[McGregor's flap: a salvage technique: about a case, clinical features and outcome]. / Lambeau de Mac Gregor, solution de sauvetage: à propos d'un cas, clinique et résultat.

Inguinal flap is a distant axial pediculated flap. This flap is reliable in covering large losses of substance of the upper limb. Its major drawback is that it requires two-step surgery. Inguinal flap is the elective method in the arsenal of emergency left hand surgery or in common left hand surgery. This is due to its greasy thickness and its short small pedicle, with frequent anatomical variations. The purpose of this study was to show its role imbalance out its advantages and its disadvantages. We report the case of a 33-year female patient presenting with severe deformation with closure of the anterior commissure and first metacarpophalangeal joint ankylosis after complex open trauma of the hand. The patient underwent two-step surgery with opening the first commissure and trapezio-M1 arthrodesis stabilized by plug insertion followed by immediate skin coverage by McGregor's inguinal flap and after 21days by weaning and donor site suture. Anatomical and functional outcome was good. The patient was satisfied with the scar at the donor site, which could be easily covered with clothing, by the functionality and aesthetics of the hand. McGregor's flap is an attractive solution for coverage with significant advantages from a functional and aesthetic point of view. Its role should be enhanced in the therapeutic armamentarium of flaps for limb coverage.

[Clubfoot in adult patients treated with tibiocalcaneal arthrodesis: about two cases (3 feet)]. / Pied varus équin de l'adulte traité par arthrodèse tibiocalcanéenne: à propos de deux cas (3 pieds).

Inveterate clubfoot (inveterate talipes equinovarus, ITEV) is a vicious attitude of the foot which doesn't rest on the floor through its normal base of support but weight is thrown to the outer side of the foot and to the foot point. When this vicious attitude persists a long time, it results in severe osteoarticular deformities in adults. Fixed ITEV is a good indication for tibiocalcaneal arthrodesis. In the majority of cases this provides painless and stable plantigrade foot. This study aims to assess the clinical and radiological outcomes of astragalectomy with tibiocalcaneal fusion. This case series involves 2 adult patients undergoing tibiocalcaneal arthrodesis due to severe and annoying equinovarus rearfoot deformity. Outcome was satisfactory with painless and stable plantigrade foot. At 90-day follow-up the patient with bilateral clubfoot had no inequality while the patient with unilateral clubfoot had a shortening of 2 cm compensated by right sole. In the majority of cases with severe and fixed deformities of the ankle and of the ITEV, tibiocalcaneal arthrodesis allows for painless and stable plantigrade foot, without vascular or cutaneous risk.