5,713 results match your criteria Acta Orthopaedica Belgica[Journal]


Latissimus dorsi transfer using bone block technique to restore active external rotation in reversed total shoulder arthroplasty.

Acta Orthop Belg 2020 Mar;86(1):166-174

The aim was to compare the outcome of a reversed shoulder arthroplasty with a latissiumus dorsi transfer without (LD-BB) or with bone block (LD+BB) in patients with rotator cuff-deficient shoulders and combined loss of active elevation and external rotation. Postoperative patients with LD+BB were not immobilized compared to 6 weeks of immobilization in patients with LD-BB. Clinical outcome was evaluated using the Constant Score, ADLER score and satisfaction rate. Read More

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Severe heterotopic ossification after a shoulder arthroscopy : a rare clinical presentation.

Acta Orthop Belg 2020 Mar;86(1):162-165

Heterotopic ossification is a well-known complication after orthopaedic surgical procedures, with a pre-dilection of the hip and elbow. Heterotopic ossification is a rare complication after shoulder arthroscopy and is rarely clinically significant. We report a case of a 65-year old Caucasian man with a slow and painful recovery after arthroscopic shoulder surgery encompassing rotator cuff repair, biceps tenotomy and acromioplasty, with recurrence of impingement symptoms unresponsive to conservative therapy (physiotherapy and one sub- acromial injection). Read More

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Clinical and radiological characteristics of 82 solitary benign peripheral nerve tumours.

Acta Orthop Belg 2020 Mar;86(1):151-161

Benign peripheral nerve tumours are rare lesions. The surgical treatment and clinical outcomes depend on the resectability. The aim of this retrospective study was to identify clinical or radiological features that may predict the surgical technique that should be used to improve clinical outcome. Read More

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Four-corner fusion versus proximal row carpectomy : a retrospective review with a minimal follow-up of 9 years.

Acta Orthop Belg 2020 Mar;86(1):146-150

A retrospective survey on the long-term outcomes of both proximal row carpectomy (PRC) and scaphoidectomy with 4-corner arthrodesis (4CA) was conducted. Seventeen PRC and nine 4CA wrists were retrieved with a minimal follow-up of 9 years. Pain, satisfaction and disability were not significantly different. Read More

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The surgical management for isolated scaphotrapeziotrapezoid (STT) osteoarthritis : a systematic review of the literature.

Acta Orthop Belg 2020 Mar;86(1):137-145

We performed a systematic review to find out the safety and efficacy of various procedures for isolated scaphotrapeziotrapezoid osteoarthritis. Eleven articles were included. The most common procedure was arthroplasty with pyrocarbon implant (28%), followed by resection of distal pole of scaphoid with proximal trapezium and trapezoid resection (18%). Read More

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Ten-year outcomes of the Arpe prosthesis for the treatment of osteoarthritis of the trapeziometacarpal joint.

Acta Orthop Belg 2020 Mar;86(1):131-136

Outcomes of 66 Arpe prostheses in 50 patients treated for osteoarthritis of the trapeziometacarpal joint were investigated with a mean follow-up of ten years. Ten-year survival was 87% when failure was defined as implant removal followed by trapeziectomy and tendon interposition. Ten-year survival was 82% when revision of the cup was also considered as failure and it was 80% when replacement of the neck alone was also chosen as an endpoint. Read More

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Short-term outcome trapeziectomy with ligament reconstruction and tendon interposition versus trapeziometacarpal prosthesis : a literature review.

Acta Orthop Belg 2020 Mar;86(1):122-130

Trapeziectomy with ligament reconstruction and tendon interposition and trapeziometacarpal prosthesis are two commonly used procedures for first carpometacarpal joint osteoarthritis. The purpose of this study is to compare the short-term outcome of trapeziectomy with ligament reconstruction and tendon interposition to trapeziometacarpal prosthesis. Pubmed, Cochrane library and science direct database were searched with adequate search terms. Read More

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Combined anterior talofibular ligament (ATFL) lesion and anterolateral syndesmotic impingement after ankle sprain trauma in runners.

