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  1. Article ; Online: Is subtalar arthroereisis a good procedure in adult-acquired flatfoot? A systematic review of the literature.

    Mattesi, Lucas / Ancelin, David / Severyns, Mathieu Pierre

    Orthopaedics & traumatology, surgery & research : OTSR

    2021  Volume 107, Issue 6, Page(s) 103002

    Abstract: Introduction: The aim of the present systematic literature review was to determine results and complications in subtalar arthroereisis for stage-2 adult-acquired flatfoot.: Method: A search of the PubMed, Medline, CINAHL, Cochrane and Embase ... ...

    Abstract Introduction: The aim of the present systematic literature review was to determine results and complications in subtalar arthroereisis for stage-2 adult-acquired flatfoot.
    Method: A search of the PubMed, Medline, CINAHL, Cochrane and Embase databases used MeSH terms "arthroereisis" AND "flatfoot" OR "adult-acquired flatfoot" OR "pes planovalgus" OR "pes planus". Two of the authors analyzed 125 articles. After reading titles and Abstracts, 105 articles were read in full text and their references were analyzed. Finally, 12 articles were selected and divided into 2 groups: isolated and associated arthroereisis.
    Results: Improvement in functional scores was greater in associated arthroereisis. Whether isolated or associated, arthroereisis achieved radiologic correction. However, the rate of complications was high, mainly concerning tarsal sinus pain.
    Conclusion: Subtalar arthroereisis for stage-2 adult-acquired flatfoot is rarely performed in isolation. When it is associated to other procedures, good radiologic and clinical results can be expected.
    Level of evidence: IV.
    MeSH term(s) Adult ; Databases, Factual ; Flatfoot/diagnostic imaging ; Flatfoot/surgery ; Humans ; Orthopedic Procedures ; Pain ; Radiology ; Subtalar Joint/diagnostic imaging ; Subtalar Joint/surgery
    Language English
    Publishing date 2021-06-30
    Publishing country France
    Document type Journal Article ; Review ; Systematic Review
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2021.103002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Impact du contexte pandémique COVID-19 sur l’épidémiologie microbiologique et la prise en charge des phlegmons des gaines des fléchisseurs.

    Pirbakas, Pierrick / Gabriel, Charlotte / Donatien, Jacques / Stratan, Lucian / Odri, Guillaume / Plawecki, Stéphane / Severyns, Mathieu Pierre

    Revue de chirurgie orthopedique et traumatologique

    2022  Volume 109, Issue 1, Page(s) 48–53

    Title translation Impact of the COVID-19 pandemic context on the microbiological epidemiology and management of flexor sheath phlegmons.
    Language French
    Publishing date 2022-05-12
    Publishing country France
    Document type Journal Article
    ZDB-ID 2486587-4
    ISSN 1877-0517
    ISSN 1877-0517
    DOI 10.1016/j.rcot.2022.05.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Impact of the Covid-19 pandemic context on the microbiological epidemiology and management of flexor sheath phlegmons.

    Pirbakas, Pierrick / Gabriel, Charlotte / Donatien, Jacques / Stratan, Lucian / Odri, Guillaume / Plawecki, Stéphane / Severyns, Mathieu Pierre

    Orthopaedics & traumatology, surgery & research : OTSR

    2022  Volume 109, Issue 1, Page(s) 103315

    Abstract: Introduction: The COVID-19 pandemic in France has recently modified the patients' lifestyles, as well as methods of medical and surgical management. This could explain subsequent changes to the microbiological spectrum, the severity, as well as the ... ...

    Abstract Introduction: The COVID-19 pandemic in France has recently modified the patients' lifestyles, as well as methods of medical and surgical management. This could explain subsequent changes to the microbiological spectrum, the severity, as well as the scalability of phlegmons of the flexor tendon sheath. The objective of this study was to construct an epidemiological and bacteriological inventory of these hand infections, and to compare the clinical and microbiological data, before and after the COVID-19 pandemic.
    Hypothesis: The hypothesis of this work was that the phlegmons of the flexor tendon sheath presented specific microbiological characteristics in the tropical environment of our University Hospital Center, and that these characteristics could have changed with the recent introduction of hydro-alcoholic solution (HAS) associated to the COVID-19 pandemic.
    Material and methods: The preoperative epidemiological data of our patients were collected between January 2016 and December 2020. The stage of severity, according to the classification of Michon, the use of hydro-alcoholic solution, as well as the early clinical evolution were collected. The cohort was then divided into two groups in order to compare the microbiological profiles, the management and the clinical evolution of patients in the pre-COVID period with those in the post-COVID period.
    Results: A total of 199 patients were included, 154 patients in the pre-COVID period and 26 in the post-COVID period. We found a majority of MSSA (58.3%, N=105) and negative samples comprised 18.9% (N=34). No statistically significant difference was found between the two groups regarding the bacteriological results. The clinical course was judged to be favorable in 93.5% of cases in the pre-COVID group compared to 80.8% in the post-COVID group (p=0.046). The use of HAS (p<0.0001), as well as the initial stage of severity according to Michon, were significantly higher in group 2 (p=0.04).
    Discussion: The COVID-19 pandemic has not shown any change in the microbiological spectrum, despite the now daily use of HAS in everyday life. The postoperative clinical evolution was significantly less favorable after the onset of COVID and could be explained by an increase in cases with a more advanced initial stage of severity.
    Level of evidence: IV, Observational epidemiological study.
    MeSH term(s) Humans ; Cellulitis/epidemiology ; COVID-19/epidemiology ; Hand ; Pandemics ; Tendons/surgery
    Language English
    Publishing date 2022-05-12
    Publishing country France
    Document type Journal Article ; Observational Study
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2022.103315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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