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Ganz osteotomy for treatment of hip dysplasia through intra-pelvic approach / Ahmed M. Saied in Acta Orthopaedica Belgica, Vol. 87/4 (Décembre 2021)
[article]
Titre : Ganz osteotomy for treatment of hip dysplasia through intra-pelvic approach : early results Type de document : texte imprimé Auteurs : Ahmed M. Saied ; Bassam Abouelnas ; Wael El-Adl Année de publication : 2021 Article en page(s) : p. 643-647 Note générale : https://doi.org/10.52628/87.4.09 Langues : Anglais (eng) Mots-clés : dysplasia hip Ganz Stoppa osteotomy periacetabular Résumé : Ganz periacetabular osteotomy (PAO) is a technically demanding surgical procedure. It requires cutting around the acetabulum to mobilize it under fluoro- scopic control. The radiolucent table and good quality imaging are mandatory to perform this osteotomy in a safe way. Modification of Ganz osteotomy was developed a with minimal soft tissue exposure using intra-pelvic approach which allows direct visualization of the quadrilateral plate. The purpose of the present study was to review the early results in the initial group of patients who had this procedure. The Ganz PAO was performed on 8 cases painful dysplastic hips, using the intra-pelvic approach through the Pfannenstiel incision. All of the osteotomies were performed under fluoroscopic control and direct visualizing the osteotomy site from the same incision. The acetabular fragment was medialized and redirected anterolaterally then fixed with 3 screws. The pre-operative Harris hip score mean was 66.8 and improved to be 92.7 (p value <0.0005) and this was statistically significant. Radiologically the CEA improved in the pre-operative X-ray from mean of 13.12 degree to 28.37 degrees (p value <0.0005) and this was statistically significant. Painful dysplastic hips should be treated before function becomes seriously impaired. The Ganz osteotomy through an intra-pelvic approach, can be done with minimal exposure to radiation in a relatively short time. Permalink : ./index.php?lvl=notice_display&id=102014
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 643-647[article] Ganz osteotomy for treatment of hip dysplasia through intra-pelvic approach : early results [texte imprimé] / Ahmed M. Saied ; Bassam Abouelnas ; Wael El-Adl . - 2021 . - p. 643-647.
https://doi.org/10.52628/87.4.09
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 87/4 (Décembre 2021) . - p. 643-647
Mots-clés : dysplasia hip Ganz Stoppa osteotomy periacetabular Résumé : Ganz periacetabular osteotomy (PAO) is a technically demanding surgical procedure. It requires cutting around the acetabulum to mobilize it under fluoro- scopic control. The radiolucent table and good quality imaging are mandatory to perform this osteotomy in a safe way. Modification of Ganz osteotomy was developed a with minimal soft tissue exposure using intra-pelvic approach which allows direct visualization of the quadrilateral plate. The purpose of the present study was to review the early results in the initial group of patients who had this procedure. The Ganz PAO was performed on 8 cases painful dysplastic hips, using the intra-pelvic approach through the Pfannenstiel incision. All of the osteotomies were performed under fluoroscopic control and direct visualizing the osteotomy site from the same incision. The acetabular fragment was medialized and redirected anterolaterally then fixed with 3 screws. The pre-operative Harris hip score mean was 66.8 and improved to be 92.7 (p value <0.0005) and this was statistically significant. Radiologically the CEA improved in the pre-operative X-ray from mean of 13.12 degree to 28.37 degrees (p value <0.0005) and this was statistically significant. Painful dysplastic hips should be treated before function becomes seriously impaired. The Ganz osteotomy through an intra-pelvic approach, can be done with minimal exposure to radiation in a relatively short time. Permalink : ./index.php?lvl=notice_display&id=102014 Réservation
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DisponibleGenu valgum deformity – correction by a wedgeless implantless femoral “V” osteotomy / Amrit Goyal in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Genu valgum deformity – correction by a wedgeless implantless femoral “V” osteotomy Type de document : texte imprimé Auteurs : Amrit Goyal ; Vikas Gupta ; Meenakshi Goyal ; Rajesh Chandra ; Vinod K. Sharma Année de publication : 2021 Article en page(s) : p. 247-254 Note générale : https://doi.org/10.52628/87.2.07 Langues : Anglais (eng) Mots-clés : genu valgum osteotomy deformity paediatric knee Résumé : Coronal malalignment of the knee joint is very common in developing countries especially because of nutritional rickets. Significant valgus deformity needs to be treated surgically to improve appearance, gait and function of the patient. The purpose of this prospective study was to evaluate the results of supracondylar “V” osteotomy as a surgical technique for correction of the valgus knee deformity.
This study was conducted in a tertiary level teaching hospital and 30 cases were included in the study. For all the patients deformity was assessed using ana- tomical tibiofemoral angle, mechanical axis deviation and intermalleolar distance preoperatively and post- operatively.
The average age of our patients was 13.7 years and the average follow up was3.29 years (1.39-14.22 yrs). Clinically the average value of intermalleolar distance preoperatively was 16cm and 3.2 cm postperatively. Average pre-operative tibiofemoral angle was 23° and the average postoperative angle was 6 0 which was found to be statistically significant using the Paired t test (p<0.005). The average value of preoperative mechanical axis deviation was 3.1 cm which decreased to an average value of 1.1 cm postoperatively.
