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Query: UMLS:C0243026 (sepsis)
 52,417 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Sixty-three paralytic scolioses with severe disability have been treated between 1973 and 1982. Fifty-two were due to poliomyelitis. The average angular deformity was 95.8 degrees and was related to delay in treatment and rapid progress of the curve. All cases were operated on. Spine fusion was performed either by the anterior approach (Dwyer or V.D.S.) or by a posterior approach (Harrington or Harrington - Luque). The pre-operative management was based on Cotrel or Halo traction. There were several complications - three non-unions, three neurological impairments, and nine cases of sepsis. It was concluded that the pre-operative management should be as short as possible, that the spine fusions should be done systematically and that any paralytic scoliosis increasing by more than 10 degrees a year between the ages of 8 and 10 years should be operated on early. This type of treatment should lower the incidence of severe disability and allow good functional and educational rehabilitation. The degree of diminished growth of the spine was moderate.
Rev Chir Orthop Reparatrice Appar Mot 1983
PMID:[Technics and strategy in the treatment of severe paralytic scoliosis]. 622 43

On hundred and ninety-five hinge prostheses have been inserted between 1970 and 1981, most of them of the G.U.E.P.A.R. type. One hundred and forty-three were followed up. The etiology of five per-operative deaths is discussed. It is concluded that this dramatic event was related to gas embolism. Precautions necessary to avoid such accidents are described particularly at the time of release of the tourniquet. There were 11 cases of sepsis, eight loosenings and four post-operative fractures of the femur or tibia. The functional results were found to be satisfactory but better with the G.U.E.P.A.R. type than with the Shiers prosthesis. Most of the post-operative pain originated from the patella; this aspect of the pain should be able to be avoided by systematic use of patellar resurfacing. The authors conclude that a hinge prosthesis should be used only in cases of severe deformity, of severe instability or in cases of failure of resurfacing procedures.
Rev Chir Orthop Reparatrice Appar Mot 1983
PMID:[Hinge prosthesis of the knee. Apropos of 185 cases]. 622 49

Two hundred and forty arthroscopic meniscectomies have been performed between 1980 and 1982. One hundred and ninety-eight cases have been reviewed with a follow up of between 3 and 6 months and 101 cases were reviewed with a follow up of between 6 months and 2 years. On eight occasions the arthroscopy had to be completed by an arthrotomy and one of these became septic. No sepsis was observed in the absence of arthrotomy. Three cases of phlebitis and one haemarthrosis were seen. Social and functional rehabilitation was very rapid. The stay in hospital was 2 days and resumption of sport and work was 2 or 3 times more rapid than after meniscectomy by arthrotomy. The results were excellent or good in 85 p. 100 of cases, slightly better than after arthrotomy. The prognosis was worse when there were patellar or tibio-femoral chondral lesions, and the results were not as good in lateral meniscus lesions, and particularly when there was an associated lesion of the anterior cruciate ligament. However, two patients out of three with this condition were noticeably improved. The remainder will possibly have a secondary repair of the anterior cruciate ligament. The present follow up is not sufficient to evaluate long-term results but the fact that meniscectomy was partial in 3 cases out of 4 supports the hope that the results will be stable. It is only later that it will be possible to evaluate the unobserved lesions or the incidence of recurrence.
Rev Chir Orthop Reparatrice Appar Mot 1983
PMID:[Arthroscopic meniscectomies. Short- and median-term results]. 623 81

Eighty-four articular fractures of the lower end of the tibia were reviewed. One third were compound and three out of four were comminuted. Seventy-three cases were treated by internal fixation. The results were satisfactory in about half of the cases. In eight severe sepsis was found and had to be treated by arthrodesis. In 80 cases reviewed, a satisfactory reduction was obtained in only 52 cases. A classification into three types is proposed.
Rev Chir Orthop Reparatrice Appar Mot 1984
PMID:[84 fractures of the lower end of the tibia in adults. Attempt at a classification]. 623 74

Fifty one fractures of an epiphysis were treated by fixation using a new external fixator. The stability of the fixation was compared with that obtained by other types of fixator. The basis of the technique was the insertion of five pins into the epiphysis and of a series of pins in the diaphysis. Fixation between the epiphyseal and diaphyseal pins was achieved by three bars. The results obtained in 38 cases, half of them being at the proximal end of the tibia were analysed and were found to be encouraging. Only three had to be grafted secondarily. There was a low number of mal-unions. The main advantage of this method was to allow early mobilisation of the joint. The risk of sepsis did not give rise to concern provided that the rods do not cross the joint.
Rev Chir Orthop Reparatrice Appar Mot 1984
PMID:[Epiphyseal fixation with an external fixator. Biomechanical and clinical study]. 623 20

