Download or read book Strat gie de prise en charge des proth ses totales de genoux written by Frédéric Khiami and published by . This book was released on 2006 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book R vision des proth ses totales du genou written by Frédéric Dubrana and published by . This book was released on 2014 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ce livre est le fruit du travail de la table ronde dirigée par Frédéric Dubrana et Christian Mabit : Reprise prothèse totale de genou (Société Orthopédiste de l'Ouest, Lorient, 2014). Il a pour but de clarifier les principes chirurgicaux et d'aider à l'élaboration d'une stratégie des révisions des prothèses totales de genou. Simplification, c'est le maître mot qui doit animer le chirurgien, pour qu'il s'y retrouve : dans la diversité du matériel prothétique et la multitude des containers des ancillaires. L'équilibrage, c'est la clef de la compréhension et de la simplification. Derrière des noms propres (Burmester, Munchik,Neyret) se cachent deux idées simples: la conservation de l'interligne articulaire et la tension ligamentaire. La reprise simplifiée est régie par le théorème cinématique suivant : " Si l'on conserve le niveau de l'interligne articulaire, pour obtenir une articulation isométrique, il suffit d'avoir la même tension ligamentaire en flexion et en extension. " Retenons trois principes de base régissant la reprise d'une PTG par une prothèse contrainte postéro-stabilisée : les ligaments latéraux doivent être intacts, la détermination du niveau de l'interligne articulaire en préopératoire est fondamentale, la tension ligamentaire (longueur) en flexion et en extension doit être la même.

Download or read book Strat gie d pargne sanguine dans la prise en charge des proth ses totales de hanche et de genou au CHU de Nantes written by Ghizlane Nid-Bella Hajjaj and published by . This book was released on 2009 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cette étude rétrospective sur une période d'un an a été réalisée afin de définir dans un premier temps le saignement médian propre au CHU de Nantes pour la pose de prothèse totale de hanche et de genou (PTH, PTG). Dans un second temps, la population à risque de transfusion homologue a été définie pour laquelle une stratégie d'épargne sanguine a été élaborée. Pour la pose de PTH et de PTG respectivement, le saignement médian était de 676 ml et de 847 ml, 72 et 71 des patients ont été transfusés en sang homologue et autologue, 44 et 54 en sang homologue seul. Les facteurs indépendants de transfusion homologue retrouvés étaient l'expérience du chirurgien, un hématocrite à la consultation d'anesthésie inférieur à 40 et pour les PTH, l'intégration à un programme de transfusion autologue différée (TAD). Grâce au protocole mis en place, l'EPO sera probablement plus utilisée avec une prescription plus raisonnée de la TAD.

Download or read book Proth ses totales de genou written by and published by . This book was released on 2016 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cette monographie consacrée aux prothèses totales de genou dresse un état de l'art au coeur de la pratique clinique. Elle prend appui sur les particularités techniques de cette chirurgie courante qui impacte différents type de population (jeunes et moins jeunes sportifs, patients âgés...). L'ouvrage fait le point sur les prothèses en décrivant successivement : la gestion péri-opératoire ; les implants ; les principes techniques communs à toutes les PTG ; les spécificités et particularités ; les résultats. Les chapitres, richement illustrés, présentent pour chaque technique et type de prothèse : les modalités de prise en charge (installations, particularités des voies d'abord, histologie) puis les indications, contre-indications, résultats et donnés de la littérature. Plus de cinquante spécialistes livrent pour les orthopédistes en formation et confirmés les clés d'une pratique adaptée.

