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7. Interpretation of Post-operative Distal Humerus Radiographs After Internal Fixation: Prediction of Later Loss of Fixation

Author

Spoor, A.B., Chauhan, A., Wahegaonkar, A.L., Shafritz, A.B., Garcia G, A.E., Miller, A.N., Barquet, A., Kristan, A., Apard, T., Armstrong, A.D., Berner, A., Jubel, A., Kreis, B.E., Babis, C.G., Sutker, B., Sears, B.W., Nolan, B.M., Crist, B.D., Cross, B.J., Wills, B.P., Barreto, C.J., Ekholm, C., Swigart, C., Oliveira Miranda, C.D., Manke, C., Zalavras, C., Goldfarb, C.A., Cassidy, C., Walsh, C.J., Jones, C.M., Garnavos, C., Young, C., Moreno-Serrano, C.L., Lomita, C., Klostermann, C., van Deurzen, D.F., Rikli, D.A., Polatsch, D., Beingessner, D., Drosdowech, D., Eygendaal, D., Patel, M., Brilej, D., Walbeehm, E.T., Ballas, E.G., Ibrahim, E.F., Melamed, E., Stojkovska Pemovska, E., Hofmeister, E., Hammerberg, E.M., Kaplan, F.T., Suarez, F., Fernandes, C.H., Lopez-Gonzalez, F., Walter, F.L., Frihagen, F., Kraan, G.A., Kontakis, G., Dyer, G.S., Kohut, G., Panagopoulos, G., Hernandez, G.R., Porcellini, G., Bayne, G.J., Merrell, G., DeSilva, G., Della Rocca, G.J., Bamberger, H.B., Broekhuyse, H., Durchholz, H., Kodde, I.F., McGraw, I., Harris, I., Pountos, I., Wiater, J.M., Choueka, J., Kazanjian, J.E., Gillespie, J.A., Biert, J., Fanuele, J.C., Johnson, J.W., Greenberg, J.A., Abrams, J., Hall, J., Fischer, J., Scheer, J.H., Itamura, J., Capo, J.T., Braman, J., Rubio, J., Ortiz, J.A., Filho, J.E., Nolla, J., Abboud, J., Conflitti, J.M., Abzug, J.M., Patiño, J.M., Rodríguez Roiz, J.M., Adams, J., Bishop, J., Kabir, K., Chivers, K., Prommersberger, K., Egol, K., Rumball, K.M., Dickson, K., Jeray, K., Poelhekke, L.M., Campinhos, L.A., Mica, L., Borris, L.C., Adolfsson, L.E., Schulte, L.M., Elmans, L., Lane, L.B., Paz, L., Taitsman, L., Guenter, L., Austin, L.S., Waseem, M., Palmer, M.J., Abdel-Ghany, M.I., Richard, M.J., Rizzo, M., Pirpiris, M., Di Micoli, M., Bonczar, M., Loebenberg, M.I., Richardson, M., Mormino, M., Menon, M., Soong, M., Wood, M.M., Meylaerts, S.A., Darowish, M., Nancollas, M., Prayson, M., Grafe, M.W., Kessler, M.W., Kaminaris, M.D., Pirela-Cruz, M.A., Mckee, M., Merchant, M., Tyllianakis, M., Shafi, M., Powell, A.J., Shortt, N.L., Felipe, N.E., Parnes, N., Bijlani, N., Elias, N., Akabudike, N.M., Rossiter, N., Lasanianos, N.G., Kanakaris, N.K., Brink, O., van Eerten, P.V., Paladini, P., Martineau, P.A., Appleton, P., Levin, P., Althausen, P., Evans, P.J., Jebson, P., Krause, P., Schandelmaier, P., Peters, A., Dantuluri, P., Blazar, P., Andreas, P., Inna, P., Quell, M., Ramli, R.M., de Bedout, R., Ranade, A.B., Ashish, S., Smith, R.M., Babst, R.H., Omid, R., Buckley, R., Jenkinson, R., Gilbert, R.S., Page, R.S., Papandrea, R., Zura, R.D., Gray, R.L, Wagenmakers, R., Pesantez, R., van Riet, R., Calfee, R.P., van Helden, S.H., Bouaicha, S., Kakar, S., Kaplan, S., Scott, F.D., Kaar, S.G., Mitchell, S., Rowinski, S., Dodds, S., Kennedy, S.A., Beldner, S., Schepers, T., Guitton, T.G., Gosens, T., Baxamusa, T., Taleb, C., Tosounidis, T., Wyrick, T., Begue, T., DeCoster, T., Dienstknecht, T., Varecka, T.F., Mittlmeier, T., Fischer, T.J., Chesser, T., Omara, T., Bafus, T., Siff, T., Havlicek, T., Sabesan, V.J., Nikolaou, V.S., Philippe, V., Giordano, V., Vochteloo, A.J., Batson, W.A., Hammert, W.C., Satora, W., Weil, Y., Ruch, D., Marsh, L., Swiontkowski, M., Hurwit, S., Claessen, Femke M.A.P., Stoop, Nicky, Doornberg, Job N., Guitton, Thierry G., van den Bekerom, Michel P.J., and Ring, David

