2006 - UZ Leuven

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We retrospectively evaluated a surgical algorithm for treating flexioncontracture in total knee arthroplasty using a prospectively collecteddatabase of 2898 knees. We asked how many steps were required toobtain correction with increasing severity of the flexion contracture.We further wanted to know whether correction was maintained at twoyears after surgery, and which complications occurred in relation tothe algorithm. Our algorithm consisted of four steps executed until fullextension was achieved: (1) medio-lateral ligament balancing withresection of all osteophytes and overresection of the distal femur by 2mm; (2) progressive posterior capsular release and gastrocnemiusrelease; (3) additional resection of the distal femur up to a maximumof 4 mm; (4) hamstring tenotomy. A flexion contracture between 5°and 15° occurred in 794 cases, between 15° and 30° in 95 cases, andgreater than 30° in 35 cases. The data suggest 98,6% of the caseswith flexion contracture less than 30° could be corrected with Steps 1and 2. Even in the 35 flexion contractures greater than 30°, additionalresection of the distal femur and hamstring tenotomy was performedin only 28,6% and 22,9% of cases, respectively.BOLLARS P.N.J., VAN STEIJN M.J.A., DECKERS P., BELLEMANS J.:Computergestuurde versus conventionele implantatie van een totaleknieprothese. Nederlands Tijdschrift voor Orthopedie, 2006; 13: 85-91.Een totale knieprothese is een gevestigde behandelmethode voor debehandeling van ernstige gonartrose. Om te zorgen voor een groterenauwkeurigheid bij het plaatsen van de prothesen zijn ernavigatiesystemen ontwikkeld die de chirurg tijdens de operatiekunnen assisteren. De toegenomen precisie in protheseplaatsing metdergelijke systemen werd inmiddels aangetoond in verscheidenepublicaties, maar er is tot op heden weinig of geen informatievoorhanden wat betreft andere voor- of nadelen in vergelijking met deconventionele techniek. In deze studie werd dit in kaart gebracht, metname wat betreft het aantal complicaties, opnameduur, operatieduuren bloedverlies. Hiertoe hebben we de resultaten van operaties van77 genavigeerde patiënten vergeleken met die van 134 conventionelepatiënten. Afgezien de kans op een stressfractuur, waarvan zich eréén voordeed in de computergestuurde groep, zijn er geensignificante verschillen wat betreft het optreden van complicatiestussen beide technieken. De duur van de operatie is 31 minutenlanger met de computergestuurde techniek, de opnameduur is voorbeide technieken hetzelfde. Echter, het totale bloedverlies tijdens deoperatie is met de computergestuurde navigatie techniek 100 mlminder dan bij de conventionele techniek.50
BONNEUX I.M.F., BELLEMANS J., FABRY G.: Evaluation of woundhealing after total knee arthroplasty in a randomized prospective trialcomparing fonsaparinx with enoxaparin. The Knee, 2006; 13: 118-121.Background: Fondaparinux, a new synthetic pentasaccharide hasproven to be a more potent thromboprophylactic drug compared toenoxaparin after major orthopaedic surgery. However, the safety offondaparinux regarding wound healing has not yet been investigated.Methods: We performed a single-centre prospective clinical trial, inwhich patients undergoing total knee arthroplasty or revision of atleast one of the components of a previous knee arthroplasty wererandomly assigned to thromboprohylaxis with fondaparinux orenoxaprin. The trial included 109 patients and wound discharge wascompared. Secondary outcome measures were the amount of bloodin the suction drain, postoperative transfusion rate, change inhaemoglobin levels, haematocrit, intervention rate, time to regainflexion and rate of symptomatic thromboembolic events.BOONEN A., MATRICALI G., VERDUYCKT J., TAELMAN V.,VERSCHUEREN P., SILEGHEM A., CORLUY L., WESTHOVENS R.:Orthopaedic surgery in patients with rheumatoid arthritis: a shifttowards more frequent and earlier non-joint-sacrificing surgery. Ann.Rheum. Dis., 2006; 65: 694-695.Medical treatment of rheumatoid arthritis (RA) aims at controllingsynovitis and arresting erosive disease. Orthopaedic surgery dealswith joint destruction, reflecting the severity of damage, but also dealswith local persistent synovitis and tenosynovitis. Along with alteringmedical treatment strategies, rheumatologists and surgeons feel theyhave changed the type and timing of surgery in recent years. Weperformed a cross sectional study on the use of orthopaedic surgeryin RA, to provide data on types of procedures and evolution of timingand type of surgery.DEBEER P., PLASSCHAERT H., STUYCK J.: Resection arthroplasty ofthe infected shoulder: a salvage procedure for the elderly patient. ActaOrthop. Belg., 2006; 72: 126-130.Infection of the shoulder joint is a challenging problem for theorthopaedic surgeon. Several treatment options have been proposed.Here, we evaluate the results achieved following resectionarthroplasty of the shoulder in seven patients.51
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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 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
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progressive accumulation of FVIII a
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his name to this condition through
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gevallen, beschouwen wij de minimaa
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Table 1Reperfusion time(min)PVR(dyn
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transplantation; dehiscence (n = 25
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upon reperfusion results from a red
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VAN DE WAUWER C., VAN RAEMDONCK D.E
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Bronchiolitis obliterans syndrome (
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noodzakelijk een beter inzicht te v
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patients of 70 years and older trea
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of debate. A good pain relief can b
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VAN GESTEL L., NIJS S., BROOS P.: T
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UROLOGIEALBERSEN M., JONIAU S., VAN
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children achieve bladder and bowel
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Results: Ninety-five percent of the
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esistant to degradation, but at 365
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Results: Although the surgery was m
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DE RIDDER D.: Conservatieve aanpak
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pressures were measured. The effect
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GOEMAN L., JONIAU S., OYEN R., VAN
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pelvic lymph node status were not w
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literature on nephron-sparing surge
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on overall survival was studied. Su
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materials, although it was architec
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Material und Methoden: Von 13 Zentr
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a remarkable higher number of forei
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VAN CALSTEREN K., VAN MENSEL K., JO
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VANDE WALLE J.G.J., BOGAERT G.A., M
Page 167 and 168:
Introduction & Objectives: Control
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VAATHEELKUNDEBLADT O., MALEUX G., H
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FOURNEAU I., SABBE T., DAENENS K.,
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computed tomography (CT) and magnet
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We report an unusual case of a uret
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during GPIb stimulation, its activa
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2006 - UZ Leuven

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