Total hip revision using a cup design with a peg to treat severe pelvic bone defects.

When dealing with severe bone loss during acetabular revision of a total hip arthroplasty, it can be difficult to find a reliable anatomical structure to ensure high-quality primary fixation of the cup. Since 2003, we have been using an implant with a long peg that is anchored into the iliac isthmus. This structure is usually intact, even in the most severe situations of bone loss.

[Total elbow joint allograft for long term posttraumatic osteoarticular loss. Follow-up results at twelve years].

Purpose Of The Study: Elbow joint allograft (EJA) involving the entire joint (distal humerus, proximal radius and ulna, capsuloligament structures) is a salvage technique proposed in massive bone loss, particularly in young subjects where total elbow prosthesis is contraindicated. We report our experience with seven patients, analyzing the long-term clinical and radiological outcome.

Material And Methods: This retrospective study included seven patients, mean age 42 years (21-70).

[Finger replantation after 60 years of age. Apropos of 7 cases].

The authors analysed retrospectively 7 cases of digital replantation in 7 men aged from 60 to 71 years, performed between 1985 and 1996. There were 2 amputations of the thumb, 1 of the index, 2 of the middle finger, 1 of the fourth and 1 of the fifth finger. 4 failures of replantation were noted.

[The neurological forms of thoracic outlet syndrome: the role of the middle scalene].

The authors discuss the pathogenesis of neurological involvement in the thoracic outlet syndrome. They emphasise a factor which has been neglected up until now: the tendon of scalenus medius, around which the primary inferior trunk of the brachial plexus forms a curve with a postero-inferior concavity. An anatomical study reveals this close relation which is only apparent in the horizontal plane.

[Truncal repairs of the median and ulnar nerves. Clinical and computer-assisted analysis of 105 cases].

One hundred and five median and ulnar nerve repairs have been analysed with a computer course, in order to study the data that influence the final result. This result has been treated separatively upon functional, motor, and sensitive scores. Failed cases were used to codify secondary surgery.