19 research outputs found

    Publications of the American Jewish historical Society. N° 1. Papers presented at the first scientific meeting held at Philadelphia, December 15 th. 1892, 1893

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    Kohut Georges-Alexander. Publications of the American Jewish historical Society. N° 1. Papers presented at the first scientific meeting held at Philadelphia, December 15 th. 1892, 1893. In: Revue des études juives, tome 32, n°64, avril-juin 1896. pp. 312-318

    Le Had Gadya et les chansons similaires

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    Kohut Georges-Alexander. Le Had Gadya et les chansons similaires. In: Revue des études juives, tome 31, n°62, octobre-décembre 1895. pp. 240-246

    Victimes de l'Inquisition Ă  Lisbonne Ă  la fin du XVIIe siĂšcle

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    Kohut Georges-Alexander. Victimes de l'Inquisition à Lisbonne à la fin du XVIIe siÚcle. In: Revue des études juives, tome 32, n°64, avril-juin 1896. pp. 251-262

    Les Juifs dans les colonies hollandaises

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    Kohut Georges-Alexander. Les Juifs dans les colonies hollandaises. In: Revue des études juives, tome 31, n°62, octobre-décembre 1895. pp. 293-297

    Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion

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    Arthrodesis is the generally accepted treatment for symptomatic osteoarthritis of the interphalangeal (IP) joint of the thumb. For 7 thumbs in 5 patients, an IP joint replacement was offered as a pain alleviating and motion conserving treatment option for osteoarthritis. In these cases, an offlabel use of the SR-PIP prosthesis was performed. All patients did well postoperatively with reasonable pain-free range of motion of the interphalangeal joint except one patient who required further surgeries for recurring joint instability. Radiologically, though, an osteolysis around the stems that could lead to loosening of the prosthesis and progressing periarticular ossifications that might cause a blockage of the joint were observed. IP joint arthroplasty represents a viable option on the short term; however, further studies should be conducted to ensure their long-term sustainability

    Conversion of Hemiarthroplasty to Reverse Shoulder Arthroplasty with Humeral Stem Retention

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    The purpose of this study is to evaluate the mid-term clinical results of an ongoing case series on conversion reverse shoulder arthroplasty (RSA) with a modular prosthesis system. We included 17 elderly patients revised for failed hemiarthroplasty after proximal humeral fracture, of which 13 were converted using a modular reverse shoulder prosthesis. Four could not be converted due to overstuffing. For the conversion RSA, we determined the Constant score, American Shoulder and Elbow Surgeons Shoulder Score, visual analogue scale for pain and satisfaction, and range of motion preoperatively, at one year, and at the last follow-up. All measured clinical outcomes improved significantly at both follow-up time points (p < 0.05). The mean duration of surgery was 118.4 min (range: 80.0 to 140.0 min). We observed complications in three patients; these included one late infection and two aseptic stem loosenings. Modular shoulder arthroplasty is a suitable procedure for conversion RSA in elderly patients. All measured postoperative clinical outcomes improved significantly, the complication rate was acceptable, and no prosthesis-related complications occurred. Conversion RSA, although not feasible in every case, is a viable treatment option in the elderly, which can provide successful mid-term results

    Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis

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    OBJECTIVES: The goal of this study is to evaluate the incidence of complications and the functional outcome after open reduction and internal fixation with the proximal humeral locking plate (Philos). DESIGN: Prospective case series. SETTING: Multicenter study in 8 trauma units (levels I, II, and III) with recruitment between September 12, 2002, and January 9, 2005. PATIENTS: One hundred fifty-seven patients with 158 fractures. INTERVENTION: Open reduction and internal fixation with a Philos plate. MAIN OUTCOME MEASUREMENTS: Occurrence of postoperative complications up to 1 year and active follow-up for 1 year with radiologic assessment to observe fracture healing, alignment, reduction, avascular necrosis, and functional outcome measurements including Constant, Disabilities of the Arm, Shoulder, and Hand, and Neer scores. RESULTS: One-year follow-up rate was 84%. The incidence of experiencing any implant-related complication was 9% and 35% for nonimplant-related complications. Primary screw perforation was the most frequent problem (14%) followed by secondary screw perforation (8%) and avascular necrosis (8%). After 1 year, a mean Constant score of 72 points (87% of the contralateral noninjured side), a mean Neer score of 76 points, and a mean Disabilities of the Arm, Shoulder, and Hand score of 16 points were achieved. CONCLUSIONS: Fixation with Philos plates preserves achieved reduction, and a good functional outcome can be expected. However, complication incidence proportions are high, particularly due to primary and secondary screw perforations into the glenohumeral joint, with an overall complication rate of 35%. More accurate length measurement and shorter screw selection should prevent primary screw perforation. Awareness of obtaining anatomic reduction of the tubercles and restoring the medial support should reduce the incidence of secondary screw perforations, even in osteopenic bone
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