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/Title (Accidents peropratoires et postopratoires lis lutilisation de ciments base de polymthacrylate de mthyle dans larthroplastie de la hanche)
/Author (Denanot Leylde Charlotte)
/Creator (Canon iR-ADV C9060 )
/ModDate (D:20180109145946+01'00')
/Subject (La chirurgie prothtique de la hanche prend une dimension nouvelle lorsque Charnley, en 1961, introduit le polymthacrylate de mthyle pour la fixation des prothses. Mais aprs quelques annes d'enthousiasme gnral pour le ciment, les premiers descellements prothtiques apparaissent, montrant ainsi les limites de la fixation par le ciment. Aprs deux chapitres de gnralits consacrs l'historique du ciment et l'anatomie de la hanche, nous abordons les proprits des ciments acryliques et les techniques de cimentation. Puis, nous faisons le point sur les accidents peropratoires et postopratoires immdiats et tardifs rencontrs lors des arthroplasties de la hanche. A la lumire des constatations cliniques et des tudes exprimentales, il ressort que les accidents sont peu nombreux et quils ne sont pas tous imputables au ciment. Pour de nombreux chirurgiens, la prothse de hanche type Charnley reste le Gold Standard du remplacement arthroplastique de la hanche chez les sujets gs de plus de 60 ans. 85 % des implants sont encore en place aprs vingt ans.)
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2012-01-12T19:22:02Z
Canon iR-ADV C9060
2018-01-09T14:59:46+01:00
Adobe PDF Scan Library 1.0e for Canon imageRUNNER
application/pdf
Accidents peropératoires et postopératoires liés à l’utilisation de ciments à base de polyméthacrylate de méthyle dans l’arthroplastie de la hanche
Denanot Leylde Charlotte
La chirurgie prothétique de la hanche prend une dimension nouvelle lorsque Charnley, en 1961, introduit le polyméthacrylate de méthyle pour la fixation des prothèses. Mais après quelques années d'enthousiasme général pour le ciment, les premiers descellements prothétiques apparaissent, montrant ainsi les limites de la fixation par le ciment. Après deux chapitres de généralités consacrés à l'historique du ciment et à l'anatomie de la hanche, nous abordons les propriétés des ciments acryliques et les techniques de cimentation. Puis, nous faisons le point sur les accidents peropératoires et postopératoires immédiats et tardifs rencontrés lors des arthroplasties de la hanche. A la lumière des constatations cliniques et des études expérimentales, il ressort que les accidents sont peu nombreux et qu’ils ne sont pas tous imputables au ciment. Pour de nombreux chirurgiens, la prothèse de hanche type Charnley reste le « Gold Standard » du remplacement arthroplastique de la hanche chez les sujets âgés de plus de 60 ans. 85 % des implants sont encore en place après vingt ans.
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