questionsmedicales.fr
Procédures de chirurgie opératoire
Procédures orthopédiques
Allongement osseux
Technique d'Ilizarov
Technique d'Ilizarov : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Déformations osseuses
Imagerie par résonance magnétique
Longueur osseuse
Radiographie
Chirurgie orthopédique
Douleur
Symptômes
5
Infection osseuse
Chirurgie
Distraction osseuse
Douleur
Effets secondaires
Infection
Prévention
5
Prévention des fractures
Sport
Complications
Chirurgie orthopédique
Déformations osseuses
Croissance
Traitements
5
Technique d'Ilizarov
Régénération osseuse
Fractures
Déformations osseuses
Distraction osseuse
Allongement osseux
Soins post-opératoires
Réhabilitation
Durée du traitement
Technique d'Ilizarov
Complications
5
Douleur chronique
Réhabilitation
Non-consolidation
Circulation sanguine
Facteurs de risque
5
Médicaments
Cicatrisation
Antécédents médicaux
Complications
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"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer les déformations osseuses ?",
"position": 2,
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"@type": "Question",
"name": "Quels signes indiquent une nécrose osseuse ?",
"position": 3,
"acceptedAnswer": {
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},
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"@type": "Question",
"name": "Comment évaluer la longueur des os ?",
"position": 4,
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"text": "Des mesures radiographiques précises sont effectuées pour évaluer la longueur."
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"@type": "Question",
"name": "Quels symptômes nécessitent une intervention chirurgicale ?",
"position": 5,
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{
"@type": "Question",
"name": "Quels sont les symptômes d'une fracture ?",
"position": 6,
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"@type": "Question",
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"position": 7,
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{
"@type": "Question",
"name": "Quels signes indiquent une mauvaise cicatrisation ?",
"position": 8,
"acceptedAnswer": {
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"text": "Douleur persistante, mobilité limitée et déformation visible de l'os."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent survenir après la distraction osseuse ?",
"position": 9,
"acceptedAnswer": {
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"text": "Douleur, gonflement et parfois des picotements au niveau du site de distraction."
}
},
{
"@type": "Question",
"name": "Quels sont les effets secondaires possibles de la technique ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Inconfort, infection, et parfois des problèmes de croissance osseuse."
}
},
{
"@type": "Question",
"name": "Comment prévenir les fractures chez les sportifs ?",
"position": 11,
"acceptedAnswer": {
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"text": "Renforcement musculaire, échauffement adéquat et utilisation d'équipements de protection."
}
},
{
"@type": "Question",
"name": "Quelles mesures prendre pour éviter les infections post-chirurgicales ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène, suivre les instructions médicales et surveiller les signes d'infection."
}
},
{
"@type": "Question",
"name": "Comment éviter les complications après une chirurgie osseuse ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les recommandations médicales, éviter les activités à risque et faire des contrôles réguliers."
}
},
{
"@type": "Question",
"name": "Quels conseils pour une bonne cicatrisation osseuse ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée, repos suffisant et éviter le tabac favorisent la cicatrisation."
}
},
{
"@type": "Question",
"name": "Comment prévenir les déformations osseuses chez les enfants ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveiller la croissance, encourager l'activité physique et consulter un médecin si nécessaire."
}
},
{
"@type": "Question",
"name": "Comment fonctionne la technique d'Ilizarov ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle utilise un cadre externe pour stabiliser l'os et favoriser la régénération."
}
},
{
"@type": "Question",
"name": "Quels types de fractures sont traités par cette technique ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fractures complexes, fractures non consolidées et déformations osseuses."
}
},
{
"@type": "Question",
"name": "Quel est le rôle de la distraction osseuse ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle permet d'allonger l'os progressivement en créant un nouvel os entre les segments."
}
},
{
"@type": "Question",
"name": "Quels soins post-opératoires sont nécessaires ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Surveillance des signes d'infection, gestion de la douleur et rééducation."
}
},
{
"@type": "Question",
"name": "Combien de temps dure le traitement avec la technique d'Ilizarov ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement peut durer de plusieurs semaines à plusieurs mois selon le cas."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la technique d'Ilizarov ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infections, douleurs chroniques, et problèmes de consolidation osseuse."
}
},
{
"@type": "Question",
"name": "Comment gérer une infection après la chirurgie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Antibiotiques et soins locaux sont nécessaires pour traiter l'infection efficacement."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication grave ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fièvre élevée, douleur intense et écoulement purulent au site opératoire."
