[Therapeutic management of fracture-induced osteitis]. / Atitudinea terapeutica în osteita fracturar.

Fractural osteitis is considered to be exclusively of external origin, being due either to accidental wounds, or to operatory wounds. The infection is usually either with a single strain of germs, or with a small number of strains, most frequently a staphylococcus strain with a necrototizing effect on the bone structure. The prophylaxis has a determinant role, and the authors stress the organisatory measures, as well as the medical attitudes that should prevail in the face of an open fracture. In the case of closed fractures that have been infected as a result of surgery the necessity for an "early reintervention" is stressed. Late postoperative osteitis may develop in a consolidated focus, and is called osteitis of the repaired bone. It may also develop as an osteoarthritis or, and this is more serious, as a suppurated pseudarthrosis. The therapeutic attitude depends on the condition, and may consist in the removal of the osteosynthesis material, removal of the sequestered bone tissue, a so-called: "mis-à-plat" of the cavity with muscular tissue and application of septopal pearls, or a two-stage spongious graft according to Papineau, under protection of the external fixation when the necessity arises.

[Orthopedic treatment of Scheuermann's juvenile kyphosis]. / Consideratii asupra tratamentului ortopedic al cifozei juvenile Scheuermann

The authors establish some indications, depending on several criteria, of the treatment of cases of juvenile kyphosis of the Scheuermann type. These are based on their experience acquired in the therapy of 26 cases of juvenile kyphosis in which orthopaedic procedures have been applied -- plaster cast for recovery in two stages, followed by an orthopaedic corset and careful follow-up for at least one year after the end of the treatment. The criteria suggested as being important are: the severity of the kyphosis, the mobility of the spine, the severity of the kyphosis, the mobility of the spine, the severity of the vertebral structural lesions and the bone age. In cases of kyphosis under 40 degrees with a mobile spine, with minimal radiological lesions, detected before the end of growth, kinesitherapy is indicated and repeated clinico-radiological follow-up. The progression of the kyphosis under treatment or the existance of important vertebral structural lesions make necessary the performance of an orthopaedic treatment, the same as the severe cases of kyphosis, over 40 degrees, with median or severe vertebral lesions.

[Our experience in the treatment of pseudarthrosis of the carpal schaphoid bone]. / Esperienta noastra în tratamentul pseudartrozei de scafoid carpian

The present paper reports on 20 cases of old fractures and pseudoarthrosis of the carpal scaphoid operated in the Clinic of Ortopaedics and Traumatology of the "Brîncovenesc" Hospital and followed up over an 8 year period (1965--1972). The treatment, exclusively surgical, consisted in: osteosynthesis with corticospongious graft, combined with styloidectomy (9 cases); excision of the necrosed fragment and styloidectomy (7 cases); and one case each of osteosynthesis with aid of a screw, simple styloidectomy, explorative arthrotomy and arthrodesis of the wrist. The best result were obtained after osteosynthesis with styloidectomy, performed for various forms of pseudoarthrosis with moderate ischemia, and after partial scaphoidectomy for necrosis with a small proximal fragment.