;;           Date:   2000-02-11
;;           Author: 
;;           Description: 
;;           Generated by: Spet
;;            Warning: no existing dissection set found
;;            Exported from Tigger version 4.9, at 2:03:04 pm on May 17, 1999
;;           Exported from Tigger version 4.9, at 11:52:52 am on February 25, 2000
;;          Exported from Tigger version 4.9, at 4:21:01 pm on February 25, 2000
;;         Exported from Tigger version 4.9, at 5:05:09 pm on February 25, 2000
;;        Exported from Tigger version 4.9, at 1:08:07 pm on March 1, 2000
;;       Exported from Tigger version 4.9, at 2:48:22 pm on March 2, 2000
;;      Exported from Tigger version 4.9, at 4:54:07 pm on March 7, 2000
;;     Exported from Tigger version 4.9, at 5:48:55 pm on March 7, 2000
;;    Exported from Tigger version 4.9, at 1:05:52 pm on April 10, 2000
;;   Exported from Tigger version 4.9, at 4:56:11 pm on April 10, 2000
;;  Exported from Tigger version 4.9, at 11:13:33 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:03 pm on April 13, 2000

RUBRIC "Ponction(s) biopsie(s) osseuse(s) ou articulaire(s) au niveau du membre suprieur par voie transcutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0001"
MAIN biopsying
	ACTS_ON bone / joint
		IS_PART_OF upper extremity
	BY_TECHNIQUE puncturing
	HAS_APPROACH transcutaneous approach

RUBRIC "Biopsie osseuse ou articulaire au niveau du membre suprieur  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0002"
MAIN biopsying
	ACTS_ON bone / joint
		IS_PART_OF upper extremity
	HAS_APPROACH open

RUBRIC "Ponction  vise diagnostique d'une articulation du membre suprieur par voie transcutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0003"
MAIN puncturing
	ACTS_ON joint
		IS_PART_OF upper extremity
	HAS_APPROACH transcutaneous approach
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Arthroscopie de l'paule  vise diagnostique avec ou sans biopsie(s) Inclut : la bursoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0004"
MAIN inspecting
	ACTS_ON shoulder
	BY_MEANS_OF arthroscope
MOTIVATED_OVERALL_BY diagnosis
OR_MAIN inspecting
	ACTS_ON shoulder
	BY_MEANS_OF arthroscope
MOTIVATED_OVERALL_BY diagnosis
WITH biopsying
	ACTS_ON shoulder

RUBRIC "Arthroscopie de la bourse sreuse sous-acromiale [burso-scopie]Inclut : la biopsie ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0005"
MAIN inspecting
	ACTS_ON acromial bursa
	BY_MEANS_OF arthroscope
WITH biopsying
	ACTS_ON acromial bursa

RUBRIC "Injection au niveau d'une articulation du membre suprieur par voie transcutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0006"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION joint
			IS_PART_OF upper extremity
	HAS_APPROACH transcutaneous approach

RUBRIC "Perforation, forage, injection intra-osseuse en dehors de la molle osseuse par voie transcutaneExclut : la tte fmorale et les piphyses fertiles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0007"
MAIN dig up
	ACTS_ON bone cortex
	HAS_APPROACH transcutaneous approach
OR_MAIN drilling
	ACTS_ON bone cortex
	HAS_APPROACH transcutaneous approach
OR_MAIN injecting
	ACTS_ON bone cortex
	HAS_APPROACH transcutaneous approach

RUBRIC "Confection d'un appareil d'immobilisation rigide externe thoraco-brachial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0008"
MAIN creating
	ACTS_ON thoracobrachial cast
		HAS_FUNCTION immobilising

RUBRIC "Confection d'une attelle de posture ou de mobilisation de l'paule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0009"
MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON shoulder
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON mobilisation
				ACTS_ON shoulder

RUBRIC "Rduction et contention orthopdique d'une fracture de la clavicule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0010"
MAIN reducing (a fracture)
	ACTS_ON clavicula
	BY_MEANS_OF hand
	FOLLOWED_BY immobilising
		ACTS_ON clavicula
		BY_MEANS_OF cast

RUBRIC "Rduction orthopdique d'une fracture de l'omoplate"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0011"
MAIN reducing (a fracture)
	ACTS_ON scapula
	BY_MEANS_OF hand

RUBRIC "Ostosynthse de la clavicule par embrochage percutan"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0012"
MAIN fixing
	ACTS_ON clavicula
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse de la clavicule par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0013"
MAIN fixing
	ACTS_ON clavicula
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse de la clavicule  ciel ouvert, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0014"
MAIN fixing
	ACTS_ON clavicula
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse de l'omoplate par embrochage percutan"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0015"
MAIN fixing
	ACTS_ON scapula
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse de l'omoplate par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0016"
MAIN fixing
	ACTS_ON scapula
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse de l'omoplate  foyer ouvert, quels que soient la technique et le matriel utilis ( l'exclusion de la glne et du col de l'omoplate)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0017"
MAIN fixing
	ACTS_ON scapula
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostotomie de la clavicule  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0018"
MAIN incising
	ACTS_ON clavicula
	HAS_APPROACH open

