Classifications et scores en chirurgie orthopédique et by Emmanuel Favreul

By Emmanuel Favreul

Ce livre des classifications et des rankings en orthop?die et en traumatologie se veut un manuel pratique ? consulter. Nous n’avons pas voulu ?tre exhaustifs; ce qui eut ?t? de toute mani?re impossible vu l'important d?veloppement des rankings et classifications de ces derni?res d?cennies. Chaque fois qu’une nouvelle technique appara?t et simplifie les traitements, des pans entiers de classifications deviennent obsol?tes. Un devoir d’historien persiste donc, qui doit permettre ? chacun, selon le cas consid?r?, d'utiliser, soit des classifications « up to date », soit de rester dans des cat?gories plus classiques. Le most desirable tome est consacr? aux classifications du rachis, de l. a. hanche et du genou. Nous pr?parons le second tome qui sera, lui, consacr? ? l’?paule, au membre sup?rieur et au pied.Ces livres se trouveront avec bonheur entre les mains aussi bien des plus chevronn?s qui peuvent parfois avoir une h?sitation et vouloir v?rifier un aspect particulier , qu’entre celles de nos jeunes coll?gues, qui sont parfois victimes d’une forme de pens?e precise et souhaitent d?couvrir d’autres horizons.

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Extra info for Classifications et scores en chirurgie orthopédique et traumatologique, volume 1 : hanche, genou, rachis (Collection GECO)

Example text

23 - Les zones fémorales de Gruen. 20 Classifications et scores en chirurgie orthopédique et traumatologique Canal flare index de Noble (fig. 24 et 25) Référence bibliographique Noble PC, Alexander JW, Lindahl LJ, Yew DT, Granberry WM, Tullos HS (1988) The anatomic basis of femoral component design. Clin Orthop 225: 148-66 Canal flare index : A/B(IF) – < 3,0 fémur conique (stovepipe canal) ; – 3,0 et < 4,7 standard (normal canal) ; – 4,7 fémur cylindrique (Champagne-flute). Commentaire Classification utile pour adapter une prothèse sans ciment à la forme du fémur.

Grade IV: Dislocation with a fracture of the head or neck of the femur. Central dislocations – Grade I: Linear or stellate fracture through the floor of the acetabulum but without appreciate dislocation. – Grade II: Comminuted fracture with a mild to moderate central displacement of the femoral head and of the acetabular fragment. – Grade III: Marked displacement of the fragments and protrusion of the head of the femur into the pelvis, with or without comminution of the superior portion of the acetabulum.

Tableau XV - Mayo hip Score: Revision total arthroplasty score : Part 1 Clinical assessment (80 points). Number of points Pain (40 points) None Slight or occasional Moderate Severe Function (20 points) Distance walked (15points) 10 blocks or more 6 blocks 1-3 blocks Indoors Unable to walk Support aids (5 points) None Cane occasionally Cane or crutch full time 2 canes, crutchs Walker Unable to walk 40 35 20 0 15 12 7 2 0 5 4 3 2 1 0 Number of points Mobility and muscle power (20 points) Car (5 points) With ease With difficulty unable Foot care (5 points) With ease With difficulty unable Limp (5 points) None Slight Severe Stairs (5 points) Normal With rail One step at a time Unable 5 3 0 5 3 0 5 3 0 5 4 2 0 Hanche et cuisse 45 Tableau XVI - Mayo hip Score.

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