[Free dermal fat graft for coverage of the median nerve following failed carpal tunnel release].

Objectives: We wished to evaluate the effectiveness of a free dermal fat graft for covering the median nerve in order to improve function after failure of carpal tunnel release.

Methods: Eight patients with nine failures of carpal tunnel release were reviewed for this retrospective study. They all had significant perineural fibrosis.

[Mycobacterium marinum tenosynovitis of the abductors].

Introduction: Infection with Mycobacterium marinum is rare and usually produces cutaneous lesions. We report here two cases of tenosynovitis of abductor muscles.

Case: The first case presented isolated involvement of the abductors of the left thumb, and the second the abductors of the middle finger.

[Vascularized fibular transplant for avascular necrosis of the femoral head: 16 cases].

Purpose Of The Study: We report our experience with vascularized fibular transplant using the technique described by Urbaniak for the treatment of avascular necrosis of the femoral head.

Material And Methods: Sixteen patients, mean age 39 years 4 months at surgery, were evaluated at mean 3 years 6 months follow-up (minimum 15 months). Mean pain score (analog visual scale) was 6.

[Treatment of complex hand injuries by stable osteosynthesis using a "multiple pinning" technique].

Unlabelled: The multiple pinning technique has been reported by the authors as an effective method for the treatment of comminuted osteo-articular fractures of the digits. This procedure can be performed rapidly, offers good stability and thereby allows early post-operative physiotherapy. The aim of this type of management is to offer the patient recovery of thumb to digit pinch by restoring two functional joints (MCP, PIP) or at least one functional joint (MCP), particularly as far as the radial digits are concerned.

[Surgical correction of fifth finger permanent abduction by tenodesis. Preliminary cadaver study].

Permanent abduction of the little finger can be responsible for daily embarrassment in patients with an ulnar nerve palsy. To correct this deformity, active transfers are usually performed utilising the extensor tendons of the hand. Because of the anatomical variability of the extensor system of the hand, these active transfers can be responsible for postoperative loss of full extension of the little finger.