RUBRIC "Ostotomie de l'acromion et/ou de l'pine de l'omoplate,  ciel ouvert Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0019"
MAIN incising
	ACTS_ON_1 acromion
	ACTS_ON_2 spine
		IS_PART_OF scapula
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 acromion
	ACTS_ON_2 spine
		IS_PART_OF scapula
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie intra ou extra-articulaire de la glne de l'omoplate Cal vicieux Inclut : l'ostosynthse Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0020"
MAIN incising
	ACTS_ON glenoid
		IS_PART_OF scapula
WITH fixing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF fixation device

RUBRIC "Replantation du membre suprieur quel que soit le niveau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0021"
MAIN reimplanting
	ACTS_ON upper extremity

RUBRIC "Rduction et contention orthopdique d'une luxation ou fracture-luxation acromio-claviculaire ou sterno-claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0022"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION acromioclavicular joint
	FOLLOWED_BY immobilising
		ACTS_ON acromioclavicular joint
		BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION acromioclavicular joint
	FOLLOWED_BY immobilising
		ACTS_ON acromioclavicular joint
		BY_MEANS_OF cast
WITH reducing (a fracture)
	ACTS_ON_1 acromion
	ACTS_ON_2 clavicula
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION sternoclavicular joint
	FOLLOWED_BY immobilising
		ACTS_ON sternoclavicular joint
		BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION sternoclavicular joint
	FOLLOWED_BY immobilising
		ACTS_ON sternoclavicular joint
		BY_MEANS_OF cast
WITH reducing (a fracture)
	ACTS_ON_1 sternum
	ACTS_ON_2 clavicula

RUBRIC "Rduction et stabilisation sterno-claviculaire ou acromio-claviculaire  cielouvert,qqe soit la techniq. inclut:suture ligament.,plastie ligament.,brochage,cerclage exclut:le transfert ostomusculaire de la coracode ou du ligament coraco-acromial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0023"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION sternoclavicular joint
	HAS_APPROACH open
WITH fixing
	ACTS_ON sternoclavicular joint
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION acromioclavicular joint
	HAS_APPROACH open
WITH fixing
	ACTS_ON acromioclavicular joint

RUBRIC "Transfert ostomusculaire de la coracode ou du ligament coraco-acromial pour stabilisation de la clavicule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0024"
MAIN fixing
	ACTS_ON clavicula
	BY_TECHNIQUE moving
		ACTS_ON_1 coracoid process of scapula
		ACTS_ON_2 muscle (striated)
			CONNECTS coracoid process of scapula
OR_MAIN fixing
	ACTS_ON clavicula
	BY_TECHNIQUE moving
		ACTS_ON coracoacromial ligament

RUBRIC "Arthroplastie sterno-claviculaire par rsection de l'extrmit interne de la clavicule,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0025"
MAIN plastic repairing
	ACTS_ON sternoclavicular joint
	BY_TECHNIQUE resecting
		ACTS_ON extremity
			HAS_POSITION medial
			IS_PART_OF clavicula
	HAS_APPROACH open

RUBRIC "Arthroplastie acromio-claviculaire par rsection de l'extrmit externe de la clavicule  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0026"
MAIN plastic repairing
	ACTS_ON acromioclavicular joint
	BY_TECHNIQUE resecting
		ACTS_ON extremity
			HAS_POSITION lateral
			IS_PART_OF clavicula
	HAS_APPROACH open

RUBRIC "Arthroplastie acromio-claviculaire par rsection de l'extrmit externe de la clavicule par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990318,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0027"
MAIN plastic repairing
	ACTS_ON acromioclavicular joint
	BY_APPROACH_TECHNIQUE inspecting
		BY_MEANS_OF endoscope
	BY_TECHNIQUE resecting
		ACTS_ON extremity
			HAS_POSITION lateral
			IS_PART_OF clavicula

RUBRIC "Acromioplastie sans prothse, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0028"
MAIN plastic repairing
	ACTS_ON acromion
	HAS_APPROACH open

RUBRIC "Acromioplastie sans prothse, par voie endoscopique Inclut : l' arthroscopie glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0029"
MAIN plastic repairing
	ACTS_ON acromion
	BY_APPROACH_TECHNIQUE inspecting
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON glenohumeral joint
	BY_MEANS_OF arthroscope

RUBRIC "Bursectomie sous-acromio-deltodienne  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0030"
MAIN excising
	ACTS_ON acromial bursa
	HAS_APPROACH open

RUBRIC "Bursectomie sous-acromio-deltodienne par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0031"
MAIN excising
	ACTS_ON acromial bursa
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse de calcification(s) intra-tendineuse(s) de la coiffe des rotateurs,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0032"
MAIN excising
	ACTS_ON calcification
		HAS_LOCATION tendon
			IS_PART_OF muscle (striated)
				IS_PART_OF rotator cuff muscles
	HAS_APPROACH open

RUBRIC "Exrse de calcification(s) intra-tendineuse(s) de la coiffe des rotateurs, par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0033"
MAIN excising
	ACTS_ON calcification
		HAS_LOCATION tendon
			IS_PART_OF muscle (striated)
				IS_PART_OF rotator cuff muscles
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rinsertion ou suture d'un tendon de la coiffe des rotateurs,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0034"
MAIN reimplanting
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	HAS_APPROACH open

RUBRIC "Rinsertion ou suture d'un tendon de la coiffe des rotateurs par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0035"
MAIN reimplanting
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rinsertion ou suture de plusieurstendons de la coiffe des rotateurs externes,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0036"
MAIN reimplanting
	ACTS_ON tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	HAS_APPROACH open

