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Acta Orthop Belg 2020 Dec;86(4):724-728

Cervical disc arthroplasty (CDA) is a well known treatment for single level cervical disc degeneration. In multi level disc degeneration anterior cervical disc fusion (ACDF) is often combined with a CDA. In this hybrid construction, motion is preserved at the level of the CDA. Read More

Acta Orthop Belg 2020 Dec;86(4):717-723

In the absence of prosthetic arthroplasty offering good results for the treatment of wrist osteoarthritis, we studied the arthrodesis of three carpal bones (lunate - hamate - capitate) completed by triquetrum and scaphoid excision in the presence of Scapholunate Advanced Collapse (SLAC) or Scaphoid Nonunion Advanced Collapse (SNAC) stage II or III. Clinical data on eight patients between the ages of 32 and 61 years at an average of 29 months after surgery was analyzed. Seven patients reached fusion with a carpal height ratio of 0. Read More

Acta Orthop Belg 2020 Dec;86(4):711-716

Clinical results of endoscopic distal biceps tendon repair have been shown to be comparable to open techniques in small series. This study evaluates safety and accuracy of the endoscopic technique. Sixteen fresh-frozen paired cadaveric upper extremities were used. Read More

Acta Orthop Belg 2020 Dec;86(4):706-710

The purpose of the study is to evaluate the accuracy of detecting subscapularis tendon tears on different imaging modalities in comparison with surgical findings. In addition, the accuracy of long head of biceps tendon pathology in assisting the diagnosis of a subscapularis tear was evaluated. Retrospectively, 336 patients who underwent surgery in the UZ Brussel for rotator cuff pathology and had pre-operative imaging at the hospital were included. Read More

Acta Orthop Belg 2020 Dec;86(4):702-705

Os acromiale is due to a defect of fusion of the different ossification centers of the acromion. It is a common cause of shoulder pain that should be evoked in the differential diagnosis of the sub-acromial conflict. CT scan or magnetic resonance are therefore often helpful to confirm the diagnosis. Read More

Acta Orthop Belg 2020 Dec;86(4):697-701

A 61-year-old man who stretched in the morning presented a rupture of the tibialis anterior tendon treated by extensor hallucis longus transfer. Rupture of the tibialis anterior tendon is rare. Surgical treatment seems to be more efficient in improving the function. Read More

Acta Orthop Belg 2020 Dec;86(4):688-696

LIA is an emerging alternative for patient-con- trolled epidural analgesia(PCEA) after total knee arthroplasty(TKA). LIA allows faster mobilisation, eliminates the risks of epidural catheters, and can hasten patient turnover. Conversely, PCEA provides reliable pain relief in the first days after this type of surgery. Read More

Acta Orthop Belg 2020 Dec;86(4):678-687

The purpose of this study is to perform a systematic review of literature to assess the quality of life of patients with patellofemoral pain syndrome A systematic review was performed in Pubmed ; Cochrane ; Embase ; Web of science and were searched until January 2018. There was no limit regarding the year of publication. The review was limited to English, Dutch and German articles. Read More

Acta Orthop Belg 2020 Dec;86(4):663-677

The number of revision total knee arthroplasty (TKA) surgeries has increased over the years and it is expected that its number will keep rising. Most frequent reasons for revision are known to be aseptic loosening, infection, instability, periprosthetic frac- ture, arthrofibrosis and component malposition. The influence of the indication for revision on the outcome scores is not fully understood. Read More

Acta Orthop Belg 2020 Dec;86(4):657-662

Previous studies report good clinical outcomes with the initial mobile-bearing implant design in TKA. Nevertheless clinical data on the subject system are scant and information is lacking to fully appraise the safety and performance of the subject device. A population of 283 consecutive patients who received 307 primary Vanguard ROCC TKAs over a 5. Read More

Acta Orthop Belg 2020 Dec;86(4):650-656

The radiological follow-up is an essential element of evaluation of total hip arthroplasty. This is a retrospective study based on 71 THA using a cemented Ceraver-Osteal ® stem. They were systematically associated with RM ® cups in all cases with a ceramic on polyethylene bearing surface. Read More

