[Fracture-dislocations of Lisfranc's joint].
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Biomedical subjects
Publications and source records attributed to G Taussig.
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The authors have treated 105 articular fractures of the calcaneum. Three methods were tested: open reduction and fixation, conservative treatment with early mobilization, primary subtalar arthrodesis. The final results were satisfactory in 85% of the cases. However the three above groups were hardly comparable. Details on the radiological study of these fractures are given. The authors conclude that when osteosynthesis obtained a perfect anatomical reduction, functional results were good. But perfect reduction was rarely obtained. Final results could be improved by a better selection of the surgical cases and a better surgical technique.
53 mentally retarded children (IQ lower than 50) sustained orthopaedic procedures for improving locomotion. In this series the authors operated on 26 feet, 6 knees, 22 hips, 8 spines. One only case was operated on the upper limb. Results are carefully analysed. Complete failures were noted in 9 cases. The importance of the postoperative care was emphasized. It seemed more beneficial to operate on several sites in one single stage instead of multiplying surgical operations. Psychological factors in the family and nursing staff must be carefully considered.
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Intervertebral disc calcification in childhood is benign and uncommon. The prognosis is good. Clinically, it is marked by torticollis with neck pain and stiffness. Sometimes, appearances suggestive of sepsis may lead to false diagnosis. The diagnosis is made on good radiological examination which shows opacity of the disc and no other abnormality, though with a tendency to forward protrusion. Healing takes place spontaneously after several days and the calcification disappears after about a year, after a stage of fragmentation. Complications are rare. Treatment should be conservative and symptomatic (braces, analgesics).
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