ABSTRACT
Consecutive patients with maxillofacial fractures who attended departments of maxillofacial surgery in Bristol and Bordeaux during 1985-1986 were surveyed prospectively to determine differences in demography and aetiology and patterns of injury. 1,652 patients were included: 1,146 in Bordeaux and 506 in Bristol. Significantly more patients with nasal complex fractures were treated in Bordeaux reflecting management of these injuries by oto-rhino-laryngologists in Bristol. Maxillary fractures were comparatively more frequent in Bordeaux, reflecting a higher incidence of road accidents. Significantly more assault victims were treated by maxillofacial surgeons in Bristol, though per capita alcohol consumption by age and sex matched individuals was greater in France than in the U.K. Incidence of fracture was 18/100,000 hospital catchment population/year in Bordeaux, compared to 32/100,000 population/year in Bristol; reflecting that in contrast to Bristol, specialists in private practice outside the regional centre treated patients with fractures in S. W. France. Differences in aetiology of injury could be explained by cultural factors. Formal twinning arrangements and EEC membership provide excellent opportunities for postgraduate education, training and collaborative clinical research.
Subject(s)
Facial Bones/injuries , Jaw Fractures/epidemiology , Skull Fractures/epidemiology , Accidents, Traffic , Adult , Crime , England/epidemiology , Female , France/epidemiology , Humans , Incidence , Jaw Fractures/etiology , Male , Middle Aged , Prospective Studies , Skull Fractures/etiologySubject(s)
Arthritis/surgery , Arthroplasty/methods , Carpal Bones/surgery , Joint Prosthesis/standards , Polytetrafluoroethylene/therapeutic use , Silicone Elastomers/therapeutic use , Adult , Aged , Arthritis/diagnostic imaging , Arthritis/physiopathology , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Prosthesis Design , RadiographyABSTRACT
The latissimus dorsi myo-cutaneous flap has been used for restoration of elbow flexion in 8 cases. The indication for this transposition were brachial plexus injuries, significant trauma to the upper limb and restoration of arm contour. The surgical technique involved unipolar muscular transposition (4 cases) with tendon plication (one case) and bipolar transposition (three cases). The evaluation of results is based on the force and degree of elbow flexion, active pronation and supination, as cortical integration. We consider that we have obtained good results in 5 cases and moderate results in three. We think that the latissimus dorsi pedicle transfer for restoring elbow flexion, is an excellent procedure which can give a good functional result with minimal donor site sequelae.
