Revue de chirurgie orthopedique et reparatrice de l'appareil moteur最新文献

{"title":"Résumé des communications","authors":"","doi":"10.1016/j.rco.2008.07.274","DOIUrl":"https://doi.org/10.1016/j.rco.2008.07.274","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 7","pages":"Pages 231-327"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.07.274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138391936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Abstracts of the 83rd Annual Meeting of the French Society of Surgical Orthopedics and Trauma].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 Suppl 7 ","pages":"S224-333"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28126905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’ochronose ou la maladie du cartilage noir","authors":"R. Philippot ,&nbsp;C. Coste ,&nbsp;E. Lasseur ,&nbsp;P. Tramond ,&nbsp;J.-C. Rollier ,&nbsp;B. Moyen","doi":"10.1016/j.rco.2008.04.011","DOIUrl":"https://doi.org/10.1016/j.rco.2008.04.011","url":null,"abstract":"<div><p>Nous rapportons deux observations de patients atteints d’ochronose. Cette pathologie autosomique récessive est très rare (1/1 000 000) et secondaire à une enzymopathie. Elle se manifeste d’abord cliniquement par des dépôts noirs au niveau cutanéomuqueux, puis par un ensemble de symptômes, notamment articulaires, conduisant à une arthropathie destructrice des grosses articulations. Sa découverte est souvent tardive, mais son dépistage doit être précoce et, pour les chirurgiens orthopédistes, si possible en préopératoire afin d’éviter tout risque d’endocardite infectieuse dont elle est extrêmement pourvoyeuse. Ces patients nécessitent une prise en charge pluridisciplinaire adaptée, associant des mesures sociales évidentes et un traitement symptomatique. Le traitement médicamenteux en cours de validation semble efficace sur les symptômes articulaires.</p></div><div><p>We report two cases of ochronosis. This rare disease (1/1,000,000) transmitted by recessive autosomic inheritance results from an enzyme disorder. Clinically, the disease begins by black deposits in connective tissue followed by a group of symptoms, particularly involving the joints, and then destructive joint disease affecting the larger joints. Diagnosis is often established late. Early detection is important, preoperatively if possible, in order to avoid the serious complication of infectious endocarditis. These patients require adapted multidisciplinary care associating social support and symptomatic treatment. Drug therapy is currently under study and appears to provide effective symptom relief.</p></div>","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 7","pages":"Pages 693-696"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.04.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72292660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"À la mémoire du docteur Olivier Troisier","authors":"É. Gozlan","doi":"10.1016/j.rco.2008.06.005","DOIUrl":"https://doi.org/10.1016/j.rco.2008.06.005","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 7","pages":"Page 709"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.06.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72292663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posters électroniques (e-posters)","authors":"","doi":"10.1016/j.rco.2008.07.250","DOIUrl":"https://doi.org/10.1016/j.rco.2008.07.250","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 7","pages":"Pages 219-223"},"PeriodicalIF":0.0,"publicationDate":"2008-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.07.250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138391938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Résultats analytiques chez les sujets non marchant","authors":"O. Guyen,&nbsp;J. Béjui-Hugues,&nbsp;J.-P. Carret","doi":"10.1016/j.rco.2008.07.270","DOIUrl":"10.1016/j.rco.2008.07.270","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 6","pages":"Pages 177-179"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.07.270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27798288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les fractures du col du fémur après 50 ans","authors":"P. Simon ,&nbsp;F. Gouin ,&nbsp;D. Veillard ,&nbsp;P. Laffargue ,&nbsp;M. Ehlinger ,&nbsp;J.-C. Bel ,&nbsp;R. Lopez ,&nbsp;P. Beaudet ,&nbsp;F. Luickx ,&nbsp;V. Molina ,&nbsp;L.-E. Pidhorz ,&nbsp;N. Bigorre ,&nbsp;A. Rochwerger ,&nbsp;F. Azam ,&nbsp;M.-L. Louis ,&nbsp;P. Cottias ,&nbsp;S. Hamonic ,&nbsp;D. Veillard ,&nbsp;F. Vogt ,&nbsp;P.-M. Cambas ,&nbsp;X. Roussignol","doi":"10.1016/j.rco.2008.06.006","DOIUrl":"10.1016/j.rco.2008.06.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Despite many papers and instructional course lectures, therapeutic guidelines are not clearly defined about treatment of femoral neck fractures. The aim of this multicentric French symposium was to prospectively study the results of current therapeutic options in order to propose scientifically proven options.</p></div><div><h3>Material and methods</h3><p>Three prospective studies were carried out in order to answer to these questions: (1) is it possible with anatomical reduction and stable fixation to lower the non union and osteonecrosis rate? (2) is functional treatment of Garden 1 fractures successful in more than 65 years patients? (3) what criteria are useful to choose the kind of arthroplasty for more than 65 years patients?