DOS BULLETIN MØDER I FORBINDELSE MED ÅRSMØDET... 3 ÅRSMØDET MØDER I DANMARK YOS NR. 6 OKTOBER - PDF

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DOS BULLETIN NR. 6 OKTOBER ÅRGANG MØDER I FORBINDELSE MED ÅRSMØDET ÅRSMØDET OVERSIGTSPLAN PROGRAMOVERSIGT

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DOS BULLETIN NR. 6 OKTOBER ÅRGANG MØDER I FORBINDELSE MED ÅRSMØDET ÅRSMØDET OVERSIGTSPLAN PROGRAMOVERSIGT UDSTILLING MØDETS INDHOLD ABSTRACTS MØDER I DANMARK YOS DOS BESTYRELSE Formand Overlæge, dr.med. Erik Tøndevold Ortopædkirurgisk Klinik Rigshospitalet Blegdamsvej København Ø Næstformand Overlæge, dr.med. Søren Solgaard Ortopædkirurgisk afd. O Hillerød Sygehus Helsevej Hillerød Kasserer afdelingslæge, Ph.D. Klaus Hindsø Tornegården Køge Redaktør 1. reservelæge Michael Nielsen Ortopædkirurgisk Klinik, Rigshospitalet Blegdamsvej København Ø Sekretær Overlæge, dr.med. Bjarne Møller-Madsen Ortopædkirurgisk afdeling E Århus Kommunehospital Nørrebrogade Århus C Tlf Betingelser for optagelse i DOS Alle læger med mindst 2 års kirurgisk ansættelse, heraf mindst 1 år ved en dansk ortopædkirurgisk afdeling, kan optages i Dansk Ortopædisk Selskab. Anmodning om indmeldelse skal ske skriftligt, anmodningen skal stiles til bestyrelsen og indsendes sammen med oplysninger om personlige data til sekretæren, overlæge Bjarne Møller-Madsen. DOS-Bulletin Udgiver Dansk Ortopædisk Selskab Ansvarshavende redaktør Michael Nielsen Web-page Redaktion og annoncer c/o Annette van Hauen HovedOrtoCentret, Rigshospitalet Blegdamsvej København Ø DTP & Tryk Kandrup Bogtryk Århusgade København Ø ISSN DEADLINES FOR NÆSTE BULLETIN ANNONCER: Fredag den 27. november 2002 TEKST: Fredag 6. december 2002 DOS ÅRSMØDET 2002 Møder i forbindelse med DOS årsmøde 2002 Radisson SAS Scandinavia Hotel, København Torsdag den 24. oktober 15:00-18:00 Dansk Håndkirurgisk Selskab; Møde efterfulgt af generalforsamling kl. 18:00-19:30 16:00-18:00 Dansk Selskab for Hofte- og Knæalloplastik Kirurgi 16:00-18:00 Dansk Børneortopædisk Selskab. Møde efterfulgt af generalforsamling. Dagsorden ifølge lovene. 16:00-18:00 Dansk Ortopædkirurgisk Traumeselskab Indkaldelse til generalforsamling Fredag den 25. oktober 17:15-18:00 Yngre Ortopædkirurgers Selskab Se eventuel detaljeret annoncering under Møder i Danmark 3 S/H Annonce 4 Dansk Ortopædisk Selskabs Årsmøde oktober 2002 Radisson SAS Scandinavia Hotel, København Oversigtsplan B Lille sal Reykjavik A Store sal Stockholm Copenhagen Helsinki Oslo elevator Frokost Casino Ballroom Toilet Toilet Garderobe til lobby Directors Chairman Executive Denmark Iceland Sweden Finland Norway Udstilling og kaffe 5 Dansk Ortopædisk Selskabs årsmøde okt Programme Friday 25 th October Room A 09:00-10:30 Symposium: Pes Cavus Danish Paediatric Orthopaedic Society Dansk Fod - Ankel Kirurgisk Selskab 10:30-11:15 Technical exhibition, coffee 11:15-12:45 Upper extremity and Spine 12:45-13:45 Technical exhibition, lunch 13:45-15:15 Symposium: Ikke-alloplastisk behandling af degenerative knælidelser SAKS 15: Technical exhibition, coffee 16:00-17:00 Guildal Lecture: Leon Root Hip- and foot problems in cerebral palsy 17:00-17:15 Donations 19:00-01:30 Dinner 11:15-12:45 Free papers Room B 6 Radisson SAS Scandinavia Hotel, København Programme Saturday 26 th October Room A Room B 09:00-10:00 Best Paper 10:00-11:00 Technical exhibition, coffee 11:00-12:30 Postersession Best paper award, Best poster award 12:30-13:30 Lunch Indtegning på bordplan til middagen slutter fredag kl. 16:00!!! Der fremsendes billetter til frokost, men ikke til middagen. Frokostbilletterne skal afleveres til betjeningen. Påklædning: Smoking eller mørk tøj. 7 Dansk Ortopædisk Selskabs årsmøde okt Udstillere Udstiller Stand nr. Areal Aircast KB 22 1 x 3 m Apgar Danmark A/S 21 1 x 3 m Artek A/S 9 1 x 5 m Astra Tech A/S 4 1 x 3 m B. Braun Medical A/S 13 1 x 5 m Biomet Merck 1 1 x 8 m DePuyAcroMed 12 1 x 4 m erimed international kb 23 1 x 3 m Fischer Medical ApS 17 1 x 3 m Hemax Medical ApS 25 1 x 3 m Horus Medical 26 1 x 3 m Implantec