检索结果-南通市图书馆

Shoulder Reconstruction with Massive Scapular-Proximal Humerus Osteoarticular Allograft after Total Scapulectomy for Proximal Humerus Osteosarcoma Recurrence

引用

Open Journal of Orthopedics 2015年第12期5卷 390-399页

作者： alidou traoré Karim Tribak Brahima Doukouré Daouda Kanaté Soumaro Slim Alban Mbende Sidi Yaya traoré Rebecca Eva Boka Christian Delloye Trauma and Orthopaedic Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire St-Luc University Clinics (UCL) Brussels Belgium Department of Pathology Cocody Teaching Hospital Abidjan Cote d’Ivoire Neurosurgery Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire

Bone tumors are infrequent within the scapula. Total scapulectomy with massive allograft reconstruction represents an attractive alternative to amputation when the whole scapula is invaded with tumor and the neurovascular bundle can be preserved during tumor resection. We report a case of resection of the scapula and proximal humerus for recurrent osteosarcoma with massive allograft reconstruction of the scapula and proximal humerus. A 22-year-old male patient was seen in February 1992 for a pathological fracture of the proximal left humerus. In July 1992, a resection of the proximal end of the humerus followed by a reconstruction with osteochondral allograft and nail osteosynthesis was performed. The postoperative course was uneventful. In September 2009, 17 years later, the patient presented with a huge tumor developed at the level of the scapula. There was no vascular or neurological symptom. Plain radiography showed an expansive osteolytic mass. CT scan demonstrated scapular and proximal humerus invasion. An extended assessment revealed the presence of two pulmonary nodules. The biopsy confirmed the recurrence of osteosarcoma. The indication of a resection of both the left scapula and the 1992 allograft which was completely invaded at its proximal portion and the complete reconstruction of the scapula and the proximal humerus with allograft was made. One year postoperatively, we note a favourable outcome in terms of musculoskeletal functions. Despite two resection surgeries of pulmonary nodules and chemotherapy treatments, the patient developed new lung metastases and an unfavourable outcome. Although shoulder function was almost completely eliminated following surgery, preservation of elbow, wrist and finger motion resulted in an acceptable level of postoperative limb function. This reconstruction appears to be an attractive technique to be used in similar cases. The necessity of a reliable tissue bank with quality allografts in sufficient number is paramount.

关键词： Osteosarcoma Scapula Proximal Humerus Allograft

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Initial Treatment of Knee Dislocation at Yopougon Teaching Hospital/Abidjan, Ivory Coast

引用

Open Journal of Orthopedics 2016年第11期6卷 337-343页

作者： traoré alidou Kouassi Kouamé Jean Eric Kouassi Aya Adelaïde Natacha Mbende Alban Slim Sie Essoh Jean Baptiste Bamba Insa Lambin Yves Trauma and Orthopaedics Department Yopougon Teaching Hospital Abidjan Ivory Coast Trauma and Orthopaedics Department Bouak&eacute Teaching Hospital Bouak&eacute Ivory Coast Neurosurgery Unit Yopougon Teaching Hospital Abidjan Ivory Coast

Knee dislocation is a serious and rare injury. Its rarity and the variety of injuries that result from it mean that there is no adequate management that is universally accepted. The aim of this study was to evaluate our emergency care strategy for these injuries. Materials and methodology: This was a retrospective study conducted from January 1992 to December 2004 on nine cases of knee dislocation. It consisted of six men and three women. The average age of these subjects was 35, ranging from 15 to 50 years. The causes for these injuries included: public road accidents (n = 4), household accidents (n = 3), a sporting accident and a dislocation that occurred following a fight. The dislocations were anteromedial (n = 4), posterolateral (n = 2), posterior (n = 2) and anterior (n = 1). Associated injuries were sore joint (n = 2), contusion of the common peroneal nerve (n = 1) and vascular injury (n = 1). An angiography was performed on one patient for a vascular injury and an Elecmyography (EMG) for a common peroneal nerve injury. Closed reduction was used for eight patients and open reduction for one patient. Results: Five knees were stable with normal range of motion and some residual pain. Four patients had knee instability;two anterior, one anteroposterior and one lateral. In three of these patients, the CT arthrography/arthro-scan confirmed central pivot damage, with meniscal damage in two of them. The four patients were referred to a knee surgeon in a private practice. The post-operational effects were minimal in vascular injury. The EMG performed for the common peroneal nerve detected a nerve contusion. Conclusion: Our emergency care strategy remains closed reduction. This therapeutic management is consistent, at least in the first 15 days, with the literature.

