Download or read book Proth se totale de genou apr s ost otomie tibiale written by Pascal Duffiet and published by . This book was released on 2009 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les résultats des prothèses totales de genou après ostéotomies tibiales de valgisation sont discordants, parfois similaires aux prothèses de première intention et parfois moins bons. Les séries publiées sont hétérogènes, et peu d’entre elles s’intéressent aux ostéotomies par ouverture interne.Notre objectif est d’évaluer les résultats des prothèses totales de genou après ostéotomie tibiale, ainsi que les facteurs pronostiques afin d’améliorer la prise en charge de la gonarthrose chez les patients jeunes et actifs.Nous avons suivi rétrospectivement 52 arthroplasties réalisées entre 1994 et 2004 sur des genoux anciennement ostéotomisés sur une durée moyenne de 9 ans. Le délai moyen entre les deux interventions était de 14 ans. Au cours de l’arthroplastie, il a été nécessaire de réaliser un ou plusieurs gestes complémentaires (relèvement de tubérosité tibiale, greffe, ostéotomie associée, release ligamentaire) dans 57% dans cas. Le score IKSS clinique moyen au dernier recul était de 87,2 et de 73,2 pour la fonction, et la mobilité globale moyenne du genou était de 103°. L’ostéotomie par fermeture externe semble entrainer plus de difficultés techniques, et une fonction moins bonne que les ouvertures internes. L’alignement post opératoire moyen était de 181°, nous n’avons pas rencontré de problème d’interligne oblique ni de laxité ligamentaire. Le taux de complications était de 23%, une révision n’a été nécessaire que dans 3 cas.L’ostéotomie tibiale de valgisation est donc une intervention fiable, qui ne semble pas altérer le pronostique ultérieur de la prothèse total de genou à long terme.
Download or read book Proth se totale de genou apr s ost otomie tibiale proximale written by Emmanuel David and published by . This book was released on 2005 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: La gonarthrose fémoro-tibiale interne est généralement associée à la déviation de l'axe fémoro-tibial mécanique. Dans ce cadre sont réalisées des ostéotomies de correction, en particulier des ostéotomies tibiales de valgisation (OTV) en cas d'arthrose fémoro-tibiale interne sur genu varum. Cette ostéotomie résout le défaut d'axe, décharge le compartiment dégradé, mais ne stoppe pas le processus dégénératif touchant cet interligne; si la symptomatologie réapparaît avec arthrose évolutive, une arthroplastie totale de genou est une solution thérapeutique envisageable. Quarante quatre patients (47 genoux) ont bénéficié d'une ostéotomie tibiale de valgisation suivie d'une prothèse totale de genou (PTG) dans un délai moyen de 7,8 ans au Centre Hospitalier d'Amiens. Il s'agit d'une ostéotomie de fermeture dans 43 cas, à un âge moyen de 57 ans. Le recul moyen des prothèses totales de genou est de 3,9 ans (44 PTG sans conservation du pivot central). Les résultats fonctionnels ont été évalués au moyen du score de l'International Knee Society ; les prothèses après ostéotomies de notre échantillon procurent des résultats fonctionnels faibles (IKS f moyen 57/100). Le score IKS global reste stable dans le temps. Les échecs des PTG regroupent 4 descellements aseptiques et 2 septiques sans corrélation avec l'ostéotomie préalable. L'OTV est d'indication légitime chez le sujet jeune et actif, en précisant que les résultats apportés par une PTG après OTV resteront modestes sur la fonction
Download or read book Proth se totale du genou assist e par ordinateur apr s ost otomie tibiale d ouverture m diale written by Julie Massfelder and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : L'objectif de ce travail était de comparer les résultats à moyen terme des prothèses totales de genou (PTG) post-ostéotomie tibiale de valgisation d'ouverture médiale (post-OTOM) à ceux des PTG de première intention (PTG1). L'hypothèse était que les PTG post-OTOM avaient des résultats identiques aux PTG1. Méthodes : La série 1 était composée de 45 PTG post-OTOM, 30 hommes et 10 femmes, âgés en moyenne de 69 ± 7 ans (54-82). Celle-ci a été comparée à une série 2 composée de 45 PTG1, 30 hommes et 10 femmes, âgés en moyenne de 69 ± 7 ans (55-78). Le score IKS moyen était respectivement de 91 ± 22,5 points (42-129) et de 86 ± 18 points (38-116). L'angle HKA moyen préopératoire était respectivement de 179° ± 5° (169°-193°) et de 173° ± 7,5° (161°-193°) et l'angle mécanique tibial (AMT) moyen de 90,5° ± 4° (82 - 102°) (dont 24 genoux avec un AMT en valgus) et de 85,5° ± 3,5° (79°-93°). Résultats : Tous les patients ont été revus à un recul moyen de 47 ± 25 mois (18-114) pour la série 1 versus 57,5 ± 24,5 mois (24-102). Le score IKS moyen était de 184 ± 6 points pour la série 1 (172-200) versus 185 ± 8,5 (163-200) pour la série 2 (p = 0,872). 37 et 38 patients étaient respectivement très satisfaits ou satisfaits de l'intervention. L'angle HKA moyen était de 180,5° ± 2,5° versus 181° ± 2° (p = 0,122) et l'AMT moyen de 89° ± 1,5° versus 90° ± 1° (p=0,001). Les résultats des 24 genoux avec AMT en valgus étaient statistiquement non différents. Conclusion : Les PTG post-OTOM, même avec un AMT préopératoire en valgus, ont des résultats identiques aux PTG1.
