Titre : Ostéogenèse par distraction

Ostéogenèse par distraction : Questions médicales fréquentes

Termes MeSH sélectionnés :

Computer Graphics
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pour évaluer la croissance osseuse ?\nQuand envisager une ostéogenèse par distraction ?\nQuels spécialistes sont impliqués dans le diagnostic ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Ostéogenèse par distraction", "description": "Quels symptômes nécessitent une intervention chirurgicale ?\nComment se manifeste une déformation osseuse ?\nQuels signes d'infection peuvent apparaître après la chirurgie ?\nQuels symptômes peuvent survenir après distraction osseuse ?\nComment évaluer la douleur post-opératoire ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Ostéogenèse par distraction", "description": "Comment prévenir les complications après une chirurgie ?\nQuels conseils donner pour éviter les infections ?\nComment favoriser la guérison osseuse ?\nQuels facteurs de risque peuvent être évités ?\nComment gérer la douleur pour prévenir des complications ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Ostéogenèse par distraction", "description": "Quel est le principe de l'ostéogenèse par distraction ?\nQuels dispositifs sont utilisés pour la distraction osseuse ?\nQuelle est la durée du traitement par distraction ?\nQuels soins post-opératoires sont nécessaires ?\nComment évaluer l'efficacité du traitement ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Ostéogenèse par distraction", "description": "Quelles sont les complications possibles de la distraction osseuse ?\nComment reconnaître une infection post-opératoire ?\nQuels sont les risques de non-union osseuse ?\nComment gérer les douleurs chroniques après la chirurgie ?\nQuels facteurs augmentent le risque de complications ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Ostéogenèse par distraction", "description": "Quels facteurs de risque sont associés à l'ostéogenèse par distraction ?\nComment le tabagisme affecte-t-il la guérison osseuse ?\nQuel rôle joue l'âge dans le succès de la procédure ?\nLes maladies chroniques influencent-elles la procédure ?\nComment l'alimentation impacte-t-elle la guérison osseuse ?", "url": "https://questionsmedicales.fr/mesh/D019857?mesh_terms=Computer+Graphics&page=996#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une nécessité d'ostéogenèse par distraction ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen clinique et des imageries comme les radiographies sont nécessaires." } }, { "@type": "Question", "name": "Quels signes indiquent une déformation osseuse ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs, une mobilité réduite et une asymétrie des membres peuvent indiquer une déformation." } }, { "@type": "Question", "name": "Quels examens sont utilisés pour évaluer la croissance osseuse ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les radiographies et les IRM sont couramment utilisés pour évaluer la croissance osseuse." } }, { "@type": "Question", "name": "Quand envisager une ostéogenèse par distraction ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Elle est envisagée en cas de déformations sévères ou de fractures complexes." } }, { "@type": "Question", "name": "Quels spécialistes sont impliqués dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les orthopédistes et les radiologues sont généralement impliqués dans le diagnostic." } }, { "@type": "Question", "name": "Quels symptômes nécessitent une intervention chirurgicale ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs persistantes et une incapacité fonctionnelle peuvent nécessiter une intervention." } }, { "@type": "Question", "name": "Comment se manifeste une déformation osseuse ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut se manifester par une courbure anormale ou une longueur inégale des membres." } }, { "@type": "Question", "name": "Quels signes d'infection peuvent apparaître après la chirurgie ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Rougeur, chaleur, gonflement et écoulement au site chirurgical peuvent indiquer une infection." } }, { "@type": "Question", "name": "Quels symptômes peuvent survenir après distraction osseuse ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs et un gonflement au site de distraction sont fréquents après la procédure." } }, { "@type": "Question", "name": "Comment évaluer la douleur post-opératoire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "L'évaluation de la douleur se fait par des échelles de douleur adaptées au patient." } }, { "@type": "Question", "name": "Comment prévenir les complications après une chirurgie ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi régulier et des soins appropriés de la plaie aident à prévenir les complications." } }, { "@type": "Question", "name": "Quels conseils donner pour éviter les infections ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une bonne hygiène et suivre les instructions post-opératoires réduisent le risque d'infection." } }, { "@type": "Question", "name": "Comment favoriser la guérison osseuse ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation riche en calcium et en vitamine D, ainsi que l'exercice modéré, favorisent la guérison." } }, { "@type": "Question", "name": "Quels facteurs de risque peuvent être évités ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Éviter le tabagisme et l'alcool peut réduire les risques de complications post-chirurgicales." } }, { "@type": "Question", "name": "Comment gérer la douleur pour prévenir des complications ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Utiliser des analgésiques prescrits et suivre les recommandations médicales aide à gérer la douleur." } }, { "@type": "Question", "name": "Quel est le principe de l'ostéogenèse par distraction ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Elle consiste à étirer progressivement un os pour favoriser la formation de nouveau tissu osseux." } }, { "@type": "Question", "name": "Quels dispositifs sont utilisés pour la distraction osseuse ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Des appareils de distraction externe ou interne sont utilisés pour appliquer une force de traction." } }, { "@type": "Question", "name": "Quelle est la durée du traitement par distraction ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La durée varie, mais elle peut durer plusieurs mois selon la complexité du cas." } }, { "@type": "Question", "name": "Quels soins post-opératoires sont nécessaires ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des soins de la plaie, des exercices de réhabilitation et un suivi régulier sont nécessaires." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité du traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est évaluée par des radiographies et l'amélioration fonctionnelle du patient." } }, { "@type": "Question", "name": "Quelles sont les complications possibles de la distraction osseuse ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'infection, la non-union osseuse et des douleurs chroniques." } }, { "@type": "Question", "name": "Comment reconnaître une infection post-opératoire ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme rougeur, chaleur et écoulement au site chirurgical indiquent une infection." } }, { "@type": "Question", "name": "Quels sont les risques de non-union osseuse ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les risques de non-union peuvent être augmentés par des infections ou une mauvaise vascularisation." } }, { "@type": "Question", "name": "Comment gérer les douleurs chroniques après la chirurgie ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Des traitements de réhabilitation et des thérapies physiques peuvent aider à gérer la douleur chronique." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, le tabagisme et des maladies préexistantes augmentent le risque de complications." } }, { "@type": "Question", "name": "Quels facteurs de risque sont associés à l'ostéogenèse par distraction ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents de fractures, les maladies osseuses et le tabagisme sont des facteurs de risque." } }, { "@type": "Question", "name": "Comment le tabagisme affecte-t-il la guérison osseuse ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Le tabagisme réduit la circulation sanguine, ce qui peut retarder la guérison osseuse." } }, { "@type": "Question", "name": "Quel rôle joue l'âge dans le succès de la procédure ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé peut diminuer la capacité de guérison et augmenter les risques de complications." } }, { "@type": "Question", "name": "Les maladies chroniques influencent-elles la procédure ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme le diabète peuvent affecter la guérison et augmenter les risques." } }, { "@type": "Question", "name": "Comment l'alimentation impacte-t-elle la guérison osseuse ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation pauvre en nutriments essentiels peut retarder la guérison osseuse." } } ] } ] }

