Centre de Documentation Campus Montignies
Horaires :
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.
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.
Bienvenue sur le catalogue du centre de documentation du campus de Montignies.
Résultat de la recherche
14 résultat(s) recherche sur le mot-clé 'surgery'
Ajouter le résultat dans votre panier Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
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)
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 prêtLong-Term Follow-Up Of A Cemented Titanium Stem / Benjamin BLOCH in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
[article]
Titre : Long-Term Follow-Up Of A Cemented Titanium Stem Type de document : texte imprimé Auteurs : Benjamin BLOCH, Auteur ; Sue BROWN, Auteur ; Darshan ANGADI, Auteur Année de publication : 2015 Article en page(s) : p.225-232 Langues : Anglais (eng) Mots-clés : Hip arthroplasty titanium surgery survival prothesis Résumé : We present the outcome of 270 cemented titanium alloy femoral stems. These patients were followed up annually both clinically and radiologically, and were included up until their last follow-up. 120 patients completed a 10-year follow-up. The 10-year survival of the Ultima Straight Stem cemented femoral component (defined by revision of the femoral stem) was 90.1% (95% CI = 84.0-94.0%), with aseptic loosening being the major reason for failure. The preoperative Harris Hip Score improved from 35.3 to 79.3 at 10 years. There were 17 cases of stem subsidence, radiolucent lines in 11 hips, 5 cases of cement fracture and 18 hips had osteolysis in 2 adjacent Gruen zones.
This is the largest study in the English literature of this implant, and reflects UK district general hospital
practice with surgery performed by a variety of surgical grades and via different surgical approaches.
Although the outcome of this implant was within the previous standard set by the National Institute for Health and Clinical Excellence and is comparable to other series of titanium stems, it is inferior to that of more modern cemented and uncemented implants, and falls outside the new NICE recommendation of <5% revision rate at ten year. As a result this implant is no longer used in our institution, and it has also now been withdrawn from the market. We suggest that patients with this implant should be followed up radiologically due to the relatively high rate of stem
subsidence and lucency between the cement and prosthesis, to identify those who may be at risk of failure.Permalink : ./index.php?lvl=notice_display&id=40564
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.225-232[article] Long-Term Follow-Up Of A Cemented Titanium Stem [texte imprimé] / Benjamin BLOCH, Auteur ; Sue BROWN, Auteur ; Darshan ANGADI, Auteur . - 2015 . - p.225-232.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.225-232
Mots-clés : Hip arthroplasty titanium surgery survival prothesis Résumé : We present the outcome of 270 cemented titanium alloy femoral stems. These patients were followed up annually both clinically and radiologically, and were included up until their last follow-up. 120 patients completed a 10-year follow-up. The 10-year survival of the Ultima Straight Stem cemented femoral component (defined by revision of the femoral stem) was 90.1% (95% CI = 84.0-94.0%), with aseptic loosening being the major reason for failure. The preoperative Harris Hip Score improved from 35.3 to 79.3 at 10 years. There were 17 cases of stem subsidence, radiolucent lines in 11 hips, 5 cases of cement fracture and 18 hips had osteolysis in 2 adjacent Gruen zones.
This is the largest study in the English literature of this implant, and reflects UK district general hospital
practice with surgery performed by a variety of surgical grades and via different surgical approaches.
Although the outcome of this implant was within the previous standard set by the National Institute for Health and Clinical Excellence and is comparable to other series of titanium stems, it is inferior to that of more modern cemented and uncemented implants, and falls outside the new NICE recommendation of <5% revision rate at ten year. As a result this implant is no longer used in our institution, and it has also now been withdrawn from the market. We suggest that patients with this implant should be followed up radiologically due to the relatively high rate of stem
subsidence and lucency between the cement and prosthesis, to identify those who may be at risk of failure.Permalink : ./index.php?lvl=notice_display&id=40564 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 prêtPatterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study / Isabelle Poirot in Annals of physical and rehabilitation medicine, Vol. 63, n°5 (Octobre 2020)
[article]
Titre : Patterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study Type de document : texte imprimé Auteurs : Isabelle Poirot ; Valérie Laudy ; Muriel Rabilloud ; Sylvain Roche ; Jean Iwaz ; Behrouz Kassai ; Carole Vuillerot Année de publication : 2020 Article en page(s) : p. 400-407 Note générale : doi.org/10.1016/j.rehab.2019.04.008 Langues : Anglais (eng) Mots-clés : Cerebral palsy Children Hip migration Trajectory modeling Surgery Résumé : Background
In children with cerebral palsy (CP), we have little information on when hip migration (HM) starts, what causes hip displacement, how HM changes over time, and how to halt this migration to avoid surgery.
