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 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 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 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 Current Concepts in Primary and Revision Total Knee Arthroplasty written by John N. Insall and published by Lippincott Williams & Wilkins. This book was released on 1996 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Knee written by Javad Parvizi and published by Data Trace Media. This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Knee: Reconstruction, Replacement, and Revision has been written with one fundamental objective in mind: relevance. The authors, world renowned experts in hip and knee reconstruction, offer highly practical information based on their experience. Knee reconstruction surgeons will benefit from the step-by-step guidance and significance of details on treatment of each knee disorder. There are a number of chapters on the basic fundamentals of knee surgery that aim to help surgeons prevent complications of TKA and optimise the outcome of this procedure. The nonreplacement, joint preservation options for treatment are also provided whenever appropriate. The over 1500 pages are richly illustrated with colour figures, diagrams, and tables that visualise important information and help establish this book as a highly valuable resource.

Download or read book Computational Biomechanics written by Kozaburo Hayashi and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: The combination of readily available computing power and progress in numerical techniques has made nonlinear systems - the kind that only a few years ago were ignored as too complex - open to analysis for the first time. Now realistic models of living systems incorporating the nonlinear variation and anisotropic nature of physical properties can be solved numerically on modern computers to give realistically usable results. This has opened up new and exciting possibilities for the fusing of ideas from physiology and engineering in the burgeoning new field that is biomechanics. Computational Biomechanics presents pioneering work focusing on the areas of orthopedic and circulatory mechanics, using experimental results to confirm or improve the relevant mathematical models and parameters. Together with two companion volumes, Biomechanics: Functional Adaptation and Remodeling and the Data Book on Mechanical Properties of Living Cells, Tissues, and Organs, this monograph will prove invaluable to those working in fields ranging from medical science and clinical medicine to biomedical engineering and applied mechanics.

Download or read book Ligament Balancing in Total Knee Arthroplasty written by Leo A. Whiteside and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: The varus knee has a group of bone and ligament abnormalities that must be addressed to correct the deformity. The mechanical axis of the femur is tilted medially relative to the long axis of the tibia. The distal femoral surface usually remains in valgus alignment to the long axis of the femur. Most of the varus deformity is caused by deficiency in the medial tibial plateau. The deep and superficial medial collateral ligaments are contracted and deformed by osteophytes.

Download or read book ACB written by and published by . This book was released on 1992 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues for 1950-51 include Acta Anaesthesiologica Belgica, 1-2 Année.

Download or read book Forefoot Reconstruction written by Louis-Samuel Barouk and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Louis Samuel Barouk Beams, chevrons, scarf, mortises and tenons, where we achieve a harmonized I balanced arcs and vaults . . . All these architectural terms transversal and longitudinal decompression of the find their meaning in anatomical studies of the forefoot. It's because of this "release" that these foot, the superbly crafted mechanism which techniques are now practically painless for the enables humans to stand upright on just a few patient. square inches. Indeed, the patient has always been at the But it only takes one axis to be misaligned, center of our studies on forefoot reconstruction. one rafter slightly off-beam, and the remarkable We have developed a complete patient-support construction will shift, bringing down the edifice. system that begins with the first consultation This is why, as opposed to some of past when we give patients a guidebook explaining practices, forefoot surgery should be designed all the stages of our footcare approach, through and applied in respect to the overall architecture the surgery and the postoperative care using a of the foot. We must constantly bear in mind footwear system that we have designed and what direct or subsequent consequences surgery developed. This has enabled our patients to will have on a specific part of the foot; in terms recover their autonomy and be self-sufficient in of its static and biomechanical future in the just a few days after their operation. medium to long-term.

