Qualitative and quantitative analysis of post-operative drainage: pilot study
Acta Orthop Belg. 2023 Dec;89(4):567-574. doi: 10.52628/89.4.9261.ABSTRACTSurgical drains can be placed after an operation to collect postoperative blood loss. However, these could be overestimated. Indeed, the fluid elapsed after the first postoperative day would no longer be pure blood. An early withdrawal of redon could then be considered. A monocentric prospective study of 25 patients undergoing total knee or primary hip replacement surgery, for osteo-arthritis, was conducted. Redon flow was evaluated in total volume and in composition by the sedimentation study. A qualitative analysis of the content of the redon was a...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: E Algrain B Ster P Nguyen Vo Thanh L Fabeck Source Type: research

Unilateral versus simultaneous bilateral total hip arthroplasty. The Belgian experience
CONCLUSION: Complication rate, 90- days hospital readmission and 90-days ER visit were similar between the two groups. This study shows that performing SBTHA is a safe, effective, and doesn't carry additional risks for patients with bilateral symptomatic osteoarthritis.PMID:38205744 | DOI:10.52628/89.4.12007 (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: G Beckers J Manon O Cornu M VAN Cauter Source Type: research

Birmingham hip resurfacing: a systematic review of outcomes at minimum 10-years follow-up
Acta Orthop Belg. 2023 Dec;89(4):581-586. doi: 10.52628/89.4.10045.ABSTRACTAlthough controversy surrounding the use of metal-on-metal (MoM) arthroplasty implants continues to exist, satisfactory clinical and radiological outcomes have been reported following Birmingham Hip Resurfacing (BHR) at long-term follow-up, leading to an Orthopaedic Data Evaluation Panel (ODEP) rating of 13A. The purpose of this study was to systematically review the literature to evaluate the functional outcomes, radiological outcomes and revision rates following BHR at a minimum of 10 years follow-up. Using the PRISMA guidelines, two independent r...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: M S Davey K Mohan E Gavin F R Power W Curtin K Kaar C G Murphy Source Type: research

Invasive electrical stimulation in the treatment of avascular osteonecrosis of the femoral head - mid-term results
Acta Orthop Belg. 2023 Dec;89(4):587-593. doi: 10.52628/89.4.9082.ABSTRACTThe study aimed to evaluate the outcomes of osteonecrosis of the femoral head (ONFH) in adults after surgical treatment including invasive electromagnetic osteostimulation (E-Stim). Further, the influence of disease stage and several comorbidities on the joint preservation rate should be examined. Sixty patients (66 hip joints) with ONFH were included in this retrospective cross-sectional analysis (mean follow-up: 58 months, 19-110 months). Potential ONFH risk factors and comorbidities (ONFH stage, age, sex, alcohol, smoking, cortisone medication, ch...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: M Ellenrieder C Schulze A Ganzlin S Zaatreh R Bader W Mittelmeier Source Type: research

Evaluation of the native femoral neck and stem version reproducibility using robotic-arm assisted direct-anterior total hip arthroplasty
Acta Orthop Belg. 2023 Dec;89(4):595-602. doi: 10.52628/89.4.10411.ABSTRACTThe 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...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: H Geelen V Vanryckeghem G Leirs Source Type: research

Autologous bone plug-sliding with core decompression and bone marrow aspirate concentrate application: a joint-preserving surgical technique for corticosteroid-induced osteonecrosis of femoral head
This study aimed to describe a surgical procedure for the management of corticosteroid-induced osteonecrosis of the femoral head (ONFH) and report its clinical results. The technique included harvesting a bone plug from the lateral femoral neck, core decompression, and bone marrow aspirate concentrate (BMAC) application; the procedure was completed by press-fit insertion of the autologous bone plug in the debrided area. Autologous bone plug-sliding with core decompression and bone marrow concentrate aspirate application provides good clinical outcomes in the management of ONFH. A retrospective review was performed using re...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: C D Davulcu B Karaismailo ğlu M K Ozsahin E Davutluoglu D Akbaba E Terzi M C Ünlü Source Type: research

Distal femoral osteotomy for multidirectional malunion using 3D printing technology: a case-report
Acta Orthop Belg. 2023 Dec;89(4):609-612. doi: 10.52628/89.4.11912.ABSTRACTMultidirectional distal femoral malunion and limb shortening lead to functional deficit and decreased quality of life. A corrective osteotomy might be necessary to cope with these issues. The inception of computer-assisted planification and the introduction of patient-specific instrumentation based on 3D printing technology with personalized osteotomy guides provide high correction accuracy, effectiveness, time-saving, and reduce potential complications. The present study describes a case of correction osteotomy using this procedure in a young patie...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: T Kyriakidis A Lucidi C Pitsilos R Verdonk Source Type: research

