Download Classifications et scores en chirurgie orthopédique et by Emmanuel Favreul PDF

By Emmanuel Favreul

Ce livre des classifications et des rankings en orthopédie et en traumatologie se veut un manuel pratique � consulter. Nous n’avons pas voulu être exhaustifs; ce qui eut été de toute manière most unlikely vu l'important développement des ratings et classifications de ces dernières décennies. Chaque fois qu’une nouvelle method apparaît et simplifie les traitements, des pans entiers de classifications deviennent obsolètes. Un devoir d’historien persiste donc, qui doit permettre � chacun, selon le cas considéré, d'utiliser, soit des classifications «up to date», soit de rester dans des catégories plus classiques. Ce greatest tome est consacré aux classifications du rachis, de los angeles hanche et du genou. Il se trouvera avec bonheur entre les mains aussi bien des plus chevronnés qui peuvent parfois avoir une hésitation et vouloir vérifier un aspect particulier , qu’entre celles de nos jeunes collègues, qui sont parfois victimes d’une forme de pensée precise et souhaitent découvrir d’autres horizons.

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Extra info for Classifications et scores en chirurgie orthopédique et traumatologique: I. Hanche, Genou, Rachis

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2 min. ) - 31-60min. - 11 - 30min. - 2 - 10min. - < 2min. or indoors only - Unable to walk Satisfaction of patient Op. increased your function? - Yes - No Op. decreased your pain? - Yes - No Op. decreased your need for pain medication? - Yes - No - Not applicable Satisfied with results? - Yes - No Status of hip compared with your last visit? - Better - Same - Worse Physical examination Limp without support - None - no limp - Slight - detected by trained observer - Moderate - detected by patient - Severe - markedly alters or slows gait Hanche et cuisse Putting on shoes and socks - No difficulty - Slight difficulty - Extreme difficulty - Unable Ascending and descending stairs - Normal (foot over foot) - Foot over foot using banister or assistive device - 2 feet on each step - Any other method - unable Sitting to standing - Can arise from chair without upperextremity support - Can arise with upper-extremity support - Cannot arise independent Walking capacity Usual support needed - None - 1 cane for long walks - 1 cane - 1 crutch - 2 canes - 2 crutches - Walker - Unable to walk Range of motion of hip Fixed flexion Left: ........

Grade III: Explosive or blast fracture with disintegration of the rim of the acetabulum, which produces gross instability. – 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.

Simple à réaliser. – Inconvénients : Donne trop d’importance à la mobilité par rapport aux autres critères. Tableau VIII - Évaluation chiffrée PMA : évaluation globale de la fonction de la hanche. Douleur Mobilité Marche Total Appréciation 6 6 6 18 Excellent 6 6 5 5 6 6 6 5 6 17 Très bon 6 5 5 4 5 6 16 Bon 5 6 5 5 4 4 5 5 6 15 Bon 6 4 5 6 4 5 15 Passable 5 4 5 14 Passable 5 4 5 5 4 5 14 Passable 6 2 5 13 arthrodèse Passable Ex : 4 5 4 3 4 4 12 11 10 Médiocre 9 Placer ici les Placer ici les Placer ici les résultats si pas résultats si pas résultats si pas d’amélioration ou d’amélioration ou d’amélioration ou aggravation aggravation aggravation <9 Mauvais Classification de Charnley Référence bibliographique Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention.

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