Acta orthopaedica Belgica最新文献_第8页

The incidence and management of slipped capital femoral epiphysis: a population-based study. 股骨头骺滑脱的发病率和治疗：一项基于人群的研究。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.9832

L Ripatti, T Kauko, V Kytö, P Rautava, J Sipilä, M Lastikka, I Helenius

{"title":"The incidence and management of slipped capital femoral epiphysis: a population-based study.","authors":"L Ripatti, T Kauko, V Kytö, P Rautava, J Sipilä, M Lastikka, I Helenius","doi":"10.52628/89.4.9832","DOIUrl":"10.52628/89.4.9832","url":null,"abstract":"We aimed to investigate the national trends in the incidence and management of slipped capital femoral epiphysis (SCFE) and to report the need for reoperations. We included all <19-year-old patients hospitalised for SCFE in 2004-2014 in mainland Finland (n=159). Data from the Finnish Care Register for Health Care, Statistics Finland, and Turku University Hospital patient charts were analyse for the incidence of SCFE in 2004-2012, the length of stay, and the type of surgery with respect to age, gender, study year, and season. The reoperations and rehospitalisations in 2004-2014 for SCFE were analysed for 2-10 years after surgery. In 2004 to 2012, primary surgery for SCFE was performed for 126 children. The average annual incidence of SCFE was 1.06/100 000 (95% confidence interval [CI], 0.81-1.38) in girls and 1.35/100 000 (95% CI 1.07-1.70) in boys. The median age at surgery was lower in girls than in boys (11 and 13 years, respectively, p<0.0001). During the study period, there was no significant change in the incidence of SCFE (p=0.9330), the type of primary procedures performed (p=0.9988), or the length of stay after the primary procedure (p=0.2396). However, the length of stay after percutaneous screw fixation was shorter compared with open reduction and fixation (mean 3.4 and 7.9 days, respectively, p<0.0001). There was no significant difference in the rate of reoperations according to the type of primary surgery. In conclusion, the incidence of SCFE and the proportion of different primary surgeries have recently remained stable in Finland.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 4","pages":"634-638"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139416011","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

Are C-reactive protein (CRP) and neutrophil to lymphocyte ratio (NLR) predictive markers of successful two-stage prosthetic joint infection management? C 反应蛋白 (CRP) 和中性粒细胞与淋巴细胞比值 (NLR) 是成功进行两阶段假体关节感染治疗的预测指标吗？

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.11123

M Ecki, H Poilvache, M Randy Buzisa, M VAN Cauter, H Rodriguez-Villalobos, J-C Yombi, O Cornu

{"title":"Are C-reactive protein (CRP) and neutrophil to lymphocyte ratio (NLR) predictive markers of successful two-stage prosthetic joint infection management?","authors":"M Ecki, H Poilvache, M Randy Buzisa, M VAN Cauter, H Rodriguez-Villalobos, J-C Yombi, O Cornu","doi":"10.52628/89.4.11123","DOIUrl":"10.52628/89.4.11123","url":null,"abstract":"The treatment of prosthetic joint infections (PJI) regularly involves a two-stage surgical strategy. The second stage is generally performed when the surgeon estimates that the infection is under control based on either the treatment length or clinical and biological data. We have raised the question whether standardization of C-reactive protein (CRP) and neutrophil to lymphocyte ratio (NLR) values could be either indicative of infection control or predictive of infection recurrence. This was an analytical retrospective and monocentric cross-sectional observational study. The CRP and NLR values were recorded prior to the second-stage surgery in a sample of 100 patients who underwent a two-stage revision arthroplasty following a PJI, and these values were correlated with the absence of infectious recurrence within a 2-year follow-up. The statistical analysis consisted of evaluating the diagnostic validity of each marker, first individually, and then in combination. CRP was shown associated with a 68% sensitivity, 40% specificity, 27% positive predictive value (PPV), and 79% negative predictive value (NPV). The ROC curve was 51.1%. The NLR displayed a 12% sensitivity, 89% specificity, 27% PPV, and 75% NPV. The ROC curve was 47.9%. The combination of the two markers did not fundamentally improve the statistical results, with only a 43% concordance of the two markers, 27% sensitivity, 84% specificity, 37% PPV, and 77% NPV. Measuring CRP and NLR values, either individually or in combination, before the second-stage revision arthroplasty did not turn out to be predictive of either infection recurrence or cure within two years of follow-up. Therefore, an absolute test is still lacking, which would enable us to predict without failure the absence of control or the control of a PJI before or after second-stage revision. Level of evidence: Level III, retrospective cross-sectional study.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 4","pages":"659-664"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139415979","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