关键词： Knee Dislocation Initial Management Instability

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Ablation of a Patellar Button by Arthroscopy

引用

Open Journal of Orthopedics 2015年第11期5卷 345-349页

作者： traoré alidou Marchal Christophe Krah Koffi Leopoldo Soumaro Kanaté Daouda Mbende Alban Slim Boka Eva Rebecca Ngadjeu Tchana Francis Aimé Dubuc Jean-Emile Trauma and Orthopaedic Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire Saint Luc University Clinics (UCL) Brussels Belgium Neurosurgery Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire

Fracture of the patella after total knee arthroplasty is an infrequent complication. In the presence of poor remaining bone stock, avascular necrosis, removal of the implant with partial or complete patellectomy is recommended. Arthroscopic removal of a loose body or cement extrusion has been recently attempted successfully in very few cases, where loose and mobile cement fragments were involved and were often removed piecemeal. The authors experienced an unusual case of a patient a 69-year-old woman who, after having fallen down, presented a comminuted patellar fracture. We recommended an external orthosis and a temporary limitation of activity. Four months later, the patient complained. An X-ray revealed a necrosis of the proximal fragment and a lowering of the patellar button with the distal bone fragment. The removal of the patellar button was performed by arthroscopy. Conservative treatment can be successful for this patients and the removal of the patellar button loosening via arthroscopy appears to be an attractive technique to be used in similar cases.

关键词： Knee Patellar Button Loosening Arthroplasty

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Obturator Dislocation of the Hip at Yopougon/Abidjan Teaching Hospital

引用

Open Journal of Orthopedics 2015年第10期5卷 319-325页

作者： alidou traoré Daouda Kanaté Soumaro Christel Mobiot-Aka Alban Slim Mbende Rebecca Eva Boka Mamadou Dosso Kader Sy Jean Baptiste Sie Essoh Insa Bamba Yves Lambin Trauma and Orthopaedic Surgery Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire Neurosurgery Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire

Obturator dislocation of the hip is caused by high-velocity accidents as evidenced by its frequent association with other traumatic injuries and, seldom found. Its main complication remains femoral head avascular necrosis. We report on four cases of obturator dislocation of the hip. The mean age of patients was 30 years, and all their injuries followed a road traffic accident. Associated lesions were a contralateral femur fracture in two cases and an osteochondral fracture in one case. Reduction of dislocations was achieved orthopedically under general anaesthesia and the average waiting time before reduction was 20 hours. One patient had an intra-articular incarcerated fragment visible on X-ray, and another patient showed signs of early coxarthrosis 15 months later. The average follow-up time was 24 months.

关键词： Dislocation Anterior Obturator Hip Adult

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Unusual Posterior Traumatic Hip Dislocations at Yopougon/Abidjan Teaching Hospital

引用

Open Journal of Orthopedics 2016年第4期6卷 71-77页

作者： alidou traoré Leopold Koffi Krah Daouda Kanaté Soumaro Rebecca Eva Boka Christelle Mobiot-Aka Alban Slim Mbende Mamadou Dosso Kader Sy Jean Baptiste Sie Essoh Insa Bamba Yves Lambin Trauma and Orthopaedic Surgery Unit Yopougon Teaching Hospital Abidjan Ivory Coast Neurosurgery Unit Yopougon Teaching Hospital Abidjan Ivory Coast

Traumatic dislocation of the hip is quite rare and accounts for 2% - 5% of all dislocations. We report on a case of a bilateral posterior hip dislocation associated with symmetric acetabular fracture and two cases of infracotyloid dislocation. The report included 2 men and one woman. The mean age of patients was 33 years. All dislocations followed a road traffic accident. Non-operative closed reduction was achieved within 19 hours of admission. The average follow-up time was 15 months. The hips were stable, mobile, and painless;and there was no radiographic sign of avascular necrosis of the femoral head.

关键词： Hip Dislocation Posterior Infracotyloid Posterior Wall

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Intramedullary Nailing of Type I and Type II Open Leg Fractures after 6 Hours at Yopougon Teaching Hospital

引用

Open Journal of Orthopedics 2016年第8期6卷 227-233页

作者： traoré alidou Mbende Alban Slim Sery Bada Justin Léopold Niaoré Mobiot-Aka Christelle Soumaro Kanaté Daouda Boka Eva Rebecca Sie Essoh Jean Baptiste Bamba Insa Lambin Yves Trauma and Orthopaedics Department Yopougon Teaching Hospital Abidjan Ivory Coast Neurosurgery Unit Yopougon Teaching Hospital Abidjan Ivory Coast

