Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
[Uncemented knee prosthesis. Results apropos of 58 cases with a minimum of 5-year follow-up].
The aim of this study was to evaluate, after at least 5 year's follow-up, the results of 64 PCA (TM) cementless total knee prostheses. ⋯ The implantation of uncemented PCA Primary prosthesis caused non complications with respect to the femur. Regarding the tibia, only two reoperations were required because of tibial fixation failure due to a technical fault. The use of a hybrid prosthesis is not required. The microbeads used in PCA are effective but current availability of other materials promoting better bone growth (such as hydroxyapatite, titanium mesh) allows safe implantation of uncemented prostheses. PCA Primary polyethylene wear seems to develop steadily. This is why it should be replaced by the less
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
[Pelvic ring fractures in children. Apropos of 47 cases].
The aim of this study was to report the different anatomical types, associated injuries, morbidity and mortality of pelvic ring disruption in child in Dakar traumatological centers. ⋯ Pelvic fracture in children requires early diagnosis and management. In our countries, morbidity and mortality of these injuries must decrease with the popularization of road safety, multidisciplinary management and improvement of working conditions.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1995
Case Reports[Chronic compartment syndrome of the foot. A case report].
The aim of this paper is to present an unusual localization of a chronic compartment syndrome concerning the medial compartment of the foot. It emphasizes surgical treatment, using a fasciotomy procedure. ⋯ Chronic compartment syndromes require dynamic pressure measurements for an accurate diagnosis. Surgical fasciotomy may be sufficient to restore muscle function. We think this syndrome could happen in all anatomical compartmental structure when there is intensive use of muscles.
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From a theoretical point of view, humeral torsion is described as the angle between the transcondylar plane and the posteromedially facing joint surface of the humeral head. In this study, humeral torsion was also identified as the angle between the anatomical neck of the humerus and at the inferior part the axis of rotation of the elbow and the axis of the forearm. ⋯ It is important to analyse humeral head retroversion by taking into account the axis system and the anatomical planes in shoulder arthroplasty.
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Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
Comparative Study[Surgical limb lengthening in patients of short stature. Indications, complications and results].
The authors report their experience in limb lengthening in 55 patients with short stature. ⋯ Such a treatment must be undertaken in specialized centers, not only owing to surgical difficulties, but especially because it requires a continuous clinical check and a strong post-operative physiotherapy.