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Détail de l'auteur
Auteur Carlos Acosta-Olivo
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheMechanical stress redistribution in the first metatarsal bone after autologous bone harvesting / Carlos Acosta-Olivo in Journal of the American Podiatric Medical Association, vol. 107, 6 (Novembre -décembre 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 6 (Novembre -décembre 2017) . - p. 490-496
Titre : Mechanical stress redistribution in the first metatarsal bone after autologous bone harvesting Type de document : article de périodique Auteurs : Carlos Acosta-Olivo, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 490-496 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Cheville
[Thésaurus Mesh]Os du métatarse
[Thésaurus Mesh]Transplantation osseuse
[Thésaurus HELB]:Paramédical:greffe autologueMots-clés : bone transplantation Os du métatarse ankle Résumé : Background: The first metatarsal bone is a viable source for autologous bone grafting in foot and ankle surgery and may serve as another convenient graft site to correct a flail toe deformity. We aimed to determine how progressive bone removal from the first metatarsal affects the mechanical redistribution of the foot and whether this bone removal increases the risk of fracture. Methods: A three-dimensional finite element model developed from computed tomographic images obtained from a healthy man were used to evaluate traction stresses on the first metatarsal bone as a function of applied loads on the talus and Achilles tendon at two phases of the gait cycle (and according to the depth of bone removal). Results: Simulations indicated that when maximum load was applied to the Achilles tendon, tensile stress increased from 2.049 MPa in the intact foot to 5.941 MPa in the area of maximum bone harvest during the stance phase. Furthermore, as the volume of bone extracted from the first metatarsal increased, there was a redistribution of stress that differed significantly from that of the intact foot. Conclusions: Although the maximum stress on the first metatarsal was not significantly affected by increasing the volume of bone harvested, the ankle should be splinted in plantarflexion during the postoperative period to eliminate the stance phase of gait and reduce the risk of metatarsal fracture Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Plantar fasciitis—a comparison of treatment with intralesional steroids versus platelet-rich plasma a randomized, blinded study / Carlos Acosta-Olivo in Journal of the American Podiatric Medical Association, vol. 107, 6 (Novembre -décembre 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 6 (Novembre -décembre 2017) . - p. 490-496
Titre : Plantar fasciitis—a comparison of treatment with intralesional steroids versus platelet-rich plasma a randomized, blinded study Type de document : article de périodique Auteurs : Carlos Acosta-Olivo, Auteur ; [et al.], Auteur Année de publication : 2017 Article en page(s) : p. 490-496 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fasciite plantaire:Fasciite plantaire / thérapie
[Thésaurus Mesh]Études par échantillonnage
[Thésaurus Mesh]Fasciite plantaire
[Thésaurus Mesh]Plasma riche en plaquettes
[Thésaurus Mesh]StéroïdesMots-clés : steroids fasciitis, plantar therapeutics platelet-rich plasma sampling studies Résumé : Background: Many treatment options for plantar fasciitis currently exist, some with great success in pain relief. The objective of our study was to compare the use of intralesional steroids with platelet-rich plasma (PRP), using pain scales and functional evaluation, in patients with plantar fasciitis who did not respond to conservative treatment. Methods: A controlled, randomized, blinded clinical assay was performed. Patients were assigned to one of the two groups by selecting a sealed envelope. The steroid treatment group received 8 mg of dexamethasone plus 2 mL of lidocaine as a local anesthetic. The PRP treatment group received 3 mL of PRP activated with 0.45 mL of 10% calcium gluconate. All of the patients were evaluated at the beginning of the study, and at 2, 4, 8, 12, and 16 weeks post-treatment with the Visual Analog Scale (VAS), Foot and Ankle Disability Index (FADI), and American Orthopedic Foot and Ankle Society (AOFAS) scale. Results: The right foot was the most frequently affected foot (63%). The average age of the patients was 44.8 years (range, 24–61 years). All scales used (VAS, FADI and AOFAS) showed that the difference was not statistically significant between the two groups. Conclusions: We can conclude that the use of PRP is an effective treatment method for patients with plantar fasciitis who do not respond to conservative treatment because PRP demonstrates an efficacy equal to that of steroids. However, the cost and the time for preparation the PRP are two of the disadvantages of this treatment Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible