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At least 613 records · Page 34Linked to original sources
PubMedDate not supplied

[Fracture-dislocation of the tarso-metartarsal joint. Classification. Treatment. Apropos of 81 cases].

The authors have treated eighty-one cases of fracture-dislocation of the tarso-metarsal joint and have studied 232 cases reported in the literature. They suggest a modification of previous classifications. In their conclusions, they consider that purely conservative treatment is inadequate. Reduction, when obtained by closed methods, should be maintained by Kirschner wires. Open reduction should be done when closed methods do not produce a perfec reduction. When several articular fractures are present, they advocate immediate reduction and arthrodesis. The results obtained after secondary arthrodesis were not as good as those obtained after primary arthrodesis.

Adult↗
PubMed2003

[Operative treatment of displaced talar neck fractures with absorbable lag screw].

OBJECTIVE: To study a new kind of operation for displaced talar neck fractures. METHODS: From April 1996 to March 2001, 9 talar neck fractures were treated by internal fixation of absorbable lag screw with a medial approach and cut of medial malleolus to expose the fractures. A non-weight-bearing below-knee cast was applied for 6 to 12 weeks after operation. Once union of the fracture site is apparent, the patient should remain non-weight bearing in a removable short-leg and keep exercise every day. RESULTS: All the patients received follow-up from 15 to 60 months with an average of 28 months. The fractures healed from 20 to 42 weeks. The excellent and good rate of function was 77.8% (7/9) according to American Orthopedic Foot and Ankle Society Score(AOFAS). One case had the complication of superficial infection of wound and skin edge necrosis after operation, which was Hawkins type III. Late complication included two cases of avascular necrosis(AVN). Among them, one AVN of Hawkins type II was caused by early weight-bearing five weeks after operation and gained the fair score. The other AVN of Hawkins type III was inefficient to conservative therapy and proceeded ankle fusion in the end. The AOFAS of the patient was bad. CONCLUSION: Treatment of talar neck fractures by internal fixation of absorbable lag screw with a medial approach is an ideal method. It can gain a satisfactory result by the operation, strict postoperative care and rehabilitation.

Absorbable Implants↗
PubMed1991

[The treatment of fresh Lisfranc dislocations and fracture-dislocations].

Dislocations and fracture dislocations of the tarsometatarsal joint are usually the result of a high energy trauma to the forefoot. A missed diagnosis or an insufficient treatment or a massive destruction of the tarsometatarsal joint result in a high rate of late morbidity. An appropriate radiological assessment, open anatomical reduction and temporary K-wire arthrodesis followed by a functional after-treatment can improve the long-term results of this severe forefoot injuries. The long term results (7 months to 20 years) of 24 tarsometatarsal injuries are analysed and a concept of their treatment presented.

Adolescent↗
PubMed1989

[Fracture-luxation of the Lisfranc joint. Apropos of 39 cases].

Lisfranc fracture-dislocations are relatively rare (two per thousand). They generally occur in multiple trauma victims and may pass unnoticed. Open reduction followed by pinned osteosynthesis and plaster immobilisation ensures a good anatomical and functional result.

Adult↗
PubMed1988

Arthrography, tenography, and bursography of the ankle and foot.

A brief description of normal anatomy and common arthrographic, tenographic, and bursographic procedures is presented. The described procedures are important diagnostic tools and do not carry major risk. Therefore, these procedures can be performed on an outpatient basis.

Ankle↗
PubMedDate not supplied

[Osteo-articular tuberculosis in African (author's transl)].

General, clinical and therapeutic features of osteo-articular tuberculosis in African, excluding vertebral localizations, are compiled from 81 records: The are: -- a frequency lower than in expatriated Africans and this indicates their special physical resistance when they live in their natural environment; -- frequently an easy diagnosis because of infected advanced foci with associated lesions; -- a surgical indication (curettage, resection, arthrodesis) as frequent as in vertebral localizations.

Adolescent↗