Acta orthopaedica Belgica最新文献_第4页

First long-term analysis of survival and clinical outcome in patient-specific instrumentation for total knee arthroplasty: follow-up of a prospective cohort study. 全膝关节置换术患者专用器械存活率和临床效果的首次长期分析：一项前瞻性队列研究的随访。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.11822

D Theeuwen, D Schoenmakers, M Scholtes, S Kalaai, M Schotanus, B Boonen

{"title":"First long-term analysis of survival and clinical outcome in patient-specific instrumentation for total knee arthroplasty: follow-up of a prospective cohort study.","authors":"D Theeuwen, D Schoenmakers, M Scholtes, S Kalaai, M Schotanus, B Boonen","doi":"10.52628/90.1.11822","DOIUrl":"https://doi.org/10.52628/90.1.11822","url":null,"abstract":"Patient-specific instrumentation (PSI) was introduced to improve post-operative alignment, and consequently the revision rate and clinical results after total knee arthroplasty (TKA). Short- to mid-term data are conflicting regarding these theoretical advantages of PSI. The purpose of this retrospective analysis was to evaluate the survival rate and clinical outcome in PSI TKA 8.4 years after initial surgery. To our knowledge, no other study investigated long-term follow-up of TKA procedures using PSI. From a total cohort of 184 consecutive patients (200 TKA) 136 patients (144 TKA, 72%) were prospectively analysed at a mean follow-up of 8.4 years (±0.4). A survival analysis with all-cause revision of TKA as endpoint was performed. Patient-reported outcome measures (PROMs) were obtained preoperatively and after 1-, 2-, 5-, and 8.4-years of follow-up. Differences between these moments of follow-up were analysed. At final follow-up, 4 TKAs (2%) had undergone revision, all between 2-4 years after primary surgery. Reasons for revision were late infection, aseptic loosening, instability and polyethylene insert breakage. The median score of certain PROMs (WOMAC, VAS, EQ-index, EQ-VAS) decreased compared to previous follow-up scores but were significantly higher than preoperative scores. After 8.4 years of follow-up, no additional revision surgery was performed compared to 5-years postoperatively. Certain PROMs at 8.4-year follow-up decreased compared to earlier moments of follow-up, but all PROMs improved compared to preoperative PROMs.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"51-56"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849271","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 cryotherapy on pain in patients with total knee replacement surgery: a meta-analysis. 冷冻疗法对全膝关节置换手术患者疼痛的影响：一项荟萃分析。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12383

T Yildiz, O Topcu, C Avcu

引用次数: 0

Dorsal wrist plating for the management of intra-articular distal radius fractures. 用于治疗桡骨远端关节内骨折的腕背板。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.8058

J Brauns, W Vandesande

{"title":"Dorsal wrist plating for the management of intra-articular distal radius fractures.","authors":"J Brauns, W Vandesande","doi":"10.52628/90.1.8058","DOIUrl":"https://doi.org/10.52628/90.1.8058","url":null,"abstract":"The aim of the study was to evaluate the results of Dorsal Wrist Plating in intra-articular distal radius fractures with a dorsal displacement. In this prospective study, a single surgeon treated 20 patients with a (partially) intra-articular distal radius fracture with a dorsal rim avulsion or a dorsal Barton's type fragment. They all underwent an open reduction and internal fixation by Dorsal Wrist Plating. A total of 17 patients had a follow-up period of at least 12 months (mean follow- up of 17 months) and these patients were included in the study. Both functional and radiological outcome parameters were measured. The total range of motion was 92 % of the contralateral side. The mean grip strength and key pinch were 24.6 kg and 6.9kg respectively compared to 29.5 kg and 7.4 kg on the non-operated side. The average Mayo Wrist Score was 89.7 (range 80-100) and the mean Disability of the Arm, Shoulder and Hand score was 4.5 (range 0-9.2). An articular step-off was only noted in 2 patients (1 and 2 mm respectively). Radial inclination was restored in all patients. Palmar tilt was anatomically restored in five patients. In all other patients, the palmar tilt was acceptably restored. There was no significant radial shortening in any of the patients. No infections, no tendon ruptures, no Complex Regional Pain Syndrome, or union problems were observed. Dorsal wrist plating seems to be a safe and reliable procedure in the treatment of intra-articular distal radius fractures with dorsal displacement.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"110-114"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852360","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

Perioperative steroid injection in elbow arthroscopy. 肘关节镜手术围手术期注射类固醇。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12493

