[Arthroscopic treatment of osteochondral lesions of the astragalar dome].
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Biomedical subjects
Publications and source records attributed to J P Lamare.
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The authors have reviewed 100 cases of fracture of the upper end of the tibia with separation of a tibial plateau with some degree of depression. These cases were treated operatively with reduction of the depression and the use of an iliac bone graft to fill the bone defect and fixation with an epiphyseal plate. The results were satisfactory in 86 cases. The conclusions were that surgery should be avoided in patients with poor general condition or with poor local vitality of the limb. In these cases the possibility of delayed operation should be considered or minimum fixation obtained with an external fixator or conservative treatment using traction.
The authors have devised a new type of saw which makes it possible to cut bone spherically. This type of osteotomy is useful when correction is required in more than one plane and provides good bone contact between bone ends. The technique is described. It has been used at the upper end of the tibia or femur and in the calcaneus and forefoot.
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Explore the source record for details and available documents.