Eight instances of septic arthritis of the hip were treated in 6 paraplegics. On each occasion the hip had been infected through a nearby ulcer. In 2 cases the diagnosis was only made at operation because signs of a severe infection are not obvious in paraplegics. The radiographs were often misleading, the joint space being either normal or narrowed even before the onset of sepsis. The treatment combined antibiotic therapy with resection of the head and neck stabilized by external fixation for 45 days. The procedure was only successful in 5 cases out of 8 as far as infection was concerned. The resection did not impair ability to sit in this type of patient.
Rev Chir Orthop Reparatrice Appar Mot 1984
PMID:[Arthritis of the hip in paraplegic patients. Apropos of 8 cases]. 623 20

Eleven hundred and sixty eight traumatic cases have been operated on under constant conditions in a conventional operating room with filtered air and positive pressure using absolute filters of 99.999 efficiency. Two hundred and five were submitted to post-operative prophylactic administration of Cephalosporin (Cefazolin) for 2 days. The overall results showed 0.6 p. 100 of infection but 4 cases of severe sepsis were seen in the group of patients who had received prophylactic antibiotics. The authors have compared these results with those obtained during the previous period when the operating room was less modern. They conclude that this factor is of paramount importance. On the other hand, they have observed 2.1 p. 100 of contaminated drains without subsequent infection. They are concerned at the increase of gram-negative organisms resistant to Cefazolin (60 p. 100) and of Staphylococci resistant to Methicillin (30 p. 100). They conclude that the peroperative flash technique of the administration of Penicillin M is worthwhile.
Rev Chir Orthop Reparatrice Appar Mot 1984
PMID:[Postoperative infectious risk in traumatic bone surgery and protocol for antibiotic therapy]. 623 25

The authors have reviewed 51 cases of unstable fracture of the tibia treated by nailing followed 3 weeks later by bracing using the Sarmiento technique. The results confirmed the basis of Kuntscher nailing with reaming. This combination of two techniques can rival more sophisticated techniques such as locked nailing. Several complications were noted - one sepsis, one non-union, two malunions and one shortening of 2 cms.
Rev Chir Orthop Reparatrice Appar Mot 1984
PMID:[Nailing for alignment combined with the Sarmiento method. An interesting combination in the treatment of unstable diaphyseal fractures of the tibia]. 623 29

4 300 Charnley total hip replacements have been performed since 1968 using either a lateral or a posterior approach. The operative and post operative complications are analysed. 10 p. 100 of the cases had venous complications. There were 125 early dislocations which were easily reduced, and 38 dislocations occurring 6 to 8 years after the operation which were reduced under general anesthesia. There were 5 fractures of the stem of the femoral prosthesis. Instances of wear of the acetabular component were rare. 1.5 p. 100 of severe sepsis occurred leading to the need for the removal of the prosthesis in 23 cases. The percentage of septic complications was much higher in hip that had previously been operated on (5 p. 100) compared with when there had been no previous operation (1. p. 100). Functional results were rated excellent in 85 p 100, good and failure in 2 p. 100. In their conclusions, the authors state that the assessment of the results is difficult because of the age of the patients, the variability in methods of assessment and the presence of associated diseases. They emphasize that the results were consistent even after long periods of time and that wear in the prosthesis is not a hazard, any particles being produced by wear being well tolerated.
Rev Chir Orthop Reparatrice Appar Mot 1980 Mar
PMID:[The review of 4300 Charnley total hip replacements inserted between 1968 and 1979 (author's transl)]. 625 1

The authors have treated 10 cases of septic fracture of the femoral shaft by the following technique. In the first stage, necrotic and infected tissues were excised at the fracture site including soft tissue and bone. The importance of a large excision is emphasised. The fracture was then immobilised by an external fixator. In the second stage, the shaft was reconstructed by grafting using bone chips and sometimes massive cancellous bone autografts. The fixators were left until solid bone union had been achieved. 9 excellent results were observed. In one case, the bone refractured with recurrence of sepsis.
Rev Chir Orthop Reparatrice Appar Mot
PMID:[The use of Wagner's external fixator in the treatment of septic fractures of the femoral shaft (author's transl)]. 645 Oct 1


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