[Racking guying of absorbable fractures of the olecranon results In 96 cases of series]

Our study is concerning a serial of 96 cases of the olecranonbone fracture treated within the department of Orthopedics in H.M.I.M.V between 1995 and 2000.The average age is 34 years [17-59 years], with a most dominance of males [84.3%]. The left side is most concerned [67.7%] although. The circumstances of the trauma are due to a direct traumatism caused by a fall on the olecranon-bone [83.3%]. The diagnosis are based on clinic observation and confirmed by regular radiography for all cases. All fractures are joint displaced. The treatment comprises at first a reduction of the fracture and restrain with osteosynthesis technics for all cases [100%]: embrochage-haubannage with vicryl n°2, in number eight like figure with framing. Our post-operatory resultsare presented as follows, according to Tomeno criteria: 67.7% are very good results, 17.7% are good, 9.3% are average, 5.2% are unsatisfactory. In conclusion, our therapy approach for displaced olecranon-bone is surgically based on pinning-haubanage with vicryl and completed by plaster immobilisation. We have, in this respect, obtained satisfactory functional results

[Clinical facts, Peri - Articular Fibrous Dysplasia Elbow from [about one case]]

Bone fibrous dysplasia is a benign and unfrequent disease, it represents 7% of benign bone-tumours. It is characterized by the proliferation of the fibrous tissue, when it affects only one bone, it is called "monostotic form" and when it affects several bones it is called "polyostotic form". This disease mainly affects young persons, with equal repartition between sexes. Most authors agree nowadays that it is of congenital origin. The clinical symptomatology relies on the localization of the dysplasic lesions: in long bones we observe pain mostly, bone deformities and pathologic fractures. Radiology is an essential examination for enhancing the diagnosis. However, the dysplasic disease often creates problems of differential diagnosis, which necessitate a histologic examination. The treatment may be medical, orthopedic or surgical and it is reserved only for bones lesions which generate a functional handicap. Through the overall clinical observation, authors report a case of fibrous dysplasia with particular localization on both parts of the elbow

[ scarf osteotomy in the treatment of hallux valgus [about 30 cases]]

The authors return their experience by the way set of 30 Hallus valgus collected in the service or orthopedic traumatology of the military hospital Mohamed V of Rabat between 1999 and 2003 and operate by SCARF osteotomy with middle receding of 2 years. Our recruitment is dominated by feminine sex topic 70%. The middle age of our patients was of 53 years [21 years, 68 years]. This osteotomy always comes with a sesamoidian strap recentred with medial capsulorraphy and cut of the adductor of the big toe. 80% of the patients didn't have any pains anymore. From a radiological point of view the Valgus Hallux [M1P1] and the Metatarsus varus [M1M12] pass 36[degree sign] and 14 [degree sign] before intervention in 13, 5[degree sign] and 6,5[degree sing] in post-operative. The result reaches 75% of good and very good result according to the quotation of Groulier

Agents vulnerants et lesions anatomiques

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

L'osteochondrome geant de l'os iliaque une observation

The authors report one case of a Giant osteochondroma of the ilum. This tumor is rare. Its diagnostic is knower too late because the symptomatology is not abondant enough. The treatment is difficult, because the tumor localization, and it's vascuo-nervus connexions. The tumor is benign, without recurrence one year after the surgery treatment