Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Treatment of osteomyelitis by local antibiotics using a portable electronic micropump].
Systemic administration of antibiotics in osteoarticular infections is characterized by: 1) systemic side effects: 2) questionable penetration of the antibiotic into the infected and ischaemic areas: 3) mandatory hospitalization for prolonged administration of antibiotics. Aware of these difficulties, orthopedic surgeons have long been seeking an effective method of local antibiotic administration. The authors report their original experience with the use of an external, portable electronic micro pump for continuous local delivery of antibiotics in conjunction with surgical debridement, in the treatment of osteomyelitis. ⋯ Our experience shows: 1) the simplicity and limited invasiveness of this technique, which, without excluding other forms of therapy, allows to deliver antibiotics in the infected focus for months; 2) the absence of side effects and technical complications; 3) the good quality of life of the patients during the treatment; 4) the low cost for the health care system, since the patients are followed-up and the reservoirs refilled on an out-patient basis.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1994
[Acetabular screw rings and surface effects: apropos of a continuous series of 115 primary implantations of Karl Zweymüller's acetabular screw rings after a follow-up of an average of 5.8 years]].
The authors review and analyze a series of patients treated by total hip arthroplasty with a Karl Zweymüller threaded cup. ⋯ Due to its biomecanical characteristics, excellent primary stability, thinness of its pure titanium micropitted surface and low module of elasticity, the Zweymüller screw ring achieves a quite successful compromise between the different conditions necessary not only to obtain but above all to maintain osteointegration at least at mid term.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1993
Case Reports[Dislocation of the tendon of the posterior tibial muscle and fracture of the lateral malleolus. An other equivalent of bimalleolar fracture?].
The authors report on a new case of dislocation of the tibialis posterior tendon which was associated with a fracture of the lateral malleolus. They postpone a mechanism of injury based on the fibular fracture and emphasize differential diagnosis with rupture of the deltoid ligament. A retinacular repair was performed.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1993
Review Case Reports[Traumatic amputation of the lower limb and traumatic hemipelvectomy. Report of 2 cases in children and review of the literature].
Traumatic hemipelvectomy is rarely observed, mostly because very few patients survive the initial trauma. We describe 2 cases of children who survived this trauma. The first was a 12 year-old boy who accidentally fell between a metro train and the platform. ⋯ In the literature, we found 36 survivors to this dreadful lesion (4 of them children). We analysed the different problems for the treatment of this trauma caused, and their short term consequences. An early evaluation of the lesions, rapid and intensive resuscitation, early decision to complete the traumatic amputation if necessary, with urinary and digestive derivation, are important elements towards eventual successful outcome of the treatment.
-
Rev Chir Orthop Reparatrice Appar Mot · Jan 1992
Review Case Reports[Atlanto-axial instability in children with trisomy 21: atlanto-axial (C1-C2) or occipito-axial (O-C2) arthrodesis?].
A retrospective study involving seven cases of operated atlantoaxial (C1-C2) instability in patients with Down Syndrome prompted the authors to raise the following question: which kind of arthrodesis is to be performed for these patients? The possibility of an occipito-atlantal (O-C1) instability, is in fact relatively frequent in this condition, as the authors have observed themselves and in a literature survey; this is an argument for performing an occipito-axial (O-C2) arthrodesis. The difficulties met to reduce the C1-C2 luxation, the frequent pseudarthroses (3 cases in our series) and a tetraplegia following a re-operation for non-union are as many other arguments to perform a O-C2 arthrodesis rather than a C1-C2 arthrodesis.