Published
2016
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9. Interobserver Variability in the Treatment of Little Finger Metacarpal Neck Fractures

Author

Spoor, A.B., Shafritz, A.B., Platz, A., Berner, A., Terrono, A.L., Jubel, A., Kreis, B.E., Hearon, B.F., Bottke, C.A., Broekhuyse, H., Buckley, R., Watkins, B., Fernandes, C.H., Metzger, C., Taleb, C., Bainbridge, L.C., Cornell, C., van Deurzen, D.F.P., Osei, D.A., Haverkamp, D., Oloruntoba, D.O., Eygendaal, D., Verbeek, D.O.F., Kalainov, D.M., Polatsch, D., Melvanki, P., Shafi, M., van Riet, R., Ruchelsman, D., Duncan, S.F., Pemovska, E. Stojkovska, Tolo, E.T., Schumer, E.D., Frihagen, F., Raia, F.J., DeSilva, G., Dyer, G.S.M., Frykman, G.K., Kontakis, G., Gaston, R., Garrigues, G., Hernandez, G.R., Grunwald, H.W., Balfour, G.W., Nancollas, M., Young, C., Pess, G.M., Durchholz, H., Erol, K., Biert, J., Choueka, J., Wolf, J.M., Doornberg, J.N., Ponsen, K.J., Kakar, S., Eng, K., Jeray, K., Lee, K., Rumball, K.M., Kabir, K., Kraan, G.A., Poelhekke, L.M.S.J., Ladislav, M., Weiss, L., Borris, L.C., Paz, L., Mormino, M., Bonczar, M., Hammerberg, E.M., Kastelec, M., Calcagni, M., Mazzocca, A.D., Darowish, M., Costanzo, R.M., Abdel-Ghany, M.I., Baskies, M., Patel, M., Prayson, M., Tyllianakis, M., Elias, N., Shortt, N.L., Leung, N.L., Kanakaris, N.K., Omid, R., Forigua Jaime, E., Brink, P.R.G., Kloen, P., Van Eerten, P.V., Lygdas, P., Benhaim, P., García, F., Guenter, L., Haverlag, R., Liem, R., Smith, R.M., Page, R.S., Schmidt, A., Mitchell, S., Dodds, S., Nolan, B.M., Moghtaderi, S., Siff, T., Begue, T., Hughes, T., Stackhouse, T.G., Tosounidis, T., Philippe, V., Wall, C.J., Hammert, W.C., Weil, Y., Satora, W., Fischer, J., van der Zwan, A.L., Adams, J., Garcia, A.E., Vochteloo, A.J.H., Barquet, A., Kristan, A., Bamberger, H.B., van den Bekerom, M.P.J., Belangero, W.D., Benjamin, W.T., Walter, F.L., Boyer, M., Wills, B.P.D., Calfee, R.P., Ekholm, C., Swigart, C., Cassidy, C., Oliveira Miranda, C.D., Wilson, C.J., Moreta-Suarez, J., Wilson, C., Moreno-Serrano, C.L., Manke, C., Jones, C.M., Klostermann, C., Della Rocca, G.J., Barreto, C.J., Merchant, M., Brilej, D., Bijlani, N., Silva, D.M., Harvey, E., Walbeehm, E.T., Suarez, F., Lopez-Gonzalez, F., Caro, G.C., Garnavos, C., Athwal, G.S., Babis, G.C., Kohut, G., Gradl, G., Huemer, G.M., Goldfarb, C.A., Bayne, G.J., Campinhos, L.A.B., Gutow, A.P., Marczyk, S.C., Lane, L.B., Goost, H., Villamizar, H.A., Hofmeister, E., McGraw, I., Goslings, J.C., Di Giovanni, J.F., Abzug, J.M., McAuliffe, J., Isaacs, J., Itamura, J., Conflitti, J.M., Munyak, J., Nolla, J., Scheer, J.H., Erickson, J.M., Wint, J., Chivers, K., Kirkpatrick, D.K., Malone, K.J., Dickson, K., Adolfsson, L.E., Van de Sande, M.A.J., Richard, M.J., Menon, M., Soong, M., Wood, M.M., Quell, M., Behrman, M., Kessler, M.W., Palmer, M.J., Pirpiris, M., Grafe, M.W., Schep, N., Nelson, D.L., Wilson, N., Capo, J.T., Calandruccio, J., Semenkin, O.M., Veillette, C.J.H., Richardson, M., Inna, P., Althausen, P., Martineau, P.A., Blazar, P., Hahn, P., Schandelmaier, P., Guidera, P., Jebson, P., Batson, W.A., de Bedout, R., Shatford, R., Rowinski, S., Fricker, R.M., Hauck, R., Wallensten, R., Papandrea, R., Gilbert, R.S., Rizzo, M., Hutchison, R.L., Zura, R.D., Cardoso, R., Pesantez, R., Spruijt, S., Kennedy, S.A., Mehta, S., Beldner, S., Kaplan, S., Kaar, S.G., Meylaerts, S.A., Streubel, P.N., Omara, T., Swiontkowski, M., Gosens, T., DeCoster, T., Baxamusa, T., Dienstknecht, T., Kaplan, F.T.D., Higgins, T., Mittlmeier, T., Apard, T., Fischer, T.J., Havliček, T., Wyrick, T., Giordano, V., Neuhaus, V., Nikolaou, V.S., Wright, T., Zalavras, C., Tosti, Rick, Ilyas, Asif M., Mellema, Jos J., Guitton, Thierry G., and Ring, David

