Responsabilité civile en ODF : quel est notre niveau de connaissance et de conscience ?

But Évaluer le niveau de connaissance de la profession orthodontique à propos de la responsabilité civile professionnelle. Population 50 spécialistes qualifiés en ODF, anciens étudiants du CECSMO de Nantes. Méthode Chaque praticien a reçu un questionnaire concernant l'élaboration du diagnostic, l'information au sujet du traitement, et le consentement du patient et du praticien. Résultats - À propos du diagnostic : les éléments habituels sont largement utilisés. - À propos de l'information fournie au patient : une bonne partie des praticiens n'utilise pas de document écrit pour produire la preuve qu'ils ont fourni l'information. - À propos du consentement : un grand nombre d'orthodontistes laisse le patient seul, sans aucune précaution particulière quand celui-ci ne consent plus au traitement. Conclusion L'orthodontiste ne peut continuer à ignorer les conditions d'engagement de sa responsabilité dans le cadre du contrat de soins

The role of the periosteal sleeve in the reconstruction of bone defects using a non-vascularised fibula graft in the pediatric population

Following resection of large benign bone tumors surgeons are confronted with bone defects severely affecting the stability of a limb. To restore the mechanical continuity of the bone different treatment methods using bone grafts have been described. In pediatric patients the thick periosteal sleeve is thought to contribute to bone formation

Perioperative Medullary Complications in Spinal and Extra-Spinal Surgery in Mucopolysaccharidosis: A Case Series of Three Patients

International audienceThe mucopolysaccharidoses (MPS) are genetic lysosomal storage diseases. Peripheral bone dysplasia and spinal involvement are the predominant orthopedic damage. The risk of spinal cord compression due to stenosis of the craniocervical junction is well known in these patients, whereas the thoracolumbar kyphosis is often well tolerated over a long period of time. Thus, signs of spinal cord compression at this level occur later and more insidiously. The authors describe three cases of patients with thoracolumbar kyphosis who suffered from postoperative spinal cord compression in the absence of direct surgical trauma. Analysis of these cases and review of the literature helped identify causal factors resulting in spinal cord ischemia. The risk of perioperative spinal cord complications related to a thoracolumbar kyphosis must be discussed with patients with MPS and their families prior to any surgery, including extra-spinal procedures