RESUMEN
During the summer of 2014, all the pre-requisites for autochthonous transmission of chikungunya virus are present in southern France: a competent vector, Aedes albopictus, and a large number of travellers returning from the French Caribbean islands where an outbreak is occurring. We describe the system implemented for the surveillance of chikungunya and dengue in mainland France. From 2 May to 4 July 2014, there were 126 laboratory-confirmed imported chikungunya cases in mainland France.
Asunto(s)
Infecciones por Alphavirus/epidemiología , Dengue/epidemiología , Vigilancia de Guardia , Viaje , Aedes/virología , Infecciones por Alphavirus/transmisión , Animales , Fiebre Chikungunya , Virus Chikungunya , Dengue/transmisión , Brotes de Enfermedades , Francia/epidemiología , Humanos , Insectos Vectores , Notificación ObligatoriaRESUMEN
Between 1990 and 1994, 94 patients over 65 years with subcapital humerus fractures were treated by plate osteosynthesis. All patients were operated on within 48 h after trauma. Intensive physical exercising was begun in the early postoperative period. Three months after the operation all osteosynthesis materials were removed with differentiated treatment of the subacromial area. If deemed necessary on the basis of the intraoperative findings (i.e. symptoms of impingement) treatment included a Neer acromioplasty. Sixty-nine of the 94 patients were followed up, including clinical, radiological and ultrasonographic examinations. Twenty-two patients showed an excellent, 26 a good, 9 a satisfactory and 12 an unsatisfactory result, i.e. in more than 82% of patients functional result was excellent to satisfactory. Therefore, we recommended plate osteosynthesis of subcapital humerus fractures in the elderly, in combination with our standard postoperative regimen.
Asunto(s)
Placas Óseas , Fijación Interna de Fracturas , Fracturas del Hombro/cirugía , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Modalidades de Fisioterapia , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/rehabilitación , Radiografía , Fracturas del Hombro/diagnóstico por imagen , Síndrome de Abducción Dolorosa del Hombro/diagnóstico por imagen , Síndrome de Abducción Dolorosa del Hombro/rehabilitación , Resultado del TratamientoRESUMEN
Between 1990 and 1994 94 patients over 65 years of age with subcapital humeral fractures were treated by plate osteosynthesis combined with a modified postoperative treatment including intensive physical exercise in the early postoperative period. Three months after surgery all osteosynthesis materials were removed using a differentiated treatment of the subacromial area. In the follow-up study 69 of the 94 patients were examined; 22 patients showed an excellent, 26 a good, 9 a satisfactory, and 12 an unsatisfactory result. Thus, we recommend plate osteosynthesis of subcapital humeral fractures in elderly people in combination with our standardized postoperative regimes.