M Vanderstappen, L VAN Melkebeke, J Duerinckx, P Caekebeke

引用次数: 0

Patient with knee osteoarthritis demonstrates improved knee adduction moment after knee joint distraction: a case report. 膝关节骨性关节炎患者在膝关节牵引后膝关节内收力矩得到改善：病例报告。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.11515

H M Eijking, L Verlaan, P Emans, T Boymans, K Meijer, R Senden

引用次数: 0

Outcomes following surgical fixation of Gustilo-Anderson IIIb open tibial fractures. Gustilo-Anderson IIIb 开放性胫骨骨折手术固定后的疗效。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12387

S Cullen, D Flaherty, N Fitzpatrick, A Ali, I Elkhidir, A Pillai

{"title":"Outcomes following surgical fixation of Gustilo-Anderson IIIb open tibial fractures.","authors":"S Cullen, D Flaherty, N Fitzpatrick, A Ali, I Elkhidir, A Pillai","doi":"10.52628/90.1.12387","DOIUrl":"https://doi.org/10.52628/90.1.12387","url":null,"abstract":"There is no consensus as to the optimal skeletal fixation method for Gustilo-Anderson IIIb fractures. External fixation methods have previously shown higher rates of superficial infection, whilst internal fixation has shown higher risk of deep infection, but lower risk of other complications. This paper investigates outcomes in open tibial fractures based on fixation method. A retrospective review was performed for patients presenting to an ortho-plastic unit with GA IIIb tibial fractures between June 2013 and October 2021. 85 patients were identified. The most common implant was an intramedullary nail (IMN), used in 29 patients (34.1%); open reduction and internal fixation (ORIF) was performed in 16 patients (18.8%). 18 patients (21.2%) were definitively managed with a frame alone. Mean follow-up from was 18 months (2-77). Patients with ORIF needed a mean of 3.37 operations; it was 2.48 for IMN which was significantly different from frames at 5.00 (p=0.000). The mean time to bony union after definitive fixation was 11.4 months. This differed depending on the implant used for fixation, with ORIF at 7.1 months, 10.1 for IMN, and frames at 17.2 months; ORIF significantly differed from frames (p=0.009). Superficial infection was common, seen in 38.8% of patients, and only 3 patients (4%) developed deep infections involving metalwork, with no difference in rates of either based on fixation method This study supports that ORIF has faster healing times, with less time to union compared to frames. It also shows that no implant was superior to another in terms of outcomes.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"83-89"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849688","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

Clavicular tunnel widening after acromioclavicular joint reconstruction: comparison between single and double clavicular tunnel techniques. 肩锁关节重建术后锁骨隧道增宽：单锁骨隧道技术与双锁骨隧道技术的比较。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12510

M Jaspers, T Vueghs, K DE Mulder, B Vundelinckx, P Ruette, A VAN Raebroeckx

{"title":"Clavicular tunnel widening after acromioclavicular joint reconstruction: comparison between single and double clavicular tunnel techniques.","authors":"M Jaspers, T Vueghs, K DE Mulder, B Vundelinckx, P Ruette, A VAN Raebroeckx","doi":"10.52628/90.1.12510","DOIUrl":"https://doi.org/10.52628/90.1.12510","url":null,"abstract":"Acromioclavicular joint (ACJ) reconstruction using artificial ligaments is a common surgical treatment for Rockwood grade III or higher injuries. These techniques use bone tunnels in the clavicle and coracoid to insert the Tightrope implants. This multicenter retrospective study compares long term radiographic follow up of clavicular tunnel widening in two groups of patients with high-grade ACJ injury who underwent reconstruction using two different surgical techniques. The first group of 23 patients underwent an arthroscopic single clavicular tunnel ACJ reconstruction. The second group of 23 patiënts underwent an open double clavicular tunnel reconstruction. Inclusion criteria are Rockwood grade III or higher injury and minimum 18 months of follow-up. Exclusion criteria are distal clavicle fracture and additional stabilization techniques. Radiographic results were measured on anteroposterior shoulder radiographs taken at the first and last follow-up. Clavicular tunnel widening is the main outcome measurement. Secondary outcomes are heterotopic ligament calcifications, migration of buttons, tunnel fracture and loss of acromioclavicular reduction. The mean clavicular tunnel widening in the single clavicular tunnel technique is 1.91 mm. In the double clavicular tunnel technique, the widening of the medial tunnel is 2.52 mm and 3.59 mm in the lateral tunnel. The difference in widening between the single tunnel and the lateral tunnel is significant (p=0.003). A very clear observation on all follow-up X-rays was a reorientation of the clavicular tunnels towards the coracoid. The double clavicular tunnel technique has more tunnel widening in both tunnels compared to the single bundle technique.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"57-62"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140846450","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

