[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

[ 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

[Bicycle spoke injuries about 30 cases]

This study reports the author's 5 year experience with treating lower extremity injuries in bicycle passengers caused by the spokes. A total of 30 patients were treated during the study. Patiets ranged from 2 to 15 years old with a mean age of 6 years. The authors treated more female passengers then male passengers. The right foot was involved mote often then was the left. The achilles tendon was the most common site of injury [50 percent], wounds was classified in 4 stages. The defects exposure achille tendon was covered with distally based sural flap in 6 reports, 3 patients required skin grafting. Since the first report of bicycle spoke injuries a half century ago, prevention has not improved