Download or read book Arthroplastie de genou par proth se totale apr s ost otomie tibiale de valgisation A propos de 44 cas written by Raymond Wagnon and published by . This book was released on 2002 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Proth se totale de genou apr s ost otomie tibiale de valgisation pour gonarthrose written by Christophe Javois and published by . This book was released on 2002 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book LES PROTHESES TOTALES DE GENOU APRES ECHEC D OSTEOTOMIE TIBIALE DE VALGISATION DES ORTHOPEDIE written by VICTOR.. KATZ and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book RESULTATS DES PROTHESES TOTALES DE GENOU APRES ECHEC D OSTEOTOMIE TIBIALE DE REAXATION written by LAURENT.. CARDINNE and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A History of Limb Amputation written by John R. Kirkup and published by Springer Science & Business Media. This book was released on 2007-05-27 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book opens with a unique historical review of natural amputations due to congenital absence, disease, frostbite, animal trauma, and to punishment and ritual. The advent of surgical amputation and its difficulties form a major part of the book, summarising the evolution of the control of haemorrhage and infection, pain relief, techniques, instrumentation, complications, prostheses, results and case histories. Alternative procedures, increasingly important in the last two centuries, are also debated.
Download or read book Orthopedics written by Leonard F. Peltier and published by Norman Publishing. This book was released on 1993 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Surgions Mate written by John Woodall and published by Birkhäuser. This book was released on 2016-09-23 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reproduces and comments John Woodall’s handbook which was used as standard text for medical treatment at sea in the seventeenth century and was the first instruction for medical service aboard on the whole. In 1612 the East India Company, founded in London 1600 and invested with special royal privileges and authority, appointed John Woodall as its first surgeon-general, who had gained great medical experience at theatres of war abroad. Woodall was appointed the task to radically reform the medical aid on sailing ships and to supervise the education of talented ship doctors. He was the first one to establish standardized regulations concerning the provision of instruments and medicaments on board. To this end he wrote an instructive manual for ship surgeons with the title “The Surgions Mate”, published in 1617 in London and edited repeatedly until 1655, listing essential instruments and remedies for the use at sea and providing detailed annotations. The manual’s particularities include notes on the portion of paracelsian drugs, the first enema of tobacco, the treatment of gunshot wounds and the strong recommendation of lemon juice against scurvy. Moreover, descriptions of injuries, instruments, and many diseases as a result of Woodall’s extended personal observations at sea are given. The present edition of this exceptional classic includes comprehensive annotations on the first medical chest and its application on sailing ships. Also, the implications of Woodall’s achievements in regard to the development of ship medicine and pharmacy in other seafaring nations are discussed. The book will appeal to historians of medicine and interested readers alike.
Download or read book A Treatise on Gunshot Wounds written by T. Sir Longmore and published by Good Press. This book was released on 2023-10-26 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: T. Sir Longmore's 'A Treatise on Gunshot Wounds' is a comprehensive and groundbreaking work that delves into the medical aspects of treating gunshot injuries. Published in the late 19th century, this book presents a detailed analysis of the various types of gunshot wounds, their effects on the human body, and the most effective treatment methods available at the time. Longmore's writing style is clear and precise, making it accessible to both medical professionals and curious readers interested in the field of medicine. The book also includes illustrations and case studies to support its findings, enhancing the reader's understanding of the subject matter. Positioned within the historical context of advancements in medical science, 'A Treatise on Gunshot Wounds' serves as an important reference for the evolution of medical practices in the treatment of traumatic injuries. T. Sir Longmore, a distinguished surgeon and military physician, draws upon his extensive experience in the field to provide valuable insights into the management of gunshot wounds. His expertise and dedication to improving medical care for wounded soldiers are evident throughout the book, cementing his reputation as a respected authority in the medical community. I highly recommend 'A Treatise on Gunshot Wounds' to readers interested in the history of medicine, military healthcare, or medical treatments for trauma. This book not only offers valuable knowledge but also sheds light on the challenges faced by medical practitioners in the past.
Download or read book A Manual of Military Surgery written by Samuel David Gross and published by . This book was released on 1861 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Evolution of Orthopaedic Surgery written by Leslie Klenerman and published by CRC Press. This book was released on 2002-01-07 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Orthopedics has advanced to a prominent role in medicine since Nicholas Andry first combined the Latin words for "straight" and "child" in 1741. The author traces the development of the surgical field while focusing on important medical and scientific details. The papers discuss the major advances of the 20th century and provide information on the scientific background. Seven of the papers discuss the growth of subfields within orthopedic surgery.
Download or read book A Dictionary of Practical Surgery written by Cooper and published by . This book was released on 1841 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Notes and Jottings from Animal Life written by Francis Trevelyan Buckland and published by . This book was released on 1882 with total page 446 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A System of Surgery written by Frederick Treves and published by . This book was released on 1895 with total page 1204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A System of Surgery written by Joseph Maximilian Chelius and published by . This book was released on 1847 with total page 620 pages. Available in PDF, EPUB and Kindle. Book excerpt:
