Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
-
Rev Chir Orthop Reparatrice Appar Mot · Dec 1978
Comparative Study[Combined Kuntscher nailing and screw fixation (author's transl)].
The authors describe a technique of Kuntscher intramedullary nailing combined with screws driven through the bone and the nail above and below the fracture site. This technique gives better stability of the fracture and allows extension of intramedullary nailing to severely comminuted fractures, fractures with loss of bone and to proximal or distal fractures. Risks of rotational instability or shortening are diminished. ⋯ Biomechanical experiments conducted to determine the best position of the screws for optimal locking of the nail are described. The results obtained in one hundred and sixteen cases are analysed. The technique was also used in the treatment of non-union and in the fixation of osteotomies.
-
Rev Chir Orthop Reparatrice Appar Mot · Apr 1978
[Traumatic dislocation of the knee treated by early surgical repair (author's transl)].
The authors have treated twelve traumatic dislocations of the knee. Three were treated conservatively with one satisfactory result. Nine were treated by early surgical repair with seven satisfactory results. ⋯ In one case a lesion of the lateral popliteal nerve which did not recover was treated by palliative surgery. In one case, secondary skin necrosis was treated by skin flap transplantation using micro-surgical technique with a satisfactory result. It is concluded that ligamentous and vascular repairs should be undertaken at the same procedure after arteriography.
-
Rev Chir Orthop Reparatrice Appar Mot · Jun 1976
[Surgery in a plastic air-filled chamber. Current possibilities].
The authors have made an assessment of the use of an isolating operation chamber in 137 operations, primarily for the insertion of prostheses the the hip or knee, but also for the shoulder. The isolating chamber can be used equally well for hip, knee, shoulder or other surgery. The unit is made in the form of a plastic balloon, the air inside is sterile. ⋯ It is adherent to the skin of the patient and its wall is incised at the same time as the skin. The result is a very satisfactory isolation of the wound, eliminating faults in aseptic technique but requiring fresh sterilisation for each new procedure. Their assessment has shown that this enclosure can be used without any major problem of adaptation.
-
Rev Chir Orthop Reparatrice Appar Mot · Sep 1975
[Treatment of comminuted fractures of the distal end of the radius by traction using transfixing Kirschner's wires and plaster cast].
Based on the analysis of 45 cases of comminuted fractures of the lower extremity of the radius, this study points out the insufficiency of conventional treatments. The authors advocate a technique using a Kirschner's wire passed through the metacarpal bones and another one through the ulna, both beind embeded in plaster cast. This method was tested on 19 cases with encouraging results. The technique was precisely described and the authors think that it should be used in fractures incorrectly reduced by conventional methods.