Publications by authors named "Elke Van Eynde"

4 Publications

  • Page 1 of 1

Functional outcome of ligament reconstruction with tendon interposition after failed first carpometacarpal joint prosthesis.

Acta Orthop Belg 2021 Mar;87(1):137-142

The purpose is to determine if ligament reconstruction with tendon interposition (LRTI) is a recommendable salvage option for failed total joint prosthesis of the first carpometacarpal joint. Twenty-two patients in our database met the in- clusion criteria for this retrospective study, with at least 6 months follow-up. Fourteen participated and were invited for a clinical examination and asked to fill out two questionnaires. They were evaluated for pain (VAS), impairment (NHS), disability (Quick DASH), opposition (Kapandji test) and grip strength (hydraulic dynamometer). Results of the questionnaires were compared to a cohort study of primary LRTI's. Kapandji test and grip strength were compared to the contralateral side. Compared to primary LRTI's, revision surgery showed mild deterioration of impairment and disability. The average VAS score was 2.9 out of 10. Twelve patients mentioned a sense of strength loss, which could be quantified with the dynamometer : a mean of 15.1 kg (operated thumb) versus 20.5 kg (contralateral). There was a relatively small decline of opposition with Kapandji 8.6 versus 9.9. The overall satisfaction was good for 8 patients, fair for 3 and poor for the remaining 3 (mainly based on strength loss). One patient needed a second revision. Failed first carpometacarpal joint replacement can be salvaged by ligament reconstruction with tendon interposition, providing an acceptable functional outcome in 79% of cases studied. However, compared to the functional outcome of primary LRTI's, mild aggravation of impairment and disability should be taken into account.
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March 2021

Clinical results of distal anterior tibial tendon decompression.

Foot Ankle Surg 2020 Nov 5. Epub 2020 Nov 5.

Orthopaedic Surgeon, Department of Orthopaedic Surgery, Heilig Hart hospital, Mechelsestraat 24, 2500 Lier, Belgium.

Background: Distal tibialis anterior tendinopathy (DTAT) is condition which is infrequently described in literature and is usually treated with conservative means. If resistant to a rehabilitation protocol and unloading, a surgical treatment could be proposed. The aim of this research is to report on the history and clinical image of DTAT and present the clinical results of a simple surgical decompression of the tendon with local debridement and release of the distal extensor retinaculum.

Methods: Seventeen patients diagnosed with DTAT in 18 feet underwent surgery between 2008 and 2018. Upon initial presentation, all patients reported a persistent history of pain over the tibialis anterior (TA) insertion. Ultrasound was routinely performed to confirm the diagnosis. In patients with confirmed diagnosis of DTAT, persistent despite conservative treatment, we proceeded with surgical intervention during which we released the tendon by opening the distal extensor retinaculum. Retrospective chart review was performed, and functional outcomes were assessed using the AOFAS midfoot score. AOFAS score results were collected postoperatively with at least one-year follow-up.

Results: All patients experienced pain on palpation of the distal aspect of the TA tendon. Most patients experienced pain at night and were frequent hikers. Our study population consisted of mostly female and overweight patients. All patients reported pain relief with a significant improvement of VAS for pain from 6.7 ± 1.1 preoperatively to 1.1 ± 1.2 postoperatively (p < 0.05). The postoperative AOFAS midfoot score was 97 ± 3.7. Fifteen patients were completely satisfied, two satisfied with minor reservations.

Conclusion: Simple distal TA tendon release by division of a consistently present constricting distal extensor retinaculum represents a surgical alternative in the treatment of chronic DTAT. Our study shows good clinical outcomes with low complications.

Level Of Evidence: Level IV - retrospective case series.
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http://dx.doi.org/10.1016/j.fas.2020.10.012DOI Listing
November 2020

Uncemented femoral stem design influences the occurrence rate of postoperative fractures after primary hip arthroplasty: a comparison of the Image and Profile stems.

Acta Orthop Belg 2010 Apr;76(2):189-98

Department of Orthopaedic Surgery and Traumatology, Universitair Ziekenhuis Brussel, Brussels, Belgium.

Two consecutive series of hip arthroplasties with closely similar anatomic uncemented femoral implants [207 Profile (DePuy) and 171 Image (Smith&Nephew) stems] were compared with regard to postoperative femoral fractures. All arthroplasties were performed by senior staff surgeons, mainly on patients below 65 years of age. In the Image group the occurrence rate of postoperative periprosthetic femoral fractures was higher (9.36%) compared to the Profile group (2.99%) and fractures occurred earlier (1.69 y vs. 8.84 y). The bulkier proximal part, the thinner cylindrical distal two thirds and the larger offset probably resulted in less rotational stability and increased proximal torsional load transfer during activities of daily living. This resulted in femoral fractures after minor trauma, without osteolysis. This study emphasizes the need for close follow-up when introducing new implants, even if they rely on known principles and feature only minor changes from proven concepts.
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April 2010

Feminine after cricothyroid approximation?

J Voice 2008 May 5;22(3):379-84. Epub 2007 Feb 5.

Ghent University Hospital, Faculty of Medicine and Health Sciences, Ghent, Belgium.

A number of studies have evaluated the effectiveness of a cricothyroid approximation (CA) in creating a more female voice in male-to-female transsexuals (MFTs) from an acoustic perspective. An increase in pitch is of little value, however, unless it accurately indicates listeners' perceptions of gender. The purpose of this study was to further investigate the effectiveness of a CA in feminizing the voice from a perceptual perspective. Video recordings of nine MFTs, nine nontranssexual males (NTMs), and nine nontranssexual females (NTFs) were presented twice to the panel of judges in a randomized order: first auditory only (only hearing a subject's speech) and subsequently audiovisual (hearing and seeing a subject's speech). The panel of judges, 42 students (21 female, 21 male) from different disciplines, rated the participants' voices on a 100-mm visual analog scale with "very male" and "very female" as left and right extremes, respectively. The group of MFT obtained scores that were situated in between those of the NTM and the NTF, both for the auditory only and the audiovisual mode of presentation. Perception of femaleness significantly correlated with average fundamental frequency for both modes of presentation. It can be concluded that a CA approximation is a viable option to raise the voice pitch in MFTs but that this surgery alone may not be sufficient to create a voice that is perceived as a totally female.
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http://dx.doi.org/10.1016/j.jvoice.2006.11.001DOI Listing
May 2008
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