Acta Orthop Belg 2020 Mar;86(1):115-121

Anterior inferior tibiofibular ligament (AITFL) lesion have been shown to result in proliferation of cicatricial tissue ; concomitant insufficiency of the anterior talofibular ligament (ATFL) and AITFL Lesion may cause anterolateral syndesmotic impingement in the ankle joint of runners. Twenty-two runners with suspected syndesmotic impingement after ankle sprain were included in the study. An MRI of the ankle joint was performed followed by arthroscopy. Read More

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Total ankle replacement : comparison of the outcomes of STAR and Mobility.

Acta Orthop Belg 2020 Mar;86(1):109-114

Total Ankle Replacement is a recognised treatment for end-stage ankle arthritis and an alternative to arthrodesis. This study reviews a single centre series of prospectively collected outcome measures to determine whether the Mobility performs better than the Scandinavian ankle replacement. The primary outcome measure was the survivorship. Read More

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Functional outcome following closed reduction and percutaneous osteosynthesis of distal tibia articular fractures in children.

Acta Orthop Belg 2020 Mar;86(1):102-108

Closed reduction and percutaneous osteosynthesis is an alternative to the open procedure for articular fractures of distal tibia of children. 38 patients were retrospectively reviewed. The measured parameters were : the score of Gleizes and the discrepancies between preoperative radiographic and CT scan measurements and postoperative radiographs. Read More

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Outcome after arthroscopically assisted percutaneous reconstruction of lateral ankle ligaments using a gracilis tendon autograft.

Acta Orthop Belg 2020 Mar;86(1):95-101

In cases of chronic instability of the lateral ligament complex following an ankle sprain, operative stabilization should be considered when conservative treatment fails. The purpose of this study is to determine the outcome of a percutaneous stabilization of the lateral ligament complex with a gracilis tendon auto-graft, after an adjuvant arthroscopy of the ankle joint. We retrospectively reviewed the medical files of patients who underwent this surgery performed by the senior author. Read More

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Radiolucent lines around knee arthroplasty components : a narrative review.

Acta Orthop Belg 2020 Mar;86(1):82-94

Aseptic loosening of total knee arthroplasty (TKA) components is one of the frequent reasons for early revision together with infection and instability. Aseptic loosening is usually preceded by the observation of radiolucent lines (RLL) on radiographs. Radiolucent lines have conventionally been considered a sign of osteolysis due to particles disease of either polyethylene or cement wear. Read More

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Can a ratio between medial and lateral meniscal volumes be calculated to determine critical meniscal volume in view of post-meniscectomy symptoms?

Acta Orthop Belg 2020 Mar;86(1):77-81

Partial meniscectomy is a frequently performed treatment strategy for non-suturable meniscal tears. However, the meniscal volume which can be resected without compromising the load-bearing, shock-absorbing function of the meniscus remains a topic of ongoing research. The aim of this study was to calculate the medio-lateral meniscal volume ratio to estimate this volume. Read More

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Anatomical superficial medial collateral ligament reconstruction with posteromedial capsule reefing successfully restores valgus knee laxity.

Acta Orthop Belg 2020 Mar;86(1):69-76

The goal of this study was to present the results of an anatomical superficial medial collateral ligament (sMCL) reconstruction combined with reefing of the posteromedial capsule in a series of 10 patients with symptomatic valgus instability complaints in combined injuries of the knee. All patients under- went an sMCL reconstruction with reefing of the posteromedial capsule. If cruciate ligament insuf- ficiency was present, this was reconstructed as well. Read More

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Joint needle aspiration compared to tissue samples in septic arthritis of the native knee.

Acta Orthop Belg 2020 Mar;86(1):64-68

Culture of the causative infectious agent is the only definitive method of diagnosing septic arthritis and can be identified by culture of synovial fluid (SF) or by tissue cultures (TC) obtained at surgery. The aim of this study is to compare the cultures of joint needle aspiration (JNA) with tissue cultures obtained at surgery. 52 patients treated for a suspicion of a septic arthritis of the native knee were retrospectively reviewed. Read More

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Investigation of the changing etiology and risk factors of prosthetic joint infections : a university hospital surveillance study from 2011-2017.

Acta Orthop Belg 2020 Mar;86(1):54-63

We sought to characterize the causative pathogens of prosthetic joint infections (PJIs), evaluate the trends in microbial etiologies, and identify potential risk factors for PJI. This was a retrospective study analyzing 70 patients with PJI following 3,253 total joint arthroplasties between 2011 and 2017. Staphylococci were the most common cause of infection (52. Read More

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Polyaxial locking plate fixation in periprosthetic, peri-implant and distal shaft fractures of the femur : a comparison of open and less invasive surgical approaches.

