RESUMO
A twenty six-year-old man presented a mass of the fifth left finger. X Ray and pathological examination after surgical treatment showed an extraskeletal chondroma. One month later, this tumor recurred, leading to a second surgical procedure. At one year follow up there was no evidence of new recurrence. A review of the literature shows that recurrence of this type of tumor is extremely rare. Also, it stresses the importance of a proper diagnosis which allows an appropriate treatment initially and after a recurrence.
Assuntos
Condroma/cirurgia , Mãos , Recidiva Local de Neoplasia/cirurgia , Neoplasias de Tecidos Moles/cirurgia , Adulto , Condroma/patologia , Humanos , Masculino , Recidiva Local de Neoplasia/patologia , Neoplasias de Tecidos Moles/patologiaRESUMO
The authors report their experience of the systematic use of a monobloc pin-plate in fractures of the trochanteric region in the elderly. The review of a series of 100 cases with a mortality of 16% demonstrates that this technique ensures excellent results compared with other published series. The biomechanical reliability of the monobloc pin-plate allows immediate weight-bearing in all patients. The technical simplicity and the better preoperative preparation of elderly patients allows an improvement in the postoperative course and consequently in patient survival. This operative technique can be proposed routinely with no restrictions.
Assuntos
Fraturas do Fêmur/cirurgia , Fixação de Fratura/instrumentação , Idoso , Idoso de 80 Anos ou mais , Feminino , Fraturas do Fêmur/mortalidade , Fixação de Fratura/métodos , Humanos , Masculino , Complicações Pós-OperatóriasRESUMO
Following a case of traumatic rupture of the 3 lobes of the right lung without any parietal lesion, the authors found three similar cases in the literature. However, uni or bilobar rupture was more frequently described. The pathological mechanisms are considered. The treatment of these lesions, in contrast to pulmonary laceration due to fractured ribs, most often requires limited parenchymal excision.