Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
Comparative Study[Surgical limb lengthening in patients of short stature. Indications, complications and results].
The authors report their experience in limb lengthening in 55 patients with short stature. ⋯ Such a treatment must be undertaken in specialized centers, not only owing to surgical difficulties, but especially because it requires a continuous clinical check and a strong post-operative physiotherapy.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Letournel's ilio-femoral way in acetabular fractures of the two columns. A prospective study].
The authors present the anatomical and functional results of the systematic use of Letournel's extensive lateral approach for internal fixation of the fractures of the acetabulum involving the two columns. ⋯ The authors limit their indications of the Letournel's extensive lateral approach to the fractures of the two columns, not older than 10 days or to the comminuted ones.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Treatment of osteomyelitis by local antibiotics using a portable electronic micropump].
Systemic administration of antibiotics in osteoarticular infections is characterized by: 1) systemic side effects: 2) questionable penetration of the antibiotic into the infected and ischaemic areas: 3) mandatory hospitalization for prolonged administration of antibiotics. Aware of these difficulties, orthopedic surgeons have long been seeking an effective method of local antibiotic administration. The authors report their original experience with the use of an external, portable electronic micro pump for continuous local delivery of antibiotics in conjunction with surgical debridement, in the treatment of osteomyelitis. ⋯ Our experience shows: 1) the simplicity and limited invasiveness of this technique, which, without excluding other forms of therapy, allows to deliver antibiotics in the infected focus for months; 2) the absence of side effects and technical complications; 3) the good quality of life of the patients during the treatment; 4) the low cost for the health care system, since the patients are followed-up and the reservoirs refilled on an out-patient basis.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Epidural infiltrations in the treatment of lumbar radiculopathy. Apropos of 200 cases].
The authors report a prospective study on the treatment of radicular compression using epidural infiltrations. ⋯ Avoiding surgical treatment is not the only parameter which should be studied in evaluating the effectiveness of treatment. Lassale's pre and postoperative evaluation with a minimum 1 year follow up showed improvement in all non surgical cases. When compared to the literature, this study shows favorable long term results.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Long-term result of lumbar disk chemonucleolysis (a 8-12 years follow-up)].
This study is an attempt to assess the effects of chemonucleolysis over an extended period of time (8 to 12 years follow-up). ⋯ We conclude that chemonucleolysis is an effective and safe method for treating sciatica by herniated lumbar discs.