Nacim Soal

On entend par ostéosynthèse la contention artificielle des fragments osseux des fractures, par des appareils spéciaux agissant directement sur les os, mis à nu ou non, et destinés à les fixer définitivement dans leur position quo ante » A. Lambotte, 1908 Full text : evolution de l’ostéosynthèse revue historique

Abstract Introduction: the purpose of this study was to assess the orthopaedic surgeons’ perceptions and attitudes on COVID-19 related changes in their practice. Methods: an online survey was shared with orthopaedic surgeons practicing in different countries. Results: this study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Among the introduced measures,  surgery was postponed to freeup beds for suspected or COVID-19 positive patients requiring hospitalization. Additionally, the number of outpatient visits was considerably decreased and non-urgent visits were postponed to reduce the flow of patients in and out of hospitals and therefore minimize the risk of contamination. Interestingly, data revealed the willingness of orthopaedic surgeons to take care of COVID-19 positive patients and support their colleagues in intensive care units, if needed. Conclusion: orthopaedic surgery departments have adapted their programs to face the unprecedented challenges due to the COVID 19 pandemic. Quick measures were taken to reduce the risk of contamination in patients, medical staff and to allow hospitals to free up beds for treatment of patients with positive or suspected COVID-19.   Full text: Orthopaedic surgeons’ perceptions and attitudes

ABSTRACT In response to the global health emergency, which has been raised to its highest level as a consequence of the coronavirus disease 2019 (COVID-19), urgent and aggressive actions were taken by health institutions across the world to stop the spread of the disease while ensuring continuity of vital care. This article outlines the urgent measures put in place by the orthopedic surgery department at Mustapha Bacha Hospital in response to the COVID-19 pandemic. Full text:  Orthopedic healthcare in the time of COVID-19

A B S T R A C T Carpometacarpal (CMC) fracture–dislocations of the fifth ray are common. For chronic injuries, Dubert proposed combining resection arthroplasty of the base of the fifth metacarpal (M5) with synostosis with the fourth metacarpal (M4). Our aim was to evaluate the results of this procedure. Between 1994 and 2014, 7 men and 1 woman with an average age of 36 years (range, 27 to 45) were operated on. The right hand was involved in 6 of the 8 cases. All patients had symptomatic osteoarthritis secondary to isolated articular malunion and subluxation of the 5th CMC joint. Fusion was obtained right away in all 8 cases. Six patients were evaluated with a mean follow-up of 93 months (range, 7 to 249). At the final assessment, all patients reported a significant decrease in pain. The mean pain assessed by a visual analog scale (VAS) was 0.6/10 (range, 0 to 5). Range of motion in flexion–extension of the M4-M5 block ranged from 108 to 208. Grip strength remained reduced by 15% to 70%. All patients except one were satisfied with the outcome. The technique described by Dubert is an effective method to relieve pain. By fusing together M5 and M4, it preserves the length of the fifth ray and a certain adaptability of the palm when gripping. However, it can be used only when the CMC joint of the 4th ray is healthy. This stabilized arthroplasty is an effective and reliable technique for the treatment of symptomatic osteoarthritis secondary to CMC fracture–dislocation of M5 Full text : Results of the Dubert procedure for chronic painful fracture