Medical 27 1 x 3 m Karl Storz Endoskopi Danmark A/S 20 1 x 3 m KCI Medical ApS 18 1 x 3 m KD Innovation A/S 28 1 x 3 m KEBO CARE DEMA A/S 6 1 x 6 m L J Medical ApS 14 1 x 5 m Medical Vision Group MVG AB 31 1 x 3 m Medtronic-ViCare AS 16 1 x 6 m N.C. Nielsen Hospitalsudstyr A/S 30 1 x 3 m Nordic Medical Supply 10 3 x 5 m Ortotech 32 1 x 3 m Osmedic ApS 29 1 x 4 m Pharmacia A/S 19 1 x 3 m ProMeduc A/S 24 1 x 3 m Protesekompagniet 5 1 x 9 m sanofi-synthelabo 15 1 x 5 m Smith & Nephew A/S 8 1 x 6 m Stratec Medical A/S 7 1 x 5 m Stryker Howmedica 3 6 x 2 m Verigen 2 1 x 3 m Zimmer Scandinavia 11 2 x 13 m 8 Radisson SAS Scandinavia Hotel, København Udstilling Iceland kaffe Sweden Finland Norway 32 kaffe meter DOS ÅRSMØDET 2002 Program DOS Årsmøde Friday 25 th October 09:00-10:30 Room A Symposium: Pes Cavus Danish Paediatric Orthopaedic Society Dansk Fod- Ankel Kirurgisk Selskab. Chairman: Bjarne Møller-Madsen 1) Introduktion 5 min Frank Linde 2) Fodens anatomi inkl. udvikling 10 min Bjarne Møller-Madsen 3) Behandling af den non-neurologiske pes cavus 20 min Ivan Hvid / Frank Linde 4) HSMN- fodens patogenese, diagnosticering og prognose 20 min Johannes Jakobsen 5) Behandling af den neurologiske pes cavus 15 min Frank Linde 6) Diskussion 20 min (HSMN = heriditær sensomotorisk neuropati) 11 Friday 25 th October 11:15-12:45 Room A Upper extremity and spine Chairman: Allan Ibsen Sørensen Side Remodeling after Salter-Harris type II fracture of distal radius: 2,5-15 years clinical & radiological follow-up of 86 cases 17 Shirzad Houshian, A. Holst, Morten S. Larsen, T. Torfing Dupuytren's contracture: an evaluation. 18 Hanne Dalsgaard, Jens Ulrik Petersen, Marianne Breddam. Biphosphonate therapy of reflex sympathetic dystrophy syndrome 19 Peter Basse, Jesper Graff Treatment of established Volkmann's contracture in children with displaced supracondylar fractures of the humerus. A case report 20 Niels H. Søe Nielsen, Nina Høffding, Maria Hasselquist, Christen Krag Displaced fractures of the humeral surgical neck treated with titanium helix wire. 21 Otto Falster, Peder Klement & Anders Philipsen Exsanguination of limbs in elderly subjects before application of a tourniquet 22 Lars Blønd and Jan Lysgård Madsen. A new technique for C1-C2 fixation with polyaxial screws 23 Søren Eiskjær & Morten Buhl Sf-36 and oswestry disability index in patients with osteoarthritis of the hip compared to segmental lumbar instability. 24 Ole Juul, Finn Andersen-Ranberg, Mikkel Andersen, Carsten Ernst, Ole Ovesen, Karsten Thomsen 12 Friday 25 th October 11:15-12:45 Room B Free Papers Side Chairman: Peter Holmberg Jørgensen Revision total knee arthroplasty; Coordinate/TC3 knee 25 Jan O. Jansen, N. Krarup, H. Kristensen, E. Hørlyck Ludloff`s medial approach for congenital dislocation of the hip. 26 Bjørn Thorup, Keld Daubjerg Nielsen, Ivan Hvid. 13 year results of 128 uncemented hip replacements (CLS Spotorno/HarrisGalante 1) 27 Kim Engfred, Steen Mejdahl, Vivian Petersen, Tom Lemser. Compaction enhances fixation of hydroxy-apatite coated implants in a gap-model. 28 Søren Kold, O. Rahbek, B. Zippor, S. Overgaard, K. Søballe Sport- and leisure activities after total hip arthroplasty 29 Lilli Sørensen, S. Houshain, P.W. Kristensen, S. Rasmussen. Reconstruction of the posterolateral corner. A new surgical procedure. 30 Jakobsen BW, Lund B, Kjeldsen S and Christiansen SE. Achilles tendon rupture, experiences with nonoperative treatment. 