</p></div><div><h3>Results</h3><p>For the 64 patients between 50 and 65 years old included in the first study, 44 ORIF and 17 prostheses were performed. No open reduction was performed in this series despite a 34% malreduction rate. The risk for displacement after functional treatment of Garden 1 fractures is 31%.</p><p>For patients over 65 years old, almost fractures are treated in this series by an arthroplasty. The one-year mortality rate after displaced femoral neck fracture was 17%. Functional results were better in total hip prosthesis group than in bipolar or unipolar group. Non cemented stems were not safer than cemented ones in frail patients.</p></div><div><h3>Discussion and conclusions</h3><p>For young patients, ORIF should be the treatment of choice: the initial displacement and its effects on the femoral head vascularisation, the quality of reduction and fixation are the two most significant factors for good outcome. For Garden 1, fractures in patients 65 years old or more, it is proposed to performed an internal fixation despite in two thirds of the cases, it should be unnecessary because non identification of predictive factors of failure. For patients over 65 years old, the type of arthroplasty to perform in displaced fractures is to be chosen according to the preoperative mobility and comorbidities. Because of acetabular erosion with long-term follow-up, it is clearly indicated to perform total hip replacement for patients with life expectancy of 10 years or more. For frail patients, unipolar arthroplasty is the best option. The place for bipolar or uncemented implants is not yet well-defined and more prospective trials are needed. In this multicentric study, results appear quite different in terms of mortality, or functional status. These differences seem to be related to technical choice, geriatric care, nutritional consideration or surgical organisation, all factors that may be of major importance for prognostic.</p></div>","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 6","pages":"Pages 108-132"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27798333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prothèse totale de hanche chez des patients de moins de 30 ans : problématique","authors":"F. Bonnomet ,&nbsp;C. Glorion","doi":"10.1016/j.rco.2008.07.258","DOIUrl":"10.1016/j.rco.2008.07.258","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 6","pages":"Pages 133-134"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.07.258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27798334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prothèse totale de hanche chez des patients de moins de 30 ans : présentation de la série et méthode d’analyse","authors":"D. Pourreyron ,&nbsp;H. Ayadi ,&nbsp;F. Bonnomet","doi":"10.1016/j.rco.2008.07.259","DOIUrl":"10.1016/j.rco.2008.07.259","url":null,"abstract":"","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 6","pages":"Pages 135-137"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2008.07.259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27798335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mélorhéostose et entorse du ligament croisé antérieur chez une jeune fille de 15 ans","authors":"Y. Glard,&nbsp;F. Launay,&nbsp;G. Edgard-Rosa,&nbsp;E. Viehweger,&nbsp;J.-L. Jouve,&nbsp;G. Bollini","doi":"10.1016/j.rco.2007.12.018","DOIUrl":"https://doi.org/10.1016/j.rco.2007.12.018","url":null,"abstract":"<div><p>Nous rapportons le cas d’une jeune fille de 15 ans victime d’un traumatisme indirect du genou ayant occasionné la réalisation de clichés radiographiques du genou. Ces clichés ont mis en évidence des images de coulée osseuse en cire de bougie obstruant partiellement le canal médullaire du fémur et du tibia. À l’IRM, ces lésions étaient en hyposignal en T1 et en T2. Le diagnostic retenu devant l’aspect radiologique est celui de mélorhéostose. Une biopsie a été réalisée afin d’écarter les autres diagnostics possibles. L’IRM a en outre mis en évidence une rupture du ligament croisé antérieur (LCA). Un traitement conservateur a été proposé pour cette rupture du LCA et une surveillance clinique et radiologique a été proposée pour la mélorhéostose.</p></div><div><p>We report the case of a 15-year-old girl who suffered an indirect knee trauma. The standard X-rays revealed a tract of ivory-like bone partially obstructing the medullary canal of the femur and the tibia. Magnetic resonance imaging produced a hypointense signal on the T1 and T2 sequences. The radiographic diagnosis was melorheostosis which was confirmed on the biopsy specimen which ruled out other diagnoses. The MRI also revealed a tear of the anterior cruciate ligament, treated conservatively. Clinical and radiological surveillance were proposed for the melorheostosis.</p></div>","PeriodicalId":76468,"journal":{"name":"Revue de chirurgie orthopedique et reparatrice de l'appareil moteur","volume":"94 6","pages":"Pages 596-598"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rco.2007.12.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92061241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}