[Surgical treatment of the rheumatoid forefoot about 18 cases]

Forefoot deformity in rheumatoid arthritis is a common occurrence leading to significant disability and impingement. Surgical options are frequently used to correct these deformities. The purpose of the present, retrospective study is to report our experience in surgical treatment of the rheumatoid forefoot: forefoot reconstruction with first metatarsophalangeal arthrodesis first metatarsal osteotomy and lesser metatarsal head resection performed on 18 patients. After surgery the results were good 14/17 patients were without pain during weight bearing and were able to wear casual shoes. Three patients were suffering from persistent pain. The average angle of the fused hallux was 19 2°. This surgical procedure is simple and efficient at the same time allowing a good correction of the rheumatoid deformity and respecting the concept of united family forefoot

[ wrist dorso radial flap about 10 cases]

The wrist dorso-radial flap is another procedure to cover the hand defects. The authors report a series of 10 patients in whom we performed wrist dorsoradial flap. The operative technique, application and results of the use of this flap are described with reference to our clinical series. Various methods of applications to hand reconstruction are described along with a discussion of the various advantages and disadvantages

[ traumatic dislocation of the trapezio metacarpal joint about 5 cases]

The high voltage electrical bums cause an exceedingly high rate of morbidity resulting from the massive necrosis of deeper structures often necessitating major limb amputations. The authors report two rare cases of high voltage electrical burns occurring accidentally with a 49 and 19 year old men after an indirect contact with a high voltage line. These high voltage electrical burns caused massive necrosis and extended necrosis m the upper limb requiring the recourse to a disarticulation the shoulder. The indications and the operative techniques used are discussed