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

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