Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1997
Case Reports[A propos of an unusual case of lumbar-pelvic dislocation in a suicidal jumper].
We report a particular case of lombo-pelvic dislocation in a suicidal jumper, characterized by a distal sacral fracture associated with bilateral fractures of both iliac wings. To our knowledge, it has yet not been described. ⋯ We have described a particular type of transverse fracture of the pelvis, which, in our mind, should be put in the same category as type 2 transverse fractures of the sacrum described by Roy Camille and al, in the suicidal jumper. Since there is no compression of sacral roots into the sacral canal, prolonged bedrest is likely to be the better treatment.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1997
[Osteochondral fractures of the external femoral condyle after traumatic patellar dislocation during physical exercise in children].
Nineteen osteochondral fractures of the lateral femoral condyle associated with acute traumatic patellar dislocation resulting from sport injury in children were studied. The purpose of this study was to specify clinical and radiological features. ⋯ Lateral femoral condyle osteochondral fractures are associated with nearly one third of traumatic patellar dislocation resulting from sport injury in children. A detailed radiographic examination can help diagnosis. Treatment depends on the delay after injury, the size and location of the fracture.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1997
Review[Proximal femoral fractures in patients over 75 years. Vital and functional prognosis of a cohort of 78 patients followed during 2.5 years].
The purpose of this study was to highlight factors influencing vital and functional prognosis at 2.5 years of elderly people being treated for a proximal femoral fracture. ⋯ Therapeutic choices can only be guided by assessments of patients' vital and functional prognosis. A sophisticated or even expensive device should be demanded for patients with favorable prognosis. For patients with precarious functional and vital prognosis, priority should be given to less invasive techniques with immediate walking. The cost of the device should be correlated with patient's functional investment.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1997
[A prospective study of the outcome of anterior laxity of the knee after anterior cruciate ligament reconstruction with procedures using two different patellar tendon grafting methods].
The aim of this study was to evaluate postoperative evolution of anterior laxity, in order to know at what time the elongation of the reconstructed anterior cruciate ligament (ACL) begins to develop after surgery, and if there were any correlations with recuperation of knee flexion or extension. The second purpose of this study was to compare two series of patients operated on by two different procedures for a long standing ACL rupture. ⋯ Evolution of laxity is more favourable in group I with bone-to-bone ligament fixation. Recovering early and complete flexion and extension is not prejudicial for the ligament. Laxity developed between 3 and 6 months and less between 6 and 12 months. KT-1000 is able to detect laxity during early postoperative period. Dynamic radiographs are more precise to control laxity year after year. Informations concerning the two compartments of the knee are of great interest to compare different procedures and to improve new surgical techniques.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1997
[Distal humeral fracture in adults: functional evaluation and measurement of isometric strength].
The purpose of the study was to determine prognostic parameters in adult distal humeral fracture. ⋯ The distal humeral fracture produces a decrease of the elbow strength which is more severe for the dominant side. The reason is unknown. The Alonso-Llames approach seems to be the most favorable approach while the V-shaped section of the triceps shows a deleterious effect on strength. Early post-op exercises seem to have a positive effect on the long term ROM. Neither the fracture type (classification) nor the ROM, nor the strength are correlated with the subjective feeling of the patient. On the other hand statistical correlations show that unsatisfied patients are heavy workers (exact Fisher test P = 0.033) and patients younger than 60 years old (exact Fisher test P = 0.029).