2006 - UZ Leuven

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the foot and result in major septic complications. Although no data areavailable on the effect of foot problems on function and quality of lifein patients with rheumatoid arthritis, in patients with diabetes mellitusthese scores drop substantially.MATRICALI G.A., DEREYMAEKER G.P.E., LUYTEN F.: Theposteromedial rim of the talar dome as the site for harvesting cartilagein the ankle: an anatomic study. Arthroscopy, 2006; 22(11): 1241-1245.Purpose: The goal of this study was to determine whether a biopsyspecimen of a fixed size can be harvested reliably and consistently byarthroscopy at the posteromedial rim of the talar dome.Methods: A cartilage biopsy specimen was taken post mortemarthroscopically from the posteromedial rim of the talar dome in 20ankles. We aimed to take a full-thickness biopsy specimen of 10 x 5mm in size. The shape, length, width, position, and depth of thecreated defect were determined. Subsequently, 2 observers analyzedthe biopsy sites twice. The same set of parameters and the surfacearea of the lesion were determined. Differences between aimed andobserved sizes were studied.Results: In all ankles the aimed biopsy site could be seen andreached. The observed mean size of the biopsy specimens, whencompared with the aimed size, was only significantly different for themediolateral size. A wide variation of surface area was found. Nearlyall biopsy specimens started exactly at the posterior border of thedome, but they were somewhat more lateral than intended. In onlyhalf of the biopsy specimens was the shape linear or oval, the othersbeing rounded or irregular. In case a pre-existing posteromedialcartilage lesion was present, its position did not coincide with that ofthe biopsy specimen.Conclusions: A limited cartilage biopsy specimen could be harvestedreliably and consistently by arthroscopy at the posteromedial rim ofthe talar dome, although the size tended to be somewhat larger thanwe intended. Containment of a pre-existing posteromedial lesion wasnever jeopardized.Clinical relevance: A safe biopsy site for cartilage in the ankleeliminates donor-site morbidity in the knee and may improve thesuitability and biology of the obtained chondrocytes for successfulrepair of symptomatic joint surface defects of the ankle.64
MATRICALI G., DEREYMAEKER G., MULS E., FLOUR M., MATHIEU C.:Economic aspects of diabetic foot care in a multidisciplinary setting: areview. Diabetes/metabolism Research and Reviews, 2006, publishedonline 14.11.1006.Background: To evaluate the economic aspects of diabetic foot care ina multidisciplinary setting.Method: A review of the English language literature, published from1966 to November 2005.Results: The results of available studies on the cost-of-illness ofdiabetic foot problems are difficult to compare. Nevertheless trendsconcerning excess of costs, protraction in time of costs, positivecorrelation to severity of ulcer and/or peripheral vascular disease,contribution of in-hospital stay and length of stay, and the patient'sown contribution to total costs, are obvious. Only a few costeffectivenessand cost-utility studies are available. Most use a Markovbased model to predict outcome and show an acceptable result onlong-term.Conclusions: Diabetic foot problems are frequent and are associatedwith high costs. A multidisciplinary approach to diabetic foot problemshas proved to be cost saving with regard to cost of treatment itself.Nevertheless, it remained unclear if these savings could offset theoverall costs involved in implementing this kind of approach. The fewstudies that address this issue specifically all show an acceptablecost-effectiveness, but often the profit will be evident after some yearsonly, because long-term costs are involved. Based on these data,policymakers should foresee sufficient reimbursement for preventiveand early curative measures, and not only for 'salvage manoeuvres'.MOLENAERS G., DESLOOVERE K., FABRY G., DE COCK P.: The effectsof quantitative gait assessment and botulinium toxin A onmuscoloskeletal surgery in children with cerebral palsy. J. Bone & JointSurg., 2006; 88(1): 161-170.Background: The limits of nonoperative treatment for children withcerebral palsy, including physical therapy and orthotics, commonlylead to orthopaedic surgical intervention. The purpose of the presentstudy was to evaluate the influence of gait analysis and botulinumtoxin type-A injections on the timing, prevalence, and frequency oforthopaedic surgery.Methods: We performed a retrospective review of 424 children withcerebral palsy who had been born between 1976 and 1994. Thechildren were divided into three groups: Group 1 comprised 122patients who were managed throughout the entire study periodaccording to best-practice guidelines in orthopaedics, Group 265
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CYRURGIE2006
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Heelmeesters allerhande, verenig u!
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INHOUDSOPGAVEAbdominale Heelkunde 1
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De resultaten van een grote Noord-A
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VEGF (P = 0.008) correlate with a p
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severe ulcerative ileitis and jejun
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tekens op CT en/of MRI kunnen een b
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data we propose a scoring system in
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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 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
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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
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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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