[Management of 103 limb reduction defects: a French-speaking fetal medicine club enquiry].

Objectives: Prenatal diagnosis of a limb reduction defect poses difficult medical and ethical problems. Prenatal diagnosis can be at the origin of two opposing medical attitudes, either a medical termination of pregnancy, or the specific management of the child at birth. The objective is to carry out an enquiry of practices and to determine whether there is a threshold in the gravity of the malformation from which the medical termination of pregnancy is accepted.

[Orthopedic surgery in adults with low intellectual quotients].

Purpose Of The Study: The object of this study was to define the requirements for successful management of polyhandicapped adults with low mental level. The goal of surgery was to improve motion performances, suppress pain, improve sitting position, and facilitate handicapped adults life.

Material: Thirty-five adults operated during a period of 20 years with a follow-up between 6 months and 20 years were studied.

[First consultation with specialists for a child presenting with forelimb unilateral agenesis. Group for the Study and Research of Limb Agenesis (GERAM)].

After the birth of a child with a forelimb unilateral agenesis, the first consultation is of cardinal importance for the family. It should take place as soon as possible. The major point to be emphasized is that the child, although different, must not be considered as handicapped.

[Apophysitis of the iliac crest. A little known cause of low back pain and pelvic pain in children].

The authors describe an iliac osteochondrosis in 98 teenagers aged of 12 to 17 years, responsible for anterior, medial or posterior pains of pelvis and the lumbar zone, squaring with the period of ossification of the iliac crest. The spontaneous pain was revived by pressing a precise zone of the iliac crest. These pains have the usual characteristics of the pains of ossification of apophysis.

[Supramalleolar derotation osteotomy for torsion of the leg in children and adolescents. Techniques and results: apropos of 22 patients (32 legs)].

We have performed 32 supramalleolar osteotomies described by Mc Nicol to correct excessive internal or external tibial torsion in 22 patients (aged from 4 to 8 years, with different indications, with a follow-up of 16 months to 7 years). The consolidation of the osteotomy was obtained in 6 weeks. Eighteen patients (27 osteotomy) have a good result, 2 results are fair and 2 patients have a poor result.