Meer kinderen zonder narcose onder MRI
Drie tot zes minuten muisstil liggen in de benauwde, kleine, indrukwekkende, lawaaierige ruimte van de MRI-scanner. Dat is moeilijk voor de meeste kinderen onder de acht jaar. En dat meerdere keren minstens 30 minuten lang, want zo lang duurt een MRI-scan. Daarom gaan jonge kinderen vaak onder narcose als zij een MRI-scan krijgen. Rutger Jan Nievelstein, […]

Aanbevolen

Wervelkolom
Acute ontstekingsreactie beschermt tegen ontwikkeling van chronische pijn
De mechanismen die verantwoordelijk zijn voor de overgang van acute naar chronische pijn moeten nog worden opgehelderd. In de huidige studie rich...
Valproïnezuur verhindert celgroei en celdeling en draagt zo bij aan geboorteafwijkingen
Valproïnezuur (VPA) is teratogeen; bij gebruik tijdens de zwangerschap kan blootstelling aan het ontwikkelde embryo leiden tot aangeboren afwijkingen...

Orthopedie nieuws

Heup

Ata Kiapour, PhD, MMSc
ors.org
Current Title, Department, Employer: Director of Musculoskeletal Informatics and Assistant ProfessorDepartment of Orthopaedic Surgery and Sports Medic...
Letter to the Editor Commenting on “The Impact of Preoperative Weight Loss Timing on Surgical Outcomes in Total Hip Arthroplasty”
arthroplastyjournal.org
I read with great interest the article by Shul et al. entitled, “The Impact of Preoperative Weight Loss Timing on Surgical Outcomes In Total Hip Arthroplasty,” published in the Journal of Arthroplasty [1]. The purpose of this investigation was to evaluate how weight loss at various time intervals would impact the rate of periprosthetic joint infection, surgical site infection, and aseptic revision compared to patients who were consistently obese and had normal body mass indices (BMI). I commend Shul and colleagues on a well-designed and executed study that provides important data regarding how surgeons select and counsel previously obese patients on postoperative risks.
The Impact of Leg Length and Offset Change on Dislocation Risk Following Primary Total Hip Arthroplasty
arthroplastyjournal.org
Soft tissue management in total hip arthroplasty (THA) includes appropriate restoration and/or alteration of leg length and offset to re-establish natural hip biomechanics. The purpose of this study was to evaluate the effect of leg length and offset-derived variables in a multivariable survival model for dislocation.
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Knie

Letter to the Editor commenting on Nefopam: A Potential Analgesic Relief Inducer And Morphine Consumption Reducer Following Primary Total Knee Arthroplasty?
Total knee arthroplasty (TKA) is one of the most popular surgical interventions performed to reduce the excruciating joint pain caused by severe wear-and-tear arthritis, also called osteoarthritis. However, TKA causes moderate to severe postoperative pain, which may impact the overall results. Opioids have been used as the first-line treatment for postoperative pain, but are notoriously known for causing some undesirable side effects as well, such as vomiting, respiratory depression, and urinary retention [1].
Letter to the Editor Commenting on “Inadequate Classification of Poor Response After Total Knee Arthroplasty: A Comparative Analysis of 15 Definitions Using Data From the Dutch Arthroplasty Register and the Osteoarthritis Initiative Database”
The paper by te Molder et al. applied 15 definitions of poor outcome to knee arthroplasty (KA) data from the Dutch arthroplasty registry and the Osteoarthritis Initiative to examine the accuracy and extent of overlap among these definitions [1]. To accomplish these objectives, the investigators defined 2 additional arbitrary criteria to use as gold standards for poor outcomes. These were a numeric rating scale of satisfaction (?6 = poor responder) and the global assessment of knee impact (dichotomized: ?4 = poor responder).
Response to Letter to the Editor Commenting on: ‘Inadequate Classification of Poor Response After Total Knee Arthroplasty: A Comparative Analysis of 15 Definitions Using Data From the Dutch Arthroplasty Register and the Osteoarthritis Initiative Database’
Thank you for giving us the opportunity to write a response to the correspondence on “Inadequate Classification of Poor Response After Total Knee Arthroplasty: A Comparative Analysis of 15 Definitions Using Data from the Dutch Arthroplasty Register and the Osteoarthritis Initiative Database.”
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Pediatrie

Autism and cerebral palsy: evidence for converging phenotypes
nature.com
Pediatric Research, Published online: 05 October 2024; doi:10.1038/s41390-024-03575-9
Development and implementation of a roadmap for improving quality of care in prearthritic hip disease: A journey over 20 years
onlinelibrary.wiley.com
The understanding and treatment of prearthritic hip disease has evolved remarkably over the past 20 years. The principal investigator and the multicen...

Sportorthopedie

Ata Kiapour, PhD, MMSc
ors.org
Current Title, Department, Employer: Director of Musculoskeletal Informatics and Assistant ProfessorDepartment of Orthopaedic Surgery and Sports Medic...
Considerations for the care of transgender patients in orthopaedics and sports medicine: a narrative review
bjsm.bmj.com
Orthopaedic and sports medicine clinicians can improve outcomes for transgender patients by understanding the physiological effects of gender-affirmin...
From 'faster, higher, stronger to 'slower, calmer, wiser - together: incorporating the athlete voice in sports medicine
bjsm.bmj.com
As the world eagerly anticipates the opening of each new Olympic and Paralympic Games, medical teams and team physicians prepare to care for the optim...
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Wervelkolom

[Clinical Picture] Bone marrow necrosis and hyperinflammation after treatment with inotuzumab ozogamicin for B-cell acute lymphoblastic leukaemia
thelancet.com
A 57-year-old woman with a 12-h history of fever and severe pain in her back, pelvis, and thighs attended our hospital. 24 h earlier, the patient had the first dose of inotuzumab ozogamicin at 0·8 mg/m2 intravenously for primary refractory B-cell acute lymphoblastic leukaemia. 2 months earlier, she had presented with pneumonia and was found to have anaemia, thrombocytopenia, and circulating B-lymphoblasts in her peripheral blood. Bone marrow biopsy confirmed a diagnosis of Philadelphia chromosome-negative B-lymphoblastic leukaemia with low hypodiploidy; she had been treated according to a modified Dana-Farber Cancer Institute Acute Lymphoblastic Leukaemia Consortium Protocol—excluding pegaspargase.
Mogamulizumab – induced bone granuloma
sciencedirect.com
Publication date: Available online 25 September 2024
Dacryoadenitis occurring during treatment with Etanercept
sciencedirect.com
Publication date: Available online 25 September 2024
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