Advanced osteoarthritis of the hip as reason for extensive asymmetric leg edema: a rare case report and review of the literature. 晚期髋关节骨关节炎是腿部大面积不对称水肿的原因：罕见病例报告和文献综述。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12267

M A M Vesseur, E H VAN Haaren, J Jelsma

{"title":"Advanced osteoarthritis of the hip as reason for extensive asymmetric leg edema: a rare case report and review of the literature.","authors":"M A M Vesseur, E H VAN Haaren, J Jelsma","doi":"10.52628/90.1.12267","DOIUrl":"https://doi.org/10.52628/90.1.12267","url":null,"abstract":"An enlarged iliopectineal bursa (IB) can cause pressure on iliofemoral veins. Clinical presentation can manifest as asymmetrical lower extremity edema. This case report demonstrates extensive asymmetrical leg edema caused by femoral vein compression based on iliopectineal bursitis (IB-itis) associated with advanced osteoarthritis (OA) of the left hip joint with an outline of relevant current literature. A female patient presented with left hip pain and edema in the leg. X-ray showed severe OA of the left hip. Computed Tomography (CT) concluded a cystic abnormality at the left iliopsoas muscle associated with the joint consistent with IB-itis, associated with a degenerative left hip joint. Hybrid total hip replacement was performed. At three-month follow-up her left leg showed no longer signs of extensive edema and she walked without the use of walking aids. IB-itis is mostly associated with rheumatoid arthritis (RA). There are no reports which only describe OA as cause of IB-itis. Extensive asymmetrical leg edema can be caused by venous compression of the femoral vein by an IB-itis. If the latter is the consequence of advanced hip OA, a total hip replacement can yield excellent clinical outcomes both functionally and with regard to the edema.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"142-146"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140846698","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

Excellent survival of two anatomically adapted hydroxyapatite coated cementless Total Hip Arthroplasties. A mean follow-up of 11.3 years. 两例解剖适应性羟基磷灰石涂层无骨水泥全髋关节置换术的良好存活率。平均随访 11.3 年。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.11314

L J M Heijnens, M G M Schotanus, E H VAN Haaren

{"title":"Excellent survival of two anatomically adapted hydroxyapatite coated cementless Total Hip Arthroplasties. A mean follow-up of 11.3 years.","authors":"L J M Heijnens, M G M Schotanus, E H VAN Haaren","doi":"10.52628/90.1.11314","DOIUrl":"https://doi.org/10.52628/90.1.11314","url":null,"abstract":"There are many different types of cementless anatomically adapted Total Hip Arthroplasties (THAs) on the market, the Anatomic Benoist Gerard (ABG) I and II are such types of cementless THAs. In this retrospective single-centre study we evaluated the overall survival with revision for any reason and aseptic loosening as endpoint at more than 11 years follow-up. Between 2000 and 2004, 244 cementless THAs were performed in 230 patients in a primary care hospital. At a mean of 11.3 years follow-up (range 9.8 - 12.8 years) clinical examination, plain radiography and Patient Reported Outcome Measures (PROMs) were obtained and analysed. The PROMs consisted of the Oxford Hip Score (OHS) and the Western Ontario and McMaster University Index (WOMAC). At a mean of 11.3 years follow-up 32 patients (13.1%) had died of unrelated causes. Of the remaining cohort all 198 patients (212 THAs) have been reached for evaluation. There were no patients considered as lost to follow-up. At a mean of 11.3 years 11 patients (11 THAs) have had a revision of either the femoral implant or acetabular component resulting in an overall survival of 95.5%. There was no statistically significant difference (p=0.564) in survival between the ABG I and II THAs. Radiographic there were no changes between the ABG I and II last follow up. The ABG II performed statistically significant better in PROMs. We concluded that both anatomically adapted hydroxyapatite coated cementless THAs show excellent survival at more than 11 years follow-up.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"90 1","pages":"35-40"},"PeriodicalIF":0.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847293","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

Recurrent implant fractures in total hip arthroplasty: a yes-you-yan case report. 全髋关节置换术中的复发性植入物骨折：一份是你是我的病例报告。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2024-03-01 DOI: 10.52628/90.1.12399

J Jelsma, M Acharya

引用次数: 0