}
},
{
"@type": "Question",
"name": "Comment prévenir les douleurs chroniques après la chirurgie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une rééducation précoce et une gestion adéquate de la douleur sont essentielles."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de non-consolidation osseuse ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Mauvaise circulation sanguine, infection ou mauvaise technique chirurgicale peuvent causer cela."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de fractures ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé, l'ostéoporose et les activités sportives à risque augmentent ce risque."
}
},
{
"@type": "Question",
"name": "Comment le tabagisme influence-t-il la cicatrisation osseuse ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme retarde la cicatrisation et augmente le risque d'infections post-opératoires."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent affecter la guérison osseuse ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les corticostéroïdes et certains anti-inflammatoires peuvent retarder la guérison."
}
},
{
"@type": "Question",
"name": "Comment l'alimentation influence-t-elle la santé osseuse ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation riche en calcium et vitamine D est essentielle pour la santé osseuse."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux augmentent les risques de complications ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Antécédents de maladies osseuses, diabète ou troubles circulatoires augmentent les risques."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 10/04/2025
Contenu vérifié selon les dernières recommandations médicales
6 publications dans cette catégorie
Affiliations :
Department of Trauma and Microreconstructive Surgery, The First Affiliated Hospital of Xinjiang Medical University, 830054, Urumqi, Xinjiang, China. ahmatjang@163.com.
6 publications dans cette catégorie
Affiliations :
Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland.
Department of Orthopaedic and Trauma Surgery, University Hospital in Opole, Institute of Medical Sciences, University of Opole, Witosa 26, 41-405, Opole, Poland.
5 publications dans cette catégorie
Affiliations :
Department of Orthopedic Surgery, The Fourth Affiliated Hospital of Xinjiang Medical University, Traditional Chinese Medicine Hospital of Xinjiang Uyghur Autonomous Region, Ürümqi, Xinjiang, People's Republic of China. 424257832@qq.com.
Publications dans "Technique d'Ilizarov" :
4 publications dans cette catégorie
Affiliations :
Department of Orthopedics, Rehabilitation Hospital, National Research Center for Rehabilitation, Beijing, China.
Publications dans "Technique d'Ilizarov" :
4 publications dans cette catégorie
Affiliations :
Department of Trauma and Microreconstructive Surgery, The First Affiliated Hospital of Xinjiang Medical University, 830054, Urumqi, Xinjiang, China.
Publications dans "Technique d'Ilizarov" :
4 publications dans cette catégorie
Affiliations :
Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindleya 4, 02-005, Warsaw, Poland. L.szelerski@gmail.com.
Publications dans "Technique d'Ilizarov" :
4 publications dans cette catégorie
Affiliations :
Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindleya 4, 02-005, Warsaw, Poland.
Publications dans "Technique d'Ilizarov" :
4 publications dans cette catégorie
Affiliations :
Department of Physiotherapy in Motor Disorders and Dysfunctions, University School of Physical Education in Wroclaw, 51-612 Wroclaw, Poland.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Orthopaedic Department, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China. hanpei_cn@163.com.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Trauma and Microreconstructive Surgery, The First Affiliated Hospital of Xinjiang Medical University, 830054, Urumqi, Xinjiang, China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopedics and Musculoskeletal Traumatology, Medical University of Warsaw, Lindleya 4, 02-005, Warsaw, Poland.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopaedic Surgery, 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopaedic Surgery, 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopaedic Surgery, 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopaedic Surgery, 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Orthopaedic Surgery, 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China. 8212682@qq.com.
Publications dans "Technique d'Ilizarov" :
3 publications dans cette catégorie
Affiliations :
Department of Massage and Physical Therapy, Faculty of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland.
Publications dans "Technique d'Ilizarov" :
The rates of labor induction and cesarean delivery is rising worldwide. With the confluence of these trends, the labor induction rate in trials of labor after cesarean can be as high as 27-32.7%. Indu...
The electronic medical records of women who delivered between January 2018 to September 2022 in a Malaysian university hospital were screened to identify cases of IOLAC. A case is classified as a comp...
Electronic medical records of 19,064 women were screened. 819 IOLAC cases and 98 cases with composite adverse outcomes were identified. Maternal height, ethnicity, previous vaginal delivery, indicatio...
Shorter women and IOLAC by vaginal dinoprostone compared to Foley balloon were independently predictive of composite of adverse outcome....
To evaluate expectant compared to immediate return to hospital upon outpatient Foley catheter expulsion predicated on maternal satisfaction and amniotomy-titrated oxytocin infusion to delivery interva...
