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",
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"@type": "Question",
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"@type": "Question",
"name": "Comment évaluer la longueur des os ?",
"position": 4,
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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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{
"@type": "Question",
"name": "Quels signes indiquent une mauvaise cicatrisation ?",
"position": 8,
"acceptedAnswer": {
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{
"@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": {
"@type": "Answer",
"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" :
Although vascular calcification is a recognised complication for haemodialysis patients, peritoneal dialysis (PD) patients are also at risk. As such we wished to review peritoneal and urinary calcium ...
Twenty-four-hour peritoneal calcium balance and urinary calcium were reviewed in PD patients undergoing their first assessment of peritoneal membrane function....
Results from 183 patients, 56.3% male, 30.1% diabetic, mean age 59.4 ± 16.4 years, median 2.0 (2-6) months of PD, 29% treated by automated PD (APD), 26.8% continuous ambulatory (CAPD) and 44.2% APD wi...
Over 40% of PD patients had a positive peritoneal calcium balance. Elemental calcium intake from CCPB had a major effect on calcium balance, as median combined peritoneal and urinary calcium losses we...
Evaluation of a peritoneal dialysis (PD) program in a nephrology center involve qualitative and quantitative indicators on clinical outcomes. International guidelines recommend monitoring outcomes of ...
Urinary Dickkopf 3 (DKK3) excretion is a recently established biomarker of renal functional development. Its excretion into the peritoneal cavity has not been reported. We here studied DKK3 in periton...
DKK3 was assessed in serum, urine and dialysate in a prevalent adult peritoneal dialysis cohort and its concentration analyzed in relation to creatinine and clinical characteristics....
Highest DKK3 concentrations were found in serum, followed by urine. Dialysate concentrations were significantly lower. Dialysate DKK3 correlated with both other compartments. Serum, dialysate and urin...
Our data provide a detailed characterization of DKK3 in peritoneal dialysis. They support the notion that the RAAS system is essential for renal DKK3 handling....
For the 11% of dialysis patients worldwide who receive peritoneal dialysis (PD) to treat their end-stage kidney disease (ESKD), recent PD-associated peritonitis is estimated to contribute to 5-30% of ...
The guidelines for training of patients and caregivers to perform home peritoneal dialysis (PD) uniformly include recommendations pertaining to the prevention of peritonitis. The objective of this stu...
A questionnaire regarding details of the PD program and training practices was distributed to IPPN member centers, while peritonitis and ESI rates were either derived from the IPPN registry or obtaine...
Sixty-two of 137 centers responded. Information on peritonitis and ESI rates were available from fifty centers. Training was conducted by a PD nurse in 93.5% of centers, most commonly (50%) as an in-h...
An association between training duration and the number of training tools represent potentially modifiable risk factors to reduce peritonitis rates within the pediatric PD population. A higher resolut...
Peritoneal dialysis (PD) is a home-based kidney replacement therapy (KRT) performed in people with kidney failure. PD can be performed by manual filling and draining of the abdominal cavity, i.e. cont...
To compare clinical and patient-reported outcomes of APD to CAPD in people with kidney failure....
In this update, we searched the Cochrane Kidney and Transplant Register of Studies until 29 August 2024. Studies in the Register are identified through searches of CENTRAL, MEDLINE, and EMBASE, confer...
Randomised controlled trials (RCTs) comparing APD with CAPD in adults (≥ 18 years) with kidney failure....
Two authors independently screened the search results and extracted data. Data synthesis was performed using random-effects meta-analyses, expressing effect estimates as risk ratios (RR) with 95% conf...
Two RCTs (131 randomised people) comparing APD with CAPD were included in this update. One RCT had a follow-up of six months, and one RCT had a follow-up of 24 months. The risk of bias in the included...
Insufficient evidence exists to decide between APD and CAPD in kidney failure patients with regard to clinical and patient-reported outcomes. Therefore, current evidence is insufficient as a guide for...
Peritoneal dialysis (PD) and haemodialysis (HD) are two possible modalities for people with kidney failure commencing dialysis. Only a few randomised controlled trials (RCTs) have evaluated PD versus ...
To evaluate the benefits and harms of PD, compared to HD, in people with kidney failure initiating dialysis....
We searched the Cochrane Kidney and Transplant Register of Studies from 2000 to June 2024 using search terms relevant to this review. Studies in the Register were identified through searches of CENTRA...
RCTs and NRSIs evaluating PD compared to HD in people initiating dialysis were eligible....
Two investigators independently assessed if the studies were eligible and then extracted data. Risk of bias was assessed using standard Cochrane methods, and relevant outcomes were extracted for each ...
A total of 153 reports of 84 studies (2 RCTs, 82 NRSIs) were included. Studies varied widely in design (small single-centre studies to international registry analyses) and in the included populations ...
The comparative effectiveness of PD and HD on the preservation of RKF, all-cause and cause-specific death risk, the incidence of bacteraemia, other vascular complications (e.g. stroke, cardiovascular ...
A 57-year-old Japanese man on peritoneal dialysis developed peritoneal dialysis-associated peritonitis caused by Rhodococcus corynebacterioides. After the introduction of peritoneal dialysis, he had e...
Peritoneal dialysis (PD) is an important home-based treatment for kidney failure and accounts for 11% of all dialysis and 9% of all kidney replacement therapy globally. Although PD is available in 81%...
The practice and clinical outcomes of peritoneal dialysis (PD) have demonstrated significant improvement over the past 20 years. The aim of this review is to increase awareness and update healthcare p...