Assessment and neurologic involvement of patients with cervical spine congenital synostosis as in Klippel-Feil syndrome: study of 19 cases.

We reviewed 19 children and adolescents with cervical spine congenital synostosis as in Klippel-Feil syndrome (KFS), with an average follow-up of 12.5 years. We paid particular attention to neurologic complications associated with cervical spine abnormalities.

[Orthopaedic treatment of colles' fractures according to judet's method].

Revision of 109 Colles' fractures treated by Judet's method confirm the safety of that technic and the overall good results (73% of anatomical results). The authors show that the results are quite different in presence or in absence of metaphyseal comminution (50 to 90% of anatomical results) and when anterior cortex of the distal fragment has crossed the anterior cortex of the proximal fragment. They also emphasise the necessity of pre-operative Xrays under traction to assess that comminution, and sometimes to correct the wrong diagnosis of strictly extra-articular fractures.

[External fixation in fractures of the lower limb in children].

Purpose Of The Study: The indications, morbidity and results of the use of external fixation for fractures of the lower limbs in children is presented.

Material And Method: We studied 72 fractures of the lower limbs (femur: 25; tibia: 47) in 63 children over a seventeen year period. Average age at fracture was 10 yrs 6 mos.

[Treatment of comminuted fractures of the lower end of the radius with internal osteosynthesis, traction and early mobilization].

Goals for treatment of comminutive fractures of the distal radius include restoration of the articular profile of the proximal part of the joint, while axial loading forces must be avoided as much as possible to prevent secondary displacement. The choice of an internal fixation protected by an external wrist distractor-fixator, with early activo-passive mobilisation, seems to achieve the goal. Twelve patients with a comminuted fracture of the distal radius, including axial articular impigment displacement were reviewed for this study.

[Synostosis and tarsal coalitions in children. A study of 68 cases in 47 patients].

Introduction: The authors report their experience with tarsal coalitions in children. The purpose of this study was to discuss the origins of the << too long anterior process >> of the calcaneum, and to propose a simple therapeutic strategy for diagnosis and treatment.

Materials And Methods: The study included 47 children (68 feet), with one or more idiopathic tarsal coalitions.