Denis Huten's 13 mises au point en chirurgie de la hanche PDF

By Denis Huten

ISBN-10: 2294734165

ISBN-13: 9782294734168

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

Sample text

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 ! Au-delà de ces deux grands principes, il faut insister sur quelques points particuliers.

Si l’on cherche des publications authentifiant l’échec de la fixation sans ciment d’une cupule en fonction de la qualité de l’os, on n’en retrouve aucune. Seul un os radique semble encore inspirer des réserves ; l’os des coxites rhumatoïdes fragilisé par la corticothérapie ne semble pas être un obstacle [18]. On se doit cependant de rester prudent en cas de grande ostéoporose, par exemple dans des arthroplasties totales pour fracture cervicale vraie. • Comment surveiller de façon simple la cupule que l’on a implantée ?

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.

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13 mises au point en chirurgie de la hanche by Denis Huten


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