[Our experience in the treatment of bone infection by Papineau's method. Report of 18 cases (author's transl)].
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Biomedical subjects
Publications and source records attributed to C Vielpeau.
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The authors describe the technique that they have used in approximately 500 intertrochanteric osteotomies of the femur. The technique was satisfactory in the production of bony union but in ten per cent of cases there were errors of correction of 5 degrees or more. An analysis of errors related to the radiological technique used showed that a number of conditions (flexion, abduction) modify the angles of inclination and anteversion. A number of instances of degenerative arthritis had been incorrectly attributed to increased coxa valga. An analysis is made of the difficulties encountered when correction is required in two planes, especially when there is fixed flexion or significant anteversion. Some suggestions are made concerning improvements in technique.
Characteristic features of the coxopodopatellar syndrome are patellar hypoplasia, pelvic skeletal anomalies and morphologic abnormalities of the front of foot. Fifteen cases with variable degrees of anomaly were observed in one family. Since a world-wide literature review failed to demonstrate any perfectly identical observation it was considered that this triple lesion constitutes an original syndrome worth reporting in detail.