Comment diagnostiquer une nécessité d'hémiarthroplastie ?
Un examen clinique et des imageries comme des radiographies sont nécessaires.
FracturesRadiographie
#2
Quels symptômes indiquent une hémiarthroplastie ?
Douleur intense, mobilité réduite et déformation de l'articulation sont des signes.
DouleurMobilité
#3
Quels examens sont recommandés avant l'opération ?
Des analyses sanguines et des examens d'imagerie sont souvent requis.
Analyses sanguinesImagerie médicale
#4
Quel rôle joue l'IRM dans le diagnostic ?
L'IRM aide à évaluer les tissus mous et les lésions articulaires.
IRMTissus mous
#5
Quand envisager une hémiarthroplastie ?
En cas d'échec des traitements conservateurs pour des douleurs articulaires sévères.
Traitement conservateurDouleurs articulaires
Symptômes
5
#1
Quels sont les symptômes d'une arthrose nécessitant une hémiarthroplastie ?
Raideur, douleur persistante et perte de fonction articulaire sont fréquents.
ArthroseRaideur articulaire
#2
La douleur est-elle toujours présente avant l'opération ?
Oui, la douleur est souvent constante et peut s'aggraver avec le temps.
DouleurProgression de la maladie
#3
Y a-t-il des signes d'infection à surveiller ?
Rougeur, chaleur et gonflement autour de l'articulation peuvent indiquer une infection.
InfectionGonflement
#4
Comment la mobilité est-elle affectée ?
La mobilité est souvent limitée, rendant les activités quotidiennes difficiles.
MobilitéActivités quotidiennes
#5
Les symptômes varient-ils selon l'articulation ?
Oui, les symptômes peuvent différer selon l'articulation affectée, comme la hanche ou le genou.
ArticulationsHanche
Prévention
5
#1
Comment prévenir les blessures nécessitant une hémiarthroplastie ?
Maintenir un poids santé et pratiquer des exercices réguliers peut aider.
Prévention des blessuresExercice physique
#2
Y a-t-il des mesures préventives pour l'arthrose ?
Une alimentation équilibrée et l'exercice peuvent réduire le risque d'arthrose.
AlimentationArthrose
#3
Les chutes peuvent-elles être évitées ?
Oui, en améliorant l'équilibre et en adaptant l'environnement domestique.
ChutesÉquilibre
#4
Le renforcement musculaire aide-t-il ?
Oui, le renforcement musculaire peut stabiliser les articulations et prévenir les blessures.
Renforcement musculaireStabilité articulaire
#5
Les examens réguliers sont-ils importants ?
Oui, des examens réguliers peuvent détecter précocement des problèmes articulaires.
Examens médicauxProblèmes articulaires
Traitements
5
#1
Quels traitements précèdent l'hémiarthroplastie ?
Les traitements conservateurs incluent la physiothérapie et les médicaments anti-inflammatoires.
PhysiothérapieMédicaments anti-inflammatoires
#2
Quelle est la durée de l'hospitalisation après l'opération ?
L'hospitalisation dure généralement de 2 à 5 jours selon la récupération.
HospitalisationRécupération
#3
Quels sont les soins post-opératoires essentiels ?
La gestion de la douleur, la rééducation et le suivi médical sont cruciaux.
Soins post-opératoiresRééducation
#4
Quand peut-on reprendre une activité normale ?
La reprise d'activités normales peut prendre de 6 semaines à plusieurs mois.
Activités normalesRécupération
#5
Quels types de prothèses sont utilisés ?
Des prothèses en métal, en plastique ou en céramique sont couramment utilisées.
ProthèsesMatériaux médicaux
Complications
5
#1
Quelles sont les complications possibles après l'hémiarthroplastie ?
Les complications incluent l'infection, la thrombose et la luxation de la prothèse.
InfectionThrombose
#2
Comment prévenir les infections post-opératoires ?
Des antibiotiques prophylactiques et une bonne hygiène sont recommandés.
AntibiotiquesHygiène
#3
Quels signes indiquent une thrombose ?
Gonflement, douleur et rougeur dans la jambe peuvent signaler une thrombose.
ThromboseGonflement
#4
La réhabilitation peut-elle réduire les complications ?
Oui, une réhabilitation adéquate aide à minimiser les complications post-opératoires.
RéhabilitationComplications post-opératoires
#5
Les complications sont-elles fréquentes ?
Les complications sont rares mais peuvent survenir, nécessitant une surveillance.
