Search

Introduction Medial opening wedge high tibial osteotomy (MOWHTO) is a surgical option for medial femorotibial osteoarthritis, which preserves articular cartilage by correcting the extra-articular deformities of the lower limbs that cause osteoarthritis. This is an increasingly popular treatment in a population with high functional demand, such as the French military population. The aim of this study was to evaluate the rate of return to work and military activities at 6 months postsurgery and at last follow-up in this military population following MOWHTO. The hypothesis of this study was that MOWHTO enabled a majority of service members to return to the same level of activity within 6 months of surgery. Materials and methods This was a retrospective, multicenter study including all French military personnel operated on for MOWHTO alone for osteoarthritis of medial compartment between 2008 and 2018 in different Military Teaching Hospitals. We excluded civilian patients. For each patient, a questionnaire was used to collect epidemiological, professional, sports, and functional data. The primary endpoint was the rate of return to work at 6 months postsurgery. We also studied the recovery of sports activities and functional results at a 6.6-year follow-up by standardized questionnaires (Tegner activity scale, Lysholm, IKDC subjective (International Knee Documentation Commitee)). Results Twenty-four MOWHTOs were performed during this period in a cohort of 22 French military personnel. Return to work at 6 months was possible in 20/24 cases (83.3%). Of the four patients who did not return to work at 6 months, two changed their activities, while the other two returned to their jobs after 6 months. The rate of resumption of sporting activities at an equal or higher level was 50% (11/22). There was no difference between pre- and postoperative Tegner Activity Scale scores at the longest follow-up (P  = .08). The mean postoperative Lysholm scores were 73.5 (standard deviation 17.8) and IKDC 59 (standard deviation 8.7). No intraoperative complications were found, and one case of postoperative infection was found. Conclusions A total of 83% of the operated soldiers were able to return to their professional activities in less than 6 months. We observed a functional improvement at the last follow-up. Comparing these results with data from civilian populations, the rate of occupational recovery is comparable. However, the return to sport is much better in the series of nonmilitary patients with approximately 90% return to work and sport in the year following surgery. MOWHTO improves the functional results of the knee, enabling a return to work and sport in most cases in young, active populations such as the French military. [ABSTRACT FROM AUTHOR]

Ward nurse, ORN, dresser: there are many names for this nursing specialty. But what does it mean to be a scrub nurse? What are the specific aspects and characteristics of this nurse who cares for patients in the operating theatre, ensuring their safety and comfort? What does it mean in terms of posture to be the surgeon's close collaborator? What does the profession's scope of activity cover?, (Copyright © 2024. Publié par Elsevier Masson SAS.)

In addition to working alongside the surgical team in the operating room, the scrub nurse deploys his or her skills in various satellite departments. Sterilization, hospital hygiene, endoscopy and interventional imaging are all associated sectors, integrated into the scrub nurse's career and functions. What role does the scrub nurse play in these areas, and what added value does it bring to patient care?, (Copyright © 2024. Publié par Elsevier Masson SAS.)

Among the various activities carried out by scrub nurse, the role of operating assistant, now renamed operating assistant, has been enriched by the recent reengineering of its field of activity. New procedures are entrusted to these professionals, some of which require Ibode training., (Copyright © 2024. Publié par Elsevier Masson SAS.)

The structure and organization of operating theatres vary from one healthcare facility to another. Some establishments have a multi-disciplinary operating theatre, with shared operating theatres and staff, while others have separate operating theatres, often divided by discipline. Emergencies are therefore dealt with in the operating theatres for scheduled surgery. However, some university hospitals also have emergency operating theatres., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The importance of internships, as part of the alternating training of nursing students, is no longer in question. Thus, to obtain their diploma, out of the 180 European credits expected, 60 come from these placements. Although very specific and not very much involved in the training of students in initial training, an internship in the operating room is very instructive and contributes to the development of multiple nursing knowledge and skills., (Copyright © 2023. Publié par Elsevier Masson SAS.)

The severe acute respiratory syndrome coronavirus 2 pandemic upset the daily life of all French people, through the fear caused by this disease called COVID-19, but also through the changes in lifestyle resulting from sanitary confinement. As health professional students, we also experienced this shock from a professional point of view by supporting the healthcare teams in the context of the launch of the "Plan Blanc"., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)