Introduction:Head and neck resection of the femur was described by Girdlestone in 1928 in the treatment of coxalgia. Very invasive at the beginning, this intervention is much less so today, but the term of “Girdlestone’s operation” or “Girdlestone’s procedure” has remained in use. The reported results are controversial. In resource-limited countries, Girdlestone’s procedure is often indicated for lack of a better one. In this context, we report the results of a series of 24 patients operated in a regional hospital (Ouahigouya, Burkina Faso) with the aim of showing that this technique remains valid and can be benefit. Methods: This was a retrospective descriptive study of 24 patients who had benefited from the procedure for cervical fracture sequelae, failure of arthroplasty or osteosynthesis, or osteonecrosis. All were operated by posterolateral approach, under spinal anesthesia and followed for 5 years with evaluation of the anatomical and functional results using the rating of Postel and Merle d'Aubigné (PMA). Results: All patients had Trendelenburg lameness with a mean shortening of 3.5 cm. They were all autonomous with walking aids and the PMA score ranged from 16 to 14. Discussion: although the results obtained are not excellent, they are relatively good and have allowed all our patients to recover an acceptable autonomy, compatible with certain independence in everyday life. Conclusion:The Girdlestone’s procedure cannot be a first intention indication, but retains a place in the therapeutic arsenal of certain affections of the hip.

No abstract

Osteoperiosteal decortication is a reliable technique that leads to predictable, satisfactory results, given the limited materials required to treat long bone nonunion in emerging countries.

Le fibromatosis colli ou pseudotumeur infantile du muscle sternocléidomastoïdien est une cause rare de masse cervicale bénigne du nouveau-né et du nourrisson. L´étude a concerné tous les patients admis pour une tuméfaction cervicale et chez qui le diagnostic de fibromatosis colli a été posé de mars 2016 à février 2020. Cinq patients ont été retenus. La tuméfaction cervicale est apparue au cours du premier mois de vie chez tous nos patients. Le diagnostic de fibromatosis colli a été posé à l´échographie. Tous les patients ont bénéficié d´un traitement conservateur. Le fibromatosis colli est une cause relativement rare de masse cervicale du nouveau-né et du nourrisson.

Level IV. Retrospective study.