The Experts below are selected from a list of 1029 Experts worldwide ranked by ideXlab platform
Jan P. Benthien - One of the best experts on this subject based on the ideXlab platform.
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Two-stage hip revision Arthroplasty: the role of the Excision Arthroplasty
European Journal of Orthopaedic Surgery & Traumatology, 2008Co-Authors: Bergita Ganse, Peter Behrens, Jan P. BenthienAbstract:Between 1995 and 2003, 41 septic hips in 40 consecutive patients (20 males, 20 females) were treated with a two-stage total-hip-Arthroplasty revision. Seventeen patients with 18 relevant procedures (44%) were reviewed at a mean follow-up of 52 months. In 5 hips, an Excision Arthroplasty was present at review. Reimplantation had been performed in 13 hips. The interval between explantation and reimplantation averaged 158 days. The average age was 68 years and the mean ASA score 3.24 at explantation. Mean Harris Hip score was 60 points, the mean Mayo Hip Score 66 points. We found no significance (Harris Hip Score, t test) between results after reimplantation and with long-term Excision Arthroplasty. The Excision Arthroplasty as a long-term solution can be an alternative to reimplantation in the treatment of critically ill patients. Entre 1995 et 2003, 41 hanches infectées correspondant à 40 patients consécutifs (20 hommes et 20 femmes) ont été traitées par révision d’arthroplastie en deux temps.17 patients avec 18 reprises pertinentes (44 %) ont été revus avec un recul moyen de 52 mois. Dans 5 hanches l’Excision sans réimplantation existait au moment du contrôle. La réimplantation avait été réalisée dans 13 hanches. L’intervalle entre explantation et réimplantation était en moyenne de 158 jours. L’âge moyen était de 68 ans et le score ASA moyen de 3.24 lors de l’explantation. Le score de Harris moyen était de 60 points, le score de hanche Mayo moyen de 66 points. Nous n’avons pas noté de différence significative entre les résultats (Score de hanche de Harris, t -test) après réimplantation et ceux après explantation sans réimplantation à long terme. L’explantation sans réimplantation peut être une bonne alternative à la réimplantation chez des patients âgés à l’état général critique.
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Two-stage hip revision Arthroplasty: the role of the Excision Arthroplasty
European Journal of Orthopaedic Surgery and Traumatology, 2007Co-Authors: Bergita Ganse, Peter Behrens, Jan P. BenthienAbstract:Between 1995 and 2003, 41 septic hips in 40 consecutive patients (20 males, 20 females) were treated with a two-stage total-hip-Arthroplasty revision. Seventeen patients with 18 relevant procedures (44%) were reviewed at a mean follow-up of 52 months. In 5 hips, an Excision Arthroplasty was present at review. Reimplantation had been performed in 13 hips. The interval between explantation and reimplantation averaged 158 days. The average age was 68 years and the mean ASA score 3.24 at explantation. Mean Harris Hip score was 60 points, the mean Mayo Hip Score 66 points. We found no significance (Harris Hip Score, t test) between results after reimplantation and with long-term Excision Arthroplasty. The Excision Arthroplasty as a long-term solution can be an alternative to reimplantation in the treatment of critically ill patients.
Valerio Sansone - One of the best experts on this subject based on the ideXlab platform.
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A new surgical technique for the treatment of scaphotrapezial arthritis associated with trapeziometacarpal arthritis : the narrow pseudoarthrosis
'SAGE Publications', 2015Co-Authors: M Rubino, L. Cavagnaro, Valerio SansoneAbstract:We describe a technique for treating Eaton stage IV osteoarthritis of the first ray, which is a development of our previously published technique for treating trapeziometacarpal arthritis. This simple technique is based on a limited resection Arthroplasty of the first trapeziometacarpal and the scaphotrapezial joints, with the aim of inducing the formation of a narrow pseudoarthrosis at both sites. A total of 26 consecutive patients were treated for Eaton stage IV arthritis at a mean follow-up of 4.7 years (range 3.2-6.6). There were statistically significant improvements in all clinical parameters: mean appositional and oppositional pinch strength, mean DASH score (65 points pre-operatively to 8.7 points at final follow-up), and in mean visual analogue scale score (8.6 to 0.2 points). Although a larger cohort and a longer follow-up will be necessary to evaluate this new technique fully, these results encourage us to believe that the limited Excision Arthroplasty of the trapeziometacarpal and scaphotrapezial joints is a viable alternative to the existing surgical treatments for stage IV thumb arthritis
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trapeziometacarpal narrow pseudarthrosis a new surgical technique to treat thumb carpometacarpal joint arthritis
Journal of Hand Surgery (European Volume), 2013Co-Authors: M Rubino, A Civani, Davide Pagani, Valerio SansoneAbstract:We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited Excision Arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
Bergita Ganse - One of the best experts on this subject based on the ideXlab platform.