Emergency debridement has long been the standard of care for open fractures of the tibia as infection is an important complication. In developing countries, patients are admitted to teaching hospitals 6 to 24 hours after their initial trauma. We sought to evaluate outcomes of nailing and correlations between the risk of infection and the delay in surgery. Materials and methods: Medical files of 48 men and 15 women with a combined total of 63 open fractures of the leg during a 12-year period were reviewed. The mean age was 29 years. Thirty-four type I and 29 type II open fractures according to the classification of Cauchoix and Duparc were treated with Küntscher nail after excision/debridement. Preoperative CRP was performed in 27 patients and in 22 cases it was positive. Twenty-six fractures were treated within a period of 6 to 24 hours, and a further 37 was operated on beyond 24 hours. The average waiting time before surgery was 2 days. Results: The infection was present in 11 patients (17.5%). We failed to establish any correlation between the time of treatment and the occurrence of infection for both type I and type II fractures treated during the same intervals with p = 0.244 (p > 0.05). But we established a correlation between the type of open fracture and the occurrence of infection with p = 0.01 (p < 0.05). There were 10 cases of infection among 22 cases of positive preoperative CRP. We couldn’t find a correlation between the positive value of the preoperative CRP and the occurrence of infection. Seven cases of infection were treated with appropriate antibiotherapy and early revision surgery. Four others cases complicated to bone infection (n = 2) and septic nonunion (n = 2). The average time of hospitalization was 22 days. The average time for fracture healing was 7 months. Conclusion: The rule of six hours is hardly applicable in our contexts. Our study showed no correlation between the preoperative period and the occurrence of infection.

关键词： Intramedullary Nailing Open Fracture Leg Six Hours

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Survey of Arsenic Level in Tube-Wells in Bam Province (Burkina Faso)

引用

Journal of Environmental Protection 2014年第14期5卷 1406-1410页

作者： Touridomon Issa Somé Abdoul Karim Sakira alidou Kaboré Aissata traoré Laboratory of Toxicology Environment and Health Doctorate School of Health University of Ouagadougou Ouaga Burkina Faso Plan Burkina Ouagadougou Burkina Faso

Groundwater is a main source of water supply for populations in Burkina Faso where there is a serious problem for drinking water access. However, water quality has not been always followed regularly. Recent studies showed that more than 50% of drillings in Yatenga province (north of Burkina Faso) have an arsenic concentration above the recommended WHO requirement. Preliminaries studies conducted in Bam (Center North of Burkina Faso) showed high arsenic level in certain localities. This work presents for the first time data on a large scale evaluation that had been performed in all the localities of Bam province in other to have a better assessment of contamination scale. A total of 707 drilling water samples have been selected randomly in 9 communes and analysed for the arsenic level using atomic absorption spectrometry with hydride generation. The results showed that 11% of drillings have an arsenic concentration above the recommended WHO requirements with Rouko commune having the highest rate of high arsenic level (22%).

关键词： Arsenic Groundwater Contamination Bam Province

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Proximal Femoral Allograft in Two-Stage Revision for Failed Septic Hip Arthroplasty

引用

Open Journal of Orthopedics 2015年第12期5卷 379-389页

作者： alidou traore Karim Tribak Jeancis Be Maité Van Cauter Christelle Mobiot-Aka Yaya Sidi traoré Slim Alban Mbende Daouda Kanaté Soumaro Rebecca Eva Boka Jean Cyr Yombi Christian Delloye Olivier Cornu Trauma and Orthopaedic Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire St-Luc University Clinics (UCL) Brussels Belgium Neurosurgery Unit Yopougon Teaching Hospital Abidjan Cote d’Ivoire

Infection after hip prostheses is a potentially devastating complication, and a serious medical and surgical challenge, especially when associated with Paprosky type III femoral bone loosening. Treatment is difficult and options are limited. We report on a 2-stage revision of 15 patients undergoing femur reconstruction with massive allografts. Materials and methods: This was a prospective study which included 15 patients (10 men and 5 women) with infected hip prosthesis, associated with Paprosky type III femoral proximal massive bone loss. The median age of patients was 64 years with a preoperative functional status score of 6. The average number of procedures to the same hip after the first arthroplasty was 6. All patients benefited from a 2-step surgery with massive allografts and locking prosthesis. The average follow-up time was 36 months. Results: Infection was monomicrobial in 14 cases;and was polymicrobial in 4 cases. Methicillin-resistant Staphylococcus epidermidis was the main bacteria (n = 10). The average C-reactive protein level before the second procedure was 2.3 ± 3.4. It was normalized in 8 cases. We recorded 13 cases of primary consolidation without another surgery, 3 cases of relapse, 2 traumatic dislocations and 2 fractures of the allograft. Conclusion: Hip prosthesis infection is a potentially catastrophic complication with significant negative ramifications for both the patient and the healthcare system. Massive allografts use in Paprosky III femoral defect remains very attractive for bone stock restoration and hip function improvement.

关键词： Arthroplasty Hip Infection Femur Paprosky 3 Massive Allograft

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：