[Uncommon surgical treatment of a tibial fibrous bone dysplasia].

The authors present an original method of treatment in prevention of fracture of the tibial shaft applied in one case of polyostosic fibrous dysplasia of bone. They treated this localization by closed intramedullary reaming and stuffage with cancellous bone grafts.

[Bone metastases of breast cancer. Surgical treatment of 228 sites in the limbs].

A series of 228 bone metastases of breast cancer in the limbs was operated continuously in the same division from 1965 to 1989. The consistent analysis of epidemiology, techniques and results allowed regularly improving the accuracy of surgical indications, which are now properly codified and preferably include arthroplasties and closed-focus osteosynthesis.

[Resection-reconstruction of the femur shaft by a massive allograft fixed by an interlocking nail].

Case report of a central midshaft osteosarcoma of the femur, treated conservatively under Rosen procedure. Bone resection was followed by reconstruction with a deep frozen (-196 degrees) conserved massive homograft, fixed by an interlocked Kuntscher's nail. The purpose of this paper is to expose the advantages of this type of fixation, V.

[Ender's so-called alignment nailing in the treatment of trochanteric fractures in the young adult, and under certain circumstances: is it reasonable? Study of a series of 50 cases].

The technique and results of an original method of "alignment Ender's nailing", combining standard Ender's nailing with post-operative traction is described. This method is directed towards young patients in two well-defined situations: the complexity of the trochanteric fracture and the debilitation of the patient. A consecutive series of 50 cases have been analysed.

[10-year follow-up of a homogeneous series of 467 total hip prostheses of the Charnley-Müller type. Study of 167 cases].

Four hundred and sixty-seven hips were operated upon by the authors between 1969 and 1974 using the Charnley-Müller prosthesis. 167 were reviewed with more than a ten-year follow-up. Eighty-one per cent were satisfactory after the initial procedure.

[Twenty-year record of osteosynthesis of bone metastases. Analyses of 300 cases].

The authors have analysed the results of 300 operations for metastases in bone carried out in the last 20 years. The best results were obtained where prosthetic replacement was possible, and where deposits in long bones were treated by closed intramedullary fixation. This type of surgery gives satisfactory, comfortable function and should be part of a multidisciplinary approach in the management of patients with cancer.

[Nailing for alignment combined with the Sarmiento method. An interesting combination in the treatment of unstable diaphyseal fractures of the tibia].

The authors have reviewed 51 cases of unstable fracture of the tibia treated by nailing followed 3 weeks later by bracing using the Sarmiento technique. The results confirmed the basis of Kuntscher nailing with reaming. This combination of two techniques can rival more sophisticated techniques such as locked nailing.

Complications of a total hip prosthesis revealing a renal cell carcinoma.

Case report of pelvic dislocation of a total hip prosthesis cup on an acetabular signal metastasis, occurred 22 months after surgery.

[The risk non-union following closed-focus nailing and reaming. Results of 1059 interventions using the Kunstcher method].

The authors have studied a series of 1059 compound and closed fractures of the diaphysis of long bones treated by intramedullary nailing according to the technique of Kuntscher, to assess the incidence of non-union. Between January 1st 1967 and December 31st 1980, 503 fractures of the tibia, 440 of the femur and 116 of the humerus were so treated in both adolescents and adults. The fractures were mostly sustained in road traffic accidents.

[Complications observed in a series of 2018 total hip replacement (author's transl)].

Complications occurred in 220 out of 2018 total hip replacement operations (10.9%) and were responsible for 35 post-operative deaths (1.73%).

[Study of 100 total arthroplasties of the hip with femoral megaprosthesis after extensive resection of the upper end of the femur].

Between 1973 and 1980 the authors inserted 100 large prostheses of the upper end of the femur. The first seven were used for intertrochanteric fractures but a high rate of complication was encountered and the method abandoned. Of the remaining prostheses 50 were used following resection of the upper end of the femur for metastatic or primary tumours and the remainder for revision of previous hip arthroplasties.

[Screwed-plate osteosynthesis and reconstruction of fractures of the calcaneus].

The authors have treated 182 fractures of the calcaneus. Ninety-nine of these were operated on and plated. The results were studied in 75 cases with a follow up of 1 to 6 years.

[Infection following closed intramedullary nailing by Kuntscher's method in 1059 fractures].

This paper investigates the incidence of infection following Kuntscher intramedullary nailing of 1059 open or closed fractures treated between January 1967 and December 1980. The fractures comprised 503 of the tibia 440 of the femur and 116 of the humerus. The literature over the past 10 years demonstrates that infection following plating or nailing with open reduction is more frequent than after closed intramedullary nailing.

Surgical treatment of malignant secondary tumors of the humerus: report of 45 cases.

Data from a series of 45 internal fixations for malignant secondary tumors of the humerus are analyzed. The tumors occurred late in the evolution of the cancer, and represented 24% of appendicular bone metastases for which operations were performed. Statistics of the patients, fractures, treatment, and results are presented and conclusions drawn.