Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
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Rev Chir Orthop Reparatrice Appar Mot · Dec 1978
[Intramedullary nailing with reaming. A critical analysis of Kuntscher's principle (author's transl)].
The authors have reviewed two of Kuntscher's principles relating to intramedullary nailing: the moment of elasticity of the nail should be close to the moment of elasticity of the bone and the suppression of rotation movements at the fracture site is due to locking of the nail by virtue of its elasticity. They have conducted an experimental study which does not confirm these views. They considered that rotary stability is due to muscle tone, the line of the fracture and the anchorage of the ends of the nail at the upper and lower end of the bone.
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Rev Chir Orthop Reparatrice Appar Mot · Apr 1978
[Traumatic dislocation of the knee treated by early surgical repair (author's transl)].
The authors have treated twelve traumatic dislocations of the knee. Three were treated conservatively with one satisfactory result. Nine were treated by early surgical repair with seven satisfactory results. ⋯ In one case a lesion of the lateral popliteal nerve which did not recover was treated by palliative surgery. In one case, secondary skin necrosis was treated by skin flap transplantation using micro-surgical technique with a satisfactory result. It is concluded that ligamentous and vascular repairs should be undertaken at the same procedure after arteriography.
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Rev Chir Orthop Reparatrice Appar Mot · Jun 1976
[Surgery in a plastic air-filled chamber. Current possibilities].
The authors have made an assessment of the use of an isolating operation chamber in 137 operations, primarily for the insertion of prostheses the the hip or knee, but also for the shoulder. The isolating chamber can be used equally well for hip, knee, shoulder or other surgery. The unit is made in the form of a plastic balloon, the air inside is sterile. ⋯ It is adherent to the skin of the patient and its wall is incised at the same time as the skin. The result is a very satisfactory isolation of the wound, eliminating faults in aseptic technique but requiring fresh sterilisation for each new procedure. Their assessment has shown that this enclosure can be used without any major problem of adaptation.
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Rev Chir Orthop Reparatrice Appar Mot · Sep 1975
[Treatment of comminuted fractures of the distal end of the radius by traction using transfixing Kirschner's wires and plaster cast].
Based on the analysis of 45 cases of comminuted fractures of the lower extremity of the radius, this study points out the insufficiency of conventional treatments. The authors advocate a technique using a Kirschner's wire passed through the metacarpal bones and another one through the ulna, both beind embeded in plaster cast. This method was tested on 19 cases with encouraging results. The technique was precisely described and the authors think that it should be used in fractures incorrectly reduced by conventional methods.