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X Crevoisier

Publications and source records attributed to X Crevoisier.

7 recordsLinked to original sources
PubMed2005

[Ankle arthroplasty. Rationale for interfaculty collaboration].

Arthroplasty has become increasingly popular as a solution for end-stage ankle arthrosis. Good results, with a 90% survival rate at ten years, have been reported with use of recent prostheses. However, the role of ankle arthroplasty needs to be more clearly defined. Due to its particular nature and specific biomechanical aspects, the ankle joint presents a real challenge for arthroplasty. Patient selection and surgical technique need to be optimized to improve long-term results. Careful clinical and biomechanical studies need to be conducted to objectively determine the long term benefit in terms of quality of life. To better address these points the authors of this manuscript have coordinated their expertise in a collaborative approach, so as to optimize surgical indications, prosthesis implantation, postoperative rehabilitation and research.

Ankle Joint↗
PubMed2004

Post-traumatic overload or acute syndrome of the os trigonum: a possible cause of posterior ankle impingement.

The purpose of this paper is to discuss the post-traumatic overload syndrome of the os trigonum as a possible cause of posterior ankle impingement and hindfoot pain. We have reviewed 19 athletes who were referred to our foot unit between 1995 and 2001 because of posterior ankle pain, and in whom a post-traumatic overload syndrome of os trigonum was diagnosed. All these patients were followed up over a period of 2 years. In 11 cases a chronic repetitive movements in forced plantar flexion was found. In the other eight cases the pain appeared to persist after a standard treatment of an ankle sprain in inversion plantar flexion. The diagnosis was based on clinical history, physical examination and X-rays that revealed a non-fused os trigonum. The confirmation of diagnosis was carried-out injecting local anaesthetic under fluoroscopic control. In all cases a corticosteroid injection as first line treatment was performed. In 6 cases a second injection was necessary to alleviate pain because incomplete recovery with the first injection. Three cases (16%) were recalcitrant to this treatment and in these three cases a surgical excision of the os trigonum was carried out. Our conclusion is that after some chronic athletic activity or an acute ankle sprain the os trigonum, if present, may undergo mechanical overload, remain undisrupted and become painful. Treatment by corticosteroid injection often resolves the problem.

Adult↗
PubMed2001

Arthroscopic partial meniscectomy in patients over 70 years of age.

PURPOSE: This study was conducted to determine the importance of age as a limiting factor as well as to assess the role of age in combination with cartilage damage or osteoarthritis as predicting factors for the outcome after arthroscopic partial meniscectomy. TYPE OF STUDY: Case series. METHODS: We reviewed 97 patients over 70 years of age who underwent an arthroscopic partial meniscectomy between 1992 and 1996. At the time of evaluation, 5 patients had died and 1 patient was unavailable, leaving 91 patients (95 knees) suitable for assessment. There were 56 women and 35 men. The average age at time of surgery was 74 years (range, 70 to 84 years). The mean follow-up period was 4 years (range, 2 to 6 years). Assessment of the cases by 1 investigator included medical records and preoperative radiographs of the knee joint, with the main interest focused on evidence of osteoarthritis using the classification of Kellgren and Lawrence. Evaluation of cartilage damage was performed on surgical videotapes according to Outerbridge. All 91 patients were personally interviewed by telephone. The questionnaire included influence of the operation on knee pain, quality and duration of satisfaction, requirement of further surgery, and whether the patient would undergo the same operation again. RESULTS: According to the Kellgren and Lawrence classification, 80% of patients had radiographic evidence of osteoarthritis grade 0-2, and 20% had grade 3-4. According to Outerbridge, 43% of the patients had cartilage damage grade 0-2 and 57% had grade 3-4; 81% of the patients with osteoarthritis grade 0-2 and 83% of the patients with cartilage damage grade 0-2 had a satisfactory outcome when followed-up for more than 2 years. Among the patients with osteoarthritis grade 3-4 or cartilage damage grade 3-4, 55% and 69%, respectively, were satisfied when followed-up for more than 2 years; 45% and 37%, respectively, required a further surgery after 1 to 4 years. The grade of osteoarthritis had significant influence on satisfaction (P <.01), on whether the patients would have the operation done again (P =.01), and on whether they required further surgery (P =.04). The severity of cartilage damage only had a significant influence on whether the patients would undergo the operation again (P =.01). CONCLUSIONS: Pre-existing degenerative changes appeared to affect the outcome more than the patient's age. However, arthroscopic partial meniscectomy was followed by satisfactory results in more than two thirds of our cases even if performed in the presence of moderate degenerative changes. But two thirds does not correspond with the good results usually obtained in a younger population. Therefore, the indication for surgery and the expected outcome have to be evaluated carefully in elderly patients.

Aged↗
PubMed2001

The scarf osteotomy for the treatment of hallux valgus deformity: a review of 84 cases.

This study reviewed the subjective, clinical and radiological outcome of 71 patients (84 feet) treated by scarf osteotomy for hallux valgus deformity at our institution from 1995 to 1998 with an average follow-up time of 22 months (range, 17 to 48 months). At the time of follow-up, 39% of the patients were very satisfied, 50% were satisfied and 11% were not satisfied. The mean AOFAS score raised significantly from 43 points (14-68) preoperatively to 82 points (39 to 100) at follow-up (p < 0.001). The radiological angles including M1-M2, M1-P1, M1-M5 and DMAA improved significantly (p < 0.001). Among the 16 complications recorded, seven (8%) were minor and nine (11%) required an additional procedure. The scarf osteotomy of the first metatarsal coupled with a lateral soft-tissue release and, in three-quarters of our cases, with a basal closing wedge varisation osteotomy of the first phalanx, resulted in overall high satisfaction rate as well as significant clinical and radiological improvements in our series. Nevertheless, the range of motion of the first MP joint remained low: 30 degrees to 74 degrees in 52 patients (62%) and <30 degrees in four patients (5%). Furthermore, the mobility of the first ray as well as the consequences of the procedure in the sagittal plane need to be assessed more accurately, and this may be achieved by incorporating measurement of the plantar pressures in the forefoot area into the global rating system.

Adult↗
PubMed2000

[Metatarsalgias].

Explore the source record for details and available documents.

Biomechanical Phenomena↗
PubMed1996

Unusual localisation of tophaceous gout. A report of four cases and review of the literature.

We report four cases with very unusual manifestations of tophaceous gout. All patients were male, aged between 29 and 67 years. Only one patient had an acute gouty arthritis in his medical history, whereas the other three had never developed clinical symptoms from their hyperuricemia. Two patients had gout tophi in the patella, while the others showed gout tophi in the space of bipartite bones, one in a bipartite patella and one in a tripartite sesamoid bone of the first toe. To our knowledge, gout tophi in the space of bi- or tripartite bones has never been described before.

Adult↗