Acta Orthop Belg 2020 Mar;86(1):46-53

Polyaxial locking plate fixation is a widely performed treatment for femoral shaft, periprosthetic, and peri-implant fractures in elderly patients. This study's purpose was to compare patient outcomes following the open technique (OT) and less invasive techniques (LIT). Data were gathered from 44 patients with 46 fractures treated with polyaxial locking plate between 2010-2015. Read More

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Direct anterior total hip arthroplasty in supine position using regular OR table : case series and review of complication and reoperation rate.

Acta Orthop Belg 2020 Mar;86(1):38-45

Direct anterior approach total hip arthroplasty (DAA- THA) has gained popularity in the last decades due to multiple advantages : reduced blood loss, muscle sparing, reduced pain, reduced dislocation rate, shorter hospital stay and faster recovery. However, initial studies have reported an unacceptable high intra-operative complication rate, especially during the learning curve. The complications and reoperations in a consecutive series of 356 DAA- THA's using a supine positioning on a regular OR table, without femoral hyperextension, were analysed retrospectively. Read More

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The influence of local infiltration analgesia after total hip replacement. A randomized clinical trial.

Acta Orthop Belg 2020 Mar;86(1):33-37

To determine whether local infiltration analgesia by catheter infusion was superior to conventional analgesia in terms of postoperative pain control after THR. A randomized double-blind clinical trial was performed. There were four groups based on catheter placement and the infusion constituents : 1) Intraarticular catheter + anesthetics ; 2) Intraarticular catheter +placebo ; 3) Subfascial catheter + anesthetics ; 4) Subfascial catheter + placebo. Read More

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Evaluation of cerclage wiring in the treatment of subtrochanteric fractures.

Acta Orthop Belg 2020 Mar;86(1):28-32

Treatment of subtrochanteric fractures is challenging because of their typical displacement pattern. Use of circumferential cerclage wires can be added to intramedullary nailing to facilitate better anatomical reduction. Concerns exist regarding additional soft tissue damage and ischemia of the periosteum. Read More

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Total hip arthroplasty using the direct anterior approach and intraoperative neurophysiological monitoring for Crowe III hip dysplasia : surgical technique and case series.

Acta Orthop Belg 2020 Mar;86(1):22-27

Developmental dysplasia of the hip with a high dislocation may lead to severe hip pain and a marked shortening. Nerve palsy rates following THA in dysplastic hips have been reported as being higher by ten times or more compared to the general population. We report a new technique to perform THA in high congenital dislocations. Read More

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Femoral anteversion measurement : evaluation of inter- and intraobserver reliability.

Acta Orthop Belg 2020 Mar;86(1):17-21

The aim of this study was to evaluate the inter- and intraobserver reliability of a CT-based femoral anteversion measurement. 17 CT scans showing an abnormal anteversion on one side were presented to 6. Three measurements of all scans were obtained : two bilateral measurements and a third measurement with a flipped CT scan. Read More

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Long-term outcome of prosthetic joint infections treated with two-stage revision.

Acta Orthop Belg 2020 Mar;86(1):10-16

Long-term evaluation of prosthetic joint infection treated with two-stage revision. Retrospective analysis of 102 periprosthetic infections treated with two-stage revision from 2010 to 2012 in Albenga hospital, Italy. During the second stage, samples for microbiological tests were collected. Read More

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The influence of weather conditions on osteoarthritis and joint pain after prosthetic surgery.

Acta Orthop Belg 2020 Mar;86(1):1-9

The purpose of this narrative review was to highlight the research on the influence of weather conditions on patients with osteoarthritis, the pathophysiological mechanisms and the therapeutic consequences. A search was conducted using the Pubmed, Medline and Web of Science databases. Barometric pressure, temperature and humidity are the weather conditions that are found to be correlated most to the worsening of pain complaints. Read More

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Combined open reduction and Dega transiliac osteotomy for developmental dysplasia of the hip in walking children.

