[Benefit of lselin's technique in the treatment of fractures of the base of the first metacarpal joint [Report of 15 cases]]

Bennett's fractures are always serious injuries to the hand. The authors have reviewed 15 cases treated by Iselin's pinning technique with a mean range follow-up of 06 years. 13 were good or satisfactory results according to Vardon's Seale. The Iselin's technique is recommended as the routine technique for Bennett's fractures

[Serious sprains of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb]

The sever strain of the thumb's metacarpophalangeal joint interest specially the ulnar collateral ligament [UCL]. The authors reported their experience about managing the acute rupture of the UCL. Authors reported 26 cases of severe strain of the UCL of the thumb's metacarpophalangeal joint. There were 22 mans and 4 women. The mean age was 27 years [17-50 years]. The sports accident caused 77% of all injuries. The diagnosis was allowed by physical exam, standard and stress radiographies. There were 8 patients with avulsion fractures of the UCL [2 undisplaced], 7 with corporeal rupture and 11 with distal desinsetion of the UCL. Two patients [with undisplaced fracture avulsion] had an orthpaedic treatment and 24 were operated. With a mean follow-up of 3, 5 years 22 patients [85%] had a very good or good results, 2 patients [8%] had average result and 2 authors [8%] had poor result. The severe strain of UCL of the thumb's metacar-pophangeal joint may have a good result if diagnosed and treated correctly in the acute phases. Excepted undisplaced fracture avulsion, all these injuries must be treated surgically, immobilised in plaster for 4 weeks and reeducated adequately

[Chronic anterior dislocation of the knee treated by anterior extra-articular. Lemaire arthroplasty. [Report of 40 cases of average 10.5 years of age [07-15 years old]]

The purpose of this study was to evaluate on Lemaire's extra-articular procedure applied to chronic rupture of the A.C.L. 40 patients, 21 to 42 years old [average 26.8 years], underwent chronic rupture of the A.C.L. Lemaire extra-articular procedure for. The average follow-up was 10.5 years [range 7 to 15]. All patients were evaluated with scoring systems [Avicenne military hospital [HMA] and IKDC]. Roentgenograms of both knees on unilateral weight-bearing and functional evaluation with the Stryker knee laxity tester. No statistical evaluation was used. 30 patients had a satisfactory result in both system HMA and IKDC. The pivot-shift test was negative in 95 percent. 22 patients resumed there first level 35%. Functional results were temporalily but do not confirm the reliability of this procedure. Degenerative changes of the joint underprim the prognosis. Lemaire's extra-articular procedure alone for chronic rupture of the A.C.L. is not recommended

[Paronychia and pyogenic infections of the hand and fingers. [Report of 125 operated cases]]

Pyogenic infection of the hand are common and remean a serious disease when neglected. During the last 15 years, the authers treated 125 cases of such infections. The aim of this retrosoective study is to show the gravity of these infections when they are not teated according to simple rules which nowadays should be very well known