[Ilizarov's external fixator: principles and applications].
The technical specifications of Ilizarov's fixator and its numerous applications in orthopaedics and traumatology are systematically analysed.
Biomedical subjects
Publications and source records attributed to M Guagnini.
The technical specifications of Ilizarov's fixator and its numerous applications in orthopaedics and traumatology are systematically analysed.
Combined fractures of the two pelvic arches and severe disjunction of the pubic symphysis are acute lesions which are difficult to treat; in order to avoid poor functional results, the use of external fixatives have now become a routine orthopedic surgical practice. Two cases are reported to illustrate the large numbers of patients treated by the Orthopedic and Traumatological Division of the Ospedale Civile in Alessandria.
Sixty four cases of hallux valgus treated using the Keller-Lélièvre technique during the period from January 1982 to December 1987 are examined. The results achieved reveal the validity and limits of this surgical technique. Having established the prescriptions of the technique, it still represents the simplest and safest method for treating this affection in adult/old-aged patients.
The study reports the results of a study of a random sample of 40 patients with medial fractures of the collum femoris in whom the caput femoris was substituted by Thompson's cemented prosthesis, taken from a series of 189 operations performed between 1981 and 1987. In conclusion, Thompson's prosthesis is demonstrated to be still valid in patients over 75 years old.
The study reports a rate case of a girl with associated clavicular fracture and acromioclavicular dislocation following a care accident. The pathogenetic mechanism may be attributed to a trauma on the medial shoulder stump which having fractured the clavicle then provoked the acromioclavicular dislocation by continued pressure on that point. It is important to observe that the patient fully recovered, virtually without therapy.
A case of paralytic syndrome of an upper limb in a healthy young man following the application of a tourniquet, accidentally inflated to a pressure of more than 200 mmHg during an operation, is described in which motility was fully recovered after 3 months. The importance of checking equipment periodically is stressed.
The authors present the results of 13 cases operated for subcutaneous rupture of the extensor pollicis longus. Transferral of the extensor indicis proprius was employed in 12 cases and tenodesis involving the extensor pollicis brevis was performed in 1. Results are best when abduction and retropulsion of the thumb are restored. Testing of the correct tension of the transferral procedure is emphasized.