Acta Orthop Belg 2019 Dec;85(4):545-553

The iliac osteotomy described by Dega in Poland, in 1969, is an acetabuloplasty that changes the acetabular configuration and its inclination. The aim of this work is to analyze a group of patients with DDH treated by combined open reduction and Dega transiliac osteotomy ,to evaluate the results and determine the advantages and disadvantages, as well as, assess the factors affecting the final outcome of such procedure. A prospective study was conducted during the period, from November 2010 to October 2014, on 39 hips, in 29 children, with neglected DDH after walking age, either diagnosed late or after failure to respond to previous non operative treatment. Read More

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December 2019

Cup oversizing as a risk factor for postoperative groin pain in Total Hip Arthroplasty : a retrospective analysis of 437 hips.

Acta Orthop Belg 2019 Dec;85(4):540-544

The majority of patients are pain free after total hip replacement, but some experience anterior hip pain due to iliopsoas impingement. There is evidence that a prominent or malpositioned cup may cause iliopsoas tendonitis. The purpose of this study was to determine whether oversizing the cup is a risk factor for postoperative groin pain. Read More

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December 2019

Incidence of hypothermia and factors affecting variation in core body temperature in patients undergoing arthroscopic surgery of the hip.

Acta Orthop Belg 2019 Dec;85(4):535-539

Perioperative hypothermia (below 36°C) has been associated with post-operative morbidity. The aim of this study was to determine the incidence of post-operative hypothermia in hip arthroscopy patients and factors affecting perioperative body temperature variation. A prospective audit of 50 consecutive patients undergoing hip arthroscopy for a variety of pathologies was carried out. Read More

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December 2019

Results of "Trochanteric Femoral Nailing (TFN)" in comminuted unstable trochanteric fractures.

Acta Orthop Belg 2019 Dec;85(4):525-534

Unstable trochanteric fractures and fractures with reverse obliquity pose difficulty in fixation. In recent years, intramedullary nails, for the treatment of comminuted and unstable intertrochanteric hip fractures, are becoming more popular relative to conventional, sliding hip screws. The purpose of our study was to evaluate the result of Trochanteric femoral nailing in comminuted, unstable Trochanteric femur fracture in terms of anatomical restoration and functional outcome. Read More

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December 2019

Clinical results and complications of a two-stage procedure in hip infection using preformed antibiotic-loaded cement spacers.

Acta Orthop Belg 2019 Dec;85(4):516-524

Antibiotic-loaded cement spacers are used in two- stage hip replacement. The aim of our study was to compare our results using a Spacer-G with previous results reported in the literature. From June 2002 to April 2010, all patients treated with a two-stage revision were retrospectively reviewed. Read More

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December 2019

Isolated iliac wing fractures : are they really that benign?

Acta Orthop Belg 2019 Dec;85(4):510-515

The aim of this study was to review the incidence, management and outcome of isolated iliac wing fractures and to compare them with other type A, B and C fractures. From 2004 to 2015, the data of 547 patient with a pelvic fracture regarding age, gender, RTS, ISS, treatment, complications and mortality were analyzed and a comparison was made between iliac wing fractures and the other pelvic fractures. We encountered 30 isolated iliac wing fractures. Read More

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December 2019

How much does saving femoral head cost after acetabular fracture? Comparison between ORIF and THA.

Acta Orthop Belg 2019 Dec;85(4):502-509

We performed a prospective study on patients with acetabular fractures treated either with internal fixation either with arthroplasty comparing clinical outcomes, quality of life, economic resources and cost efficacy in the first five years after surgery. Demographic data, diagnosis, index treatment, costs and subsequent surgeries were recorded. Patients were requested to fulfill Merle d'Aubigné and EQ-5D-5L questionnaires. Read More

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December 2019

Joint Space Width, but not Osteophyte Thickness, is a Reliable Indicator of Degeneration of Lateral Knee Joint Cartilage.

Acta Orthop Belg 2019 Dec;85(4):494-501

In this histologically controlled in vitro study, we evaluated the validity of plain radiography for the assessment of lateral knee joint cartilage degeneration (25 specimens). We examined the correlation between histological grade and radiography findings along with patient demographics. Our study indicated that the Mankin score had a significant inverse correlation with middle joint space width (JSW ; r=-0. Read More

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December 2019

Tranexamic acid in total knee replacement which protocol? which application form? A prospective randomised study.

