Acta orthopaedica Belgica最新文献_第10页

Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture. A systematic review. 肩胛骨骨折后逆行全肩关节置换术的疗效。系统回顾。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Laura Loomans, Philippe Debeer, Carl Dierickx

{"title":"Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture. A systematic review.","authors":"Laura Loomans, Philippe Debeer, Carl Dierickx","doi":"","DOIUrl":"","url":null,"abstract":"Postoperative scapular fractures are infrequent complications of reverse total shoulder arthroplasty (RTSA). The aim of this study is to discuss the functional outcome, clinical outcome and pain scores of these fractures and to analyze these outcome results based on fracture location. A systematic review in accordance with the PRISMA guidelines was conducted. Pubmed, EMBASE, Web of Science, Cochrane library and Ovid have been screened. A total of 78 RTSA in 12 articles were retained for qualitative analysis. The average minimum follow- up was 33.3 ± 14.4 months (range 12-60 months) and the mean age was 74.4 ± 5.6 years (range 63-85 years) with a mean female percentage of 90.9%. Overall, the mean DASH score was 39.8 ± 9.4 points (range 29.5- 48.0 points), ASES score 53.4 ± 23.3 points (range 13.3-95.0 points), SST 3.2 ± 2.2 points (range 0.0- 5.1 points), the only OSS 28.0 points and Constant- Murley shoulder score 50.5 ± 20.0 points (range 31.5- 69.0). The mean anterior elevation was 91.5° ± 30.7° (range 46.0°-160.0°), abduction 87.8° ± 21.8° (range 55.0°-125.0°), external rotation 33.2° ± 22.2° (range 9.0°-85°) and the only internal rotation was 60.0°. The VAS score averaged of 3.8 ± 2.8 points (range 0.8-9.0 points). A subgroup analysis of acromial and scapular spine fractures was performed. Acromial and scapular spine fractures have an undeniable effect on RTSA outcomes, however patients still improve compared to their preoperative state. We advise to consider acromial and scapular fractures as different problems, as prognosis is worse for more medial fractures.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"509-524"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25364107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrograde intramedullary nailing for humeral midshaft fractures : a retrospective cohort study. 逆行髓内钉治疗肱骨中轴骨折:回顾性队列研究。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Femke Nawijn, Jort Keizer, Laurien Waaijer, Willem-Maarten Pf Bosman, Philippe Wittich, Benjamin L Emmink

{"title":"Retrograde intramedullary nailing for humeral midshaft fractures : a retrospective cohort study.","authors":"Femke Nawijn, Jort Keizer, Laurien Waaijer, Willem-Maarten Pf Bosman, Philippe Wittich, Benjamin L Emmink","doi":"","DOIUrl":"","url":null,"abstract":"This study evaluates the patient-reported functional outcome, clinical functional outcome and frequency of complications of simple oblique and transverse humeral midshaft fractures treated with a retrograde expert humeral nail. A retrospective cohort study of humeral midshaft fractures (AO 12-A2, 12-A3) treated with retrograde nailing between January 2010 and February 2018 in a level II trauma center was performed. Patients' perception of functional outcome was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) scores. Thirteen patients with a median age of 20-years were treated with a retrograde nail. The median DASH score, administered 29 months (IQR 74) after surgery, was 7.9 (IQR 15.9). There were no perioperative frac- tures and the frequency of complications was 8%, being one nonunion. Retrograde nailing for humeral midshaft fractures is a safe technique, with excellent patient reported and clinical functional outcome. No iatrogenic peri- operative fractures occurred and the frequency of complications was low. We recommend the retrograde technique, if surgical fixation of humeral midshaft fractures is needed, especially in younger patients for who rotator cuff associated injuries will have a major impact on quality of life.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"539-548"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25364544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pain in Dupuytren's disease. Dupuytren病的疼痛。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Leen Vandecasteele, Ilse Degreef

引用次数: 0

Surgical management of rickets-like bone deformities (knock-knee and bow-leg) in children in sub-Saharan Africa. 撒哈拉以南非洲儿童佝偻病样骨畸形(膝关节和弓腿)的外科治疗

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Roméo Haoudou, René Ayaovi Gayito Adagba, Giambattista Priuli, Robert Elbaum, Fabian Moungondo, Pierre-Louis Docquier

