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
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