Empiric antibiotic treatment for periprosthetic joint infections: a national survey in The Netherlands. 假体周围关节感染的经验性抗生素治疗：荷兰全国调查。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.9415

R Scholten, P M C Klein Klouwenberg, J L C VAN Susante, M P Somford

{"title":"Empiric antibiotic treatment for periprosthetic joint infections: a national survey in The Netherlands.","authors":"R Scholten, P M C Klein Klouwenberg, J L C VAN Susante, M P Somford","doi":"10.52628/89.4.9415","DOIUrl":"10.52628/89.4.9415","url":null,"abstract":"Early periprosthetic joint infection (PJI) is generally treated by means of debridement, antibiotics and implant retention (DAIR). Subsequently, empiric antibiotic therapy is commenced directly after surgery which is important for the successful treatment of PJI. The aim of this study is to evaluate current nationwide empiric antibiotic treatment regimens for PJI in the Netherlands. An electronic 15-question survey addressing the empiric antibiotic treatment strategy for PJI following THA or TKA was sent to orthopaedic surgeons in all Dutch hospitals in April 2019. Orthopaedic surgeons active in every single Dutch orthopaedic hospital (n=69) were approached. At least one surgeon in every hospital completed the survey (100% response rate). A protocol dictating the empiric antibiotic treatment following DAIR was used in 87% (60 hospitals). Among all hospitals, 72% (50 hospitals) used antibiotic monotherapy and 28% (19 hospitals) used combination therapy. Cefazolin was the most commonly used regimen in centres opting for monotherapy (42%, 29 hospitals). Similar regimens were used for the empiric treatment of suspected early PJI after revision surgery and for acute hematogenous PJI. In septic patients, combination therapy was preferred (64%). 81% (56 hospitals) incubated tissue biopsies for a minimum of 10 days whereas 16% (9 hospitals) indicated an incubation period of 7 days or less. Even in a small country such as the Netherlands there seems to be no uniformity regarding empiric antibiotic treatment for PJI. Increased uniformity regarding empiric treatment could be an important first step in improving PJI treatment.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 4","pages":"665-669"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139415987","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

Effectiveness and safeties of hemocoagulase and tranexamic acid to reduce perioperative blood loss in intertrochanteric fracture PFNA fixation. 使用血凝酶和氨甲环酸减少转子间骨折 PFNA 固定术围手术期失血的有效性和安全性。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.11959

L Wang, C Wang, D Zhang, W Wang, F Wang

{"title":"Effectiveness and safeties of hemocoagulase and tranexamic acid to reduce perioperative blood loss in intertrochanteric fracture PFNA fixation.","authors":"L Wang, C Wang, D Zhang, W Wang, F Wang","doi":"10.52628/89.4.11959","DOIUrl":"10.52628/89.4.11959","url":null,"abstract":"This study evaluated the efficacy of hemocoagulase and tranexamic acid (TXA) in minimizing perioperative blood loss in perioperative period of proximal femoral nail antirotation (PFNA) repair. 99 patients having intertrochanteric fracture PFNA fixation were randomly assigned to the hemocoagulase, TXA, and control groups (n=33 per group). In the hemocoagulase group, 1 KU of hemocoagulase was injected preoperatively and postoperatively local sprayed, respectively; in the TXA group, 0.5g TXA was injected preoperatively and postoperatively local sprayed, respectively; and in the control group, 100 mL of physiological saline was injected before surgery and was used by postoperative local spraying, respectively. The hemocoagulase and TXA groups exhibited significant differences in preoperative hemoglobin (HB) and hematocrit (HCT) levels on postoperative days 1 and 3, intraoperative bleeding, 24-hour postoperative drainage, total perioperative bleeding, transfusion rate, and postoperative hospitalization duration compared to the control group. Furthermore, the hemocoagulase and TXA groups showed significant differences in postoperative day 3 HB and HCT levels and postoperative hospitalization duration compared to each other. In conclusions, the combined use of systemic preoperative and local postoperative hemocoagulase and TXA spraying is found to significantly decrease perioperative blood loss in intertrochanteric fracture patients undergoing PFNA. Hemocoagulase is observed to have a superior effect compared to TXA.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 4","pages":"645-650"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139415986","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

