Empiric antibiotic treatment for periprosthetic joint infections: a national survey in The Netherlands
Acta Orthop Belg. 2023 Dec;89(4):665-669. doi: 10.52628/89.4.9415.ABSTRACTEarly periprosthetic joint infection (PJI) is generally treated by means of debridement, antibiotics and implant retention (DAIR). Subsequently, empiric antibiotic therapy is commenced directly after surgery which is important for the successful treatment of PJI. The aim of this study is to evaluate current nationwide empiric antibiotic treatment regimens for PJI in the Netherlands. An electronic 15-question survey addressing the empiric antibiotic treatment strategy for PJI following THA or TKA was sent to orthopaedic surgeons in all Dutch hospitals...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: R Scholten P M C Klein Klouwenberg J L C VAN Susante M P Somford Source Type: research
Female representation in orthopedic surgery: where do we stand in Belgium ?
Acta Orthop Belg. 2023 Dec;89(4):671-677. doi: 10.52628/89.4.12184.ABSTRACTFemale underrepresentation in Orthopedic Surgery and Traumatology is a well-known issue worldwide, including in Belgium. Most of the literature comes from northern America. This two-part study aims to quantify the female workforce in orthopedic surgery in Belgium and assess the presence of unconscious biases among active orthopedic surgeons. Epidemiological data from national registries, orthopedic societies and universities in Belgium were analyzed. This included data on medical students, residents, active orthopedic surgeons and awards given by a ...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: C Meert J Manon O Cornu Source Type: research
Decreasing exposure to thyroid radiation in an orthopaedic theatre setting: an educational intervention
Acta Orthop Belg. 2023 Dec;89(4):679-683. doi: 10.52628/89.4.10174.ABSTRACTThe use of personal protective equipment (PPE) can significantly reduce staff exposure to harmful radiation and infection. Fluoroscopic procedures in orthopaedic theatre can generate high levels of radiation and good adherence to PPE use is essential to reduce long term cancer risk, including thyroid cancer. To assess baseline compliance with PPE, availability of PPE in theatre and carry out an intervention to promote greater use of PPE. This was a closed-loop interventional study set in a level 1 trauma centre and an elective/rehabilitation unit. D...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: C Duggan R Chopra C Taylor Source Type: research
Increase in gap index over time after reduction of unstable paediatric both-bone forearm fracture does not cause displacement
This study investigated the effects of changes in the gap index on fracture displacement during follow-up. Patients who underwent closed reduction and casting with a diagnosis of unstable paediatric both-bone forearm fractures and a cast index < 0.8 were retrospectively evaluated. Patients were divided into Groups 1 and 2 based on their gap index (<0.15 and >0.15, respectively). Anteroposterior and lateral displacements of the radius and ulna and the gap index of the cast were measured on the X-ray after the first reduction and on the last X-ray before plaster removal. The mean patient age (n = 94, 74 boys and 20 ...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: N Do ğan L Arslan Source Type: research
Minimally invasive corrective derotational osteotomy for proximal phalanx malrotation
Acta Orthop Belg. 2023 Dec;89(4):691-694. doi: 10.52628/89.4.12008.ABSTRACTFractures of the phalanges may result in a challenging complication known as malrotation, which can adversely affect the functionality of the fingers during flexion, leading to scissoring. The standard surgical approach for correcting this condition involves open corrective osteotomy and derotation, often at the level of the metacarpal, which includes the use of different techniques for osteotomy and fixation. However, postoperative complications such as finger stiffness and hardware irritation are common. To overcome these limitations, we present a...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: P Caekebeke L VAN Melkebeke J Duerinckx Source Type: research
Prevalence and clinical implications of heterotopic ossification after distal biceps tendon repair
Acta Orthop Belg. 2023 Dec;89(4):695-700. doi: 10.52628/89.4.12447.ABSTRACTComplete distal biceps tendon ruptures are relatively uncommon. Conservative treatment may result in persistent pain and weakness. Therefore, surgical repair is usually indicated in order to restore strength. Different surgical techniques and fixation methods have been described. The most reported complications after surgery are iatrogenic nerve damage, heterotopic ossification (HO) and re-rupture. Heterotopic ossification can be variable in size. Significant HO can limit range of motion while minor HO often remains asymptomatic. The overall presenc...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: W Geuskens P Caekebeke R VAN Riet Source Type: research
Surgical vs Non-surgical interventions for distal radius fractures: a quantitative analysis of Patient-Rated Wrist Evaluation measures
Acta Orthop Belg. 2023 Dec;89(4):701-708. doi: 10.52628/89.4.12408.ABSTRACTTrials to assess differences in PRWE (Patient Related Wrist Evaluation) over time, for both surgical and non-surgical interventions post DRFs (distal radius fractures) are rare. The DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire has been shown to be improved by a greater margin in the medium term for surgical interventions, than non surgical interventions. However, a study found that PRWE can be considered superior to the DASH questionnaire for DRFs, due to greater specificity to wrist pain and function. Conflicting data makes it di...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: S S Gill S R Namireddy Source Type: research
Is the 'safe zone' identified in preoperative computed tomography helpful for choosing optimal implant for fixation of radial head fracture?
Acta Orthop Belg. 2023 Dec;89(4):709-717. doi: 10.52628/89.4.11188.ABSTRACTThe purpose of this study is to assess the clinical significance of the radiologic safe zone based on computed tomography and to compare the outcomes of three different implants for fixation of isolated radial head fractures. We retrospectively reviewed 367 patients who underwent internal fixation for isolated radial head fractures. We newly defined two subtypes of Mason type II fractures associated with the radiographic safe zone (IIA, two-part fracture allowing for safe fixation of plate; IIB, two-part fracture not allowing for safe fixation). 170...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: S B Ma S K Lee Y S An H G Choi W S Choy Source Type: research
Intramedullary nail fixation of fibular fractures in combination with extra-articular distal tibial fractures (AO/OTA 43A): a single-center retrospective study
Acta Orthop Belg. 2023 Dec;89(4):719-726. doi: 10.52628/89.4.12153.ABSTRACTTreatment of fibular fractures associated with extra-articular distal tibia fractures is technically challenging and the purpose of this study was to evaluate the use of intramedullary nail fixation of fibular fractures when associated with this fracture. Between January 2018 and December 2021, 33 patients presenting extra-articular distal tibia fractures and fibular fractures (AO/OTA 43A) were treated. Clinical and radiological data were collected during routine postoperative follow-ups. Thirty-one patients were monitored for a period of time rangi...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: Y Xiong J Zhang H Liu T Cai W Xu J Wu Source Type: research
Comparison of gait and sagittal plane arm swing between individuals with adolescent idiopathic scoliosis and healthy individuals
Acta Orthop Belg. 2023 Dec;89(4):727-734. doi: 10.52628/89.4.11444.ABSTRACTArm swing and energy consumption play an important role in the realization of an effective gait. However, research on arm swing and energy consumption during gait in individuals with adolescent idiopathic scoliosis (AIS) is limited. The aim of this study was to investigate the spatiotemporal characteristics of gait, arm swing angles in the sagittal plane, energy consumption in individuals with AIS, to compare them with their healthy peers in this regard. 26 diagnosed with AIS and 21 healthy were included in this study. Evaluation measures were based...
Source: Acta Orthopaedica Belgica - January 11, 2024 Category: Orthopaedics Authors: S Tekin G Yagci S Topuz G Demirkiran Source Type: research
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
