By Denis Huten

ISBN-10: 2294734165

ISBN-13: 9782294734168

Ce quantity, optimum cahier thématique extrait des Conférences d'enseignement et des monographies de los angeles assortment les Cahiers d'enseignement de los angeles Sofcot est exclusivement consacré à thirteen sujets d'actualité en chirurgie de l. a. hanche.
Les thirteen conférences ou chapitres de cahiers à thème très récents de chirurgie de l. a. hanche, font le element sur des sujets qui intéresseront tous les chirurgiens de los angeles hanche. Les mises au element concernent les généralités, l. a. chirurgie prothétique de première goal et ses issues, génératrices de reprises et l. a. chirurgie conservatrice et arthroscopique.

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Extra resources for 13 mises au point en chirurgie de la hanche

Example text

Cementless acetabular fixation in primary total hip arthroplasty has ousted conventional cemented all-polyethylene cups from their exclusive position. The cementless cups used today are hightechnology products, yet they entail compromises with regard to design, manufacturing and surgical technique. An increasing pressfit from the pole to the equator is essential for an effective primary stability. Reliable primary fixation paves the way for secondary anchorage through osseointegration thanks to a surface coating; the latter is the main focus of today’s innovations.

S’agissant de fixation sans ciment, la technique doit être rigoureuse et il y a une authentique courbe d’apprentissage ; c’est une technique très « sensuelle » à laquelle participent, outre l’ancillaire fourni par l’industriel, l’œil, l’oreille et la sensation manuelle du chirurgien. il faut parfaitement connaître la géométrie de la cupule que l’on va implanter : ses dimensions extérieures (figure 7) qui ne sont pas forcément celles qui figurent sur l’emballage (figure 8), sa rigidité, l’accroche de son revêtement… Ces deux choses nous font toucher du doigt l’importance qu’il y a à utiliser régulièrement le même implant : la certitude de l’effective stabilité primaire de l’implant ne se quantifie pas !

L’arthroplastie de hanche par prothèse en alumine ; résultats de 150 cas d’ancrage direct de la pièce cotyloïdienne. Int Orthop 1977 ; 2 : 87–94. [11] Bousquet G, Gazielly D, Girardin P, Debiesse I, Relave M, Asraeli A. The ceramic-coated cementless total hip arthroplasty. Basic concepts and surgical technique. J Orthop Surg 1985 ; 1 : 15–28. [12] Callagan J, Teusink M, Donigan J, Warth L, Liu S, Sullivan J. Is cementless acetabular fixation an improvement in total hip arthroplasty performed in younger patients?

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