Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Jun 2001
[Unstable pelvic ring fracture: osteosynthesis of the posterior lesion by percutaneous sacroiliac fixation].
We report our experience with percutaneous sacroiliac screwing for unstable pelvic ring fracture. ⋯ Percutaneous sacroiliac screwing is a good management strategy for unstable pelvic ring fractures with little risk of morbidity.
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Rev Chir Orthop Reparatrice Appar Mot · May 2001
[Acute anterior instability of the shoulder: short- and mid-term outcome after conservative treatment].
We assessed short and mid-term outcome after emergency care for acute anterior instability of the shoulder. ⋯ Acute anterior dislocation of the shoulder is frequent, but emergency surgical repair is rarely needed (15 cases in our series, 6.9%). Mid-term recurrence is not as frequent as is often thought, warranting the choice of first intention orthopedic care. Our findings demonstrated that emergency surgery is not indicated in most cases of anterior shoulder instability, even with the arthroscopic approach, especially since the results of this method remain unclear.
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Rev Chir Orthop Reparatrice Appar Mot · Apr 2001
Case Reports[New varieties of lateral metatarsophalangeal dislocations of the great toe].
We report seven cases of traumatic dislocation of the great toe, detailing the anatomy, the mechanism of injury and the radiographic diagnosis. We propose an additional classification based on three hereto unreported cases. ⋯ We propose another additional classification with pure lateral dislocation (type III) and dorso-lateral dislocation (type IL or IIL+), which are related to the formerly described variants.
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Rev Chir Orthop Reparatrice Appar Mot · Apr 2001
[One-segment interbody lumbar arthrodesis using impacted cages: posterior unilateral approach versus posterior bilateral approach].
We assessed the relative advantages of unilateral versus bilateral posterior approaches for lumbar spine fusion. ⋯ Adapted instrumentation (cages and instruments) allow using this simplified technique for many patients with an indication for classical bilateral access fusion.
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Rev Chir Orthop Reparatrice Appar Mot · Apr 2001
[Bone reconstruction, leg length discrepancy, and dislocation rate in 52 Wagner revision total hip arthroplasties at 44-month follow-up].
The primary and secondary stability of a revision implant is highly compromised in cases with important loss of bone stock from the proximal femoral after severe femoral loosening. Several methods using implants with or without cement have been proposed for reconstruction after femoral bone loss. The purpose of this study was to analyze mid-term clinical and radiological outcome with the Wagner prosthesis for revision surgery. ⋯ Our results with the Wagner prosthesis are satisfactory both clinically and radiographically. The two drawbacks of this implant (limping and dislocation), partly due to the design of the femoral stem, have led us to study a new implant that preserves good distal anchoring and optimizes the proximal biomechanics of the hip joint.