Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Nov 1999
[Associated fracture of the posteromedial tubercle and the lateral process of the talus: a case report. Contribution of computed tomography].
Fracture of lateral process of the talus is an uncommon injury, fracture of the posteromedial tubercle of the talus is quite rare, and association of the two lesions is not reported previously. We report a case of an associated fracture of posteromedial tubercle an lateral process of the talus. ⋯ The fracture of the posteromedial tubercle was treated by internal fixation, through a posteromedial approach. At 12 months follow-up the patient was able to walk without pain and radiographic result was excellent (no avascular necrosis of the tubercle and no Arthrosis of subtalar joint).
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Rev Chir Orthop Reparatrice Appar Mot · Nov 1999
[Zone I and II flexor tendon laceration in children].
The goals of this study is to determine the effect of post-operative management as optimun period of post-operative immobilization, type of immobilization and importance of early mobilization program in zone I and II flexor tendon laceration in children. ⋯ Primary flexor tendon repairs in children in this series achieved satisfactory functional results in comparison with adults. There is however, in the very young, some widely differing results since the necessity of post operative care was not fully appreciated. Immobilization with a short splint should be avoided because of greater complication rate as rupture, especially in very young. We found no benefit of early passive mobilization protocols. Immobilization should not be extend beyond 4 weeks because of deterioration of final functional result.