31 Christina Tinghus, Lilli Sørensen, Otto Langhoff. Two Danish Trauma Registers - comparison of data from Odense and Copenhagen 32 Claus Falck Larsen, Morten Schultz Larsen, Louise Weitemeyer, Lars Hansen, Morten Boesen, Shirzad Houshian Application of microdialysis to corticocancellous bone tissue 33 Lars Bjørn Stolle, Magnus Arpi, Peter H Jørgensen, Per Riegels-Nielsen & Johnny Keller 13 Friday 25 th October 13:45-15:15 Room A Symposium: Ikke-alloplastisk behandling af degenerative knælidelser SAKS Chairman: Allan Buhl Program: 1. Introduktion Allan Buhl, Viborg Sygehus 2. Klinisk/artroskopisk artrosediagnostik. Evaluering af degenerative forandringer i brusk og menisk. Uffe Jørgensen, Amtssygehuset i Gentofte 15 min. 3. Radiologisk artrosediagnostik (standard, CT- & MR-scan) 10 min. Frank Kronenberg, Kolding Sygehus 4. Artroskopisk behandling (shaving, inforatio/mikrofraktur, samtidig meniskkirurgi) Michael Krogsgaard, Bispebjerg Hospital 5. Brusktransplantation - celle (ACI), mosaik, vækstfaktorer. Har brusktransplantationen en plads i artrosekirurgien?. Martin Lind, Aalborg Sygehus 10 min. 10 min. 6. Proksimale tibia-osteotomier - Indikationer og operativ teknik. a.) åben eller lukket teknik, fibularesektion, intern eller ekstern fiksation. 15 min. Poul Torben Nielsen, Aalborg Sygehus b.) Osteotomier i relation til ACL-rekonstruktion. Allan Buhl, Viborg Sygehus 10 min. 7. Diskussion 15 min. 14 Friday 25 th October 16:00-17:00 Room A Guildal Lecture Hip and foot problems in cerebral palsy Professor Leon Root, Hospital for Special Surgery, NewYork, USA 17:00-17:15 Donations 15 Saturday 26 th October 09:00-10:00 Room A Best paper award Side: Chairmen: Michael Mørk Pedersen, Ole Skov, Frank Linde Platelet concentrate enhances fixation of bone grafted cementless implants 34 TB Jensen, JE Bechtold, X Chen, B Elmengaard, K Søballe, Improved interobserver agreement after training. Neer's classification for proximal humeral fractures. 35 Stig Brorson, Asbjørn Hróbjartsson, Jens Bagger Annette Sylvest Fixation of allografted revision implants is improved by a surgical technique to crack the sclerotic bone rim. 36 Brian Elmengaard, Søren Kold, Joan Bechtold, Xinqian Chen, Thomas Bo Jensen, Kjeld Søballe Effect evaluation of 3 rehabilitation programs after lumbal spinal fusion. A randomized prospective study with a 2-year follow-up. 37 FB Christensen, I Laurberg, T Andersen, CE Bünger Spine Unit, Dept. of Orthopedics, University Hospital of Aarhus, Hypermobility is not a problem in male soccer 38 Per Hölmich, Maria Hansen, Pernille Weidemann, Jan Parner A multicenter, randomised, placebo-controlled, double-blind study of fondaparinux for the prolonged prevention of venous thromboembolism in hip fracture surgery. 39 Lassen MR 16 Saturday 26 th October 11:00-12:30 Room A Poster session Chairman: Jens Stürup Side Madelung's deformity treated with Ilizarov years follow-up of 8 cases 40 Shirzad Houshian, Henrik Schrøder & Rainer Weeth Cyst-like lesions of bone in children after greenstick fracture: report of two cases 41 Shirzad Houshian, Niels Wisbech Pedersen, Trine Torfing Data collection and TRISS calculations in two trauma populations in Odense and Copenhagen 42 Morten Schultz Larsen, C. F. Larsen, L. Hansen, F. Lippert, Traumekoordinator Birgitte Søhus Treatment of the wrist related ganglion in Denmark - based on a questionnaire 43 Henrik Daugaard, P. Revald, A. Christensen, C. Möger Allograft tissue in ACL-reconstruction 44 Preben Duun, Søren Winge, Claus Hjorth Jensen. Accuracy and precision of Ein Bild Roentgen Analysis (EBRA) of femoral component migration in total hip arthroplasty. 45 Thomas K. Poulsen, O. Ovesen, J. Lauritsen, K. Søballe Rgd peptide surface treatment increases bone ingrowth to press-fit implants. A study in canines 46 Brian Elmengaard, Joan Bechtold, Kjeld Søballe Intravenous regional anaesthesia for outpatient hand surgery - tourniquet pain and patient satisfaction 47 Nina Vendel Jensen, Niels H. Søe Nielsen 17 Saturday 26th October 11:00-12:30 Room A Poster session (fortsat) Side Chairman: Jens Stürup In vivo microdialysis for the investigation of the metabolism in the diabetic foot 48 Lars Bjørn Stolle, Thomas Jakobsen, Per Riegels-Nielsen No effect of locally delivered rhgh on implant fixation in a canine gap model 49 Berit Zippor; S. Kold; O. Rahbek; K. Søballe; S. Overgaard The Walter Reed Visual Assessment Scale: Is the scale sensitive to changes in curve magnitude induced by surgery 50 Juozas Petruskevicius, M. Laursen, P. Lemche, S. Eiskjær Cervical osteotomy for ankylosing spondylitis using Cervifix and a