[Telemedicine: evolution of a concept]

Being a medical practice in distance, it can be defined as a form of cooperation in medical practice, linking them remotely, thanks to information technology and communication, a patient and a or more physicians and healthcare professional for medical diagnosis, decision-making, care and treatment in accordance with the rules of medical ethics. Currently, she is the right solution for access to health care in countries with large geographical and situations of isolation or technical skills. There are several forms such as teleconsultation, telemonitoring, telesurgery, the teleconference, distance learning and tele-expertise. Interests of telemedicine are many: high efficiency: speed of decision, a better organization of care, limiting patient transfers and travel medical teams; accessibility of care regardless of location, and a reduction the costs related to health. In practice, it is in the theater she found her first indications particularly telecare surgical field, the most advanced in the field of medicine forward. The example of satellite transmission between five buildings French Navy, Southern and military Teaching Hospital [HIA] Saint Anne in Toulon digitized radiographs using military means of communication is one example. The ultimate development of this hotline will teleoperation that consists of performing Remote surgery [also known as telesurgery] using a robot

Comparative study between two acetabular cementing techniques in Exeter total hip replacement

This prospective comparative study of 26 Exeter total hip replacement [Stryker -Howmdica, UK] evaluate the effect of keeping the acetabulum cup as dry as possibly prior to cement and cup application on the quality of acetabular bone cement mantle in total hip replacement by using an iliac wing venting technique and all polyethylene Exeter non-flanged cup. Twenty six patients were randomly allocated to two groups; Group A, an Exeter iliac wing aspirator was used prior and during the cementing of the acetabular cup. In group B an exact cementing technique was used but without the iliac wing aspirator. Standardised antero-posterior X-ray films of all patients were blindly and independently assessed to measure the penetration of the cement in the acetabular floor. The study has shown that the bone cement mantle in group A is better than that of group B

Arthroplasty of the trapeziometacrpal joint. A study of 36 cases

This retrospective study was done during the period 1998 - 2002 to evaluate two types of surgeries for symptomatic osteoarthritis of the trapeziometacarpal joint at the base of the thumb in 36 hands. There were 19 females and 7 males. Follow up period ranged from 18 to 39 months [mean 32 months]. The study reviewed fifteen [41.7%] hands treated by tendon interposition arthroplasty with ligamentoplasty and twenty one [58.3%] hands treated by silicone replacement arthroplasty. The clinical outcome was measured depending on the assessment of pain, function, movement and strength. Radiologic follow up was done for proximal shift of the thumb metacarpal as well as signs of implant instability or wear. For this short term follow up, there was no significant difference regarding the power, movement, or function between either groups. In the tendon interposition arthroplasty group; pain relief was much better, no significant complications and the ultimate clinical score was excellent [36 points]. In the silicone replacement group; the clinical score was good [32 points] and complication rate was high with four implant dislocations [19%] and two symptomatic synovitis [9.5%]. Six hands of the silicone replacement group [28.5%] needed revision by removal of the implant while in the tendon interposition group no revision was needed