Evaluation of the native femoral neck and stem version reproducibility using robotic-arm assisted direct-anterior total hip arthroplasty. 使用机器人手臂辅助直接前方全髋关节置换术评估股骨颈和股骨柄的原位重现性。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.10411

H Geelen, V Vanryckeghem, G Leirs

{"title":"Evaluation of the native femoral neck and stem version reproducibility using robotic-arm assisted direct-anterior total hip arthroplasty.","authors":"H Geelen, V Vanryckeghem, G Leirs","doi":"10.52628/89.4.10411","DOIUrl":"10.52628/89.4.10411","url":null,"abstract":"The intraoperative measurement of the femoral version (FV) has gained attention in wake of an optimised combined version (CV) philosophy. Whereas some data is available utilising different approaches, to our belief this study provides the first in vivo FV data in DA-THA using the MAKO™ robot. To improve the accuracy of the femoral stem version in DA-THA, we want to ask the following question: How effectively can we reproduce the native femoral version in DA- THA using the MAKO™ robot? The first 125 total hip cases through DAA with the use of the combined anteversion concept and the help of the MAKO™ robot from a single institution, single surgeon from January 2020 to July 2021 were retrospectively analysed. The native version (NV) and broach version (BV) were determined with the use of the MAKO™ preoperative computed tomography planning software. The data of the NV and BV of 115 withheld patients was normally distributed. The native femoral version ranged from -12° till 33° (mean 7,8° +/- 8,1) and the broach version ranged from -18° till 43° (mean 8,2° +/- 9,9). The Pearson correlation coefficient between the NV and BV was 0,78. The native femoral version can be reproduced by broaching the proximal femur, in a robotically implanted direct anterior cementless THA, with 78% effectiveness. Stem placement seemed to be more precise with growing experience, however this appeared not to be significant.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 4","pages":"595-602"},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139415988","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

Minimally invasive corrective derotational osteotomy for proximal phalanx malrotation. 针对近节指骨旋转不良的微创矫正脱位截骨术。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.12008

P Caekebeke, L VAN Melkebeke, J Duerinckx

引用次数: 0

Distal femoral osteotomy for multidirectional malunion using 3D printing technology: a case-report. 利用 3D 打印技术进行股骨远端截骨术治疗多向畸形：一份病例报告。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-12-01 DOI: 10.52628/89.4.11912

T Kyriakidis, A Lucidi, C Pitsilos, R Verdonk

引用次数: 0

Outcome of lateral retinacular nerve transection combined with release for recalcitrant iliotibial band friction syndrome. 外侧支持带神经切断联合松解治疗顽固性髂胫束摩擦综合征的疗效。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-09-01 DOI: 10.52628/89.3.9251

J Kloos, J Bellemans

{"title":"Outcome of lateral retinacular nerve transection combined with release for recalcitrant iliotibial band friction syndrome.","authors":"J Kloos, J Bellemans","doi":"10.52628/89.3.9251","DOIUrl":"10.52628/89.3.9251","url":null,"abstract":"In this retrospective study, a technique consisting in neurolysis of the lateral retinacular nerve combined with a partial release through elliptic excision of the iliotibial band (ITB) is evaluated for efficacy in recalcitrant ITB friction syndrome and compared with results from other techniques reported in literature. From April 2014 to December 2017, 21 patients suffering from recalcitrant ITB friction syndrome were surgically treated with the aforementioned technique. 15 patients (15 knees) were available for a written retrospective reassessment after completion of a follow-up period of at least 12 months. Residual pain was scored using the Visual Analogue Scale (VAS). The functional outcome was evaluated by two patient reported outcome measurement scales (PROMs), the Lysholm and the International Knee Documentation Committee (IKDC) score. Return to sport was analysed by duration of the inactivity period as well as by the Tegner score. Overall satisfaction was evaluated using a modified Boyden scale. At final follow-up of one year, the performed intervention resulted in a pain reduction (VAS 4.2 (1-8) to 1.4 (0-6)) and improved knee function (Lysholm 59.53 to 87.73, IKDC 75) with return to sport (Tegner 4.3 to 5.4) after a median of 23.8 weeks (6 to 52). Twelve patients reported good or excellent results (80%) at final follow-up, and 12 patients (80%) would undergo surgery again, if necessary. The treatment of recalcitrant ITB friction syndrome by combining neurectomy of the lateral retinacular nerve with elliptic excision of the ITB resulted in good to excellent results in 80% of treated cases with return to sport in 93%.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 3","pages":"417-422"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71476910","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 ceramic coated implant (CCI). Evolution total ankle replacements: a retrospective analysis of 40 ankles with 8 years follow-up. 陶瓷涂层植入物（CCI）。进化型全踝关节置换术：对40个踝关节进行8年随访的回顾性分析。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-09-01 DOI: 10.52628/89.3.11585

