2006 - UZ Leuven

More documents

Recommendations

Info

anteroposterior locking can endanger the humeral headsvascularisation the benefit of this locking option critically has to beevaluated.KUPPERS M., NIJS S., BROOS P.: Tubercle fixation and healing inshoulder fracture prosthesis. Eur. J. Trauma, 2006; 32: 779 (Abstract).Introduction: Previous studies clearly demonstrated a correlationbetween functional outcome after shoulder fracture prosthesis andfunctional outcome. In a previous multicenter study of our workinggroup tubercle healing was associated with a mean absolute Constantscore of 77, where in the non-healed group only a score of 48 wasobserved. Multiple studies however did demonstrate the only, at best,half of the refixated tubercles do heal. We do believe that stability offixation in one of the main determinants whether a tubercle will heal ornot.Material and methods: In a separate biomechanical study we diddemonstrate that fixation of tubercles on the Articula (Mathys Betlach)shoulder prosthesis using a circular 2 mm steel cable is significantlymore stable than fixation using nr. 5 fibrewire. Between December2004 and June 2005 we did use the above mentioned steel cablefixation in 23 patients treated for acute four part fracture of theproximal humerus. Mean age was 73. 18 patients were available forradiographic re-evaluation 6 months after surgery. Standard true APand Scapular Y X-rays have been used to judge tubercle healing.Results: 15/18 patients tubercle healing has been observed. In 10/15we did observe anatomical healing. In 5/15 we did observe tuberclemalposition. In 3/15 no healing and secondary loss of tubercles hasbeen documented. Compared to our own historical results using nr. 2fibrewire (Arthrex) fixation these results are significantly better as theyare compared to the best series found in literature.Conclusion: Stable tubercle fixation using steel cables in proximalhumeral fracture prosthesis results in significant better healing oftubercles than standard fixation techniques.LERUT F., NIJS S., BROOS P.: The non-reconstructable proximalfracture: reversed or anatomical prosthesis. Eur. J. Trauma, 2006; 32:732 (Abstract).Introduction: The treatment of proximal humeral fractures remains achallenge. When confronted with a non reconstructable fracture, thesurgeon has to distinguish whether the patients would benefit from aprosthesis or not. The results of fracture prostheses remain an issue122
of debate. A good pain relief can be predicted but function is notalways a success. A good pain relief can be predicted but function isnot always a success. Because of the good functional results in a cuffdeficient shoulder and the ease of rehabilitation some people doadvocate to use a reversed shoulder prosthesis as primary fracturetreatment.Materials and methods: We did compare a prospective series ofreversed shoulder prosthesis (Delta III Depuy Warshaw) used aprimary shoulder fracture prosthesis to a historical series ofanatomical shoulder prosthesis (Articula Mathys Betlach). 15 patients,matched for sex and age have been included in both groups. Patientshave been scored functionally using the ASES shoulder index and theConstant score. Complications have been documented.Results: Both using the ASES index as the Constant score theAnatomical shoulder prosthesis did score significantly better than thereversed shoulder prosthesis. The number of complications washigher in the reversed shoulder prosthesis group.Conclusion: For the treatment of complex proximal humeral fracturesan anatomical shoulder fracture prosthesis seems to be the treatmentof choice as compared to a reversed shoulder prosthesis. We believethat the fact that there are no cuff remnants attached to the reversedshoulder prosthesis does yield in a poorer outcome as for reversedshoulder prostheses used for rotator cuff arthropathy.NIJS S., HIERNER R., CLAES M., BROOS P.: Defect fractures withsevere soft tissue defect in the polytraumatized. Eur. J. Trauma, 2006;32; 195 (Abstract).Introduction: Complex fractures of the elbow are difficult to treat.When bone defects are combined with severe soft tissue damagetherapeutic options are limited. We describe our treatment results in 7patients with combined bone loss and severe soft tissue defect.Material and methods: Between August 2001 and May 2005 we didtreat 7 patients because of combined articular bone loss of the elbowand severe soft tissue defect. All patients were polytraumatized. Thereare 4 female and 3 male patients. Mean age is 30 years. In 6 patientsa total elbow arthroplasty has been performed. In 3 of them thearthroplasty has been augmented with the use of an allograft. In the7 th patient we did reconstruct the joint using an allograft alone. Tocover the soft tissue defects we did use in every patient a latissimusdorsi muscle flap. In two patients vascular reconstruction of thebrachial artery was necessary. In 4 patients nerve reconstructionshave been performed.Results: Every patient obtained a functional elbow joint. 5 of the sevenpatients were professionally active at the time of injury. 4 of them were123