RUBRIC "Rinsertion ou suture de plusieurstendons de la coiffe des rotateurs externes par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0037"
MAIN reimplanting
	ACTS_ON tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN suturing
	ACTS_ON tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	BY_APPROACH_TECHNIQUE inspecting
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rinsertion ou suture de plusieurstendons de la coiffe des rotateurs externes et du sous scapulaire,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0038"
MAIN reimplanting
	ACTS_ON_1 tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	ACTS_ON_2 tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF subscapularis muscle
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON_1 tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	ACTS_ON_2 tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF subscapularis muscle
	HAS_APPROACH open

RUBRIC "Rinsertion ou suture de plusieurstendons de la coiffe des rotateurs externes et du sous scapulaire, par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990329,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0039"
MAIN reimplanting
	ACTS_ON_1 tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	ACTS_ON_2 tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF subscapularis muscle
	BY_APPROACH_TECHNIQUE inspecting
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY endoscope
OR_MAIN suturing
	ACTS_ON_1 tendon
		HAS_QUANTITY several
		IS_PART_OF muscle (striated)
			IS_PART_OF rotator cuff muscles
	ACTS_ON_2 tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF subscapularis muscle
	BY_APPROACH_TECHNIQUE inspecting
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY endoscope

RUBRIC "Autoplastie(s) locale(s) ou remplact par matriel protht. de la coiffe des rotateurs par abord direct Lambeau deltodien, plasties du sous-scapulaire et/ou du sous-pineux... Inclut:acromioplastie,ventuelle(s) suture(s), rinsertion(s) tendineuse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0040"
MAIN plastic repairing
	ACTS_ON rotator cuff muscles
	BY_TECHNIQUE autografting
		ACTS_ON flap
			IS_PART_OF deltoid muscle
	HAS_APPROACH open
OR_MAIN replacing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF prosthetic graft
	HAS_APPROACH open
OR_MAIN plastic repairing
	ACTS_ON rotator cuff muscles
	BY_TECHNIQUE plastic repairing
		ACTS_ON subscapularis muscle / infraspinatus muscle
	HAS_APPROACH open

RUBRIC "Mobilisation de l'articulation glno-humrale sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0041"
MAIN mobilisation
	ACTS_ON glenohumeral joint
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN mobilisation
	ACTS_ON glenohumeral joint
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Rduction orthopdique d'une luxation glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0042"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION glenohumeral joint
	BY_MEANS_OF hand

RUBRIC "Rduction d'une luxation glno-humrale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0043"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION glenohumeral joint
	HAS_APPROACH open

RUBRIC "Rduction d'une luxation glno-humrale avec ostosynthse d'une fracture tuberositaire et/ou de la glne ou du col de l'omoplate quels que soient la technique et le matriel utilis,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0044"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION glenohumeral joint
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 coracoid process of scapula
	ACTS_ON_2 glenoid
		IS_PART_OF scapula
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION glenohumeral joint
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 coracoid process of scapula
	ACTS_ON_2 neck
		IS_PART_OF scapula

RUBRIC "Synovectomie totale de l'articulation glno-humrale ,  ciel ouvert Inclut:la bursectomie sous-acromiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0045"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF glenohumeral joint
	HAS_APPROACH open
	HAS_EXTENT total
WITH excising
	ACTS_ON acromial bursa

RUBRIC "Synovectomie totale de l'articulation glno-humrale  par voie  endoscopique Inclut:la bursectomie sous-acromiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990401,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0046"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	HAS_EXTENT total
	WITH_GUIDANCE_BY endoscope
WITH excising
	ACTS_ON acromial bursa

RUBRIC "Capsuloplastie antrieure ou postrieure de l'articulation glno-humrale,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0047"
MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	HAS_APPROACH open
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	HAS_APPROACH open

RUBRIC "Capsuloplastie antrieure ou postrieure de l'articulation glno-humrale avec mise en place de bute glnodienne osseuse ou osto-musculaire,  ciel ouvert Exclut : la bute coracodienne et le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0048"
MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
WITH installing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
WITH installing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
WITH installing
	ACTS_ON bone & muscle (striated)
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
WITH installing
	ACTS_ON bone & muscle (striated)
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula

RUBRIC "Capsuloplastie antrieure ou postrieure de l'articulation glno-humrale, par deux voies d'abord antrieure et postrieure  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990401,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0049"
MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF shoulder
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF shoulder
	HAS_APPROACH open
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF shoulder
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF shoulder
	HAS_APPROACH open

RUBRIC "Capsuloplastie antrieure et postrieurede l'articulation glno-humrale par une voie d'abord,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0050"
MAIN plastic repairing
	ACTS_ON_1 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	ACTS_ON_2 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	HAS_APPROACH open

RUBRIC "Capsuloplastie antrieure et postrieurede l'articulation glno-humrale avec ostotomie humrale ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990402,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0051"
MAIN plastic repairing
	ACTS_ON_1 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	ACTS_ON_2 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	HAS_APPROACH open
WITH incising
	ACTS_ON humerus

