of the elderly. We retrospectively identified 4 patients with DFF AO33C3 on osteoporotic bone treated by total knee arthroplasty from September 2015 to October 2019. The average age at the time of the surgery was 79,5 years (range, 69 to 95 years). All patients were females and underwent a total knee replacement by one senior surgeon, with the OSS TM Orthopaedic Salvage System (Zimmer Biomet, Warsaw, Indiana, USA). Outcome measures included clinical outcome scores, radiological analyses, reoperation rate and complications.
At an average follow-up of 2,3 years (range, 0,6 to 4,2 years), the average Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) was 17,25 (range, 7 to 37), the average Oxford knee score was 35,25 (range, 25 to 41) and the average pain Numerical Rating Scale (NRS) was 0,5 (range, 0 to 1). 3 Patients had postoperative anemia but no implant related complications has been reported.
Complex DFF of the elderly treated with mega knee arthroplasty exhibit good clinical outcomes scores. The patients should be selected carefully as the complication rate found in the literature remains high.Permalink : ./index.php?lvl=notice_display&id=96671 Exemplaires (1)
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Exclu du prêtMaintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability / Maria M. Johansson in The British Journal of Occupational Therapy, Vol. 82 Issue 6 (Juin 2019)
[article]
Titre : Maintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability Type de document : texte imprimé Auteurs : Maria M. Johansson ; Jan Marcusson ; Ewa Wressle Année de publication : 2019 Article en page(s) : p. 348-356 Note générale : doi.org/10.1177/0308022619830261 Langues : Anglais (eng) Mots-clés : Health-related quality of life daily living elderly occupational therapy Résumé : Introduction
The ‘oldest-old’ is the most rapidly growing age group in Sweden and in the western world. This group is known to be at great risk of increased functional dependency and the need for help in their daily lives. The aim of this research was to examine how the oldest-old change over time regarding health-related quality of life, cognition, depression and ability to perform activities of daily living and investigate what factors explain health-related quality of life at age 85 and 93 years.
Methods
In this study, 60 individuals from the Swedish Elderly in Linköping Screening Assessment study were followed from age 85 to 93 years. Measurements used were EQ-5D, Geriatric Depression Scale, Mini Mental State Examination and ability to perform activities of daily living. Nonparametric statistics and regression analyses were used.
Results
Although the individuals had increased mobility problems, decreased ability to manage activities of daily living, and thus had increased need of assistance, they scored their health-related quality of life at age 93 years at almost the same level as at age 85 years. No depression and low dependence in activities of daily living speaks in favour of higher health-related quality of life.
Conclusions
Health-related quality of life can be maintained during ageing despite decreased functional ability and increased need of assistance in daily life.Permalink : ./index.php?lvl=notice_display&id=84442
in The British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 348-356[article] Maintaining health-related quality of life from 85 to 93 years of age despite decreased functional ability [texte imprimé] / Maria M. Johansson ; Jan Marcusson ; Ewa Wressle . - 2019 . - p. 348-356.
doi.org/10.1177/0308022619830261
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 6 (Juin 2019) . - p. 348-356
Mots-clés : Health-related quality of life daily living elderly occupational therapy Résumé : Introduction
The ‘oldest-old’ is the most rapidly growing age group in Sweden and in the western world. This group is known to be at great risk of increased functional dependency and the need for help in their daily lives. The aim of this research was to examine how the oldest-old change over time regarding health-related quality of life, cognition, depression and ability to perform activities of daily living and investigate what factors explain health-related quality of life at age 85 and 93 years.
Methods
In this study, 60 individuals from the Swedish Elderly in Linköping Screening Assessment study were followed from age 85 to 93 years. Measurements used were EQ-5D, Geriatric Depression Scale, Mini Mental State Examination and ability to perform activities of daily living. Nonparametric statistics and regression analyses were used.
Results
Although the individuals had increased mobility problems, decreased ability to manage activities of daily living, and thus had increased need of assistance, they scored their health-related quality of life at age 93 years at almost the same level as at age 85 years. No depression and low dependence in activities of daily living speaks in favour of higher health-related quality of life.
Conclusions
Health-related quality of life can be maintained during ageing despite decreased functional ability and increased need of assistance in daily life.Permalink : ./index.php?lvl=notice_display&id=84442 Exemplaires (1)
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Exclu du prêtEs la socializacion un instrumento de intervencion en pacientes con demencia? / Loreto Merino Quintana in WFOT Bulletin, N°43 (01/05/2001)
[article]
Titre : Es la socializacion un instrumento de intervencion en pacientes con demencia? Type de document : texte imprimé Auteurs : Loreto Merino Quintana, Auteur ; Maria Dominga Vargas Jofré, Auteur Année de publication : 2001 Article en page(s) : pp. 28-35 Langues : Espagnol (spa) Mots-clés : elderly validation well-being qualty of life Permalink : ./index.php?lvl=notice_display&id=7293
in WFOT Bulletin > N°43 (01/05/2001) . - pp. 28-35[article] Es la socializacion un instrumento de intervencion en pacientes con demencia? [texte imprimé] / Loreto Merino Quintana, Auteur ; Maria Dominga Vargas Jofré, Auteur . - 2001 . - pp. 28-35.
Langues : Espagnol (spa)
in WFOT Bulletin > N°43 (01/05/2001) . - pp. 28-35
Mots-clés : elderly validation well-being qualty of life Permalink : ./index.php?lvl=notice_display&id=7293 Exemplaires (1)
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Exclu du prêtFactors Affecting Readiness for Low Vision Interventions in Older Adults / Amanda Jean Mohler in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)
[article]
Titre : Factors Affecting Readiness for Low Vision Interventions in Older Adults Type de document : texte imprimé Auteurs : Amanda Jean Mohler, Auteur ; Peggy Neufeld, Auteur ; Monica S. Perlmutter, Auteur Année de publication : 2015 Article en page(s) : 6904270020p1-6904270020p10 Langues : Anglais (eng) Mots-clés : Community elderly social support visual impairment positive attitude occupational therapist Permalink : ./index.php?lvl=notice_display&id=40421
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904270020p1-6904270020p10[article] Factors Affecting Readiness for Low Vision Interventions in Older Adults [texte imprimé] / Amanda Jean Mohler, Auteur ; Peggy Neufeld, Auteur ; Monica S. Perlmutter, Auteur . - 2015 . - 6904270020p1-6904270020p10.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904270020p1-6904270020p10
Mots-clés : Community elderly social support visual impairment positive attitude occupational therapist Permalink : ./index.php?lvl=notice_display&id=40421 Exemplaires (1)
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Exclu du prêtLiving Legends: Effectiveness of a Program to Enhance Sense of Purpose and Meaning in Life Among Community-Dwelling Older Adults / Tracy CHIPPENDALE in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)
PermalinkOlder adults’ experiences and expectations after discharge from home-based occupational therapy / Tove Lise Nielsen in The British Journal of Occupational Therapy, Vol.81 Issue 8 (Août 2018)
PermalinkOlder adults' experiences of daily life occupations as everyday technology changes / Charlotta Ryd in The British Journal of Occupational Therapy, Vol.81 Issue 10 (Octobre 2018)
PermalinkS'engager face au manque d'occupation des personnes âges handicapées mentales au sein d'une structure en proposant une méthode d'intervention inspirée par la méthode Montessori / Charlotte Guais
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