Page 1:
CYRURGIE2006
Page 4 and 5:
Heelmeesters allerhande, verenig u!
Page 7:
INHOUDSOPGAVEAbdominale Heelkunde 1
Page 10 and 11:
De resultaten van een grote Noord-A
Page 12 and 13:
VEGF (P = 0.008) correlate with a p
Page 14 and 15:
severe ulcerative ileitis and jejun
Page 16 and 17:
tekens op CT en/of MRI kunnen een b
Page 18 and 19:
data we propose a scoring system in
Page 20 and 21:
ABDOMINALETRANSPLANTATIECHIRURGIECA
Page 22 and 23:
DYCKMANS K., LERUT E., GILLARD P.,
Page 24 and 25:
LERUT J., ORLANDO G., ADAM R., SABB
Page 26 and 27:
histopathologic diagnostic process.
Page 28 and 29:
additional stimulants that the inna
Page 30 and 31:
ARTIKELS UIT HETLEUVENSE NETCREVITS
Page 32 and 33:
PRUYT M., DEVRIENDT D., VANNESTE A.
Page 34 and 35:
BOSHOFF D., BUDTS W., MERTENS L., E
Page 36 and 37:
FLAMENG W., MEURIS B., HERIJGERS P.
Page 38 and 39:
prosthetic valve endocarditis who w
Page 40 and 41:
in these patients We present a case
Page 42 and 43:
SERCA2a. In SKO mice, gene-targeted
Page 44 and 45:
MULTIDISCIPLINAIRBORSTCENTRUMMORALE
Page 46 and 47:
east implant. Only two other cases
Page 48 and 49:
Object: Based on data from primate
Page 50 and 51:
SISCOM hyperperfusion cluster and M
Page 52 and 53:
ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
Page 54 and 55:
infiltrative multilobular spindle c
Page 56 and 57:
multivariable Cox model adjusted fo
Page 58 and 59:
We retrospectively evaluated a surg
Page 60 and 61:
We performed resection arthroplasty
Page 62 and 63:
earing posterior-stabilised. To do
Page 64 and 65:
age and key pinch strength. The dif
Page 66 and 67:
FABRY K., LAMMENS J., DELHEY P., ST
Page 68 and 69:
cases. The mean Knee Society’s kn
Page 70 and 71:
short-term solution for his fractur
Page 72 and 73:
the foot and result in major septic
Page 75 and 76:
SAEGEMAN V., LISMONT D., VERDUYCKT
Page 77 and 78:
Objective: The objective of this st
Page 79 and 80: VICTOR J., BELLEMANS J.: Physiologi
Page 81 and 82: skin construct displays authentic f
Page 83 and 84: Bewertung des Spenderdefektes ergab
Page 85 and 86: HIERNER R., BERGER A.: Options and
Page 87 and 88: vascularized ulnar nerve graft and
Page 89 and 90: cranial bone and dura which cannot
Page 91 and 92: defects.Adequate debridement, early
Page 93 and 94: Patients and Methods: Between 1995
Page 95 and 96: MASSAGE P., VANDENHOF B., VRANCKX J
Page 97 and 98: Background: High pressure injuries
Page 99 and 100: VERMEULEN P., DICKENS S., VRANCKX J
Page 101 and 102: inhibitors that neutralize the impa
Page 103 and 104: internship. These components repres
Page 105 and 106: Objective: To evaluate the expressi
Page 107 and 108: patients were diagnosed with acute
Page 109 and 110: Conclusions: This study demonstrate
Page 111 and 112: progressive accumulation of FVIII a
Page 113 and 114: his name to this condition through
Page 115 and 116: gevallen, beschouwen wij de minimaa
Page 117 and 118: Table 1Reperfusion time(min)PVR(dyn
Page 119 and 120: transplantation; dehiscence (n = 25
Page 121 and 122: upon reperfusion results from a red
Page 123 and 124: VAN DE WAUWER C., VAN RAEMDONCK D.E
Page 125 and 126: Bronchiolitis obliterans syndrome (
Page 127 and 128: noodzakelijk een beter inzicht te v
Page 129: patients of 70 years and older trea
Page 133 and 134: VAN GESTEL L., NIJS S., BROOS P.: T
Page 135 and 136: UROLOGIEALBERSEN M., JONIAU S., VAN
Page 137 and 138: children achieve bladder and bowel
Page 139 and 140: Results: Ninety-five percent of the
Page 141 and 142: esistant to degradation, but at 365
Page 143 and 144: Results: Although the surgery was m
Page 145 and 146: DE RIDDER D.: Conservatieve aanpak
Page 147 and 148: pressures were measured. The effect
Page 149 and 150: GOEMAN L., JONIAU S., OYEN R., VAN
Page 151 and 152: pelvic lymph node status were not w
Page 153 and 154: literature on nephron-sparing surge
Page 155 and 156: on overall survival was studied. Su
Page 157 and 158: materials, although it was architec
Page 159 and 160: Material und Methoden: Von 13 Zentr
Page 161 and 162: a remarkable higher number of forei
Page 163 and 164: VAN CALSTEREN K., VAN MENSEL K., JO
Page 165 and 166: VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168: Introduction & Objectives: Control
Page 169 and 170: VAATHEELKUNDEBLADT O., MALEUX G., H
Page 171 and 172: FOURNEAU I., SABBE T., DAENENS K.,
Page 173 and 174: computed tomography (CT) and magnet
Page 175 and 176: We report an unusual case of a uret
Page 177: during GPIb stimulation, its activa
show all

2006 - UZ Leuven

Create successful ePaper yourself

Delete template?

Save as template?