SurveillanceComplications
Facteurs de risque
5
#1
Quels facteurs augmentent le risque d'hémiarthroplastie ?
L'âge avancé, l'obésité et les antécédents de blessures articulaires sont des facteurs de risque.
Âge avancéObésité
#2
Les maladies chroniques influencent-elles le risque ?
Oui, des maladies comme le diabète et l'arthrite augmentent le risque de complications.
DiabèteArthrite
#3
Le mode de vie joue-t-il un rôle ?
Un mode de vie sédentaire et une mauvaise alimentation peuvent accroître le risque.
Mode de vieAlimentation
#4
Les antécédents familiaux sont-ils importants ?
Oui, des antécédents familiaux d'arthrose ou de maladies articulaires augmentent le risque.
Antécédents familiauxMaladies articulaires
#5
Le sexe influence-t-il le risque d'hémiarthroplastie ?
Oui, les femmes sont souvent plus susceptibles de nécessiter une hémiarthroplastie en raison de l'arthrose.
SexeArthrose
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{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares mais peuvent survenir, nécessitant une surveillance."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque d'hémiarthroplastie ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge avancé, l'obésité et les antécédents de blessures articulaires sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques influencent-elles le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète et l'arthrite augmentent le risque de complications."
}
},
{
"@type": "Question",
"name": "Le mode de vie joue-t-il un rôle ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sédentaire et une mauvaise alimentation peuvent accroître le risque."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux sont-ils importants ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'arthrose ou de maladies articulaires augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque d'hémiarthroplastie ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes sont souvent plus susceptibles de nécessiter une hémiarthroplastie en raison de l'arthrose."
}
}
]
}
]
}
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
From Oxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Kadoorie Centre (M.A.F., J.A., M.L.C.), and the Nuffield Department of Primary Care Health Sciences (M.-E.P.), University of Oxford, and patient and public representative (J.G., A.M.), Oxford, University Hospitals Coventry and Warwickshire NHS Trust (M.A.F.) and the Statistics and Epidemiology Unit, Warwick Medical School, University of Warwick (N.P.), Coventry, and the Department of Trauma and Orthopaedic Surgery, Blizard Institute, Queen Mary University of London, and the Department of Trauma and Orthopaedic Surgery, Royal London Hospital, Barts Health NHS Trust, London (X.L.G.) - all in the United Kingdom.
Roth | McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, Western University, 268 Grosvenor Street, Room D0-213, London, Ontario N6A4L6, Canada. Electronic address: gking@uwo.ca.
Postoperative cardio-surgical haemostatic management is centre-specific and experience-based, which leads to a variability in patient care. This study aimed to identify which postoperative haemostatic...
A retrospective case-control study in a tertiary centre. Adult, elective, primary cardiac surgical patients were selected (...
Rate of cardiac surgical reoperation was 2% in the study population. Three variables were found to be associated with cardiac reoperation: preoperative administration of fresh frozen plasma (OR 5.45, ...
No significant difference among specific types of postoperative haemostatic interventions was found between patients who needed reoperation and those who did not. Perioperative transfusion of fresh fr...
Revision surgery for OPLL is undesirable for both patients and physicians. However, the risk factors for reoperation are not clear. Thus, we sought to review the existing literature and determine the ...
Patients with renal hyperparathyroidism undergoing parathyroidectomy may experience relapse. Reoperation for persistent or recurrent disease, particularly in the neck region, is challenging and has a ...
Patients with recurrent or persistent renal hyperparathyroidism who underwent neck reoperation between January 2015 and August 2022 were investigated, focusing on operative findings, perioperative bio...
During reoperation, 35 parathyroid glands were identified and removed from the 26 enrolled patients, with one, two, and three glands retrieved from 19 (73.2%), five (19.2%), and two (7.6%) patients, r...
Neck reoperation is an effective therapeutic option in patients with recurrent or persistent renal hyperparathyroidism. A decrease in PTH level by >70% during reoperation (PTH ratio <0.3) predicts suc...
Despite the rapid adoption of transcatheter aortic valve replacement (TAVR), the frequency and clinical outcomes of reoperation after TAVR are not well-described....
Between 2011 and 2020, 1719 patients underwent a TAVR at our institution. Among these, 32 patients (2%) required a reoperation. Additionally, 16 patients who received a TAVR at another institution rec...