Acta Orthop Belg 2020 Dec;86(4):644-649

Currently, patients who undergo total hip arthroplasty want a complete restoration of their hip function and not only pain relief. Templating in THA is essential for accurately predicting the optimal size of the implants required. It also reduces the risk of potential complications. Read More

Acta Orthop Belg 2020 Dec;86(4):636-643

Debridement, antibiotic, irrigation and retention of the implant (DAIR) is an attractive treatment for periprosthetic joint infection (PJI). The purpose of this study is to determine predictive factors of failure. We reviewed all DAIR procedures for hip PJI performed between 2002-2017 (n=69). Read More

Acta Orthop Belg 2020 Dec;86(4):628-635

The aim of the study is to compare the overall complication rate and in particular lag screw cut-out between the Trochanteric Gamma Nail and the Gamma 3 Nail. A total of 294 implants (Trochanteric Gamma Nail= 132 and Gamma 3 Nail=163) in 291 patients were analysed. All clinical data was obtained from the patients medical records. Read More

Acta Orthop Belg 2020 Dec;86(4):624-627

Imaging-guided percutaneous core needle biopsy (CNB) is the preferred diagnostic method for bone and soft tissue tumors. In less than 1% of cases, complications are clinically significant and include mainly haema-toma and bleeding. We present a case of acute compartment syndrome (ACS) following CNB of the proximal fibula. Read More

Acta Orthop Belg 2020 Dec;86(4):621-623

Mycobacteriuim kansasii is a nontuberculous atypical mycobacterium which typically causes respiratory infections. Localized extrapulmonary diseases, such as tenosynovitis or arthritis are rarely seen in the immunocompetent population (1) . We present a case of an immunocompromised 55-year-old man with a chronic Mycobacteriuim kansasii tenosynovitis of the hand. Read More

Acta Orthop Belg 2020 Dec;86(4):614-620

A single-center prospective study was conducted over one-year period to determine the performance (sensitivity, specificity, positive and negative predictive values) of the synovasure test for the diagnosis of prosthetic joint infection using the MSIS consensus criteria as the reference. The study included all patients admitted for resumption of hip or knee prosthesis whatever the reason, all couples of friction, patients under antibiotic treatment, immuno-compromised or with systemic inflammatory diseases. 62 consecutive patients were preoperatively distributed into three groups (infected, uninfected and questionable). Read More

Acta Orthop Belg 2020 Dec;86(4):606-613

This study sought foremost to evaluate the outcomes of applying the induced membrane technique (IMT) for tibia reconstruction within the context of a sub-Saharan Africa trauma center. Second, this study aimed to elucidate the conditions of IMT usage in a limited-resource setting. A retrospective study was performed among patients treated via IMT for posttraumatic tibial bone defects who had follow-up data available for at least 12 months. Read More

Acta Orthop Belg 2020 Dec;86(4):599-605

The purpose of this study was to evaluate the morphologic evolution of the shelf gap, acetabulum and femoral head after shelf acetabuloplasty in patients affected by Perthes disease. 54 patients operated for Perthes disease with shelf acetabuloplasty were retrospectively reviewed regarding the radiographic results. Three pelvic antero-posterior radiographs have been studied for each patient, one at 2 postoperative months, one at 1 postoperative year and one at the latest clinical follow up (mean 76 postoperative months). Read More

Acta Orthop Belg 2020 Dec;86(4):588-598

The publication rate (PR) of full-text articles after presentation at medical society meetings varies widely. The purpose of this study is (1) to determine the PR of abstracts presented at the Dutch Arthroscopy Society's (NVA) annual meeting from 2006 until 2016, (2) to determine the time between presentation and publication, and (3) to review the known literature on the PR of orthopaedic scientific meetings. We retrospectively reviewed the programs of the NVA annual meetings from 2006 to 2016. Read More

