Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Review Comparative Study[Results of orthopedic and surgical treatment of mallet finger by subcutaneous rupture of the extensor tendon. Apropos of a series of 216 cases].
To assess the late results of orthopaedic and surgical treatment for mallet finger, two groups of patients were reviewed in a retrospective study. ⋯ Orthopaedic treatment gave good functional results even in cases with delay of presentation. Surgery is only indicated in failure of conservative treatment. In absence of swan-neck deformity, tenodermodesis is a simple and effective technique. When a swan-neck is present, if the DIP deformity is corrected by PIP stabilization, the Fowler tenotomy is used. Otherwise, the Thompson and Littler operation allows to fully correct the deformity.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Review[Fracture dislocation of the ankle with retro-tibial luxation of the fibula (Bosworth fracture) . Apropos of a case].
The authors present a case of fracture dislocation of the ankle joint with the proximal part of the fibula entrapped behind the tibia ; Bosworth's fracture. This fracture was described for the first time in 1848 by Hugier, and classified by Bosworth in 1947. ⋯ This fracture was operated on and open reduction was performed. At the present time, the functional result is good.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Case Reports[False aneurysm of the posterior tibial artery complicating fracture of the tibia and fibula].
Although tibia and fibula fractures are common, associated injury of the posterior tibial artery is rare. We present an unusual case of pseudoaneurysm of posterior tibial artery complicating a closed tibial and fibular fracture. ⋯ Our case emphasizes that attention must be paid to the vascular complications of fractures, that may not become evident until some time after the initial injury.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Case Reports[Recent post-traumatic luxation of the trapeziometacarpal joint. Apropos of 8 cases].
Eight cases of acute traumatic dislocation of the trapezio-metacarpal joint treated by percutaneous pinning without ligamentoplasty are reported in order to evaluate this method. ⋯ Closed reduction followed by stabilization by percutaneous pinning gives good results in the treatment of acute traumatic dislocation of the trapezio-metacarpal joint. It finds its limits with patients with degenerative changes on the initial radiographs, and in this case ligamentous reconstruction, arthrodesis or arthroplasty might be advocated.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Case Reports[Fractures of the tibial tuberosity associated with avulsion of the patellar ligament in adolescents].
Avulsion fracture of the tibial tuberosity is considered as a relatively uncommon adolescent injury. The avulsion of the patellar ligament may occur as part of the injury. Two cases of sixteen year old boys with this kind of injury have been reported. Fractures are described using Ogden et al. classification : type I is an avulsion fracture of the most distal portion of the ossification center of the tubercle ; type II, an upward angulation of the lip fragment ; type III, a fracture of the lip fragment with propagation of the fracture-line into the knee joint. Each type is subdivised into A (no comminution) and B (comminution). Frankl et al. in 1990 address the possibility that patellar ligament avulsion may occur as part of the injury (type C). ⋯ Avulsion fracture of the tibial tuberosity is rare. When conservative treatment is indicated, it is important to search an avulsion of the patellar ligament. When such an injury is suspected, lateral radiographs of the knee should be made in flexion as well as in extension. We believe that treatment should include open reduction and internal fixation associated with a protect tension band allowing early rehabilitation.