RUBRIC "Capsuloplastie antrieure et postrieurede l'articulation glno-humrale avec ostotomie glnodienne ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990402,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0052"
MAIN plastic repairing
	ACTS_ON_1 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	ACTS_ON_2 part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	HAS_APPROACH open
WITH incising
	ACTS_ON greater tuberosity of humerus
	ACTS_ON glenoid
		IS_PART_OF scapula

RUBRIC "Capsuloplastie antrieure ou postrieure de l'articulation glno-humrale, par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990402,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0053"
MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation de corps tranger(s) de l'articulation glno-humrale,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0054"
MAIN removing
	ACTS_ON foreign body
		IS_CONTAINED_IN glenohumeral joint
	HAS_APPROACH open

RUBRIC "Ablation de corps tranger(s) de l'articulation glno-humrale, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990402,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0055"
MAIN removing
	ACTS_ON foreign body
		IS_CONTAINED_IN glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON glenohumeral joint
		BY_MEANS_OF arthroscope
	BY_MEANS_OF arthroscope

RUBRIC "Ablation de corps tranger(s) de la coulisse bicipitale, a ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0056"
MAIN removing
	ACTS_ON foreign body
		HAS_LOCATION biceps sliding space
	HAS_APPROACH open

RUBRIC "Arthrolyse glno-humrale et/ou sous acromiale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0057"
MAIN freeing
	ACTS_ON glenohumeral joint
	HAS_APPROACH open
OR_MAIN freeing
	ACTS_ON acromial bursa
	HAS_APPROACH open

RUBRIC "Arthrolyse glno-humrale et/ou sous acromiale par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990402,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0058"
MAIN freeing
	ACTS_ON glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY endoscope
OR_MAIN freeing
	ACTS_ON acromial bursa
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place de bute glnodienne osseuse ou osto-musculaire  ciel ouvert Exclut : la bute coracodienne et le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0059"
MAIN installing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON glenohumeral joint
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
	HAS_APPROACH open
OR_MAIN installing
	ACTS_ON_1 bone & muscle (striated)
		HAS_FUNCTION blocking
			ACTS_ON glenohumeral joint
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
	HAS_APPROACH open

RUBRIC "Mise en place de bute coracodienne visse  ciel ouvert inclut : le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0060"
MAIN plastic constructing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON glenohumeral joint
		IS_PART_OF coracoid process of scapula
	BY_MEANS_OF screw
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF coracoid process of scapula
	HAS_APPROACH open

RUBRIC "Arthrodse de l'articulation glno-humrale, par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0061"
MAIN fixing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF fixation device
	BY_TECHNIQUE incising
		ACTS_ON glenohumeral joint

RUBRIC "Stabilisation itrative de l'articulation glno-humrale par capsuloplastie et/ou bute et/ou ostotomie humrale et/ou glnodienne pour instabilit antrieure,postrieure ou multidirectionnelle, par voie endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0062"
MAIN plastic repairing
	ACTS_ON part
		IS_PART_OF capsula
			IS_PART_OF glenohumeral joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER secondary
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL blocking
	ACTS_ON glenohumeral joint
WITH installing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
WITH incising
	ACTS_ON_1 humerus
	ACTS_ON_2 glenoid
OR_MAIN installing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON head
				IS_PART_OF humerus
		HAS_PROXIMITY glenoid
			IS_PART_OF scapula
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER secondary
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL blocking
	ACTS_ON glenohumeral joint
OR_MAIN incising
	ACTS_ON_1 humerus
	ACTS_ON_2 glenoid
		IS_PART_OF scapula
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON shoulder
		BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER secondary
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL blocking
	ACTS_ON glenohumeral joint

RUBRIC "Arthroplastie glno-humrale non prothtique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0063"
MAIN plastic repairing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF tissue

RUBRIC "Arthroplastie glno-humrale par prothse humrale unipolaire ou par cupule mobile, de premire intention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0064"
MAIN replacing
	ACTS_ON head
		IS_PART_OF humerus
	BY_MEANS_OF prosthetic head of humerus
	HAS_TEMPORAL_MARKER primary
OR_MAIN replacing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF prosthetic acetabular cup
	HAS_TEMPORAL_MARKER primary

RUBRIC "Arthroplastie glno-humrale par prothse humrale unipolaire ou par cupule mobile, avec ostotomie intra-articulaire de d'extrmit suprieure de l'humrus Cals vicieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990406,rodrigues,0;
Manual accept at 1:04:28 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0065"
MAIN replacing
	ACTS_ON head
		IS_PART_OF humerus
	BY_MEANS_OF prosthetic head of humerus
WITH resecting
	ACTS_ON part
		IS_CONTAINED_IN glenohumeral joint
		IS_PART_OF humerus
	HAS_EXTENT partial
OR_MAIN replacing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF prosthetic acetabular cup
WITH resecting
	ACTS_ON part
		IS_CONTAINED_IN glenohumeral joint
		IS_PART_OF humerus
	HAS_EXTENT partial

RUBRIC "Arthroplastie glno-humrale par prothse totale, de premire intention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0066"
MAIN replacing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF prosthetic glenohumeral joint
	HAS_TEMPORAL_MARKER primary

