Littler Neurovascular Island Flap in the Loss of Pulp Substance of the Thumb.

Q1. How can this defective soft tissue be covered? Q2. What are the surgical requirements and postoperative instructions? Q3. What indicators are used to assess the sensitivity of the flap? Q4. How is the impact of this type of flap on the patient's daily life evaluated?

Case report: A rare case of pure tibio-talar dislocation without malleolar clamp fracture in a young athlete: Long-term functional results and recent reviews of the literature.

INTRODUCTION AND IMPORTANCE: Ankle dislocation without fracture is an extremely rare injury, requires high-energy trauma, up to 1995, only 73 cases were reported in the literature and 154 cases up to 2017. It is therefore a post-traumatic ankle disease growing in parallel with the increase in road-traffic accidents requiring the study of incriminated factors such as hypoplasia of the medial malleolus. CASE PRESENTATION: The authors report the case of a young patient, a football player, who presented with a pure, closed dislocation of his ankle following a road-traffic accident. Management consisted of immediate reduction, followed by immobilization in plaster for 1 month, CLINICAL DISCUSSION: The short, medium and long term clinical and radiological results are excellent with no evidence of ankle instability or osteoarthritis. CONCLUSION: Ankle dislocation without associated fracture is an extremely rare injury. The posteromedial dislocation represents the most described variety in the literature. Early management, short-term immobilization, adapted and early rehabilitation seem to be associated with good long-term functional results.

[Patellar tendon rupture with distal closed fracture of the ipsilateral femur]. / Rupture du tendon rotulien avec fracture fermée distale du fémur homolatéral.

We here report the case of a 45-year old patient who had injured his right knee because of a road accident. The patient had right comminuted supracondylar femur fracture and ipsilateral patellar tendon rupture. This association is exceptional and no case has been reported in the literature. Targeted clinical and radiological diagnostic tests followed by early and suitable management based on internal osteosynthesis and suitable early functional rehabilitation enabled good long term outcome.

[A rare case of internal astragalo-scapho-calcaneal dislocation]. / Un cas rare de luxation astragalo-scapho-calcanéenne interne.

We here report the case of a young patient presenting with sports-related internal astragalo-scapho-calcaneal dislocation. The patient underwent orthopedic treatment with good clinical and radiological outcome.