Primary reoperations included 37 TAVR valve explants (TAVR-explant; 77%) with surgical aortic valve replacement (SAVR), 8 mitral repairs/replacements (17%), 2 coronary artery bypass grafting procedure...
The clinical impact of post-TAVR reoperation remains substantial despite the lower frequency of unplanned aortic repair over time. The necessity of reoperations or unfavorable repeat TAVR anatomy appe...
Free tissue transfer is utilized as a reconstructive option for various anatomic defects. While it has long been performed in adults, reconstructive surgeons have used free tissue transfer to a lesser...
Pediatric patients who underwent microvascular reconstruction between 2015 and 2020 were included. Patients were identified by five microvascular reconstruction Current Procedural Terminology codes an...
The study cohort consisted of 258 patients. The average age was 10.0 ± 4.7 years and the majority of patients were male (...
In pediatric patients undergoing free tissue transfer, higher readmission and reoperation risk was associated with longer operative duration. Overall, free tissue transfer is safe in the pediatric pop...
Spinal epidural abscess is a rare but severe condition with high rates of postoperative adverse events....
The objective of the study was to identify independent prognostic factors for reoperation using two datasets: an institutional and national database....
Retrospective Review....
Database 1: Review of five medical centers from 1993 to 2016. Database 2: The National Surgical Quality Improvement Program (NSQIP) was queried between 2012 and 2016....
Thirty-day and ninety-day reoperation rate....
Two independent datasets were reviewed to identify patients with spinal epidural abscesses undergoing spinal surgery. Multivariate analyses were used to determine independent prognostic factors for re...
Overall, 642 patients underwent surgery for a spinal epidural abscess in the institutional cohort, with a 90-day unplanned reoperation rate of 19.9%. In the NSQIP database, 951 patients were identifie...
Six novel independent prognostic factors were identified for 90-day reoperation after surgery for a spinal epidural abscess. The multivariable analysis fairly predicts reoperation, indicating that the...
Microsurgical free flap surgery has revolutionized reconstructive surgery at most academic centers worldwide. However, free flap failures still occur even in the hands of the most experienced microsur...
A multicenter retrospective analysis....
This study aims to investigate reoperation of misplaced pedicle screws (MPSs) after posterior spinal fusion (PSF), focusing on neurological complications....
The management strategy for MPSs and the clinical results after reoperation are poorly defined....
Subjects were 10,754 patients (73,777 pedicle screws) who underwent PSF at 11 hospitals over 15 years. The total number of reoperations for MPS and patient clinical data were obtained from medical rec...
The rate of reoperation for screw misplacement per screw was 0.17%. A total of 69 patients (mean age, 67.4±16.5 yr) underwent reoperation because of 82 MPS. Reasons for reoperation were neurological s...
After reoperation, 70.1% of the patients achieved complete resolution of neurological symptoms. Factors associated with residual neurological symptoms included sensory and motor disturbance, medial-ca...
Rasmussen encephalitis (RE) is a rare inflammatory disease affecting one hemisphere, causing progressive neurological deficits and intractable seizures....
To report long-term seizure outcomes, reoperations, and functional outcomes in patients with RE who underwent hemispherectomy at our institution....
Retrospective review was performed for all patients with RE who had surgery between 1998 and 2020. We collected seizure history, postoperative outcomes, and functional data. Imaging was independently ...
We analyzed 30 patients with RE who underwent 35 hemispherectomies (5 reoperations). Using Kaplan-Meier analysis, seizure-freedom rate was 81.5%, 63.6%, and 55.6% at 1, 5, and 10 years after surgery, ...
Obtaining complete disconnection is critical for favorable seizure outcomes from hemispherectomy, and neurosurgeons should have a low threshold to reoperate in patients with RE with recurrent seizures...
Unplanned reoperation is an undesirable outcome with considerable risks and an increasingly assessed quality of care metric. There are no preoperative prediction models for reoperation after an index ...
This was a retrospective analysis of the American College of Surgeons' National Surgical Quality Improvement Program adult database, 2012-2018. An unplanned reoperation was defined as any unintended o...
Of 5,777,108 patients, 162,387 (2.81%) underwent an unplanned reoperation. The SURPAS model's C-index of 0.748 was 99.20% of that for the full model (C = 0.754). Hosmer-Lemeshow plots showed good cali...
The SURPAS model accurately predicted unplanned reoperation and was internally validated. Unplanned reoperation can be integrated into the SURPAS tool to provide preoperative risk assessment of this o...