RUBRIC "Arthroplastie glno-humrale par prothse totale, avec ostotomie intra-articulaire de l'extrmit suprieure de l'humrus Cals vicieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990406,rodrigues,0;
Manual accept at 1:06:51 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0067"
MAIN replacing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF prosthetic glenohumeral joint
WITH resecting
	ACTS_ON part
		IS_CONTAINED_IN glenohumeral joint
		IS_PART_OF humerus
	HAS_EXTENT partial

RUBRIC "Arthroplastie glno-humrale par prothse humrale unipolaire ou  cupule mobile, avec rinsertion, suture et/ou autoplastie de la coiffe des rotateurs"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0068"
MAIN replacing
	ACTS_ON head
		IS_PART_OF humerus
	BY_MEANS_OF prosthetic head of humerus
WITH inserting
	ACTS_ON rotator cuff muscles
WITH suturing
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft
OR_MAIN replacing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF prosthetic acetabular cup
WITH inserting
	ACTS_ON rotator cuff muscles
WITH suturing
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft
OR_MAIN replacing
	ACTS_ON head
		IS_PART_OF humerus
	BY_MEANS_OF prosthetic head of humerus
WITH inserting
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft
OR_MAIN replacing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF prosthetic acetabular cup
WITH inserting
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft

RUBRIC "Arthroplastie glno-humrale par prothse totale, de premire intention, avec rinsertion, suture et/ou autoplastie de la coiffe des rotateurs"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0069"
MAIN replacing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF prosthetic glenohumeral joint
	HAS_TEMPORAL_MARKER primary
WITH inserting
	ACTS_ON rotator cuff muscles
WITH suturing
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft
OR_MAIN replacing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF prosthetic glenohumeral joint
	HAS_TEMPORAL_MARKER primary
WITH inserting
	ACTS_ON rotator cuff muscles
WITH plastic repairing
	ACTS_ON rotator cuff muscles
	BY_MEANS_OF autograft

RUBRIC "Changement [ablation et implantation] d'une prothse humrale ou glnodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0070"
MAIN replacing
	ACTS_ON prosthetic glenoid of scapula
OR_MAIN replacing
	ACTS_ON prosthetic head of humerus

RUBRIC "Changement [ablation et implantation] d'une prothse totale glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0071"
MAIN replacing
	ACTS_ON prosthetic glenohumeral joint

RUBRIC "Changement [ablation et implantation] d'une prothse humrale et/ou glnodienne, avec reconstruction osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0072"
MAIN replacing
	ACTS_ON prosthetic head of humerus
WITH reconstruction
	ACTS_ON bone
OR_MAIN replacing
	ACTS_ON prosthetic glenoid of scapula
WITH reconstruction
	ACTS_ON bone

RUBRIC "Changement d'une prothse humrale en prothse totale glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0073"
MAIN removing
	ACTS_ON prosthetic head of humerus
	FOLLOWED_BY installing
		ACTS_ON prosthetic glenohumeral joint

RUBRIC "Ablation d'une prothse humrale simple ou glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0074"
MAIN removing
	ACTS_ON prosthetic head of humerus
OR_MAIN removing
	ACTS_ON prosthetic glenohumeral joint

RUBRIC "Ablation d'une prothse humrale simple ou glno-humrale, avec arthrodse Inclu : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0075"
MAIN removing
	ACTS_ON prosthetic head of humerus
WITH fixing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF fixation device
OR_MAIN removing
	ACTS_ON prosthetic glenohumeral joint
WITH fixing
	ACTS_ON glenohumeral joint
	BY_MEANS_OF fixation device

RUBRIC "Transposition tendino-musculaire et/ou fixation pour stabilisation de l'omoplate Omoplate paralytique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0076"
MAIN transposing
	ACTS_ON_1 tendon
		HAS_PROXIMITY scapula
	ACTS_ON_2 muscle (smooth)
		HAS_PROXIMITY scapula
MOTIVATED_OVERALL_BY curing
	ACTS_ON paralysis
TO_ACHIEVE_OVERALL immobilising
	ACTS_ON scapula
OR_MAIN fixing
	ACTS_ON scapula
MOTIVATED_OVERALL_BY curing
	ACTS_ON paralysis
TO_ACHIEVE_OVERALL immobilising
	ACTS_ON scapula

RUBRIC "Rduction orthopdique d'une fracture ou dcollement piphysaire de l'extrmit suprieure ou de la diaphyse de l'humrus Ex :fracture sous tubrositaire [du col chirurgical]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:07:46 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:49:06 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0077"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF humerus
				HAS_POSITION proximal
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF shaft
				IS_PART_OF humerus
	BY_MEANS_OF hand

RUBRIC "Confection d'un appareil d'immobilisation rigide externe brachio-antbrachio-palmaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0078"
MAIN creating
	ACTS_ON arm-forearm-palm cast

RUBRIC "Rduction orthopdique d'une fracture-luxation de l'extrmit suprieure de l'humrus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:05:39 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0079"
MAIN reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
	BY_MEANS_OF hand
WITH reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal

RUBRIC "Rduction d'une fracture diaphysaire de l'humrus par traction continue non squelettique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0080"
MAIN reducing (a fracture)
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF banding device

RUBRIC "Rduction d'une fracture diaphysaire de l'humrus par traction continue squelettique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0081"
MAIN reducing (a fracture)
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF skeletal traction device

RUBRIC "Ostosynthse d'une fracture extra-articulaire de l'humrus par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0082"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION humerus
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse par embrochage de l'extrmit suprieure de l'humrus,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:04:03 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0083"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	BY_MEANS_OF pin
	HAS_APPROACH open

