Diagnostic criteria of forearm Chronic Exertional Compartment Syndrome: A systematic review.

被引量：- 发表：1970

Acetabular revision for iliopsoas impingement: a study of 55 cases at 3 years of follow-up. Does the procedure achieve the Minimal Clinically Important Difference (MCID) in the Oxford-12 score in more than 80% of cases?

被引量：- 发表：1970

What does the SOFCOT-RENACOT 2024 hip prosthesis register tell us?

被引量：- 发表：1970

Comparison of estimated glomerular filtration rate using five equations to predict acute kidney injury following hip fracture surgery.

Decreased estimated glomerular filtration rate (eGFR) is associated with acute kidney injury (AKI) following hip fracture surgery. Delaying surgery for preoperative treatment of comorbidities is controversial in this patient population. The purpose of this study was 1) to assess differences in demographics and comorbidities between AKI and non-AKI groups, 2) to analyze equations used in calculating eGFR, and 3) to identify the equation which best predicts the development of AKI following hip fracture surgery. We hypothesize that one of the equations used to calculate eGFR will be superior to the others. 124,002 cases of hip fracture surgery were performed from 2012 to 2019, based upon a query of the National Surgical Quality Improvement Program (NSQIP). Preoperative eGFR was calculated using the following: Modification of Diet in Renal Disease (MDRD) II, re-expressed MDRD II, Chronic Kidney Disease Epidemiology Collaboration, Mayo quadratic, and Cockcroft-Gault equations. Independent associations between preoperative eGFR and postoperative renal failure were evaluated using multivariate regression analysis. The predictive ability of each equation was determined using the Akaike information criterion (AIC). AKI was diagnosed in 584 (0.71%) out of the 82,326 patients following hip fracture surgery. The AKI and no AKI cohorts differed significantly by patient sex (p = <0.001), race (p = <0.001), BMI (p = < 0.001), preoperative hematocrit (p = <0.001), preoperative albumin (p = <0.001), diabetes mellitus (p = <0.001), hypertension (p = <0.001), and congestive heart failure (p = <0.001). The Mayo equation (84.0 ± 23.7) was the equation with the highest calculated mean eGFR, followed by the CKD-EPI equation (83.6 ± 20.0), MDRD II equation (83.0 ± 38.9), CG equation (74.7 ± 35.5), and finally the re-expressed MDRD II equation (68.5 ± 36.0) which had the lowest calculated mean eGFR.. All five equations detected that a decrease in preoperative eGFR was associated with an increased risk of postoperative AKI. Lower preoperative eGFR, as calculated by each of the five equations, was significantly associated with an increased risk of AKI following surgical fixation of hip fracture. The AIC was the lowest in the Mayo equation, demonstrating the best fit of the equations to predict postoperative AKI CONCLUSIONS: We propose that using the equation that best identifies those at risk of developing postoperative AKI may help with perioperative decision making and treatment to improve outcomes, which we found to be the Mayo equation. The risk of postoperative AKI was independently associated with decreased preoperative eGFR. The results of this study may warrant further investigation utilizing prospective studies. III; retrospective cohort study.

被引量：- 发表：1970

Rate of complications and short-term Functional Results of Revision Total Knee Arthroplasty for Tibio-femoral Instability: do stability and range of motion are restored in 62 revisions.

Tibio-femoral instability (TFI) due to ligament imbalance is a growing cause of revision total knee arthroplasty (TKA). The results are heterogeneous in the event of revision and literature is scarce regarding this issue particularly when use of hinge prostheses is not exclusive to manage this complication. Therefore, a retrospective investigation was conducted aiming to (1) analyze the one-year functional results, (2) determine the rate of complications after revision for TFI using posterior-stabilized or condylar constrained knees (CCK), 3) identify the factors that could influence the function outcome. Patients undergoing revision TKA for TFI would show an improvement in Oxford Knee Score at one year postoperative. Sixty-two patients were included (40 females, 22 males) mean age 62,9 years ± 8.2 (range, 45,7-78,4). Instability was classified as instability in extension (n = 28), midflexion (n = 12), flexion (n = 12) or global (n = 15). Revisions were done because of isolated instability. Revision consisted in implant revision using a CCK (n = 42), a hinge prosthesis (n = 12) or an isolated polyethylene insert exchange (n = 8). Patients were assessed at one year by the difference between the preoperative Oxford Knee Score (OKS) and the score at one year postoperatively. The results were deemed satisfactory if the variation between preoperative OKS and one-year follow-up was greater than or equal to 5 points (Minimal Clinically Important Difference (MCID) following TKA). Complication rate and risk factors influencing the outcome were also analyzed. Of the 62 patients, 59 could be assessed at one year using postoperative OKS (one death at 0.66 years from unrelated reason, and two had repeated revision within one year postoperative [1 aseptic loosening and 1 Co-Cr allergy]). Preoperative OKS was 15.5 points ± 7.1 (range, 2-37), rising to 28.9 points ± 8.7 (range, 11-45) at follow-up. The mean OKS improvement was 13.4 points ± 10.3 (range, -8 to 33) (p < 0.001) and 47 patients (79.6%) reached the MCID at follow-up. Female gender was associated with a worse evolution of OKS (-5.8, 95% CI: -11.26 to -0.34 (p = 0.038)). In contrast, there was no significant difference in the evolution of the OKS according to the type of TFI in extension or in flexion, in midflexion or global (p = 0.5). Likewise, there was no significant difference in the evolution of the OKS between RTKA using CCK, hinged prosthesis or isolated polyethylene insert exchange (p = 0.3). There was no recurrence of instability at final follow-up (3.04 years ± 1.5 (range, 0.66-6.25)). Revision for instability did not drive to stiffness since mean flexion prior to RTKA was 116 ° ± 13 ° (range, 90 ° to 130 °) versus 116.7 ° ± 12 ° (range, 90 ° to 130 °) at follow-up. Fourteen patients (22.6%) experienced postoperative complications, including 3 revisions (4.8%) at final follow-up. RTKA for TFI leads to significant functional improvement at one-year postoperative. However, the risk of complications is almost high at 22.6%. IV; retrospective study.

被引量：- 发表：1970