[Treatment of acute pyogenic arthritis of major joints of the limbs]. / Traitement des arthrites aiguës à pyogènes des grosses articulations des membres.

The authors have treated 52 cases of septic arthritis of major joints. When aspiration contain an opaque fluid, conservative treatment with antibiotic therapy and immobilisation obtained healing in half of the patients. Surgical lavage of the joint was needed on 21 occasions with healing in 15. Synovectomy was performed in 8 cases and was indicated only at the stage of pyogenic synovitis before the development of pyogenic arthritis. When the latter stage was reached, arthrodesis was indicated. It was performed primarily on 6 occasions and secondarily once. Seven patients died. The average age was seventy years. The importance of early treatment is stressed.

[The use of the B.A.S.K. total prosthesis for the reconstruction of the proximal femur after tumour excision (author's transl)]. / Prothèse B.A.S.K. de reconstruction après exérèse de l'extrémité supérieure du fémur pour tumeur.

The authors have used an original model of total hip prosthesis (B.A.S.K. Prosthesis) which allows for repair of bone losses up to 13 cm. The length of the femoral device is adjustable and it articulates with a mobile cup. It has been used in 15 cases, 13 of which were bone metastases. Three died after operation. The others were able to walk and leave hospital. No dislocation or infection occurred. One prosthesis fractured after one year. The authors believe that this type of prosthesis is worth-while in cases with a limited expectation of survival.

[Upper brachial plexus palsy. Seven cases treated by muscle transplantation (author's transl)]. / Paralysie radiculaire supérieure du plexus brachial. Traitement par transpositions musculaires associées. Résultat de sept cas.

Seven cases of upper brachial plexus palsy, have been treated by associated transplantation of pectoralis major for flexion, and of teres major and latissimus dorsi for external rotation. Operation was performed eighteen months at least after injury, during which period rehabilitation was necessary to prevent atrophy of the pectoralis major and contracture in internal rotation. The strength of flexion was improved by alterations of the original Clark's operation. The whole muscle was transplanted: its humeral tendon was fixed to the coracoid process; its thoracic extremity lengthened by an aponevrotic flap from rectus anterior was pulled through a posterior anti-brachial incision, holding the arm in anteposition and the forearm in supination. A strong tension was obtained in this way. Transplantation of teres major and latissimus dorsi tendons behind the humerus was done in the same stage. Results are in favor of these improvements: all seven patients, including two hard-workers, obtained a strong and large flexion. The useful part of external rotation was restored. All went back to their former occupations.

[Failures and limitations of the Papineau technic. A report of 54 cases]. / Echecs et limites de I'opération de Papineau. A propos de 54 cas.

The authors have treated 41 cases by Papineau's technique. There were 19 cases of osteitis, and 35 septic non-unions (9 in the femur, 16 in the tibia and 10 in other sites). Twenty-four cases healed, the average follow-up being one year. The causes of failure were analysed. Some are related to the technique itself - sepsis and fractures at the sites of graft removal, inadequate quantities of cancellous bon, long delay in bone union and skin problems particularly in the leg. The indications for this technique are compared with those of other techniques. It is concluded that it is a useful technique; only two patients required amputation.