["Hauban" binding of olecranon fractures. A report on 65 cases (author's transl)].
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Biomedical subjects
Publications and source records attributed to P Vives.
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Treat a case of multiple trauma in a single operative session is an ideal which in practice meets with several obstacles. A study of 125 cases of multiple trauma of which 66 were treated in one stage and 55 in several stages permits in spite of the difficulty of such a comparison, several conclusions. The mortality is not increased in cases of multiple operations, on the contrary, as we noted 27 p. cent of deaths in cases operated on in one stage, and only 15 p. cent in cases submitted to repeated surgery. The complications observed in lesions of the limbs were less numerous (8.8 p. cent) when operation was deferred. In fact, lesions treated as an emergency gave rise to 14 p. cent complications. In spite of the difficulty of interpretation of these figures due to the large number of factors influencing the results, it seems possible to affirm that it is not only possible but even advisable to operate on cases of multiple trauma in several stages, visceral lesions which endanger life and open fractures are the only lesions requiring emergency treatment. The other lesions should be operated on during one or several later stages drawing up a careful plan in relation to the lesions and their localisation.
The authors have treated 399 fractures of the femoral shaft by blind nailing with reaming following Kuntscher's technique. They fully describe the necessary technical details for a safe operation. They emphasize the importance of an adequate instrumentation and report peroperative complications and the way for avoiding them (poor reduction of the fractures, difficulty for bridging the fracture site, creating of additional fragments, blockage of reamers or nails in the medullary canal). Indications and results are described. I non-union, 15 malunions and 4 sepsis were reported.
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The authors have analysed the results of 126 tibial fractures treated by blind nailing with reaming and 112 tibial fractures treated by plating. They noted 5 septic complications after nailing, after plating, one non-union after nailing and 12 after plating, 3 malunions after nailing and 2 after plating. The cases treated by nailing united earlier. The Authors conclude that nailing is a more fiable technique than plating, and that the only fractures which should be plated are those which are not fit for nailing.
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BACKGROUND: The eosinophilic ulcer is a lesion of the oral mucosa, that has been infrequently described in the literature. This is a benign and self-limiting lesion of unknown origin. CASE REPORTS: In this article, eleven new cases of eosinophilic ulcer of the oral mucosa are presented. The clinical, histologic and evolutive features are reviewed. DISCUSSION: Recurrent trauma is clearly involved in the pathogenesis of this entity.
Bone metastases of fingers are rare, are of highest incidence in men 40 to 60 years, and may reveal the presence of a primary cancer. Radiologic imaging shows almost constant osteolytic lesions, the primary usually being located in the bronchi. Short-term prognosis is poor, with a mean survival of three and a half months. Bone biopsy should be conducted routinely to determine nature of lesion in fingers.
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