Sources (10000 au total)

Synoptic reporting accuracy for computed tomography pulmonary arteriography among patients suspected of pulmonary embolism.

Structured reporting is an efficient and replicable method of presenting diagnostic results that eliminates variability inherent in narrative descriptive reporting and may improve clinical decisions. ... Limited evidence exists for use of synoptic reporting for computed tomography pulmonary arteriography (CTPA) among patients suspected of pulmonary embolism. We reported the accuracy of synoptic report... Structured radiology reports with embedded synoptic elements were implemented for all CTPA examinations on March 1, 2018. Four hundred CTPA reports between January 4, 2019 and July 30, 2020 (200 repor... Synoptic reporting and manual review agreed in 99.2% of patients undergoing CTPA for suspected PE, agreed on the presence of PE in 196 of 199 (98.5%) cases, the absence of PE in 200 of 200 (100%) case... The overall rate of agreement was 99.2%, but we observed an unacceptable false-negative rate for clinical reliance on synoptic element reporting in isolation from dictated reports....

Computer-assisted analysis of polysomnographic recordings improves inter-scorer associated agreement and scoring times.

To investigate inter-scorer agreement and scoring time differences associated with visual and computer-assisted analysis of polysomnographic (PSG) recordings.... A group of 12 expert scorers reviewed 5 PSGs that were independently selected in the context of each of the following tasks: (i) sleep staging, (ii) scoring of leg movements, (iii) detection of respir... Computer-assisted sleep scoring showed a consistent and statistically relevant effect toward less time required for the completion of each of the PSG scoring tasks. Gain factors ranged from 1.26 (EEG ... Computer-assisted analysis can improve inter-scorer agreement and scoring times associated with the review of PSG studies resulting in higher efficiency and overall quality in the diagnosis sleep diso...

Computer-Aided Detection of Respiratory Sounds in Bronchial Asthma Patients Based on Machine Learning Method.

To build and train neural networks, we used the records of respiratory sounds of bronchial asthma patients at different stages of the disease (n=951) aged from several months to 47 years old and healt... The method developed for computer-aided detection of respiratory sounds allows to diagnose sounds typical for bronchial asthma in 89.4% of cases with 89.3% sensitivity and 86.0% specificity regardless...

Anatomic Factors Associated With Osteochondral Allograft Matching for Trochlear Cartilage Defects: A Computer-Simulation Study.

Articular step-off between the donor and recipient in osteochondral allograft transplant has been shown to alter contact pressures. Currently, commercial allograft donor selection is primarily based o... To identify anatomic factors associated with optimal graft matching by using a 3-dimensional simulation model.... Descriptive laboratory study.... Computed tomography images of 10 cadaveric trochlear specimens were obtained to generate 3-dimensional models. Circular defects were created virtually in the recipient trochleae at both superolateral ... Ideal matches were found for 100% of superolateral defects but for only 15% to 53% of central defects, depending on the defect size. Multivariate stepwise regression identified laterality (odds ratio ... Sagittal angle, sulcus angle, and lateral radius of curvature mismatch should be used to determine optimal donor allografts, especially in the setting of large (30-mm) central defects. Increasing sulc... Additional descriptive trochlear measurements should be incorporated into the algorithm for donor selection. These findings can be used to identify acceptable mismatch parameters....

Diagnostic accuracy of computed tomography and ultrasound for the diagnosis of acute appendicitis: A systematic review and meta-analysis.

The diagnosis of acute appendicitis remains challenging. This review determined the current diagnostic accuracy of CT and ultrasound for suspected acute appendicitis in adults.... This systematic review adhered to the PRISMA for diagnostic test accuracy guidelines. A systematic search was undertaken in appropriate databases. Screening of potential titles and abstracts, full-tex... 31 studies evaluating CT, 10 evaluating US, and six evaluating both were included. Pooled sensitivity and specificity for CT was 0.972 [0.958, 0.981] and 0.956 [0.941, 0.967] respectively, and 0.821 [... The updated diagnostic test accuracies of CT, US and relevant subgroups should be implemented in light of factors such as dose, cost, and timing.... For diagnosis of adult acute appendicitis: • CT with intravenous plus oral contrast enhancement yields statistically significantly greater diagnostic accuracy than CT with intravenous contrast alone. ...