RUBRIC "Ostosynthse du trochiter ou du trochin,  ciel ouvert, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0084"
MAIN fixing
	ACTS_ON greater tuberosity of humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON lesser tuberosity of humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse du trochiter et du trochin  ciel ouvert, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0085"
MAIN fixing
	ACTS_ON_1 greater tuberosity of humerus
	ACTS_ON_2 lesser tuberosity of humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse de la glne et/ou du col de l'omoplate,  ciel ouvert, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0086"
MAIN fixing
	ACTS_ON glenoid
		IS_PART_OF scapula
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON neck
		IS_PART_OF scapula
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON_1 glenoid
		IS_PART_OF scapula
	ACTS_ON_2 neck
		IS_PART_OF scapula
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture extra-articulaire sous-tubrositaire [du col chirurgical] de l'humrus par matriel centro-mdullaire,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0087"
MAIN fixing
	ACTS_ON surgical neck of humerus
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION surgical neck of humerus

RUBRIC "Ostosynthse d'une fracture extra-articulaire sous-tubrositaire de l'humrus  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0088"
MAIN fixing
	ACTS_ON surgical neck of humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION surgical neck of humerus

RUBRIC "Ostosynthse d'une fracture-luxation de l'extrmit suprieure de l'humrus  foyer ouvert, aprs rduction orthopdique d'une luxation de l'paule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:06:40 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0089"
MAIN reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION shoulder
	BY_MEANS_OF hand
	FOLLOWED_BY fixing
		ACTS_ON part
			IS_PART_OF humerus
			HAS_POSITION proximal
		BY_MEANS_OF fixation device
		HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
	ACTS_ON_2 dislocation
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal

RUBRIC "Ostosynthse d'une fracture-luxation de l'extrmit suprieure de l'humrus,  foyer ouvert Exclut : la fracture tubrositaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:03:41 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0090"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
	ACTS_ON_2 dislocation
		HAS_LOCATION glenohumeral joint

RUBRIC "Ostosynthse d'une fracture cphalo-tubrositaire [col anatomique] de l'humrus,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990328,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0091"
MAIN fixing
	ACTS_ON neck
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 fracture
		HAS_LOCATION_1 neck
			IS_PART_OF humerus
		HAS_LOCATION_2 greater tuberosity of humerus

RUBRIC "Ostosynthse d'une fracture cphalo-tubrositaire [col anatomique] de l'humrus,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990406,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0092"
MAIN fixing
	ACTS_ON neck
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 fracture
		HAS_LOCATION_1 neck
			IS_PART_OF humerus
		HAS_LOCATION_2 greater tuberosity of humerus

RUBRIC "Ostotomie simple(uni-directionnelle) extra-articulaire del'extrmit suprieure de l'humrus Cal vicieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:07:59 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0093"
MAIN resecting
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	HAS_EXTENT simple
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal bone consolidation

RUBRIC "Ostotomie intra-articulaire de l'extrmit suprieure de l'humrus Cal vicieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:04:52 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0094"
MAIN resecting
	ACTS_ON part
		IS_PART_OF humerus
		IS_PART_OF glenohumeral joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal bone consolidation

RUBRIC "Ostosynthse d'une fracture de la diaphyse humrale,  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0095"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF humerus

RUBRIC "Ostosynthse de la diaphyse humrale,  foyer ouvert, avec suture du nerf radial au bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0096"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF humerus
WITH suturing
	ACTS_ON radial nerve

RUBRIC "Ostosynthse d'une fracture de la diaphyse humrale par matriel centro-mdullaire,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0097"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF humerus

RUBRIC "Ostosynthse d'une fracture de la diaphyse humrale par matriel centro-mdullaire avec abord direct du foyer"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0098"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF humerus

RUBRIC "Ostotomie simple (uni-directionnelle) de la diaphyse humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0099"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF humerus
	HAS_EXTENT simple

RUBRIC "Ostotomie complexe (bi-directionnelle) de la diaphyse ou de l'extrmit infrieure de l'humrus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:08:26 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0100"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF humerus
	HAS_EXTENT complex
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	HAS_EXTENT complex

RUBRIC "Rsection du bourrelet glnodien, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0101"
MAIN resecting
	ACTS_ON edge
		IS_PART_OF glenoid
			IS_PART_OF scapula
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON glenohumeral joint
		BY_MEANS_OF arthroscope

RUBRIC "Rsection du bourrelet glnodien, par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990329,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0102"
MAIN resecting
	ACTS_ON edge
		IS_PART_OF glenoid
			IS_PART_OF scapula
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON glenohumeral joint

RUBRIC "Rparation du bourrelet glnodien, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990329,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0103"
MAIN repairing
	ACTS_ON edge
		IS_PART_OF glenoid
			IS_PART_OF scapula
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON glenohumeral joint
		BY_MEANS_OF arthroscope

RUBRIC "Arthroscopie du coude  vise diagnostique, avec ou sans biopsie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0104"
MAIN inspecting
	ACTS_ON elbow
	BY_MEANS_OF arthroscope
TO_ACHIEVE_OVERALL diagnosis
	ACTS_ON elbow
WITH biopsying
	ACTS_ON elbow
OR_MAIN inspecting
	ACTS_ON elbow
	BY_MEANS_OF arthroscope
TO_ACHIEVE_OVERALL diagnosis
	ACTS_ON elbow

RUBRIC "Rduction orthopdique d'une fracture extra-articulaire de l'extrmit infrieure de l'humrus et contention par appareil d'immobilisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:59:35 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0105"
MAIN reducing (a fracture)
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF hand
	FOLLOWED_BY immobilising
		ACTS_ON humerus
		BY_MEANS_OF cast
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture articulaire complexe [plurifragmentaire] de l'extrmit infrieure de l'humrus,  ciel ouvert, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:01:24 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:02:02 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0106"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
		IS_PART_OF joint of elbow
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION distal
		HAS_QUANTITY several

RUBRIC "Ostosynthse et fixation par broches percutanes d'une fracture supracondylienne de l'humrus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:00:15 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:30:20 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0107"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supracondylar part of humerus

RUBRIC "Ostosynthse de l'extrmit infrieure de l'humrus, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:01:09 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0108"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse d'une fracture extra-articulaire supra-condylienne humrale par matriel centro-mdullaire  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:00:29 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:31:06 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0109"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supracondylar part of humerus

RUBRIC "Ostosynthse  foyer ouvert d'une fracture extra-articulaire supra condylienne de l'extrmit infrieure de l'humrus quels que soient la technique et le matriel utilis (ex : fracture extra-articulaire de la palette humrale)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:00:43 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:30:28 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0110"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supracondylar part of humerus

RUBRIC "Ostosynthse d'une fracture articulaire simple de l'extrmit infrieure de l'humrus,  ciel ouvert, quelle que soit la voie d'abord (ex : fracture du capitellum...)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:57:40 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:58:04 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:58:08 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0111"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
		IS_PART_OF joint of elbow
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture de l'picondyle mdial ou latral, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:59:21 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0112"
MAIN fixing
	ACTS_ON external epicondyle of humerus
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON internal epicondyle of humerus
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION distal

RUBRIC "Ostosynthse de l'picondyle mdial ou latral  ciel ouvert aprs rduction orthopdique d'une luxation du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0113"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
	FOLLOWED_BY fixing
		ACTS_ON internal epicondyle of humerus
		BY_MEANS_OF fixation device
		HAS_APPROACH open
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
	FOLLOWED_BY fixing
		ACTS_ON external epicondyle of humerus
		BY_MEANS_OF fixation device
		HAS_APPROACH open

RUBRIC "Mobilisation du coude sous anesthsie locorgionale ou gnrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0114"
MAIN mobilisation
	ACTS_ON joint of elbow
	OCCURS_DURING anesthesia procedure

RUBRIC "Rduction orthopdique d'une luxation ou luxation-fracture du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0115"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
WITH reducing (a fracture)
	ACTS_ON bone
		IS_PART_OF elbow

RUBRIC "Rduction d'une luxation du coude,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0116"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	HAS_APPROACH open

RUBRIC "Rduction d'une luxation du coude et/ou de l'articulation radio-cubitale suprieure avec ostosynthse d'une fracture de l'extrmit suprieure du cubitus et/ou du radius, ciel ouvert Exemple: fracture de Monteggia proximale ou luxation transolcrnienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:32:43 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0117"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON articulatio radioulnaris proximalis
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON_1 articulatio radioulnaris proximalis
	ACTS_ON_2 joint of elbow
	HAS_APPROACH open
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device

RUBRIC "Rduction d'une luxation du coude et/ou de l'articulation radio-cubitale suprieure avec ostosynthse d'une fracture de l'extrmit suprieure du cubitus et/ou du radius,par voie percutane Exemple: fracture de Monteggia proximale ou luxation transolcrnienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;
Manual accept at 1:35:36 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0118"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	HAS_APPROACH percutaneous route
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON articulatio radioulnaris proximalis
	HAS_APPROACH percutaneous route
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON_1 articulatio radioulnaris proximalis
	ACTS_ON_2 joint of elbow
	HAS_APPROACH percutaneous route
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device

RUBRIC "Arthroplastie non prothtique du coude avec ou sans interposition de matriel inerte ou vivant  ciel ouvert Inclut : le prlvement"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0119"
MAIN plastic repairing
	ACTS_ON joint of elbow
	HAS_APPROACH open
WITH interposing
	ACTS_ON material / tissue graft
OR_MAIN plastic repairing
	ACTS_ON joint of elbow
	HAS_APPROACH open

RUBRIC "Rsection de la tte radiale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0120"
MAIN resecting
	ACTS_ON head
		IS_PART_OF radius
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of elbow

RUBRIC "Rsection de l'olcrne  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0121"
MAIN resecting
	ACTS_ON olecranon
	HAS_APPROACH open

RUBRIC "Nettoyage articulaire[debridement]du coude par arthrotomie(s) Inclut:la rsect. localis. de synoviale et/ou de replis synov. et/ou d'ostophyt.,l'ablation de corps trang.uni.ou mult., de petits fragm. fibro-cartilag.et/ou autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0122"
MAIN freeing
	ACTS_ON joint of elbow
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of elbow
	BY_TECHNIQUE resecting
		ACTS_ON synovial membrane
			IS_PART_OF joint of elbow
	BY_TECHNIQUE removing
		ACTS_ON_1 foreign body
			HAS_LOCATION joint of elbow
		ACTS_ON_2 cartilage
			IS_PART_OF joint of elbow

