[Surgical treatment of recurrent hallux valgus].

Purpose Of The Study: Little work has been reported on the treatment of recurrent hallux valgus. We reviewed 64 cases after surgical treatment in order to ascertain the cause of recurrence, results of the treatment given, and deduce therapeutic options and indications.

Material And Methods: Fifty-nine patients had 64 recurrent hallux valgus bunions.

[Reconstruction-arthrodesis of the first metatarsophalangeal joint iatrogenic bone defects].

Purpose Of The Study: Arthrodesis-reconstruction for metatarsophanlangeal bone defects of the great toe after hallux valgus or hallux rigidus is rarely performed and only a few series are found in the literature. In these series, retarded bone fusion, skin rupture, and interphalangeal intolerance (both clinically and radiologically) have been frequent. The purpose of this work was to determine what parameters contribute to minimizing these postoperative risks.

[Triple fracture of the superior shoulder suspensory complex].

The authors present the case of a displaced fracture of the coracoid process associated with a displaced fracture of the acromion, an undisplaced fracture of the clavicule and fractures of the first to fifth ribs. Open reduction of the coracoid process fracture was performed. At the last follow-up, the coracohumeral distance was restored (10 mm), but the acromiohumeral distance in the sagittal place was decreased (5 mm).

[Isokinetic comparative study at the third postoperative month after surgery of the anterior cruciate ligament with arthroscopy or after mini-arthrotomy].

Purpose: A double blind prospective study was performed in 64 patients with a clinical and isokinetic assessment three months after anterior cruciate ligament (A.C.L.

[Complications associated with the use of first generation Harris-Galante porous-coated acetabular component after a mean follow-up of 7 years].

Material And Methods: Hundred and twelve hip were studied in 107 patients with a mean follow-up of 7 years (range, 6-9 years). Harris and Postel-Merle d'Aubigné clinical hip scores were used. The prosthetic components were evaluated using radiographic criteria.

Application of bone graft to the medial side of the first metatarsal head in the treatment of hallux varus.

Background: Hallux varus deformity is not frequent, is usually acquired, and is poorly tolerated by patients. A common cause is the resection of an excessive amount of the head of the first metatarsal during an operation performed to correct a hallux valgus deformity. The purpose of this study was to evaluate the results of application of bone graft to the medial aspect of the first metatarsal head in order to restore missing bone after resection of an excessive amount of bone during a bunionectomy.

[Traumatic ruptures of the pectoralis major muscle. Apropos of 3 cases].

Introduction: Three ruptures of the pectoralis major are reported. The mechanism of injury was excessive external rotation with high muscular tension. Rupture of muscle often occurs at the humeral insertion or musculotendinous junction.

Pigmented villonodular synovitis of the foot and ankle: a report of eight cases.

Eight cases of pigmented villonodular synovitis of the foot and ankle are reported. The purpose of this study was to analyze the manifestation of pigmented villonodular synovitis in the foot and to evaluate treatment options. There were four cases in the ankle and hindfoot, one in the first tarsometatarsal joint, and three in the toes.

[Treatment of spastic equinovarus foot in the hemiplegic adult by retrograde fixation of the peroneus brevis tendon onto the anterior tibialis tendon].

Purpose Of The Study: The purpose of the present study was to assess the Bardot procedure in the treatment of equinovarus deformities of the foot in spastic hemiplegia. This procedure associates the fixation of the peroneus brevis distal tendon onto the tibialis anterior, heel-cord lengthening, and tenotomies of the flexores digitorum.

Material And Methods: Fifty-six patients underwent this procedure between 1989 and 1996.

[Posterior position of acetabular component of a total hip prosthesis: possible cause of lower limb rotation problem].

Introduction: The authors report the case of an internal rotation of the lower limb, lately ascribed to a posterior placement of the acetabular component during total hip arthroplasty.

Material And Method: A 58 years old female had an irreducible internal rotation of the right hip 3 years after total hip arthroplasty for arthritis. When the hip was extended, the lower limb showed an irreducible internal rotation of 45 degrees.

[Pigmented villonodular synovitis of the knee. Treatment results in 22 cases].

Purpose Of The Study: The authors report their experience about 22 cases of pigmented villonodular synovitis of the knee observed between 1970 and 1997. The authors studied the results of treatments according to localization, evolutionary stage and condition of an early diagnosis.

Material And Methods: Among thirty three cases of pigmented villonodular synovitis treated during the same period the knee was involved in twenty two cases.

[Sagittal load-bearing tomography of the forefoot and static metatarsalgia].