custommade hinge joint 51 S. Eiskjær, P. Lemche & M. Buhl Low crystalline hydroxyapatite coating accelerates mechanical fixation of unstable but not stable implants 52 Søren Overgaard, Ulf Bromose, Martin Lind, Cody Bünger, Kjeld Søballe 18 Remodeling after Salter-Harris type II fracture of distal radius: 2,5-15 years clinical & radiological follow-up of 86 cases Shirzad Houshian*, A. Holst**, Morten S. Larsen* & T. Torfing** Department of Orthopedics* & Radiology**, Odense University Hospital, Denmark Introduction Remodeling after fracture is well known in children, but little is known about remodeling after Salter-Harris type II (SH II). We studied the relation between residual angulation at the time of healing and final orientation of the distal radius as well as clinical outcome in patients after SH II. Material & methods Between children with SH II of distal radius treated in our department. Six patients were excluded (4 bilateral, 2 previous fracture) from the study. 86 (87%) of 98 patients were reviewed for clinical and radiological examination. At follow-up radiographs AP and lateral views of both the fractured and opposite normal wrist were obtained as well as clinical evaluation of pain with VAS, mobility, grip strength and deformity. Results 56 were male. Median age 10 (4-15) years. The median follow-up time was 8 (2,5-15) years. Only in 63 patients the fracture was reduced. The residual angulation at the time of healing was 5 degree in 41 patients, between 6-10 degree in 25 patients and 11 degree in 20 patients. At the time of follow up 73 patients (85%) were anatomically remodeled, the remaining 13 patients had an abnormal inclination of distal radius of 0-24 degree. 4 patients had pain during activity, two of whom had abnormal inclination at follow up, the third patient had exostosis at the ulnar head and the fourth patient had no radiological explanation. Conclusion Our study showed that remodeling occurs in the majority of cases of SH II, residual angulation up to 20 degree does not seem to have any long term negative effect in SH II fracture of distal radius. 19 Dupuytren's contracture: an evaluation. Hanne Dalsgaard, Jens Ulrik Petersen, Marianne Breddam. Department of orthopaedic surgery, Aalborg and Aarhus Hospitals. Introduction: The aim of the study is to evaluate the results after operation for Dupuytren's contracture, primaries and recurrences. Material and methods: The material consisted of 79 cases operated for Dupuytren's contracture by means of fasciectomi of all pathological tissue and a standardized rehabilitation program. At a median follow-up of 41 months the patients were interviewed, examined and DASH-scores were obtained. Thirteen patients were lost at follow-up, leaving 66 cases, 42 primaries and 24 recurrences and a total of 103 fingers with 83 MP-joints and 70 PIP-joints involved. Results: In the group of primary operations the mean improvement of ROM was 41 degrees in the MP-joints ( degrees) and 24 degrees ( degrees) in the PIP-joints and in the group of recurrences it was 18 degrees in the MP-joints ( degrees) and 25 degrees ( degrees) in the PIP-joints. In the primary group there were 5 (12 %) complications and in the recurrence group there were 5 (20 %) complications. In 46 cases (70 %) the patients were very satisfied or satisfied and in 58 cases (88 %) the patients stated that knowing the end result, they would still have chosen the operation. Conclusion: Our results are comparable to the literature with 70 % very satisfied and satisfied so we continue to perform the same type of operation and to conduct the same rehabilitation program. 