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Les idées reçues concernant l’impact de l’obésité sur la prothèse totale de genou et sur l’activité physique / Adrien Ziraldo
Titre : Les idées reçues concernant l’impact de l’obésité sur la prothèse totale de genou et sur l’activité physique : Revue de la littérature Type de document : TFE / Mémoire Auteurs : Adrien Ziraldo, Auteur ; Frédéric Otto, Directeur de la recherche Editeur : Montignies-sur-Sambre : Haute Ecole Louvain en Hainaut Année de publication : 2016 Importance : 79p. Format : 30cm Note générale : Le fichier numérique de ce document est disponible uniquement pour les membres de la Haute Ecole Louvain-en-Hainaut.
Veuillez vous connecter pour accéder à votre compte lecteur.Langues : Français (fre) Mots-clés : Obésité prothèse totale de genou arthrose Index. décimale : MK Gn T Mémoire Kiné - Genou/tibia Permalink : ./index.php?lvl=notice_display&id=44480 Les idées reçues concernant l’impact de l’obésité sur la prothèse totale de genou et sur l’activité physique : Revue de la littérature [TFE / Mémoire] / Adrien Ziraldo, Auteur ; Frédéric Otto, Directeur de la recherche . - Montignies-sur-Sambre : Haute Ecole Louvain en Hainaut, 2016 . - 79p. ; 30cm.
Le fichier numérique de ce document est disponible uniquement pour les membres de la Haute Ecole Louvain-en-Hainaut.
Veuillez vous connecter pour accéder à votre compte lecteur.
Langues : Français (fre)
Mots-clés : Obésité prothèse totale de genou arthrose Index. décimale : MK Gn T Mémoire Kiné - Genou/tibia Permalink : ./index.php?lvl=notice_display&id=44480 Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Postoperative pain relief and functional outcome following total knee arthroplasty – a prospective comparative audit of three analgesic regimes / Aysha Rajeev in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
[article]
Titre : Postoperative pain relief and functional outcome following total knee arthroplasty – a prospective comparative audit of three analgesic regimes Type de document : texte imprimé Auteurs : Aysha Rajeev ; Nezar Tumia ; Kaushlendra Karn ; [et al...] Année de publication : 2016 Article en page(s) : p. 265-270 Langues : Anglais (eng) Mots-clés : prothèse totale de genou chirurgie douleur Résumé : Pain control plays a key role in joint-replacement surgery. As a surgeon the challenge is to reduce pain to an acceptable level in the post-operative period. The aim of the study was to assess the efficacy of bolus local anaesthesia, infusion in to the surgical site and nerve blocks with femoral nerve catheter and its functional outcome. A prospective audit of 114 patients undergoing total knee arthroplasty were carried out.The patients were divided in to three groups : Group 1 (n = 27) received a bolus injection of 20 ml 0.25% levobupivacaine + 10 ml 0.25%bupivacaine + adrenaline + 30 ml saline. Group 2 (n = 39) received a bolus injection as on group 1 with 240 ml 0.25% bupivacaine infusion and 5 ml/hour using a Pain Buster pump. Group 3 (n = 48) received 30 ml 0.125% levobupivacaine to femoral (3- in-1) block with 30 ml 0.25% levobupivacaine to sciatic nerve and introduction of a femoral nerve catheter. All patients were prescribed paracetamol 1 g QDS, Oxycontin 20 mg BD and Ibuprofen post operatively. Pain was assessed with a Visual Analog Scale (VAS). The incidence of PONV was measured by PONY intensity score. The mean post-op VAS score for Group 3 was 4. The demand of oxynorm and NSAID were minimal in Group 3. The mean in patient stay for Group 3 was 3.1 days. The PONV intensity score was > 50 for 9 (36%) in Group 1, 15 (40%) in Group 2 and 9 (20%) in Group 3. There was loss of 20-30 degrees of flexion movements in Group 3 in the first 4 to 6 days post-op. Our study demonstrated that Regime 3 with the use of nerve blocks and femoral nerve catheter has given the maximum pain relief and good functional outcome following total knee replacement. Permalink : ./index.php?lvl=notice_display&id=46092
