Simultaneous subluxation of the metacarpophalangeal joints of all four fingers: a case report.

Simultaneous subluxation of the metacarpophalangeal joints of all four fingers is rare, and we have found no cases in the literature. A 45-year-old construction worker fell and dislocated the metacarpophalangeal joints of all the fingers of his left hand. Closed reduction by manipulation was successfully accomplished, and the patient returned to work within 5 months of his accident. He had a full range of motion 1 year later.

[Nerve graft predegenerated in situ, and fresh nerve graft. Comparative study in the rabbit]. / Greffe nerveuse prédégénérée "in situ", et greffe nerveuse fraîche. Etude comparative chez le lapin.

Experimental studies have been made in rabbits in which an operative gap in the nerve was bridged either with a fresh nerve graft taken from the opposite side or with a degenerate graft, the nerve on the opposite side having been divided 15 days earlier. Technical details of the method are described. An electromyographic study demonstrated better results with the predegenerate graft and histological examination showed a better maturation of the axons.

[The use of Wagner's external fixator in the treatment of septic fractures of the femoral shaft (author's transl)]. / Le fixateur de Wagner dans le traitement des fractures septiques du fémur.

The authors have treated 10 cases of septic fracture of the femoral shaft by the following technique. In the first stage, necrotic and infected tissues were excised at the fracture site including soft tissue and bone. The importance of a large excision is emphasised. The fracture was then immobilised by an external fixator. In the second stage, the shaft was reconstructed by grafting using bone chips and sometimes massive cancellous bone autografts. The fixators were left until solid bone union had been achieved. 9 excellent results were observed. In one case, the bone refractured with recurrence of sepsis.