Distally Based Patella Tendon Shortening With Medial Patellotibial Ligament Reconstruction.

Patella alta is a common pathoanatomic contributor to various knee pathologies, including patella instability, fat pad impingement, and patellar tendinopathy. The 2 most common surgical techniques used to treat patella alta include a distalizing tibial tubercle osteotomy and patella tendon imbrication. Although these 2 surgical techniques are effective, they are associated with significant surgical morbidity and a limiting postoperative course with prolonged rehabilitation.

Risks of Chronic Preoperative Opioid Use on Distal Radius Surgery Outcomes.

Background: The purpose of this study was to determine the influence of chronic preoperative opioid use on complications, reoperation rates, and postoperative opioid use among patients undergoing open reduction and internal fixation (ORIF) of distal radius fractures.

Methods: A retrospective review of 111 patients who underwent ORIF of a distal radius fracture from 2019 to 2021 at an academic medical center by the same fellowship-trained orthopedic hand surgeon was conducted. Patient demographics, medical comorbidities, perioperative details, surgical complications, and patient-reported outcome measures were analyzed.

The Influence of Pain and Resiliency on Foot and Ankle Surgery Outcomes.

Background: Resilience is the ability to recover after stressful events and has been shown to correlate with surgical outcomes. However, there has been minimal research on the impact of patient resiliency on foot and ankle surgical outcomes. This study aims to determine the predictive value of preoperative resiliency scores on surgical outcomes and investigate how this compares with the predictive value of pain scores.

[Indications of albumin for vascular loading during pregnancy].

Albumin infusion is used during pregnancy for volume loading in preeclampsia and/or intra-uterine growth retardation, before regional anaesthesia for Caesarean section, compensation of blood loss during haemorrhages of parturition, as well as prevention and treatment of ovarian hyperstimulation syndrome after in vitro fertilization. In preeclampsia, albumin is used for volume loading before initiating antihypertensive therapy. However it neither decreases blood pressure, nor increases uterine blood flow.

[Outcome predictive factors at six months for patients over 75 years admitted for emergency care].

A sample of 199 elderly patients (over 75) admitted to emergency care sections of the Marne's (French department) public hospitals were monitored over six months. The purpose of this study was to assess the factors predicting death or institutionization of elderly patients, in order to improve patient care. Surveys were carried out to collect information on health, standards of living, family surrounding and background, social support and level of dependence.

[Low back pain and headache during immediate postpartum. Role of obstetrical epidural analgesia].

The rate of low back pain and headache following parturition seems to be higher in patients delivered under epidural analgesia. The aim of this study, performed in the immediate postpartum (up to 3rd day) and including 200 patients delivered vaginally, was to assess the incidence and the risk factors of low back pain and headache. A total of 31.

[Epidemiology of complications of obstetrical epidural analgesia].

Epidural analgesia (EA) is the best technique to obtain pain relief during labour. But the needle, the catheter and the local anaesthetics (LA) are 3 reasons to cause maternal complications. In France we do not know the exact number of EA performed every year and it is very difficult to appreciate the incidence of maternal complications.

[Critical approach to emergency care in consultation psychiatry].

36 patients consecutively admitted in medical and surgical wards of Reims' University Hospital, and referred to the Psychiatric Emergency Unit, were assessed for their psychiatric morbidity (DMS-III-R, axis I) and their psychiatric dangerousness. Approximately one third of the patients didn't suffer from any mental disorder and belonged to the area of psychological medicine. One third showed reactional disorders, were dangerous and were then admitted in a psychiatric department.

[Emergency psychiatry at the University Hospital Center of Reims: current data].

The population of Reims Hospital Psychiatric Emergency Unit is described for the years 1989 and 1975-76. This population is essentially composed of young adults of both sexes, frequently mentally ill. Between the two periods there are a numerical stability of the patients, and a higher chronicity rate of these patients in the unit despite their lower psychiatric hospitalization rate.

[Standardized symptomatologic inventory adapted to psychiatric emergency].

Clinical psychiatry, particularly in the case of hospital emergency, begins with the patient's benevolent observation. It goes on with the verbal communication, subordinated itself to linguistic problems. There are now daily cross-cultural practising and education in France.

[Consumption of psychotropic drugs and medical care preceding voluntary drug poisoning in 63 patients with major depressive disorders according to the DSM III-R].

Twenty years after the large development of the use of psychotropic drugs and of a psychiatric formation for doctors, 63 subjects with a major depressive episode following the D.S.M.

[Effects of enflurane and halothane on hepatic function in biliary surgery].

The effects of two volatile anaesthetics on hepatic function are compared in 80 patients in hepato-biliary surgery. 40 patients were anaesthetized either with enflurane or halothane. This study is based on the variations of blood levels of gamma GT, bilirubin, SGOT SGPT, alkaline phosphatase, L.

[Comparative study of postoperative nitrogen balance as a function of carbohydrate intake].

Postoperative nitrogen intake, which limits nitrogen catabolism and improves conditions of healing, classically implies a high calorie intake. The risks and dangers of hypertonic or hypersmotic solutions are such that the provision of nitrogen postoperatively in ordinary surgery is often avoided. The authors studied postoperative nitrogen balance for a given nitrogen intake with different calorie levels in a series of 50 patients undergoing digestive surgery.

Anthrax meningitis. Report of two cases with autopsies.

The authors report two cases of occupation-related anthrax meningitis; one was direct contamination from a diseased animal; the second was due to handling of bone powder imported from India. The pathological pattern of involvement of the meninges and brain is described and discussed.