Published
2014
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26. A global call to action to improve the care of people with fragility fractures

Author

Dreinhöfer, K. E., Mitchell, P. J., Bégué, T., Cooper, C., Costa, M. L., Falaschi, P., Hertz, K., Marsh, D., Maggi, S., Nana, A., Palm, H., Speerin, R., Magaziner, J., Dreinhöfer, K. E., Mitchell, P. J., Bégué, T., Cooper, C., Costa, M. L., Falaschi, P., Hertz, K., Marsh, D., Maggi, S., Nana, A., Palm, H., Speerin, R., and Magaziner, J.

Abstract

The ageing of society is driving an enormous increase in fragility fracture incidence and imposing a massive burden on patients, their families, health systems and societies globally. Disrupting the status quo has therefore become an obligation and a necessity. Initiated by the Fragility Fracture Network (FFN) at a “Presidents’ Roundtable” during the 5 th FFN Global Congress in 2016 several leading organisations agreed that a global multidisciplinary and multiprofessional collaboration, resulting in a Global Call to Action (CtA), would be the right step forward to improve the care of people presenting with fragility fractures. So far global and regional organisations in geriatrics/internal medicine, orthopaedics, osteoporosis/metabolic bone disease, rehabilitation and rheumatology were contacted as well as national organisations in five highly populated countries (Brazil, China, India, Japan and the United States), resulting in 81societies endorsing the CtA. We call for implementation of a systematic approach to fragility fracture care with the goal of restoring function and preventing subsequent fractures without further delay. There is an urgent need to improve: • Acute multidisciplinary care for the person who suffers a hip, clinical vertebral and other major fragility fractures• Rapid secondary prevention after first occurrence of all fragility fractures, including those in younger people as well as those in older persons, to prevent future fractures• Ongoing post-acute care of people whose ability to function is impaired by hip and major fragility fracturesTo address this fragility fracture crisis, the undersigned organisations pledge to intensify their efforts to improve the current management of all fragility fractures, prevent subsequent fractures, and strive to restore functional abilities and quality of life.

Published
2018

38. [Prospective study assessing quality-of-life after hemiarthroplasty for hip fracture]

Author

Bauer T, Bégué T, Hardy P, and Poulain S

Subjects
Aged, 80 and over, Male, Postoperative Complications, Quality of Life, Humans, Female, Hip Prosthesis, Prospective Studies, Middle Aged, Prosthesis Design, Aged, Femoral Neck Fractures
Abstract