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 265-270[article] Postoperative pain relief and functional outcome following total knee arthroplasty – a prospective comparative audit of three analgesic regimes [texte imprimé] / Aysha Rajeev ; Nezar Tumia ; Kaushlendra Karn ; [et al...] . - 2016 . - p. 265-270.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 265-270
Mots-clés : prothèse totale de genou chirurgie douleur Résumé : Pain control plays a key role in joint-replacement surgery. As a surgeon the challenge is to reduce pain to an acceptable level in the post-operative period. The aim of the study was to assess the efficacy of bolus local anaesthesia, infusion in to the surgical site and nerve blocks with femoral nerve catheter and its functional outcome. A prospective audit of 114 patients undergoing total knee arthroplasty were carried out.The patients were divided in to three groups : Group 1 (n = 27) received a bolus injection of 20 ml 0.25% levobupivacaine + 10 ml 0.25%bupivacaine + adrenaline + 30 ml saline. Group 2 (n = 39) received a bolus injection as on group 1 with 240 ml 0.25% bupivacaine infusion and 5 ml/hour using a Pain Buster pump. Group 3 (n = 48) received 30 ml 0.125% levobupivacaine to femoral (3- in-1) block with 30 ml 0.25% levobupivacaine to sciatic nerve and introduction of a femoral nerve catheter. All patients were prescribed paracetamol 1 g QDS, Oxycontin 20 mg BD and Ibuprofen post operatively. Pain was assessed with a Visual Analog Scale (VAS). The incidence of PONV was measured by PONY intensity score. The mean post-op VAS score for Group 3 was 4. The demand of oxynorm and NSAID were minimal in Group 3. The mean in patient stay for Group 3 was 3.1 days. The PONV intensity score was > 50 for 9 (36%) in Group 1, 15 (40%) in Group 2 and 9 (20%) in Group 3. There was loss of 20-30 degrees of flexion movements in Group 3 in the first 4 to 6 days post-op. Our study demonstrated that Regime 3 with the use of nerve blocks and femoral nerve catheter has given the maximum pain relief and good functional outcome following total knee replacement. Permalink : ./index.php?lvl=notice_display&id=46092 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 prêtThe current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review / Pieter-Jan Vendekerckhove in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)
[article]
Titre : The current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review Type de document : texte imprimé Auteurs : Pieter-Jan Vendekerckhove ; Brent Lanting ; Johan Bellemans ; [et al...] Année de publication : 2016 Article en page(s) : p. 129-142 Langues : Anglais (eng) Mots-clés : Prothèse totale de genou Résumé : Background : Based on historical data, the current standard of care in Total Knee Arthroplasty (TKA) is to restore the overall alignment to a neutral mechanical axis of 0° ± 3° or even slight valgus. However, there is significant controversy in literature regarding intentionally placing the TKA in the patient’s physiologic, rather than neutral (0 ± 3°), mechanical alignment. Questions/purposes : The goal of this review is to provide a concise update on the present knowledge of coronal plane alignment TKA in a varus population. Methods : A systematic overview of the present literature was undertaken to determine basic science and clinical results in frontal plane alignment in primary TKA. Results : Results of studies based on laboratory research, retrieval analysis, cadaver research, finite models, survival scores, clinical outcome, gait analysis and radiographic outcome upon today are provided. Conclusions : Currently placement of a TKA in neutral alignment of 0° ± 3° of frontal plane alignment is the standard of care. However, frontal plane alignment in neutral may not be as strongly correlated to survivorship as previously thought. Caution needs to be exercised before changing the standard of care, and more research needs to be performed Permalink : ./index.php?lvl=notice_display&id=46056
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 129-142[article] The current role of coronal plane alignment in Total Knee Arthroplasty in a preoperative varus aligned population: an evidence based review [texte imprimé] / Pieter-Jan Vendekerckhove ; Brent Lanting ; Johan Bellemans ; [et al...] . - 2016 . - p. 129-142.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 129-142