Objectives
We aimed to estimate the prevalence of HM percentage (HMP) >4 0% in a homogeneous population of non-ambulant children with CP and model the changes in HMP over a 2.6-year mean follow-up.
Methods
From September 2009 to September 2015, this observational, prospective, multicenter cohort study recruited 235 children from 51 centers who were 3 to 10 years old and had levels IV and V of the Gross Motor Function Classification System for CP. The outcomes were yearly HMP measurements by the Reimers index. Only children with at least one hip with HMP ≤ 40% at baseline were included in trajectory modeling. Comparisons of chidren's characteristics between trajectory groups were adjusted by the false discovery rate method.
Results
The prevalence of children with at least one hip with HMP > 40% was estimated at 24.3% (95% confidence interval 18.6–30.0). Pelvic obliquity was observed in 51.4% and 24.4% of children with asymmetric and symmetric HMP (P = 0.002). The trajectory modelling identified 3 types of MP changes over time. Many children (67.4% and 79.3% for the right and left hip) could be assigned to the “stable” trajectory group.
Conclusions
In non-ambulant children with CP, the prevalence of HM requiring surgery is low and most hips remain practically stable over time.Permalink : ./index.php?lvl=notice_display&id=91309
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 400-407[article] Patterns of hip migration in non-ambulant children with cerebral palsy : A prospective cohort study [texte imprimé] / Isabelle Poirot ; Valérie Laudy ; Muriel Rabilloud ; Sylvain Roche ; Jean Iwaz ; Behrouz Kassai ; Carole Vuillerot . - 2020 . - p. 400-407.
doi.org/10.1016/j.rehab.2019.04.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 400-407
Mots-clés : Cerebral palsy Children Hip migration Trajectory modeling Surgery Résumé : Background
In children with cerebral palsy (CP), we have little information on when hip migration (HM) starts, what causes hip displacement, how HM changes over time, and how to halt this migration to avoid surgery.
Objectives
We aimed to estimate the prevalence of HM percentage (HMP) >4 0% in a homogeneous population of non-ambulant children with CP and model the changes in HMP over a 2.6-year mean follow-up.
Methods
From September 2009 to September 2015, this observational, prospective, multicenter cohort study recruited 235 children from 51 centers who were 3 to 10 years old and had levels IV and V of the Gross Motor Function Classification System for CP. The outcomes were yearly HMP measurements by the Reimers index. Only children with at least one hip with HMP ≤ 40% at baseline were included in trajectory modeling. Comparisons of chidren's characteristics between trajectory groups were adjusted by the false discovery rate method.
Results
The prevalence of children with at least one hip with HMP > 40% was estimated at 24.3% (95% confidence interval 18.6–30.0). Pelvic obliquity was observed in 51.4% and 24.4% of children with asymmetric and symmetric HMP (P = 0.002). The trajectory modelling identified 3 types of MP changes over time. Many children (67.4% and 79.3% for the right and left hip) could be assigned to the “stable” trajectory group.
