[Segmental posterior spinal osteosynthesis using the Luque-Dove technic].

The Hartshill frame is method for segmental osteosynthesis of the spine. It is attached at each vertebral level by sub-laminal metal wires. This frame therefore ensures immediate stability and avoids the need for a post-operative corset.

[A simple method for measuring anteversion of the acetabulum from a frontal radiograph of the hip].

A simple, reproducible and reliable method is proposed for measurement of cotyloid version. Using a standing frontal image of hip, the cotyloid borders are identified and a single-plane geometric projection determines the precise degree of version. This study can also be made from a conventional frontal pelvic image with bipodalic weight bearing.

[Subperiosteal (juxtacortical) chondroma of the hand. Apropos of 4 cases].

The subperiosteal type of chondroma of hand is reputedly rare. Four such cases are reported two in adolescents, one in a child and one in an adult. The chondroma being localized to the phalanges, its most frequent development site.

[Congenital elevation of the scapula].

A literature review allowed classification of seven cases of Sprengel's deformity based on that described by Rigault et al. This classification into three types as a function of degree of elevation defines each case within the context of associated malformations, and appropriate therapy. Surgery is indicated, employing Woodward's type of operation, for patients with functional and esthetic deficits, particularly in Rigault's type II deformity.

[The shelf operation for painful hip dysplasia in adults. Apropos of a continuous series of 230 cases].

230 shelf operations were carried out between 1961 and 1985 for painful acetabular dysplasia or subluxation of the hip. 208 patients have been followed up for more than one year, with 79 for between 10 and 24 years. Substantial relief of pain was obtained in 88%.

[Kirner's deformity. Apropos of 3 new cases. Review of the literature].

Three cases of Kirner's deformity in siblings are reported. Kirner's deformity consists in a palmar bending of the terminal phalanx of the 5th finger. The deformity is usually bilateral; the condition is congenital but the deformity is recognized in later childhood and has to be classified as osteochondrodysplasia.

[Comparative study of 3 therapeutic methods for Pouteau Colles' fracture. Apropos of 97 cases].

Results of three therapeutic modalities used for the treatment of a homogeneous series of patients with a Pouteau Colles fracture are analyzed. Orthopedic treatment provided deceiving results. Pinning was, on the contrary, very effective, intrafocal pinning with immediate mobilization of the wrist appearing perfectly effective.

[Fractures of the upper end of radius and ulna and recent dislocations of the elbow in children].

In this report concerned with luxation of the elbow and fractures of the upper end of two forearm bones in children emphasis is placed on the importance of the initial treatment, since sequelae are not corrected during growth. Correct therapy requires firstly a precise diagnosis, this depending on the obtaining of images of very good quality, if necessary taken during sleep if the child has to be anesthetized. Therapy should be as atraumatic as possible, particularly in the region of the head of radius, to avoid its subsequent necrosis.

[Our concepts of treating recent fractures of the lower end of the humerus in children].

After a brief description of the classification of fractures of lower and of humerus in children, methods are described for the application of different orthopedic and surgical procedures developed over the years. Treatment of supracondylar fractures remains very conventional (Judet's method), experience lacking in the use of contention in strong flexion for these fractures. Emphasis is placed on two points: the need for perfect reduction under all circumstances, since growth will have little impact on correction of residual faults, and the quality and reading of review radiographic images to avoid major mistakes in reduction.

[Recent fractures of the distal end of the femur. Apropos of 87 cases (after the end of treatment)].

Anatomopathologic study of fractures of lower end of femur in 87 patients demonstrated the frequency of compound lesions in adults, epiphyseal detachment being the most common finding in children. Therapy used resulted in consolidation within a mean period of 4 months. Anatomic results were satisfactory in 87% of cases, 2 of 3 patients recuperating a knee compatible with a normal active life.

[Stabilization of thoraco-lumbar spinal fractures using Harrington's equipment. Study of the evolution of spinal curvatures].

The radiographic results of treatment of unstable thoracolumbar spinal injuries by Harrington rods are reviewed. The loss of initial correction of kyphosis is 8 degrees on average. Correlation between good anatomical reduction and lapse of time before operation, level of instrumentation and solid spinal fusion exists.

[Extraperitoneal approach to the lumbar spine and lumbosacral region].

Lumbar surgery is currently benefiting from the development of anterior approach to the spine and the possibilities of body reconstruction by plate and bony graft. The anterior extraperitoneal approach enables access to the spine. The Fraser approach expose the lumbar and the lumbo sacral spine.

[Latarjet's operation in recurrent antero-internal luxation of the shoulder].

Latarjet's operations as single therapy was performed in 52 patients admitted since 1976 with recurrent antero-internal dislocation of shoulder. There were no recurrences but three patients (6%) complained of residual instability. Effectiveness of results depends on use of a perfect technique : the bony ridge playing both an active and passive role should be level with the antero-internal border of the glenoid.

[Transverse fracture of the 2nd sacral vertebra with neurological signs. Apropos of a case].

The authors report a case of transverse fracture of the second part of the sacrum with neurological signs. Whilst such a lesion would appear very rare, associated involvement of the sacral roots is very common. Recovery of the neurological deficit syndrome is hazardous.

[Apropos of 87 dislocations of total hip prostheses].

Eighty seven dislocations were seen in 1571 consecutive total hip replacements, mostly performed through a posterior approach. Nine occurred immediately after operation and most of the remainder within 5 weeks. In 26 cases further dislocation occurred, and in 11 patients another operation was required.

[Osteoid osteoma of the toes. Apropos of 2 cases].

Two patients presented with osteoid osteomas of the distal phalanx of a toe. A review of documented cases provided data on the characteristic features of these lesions. Diagnosis and treatment, in all cases, were ensured by excision biopsy, enabling a permanent cure to be obtained with a minimum of mutilation.