{"id":1489,"date":"2019-06-19T11:48:30","date_gmt":"2019-06-19T09:48:30","guid":{"rendered":"https:\/\/www.crioac-lyon.fr\/?page_id=1489"},"modified":"2022-05-17T17:02:25","modified_gmt":"2022-05-17T15:02:25","slug":"exemples-resultats-fonctionnels","status":"publish","type":"page","link":"https:\/\/www.crioac-lyon.fr\/en\/exemples-resultats-fonctionnels\/","title":{"rendered":"Examples of satisfactory functional outcomes"},"content":{"rendered":"<p><\/p>\n<h2><\/h2>\n<h2>A 78-year-old referred to CRIOAc Lyon for recurrent prosthetic joint-infection of the left knee, associated with extensor mechanism disruption and exposure of the prosthetic joint<\/h2>\n<div class=\"cf\">\n<div class=\"m-all t-6of12 d-6of12\">\n<p>&nbsp;<\/p>\n<div style=\"width: 470px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/resultats_06.jpg\" alt=\"Aspect local avec exposition de la proth\u00e8se et rupture de l\u2019appareil extenseur \u00e0 cause de l\u2019infection\" width=\"460\" height=\"345\" \/><p class=\"wp-caption-text\">Exposed prosthetic joint and extensor mechanism disruption due to infection<\/p><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 680px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-1489-6\" width=\"680\" height=\"383\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-patient-arthrodese.mp4?_=6\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-patient-arthrodese.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-patient-arthrodese.mp4<\/a><\/video><\/div>\n<p>Functional outcome 6 years after multiple acts of surgery to manage infection and after the placement of a silver knee arthrodesis prosthesis.<\/p>\n<\/div>\n<\/div>\n<h2><\/h2>\n<h2>A 64-year-old patient, presenting with chronic osteomyelitis caused by <em>P. aeruginosa<\/em> following a road accident in 1984, was treated  by curettage and gentamicin bone substitute<\/h2>\n<div class=\"cf\">\n<div class=\"m-all t-6of12 d-6of12\">\n<p>&nbsp;<\/p>\n<div style=\"width: 330px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/radio-osteomyelite-cerament.jpg\" alt=\"Radiographies du genou montrant l'ost\u00e9omy\u00e9lite du f\u00e9mur avant et apr\u00e8s le curetage et l'administration du substitut osseux \u00e0 la gentamicine\" width=\"460\" height=\"345\" \/><p class=\"wp-caption-text\">Knee x-rays showing osteomyelitis of the femur, before and after curettage and administration of gentamicin bone substitute<\/p><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 680px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-1489-7\" width=\"680\" height=\"383\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-osteomyelite.mp4?_=7\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-osteomyelite.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/video-marche-osteomyelite.mp4<\/a><\/video><\/div>\n<p>After 2 years, favourable outcome and pain-free walking without local signs of infection<\/p>\n<\/div>\n<\/div>\n<h2><\/h2>\n<h2>A 48-year-old patient referred to CRIOAc Lyon for a spacer infection, an indirect consequence of a gunshot wound (a spacer is a bone cement used to manage bone loss)<\/h2>\n<p>The patient could no longer walk. Due to the destruction of the distal femur by the impact of the bullet, the patient had to undergo bone resection with the implantation of a spacer. <\/p>\n<div class=\"cf\">\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 470px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/resultats_07.png\" alt=\"Aspect \u00e0 la face externe (\u00e0 gauche) et \u00e0 la face interne (\u00e0 droite) du genou touch\u00e9 par la balle\" width=\"460\" height=\"692\" \/><p class=\"wp-caption-text\">External aspect of the knee at gunshot wound<\/p><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 470px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/resultats_08.jpg\" alt=\"Aspect \u00e0 au scanner du genou du patient, avec le spacer qui comblait la perte de substance osseuse et qui \u00e9tait infect\u00e9\" width=\"460\" height=\"692\" \/><p class=\"wp-caption-text\">CT scan of patient&#8217;s knee affected by spacer infection<\/p><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-1489-8\" width=\"640\" height=\"400\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4?_=8\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_2.mp4<\/a><\/video><\/div>\n<p>Favourable outcome after multiple acts of surgery in response to infection, and after placement of a knee prosthesis.\n<\/p><\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-1489-9\" width=\"640\" height=\"400\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4?_=9\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_3.mp4<\/a><\/video><\/div>\n<p>Two years after, functional outcome can be observed. The patient no longer presents infection and can walk painlessly.<\/p>\n<\/div>\n<\/div>\n<h2><\/h2>\n<h2>A 71-year-old patient, having presented with a chronic <em>Propionibacterium acnes<\/em> prosthetic joint-infection of the left hip, required complex implant removal<\/h2>\n<p>This patient underwent resection-arthroplasty and was able to walk again without a new prosthesis.<\/p>\n<div class=\"cf\">\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 470px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/resultats_10-1.jpg\" alt=\"Radiographie du bassin de face en pr\u00e9op\u00e9ratoire\" width=\"460\" height=\"384\" \/><p class=\"wp-caption-text\">Preoperative x-ray of pelvis<\/p><\/div>\n<\/div>\n<div class=\"m-all t-6of12 d-6of12\">\n<div style=\"width: 470px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/resultats_10-2.jpg\" alt=\"Radiographie du bassin de face en postop\u00e9ratoire\" width=\"460\" height=\"384\" \/><p class=\"wp-caption-text\">Postoperative x-ray of pelvis<\/p><\/div>\n<\/div>\n<div class=\"m-all t-all d-all\">\n<div style=\"width: 320px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-1489-10\" width=\"320\" height=\"568\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_4.mp4?_=10\" \/><a href=\"https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_4.mp4\">https:\/\/www.crioac-lyon.fr\/wp-content\/uploads\/PEC\/VIDEO_4.mp4<\/a><\/video><\/div>\n<\/div>\n<p style=\"text-align: center;\">Two years later, functional outcome can be observed. The patient no longer presents infection and can walk painlessly, despite missing hip prosthesis.<\/p>\n<\/div>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>A 78-year-old referred to CRIOAc Lyon for recurrent prosthetic joint-infection of the left knee, associated with extensor mechanism disruption and exposure of the prosthetic joint &nbsp; Functional outcome 6 years after multiple acts of surgery to manage infection and after the placement of a silver knee arthrodesis prosthesis. A 64-year-old patient, presenting with chronic osteomyelitis caused by P. aeruginosa following<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1489","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/1489","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/comments?post=1489"}],"version-history":[{"count":43,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/1489\/revisions"}],"predecessor-version":[{"id":5625,"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/pages\/1489\/revisions\/5625"}],"wp:attachment":[{"href":"https:\/\/www.crioac-lyon.fr\/en\/wp-json\/wp\/v2\/media?parent=1489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}