{"title":"Surgical management of rickets-like bone deformities (knock-knee and bow-leg) in children in sub-Saharan Africa.","authors":"Roméo Haoudou, René Ayaovi Gayito Adagba, Giambattista Priuli, Robert Elbaum, Fabian Moungondo, Pierre-Louis Docquier","doi":"","DOIUrl":"","url":null,"abstract":"Rickets-like deformities of the lower limb (knock- knee or bow-leg) are very frequent in sub-Saharan Africa. A prospective study was carried out over a period of 5 years. Forty-eight children were treated surgically for rickets-like deformities. The surgical technique was guided growth using a tension-band plate (eight plate). One patient was lost to follow- up. The technique failed in two cases (absence of correction in one case and hypercorrection in one case). Five patients are still under follow-up with progressive correction and were excluded from the study. A full correction was achieved in 40 patients (73 knees). There were 33 bilateral and 7 unilateral deformities. The deformities were knock-knees in 20 cases, bowlegs in 18 cases and there were 2 windswept deformities Good correction was obtained after a mean time of 11.4 months for genu varum and after a mean time of 12.4 months. The two windswept deformities were corrected after 8 and 9 months respectively. The guided growth technique using eight plate is effective as well in Africa. The needed material is not expensive if a two-hole tubular plate is used with two 3.5 screws.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"391-396"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25368576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of anti-gravity training after meniscal or chondral injury in the knee. A systematic review. 膝关节半月板或软骨损伤后反重力训练的效果。系统回顾。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Nina Debecker, Mérithe Luyten, Frank Vandenabeele, Johan Bellemans

引用次数: 0

Radiographic assessment of calcifying tendinitis of the rotator cuff : an inter- and intraobserver study. 肩袖钙化性肌腱炎的影像学评估:一项观察间和观察内研究。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Jan Kg Louwerens, Femke Map Claessen, Inger N Sierevelt, Denise Eygendaal, Arthur van Noort, Michel Pj van den Bekerom

引用次数: 0

Mental-health, coping and support following adverse events on the work-floor : a cross-sectional study among Dutch orthopaedic surgeons. 工作场所不良事件后的心理健康、应对和支持:荷兰骨科医生的横断面研究。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Lynn M Sligter, Minouk E van Steijn, Karel Wf Scheepstra, Lea M Dijksman, Henk Wj Koot, Marielle G van Pampus

{"title":"Mental-health, coping and support following adverse events on the work-floor : a cross-sectional study among Dutch orthopaedic surgeons.","authors":"Lynn M Sligter, Minouk E van Steijn, Karel Wf Scheepstra, Lea M Dijksman, Henk Wj Koot, Marielle G van Pampus","doi":"","DOIUrl":"","url":null,"abstract":"Physicians are frequently exposed to adverse events on the work-floor, which puts them at risk for depression, anxiety- or posttraumatic stress disorder. This study aims to explore what events orthopaedic surgeons consider to have the highest emotional impact as well as support, coping strategies and mental health. A questionnaire was emailed to all members of the Dutch Society of Orthopaedic Surgeons which included resident, attending, non-practicing and retired orthopaedic surgeons. The questionnaire in- cluded questions about demographics, personal experiences and subsequent support and coping. Also the Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included, which are validated screening instruments for anxiety, depression and posttraumatic stress disorder (PTSD), respectively. A total of 292 questionnaires were eligible for analysis. Most common events considered a high emotional impact stressor were : missing a diagnosis (59.2%), when a patient becomes severely handicapped (36.6%) or doubting whether one is making the right decision (36.6%). The prevalence of depression was higher compared to the general population with a high income in the Netherland (4.8 vs. 3.0 %,) and for anxiety as well (8.3 vs. 6.0%). Fifty-seven (19.5%) participants expe- rienced an adverse event as traumatic. Prevalence of PTSD was 0.3% among the whole sample. Most common coping strategies after adverse events were support from colleagues (80.7%), support from friends and family (59.3%) or doing sports (26.6%). Orthopaedic surgeons are exposed to many adverse events over the course of their career, which may have a high emotional impact. The prevalence rate found for depression and anxiety were both higher compared to the general population, while the rate for PTSD was lower. Still, more awareness must be created for the mental health of physicians as well as the implementation of a well-organized support system.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"349-362"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25368663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The pathogenesis of heterotopic ossification after traumatic brain injury. A review of current literature. 外伤性脑损伤后异位骨化的发病机制。当前文献综述。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Joris Anthonissen, Clara Theressa Steffen, Alexander Hofmann, Jan Victor

{"title":"The pathogenesis of heterotopic ossification after traumatic brain injury. A review of current literature.","authors":"Joris Anthonissen, Clara Theressa Steffen, Alexander Hofmann, Jan Victor","doi":"","DOIUrl":"","url":null,"abstract":"Neurogenic heterotopic ossification (NHO), mostly defined as a benign process of formation of bone outside the skeletal system, after traumatic brain injury (TBI) is a musculoskeletal disorder that causes pain and reduces the range of motion, often leading to marked impairment of quality of life. The pathogenic factors that link the brain and bone and cause the formation of heterotopic bone are largely unknown. This article will try to summarize the current literature on the pathogenesis of NHO and accelerated fracture healing after TBI. The heterotopic formation of bone after TBI seems to be inducted by a complex interplay between local and systemic factors. For all different forms of HO, the same three conditions are required for the formation of ectopic bone : The presence of osteoprogenitor cells, a permissive environment, and a stimulating factor. The osteoprogenitor cells are thought to be of mesenchymal origin, however recent research suggests a possible neural origin. The permissive environment is created mainly by reactions to hypoxia and both local and sensory nerve inflammation. Many possible inducing factors have been described ; the endogenic route is thought to be the most dominant in the stimulation of HO formation after TBI. The pathogenesis of NHO remains largely unknown, recent research, however, has discovered interesting topics for further research and new possible targets in the prevention of NHO.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"369-377"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25368665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability. Norwich髌骨不稳定评分和Banff髌骨不稳定仪在髌骨不稳定术后患者中的荷兰语翻译和验证。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

Jordy Dp Van Sambeeck, Sebastiaan Aw Van de Groes, Sander Koëter

{"title":"Dutch translation and validation of the Norwich Patellar Instability score and Banff Patella Instability Instrument in patients after surgery for patellar instability.","authors":"Jordy Dp Van Sambeeck, Sebastiaan Aw Van de Groes, Sander Koëter","doi":"","DOIUrl":"","url":null,"abstract":"Recently, two new English specific patient reported outcome measures (PROMs) to evaluate treatment of patients with patellofemoral complaints have been developed : the Banff Patella Instability Instrument (BPII) and the Norwich Patellar Instability (NPI) score. This study was designed to translate and validate the BPII and NPI in Dutch patients after surgical treatment for patellar instability. Forward and backward translation of the outcome measures was performed. Patients who had been surgically treated for patellar instability filled out the NPI and BPII together with the Kujala Knee Score, numeric rating scales, Knee disability and Osteoarthritis Outcome Score (KOOS) and SF- 36. We assessed internal consistency and construct validity. We evaluated the presence of ceiling and floor effects. Ninety-seven patients completed the online questionnaires. The internal consistency of the NPI and BPII score was excellent for both outcome measures. The BPII and NPI had good correlations with other PROMs. For the BPII we found no floor nor ceiling effect. For the NPI we found a floor effect but no ceiling effect. Our results indicate that the Dutch version of the BPII and the NPI can be used for patients with patellar instability. Both PROMs have specific (dis) advantages.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"470-481"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25364102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neutrophil-to-lymphocyte ratio (NLR) distribution shows an advantage compared to C-reactive protein (CRP) for the early inflammation monitoring after total hip arthroplasty. 与c反应蛋白(CRP)相比，中性粒细胞与淋巴细胞比值(NLR)分布在全髋关节置换术后早期炎症监测中具有优势。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2020-09-01

M Mundama, M Van Cauter, C Detrembleur, O Cornu, J E Dubuc, J C Yombi

{"title":"Neutrophil-to-lymphocyte ratio (NLR) distribution shows an advantage compared to C-reactive protein (CRP) for the early inflammation monitoring after total hip arthroplasty.","authors":"M Mundama, M Van Cauter, C Detrembleur, O Cornu, J E Dubuc, J C Yombi","doi":"","DOIUrl":"","url":null,"abstract":"C-reactive protein (CRP) distribution has been used to monitor early inflammation after total hip arthroplasty (THA). Neutrophil to lymphocyte ratio (NLR) is a new and cheap inflammatory marker. This study aimed to verify whether Neutrophil to lymphocyte ratio (NLR) distribution has an advantage when compared to C-reactive protein (CRP) distribution for the inflammation monitoring after total hip arthroplasty (THA). 116 THA patients were retrospectively selected over a 2 years period. They all had available blood tests preoperatively and at postoperative days 2, 4 and 42. Median peak values were compared between CRP and NLR. The effect of demographics on CRP and NLR was tested. At days 4 and 42, 100% and 16.3% of patients had not reached normal CRP (< 10mg/L) while 56.8% and 6.8% of patients had not reached normal NLR (<5) respectively. There was no effect of demographics on NLR except for age. Older patients had higher NLR (p 0.037). NLR showed a quicker return to normal than CRP. Our results show that NLR seems to be a better marker to follow inflammation after THA than CRP.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"86 3","pages":"405-411"},"PeriodicalIF":0.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25368578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0