This randomized trial was conducted in a tertiary university hospital in Malaysia from September 2020 to February 2022. A total of 330 nulliparous women at term with unripe cervices (Bishop score ≤5),...
Amniotomy-titrated oxytocin infusion to delivery interval was 8.7 ± 4.1 versus 8.9 ± 3.9 h, P = 0.605 (mean difference - 0.228 95% CI: -1.1 to +0.6 h) and maternal satisfaction VNRS score was median (...
In outpatient Foley catheter IOL, expectant compared to immediate return to hospital following Foley dislodgement results in similarly high maternal satisfaction. The amniotomy-titrated oxytocin to de...
To compare pharmacokinetics (PK) and safety of heat-stable inhaled (IH) oxytocin with intramuscular (IM) oxytocin in women in third stage of labour (TSL), the primary endpoint being PK profiles of oxy...
A phase 1, randomized, cross-over study was undertaken in 2 UK and 1 Australian centres. Subjects were recruited into 2 groups: Group 1, women in TSL; Group 2, nonpregnant women of childbearing potent...
Participants were recruited between 23 November 2016 to 4 March 2019. In Group 1, 17 participants were randomized; received either IH (n = 9) or IM (n = 8) oxytocin. After IH and IM administration, mo...
Safety profiles of oxytocin IH and IM were similar. However, PK profiles could not be established for oxytocin IH or IM in women in TSL, despite using a highly sensitive and specific assay....
This study compares the effectiveness and safety of oxytocin infusion against oral misoprostol for inducing labour in pregnant women with term prelabor membrane rupture. We randomized 173 pregnant wom...
In modern obstetrics, need of labor induction is increasing along with increased caesarean deliveries. Major contributions for these operative deliveries are due to induction failure. This demands a p...
This was a single-center randomized controlled trial incorporating 140 term women, equally randomized to get either tablet Misoprostol or Dinoprostone gel. Fetal heart rate patterns were compared in b...
There were no statistically significant changes in fetal heart rate pattern in both Misoprostol and Dinoprostone groups. Vaginal deliveries were statistically higher in Misoprostol group. Neonatal par...
Misoprostol is a safe alternative to Dinoprostone gel for induction of labor and found to be more effective labor-inducing agent. In the background of higher caesarean rate, vaginal Misoprostol can be...
The off-label-use of Cytotec from Pfizer (generic name: misoprostol) for labor induction was common practise in German hospitals. In some papers this off-label-use is classified as a treatment mistake...
This study aimed to evaluate the efficacy and safety of evening primrose oil (EPO) for cervical ripening before gynecologic procedures and compare it to misoprostol. In this study, 40 hysteroscopy and...
Both duration of labour and use of oxytocin for augmentation are known risk factors for postpartum haemorrhage but distinguishing between the significance of these factors is complex. In this study, w...
A cohort study based on a secondary analysis of a cluster-randomised trial....
Term nulliparous women with a single foetus in cephalic presentation, spontaneous onset of active labour and a vaginal birth. The participants were originally included in cluster-randomised trial cond...
The data were analysed through four statistical models. Model 1 investigated the effect of oxytocin augmentation as a dichotomous variable (yes/no); Model 2 investigated the effect of the duration of ...
Model 1 found a significant association between the use of oxytocin and postpartum haemorrhage. In Model 2, oxytocin augmentation of ≥ 4.5 h was associated with postpartum haemorrhage. In Model 3, we ...
We found both oxytocin augmentation and labour duration to be associated with postpartum haemorrhage. Oxytocin doses of ≥ 20 mU/min and a labour duration of ≥ 16 h showed an independent association....
The potent drug oxytocin should be carefully administered, as doses of ≥ 20 mU/min were associated with an increased risk of PPH, regardless of the duration of oxytocin augmentation....
Postpartum haemorrhage remains a significant cause of maternal morbidity and mortality with the commonest reason being uterine atony. For prevention of uterine atony during caesarean delivery, oxytoci...
Induction of labour (IOL) at 39 weeks has been shown to decrease maternal and neonatal adverse outcomes. Given the growing demand for 39-week IOL, it is imperative that effective methods be assessed f...
This study is an open-label parallel group single-centre randomised trial. Participants are normal risk nulliparous women who have no pregnancy-related or medical contraindication to IOL. Women will b...
This study will definitively answer whether Dilapan-S is non-inferior to Propess® as a method of induction of labour in the outpatient setting and whether cervical ripening with Dilapan-S over a 12-h ...
EudraCT Number 2019-004697-25 Registered 14 September 2020....