[Treatment of trochanteric fractures by gamma nail [Report of 80 cases]]

The trochanteric fracture is a deferred surgical emergency, before to be operated ideally in the 48 hours. This fracture calls into action the vital prognosis for old people and functional prognosis for young ones. The osteosynthesis means are numerous, here are a series of 80 cases treated by the gamma nail, with analysis of the aspects per and postoperative, as well as the possible complications. The results are satisfactory as exactly as the technical plan of setting up of the nails that to the level of the earlier taking charge and consolidation

Traitement des paralysies du sciatique poplite externe d'orine traumatique

The paralysie of the S.P.E. begets a serious functional uneasiness [or difficulty]. It begets a shortage of the extension of the foot and the tesassecialed to the absence of the control of the valgisation giving to the foot a permanant attitude in "varus equin". Different methods have been suggested to correct these shortags [orthrodesis]. The authors report a series of 15 paralysie of SPE. The treatment is done by a transfer of the tibialis posterior for enlivening the extensor, associated with an arthrodesis of the metatarsal joint and at times arthrodesis of the intertarsal joint This technique simple ans honted has given good results. However it stays subved to the principle of the base of Orthopedic surgery

Ramassage-conditionnement evacuation primaire

The various elements that have been studied throughout this day - time [which has been wholly devoted to war surgery and to catastrophies] enable us to draw out quite an appreciable of lessons. The problem of war surgery was tackled at the outset bearing in mind the experience of the health service for the last ten years whether :- In the middle east, - In Zaire, - Or in the Sahara. The emphasis has been put on the specification of this "polymorphic trauma " which requires a "polyvalent" training. A parallel to the medical branch-which deals with catastrophes has been outlined. Then, owing to the up - to - date provided items of ballistics, the anatomo - pathological lesions " caused by war shrapnels, the blast and the " therapeutical - anatomo - clinical " results that derive from all these, we have been reminded of all of these aspects The importance lying in the " medicalized " evacuating operations at the front battle line towards the rear where the injured patient is to be found at the " H.G.A ", has been previously mentioned. To this second level, the " hinge - role " makes medical surgery the nucleus point where about the most important decisions - that are the heaviest as far as consequences are concerned - such a " role chaniere " has been depicted stressing the point that the " sorting-out requires a swift and sure diagnosis. The "facial sores" which are usually the natural accompaniments to war shocks with all their "after-effects" the "broken - muzzies" have been the topic of a talk built on the experience of the Hematology Department in MOHAMED V [H. M. 1.]. The neurological traumas, as them, have been split up into two sections: The first category is devoted to the "medullar - vertebra wounds" which have to be dealt with at the back. The second section is devoted to the "skull and brain injuries" and requires an early surgery. As for the "shattered limbs ", which are also of paramount importance, appertaining to this kind of surgery, the call for a "parage" is seen as necessary and as such must be perfect using the "outer-expanders ", the simplification of the medical care that usually follows surgical operations and the movements likely to be performed when mascular wounds are there. For the "uro-genital" lesions, if the emergency diagnosis of wounds-connected with the outer side of genital organs - is evident, the check - up concerning these lesions, therefore, needs a "U.I.V", with a "twice-timed" surgery. The prognosis is worse when faced with a " poly - trauma ". The shocks concerning the chest and the abdomen are common as well, the partnership " chest - abdomen " is always derogatory especially for the colic sore. The experience of the department of surgery in MOHAMED V H.M.I, has been brought in. The reanimation staff has participated in the debate so as to bring to mind the "reanimation" of the "scorched" patients of the first forty eight hours. As a matter of fact, the "burn" seeks to become one of the most recurring lesions when in time of conflict. The "burn" needs specific means that should be brought into practice at the start. The position that "reanimation procedures" take up in war surgery is there at all levels whether at the back or the front [and this has been mentioned previously]. The "reanimation procedure" is absolutely essential, both at the front-through the use of sensible rescue actions and for the H.C.A. level thanks to the bringing in of modern techniques for the sake of a deep and thorough medical care. The various discussions have been followed up by a warm debate mainly focusing on the contribution of the experience of war surgery through civilian practice. In the field of "medicine of catastrophes ", the devising of a "medicalied" transport service - the SAMU kind - fitting the realities of the country seems to be quite necessary. The F. A. R, health service collaboration whose experience has been brought to light during this day-time, seems to be basic seen under such an angle