Acta Orthop Belg 2019 Dec;85(4):484-493

The aim of this study was to prospectively compare different delivery forms, doses and combined application forms of TXA for the reduction of blood loss and prevention of the allogeneic blood transfusion in patients with TKA and evaluate the results. The study included patients with knee joint osteoarthritis who were unresponsive to conservative management and 168 patients met the inclusion criteria. They were divided into 5 groups randomly as, Control (1), Local (2), Systemic+short infusion (3), Systemic+long infusion (4) and Systemic+oral TXA (5). Read More

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December 2019

What is the reason of the high fibular head in the Discoid Lateral Meniscus?

Acta Orthop Belg 2019 Dec;85(4):477-483

The purpose of this study was to assess the factors associated with high fibular head in symptomatic discoid lateral meniscus (DLM). Eighty-seven patients with complete DLM (discoid group) and 80 normal subjects (control group) were included prospectively. Plain X-rays and MRI were analyzed for level and angle of the fibular head and thickness and type of Wrisberg ligament. Read More

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December 2019

Blade expandable intramedullary nails for fixation of tibial shaft fractures.

Acta Orthop Belg 2019 Dec;85(4):472-476

This study is aimed to compare the clinical and radiological differences between classic locked intra- medullary nailing (LIN) and blade expandable intra- medullary nailing (BEIN) at tibia shaft fractures. Operation time, exposing of radiation time and fracture healing times were recorded. Pain visual anolog scale (VAS), shortening of tibia and angulation of fracture line were compared. Read More

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December 2019

Results of ulnar shortening osteotomy in patients with ulnar wrist pain. A retrospective study.

Acta Orthop Belg 2019 Dec;85(4):464-471

The aim of the study was to find out if ulnar shortening is effective to treat ulnar wrist pain and which factors influence outcome. Thirty-seven patients were evalua- ted with a mean follow-up of 4.5 years. Read More

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December 2019

Surgical treatment of partial and full distal biceps tendon ruptures.

Acta Orthop Belg 2019 Dec;85(4):459-463

This study presents a series of cases with surgically treated partial distal biceps tendon ruptures. The results of full distal biceps tendon rupture repair are also presented and a comparison is made between the two groups. Between 2001 and 2015, patients with partial and full ruptures of the distal biceps tendon were surgically repaired. Read More

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December 2019

Headless compression screw fixation for type 2 and 3 articular surface fractures of the distal humerus using transolecranon approach.

Acta Orthop Belg 2019 Dec;85(4):448-458

The objectives of this study were to determine the clinical and radiologic outcome after headless compression screw fixation through the transolecranon approach in patients who had sustained Dubberley type 2 and 3 articular surface fractures of the distal humerus. Twenty-seven patients were included in the study. There were 23 Dubberley type 2 and 4 type 3 fractures. Read More

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December 2019

Reconstruction of complex radial head fractures using fine-threaded K-wires : clinical outcome and remaining instability.

Acta Orthop Belg 2019 Dec;85(4):437-447

Radial head replacement or ORIF are established treatment options for Mason type-III and type-IV fractures. The aim of this study was to provide results for reconstruction of these complex fractures using fine-threaded K-wires. We present results after reconstruction of 15 Mason type-III and 8 Mason type-IV fractures. Read More

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December 2019

Dual plate for comminuted proximal humerus fractures.

Acta Orthop Belg 2019 Dec;85(4):429-436

The purpose of this study is to evaluate radiological, clinical results and complication rates of dual plate fixation for severe metaphyseal comminuted fracture of proximal humerus. 21 patients who have proximal humerus fractures with impaired posteromedial buttress were enrolled. Fractures were treated with dual plate technique using Proximal Humeral Locking plate and Variable Angle Plate. Read More

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December 2019

The Accessory muscles of the Axilla.

Acta Orthop Belg 2019 Dec;85(4):421-428

The axilla is a region of clinical and surgical importance with plenty of anatomical variations. One of these is the presence of accessory muscles. The literature was reviewed in order to identify the different supernumerary muscles that are described in the axilla. Read More

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December 2019

Intramedullary nailing of dislocated midshaft clavicle fractures with the Rockwood Clavicle Pin, a retrospective study.