Preoperative infection risk assessment in hip arthroplasty a matched-pair study of the reliability of 3 validated risk scales
This study included 37 patients with PJI following THA performed between 2012 and 2020 (Group A). Each patient in this group was matched, based on sex, age, and follow-up duration, with a control patient who underwent the same surgical procedure without any septic complications (Group B) during the same period. Each patient's assessment included the American Society of Anesthesiologists (ASA) score and a retrospective evaluation using three different preoperative, specific PJI risk assessment scales: the International Consensus Meeting (ICM) Preoperative Risk Calculator for PJI, the Mayo PJI Risk Score, and the KLIC-score....
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: A Manzotti M Colizzi D Brioschi P Cerveri M M Larghi M Grassi Source Type: research

Resection of the femoral neck: a new technique for the treatment of mallory type I intraoperative femoral fracture during total hip arthroplasty
We report the results of this new technique at postoperative 2 to 5 years (mean, 3.4 years). All stems were placed in the neutral position. There was no revision and no stem showed any evidence of subsidence or loosening during the follow-up. The mean Harris hip score was 85.9 points at the latest follow-up. We recommend to use the femoral neck excision technique for the treatment of Mallory type 1 intraoperative femoral fractures.PMID:38205751 | DOI:10.52628/89.4.10516 (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: J-W Park J-K Kim H S Kim Y-K Lee Y-C Ha K-H Koo Source Type: research

Clinical outcomes of modified direct lateral approach of Hardinge for total hip arthroplasty
Acta Orthop Belg. 2023 Dec;89(4):625-633. doi: 10.52628/89.4.10942.ABSTRACTThe aim of the study was to evaluate a modified direct lateral approach for total hip arthroplasty in terms of clinical and functional outcomes, rate of complications and hospitalization. We retrospectively reviewed the data of 526 patients with THA operated in our department between January 2017 and December 2021. Clinical examination, functional outcome and radiographic evaluation were performed during follow-up. Patients were evaluated at the following time points: preoperatively and postoperatively at 3 days, 6 weeks, 12 weeks and 1 year and we ...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: B Obada D-M Iliescu I-A Popescu L C Petcu M G Iliescu V-A Georgeanu Source Type: research

The incidence and management of slipped capital femoral epiphysis: a population-based study
In conclusion, the incidence of SCFE and the proportion of different primary surgeries have recently remained stable in Finland.PMID:38205753 | DOI:10.52628/89.4.9832 (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: L Ripatti T Kauko V Kyt ö P Rautava J Sipil ä M Lastikka I Helenius Source Type: research

Observation of the short-term curative effect of using SuperPATH approach to treat elderly femoral neck fractures with schizophrenia
This study describes the short-term efficacy of the supercapsular percutaneously assisted (SuperPATH) approach in the treatment of patients suffered with displaced femoral neck fractures combined with schizophrenia. A retrospective analysis of 20 elderly patients with displaced femoral neck fractures combined with schizophrenia who underwent THA using the SuperPATH approach. Record demographic data, postoperative reexamination of X-ray film to observe the position and the loosening condition of the prosthesis, the length of hospitalization, complications in the hospital and after discharge. The Harris score of hip joint fu...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: L Mi Z Yuan M Que Y Yang S Fang X Wang Source Type: research

Effectiveness and safeties of hemocoagulase and tranexamic acid to reduce perioperative blood loss in intertrochanteric fracture PFNA fixation
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.PMID:38205755 | DOI:10.52628/89.4.11959 (Source: Acta Orthopaedica Belgica)
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: L Wang C Wang D Zhang W Wang F Wang Source Type: research

Papineau-irrigation technique: an alternative treatment of fracture-related infectious soft tissue defects
We described our experience in treating these soft tissue defects using the Papineau-irrigation technique. We retrospectively reviewed the records of patients that were treated with the Papineau-irrigation technique at UZ Leuven, Belgium, between January 2006 and January 2023. All surgical procedures were performed by one senior orthopedic surgeon. There were no exclusion criteria. There was successful healing of the soft tissue defect in 27 out of 32 patients with serial drip irrigation. Additional debridement was often necessary. The Papineau-irrigation technique may provide a useful alternative for treating fracture-rel...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: M Boonen L Ginckels G Tuerlinckx J Lammens Source Type: research

Are C-reactive protein (CRP) and neutrophil to lymphocyte ratio (NLR) predictive markers of successful two-stage prosthetic joint infection management?
Acta Orthop Belg. 2023 Dec;89(4):659-664. doi: 10.52628/89.4.11123.ABSTRACTThe 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-section...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: M Ecki H Poilvache M Randy Buzisa M VAN Cauter H Rodriguez-Villalobos J-C Yombi O Cornu Source Type: research