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Processing of chronic disjunctions by autograft and double-button (Operation of )
P. , NR. , Y. , G. Sparrow, I. , C. , CH. | MO
May 2008 | Post-traumatic disjunctions are frequent in practice of sports such as Rugby, football, hockey, the bicycle, the rollerblading, the ski or surfing. The organic mechanism most common is a fall with direct impact on the level of the shoulder, the arm in adduction. According to the importance of the traumatism, the ligaments and capsules it can be stretched, partially or completely broken. Lesion severity is well reflected by the classification of , currently most used, which distinguishes six stages from increasing seriousness. The ligaments (trapezoidal and ) are known as being “the ligaments hangers of the shoulder”, people responsible for stability in…
P. , NR. , Y. , G. Sparrow, I. , C. , CH. |
Which limits for the ? - Preoperative Interest prognostic score: Score ( Index Score)
P. , F. | MO
May 2008 | The techniques of stabilization of the shoulder are currently well codified: the majority of the surgeons use anchors with joinings to reintegrate the and to retighten the capsular hammock antéro-inferior. However, the repetition of instability represents still today the main complication of former stabilizations of the shoulder under . A careful and extensive analysis of the literature showed us that even with the technical projections most recent, the rate of recurrence of instability after stabilization varies between 10 and 30% (Hobby et al., Br 2007). After having developed a standardized and reproducible technique, we evaluated ourself and brought back our results after stabilization of the shoulder : …
P. , F. |
The total patching of the hip: return of last or modern joint replacement?
PH. | MO
May 2008 | By its principle the patching of the hip is tempting. The large diameter of the head approaches the anatomy and makes it possible to limit the risk of luxation. The initial offset of the hip is preserved as well as the length of the neck leaving at the muscles their initial voltage! The osseous capital is preserved not only by preserving the center of the head and the neck but also by avoiding an useless deterioration of the métaphyso-diaphyseal area of the upper end of the femur. A priori the functional result should be good, the durability should depend on the quality of the installation and of the couple of friction, the resumption of arthroplasty should be simplified. In practice the clarification of this type of prosthesis was the fruit many gropings. The arthroplasty by a femoral cup was proposed before…
PH. |
Techniques of stabilization
E.M. Wolf | MO
May 2008 | The techniques of stabilization progressed these last years and now seem to be able to make it possible to obtain results as good as the techniques with open sky. Without being unaware of the importance of the problems of loss of bone substance, the techniques of stabilization primarily concentrated on the rebuilding of the lesions and . Recently, and of , in a broad series of patients who had had a stabilization of their shoulder by anchoring of the , stressed the fundamental character of the osseous lesions in occurred of the failures. Thus, on 194 repairs by , they had met 21 failures is 10,8%. In this series, when there was no problem of osseous lesion,…
E.M. Wolf |
Rotatory degradations of the
Mr. and the JADE group | MO
April 2008 |  The is a fault of axis in the coronal plane with increase in the internal stresses which can degrade itself in osteoarthritis. This can be constitutional or acquired by the “weight “of the years. The consequence, with time, in is a wear of the internal compartment interesting the femur and especially the tibia with appearance of an osseous basin. Wear on the tibia always does not sit at the same place. It can be posterior, centered or former. The former and posterior basins are the translation of an abnormal rotation of the tibia under the femur associated with the frontal deviation with, for this study, a preserved central pivot. Axial rotation, if it exists, is done during the development of the disease and without any traumatic antecedent. We will analyze…
Mr. and the JADE group |
Comparison of the channel postéro-intern and the channel in the surgery of the equine clubfoot
P. - L. , R. , J. - J. | MO
April 2008 |  The operative treatment of the equine clubfoot is addressed to these feet which resisted an early conservative treatment continued with constancy. It also relates to the neglected which did not can be dealt with in neonatal period following the lack of medical resources. The objective of the processing of the equine is to correct the foot and to return it plantigrade, flexible and painless with an adequate function. The objective is that this result is maintained. In spite of a capture in optimum load impedance, a rigid clubfoot equine congenital never becomes a normal foot. It will always persist of the faults such as the atrophy of the calf, the shortening of the foot, a reduction in the joint mobility especially of ankle and sometimes an inequality length of the members…
P. - L. , R. , J. - J. |
| Great names of Belgian csotcina.comedy: Jean 1831 1962 J. - J. | MO
April 2008 | Who doesn't know the forceps of ? On the other hand, the personality of this pioneer of csotcina.comedy was referred to little: a word on page 23 of the book of , a simple quotation in the book of the Belgian society of csotcina.comedic surgery and Traumatology. published in 1964, the minutes of the meeting of homage of the Belgian society of csotcina.comedy to its former chief executive: the history of a school and the life of a Master are read there. Its obituary published in the Review of csotcina.comedic surgery was written feather of Robert Merle of : “Burning patriot, typically Belgian, typically Flemish and noble to be it, it transported in the world this familiar and benevolent good-naturedness so characteristic, this accent that some would have shown it…
J. - J. |
Reversed arthroplasty of in geriatric fresh traumatology
J. - F. , Y. Hassan, F. , A. | MO
April 2008 | At the physiologically old person, in the event of humeral fracture complex, the main difficulty is to obtain a solid and effective synthesis tuberosities. The usual ways of assumption of responsibility expose to resorptions, migrations, not-consolidations of those, which the functional result and precipitates sometimes the patient in the dependence. The reversed prosthesis functions with the only deltoid muscle. The inversion of surfaces, the fixity and with the of the center of rotation of the shoulder joint as to the setting in pre-tensioning of the deltoid by lowering of its insertion point make it possible to increase the arm of lever of this muscle. With thirteen years a maximum passing, the aim of this work is to know if the reversed implant can find…
J. - F. , Y. Hassan, F. , A. |
Total prosthesis of hip with double mobility and invasive mini surgery
A. , D. Noyer | MO
April 2008 | The total prosthesis of hip with double mobility is more and more used in particular in France. It is a prosthesis which is posed since 1977 in the Rhone-Alps area from which we are resulting, according to a principle imagined per G. . This type of prosthesis has been used for 16 years for the stem (A. ) and 30 years for (D. Noyer) with clinical excellent results. We always pose it by conventional channel external, but we were confronted recently with the mode of the minicomputer-incision. According to the example of . we always endeavoured to reduce the size of skin incisions so that naturally this novel mode incited us to make true postéro-external minicomputer-incisions. We forward here our experiment since 2002 of the use of one…
A. , D. Noyer |
A historical background of the replacement of the head of the
C. | MO
March 2008 |  For a long time the wrist was summarized with the complex radius-carp. The name of ulna means besides its membership of the elbow (ulna seems to come from Latin who means: to be lying. At “” wants to tell to confess, because the former Romans ate lengthened with the left elbow pressed on the table). It is only in the years 1980, with the publication of Beautiful (Beautiful and Al, 1985), then with work in particular of (and MO , April 2000, innovations on the surgery of the wrist), that the surgeons realized importance of the in physiology (and the pathology of the wrist) and in particular its role of support. Indeed, in the majority of the epic of the everyday life, the front armlever is prone and the radius-carp-hand unit…
C. |
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