Mots-clés : Prothèse totale de genou Résumé : Background : Based on historical data, the current standard of care in Total Knee Arthroplasty (TKA) is to restore the overall alignment to a neutral mechanical axis of 0° ± 3° or even slight valgus. However, there is significant controversy in literature regarding intentionally placing the TKA in the patient’s physiologic, rather than neutral (0 ± 3°), mechanical alignment. Questions/purposes : The goal of this review is to provide a concise update on the present knowledge of coronal plane alignment TKA in a varus population. Methods : A systematic overview of the present literature was undertaken to determine basic science and clinical results in frontal plane alignment in primary TKA. Results : Results of studies based on laboratory research, retrieval analysis, cadaver research, finite models, survival scores, clinical outcome, gait analysis and radiographic outcome upon today are provided. Conclusions : Currently placement of a TKA in neutral alignment of 0° ± 3° of frontal plane alignment is the standard of care. However, frontal plane alignment in neutral may not be as strongly correlated to survivorship as previously thought. Caution needs to be exercised before changing the standard of care, and more research needs to be performed Permalink : ./index.php?lvl=notice_display&id=46056 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 prêtThe Dutch version of the Forgotten Joint Score: test-retesting reliability and validation / Marwan B. Shadid in Acta Orthopaedica Belgica, Vol.82/1 (March 2016)
[article]
Titre : The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation Type de document : texte imprimé Auteurs : Marwan B. Shadid ; Nick S. Vinken ; Louis S. Marting ; Nienke Wolterbeek Année de publication : 2016 Article en page(s) : p. 112-118 Langues : Anglais (eng) Mots-clés : prothèse totale de genou prothèse totale de hanche Résumé : The aim of this study was to translate the Forgotten Joint Score (FJS) into the Dutch language. This Questionnaire was tested for internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficients (ICC)). 159 patients were included in this study ; 74 with a total hip arthroplasty (THA) and 85 with a total knee arthroplasty (TKA). The FJS showed a high internal consistency (Cronbach’s alpha = 0.957 ; ICC = 0.943). The FJS showed a significant correlation (r = 0.751) with the WOMAC and low ceiling effects (3.1%). This study proved the Dutch FJS to be highly discriminative in patients treated with a THA or TKA. This makes the FJS a reliable patient related outcome measurement, measuring a new dimension in arthroplasty : the ability to forget an artificial joint in everyday life. Permalink : ./index.php?lvl=notice_display&id=46053
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 112-118[article] The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation [texte imprimé] / Marwan B. Shadid ; Nick S. Vinken ; Louis S. Marting ; Nienke Wolterbeek . - 2016 . - p. 112-118.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.82/1 (March 2016) . - p. 112-118
Mots-clés : prothèse totale de genou prothèse totale de hanche Résumé : The aim of this study was to translate the Forgotten Joint Score (FJS) into the Dutch language. This Questionnaire was tested for internal consistency (Cronbach’s alpha) and test-retest reliability (intraclass correlation coefficients (ICC)). 159 patients were included in this study ; 74 with a total hip arthroplasty (THA) and 85 with a total knee arthroplasty (TKA). The FJS showed a high internal consistency (Cronbach’s alpha = 0.957 ; ICC = 0.943). The FJS showed a significant correlation (r = 0.751) with the WOMAC and low ceiling effects (3.1%). This study proved the Dutch FJS to be highly discriminative in patients treated with a THA or TKA. This makes the FJS a reliable patient related outcome measurement, measuring a new dimension in arthroplasty : the ability to forget an artificial joint in everyday life. Permalink : ./index.php?lvl=notice_display&id=46053 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