Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · May 1999
Clinical Trial Controlled Clinical Trial[Botulinum A in the treatment of equinus dynamic spasticity in children with cerebral palsy. Preliminary study].
The purpose of this clinical prospective study is to better assess the efficacy of intramuscular injections of botulinum-A toxin in the treatment of spastic dynamic equinus deformities in children with cerebral palsy. ⋯ The intramuscular injection of botulinum-A toxin in spastic dynamic equinus deformities in children with cerebral palsy is an useful treatment modality, but the indications have to be respected scrupulously. The subject needs more study with the higher dosage and clinical evaluation to confirm the possible increased endurance.
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Rev Chir Orthop Reparatrice Appar Mot · May 1999
[Prognostic factors during rehabilitation after shoulder prostheses for fracture].
To evaluate the role, the difficulties of rehabilitation and to diagnose the eventual surgical complications after shoulder prosthesis for 4-part fractures. ⋯ The age and poor general condition of the patients as well as the difficulty of the surgical technique more than the rehabilitation, explain the disappointing results observed after shoulder prosthesis for four-part fractures. The discrepancy between active and passive elevation suggests that limited motion is not caused by a stiff shoulder because of glenohumeral scarring but instead by weakness of the deltoid (because of axillary lesion) and/or of the external rotators (because of greater tuberosity migration). There is some discordance between the necessity to early mobilise the shoulder and the high rate of tuberosity migration.
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Rev Chir Orthop Reparatrice Appar Mot · May 1999
Case Reports[Pott's disease paraplegia in children. Mechanics and therapeutic strategies. Six cases].
We report a series of 6 Pott's disease paraplegias treated between 1982 and 1996. ⋯ Prognosis of Pott's disease is good but at the present time, paraplegia remains too frequent. Adapted treatment must be performed without delay.