We describe the use of weight-bearing foot tomograms. The outline of the food is drawn so as the axes of the metatarsal beyond the toes on the AP plain radiogram and the tomograms are done successively on each metatarsal. This morphological, but also functional, analysis enables exact diagnosis of excessive loading on the metatarsal head.

Ambulatory treatment of multidrug-resistant Staphylococcus-infected orthopedic implants with high-dose oral co-trimoxazole (trimethoprim-sulfamethoxazole).

We examined the effectiveness and safety of high-dose oral co-trimoxazole (trimethoprim-sulfamethoxazole) for the treatment of orthopedic implants infected with multidrug-resistant Staphylococcus species. The prospective study was conducted between 1989 and 1997 in a university medical center with ambulatory-care services. Patients eligible for the study consisted of those from whom multidrug-resistant Staphylococcus spp.

[Static instability and dislocation of the 2nd metatarsophalangeal joint. Comparative analysis of 2 different therapeutic modalities].

Purpose Of The Study: The authors report the results of instabilities and dislocations treatment of the second metatarsophalangeal joint using two different surgical methods.

Material And Methods: This study included 129 patients (131 feet) with 19 instabilities, 43 subluxations and 69 dislocations of the second metatarsophalangeal joint. The first group of 66 patients (75 feet operated before 1994) had an arthrolysis using a dorsal approach associated to a lengthening of the tendon extensor digitorum longus.

Oral treatment of Staphylococcus spp. infected orthopaedic implants with fusidic acid or ofloxacin in combination with rifampicin.

Oral therapy of staphylococcal infection of orthopaedic implants with 900 mg/day rifampicin combined with either 1.5 g/day fusidic acid for 5 days followed by 1 g/day thereafter, or 600 mg/day ofloxacin was compared. Patients with an infected hip were treated for 6 months, with removal of any unstable prosthesis after 5 months' treatment and those with an infected knee prosthesis were treated for 9 months, with removal of the prosthesis after 6 months of treatment.

[Retrospective analysis of 78 surgically repaired fractures of the radial head].

The authors present a analysis of 78 cases of radial head fracture operated in the same department. 16 cases were added to the first study of 62 cases operated between 1967 and 1988 and published in 1991. According to the Mason classification modified by Morrey, there were 22 type II, 24 type III and 32 type IV.

[Synovial cyst of the supracapsular notch of the shoulder with supracapsular nerve compression in a sportsman. Apropos of a case. Review of the literature].

Purpose Of The Study: Compression of the supra scapular nerve by a ganglion is rare. The authors report a case evoking rotator cuff tendinitis.

Materials And Methods: A 28 year old right handed handball player was seen for increasing pain and weakness in the right shoulder.

[Tuberculosis of the greater trochanter. Apropos of 2 cases].

Introduction: The authors report two cases of tuberculosis of the greater trochanter as an uncommon localization in osseous tuberculosis.

Material And Methods: 1st case: A 77 year old male presented with hip pain and swelling. Laboratory studies revealed an increased erythrocyte sedimentation rate.

[Arthrodesis of the first metatarsophalangeal joint].

Introduction: The goal of this study was to evaluate the place of arthrodesis of the first metatarso-phalangeal joint in surgery of the fore foot.

Material And Method: The authors studied 225 arthrodesis of the first metatarso-phalangeal joint. 195 had a follow up of from two to fifteen years.

[Surgical treatment of ruptures of the achilles tendon in athletes. 31 cases operated on with an average follow up of 4 years].

The authors analyze a series of 31 tendo achillis ruptures occurring after sport accident. All were treated surgically. The actual follow up being of 4 years (1 to 12 years).

[Post-operative iatrogenic hallux varus. Surgical treatment. Apropos of 19 cases].

The post operative iatrogenic hallux varus associates varus, big toe's dorsal flexion and supination. The pathogeny is dominated by musculo-tendinous lack of balance created by the initial operation and excessive exostosectomy. The authors have nineteen times surgically corrected this deformation.

[Bacillary trochanteritis. Apropos of 30 cases].

Tuberculous trochanteritis is rare. The authors report 30 cases, 2/3 of which were seen in sanatoria. They occurred in four cases out of five in patients with long standing tuberculosis but were sometimes the presenting feature.

[Pigmented villonodular synovitis of joints. Apropos of 16 cases. Surgical aspects. Contribution of nuclear magnetic resonance imaging].

This study of 16 cases of pigmented villonodular synovitis of joints treated by the same surgical team involved 6 cases of the localized or nodular form and 10 cases of the diffuse form. The knee was the commonest joint involved (12 cases), with involvement of the hip (3 cases) and foot (1 case) being rarer. Bone invasion is usual when the joint is narrow (hip, foot) but is rarer in the knee where joint capacity is greater (5 cases out of 12).