TRAITEMENT CHIRURGICAL DES FRACTURES DE L'ACETABULUM (CLASSIFICATION A.O.) PDF Download

Author: PIERRE-YVES.. GLAS
Publisher:
ISBN:
Category :
Languages : fr
Pages :

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Author: Omar Rajillah
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Introduction : Les fractures de l'acétabulum représentent 7% des fractures ostéoporotiques. Leur nombre ne cesse de croître en raison de l'allongement de la durée de vie. Le pic épidémiologique se situe entre 75 et 80 ans. L'objectif de cette étude est d'évaluer les résultats fonctionnels des prises en charge de ces fractures au sein d'une population âgée de plus de 65 ans. Matériel et méthodes : Il s'agit d'une étude monocentrique rétrospective sur un recueil prospectif de données menée au CHU de Dijon. L'ensemble des patients de plus de 65 ans ont été inclus entre janvier 2017 et mai 2020. Le critère de jugement principal est composé d'un score PMA, Harris et Parker. Les critères secondaires sont le taux de mortalité et le taux de reprise chirurgicale. Résultats : 94 patients (âge moyen de 78.5 ans) ont été inclus. Le suivi moyen est de 32.7 mois +/- 14.9 Le PMA moyen à 2 ans : 14.5 pour le groupe traitement orthopédique, 16.5 pour le groupe ostéosynthèse, 16.4 pour le groupe ostéosynthèse + PTH (p = 0.01). Le score de Harris moyen à 2 ans est de 72.1 pour le groupe traitement orthopédique, 85.4 pour le groupe ostéosynthèse, 85 pour le groupe ostéosynthèse + PTH (p = 0.012). Le score de Parker était significativement plus élevé dans les groupes opérés et notamment dans le groupe traité par ostéosynthèse. Le taux de reprise pour conversion en arthroplastie totale était de 24.1% au sein de la population non opérée et de 11.1% pour les patients traités par ostéosynthèse simple. Le taux de complications de 24% pour le groupe ostéosynthèse, et 42% pour le groupe ostéosynthèse + PTH. Les taux de mortalité étaient plus élevés dans les groupes traitement orthopédique et ostéosynthèse + PTH. Discussion : Le traitement orthopédique semble être inférieur au traitement chirurgical en termes de résultats fonctionnels avec un taux de réintervention pour arthroplastie non négligeable. Le traitement par réduction et ostéosynthèse, avec des scores fonctionnels plus élevés, un taux de complications et de reprises plus faibles, représente pour nous le traitement de choix dans ce type de traumatisme. L'effet préventif sur la mortalité reste à déterminer. Conclusion : Le traitement chirurgical des fractures de l'acétabulum permet d'obtenir les meilleurs résultats fonctionnels au sein des populations âgées de plus de 65 ans.

Author: George Bentley
Publisher: Springer
ISBN: 9783642347450
Category : Medical
Languages : en
Pages : 4983

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This important reference textbook covers the surgical management of all major orthopaedic and traumatological conditions. The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within and beyond Europe. The emphasis throughout is on the application of current knowledge and research to technical problems, how to avoid operative problems, and how to salvage complications if they occur. The didactic text is complemented by abundant illustrations that highlight the essentials of each clinical scenario. The authors are all recognized international authorities active at congresses and workshops as well as in universities and hospitals across the world. ​

Author: Hans K. Uhthoff
Publisher: Springer Science & Business Media
ISBN: 3642684483
Category : Medical
Languages : en
Pages : 433

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External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used.

Author: Frederic Shapiro
Publisher: Springer
ISBN: 3030020215
Category : Medical
Languages : en
Pages : 839

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Volume 2 of this comprehensive and state-of-the-art text on pediatric orthopedic deformities focuses on conditions of the lower extremity. Developmental disorders of the hip – developmental dysplasia of the hip (DDH), Legg-Calvé-Perthes disease (LCP), coxa vara including slipped capital femoral epiphysis (SCFE), and femoroacetabular impingement (FAI) – the knee, the ankle and foot, as well as rotational and angular deformities of the lower limb are discussed in detail. Presentation for each deformity includes: definition, detailed review of the pathoanatomy, experimental biological investigations (where applicable), natural history, review of the evolution of diagnostic and treatment techniques, results achieved with the various approaches, and current management approaches with detailed descriptions of surgical technique. Extensive illustrations, figures and photos provide clear visual depictions of the range of deformity for the various disorders, underlying histopathology, imaging findings and treatment approaches. Multiple tables provide concentrated information, especially for the treatment options based on the severity of the particular disorder and deformity. Based on a solid understanding of the underlying pathobiology of deformities of the developing musculoskeletal system, this second volume of Pediatric Orthopedic Deformities provides a penetrating, in-depth presentation on the lower extremity for pediatric orthopedic surgeons, adult orthopedic surgeons seeking a deeper understanding of how deformities developed, and all clinicians caring for pediatric patients with developmental deformities.

