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Author: Jean-Claude Wawer
Publisher:
ISBN:
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Languages : fr
Pages : 194
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Author: Jean-Claude Wawer
Publisher:
ISBN:
Category :
Languages : fr
Pages : 194
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Author: France Costentin-Cuvelier
Publisher:
ISBN:
Category :
Languages : fr
Pages : 142
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Les fractures de l'extrémité supérieure du fémur chez la personne âgée de plus de 65 ans posent un véritable problème de santé publique de par leur coût annuel estimé à 6 milliard de francs et leur fréquence estimée à 45 000 chaque année en France. Nous avons étudié les patients âgés de 65 ans et plus, traités en 1994 au CHU de Rouen dans les deux services de chirurgie orthopédique et traumatologique. 361 dossiers ont été retenus. L'âge moyen des patients a été de 82,4 ans avec forte prédominance féminine (sex ration F/H = 3,68). Nous avons constaté la survenue de 174 fractures transcervicales, 171 fractures pertrochantériennes, 16 fractures trochantéro-diaphysaires. Les facteurs de risque des fractures de l'extrémité supérieure du fémur ont été nombreux : lieu et mode de vie, ostéoporose de type II, antécédents médicaux et chirurgicaux, facteurs favorisant la chute traitement médicamenteux avec en particulier la prescription de somnifères à 40% de la population étudiée). Nous avons étudié les complications post-opératoires de la chirurgie de ces fractures (morbidité = 33%; mortalité = 6,4%). Nous n'avons pu mettre en évidence une spécificité dans notre population en comparaison avec les données de la littérature. Nous avons remarqué l'insuffisance de prévention de ces fractures et en particulier l'absence de supplémentation calcique chez la personne âgée prédisposée aux fractures de type ostéoporotique.
Author: Hilaire Zebina (Médecin).)
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Category :
Languages : fr
Pages : 0
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Author: Hilaire-Michel Zebina
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Languages : fr
Pages : 73
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Author: SANDRINE.. CHANTELOT
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Languages : fr
Pages :
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Author: Thierry Perrin
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Languages : fr
Pages :
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Author: Jean-Louis Royer
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Languages : fr
Pages : 218
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Author: Nigel Arden
Publisher: Springer
ISBN: 1910315168
Category : Medical
Languages : en
Pages : 99
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This Atlas provides an up-to-date and comprehensive overview of the historical and current perspectives on osteoarthritis, including the pathophysiology and epidemiology of the disease. Written by leading authors in the field of osteoarthritis, the book discusses classification, etiology and risk factors for osteoarthritis, the disease course and determinants of osteoarthritis progression, clinical features and diagnosis as well as imaging methods to assess joint damage. The Atlas of Osteoarthritis concludes with the latest treatment updates including both nonpharmacological and pharmacological treatments, as well as surgical recommendations for patients with the disease. Osteoarthritis is the most common form of joint disease causing joint pain, stiffness, and physical disability among adults. It is an important issue for both the individual and society with its impact on public health continuing to grow as a result of the aging population, the rising prevalence of obesity, and the lack of definitive treatments to prevent or halt the progress of the disease.
Author: K. Robinson
Publisher: Springer Science & Business Media
ISBN: 9780792362487
Category : Medical
Languages : en
Pages : 480
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Book Description
This state-of-the-art review provides an in-depth and critical summary of homocysteine from its molecular basis to clinical relevance and current clinical trials of folic acid and vitamin B6. Written by leading workers in the field, the book provides an authoritative, comprehensive and thoroughly up-to-date overview for scientists and clinicians and any others engaged in the field. It will also be useful to anyone involved in managing vascular patients or cardiac risk factors, as well as biochemists, pharmacologists, general physicians, cardiologists and clinical and basic researchers with an interest in preventive medicine.
Author: J. Charnley
Publisher: Springer Science & Business Media
ISBN: 364267013X
Category : Medical
Languages : en
Pages : 383
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The theme of this work is the application of the engmeermg theory of frictional torque to total hip replacement. The author adhered tenaciously to this theory, involving the use of a small-diameter femoral head, throughout the epoch when the large-diame ter, metal-to-metal design dominated the field. During that considerable period general satisfaction with the early results rendered criticisms of the large-diameter head unwelcome. There was a formidable array of counter criticism: the small head would pierce a film of synovial fluid; the small head would wear the socket too rapidly; the small head would always have a high risk of dislocation; detachment of the trochanter, to achieve precise orientation for the small head, was unacceptable. But all these objections have now been largely overcome. Lubrication of high molecular weight polyethylene (HMWP) on metal is now accepted as being mainly by the boundary regime with thick fluid films playing no part. We now know that HMWP can indeed tolerate the very high stresses imposed by the small head and in tribological theory there may even be some advantage in high stress. Dislocation is now known not to be an automatic sequel to the small head.