S Kormi, H Koivu, I Kohonen, K Mäkelä, H Tiusanen, M Saltychev

{"title":"The ceramic coated implant (CCI). Evolution total ankle replacements: a retrospective analysis of 40 ankles with 8 years follow-up.","authors":"S Kormi, H Koivu, I Kohonen, K Mäkelä, H Tiusanen, M Saltychev","doi":"10.52628/89.3.11585","DOIUrl":"10.52628/89.3.11585","url":null,"abstract":"Diminutive data is available on the outcome of several previously used total ankle replacement implants. The purpose of this study was to investigate the medium-term functional and radiological outcome and implant survival of the CCI Evolution implant. Consecutive series of 40 ankles operated in our hospital with primary TAR using the CCI Evolution implant in 2010-2013 were available for follow-up. The prospective clinical and radiographic data including the Kofoed score, subjective satisfaction and standard radiographs were collected preoperatively and at fixed time-points postoperatively. A CT was obtained in cases where osteolysis or loosening were suspected. The improvement of the Kofoed score and subjective satisfaction were statistically significant (p<0.0001). The implant survival was 97% (95% confidence interval (CI) 81%-100 %) at 5 years, and 81 % (95% confidence interval (CI) 60 %-92%) at 8 years. There were altogether 25 (64%) complications. Overall revision rate was 28% and failure rate 13%. The CCI implant outcome was not acceptable. The malposition of prosthetic components, subsidence, and peri-implant osteolysis were recorded often. Although the patient reported outcome measures improved, mostly due to positive changes in pain severity, overall revision and failure rates were high and comparable with previous findings of the CCI implant.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 3","pages":"515-524"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71476915","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

Evaluation of the relationship between trochlear and patellar morphology and patellar chondromalacia with magnetic resonance imaging. 磁共振成像评价滑车和髌骨形态与髌骨软化症的关系。

IF 0.4 4区医学

Acta orthopaedica Belgica Pub Date : 2023-09-01 DOI: 10.52628/89.3.11782

M Demir, M H Şahan

{"title":"Evaluation of the relationship between trochlear and patellar morphology and patellar chondromalacia with magnetic resonance imaging.","authors":"M Demir, M H Şahan","doi":"10.52628/89.3.11782","DOIUrl":"10.52628/89.3.11782","url":null,"abstract":"It was aimed to investigate the relationship between magnetic resonance imaging (MRI) measurements of trochlear and patellar morphology and grade 3-4 patellar chondromalacia. Grade 3-4 patellar chondromalacia group, and an age- and sex-matched control group with normal patellar joint cartilage were comprised. For trochlear morphology evaluation in MRI; sulcus angle, trochlear angle, lateral trochlear inclination angle and medial trochlear inclination angle were measured. For patellar morphology evaluation; patella trochlear ratio, insall-salvati ratio, modified Insall- Salvati ratio and Blackburne-Peel ratio were measured. Obtained measurements were statistically analyzed according to demographic characteristics. One hundred and twenty-five patients with chondromalacia and 125 controls participated. The sulcus angle and the trochlear angle were significantly higher in the patellar chondromalacia group (p<0.05). The lateral trochlear inclination angle was significantly less in the patellar chondromalacia group (p=0.011). There was no significant difference between the groups in terms of medial trochlear inclination angle (p=0.520). There was no significant difference between the groups in terms of patella-trochlear ratio (p=0.617). Insall-Salvati ratio was significantly higher in the patellar chondromalacia group (p=0.003). Modified Insall-Salvati ratio was significantly lower in the patellar chondromalacia group (p=0.001). The rate of Blackburne-Peel was significantly higher in the patellar chondromalacia group (p=0.004). Measurements of sulcus angle, trochlear angle, lateral trochlear inclination angle, Insall-Salvati ratio, modified Insall-Salvati ratio, Blackburne-Peel ratio have diagnostic value for grade 3-4 chondromalacia.","PeriodicalId":7018,"journal":{"name":"Acta orthopaedica Belgica","volume":"89 3","pages":"409-416"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71476904","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