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[Pauwels' linear osteotomy or alloplasty in pseudarthrosis of the femur neck].

Non-unions of the neck of the femur are still observed today in spite of all the improvements which have been made in the surgical treatment of median fractures of the neck of the femur. Linear osteotomy according to Pauwels is technical relatively simple to perform and yields good results. Such linear osteotomy is performed in children and young adults only even if the head of the femur is not rounded. Indication for alloplasty is now more liberal even in relatively young adults since cement-free implantation of total prostheses has proved successful. Indication for performing replacement of the head alone, is very rare. Palliative measures, such as Girdlestone or resection angulation osteotomy are performed in our patients subsequent to septic complications only.

Adult↗

[Carpal tunnel syndrome and pseudarthrosis of the scaphoid. Apropos of 2 cases].

Two cases were seen in elderly patients in which a carpal tunnel syndrome was present in association with an ununited scaphoid fracture. The carpus had remodelled and the lunate was dorsi-flexed. Its upper end bulged into the tunnel and was the cause of the nerve compression. It was aggravated by associated osteoarthrosis. The two cases were treated surgically by neurolysis and division of the carpal ligament and partial resection of the lunate to restore the normal concavity of the carpus.

Aged↗

[Osteomyelography and pseudarthrosis of the leg].

The authors have performed osteomedullography in 25 cases of tibial non-union. They conclude that a complete block at the fracture level is in favour of an established non-union. This technique can make it possible to differentiate between delayed bone union and non-union. It cannot be used in cases treated by intramedullary nailing.

Adult↗

[Transplantation of periosteum-coated cortical and cancellous bone grafts for treatment of fractures and pseudarthrosis (author's transl)].

Bone grafts are used in the treatment of fractures just as in the treatment of atrophic pseudarthroses of long tube bones. Only autologous bone graft is a reliable transplantation material. The discussion about different values of cancellous grafts and cortical-cancellous grafts is not completed yet. It will be reported about the own results of 110 transplantations of fresh and ununited fractures of long tube bones between 1968--1975. Only the autologous cortical-cancellous periosteum-coated single graft was used.

Femoral Fractures↗