20 Biphosphonate therapy of reflex sympathetic dystrophy syndrome Peter Basse, Jesper Graff Ortopædkirurgisk afdeling Hvidovre hospital Introduction: Reflex sympathetic syndrome ( RSDS ) is a painful limp disorder for which a consistently effective treatment has not yet been identified. The disorder is associated with increased bone resorption and patchy osteoporosis, which might benefit from treatment with bisphosphonates, powerful inhibitors of bone resorption. Only 3 prior studies have described the positive effect of pamidronate therapy given during hospital stay. This pilot study describes the effect of pamidronate in the treatment of RSDS given in an outdoor clinic. Material and methods: In an open prospective study, the efficacy of pamidronate, in the treatment of RSDS was evaluated. Randomizing was not possible due to the number of patients. Nine consecutive patients with RSDS and positive bone scans, were included in the study. Pamidronate was given intravenously, initially 20 mg dissolved in 1000 ml of saline infused over 2 hours. The treatment was repeated after 2 and 4 weeks with double doses of pamidronate. After 3 month a control bone scan was performed. VAS for pain ROM, assessment of improvement and a pending claim of disablement pension was recorded. Results: All patients improved during treatment. The mean VAS decreased from 8,2 to 3,6 (max 10). 3 patients had excellent improvement, 2 significant, 2 moderate and 2 minimal. All patients had improved ROM. Control bone scans all showed reduced or no pathological activity. 2 patients received disablement pension. Conclusion: These results indicate that bisphosphonates should be considered for the treatment of RSDS. Double-blind placebo controlled studies are required to document these preliminary results. 21 Treatment of established Volkmann's contracture in children with displaced supracondylar fractures of the Humerus. A case report Niels H. Søe Nielsen, Nina Høffding, Maria Hasselquist, Christen Krag Department of Orthopaedics, Section of Hand Surgery and Department of Occupational Therapy, Gentofte Hospital, Department of Diagnostic Radiology and Department of Plastic Surgery, Herlev Hospital, University of Copenhagen, Denmark. The supracondylar fracture of the humerus is a common injury in children, comprising 3%-18% of all pediatric fractures and most frequently seen between the ages of 3 and 10 years. The potential for neurovascular complications make supracondylar humeral fractures a serious injury. The incidence of compartment syndrome may be estimated from the literature to be 1 to 3 per 1000 fractures. Case report A 4-year old boy developed a fulminant Volkmanns contracture after a left type III extension supracondylar fracture. MR showed sequelae after necrosis with fatty degeneration and atrophy. The area involved almost the whole flexor compartment of the forearm. The EMG showed median nerve damage. Intensive hand therapy and a neurovascular transfer of the m. gracilis to the digital flexors combined with a saphenus cable graft to the median nerve defect were used, fifteen month after injury. Two years after surgery he had a good handgrip. Conclusion The goal of treatment of supracondylar humeral fractures is to avoid catastrophes but when it happens excision of the necrotic tissue and a free neurovascular transfer of the gracilis and a nerve transplantation for the reconstruction of the hand function is a good choice. This treatment can restore useful function to a hand that would otherwise be almost useless. 22 Displaced fractures of the humeral surgical neck treated with titanium helix wire. Otto Falster, Peder Klement & Anders Philipsen Dept. of orthopedics, Holbæk Sygehus Introduction Since January 2000 we have used the helix wire in the treatment of the displaced fractures of the humeral surgical neck. Osteosynthesis with this implant gives an elastic, semirigid three-point fixation of the fracture which ideally avoids earlier problems with migrating pins and rods. Material and methods A total of 30 patients were treated. Median age 74 years (20-91). 8 male, 22 female. Neer classification, 16 two-part, 8 three-part, 6 four-part. If rotational stability was not obtained with one wire, two wires were used. In ten patients one wire was used, in 20 patients two wires. Operation time was median 30(20-90)minutes.The op
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