RESUMEN
A series of 99 cases of injuries of the extensor system, followed in the 3 Traumatology and Orthopedics Ward (Dijon, France) is presented. Results were analyzed according to Verdan's classification. In most cases, a Jenning "barb-wire" type repair, introduced in France by Y. Allieu, was made. Early mobilization and skin tension problems are emphasized; two cases of degloving on the dorsum of the hand are presented with details. As well, a special place concerning the results of repair in the proximal interphalangeal joint must be reserved, because of the very frequent association of articular destruction and the very difficult problem s of surgical management which arise in these cases.
Asunto(s)
Traumatismos de la Mano/cirugía , Traumatismos de los Tendones/cirugía , Ambulación Precoz , Femenino , Humanos , Masculino , Métodos , Complicaciones Posoperatorias , Técnicas de Sutura , Traumatismos de los Tendones/clasificación , Traumatismos de los Tendones/terapia , Tendones/trasplanteRESUMEN
The authors describe 90 cases of carbon monoxide poisoning admitted to their unit. The high incidence of accidental poisoning may be partly related to the energy crisis. They underline the importance of recognising the early symptoms, headache, vomiting, weakness of the legs, allowing early diagnosis before irreversible complication set in.
Asunto(s)
Intoxicación por Monóxido de Carbono/diagnóstico , Urgencias Médicas , Accidentes Domésticos , Accidentes de Trabajo , Adolescente , Adulto , Anciano , Intoxicación por Monóxido de Carbono/epidemiología , Niño , Preescolar , Femenino , Francia , Humanos , Masculino , Persona de Mediana Edad , Suicidio/epidemiologíaRESUMEN
The authors propose a method for osteosynthesis of mandibular fractures in a stable and even solid manner, to avoid the inconveniences of mandibulomaxillary fixation. These include: -- the duration of the operative period, -- the necessary close supervision to avoid secondary displacement, -- desmodontous lesions, -- the adverse effects on mouth hygiene, -- the nutritional disturbances with subsequent loss of weight. There is also the ever-present risk of infection, particularly in the dentulous zone where a fracture line crossing a dental alveolus is permanently exposed to the risk of infection from the buccal flora. Three cases are described in which gentamicin acrylic cement pellets were employed to treat bone infections after osteosynthesis of mandibular fractures, with subsequent healing of the septic foci.
Asunto(s)
Cementos Dentales/uso terapéutico , Fijación Interna de Fracturas/métodos , Gentamicinas/administración & dosificación , Traumatismos Mandibulares/cirugía , Osteítis/tratamiento farmacológico , Acrilatos , Adulto , Humanos , Masculino , Traumatismos Mandibulares/complicaciones , Persona de Mediana Edad , Osteítis/etiologíaRESUMEN
Amongst techniques recently proposed to treat osseous infections, Papineau's technique is one of the most frequently utilized. Success is certain if operating conditions and procedures are strictly respected. The first requirement is to excise as largely as necessary infected and necrotized tissues. Papineau's technique is particularly suitable to treat superficial bones, as tibia, in which the loss of tissue resulting of the excision are easily filled up with pieces cut off from other bones. This technique has a low social cost and may be carried out without an associated antibiotherapy and whatever germ is responsible. For these reasons, Papineau's method has a great value in the treatment of osseous infection in tropical environment.
Asunto(s)
Osteítis/cirugía , Antibacterianos/uso terapéutico , Fijación de Fractura , Fracturas Óseas/cirugía , Humanos , Osteoartritis/cirugía , Osteomielitis/cirugía , Cicatrización de HeridasRESUMEN
The authors study 21 cases of traumatic rupture of the diaphragm. All were due to road accidents and were associated with multiple injuries. They emphasise the importance of clinical and radiological examination and the often negative results of peritoneal dialysis. Assessment of the lesions should be carefully carried out by a medical and surgical team familiar with these problems. The mortality remains high in spite of rapid and early surgical treatment.
Asunto(s)
Accidentes de Tránsito , Hernia Diafragmática Traumática/cirugía , Adolescente , Adulto , Niño , Femenino , Fracturas Óseas/complicaciones , Hernia Diafragmática Traumática/diagnóstico , Hernia Diafragmática Traumática/mortalidad , Humanos , Masculino , Persona de Mediana Edad , Heridas y Lesiones/complicacionesRESUMEN
The authors report three cases of a rare disorder : compression of the posterior motor branch of the radial nerve (ramus profundus n. radialis) by a benign tumor of the region of the elbow, in one case by a lipoma, in the other cases by a pseudocyst. Surgical removal was successful in all three cases. The authors review the literature concerning compression of the posterior interosseous nerve (ramus profundus n. radialis) by lipomas and pseudocysts. Apart from two cases treated at a late stage, surgery permitted complete functional recovery in all the other published cases. This emphasises the interest of early radiological diagnosis and of routine operation even the etiology does not appear obvious, especially as surgery is beneficial in the treatment of the tumour itself.