[Locoregional anesthesia intravenous [a about 500 cases]]

Intravenous locoregional anesthesia [IVLRA] is simple, efficient, and low cost technic ; it is indicated in a hand and forearm surgery especially in emergency and ambulatory patient. A 500 patients series during 7 years experience is reported. These patients were admitted in our hospital for surgical indications concerning their hand or their forearm. 310 patients were treated by delayed surgery and 190 others treated in emergency. Double tourniquet technique was used and the drug injected was 0.5 percent lidocaine without any adrenaline. Average duration of tourniquet put on was 75 minutes [30-120 minutes]. 15 cases of IVLRA were converted to general anesthesia: 10 for very painful tourniquet and 5 others for surgical act needing more than 120 minutes

Les fractures de l'extremite superieure du femur chez l'adulte [a propos de 100 cas]

The authors report a series of 100 fractures the superior extremity of the femur of adult of whom 58 fracture [pertrochanter]. * The orthopedic treatment has been instituted 18 times and the surgical treatment 82 times. the maximum recoils is of 2 years; * For the fracture cervicocephalique prost hesis has been used at once for people who are more than 65 years old; * For young people, the "coxa-valga' fracture have profited of a screwing in triangulation; * Else where the [plaque] blade has been the material the most used especially when there is a high fractures of the [diaphyse femoral] associated the prognostic of these fracture is reserved enough [30% of the] [n‚crose col]. The [trochanters] fractures have generally profited by the [osth‚synthese] with [plaque] screusor [plaque] blade Their prognosis is the best [72% of good results]. We underlined the contribution of the [cervico caphalique prosthesis donc with cement for older people]