Author: G. F. Zinghi
Publisher: Thieme
ISBN: 9781588901644
Category : Acetabulum (Anatomy)
Languages : en
Pages : 286

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Treatment strategies for fractures of the pelvis and acetabulum have improved dramatically over the years. In this text, you'll find valuable information for successfully managing these conditions from an experienced master surgeon who shares his extensive knowledge of the field. The book uses hundreds of illustrations, plates, and legends to demonstrate important concepts and surgical procedures. The book leads you through the entire management process, beginning with the necessary anatomic background and then proceeding to diagnosis and surgery for a wide range of conditions. It's filled with valuable information on fracture types, proper instrumentation, imaging studies, complication avoidance, and more. Special features include: Valuable advice from a renowned expert on treating fractures of the pelvis and acetabulum Full coverage of the entire management process -- anatomy, diagnosis, classification, decision making, and results Each chapter begins with a helpful abstract providing a quick reference to essential information Abundantly illustrated to depict the surgical techniques and enhance the learning process Instructions on how to perform even the most complex procedures For all orthopedists who treat fractures of the pelvis and acetabulum, this book is an essential professional resource. It is a remarkable graphic and pictorial atlas that belongs on the bookshelf of every specialist!

Author: E. Letournel
Publisher: Springer Science & Business Media
ISBN: 3662023253
Category : Medical
Languages : en
Pages : 439

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It has been a pleasure to comply with requests to publish this book in English. During the intervening years, there has been little to add to our views as to the best management of acetabular fractures, but an additional chapter has been incorporated comprising recent findings in our patients and slight changes in emphasis on the indications for operations. Additionally, having recognised that one of the greatest difficulties in this method of treatment lies in the pre-operative assessment of the standard radiographs, we have prepared a short series of radiographs which the reader may find advantageous for study. We are grateful to Mr. Reginald Eison who has translated and revised the French edition. Considerable alteration of the text and the general presen tation was necessary in order to make the material palatable in English. Our thanks are due to our new publishers, Springer-Verlag, for their keen interest and skill. E. LETOURNEL R. JUDET Preface to the French Edition It is a long time since we first attempted surgical treatment of fractures of the acetabulum accompanied by displacement, with the aim of restoring perfect articulation. Such treatment demands an exact reconstitution of the anatomy of the acetabulum and pelvic bone. This volume comprises an account of our efforts to assess the place of open reduction and internal fixation of displaced fractures of the acetabulum. The principal aim is simple: the perfect restoration of the articular surface and the associated bony architecture.

Author: Robert N.N. Holtzman
Publisher: Springer Science & Business Media
ISBN: 1461393264
Category : Medical
Languages : en
Pages : 537

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In this volume, world authorities on spinal surgery from the fields of Neurosurgery, Orthopaedic Surgery, and Neuroscience present current data on the basic science and clinical management of the unstable spine. Unique to this book: a frank presentation of controversies in the field.

Author: Juarez M. Avelar
Publisher: Springer
ISBN: 3319278517
Category : Medical
Languages : en
Pages : 600

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This book documents the important advances that have been achieved in abdominoplasty over the past 15 years, in particular through the introduction of a nontraumatic approach associated with minimal morbidity owing to the avoidance of resection of abdominal panniculus and damage to the perforating vessels. The surgical principles of this procedure, including in combination with liposuction, are fully described by its developer, Juarez Avelar, with the aid of a wealth of color illustrations. A miniabdominoplasty option is also discussed and recent significant technical contributions such as various new plication techniques and means of minimizing complications are clearly presented. In addition, a series of chapters explain how the surgical principles underlying the described nontraumatic method of abdominoplasty can now be applied to other areas of the body, for example to improve rhytidoplasty, ear reconstruction, body contouring, and medial thigh lifting. This book enables the plastic surgeon to apply the latest abdominoplasty techniques effectively and safely.

Author: Shane J. Nho
Publisher: Springer Nature
ISBN: 3030432408
Category : Medical
Languages : en
Pages : 1874

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Book Description
The field of hip preservation surgery has evolved over the past decade as our understanding of hip pathomechanics and pathomorphology has expanded. The published literature on non-arthritic hip pathology, for example, has grown exponentially. The topics of controversy in the past decade have been answered in some cases, but new questions have also arisen. In addition to the 99 chapters in the original edition – most of which will be retained and updated as applicable – there will be over 30 brand new chapters focusing on new and more sophisticated techniques from authors that have been the pioneers of the field. The text is divided into nine thematic sections, covering the breadth of the topic and the current state of the art: basic science of the hip; operative basics for hip arthroscopy and open hip preservation surgery; pediatric hip conditions; approaches to disorders of the hip and pelvis; enthesopathy and neuromuscular disorders; hip fractures and instability; avascular necrosis; hip cartilage restoration; and oncologic conditions. Throughout, there is a heavy emphasis on surgical techniques, and video clips will be included in selected chapters. Written by edited by thought leaders and seasoned practitioners in the field, this new edition of Hip Arthroscopy and Hip Joint Preservation Surgery will remain the gold standard for orthopedic surgeons and sports medicine specialists, expanding on the range of techniques available to clinicians treating injuries to and disorders of the hip.