Download or read book Faisabilit de la proth se totale du genou en ambulatoire written by Mélissa Barthélémy and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: De nos jours le remplacement prothétique est une stratégie de prise en charge fiable des arthropathies avancées du genou. Les prothèses totales du genou (PTG) engendrent un bénéfice fonctionnel significatif, démontré par la littérature scientifique. La prise en charge ambulatoire pour la chirurgie prothétique de genou avec une sortie à domicile à la 23ème heure post-opératoire a déjà été proposée dans la littérature. Le contrôle de la douleur est un des enjeux majeurs dans la prise encharge de la PTG en ambulatoire. Dans cette optique, le bénéfice apporté du bloc sciatique au cathéter fémoral a été récemment démontré. Le contrôle des pertes sanguines est également unparamètre fondamental à contrôler dans le cadre du remplacement prothétique de genou et de la chirurgie ambulatoire. L'objectif de cette étude est de valider la faisabilité du remplacement prothétique du genou en ambulatoire en étudiant la pertinence du bloc sciatique. Matériel et méthodes: Étude mono-centrique prospective randomisée contrôlée en simple aveugle. Les patients inclus dans l'étude entreront le matin dans l'unité de chirurgie programmée Hanche et Genou de l'IULS, au sein de l'hôpital Pasteur 2, et en sortiront l'après-midi pour être dirigés vers le centre de rééducation Atlantis. Trente-huit patients seront inclus et deux groupes de patients seront comparés, en simple aveugle : un groupe bénéficiera d'une analgésie par KT fémoral seul (groupe BS-) ; un groupe par KT fémoral et bloc sciatique (groupe BS+). Le critère de jugement principal est le taux de succès de l'ambulatoire lié au contrôle de la douleur (absence d'hospitalisation d'emblée ou de ré-hospitalisation en raison d'un contrôle insuffisant de la douleur postopératoire) jusqu'à J5 postopératoire. Les critères secondaires de jugement sont : la recherche d'évènements indésirables jusqu'à J5 postopératoire (intolérance à l'anémie, une transfusion post-opératoire, un événement thrombo-embolique documenté, une infection du site opératoire ou tout autre événements indésirables graves), l'évaluation de la satisfaction et du confort du patient par le score QOR-40. Résultats: Les résultats des premiers patients inclus dans l'étude nous confortent dans notre hypothèse de faisabilité des PTG en ambulatoire mais nous interpellent sur la pertinence du bloc sciatique puisque les patients BS- n'ont pas plus de douleur que les BS+. Compte tenu de ces résultats préliminaires, cette étude va être menée à son terme avec la même méthodologie. Discussion/Conclusion: Les niveaux de douleur des 8 premiers patients inclus dans l'étude ont tous été compatibles avec une sortie en ambulatoire. Les patients du groupe BS- n'ont pas présenté un niveau de douleur supérieur à celui du groupe BS+. Dans les 2 groupes il n'y a eu aucune hospitalisation secondaire. Les patients n'ont pas présenté d'événements indésirables. Leur score de confort et de satisfaction est très satisfaisant.

Download or read book Management of Periprosthetic Joint Infection written by Klaus-Dieter Kühn and published by Springer. This book was released on 2017-09-29 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Periprosthetic joint infection (PJI) is among the most serious complications in the field of endoprosthetics. The number of PJIs is increasing worldwide and poses a real interdisciplinary challenge for everyone involved. For the patient concerned, it is necessary to promptly work out an adequate therapy solution to fight off the infection. Both the clinical experience of the surgeon and the proper diagnostic processes are prerequisite for the reliable detection and identification of an infection. The microbiologist is responsible for identifying the causative germs by screening the patient’s synovial fluid and tissue samples. Based on the findings and subsequent resistance testing, the infectious disease specialist can recommend the appropriate antibiotic therapy. Furthermore, the clinical pharmacist is consulted regularly throughout the therapy to discuss the risk of potential drug interactions. The surgeon will proceed with the revision surgery, following defined algorithms. Adequate radical debridement of infected and necrotic surrounding tissue is the most important step towards a successful cure of the infection. Accompanying the surgery, anti-infective agents are given systemically and locally. While systemic application of anti-infectives mainly reduces the number of haematogenic-spreading planktonic germs, local application immediately forms a colonization barrier and protects the implant from sessile biofilm formation. Concurrently, antibiotics are actively released from the implant, resulting in local germ reduction. Thus, local agents are embedded in the concept of surgical PJI treatment as a reliable adjuvant measure and they sustainably support the successful outcome. In one-stage procedures, local agents are released from specialized antibiotic-loaded bone cements, while in two- or multi-stage procedures, local agents are released from corresponding temporary spacers (interim prostheses). Even from an economic standpoint, the combination of systemic and local agent application is meaningful. Furthermore, there are some interesting trends towards the coating of metallic implants to protect against biofilm formation on the implant surface. On the basis of their personal experience, specialists from all over the world present, explain and discuss preventive approaches, appropriate diagnostic strategies for detection, reproducible effective surgical treatments as well as the economic impact of PJI. The reader can use this book as a solid platform for comparing their own approach to PJI treatment with the specialists’ recommendations.

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 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 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 Management of Periprosthetic Joint Infections PJIs written by J.J. Chris Arts and published by Woodhead Publishing. This book was released on 2016-10-25 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management of Periprosthetic Joint Infections (PJIs): Management of PJIs discusses periprosthetic joint infection (PJI), a fairly rare occurrence that is nonetheless one of the most serious complications in joint replacement surgery. Intricate interactions between the pathogen, the host, and the implant can result in PJIs which are not only physically devastating for the patient, but also financially crippling for health authorities and insurance companies. Actions taken to minimize the risk of PJIs can be extremely challenging for the orthopaedic community. Consequently, new research, which is detailed in this comprehensive book, is being undertaken to minimize and manage these challenging infections. - Provides essential background knowledge on the mechanisms and identification of PJIs - Dedicated chapters focus on the complex, but vital eccentricities between PJIs in different areas of the body - Contains contributions from a mixture of clinical and academic experts in the field, thus ensuring balanced coverage

