[Osteosynthesis of thalamic fractures of the calcaneum about 42 cases]

The displaced thalamic calcaneal fractures involve the functional prognosis of the ankle and foot. The purpose of our study is to defend the surgical treatment of these fractures. We report a continuous and retrospective serie of 42 displaced and isolated fractures treated by open reduction bone graft and osteosynthesis by little plate In a more 3 years review based on SOFCOT criteria functional results are considered excellent and good for 69 per cent of the cases We had restored and maintained the Boehler Angle for 90%of fractures with a no significatively mean loss of 4.33°, Astragalo thalamic congruency is good for 85%of cases. Late complications were dominated by arthrosis of the ankle [12%]. For the indications, we believe that all displaced thalamic fractures of the calcaneum must be operated whatever the radiologic stage. The only contra-indications that must be discussed are the old age, the skin status and arterial pathology

[Epithelioid hemangioendothelioma of the wrist and the hand a case report]

The primitive epitheliod hemangio-endothelioma of bone is a rare vascular tumor recently described. A case of epitheliod hemangio-endothelioma of the distal phalanx and the ulna of the left band in a 15 years old young man is reported. In the same side soft tissue tumors of the hand and the forearm have been simultaneously diagnosed. In the same time radical excision with bone grafting was performed. The histologic and immunohistochemical study confirm the diagnosis. At the 8 years follow-up there was no clinical evidence of recurrence or metastasis. In the literature the outcome is not well defined. However no death was reported in the bone localization. Surgical resection with bone grafting to prevent pathologic fracture is suggested as a treatment, althongh it's not well codified in this rare lesion