Acta Orthop Belg 2019 Dec;85(4):412-420

This retrospective study evaluated the outcome after intramedullary nailing with the Rockwood Clavicle Pin (RCP) for acute displaced middle third clavicle fractures in adults. Of 84 included patients treated for this fracture 2003-2009, 66 (79%) were evaluated. Of these, 52 (79%) were re-examined, including fluoroscopy, while 14 patients (21%) were evaluated by mailed questionnaire. Read More

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December 2019

Acute acromioclavicular joint dislocation treated with tightrope : Mini-open versus percutaneous stabilization.

Acta Orthop Belg 2019 Dec;85(4):406-411

The purpose of this study was to compare prospecti- vely the radiographic and clinical results of patients treated with tightrope through either mini-open or percutaneous stabilization for acute AC joint injuries. Eighty patients were included in this study and were randomly divided into two groups. Group A included 40 injuries treated with mini-open repair. Read More

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December 2019

Manipulation under anesthesia for frozen shoulders : a retrospective cohort study.

Acta Orthop Belg 2019 Dec;85(4):400-405

Abbreviations: MUA, manipulation under anesthesia ; FS, frozen shoulder ; SPADI, Shoulder Pain and Disability Score ; OSS, Oxford Shoulder Score ; NPRS, Numeric Paind Rating Scale. Manipulation under anesthesia is a well-established, but controversial, treatment for frozen shoulders. We will evaluate our results of manipulation and physiotherapy in stage two frozen shoulders. Read More

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December 2019

Factors associated with degeneration of rotator cuff tendon : a histological study in patients with rotator cuff tear.

Acta Orthop Belg 2019 Dec;85(4):393-399

Factors associated with tendon degeneration have not been fully investigated. The purpose of this study was to identify factors associated with tendon degeneration in patients with rotator cuff tear. A total of 93 patients with a full-thickness rotator cuff tear (fRCT) were included in the study. Read More

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December 2019

Suture anchors for primary deltoid ligament repair associated with acute ankle fractures.

Acta Orthop Belg 2019 Sep;85(3):387-391

The aim of the study is to evaluate the clinical effect of primary suture anchors repair in the treatment of deltoid ligament rupture associated with ankle fractures. 34 patients with acute deltoid ligament rupture associated with ankle fractures were selected between 2011 and 2014. Medial clear space (MCS), American Orthopaedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) were noted. Read More

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September 2019

Clinical study of the novel FlexitSystem implant for high tibial open wedge osteotomy.

Acta Orthop Belg 2019 Sep;85(3):381-386

The FlexitSystem implant is a novel implant used in open wedge high tibial osteotomy. A clinical safety study was performed. Retrospectively 50 patients were analyzed who were treated with an open wedge high tibial osteotomy and the new FlexitSystem implant, with a minimal follow-up of one year. Read More

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September 2019

Hamstring injury prevention in Belgian and English elite football teams.

Acta Orthop Belg 2019 Sep;85(3):373-380

Hamstring injury is the most common injury in European professional football. The purpose of this study was to provide insight into the content of hamstring injury prevention programmes in English and Belgian elite football teams. Fifteen premier league teams (10 from Belgium and 5 from England) completed a questionnaire on hamstring injury prevention. Read More

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September 2019
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Single dose Intravenous Tranexamic acid may not be adequate to reduce blood loss and blood transfusion requirement in patients undergoing single stage bilateral total knee arthroplasty.

Acta Orthop Belg 2019 Sep;85(3):364-372

Simultaneous bilateral total knee arthroplasty (TKA) causes increased blood loss and increases the risk of venous thromboembolism. Tranexamic acid (TXA) is commonly used to minimize blood loss and transfusion requirements. However, the optimal regimen of TXA in single stage bilateral TKA is still not defined. Read More

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September 2019

Anterior-medial collateral ligament portal : easy access to the torn posteromedial horn of the medial meniscus.

Acta Orthop Belg 2019 Sep;85(3):360-363

The posteromedial horn of the medial meniscus is prone to injury, and repair of a tear in this portion of the medial meniscus is especially challenging for the arthroscopist. We present a novel technique that allows good management of the posterior horn of the medial meniscus, even in patients with tight medial compartments. This technique uses two standard portals (the anterolateral portal and the anteromedial portal) to conduct arthroscopic examination, and uses a third portal as the workhorse portal to manage the posterior region so that the posterior horn tear can be easily removed. Read More

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September 2019
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