Conclusions
In non-ambulant children with CP, the prevalence of HM requiring surgery is low and most hips remain practically stable over time.Permalink : ./index.php?lvl=notice_display&id=91309 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 prêtRadiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures / Mário BAPTISTA in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
[article]
Titre : Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures Type de document : texte imprimé Auteurs : Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur Année de publication : 2015 Article en page(s) : p.218-224 Langues : Anglais (eng) Mots-clés : Calcaneus foo fracture outcome assessment surgery radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224[article] Radiological Predictive Factors For The Outcome Of Surgically Treated Calcaneus Fractures [texte imprimé] / Mário BAPTISTA, Auteur ; Rui PINTO, Auteur ; João TORRES, Auteur . - 2015 . - p.218-224.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.218-224
Mots-clés : Calcaneus foo fracture outcome assessment surgery radiology Résumé : Calcaneus fractures are fairly common and clinically relevant due to their poor outcome. Thus, solving the controversy regarding treatment and outcome prediction should be a target. This study intends to evaluate the predictive ability of common radiologic tools for the surgical outcome of calcaneus fractures, regardless of treatment modality. 44 patients’ records, with operated calcaneus fractures between 2008 and 2013, were retrospectively assessed and imagiology was blindly evaluated. Patients were submitted to percutaneous or open lateral approach. No relevant correlations were found between the measurements on the plain lateral radiograph and the outcome. Fractures were also graded according to the Sanders classification. Type 4 fractures predicted the occurrence of any hazard, such as skin or pain related complications and need for secondary surgery (p = 0.051, odds = 14.00 [CI = 1.30-150.89]). However, it’s still not possible to accurately target patients with high risk of postoperative complications. Until then, follow- up protocols should be maintained indiscriminately. Permalink : ./index.php?lvl=notice_display&id=40563 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 prêtAcute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? / Sergi Sastre in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)
[article]
Titre : Acute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? Type de document : texte imprimé Auteurs : Sergi Sastre, Auteur ; Michelle Dada, Auteur ; Simon Santos, Auteur Année de publication : 2015 Article en page(s) : p. 161-164 Langues : Anglais (eng) Mots-clés : Acromioclavicular Suture repair Surgery Type III acromioclavicular dislocation Economic cost Résumé : The objective of this manuscript is to show an effective, easier and cheaper way to reduce acute acromioclavicular (AC) dislocation type III and V (Rockwood classification). Numerous procedures have been described for surgical management of acromioclavicular joint disruption. Newest devices involve an arthroscopic technique that allows nonrigid anatomic fixation of the acromioclavicular joint. Arthroscopically assisted treatment of acute AC joint dislocation is advantageous because it provides good clinical results and few complications. It also allows reviewing glenohumeral associated lesions. This surgical technique requires no specific implants to achieve a correct AC reduction. Actually, economical advantages are very important factors to decide the use of determinate surgical techniques. Permalink : ./index.php?lvl=notice_display&id=36013
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 161-164[article] Acute acromioclavicular dislocation : a cheaper, easier and all-arthroscopic system. Is it effective in nowadays economical crisis ? [texte imprimé] / Sergi Sastre, Auteur ; Michelle Dada, Auteur ; Simon Santos, Auteur . - 2015 . - p. 161-164.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 161-164
Mots-clés : Acromioclavicular Suture repair Surgery Type III acromioclavicular dislocation Economic cost Résumé : The objective of this manuscript is to show an effective, easier and cheaper way to reduce acute acromioclavicular (AC) dislocation type III and V (Rockwood classification). Numerous procedures have been described for surgical management of acromioclavicular joint disruption. Newest devices involve an arthroscopic technique that allows nonrigid anatomic fixation of the acromioclavicular joint. Arthroscopically assisted treatment of acute AC joint dislocation is advantageous because it provides good clinical results and few complications. It also allows reviewing glenohumeral associated lesions. This surgical technique requires no specific implants to achieve a correct AC reduction. Actually, economical advantages are very important factors to decide the use of determinate surgical techniques. Permalink : ./index.php?lvl=notice_display&id=36013 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 prêtBig and deep seated lipomatous tumours in children : results of surgical treatment / Emin Özkul in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
PermalinkBig and deep seated lipomatous tumours in children : results of surgical treatment / Emin Özkul in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
PermalinkComparison Of Surgical Treatments For Mucous Cysts Of The Distal Interphalangeal Joint / Hayk BAAZIL in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)
PermalinkFemoral angiography : A potential risk factor for heterotopic ossification of the hip in neurological patients / Elena Rossato in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)
PermalinkGérard Saillant / Gérard Saillant in Sciences et avenir, 779 (01/2012)
Permalink