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Two-stage hip revision Arthroplasty: the role of the Excision Arthroplasty
European Journal of Orthopaedic Surgery & Traumatology, 2008Co-Authors: Bergita Ganse, Peter Behrens, Jan P. BenthienAbstract:Between 1995 and 2003, 41 septic hips in 40 consecutive patients (20 males, 20 females) were treated with a two-stage total-hip-Arthroplasty revision. Seventeen patients with 18 relevant procedures (44%) were reviewed at a mean follow-up of 52 months. In 5 hips, an Excision Arthroplasty was present at review. Reimplantation had been performed in 13 hips. The interval between explantation and reimplantation averaged 158 days. The average age was 68 years and the mean ASA score 3.24 at explantation. Mean Harris Hip score was 60 points, the mean Mayo Hip Score 66 points. We found no significance (Harris Hip Score, t test) between results after reimplantation and with long-term Excision Arthroplasty. The Excision Arthroplasty as a long-term solution can be an alternative to reimplantation in the treatment of critically ill patients. Entre 1995 et 2003, 41 hanches infectées correspondant à 40 patients consécutifs (20 hommes et 20 femmes) ont été traitées par révision d’arthroplastie en deux temps.17 patients avec 18 reprises pertinentes (44 %) ont été revus avec un recul moyen de 52 mois. Dans 5 hanches l’Excision sans réimplantation existait au moment du contrôle. La réimplantation avait été réalisée dans 13 hanches. L’intervalle entre explantation et réimplantation était en moyenne de 158 jours. L’âge moyen était de 68 ans et le score ASA moyen de 3.24 lors de l’explantation. Le score de Harris moyen était de 60 points, le score de hanche Mayo moyen de 66 points. Nous n’avons pas noté de différence significative entre les résultats (Score de hanche de Harris, t -test) après réimplantation et ceux après explantation sans réimplantation à long terme. L’explantation sans réimplantation peut être une bonne alternative à la réimplantation chez des patients âgés à l’état général critique.
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Two-stage hip revision Arthroplasty: the role of the Excision Arthroplasty
European Journal of Orthopaedic Surgery and Traumatology, 2007Co-Authors: Bergita Ganse, Peter Behrens, Jan P. BenthienAbstract:Between 1995 and 2003, 41 septic hips in 40 consecutive patients (20 males, 20 females) were treated with a two-stage total-hip-Arthroplasty revision. Seventeen patients with 18 relevant procedures (44%) were reviewed at a mean follow-up of 52 months. In 5 hips, an Excision Arthroplasty was present at review. Reimplantation had been performed in 13 hips. The interval between explantation and reimplantation averaged 158 days. The average age was 68 years and the mean ASA score 3.24 at explantation. Mean Harris Hip score was 60 points, the mean Mayo Hip Score 66 points. We found no significance (Harris Hip Score, t test) between results after reimplantation and with long-term Excision Arthroplasty. The Excision Arthroplasty as a long-term solution can be an alternative to reimplantation in the treatment of critically ill patients.
M Rubino - One of the best experts on this subject based on the ideXlab platform.
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A new surgical technique for the treatment of scaphotrapezial arthritis associated with trapeziometacarpal arthritis : the narrow pseudoarthrosis
'SAGE Publications', 2015Co-Authors: M Rubino, L. Cavagnaro, Valerio SansoneAbstract:We describe a technique for treating Eaton stage IV osteoarthritis of the first ray, which is a development of our previously published technique for treating trapeziometacarpal arthritis. This simple technique is based on a limited resection Arthroplasty of the first trapeziometacarpal and the scaphotrapezial joints, with the aim of inducing the formation of a narrow pseudoarthrosis at both sites. A total of 26 consecutive patients were treated for Eaton stage IV arthritis at a mean follow-up of 4.7 years (range 3.2-6.6). There were statistically significant improvements in all clinical parameters: mean appositional and oppositional pinch strength, mean DASH score (65 points pre-operatively to 8.7 points at final follow-up), and in mean visual analogue scale score (8.6 to 0.2 points). Although a larger cohort and a longer follow-up will be necessary to evaluate this new technique fully, these results encourage us to believe that the limited Excision Arthroplasty of the trapeziometacarpal and scaphotrapezial joints is a viable alternative to the existing surgical treatments for stage IV thumb arthritis
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trapeziometacarpal narrow pseudarthrosis a new surgical technique to treat thumb carpometacarpal joint arthritis
Journal of Hand Surgery (European Volume), 2013Co-Authors: M Rubino, A Civani, Davide Pagani, Valerio SansoneAbstract:We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited Excision Arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