Download or read book The Limb Deficient Child written by Berton Blakeslee and published by Univ of California Press. This book was released on 2023-11-10 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Drug Coated Balloons written by Bernardo Cortese and published by Springer. This book was released on 2019-06-19 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive, up-to-date summary of drug-coated balloon (DCB) technology and the role of DCBs in the treatment of coronary and peripheral arterial disease. In addition to clear explanation of how DCBs works, readers will find an enlightening analysis of the mistakes and successes of the past decade and the emergence of the latest delivery systems, which combine a more deliverable device with much improved drug delivery to the vessel wall. The full range of current applications of DCBs are reviewed in detail, drawing on the latest scientific evidence. Due attention is paid to newer devices, with provision of technical insights and documentation of the available clinical data. Ongoing research projects, remaining technical challenges, likely future directions, and reimbursement issues are also carefully considered. This book will be a useful tool for any interventional cardiologist, interventional radiologist, or vascular surgeon who wishes to acquire a deep knowledge of this technology and its application in both coronary and peripheral interventions.

Download or read book Staphylococcus Aureus Infections written by Lisa Freeman-Cook and published by Infobase Publishing. This book was released on 2006 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses staphylococcus aureus bacteria and the infections they can cause, their diagnosis, treatment, and more.

Download or read book Revision Total Knee Arthroplasty written by James V. Bono and published by Springer Science & Business Media. This book was released on 2005-03-17 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: James V. Bono, MD, and Richard D. Scott, MD, two leading authorities in the field, edited this invaluable how-to book on corrective surgery for failed total knee arthroplasty. The text has an in-depth, comprehensive approach geared for orthopedic surgeons, sports medicine specialists, and residents. All fundamental aspects of revision total knee arthroplasty and its complications are covered. More than 350 illustrations–60 in full color–complement well-written explanations of general principles, surgical procedures, and special considerations. Top experts in orthopedics offer clinical pearls on topics such as diagnosis and evaluation, pre-op planning and component selection, surgical approach, revision technique, post-op complications, and salvage. Radiologists also detail the use of imaging for evaluation. Economics and reimbursement are addressed as well. Readers will find that this thorough and accurate book is an unprecedented guide that unravels the complexity of revision total knee arthroplasty.

Download or read book Surgery of the Knee written by Philippe Neyret and published by Springer Nature. This book was released on 2020-09-22 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: This heavily revised second edition provides a practical guide to the treatment of a range of common knee pathologies, using tried and tested solutions from the Lyon School of Knee Surgery. Extensively revised chapters focus on equipping the reader with a solid foundation in the areas of sports, degenerative and patellofemoral surgery. New chapters cover robotic arthroplasty and strategies in total knee arthroplasty, along with a collection of more unusual cases, enabling the reader to develop their confidence in dealing with a range of clinical scenarios. Surgery of the Knee systematically reviews a range of knee surgery indications and techniques. It represents a timely and valuable resource for both trainee orthopaedic specialists, and practising surgeons who seek to develop a deeper understanding of how to approach treating their patients.

Download or read book The Meniscus written by Philippe Beaufils and published by Springer Science & Business Media. This book was released on 2010-04-28 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide focuses on the normal meniscal mechanism, body and function. Meniscal pathology and therapy are depicted in detail, followed by a presentation of long-term experience of meniscal transplantation and a look into the future of meniscal surgery.

Download or read book For All These Rights written by Jennifer Klein and published by Princeton University Press. This book was released on 2010-01-02 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New Deal placed security at the center of American political and economic life by establishing an explicit partnership between the state, economy, and citizens. In America, unlike anywhere else in the world, most people depend overwhelmingly on private health insurance and employee benefits. The astounding rise of this phenomenon from before World War II, however, has been largely overlooked. In this powerful history of the American reliance on employment-based benefits, Jennifer Klein examines the interwoven politics of social provision and labor relations from the 1910s to the 1960s. Through a narrative that connects the commercial life insurance industry, the politics of Social Security, organized labor's quest for economic security, and the evolution of modern health insurance, she shows how the firm-centered welfare system emerged. Moreover, the imperatives of industrial relations, Klein argues, shaped public and private social security. Looking closely at unions and communities, Klein uncovers the wide range of alternative, community-based health plans that had begun to germinate in the 1930s and 1940s but that eventually succumbed to commercial health insurance and pensions. She also illuminates the contests to define "security"--job security, health security, and old age security--following World War II. For All These Rights traces the fate of the New Deal emphasis on social entitlement as the private sector competed with and emulated Roosevelt's Social Security program. Through the story of struggles over health security and old age security, social rights and the welfare state, it traces the fate of New Deal liberalism--as a set of ideas about the state, security, and labor rights--in the 1950s, the 1960s, and beyond.