The results with this technique have been encouraging. The advantages of this technique are low morbidity, good stability allowing early ambulation, ability to adjust alignment postoperatively by casting and no need for internal fixation. Few studies have been conducted on osteotomies that do not require internal fixation and are inherently stable. This technique has the advantage of practically no occurrence of any infection or a second surgery to remove hardware in children and adolescents. Since no specialized instrumentation, image intensifier and implants are required, it is cost effective and can be used in any primary care or district level surgical setup in a developing country like ours.Permalink : ./index.php?lvl=notice_display&id=96627
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 247-254[article] Genu valgum deformity – correction by a wedgeless implantless femoral “V” osteotomy [texte imprimé] / Amrit Goyal ; Vikas Gupta ; Meenakshi Goyal ; Rajesh Chandra ; Vinod K. Sharma . - 2021 . - p. 247-254.
https://doi.org/10.52628/87.2.07
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 247-254
Mots-clés : genu valgum osteotomy deformity paediatric knee Résumé : Coronal malalignment of the knee joint is very common in developing countries especially because of nutritional rickets. Significant valgus deformity needs to be treated surgically to improve appearance, gait and function of the patient. The purpose of this prospective study was to evaluate the results of supracondylar “V” osteotomy as a surgical technique for correction of the valgus knee deformity.
This study was conducted in a tertiary level teaching hospital and 30 cases were included in the study. For all the patients deformity was assessed using ana- tomical tibiofemoral angle, mechanical axis deviation and intermalleolar distance preoperatively and post- operatively.
The average age of our patients was 13.7 years and the average follow up was3.29 years (1.39-14.22 yrs). Clinically the average value of intermalleolar distance preoperatively was 16cm and 3.2 cm postperatively. Average pre-operative tibiofemoral angle was 23° and the average postoperative angle was 6 0 which was found to be statistically significant using the Paired t test (p<0.005). The average value of preoperative mechanical axis deviation was 3.1 cm which decreased to an average value of 1.1 cm postoperatively.
The results with this technique have been encouraging. The advantages of this technique are low morbidity, good stability allowing early ambulation, ability to adjust alignment postoperatively by casting and no need for internal fixation. Few studies have been conducted on osteotomies that do not require internal fixation and are inherently stable. This technique has the advantage of practically no occurrence of any infection or a second surgery to remove hardware in children and adolescents. Since no specialized instrumentation, image intensifier and implants are required, it is cost effective and can be used in any primary care or district level surgical setup in a developing country like ours.Permalink : ./index.php?lvl=notice_display&id=96627 Exemplaires (1)
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Exclu du prêtWedgeless V shaped distal femorial osteotomy with internal fixation for genu valgum in adolescents and young adults / Vikas Gupta in Acta Orthopaedica Belgica, Vol.80/2 (Juin 2014)
[article]
Titre : Wedgeless V shaped distal femorial osteotomy with internal fixation for genu valgum in adolescents and young adults Type de document : texte imprimé Auteurs : Vikas Gupta, Auteur ; Gaurav KAMRA, Auteur Année de publication : 2014 Article en page(s) : p.234-240 Langues : Anglais (eng) Mots-clés : Coronal plane deformity genu valgum corrective surgery osteotomy internal fixation Permalink : ./index.php?lvl=notice_display&id=34635
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.234-240[article] Wedgeless V shaped distal femorial osteotomy with internal fixation for genu valgum in adolescents and young adults [texte imprimé] / Vikas Gupta, Auteur ; Gaurav KAMRA, Auteur . - 2014 . - p.234-240.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.80/2 (Juin 2014) . - p.234-240
Mots-clés : Coronal plane deformity genu valgum corrective surgery osteotomy internal fixation Permalink : ./index.php?lvl=notice_display&id=34635 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 prêtSurgical treatment of the adult acquired flexible flatfoot / Lise Van Gestel in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
[article]
Titre : Surgical treatment of the adult acquired flexible flatfoot Type de document : texte imprimé Auteurs : Lise Van Gestel, Auteur ; Saskia Van Bouwel, Auteur ; Johan Somville, Auteur Année de publication : 2015 Article en page(s) : p.172-183 Langues : Anglais (eng) Mots-clés : foot adult flatfoot surgery osteotomy Résumé : In this review article, the authors give an overview of the currently available soft tissue and bony procedures in the treatment of the adult acquired flexible flatfoot. Instead of starting from the classification for posterior tibial tendon dysfunction, described by Johnson and Storm, the authors address the flatfoot from a more anatomical point of view. Based on this, they will try to define a treatment algorithm. Permalink : ./index.php?lvl=notice_display&id=40532
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.172-183[article] Surgical treatment of the adult acquired flexible flatfoot [texte imprimé] / Lise Van Gestel, Auteur ; Saskia Van Bouwel, Auteur ; Johan Somville, Auteur . - 2015 . - p.172-183.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.172-183
Mots-clés : foot adult flatfoot surgery osteotomy Résumé : In this review article, the authors give an overview of the currently available soft tissue and bony procedures in the treatment of the adult acquired flexible flatfoot. Instead of starting from the classification for posterior tibial tendon dysfunction, described by Johnson and Storm, the authors address the flatfoot from a more anatomical point of view. Based on this, they will try to define a treatment algorithm. Permalink : ./index.php?lvl=notice_display&id=40532 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