We conducted a prospective multicentric study of 203 consecutive patients who underwent hemi-arthroplasty for femoral neck fracture between May 1999 and August 2001. The purpose of the study was to assess quality-of-life among these patients one year after their surgery.Mean patient age was 79.6 +/- 8.6 years; 71.2% were women. Most fractures were Garden type III and IV (87.4%) and 90.9% were recent (21 d). The hemiarthroplasty was performed with the Intermedia implant via a posterolateral approach in 73.9% of patients with acetabular reaming for 13.7%; a skirted head was used in only 20.8%. The Robinson score (19/26or = 6.89) for joint motion, lifestyle, degree of osteoporosis (Singh score), and history (ASA score), as well as a psychomotor indicator (Hodkinson score) were noted preoperatively. Quality-of-life was measured at one year in the same patients using the Postel Merle d'Aubigne (PMA) score and a quality-of-life score.Among the 203 patients, 38 (18.7%) were lost to follow-up and 37 died (18.2%). Eleven posterior dislocations (5.4%) were noted and four were reduced orthopedically. The PMA score was 84.7% satisfactory results (excellent, very good, good). Preoperatively 58.8% of the patients were independent and 7% were in nursing homes; one year postoperatively, these proportions were 54% and 4.8%. There was a significant difference in the PMA score between two populations defined by the preoperative Robinson score less than or greater than 20. Outcome was better for patients with a Robinson score20 pre-operatively. For these two populations, change in lifestyle was highly significant one year postoperatively. However, for the overall population, changes in lifestyle and joint motion were not significantly different between the pre- and postoperative evaluations. Paradoxically, 29.1% of the patients who were dependent preoperatively were not one year after surgery, which indicates that certain patients also had a better quality-of-life after their hemiarthroplasty.Mortality after fracture of the femoral neck remains high (18.2% at one year). There were no infections requiring revision in this series, but there were eleven cases of dislocation (5.4%). The difference in joint motion and quality-of-life between the pre- and postoperative assessment was not significant for the whole population, but one third of the patients who were independent preoperatively were not at last follow-up.

Published
2005

43. Carpal tunnel syndrome caused by Mycobacterium szulgai

Author

Horusitzky A, Puéchal X, Dumont D, Bégué T, Robineau M, and Marie-Christophe Boissier

Subjects
Male, Humans, Mycobacterium Infections, Nontuberculous, Female, Nontuberculous Mycobacteria, Middle Aged, Carpal Tunnel Syndrome, Magnetic Resonance Imaging, Aged, Anti-Bacterial Agents
Abstract

We describe 2 cases of infection due to Mycobacterium szulgai revealed by a carpal tunnel syndrome (CTS) that was the only clinical manifestation. Both patients regularly cleaned their fish tank with bare hands. The diagnosis was made by isolation of M. szulgai from synovium. The cause of the CTS was a synovitis. Previous synovectomies were ineffective. Improvement was observed with antibiotic treatment. The only way to diagnose this unusual infection is to perform histology of synovium and to isolate the mycobacteria from synovium culture.

Published
2000

44. [Treatment of comminuted fractures of the lower end of the radius with internal osteosynthesis, traction and early mobilization]

Author

Boury G, Bégué T, Garreau de Loubresse C, Judet T, Rouvreau P, de Cheveigné C, and de Thomasson E

Subjects
Male, Radiography, Fracture Fixation, Internal, Bone Lengthening, Humans, Female, Middle Aged, Range of Motion, Articular, Radius Fractures, Early Ambulation, Fractures, Comminuted, Biomechanical Phenomena, Follow-Up Studies
Abstract

Goals for treatment of comminutive fractures of the distal radius include restoration of the articular profile of the proximal part of the joint, while axial loading forces must be avoided as much as possible to prevent secondary displacement. The choice of an internal fixation protected by an external wrist distractor-fixator, with early activo-passive mobilisation, seems to achieve the goal. Twelve patients with a comminuted fracture of the distal radius, including axial articular impigment displacement were reviewed for this study. All fractures were Frykman's type III, IV, VII or VIII. Distraction was done with a specific external apparatus, allowing an internal fixation, using an anterior plate and posterior Kirschner wires for the more complex cases. Distraction was released at the end of the surgical procedure, while the distractor was left in place. The wrist was mobilised early in the post-operative period, and the distractor was removed two months later. At a mean follow-up of 8.5 months, two patients were still painful. Mean motion of the wrist joint was 115 degrees for flexion-extension and 35 degrees for radio-ulnar deviation. Radiological results were good (10 cases), in both planes sagittal and frontal, and stable with time. The radio-ulnar index was correct in 11 cases. Only two cases of Sudeck's atrophy were noted. Authors use a specific external wrist distractor to obtain and maintain reduction in comminuted fractures of the distal end of the radius, using internal fixation in combination. Early motion of the wrist, protected by the wrist distractor seems to lower rates of Sudeck's atrophy.

Published
1995

48. [Bone reconstruction]

Author

Bégué T

Subjects
Bone Transplantation, Humans, Bone and Bones, Orthopedic Fixation Devices
Published
1992

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