[Peri-lunate wrist dislocation: long-term outcome].

Purpose Of The Study: We report our experience with 25 peri-lunate posterior wrist dislocations and compare outcome with data in the literature searching for prognostic factors.

Material And Methods: Our series included 24 men and one woman, mean age 36 years. Twenty-three patient were less than 50 years old at the time of the accident.

[Type I fractures].

55 type I fractures were reviewed. There were 30 male and 25 female, whose average age at revision was 73 years. The average time to fracture after arthroplasty was 7 months.

[Revision of interlocking rod for loosening of THP. Concept--preliminary results].

This revision rod, used temporarily, is interlocked in the distal healthy part of the femur. It is indicated in the treatment of loosening, even with extensive destruction, whether this is done by filling the fragile part of the femur with bone chips and marrow or by reconstruction accomplished by gliding the femoral heads on the rod. The clinical results were observed for 21 replacements, performed between 1987 and 1990, for the following indications: 14 loosenings, of which 10 had major bone defects; 4 fractures, of which 3 received a prosthesis; 2 infected resection prostheses; and one broken porous metal Judet prosthesis.

[Lateral approach of the knee with tibial tubercle osteotomy for prosthetic surgery].

The authors describe a lateral approach to the knee associated with a tibial tubercle osteotomy and a plasty using the fat pad to provide a complete closure of the wound. This lateral approach has been performed successfully in 98 cases, with only 3 skin necrosis. It offers a large exposure of the joint, facilitates placement of tibial component trial fit, and allows the self centering of the quadriceps patellar-tendon mechanism at the end of the intervention.