J. Planté - One of the best experts on this subject based on the ideXlab platform.
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Long-term Results of Conservative Treatment, Excision Arthroplasty and Triple Pelvic Osteotomy for the Treatment of Hip Dysplasia in the Immature Dog
Veterinary and Comparative Orthopaedics and Traumatology, 1997Co-Authors: J. Planté, J. Dupuis, G. Beauregard, N. H. Bonneau, L. BretonAbstract:Force plate analysis has demonstrated that hind limbs treated bilaterally with triple pelvic osteotomy had, at the trot, a locomotor function similar to the one of normal hind limbs from a control group. At a mean age of 4.5 ± 1 years, dogs treated conservatively did not show, at the trot, any marked difference with those treated with triple pelvic osteotomy and with normal dogs. Hind limbs treated with Excision Arthroplasty showed certain abnormalities most probably due to the absence of a coxofemoral joint such as a significant decrease of peak propulsive force and Fz impulse.
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Long-term Results of Conservative Treatment, Excision Arthroplasty and Triple Pelvic Osteotomy for the Treatment of Hip Dysplasia in the Immature Dog
Veterinary and Comparative Orthopaedics and Traumatology, 1997Co-Authors: J. Dupuis, G. Beauregard, N. H. Bonneau, L. Breton, J. PlantéAbstract:SummaryThe efficiency of conservative treatment, Excision Arthroplasty of the femoral head and neck and triple pelvic osteotomy for the treatment of hip dysplasia in the immature dog were compared using locomotor, physical and radiographic examinations and owner’s evaluation. Cases selected for this study were dogs diagnosed with bilateral hip dysplasia, initially admitted with clinical signs (lameness, pain), immature at the beginning of the treatment (less than 12 months of age), with both hips subjected to the same treatment (conservative treatment, Excision Arthroplasty of the femoral head and neck or triple pelvic osteotomy). These dogs never showed any musculoskeletal problems other than hip dysplasia and the surgical treatment had been completed at least 20 months prior to re-evaluation time. Fourteen hips were re-evaluated in the conservative group, 16 in the triple pelvic osteotomy group and ten in the Excision Arthroplasty group. Locomotor, physical and owner’s evaluations demonstrated the superiority of the triple pelvic osteotomy. These evaluations also showed that Excision Arthroplasty was more efficient than conservative treatment. Radiographic examination demonstrated the obvious superiority of the triple pelvic osteotomy over conservative treatment.Locomotor, physical and owner’s evaluations demonstrated the superiority of the triple pelvic osteotomy over conservative treatment and Excision Arthroplasty for the treatment of hip dysplasia in the immature dog. Radiographic examination demonstrated the obvious superiority of the triple pelvic osteotomy over conservative treatment for joint congruence and control of degenerative joint disease.
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Long-term Results of Conservative Treatment, Excision Arthroplasty and Triple Pelvic Osteotomy for the Treatment of Hip Dysplasia in the Immature Dog
Veterinary and Comparative Orthopaedics and Traumatology, 1997Co-Authors: J. Dupuis, G. Beauregard, N. H. Bonneau, L. Breton, J. PlantéAbstract:SummaryThe long-term efficiency of conservative treatment, Excision Arthroplasty of the femoral head and neck and triple pelvic osteotomy for the treatment of hip dysplasia in the immature dog were compared using ground reaction forces analysis at the trot. Fourteen hips were re-evaluated for the conservative treatment group, 16 for the triple pelvic osteotomy group and ten for the Excision Arthroplasty group. Force plate analysis demonstrated that hind limbs belonging to the triple pelvic osteotomy group had, at the trot, a locomotor function similar to the one of normal hind limbs in the control group. At a “similar age”, hind limbs of the conservative group did not show any marked difference from those in the triple pelvic osteotomy and control groups. The dogs of the Excision Arthroplasty group showed ground reaction forces abnormalities, most probably due to the absence of a coxofemoral joint (decreased peak propulsive force and Fz impulse, compared to triple pelvic osteotomy and control groups). The forelimbs of conservative treatment, Excision Arthroplasty and triple pelvic osteotomy groups showed a peak propulsive force superior to the one in the control group. This could be an adaptation phenomenon in order to compensate a deficient function of the hind limbs or a habit acquired at a younger age.Force plate analysis has demonstrated that hind limbs treated bilaterally with triple pelvic osteotomy had, at the trot, a locomotor function similar to the one of normal hind limbs from a control group. At a mean age of 4.5 ± 1 years, dogs treated conservatively did not show, at the trot, any marked difference with those treated with triple pelvic osteotomy and with normal dogs. Hind limbs treated with Excision Arthroplasty showed certain abnormalities most probably due to the absence of a coxofemoral joint such as a significant decrease of peak propulsive force and Fz impulse.
