The distal radius fracture is a common injury in old persons. Its treatment remains a critical challenge because of number of cases, the final cost of the procedure, the level of X-ray irradiation, and the demand of technique of fixation in osteoporotic bone. The entire closed procedure requires a strict percutaneous nailing. This offers advantages in terms of postoperative pain, per-operative irradiation, and cost. The main problem was so far the ability to insure a stable reduction in time. This point is discussed with the introduction of the "Nail-o-Flex" nail. A continuous series of 83 patients is introduced.

The BEHAC-nail is a new implant for the treatment of complex humeral fractures, particularly for segmental fractures. It is an elastic intramedullary implant that is inserted retrograde into the distal humerus. The special feature of this nail is its proximal "loop design" which reduces the implant penetration at the proximal fixation site in the subchondral area of the humeral head in comparison to implants with tips such as Rush pins or Hackethal's nails. Thus, the risk of nail migration and perforation of the humeral head is less with the BEHAC-nail than with other nails. Another advantage of the "loop design" is that the humeral head fragment can be fixed adequately. Even short proximal fragments can be stabilized with this design. In contrast a short humeral head fragment cannot be held with implants like the UHN, HVN or Seidel's nail. The BEHAC-nail is a useful implant for segmental fractures of the humerus.

Background: Joint Replacement Surgery is subject to budget constraints, including shortened length of stay Red River Athletic Conference (RRAC). Local analgesia facilitates rapid postoperative recovery. Local soft tissue infiltration with Naropein® is recommended after joint replacement. Methodology: Soft tissue infiltration around the operative site is limited by low efficiency due to rapid resorption. A haemostatic compress was imbibed with Naropein® and deposited near the operative site. The objective was to allow the gradual diffusion of the molecule until disapproval of this compress, about 3 days. The use of cellulose pad soaked with Naropein® may be an improvement over the simple local infiltration. No wound drainage was performed.Result: The short prospective series aimed to demonstrate the effectiveness of postoperative anesthesia and the safety of the cellulose pad. This has been demonstrated along this preliminary study.Conclusions: A short preliminary series suggests that infiltration of Naropein® into soft tissues may be replaced by the deposition of a Naropeine-soaked cellulose pad.

The distal radius fracture is a common injury in old persons. His treatment remains a critical challenge because of number of cases, the final cost of the procedure, the level of X-rays irradiation and a demanding technic of fixation in osteoporotic bone. The entire closed procedure requires a strict percutaneous nailing. This offers advantages in terms of post-operative pain, per-operative irradiation and cost. The main problem was so far the ability to insure a stable reduction in time. This point is discussed with the introduction of the "Nail-oflex ® " nail. A continuous series of 83 patients is introduced.

The distal radius fracture is a common injury in old persons. His treatment remains a critical challenge because of number of cases, the final cost of the procedure, the level of X rays irradiation and a demanding technic of fixation in osteoporotic bone. The entire closed procedure requires a strict percutaneous nailing. This offers advantages in terms of post-operative pain, per-operative irradiation and cost. The main problem was so far the ability to insure a stable reduction in time. This point is discussed with the introduction of the "Nail-o-flex ® " nail. A continuous series of 83 patients is introduced.