Acta Orthop Belg 2020 Dec;86(4):580-587

Traditionally, geriatric patients with musculoskeletal or osteoarticular problems will be admitted to an orthopedic ward and will be treated by sur- geons. However, these patients often suffer from comorbidities requiring geriatric management. In this study, the orthogeriatric co-management (OG- CM) model is compared to traditional orthopedic care model in a retrospective pilot study. Read More

Acta Orthop Belg 2020 Dec;86(4):577-579

Robert Danis (1880-1962) was a Belgian general surgeon mostly remembered for his contributions in the field of bone and joint surgery, a medical subdiscipline currently known as orthopaedic trauma surgery. He initiated this with his first book (1) on the subject in 1932. Danis was the first to develop a concept for biomechanically stable internal fracture fixation, creating and producing his own screws and plates with self-developed machine tools. Read More

Acta Orthop Belg 2020 Sep;86(3):563-574

Ankle fractures are frequently treated using surgical interventions, and are associated with a high rate of postoperative complications. We wonder if complications can be anticipated and correlated to patient demographics, lifestyle, fracture or surgery related factors. We retrospectively reviewed all medical reports of patients who underwent ankle fracture surgery between 2013 and 2017. Read More

Acta Orthop Belg 2020 Sep;86(3):555-562

To investigate pain in patients with Dupuytren disease, we analyzed the literature on pre- and post-interventional pain and complex regional pain syndrome. The pre-interventional pain intensity score of primary Dupuytren ranged from 0.3/10 to 2. Read More

Acta Orthop Belg 2020 Sep;86(3):549-554

This retrospective study reports medium term outcomes of 14 total wrist arthroplasties in patients with especially, non-rheumatoid, degenerative osteo- arthritis and post-traumatic osteoarthritis with a mean follow up of 5 to 10 years. Information of fourteen patients, 6 men and 8 women with a mean age of 61 years, was collected before and after total wrist arthroplasty (Universal 2 prosthesis, Integra) carried out by a single surgeon. Pre-operative mobility was determined by range of motion and compared to post- operative range of motion. Read More

Acta Orthop Belg 2020 Sep;86(3):539-548

This study evaluates the patient-reported functional outcome, clinical functional outcome and frequency of complications of simple oblique and transverse humeral midshaft fractures treated with a retrograde expert humeral nail. A retrospective cohort study of humeral midshaft fractures (AO 12-A2, 12-A3) treated with retrograde nailing between January 2010 and February 2018 in a level II trauma center was performed. Patients' perception of functional outcome was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) scores. Read More

Acta Orthop Belg 2020 Sep;86(3):532-538

Acromioclavicular dislocation combined with a midshaft clavicle fracture is a rare traumatic shoulder problem. Various treatment options have been described in literature. We describe a new technique using a hook plate and coracoclavicular sling to replace the ruptured coracoclavicular ligaments in combination with plate osteosynthesis of the clavicle fracture. Read More

Acta Orthop Belg 2020 Sep;86(3):525-531

The radiographic appearance of calcific tendinitis of the rotator cuff varies according to the stage of the disease. We compared currently used classification systems in a large group of observers to identify the most reliable classification system. Thirty-seven orthopaedic surgeons evaluated shoulder radiographs of 25 patients to classify the stage of the calcific tendinitis according to the classifications by (1) Gärtner and (2) Molé on a Web-based study platform. Read More

Acta Orthop Belg 2020 Sep;86(3):509-524

Postoperative scapular fractures are infrequent complications of reverse total shoulder arthroplasty (RTSA). The aim of this study is to discuss the functional outcome, clinical outcome and pain scores of these fractures and to analyze these outcome results based on fracture location. A systematic review in accordance with the PRISMA guidelines was conducted. Read More

Acta Orthop Belg 2020 Sep;86(3):502-508

The purpose of our study was to evaluate the clinical and radiological outcome after a single AC TightRope® fixation in patients with an acute Rockwood type III-VI AC joint dislocation. We performed a retrospective cohort study of patients who underwent AC TightRope® fixation for an acute Rockwood type III-VI AC joint dislocation. During follow-up functional outcome was assessed using the Constant Murley Score (CS) and the UCLA Shoulder Rating Scale. Read More