Download or read book Arthritis Arthroplasty written by Johannes Christiaan Coetzee and published by Saunders. This book was released on 2010 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Foot and Ankle is a volume in Arthritis and Arthroplasty-the first comprehensive series dealing with arthritis and arthroplasty in orthopaedic surgery. J. Chris Coetzee and Shepard R. Hurwitz present guidance on everything from patient selection and pre-operative planning to surgical approach and techniques. Clear, evidence-based coverage details which technology and methodology used for total ankle replacement (TAA) or foot and ankle reconstruction is best for each patient. Access discussions of debates, including the challenging primary TAA; revision TAA; treatment strategies for subtalar arthritis; acquired flatfoot; great toe (MTPJ) arthritis; and more. Explore alternatives to TAA in younger arthritic patients (e.g. anthroscopy, osteotomies, allograft resurfacing, distraction arthroplasty, interpostional grafts, arthrodesis) and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at www.expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates-online at www.expertconsult.com. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing options and component materials, disease specific options, the management and avoidance of complications, salvage and revision TAA strategies, and more. Discusses variations in technique, including component removal, impaction grafting, conversion to fusion-options, arthrodesis with realignment, and more so you can choose which is most effective for each patient. Explores alternatives to TAA in younger arthritic patients such as arthroscopy, osteotomies, allograft resurfacing, distraction arthroplasty, interpostional grafts and arthrodesis. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques.

Download or read book Union Med Can written by and published by . This book was released on 1976 with total page 876 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book International Symposium on 3 D Scoliotic Deformities written by Jean Dansereau and published by . This book was released on 1992 with total page 630 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work presents technical and scientific developments in the field of scoliotic deformities. It covers the aetiology, the mechanisms of defomity associated with the spine, the rib cage and the overall body shape, as well as the different treatments of scoliosis.

Download or read book An Atlas of Foot and Ankle Surgery written by Nikolaus Wülker and published by CRC Press. This book was released on 1998-04-01 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: This incomparable new visual guide to foot and ankle surgery includes 50 chapters on surgical technique, each written by an internationally known surgeon--all carefully edited to ensure a consistent approach. * Includes more than 50 detailed surgical techniques, carefully edited to ensure a consistent approach * Covers arthrodesis of the great toe, rheumatoid arthritis, sesamoid disease, ankle joint replacement, midfoot fractures and dislocations, and more

Download or read book Oxford Textbook of Orthopedics and Trauma written by Christopher Bulstrode and published by Oxford University Press, USA. This book was released on 2002 with total page 2870 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a new 3-volume, major reference work from the Oxford Textbook stable. The Oxford Textbook of Orthopedics and Trauma provides comprehensive coverage of the relevant background science, theory, practice, decision-making skills and operative techniques required to provide modern orthopedic and trauma care. The text is divided into five major sections covering fundamental science, adult orthopedics, trauma, pediatric orthopedics and pediatric trauma. The fundamental science section contains a major subsection on tumors and the adult orthopedics section is further subdivided to cover the joint and bonesystems of the body. Edited by a transatlantic team and written by more than 300 specialist chapter authors, this book is unrivalled in the field. The content is extensively referenced, highly illustrated and contains useful summary boxes throughout the text. The Oxford Textbook of Orthopedics and Trauma is essential reading for trainees and experienced practitioners alike.

Download or read book Cavovarus Foot written by John S. Early and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Foot and Ankle Clinics is dedicated to the Cavovarus Foot. Subscribers will enjoy chapters on Anatomy of Cavovarus Deformity of the Foot, The Neurologic Issues and Gait Lab Testing in Cavovarus Deformity, Pediatric Issues with Cavovarus Foot Deformities. Treatment Issues for Hindfoot Issues in the Cavovarus Deformity. Assessment and Treatment, Midfoot and Forefoot Issues Cavovarus Foot: Assessment and Treatment Issues, Neuromuscular Issues in Cavovarus Foot Deformity. Specific problems like Tibial Compartment Syndrome and the Cavovarus Foot, Charcot-Marie Tooth and the Cavovarus Foot and The Subtle Cavovarus Foot and Sports.