RUBRIC "Nettoyage articulaire[debridement]du coude par arthroscopie Inclut:la rsect. localis. de synoviale et/ou de replis synov. et/ou d'ostophyt.,l'ablation de corps trang.uni.ou mult., de petits fragm. fibro-cartilag.et/ou autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0123"
MAIN freeing
	ACTS_ON joint of elbow
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of elbow
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE resecting
		ACTS_ON synovial membrane
			IS_PART_OF joint of elbow
	BY_TECHNIQUE removing
		ACTS_ON_1 foreign body
			HAS_LOCATION joint of elbow
		ACTS_ON_2 cartilage
			IS_PART_OF joint of elbow

RUBRIC "Suture ou plastie d'un appareil capsulo-ligamentaire collatral du coude,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0124"
MAIN suturing
	ACTS_ON_1 part
		HAS_POSITION lateral
		IS_PART_OF capsula
			IS_PART_OF joint of elbow
	ACTS_ON_2 part
		HAS_POSITION medial
		IS_PART_OF ligament
			IS_PART_OF joint of elbow
	HAS_APPROACH open
OR_MAIN plastic repairing
	ACTS_ON_1 part
		HAS_POSITION lateral
		IS_PART_OF capsula
			IS_PART_OF joint of elbow
	ACTS_ON_2 part
		HAS_POSITION medial
		IS_PART_OF ligament
			IS_PART_OF joint of elbow
	HAS_APPROACH open

RUBRIC "Synovectomie totale du coude par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0125"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of elbow
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of elbow
		BY_MEANS_OF arthroscope
	HAS_EXTENT total

RUBRIC "Synovectomie totale du coude par arthrotomie antrieure et postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0126"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of elbow
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF joint of elbow
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF joint of elbow
	HAS_EXTENT total

RUBRIC "Exrse d'un hygroma du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0127"
MAIN excising
	ACTS_ON hygroma
		HAS_LOCATION elbow

RUBRIC "Exrse d'un ou plusieurs kystes synoviaux du coude,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0128"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF joint of elbow
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF joint of elbow
	HAS_APPROACH open
	HAS_QUANTITY several

RUBRIC "Arthrolyse (mobilisatrice) du coude sous arthroscopie Inclut : la capsulotomie, rsection d'ostophytes et de butoirs osseux ..."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0129"
MAIN freeing
	ACTS_ON joint of elbow
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of elbow
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte & bone
	BY_TECHNIQUE incising
		ACTS_ON capsula
			IS_PART_OF joint of elbow

RUBRIC "Arthrolyse (mobilisatrice) du coude  ciel ouvert Inclut : la capsulectomie, rsection d'ostophytes et de butoirs osseux ... Exclut : la neurolyse du nerf cubital"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0130"
MAIN freeing
	ACTS_ON joint of elbow
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte & bone
	BY_TECHNIQUE excising
		ACTS_ON capsula
			IS_PART_OF joint of elbow
	HAS_APPROACH open

RUBRIC "Arthrolyse (mobilisatrice) du coude avec neurolyse du nerf cubital  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0131"
MAIN freeing
	ACTS_ON joint of elbow
	HAS_APPROACH open
WITH freeing
	ACTS_ON cubital nerve

RUBRIC "Ablation d'ostome(s) synostosique(s) pri-articulaire(s) [Para Arthropathie Ostognique Neurogne = PAON] du coude avec arthrolyse  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:46:14 pm on March 2, 2000 by DrJeremy Rogers
Transformation - adjusting descriptor: space - applied at 1:48:11 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0132"
MAIN removing
	ACTS_ON osteoma
		HAS_LOCATION peri articular space
			HAS_PROXIMITY joint of elbow
	HAS_APPROACH open
WITH freeing
	ACTS_ON joint of elbow

RUBRIC "Arthrorise du coude par bute(s) ou tnodse ou capsulodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0133"
MAIN blocking
	ACTS_ON joint of elbow
	BY_TECHNIQUE installing
		ACTS_ON device
			HAS_DESTINATION bone
				IS_PART_OF joint of elbow
OR_MAIN blocking
	ACTS_ON joint of elbow
	BY_TECHNIQUE fixing
		ACTS_ON tendon / capsula
			IS_PART_OF joint of elbow

RUBRIC "Arthrodse du coude sans reconstruction,  ciel ouvert Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0134"
MAIN fixing
	ACTS_ON joint of elbow
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse du coude avec reconstruction,  ciel ouvert Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0135"
MAIN fixing
	ACTS_ON joint of elbow
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF joint of elbow

RUBRIC "Arthroplastie par prothse de la tte radiale, scelle ou non,  ciel ouvert Inclut : la rsection de la tte radiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0136"
MAIN replacing
	ACTS_ON head
		IS_PART_OF radius
	BY_MEANS_OF prosthetic head of radius
	BY_TECHNIQUE resecting
		ACTS_ON head
			IS_PART_OF radius
	HAS_APPROACH open

RUBRIC "Arthroplastie par prothse totale du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0137"
MAIN replacing
	ACTS_ON joint of elbow
	BY_MEANS_OF prosthetic elbow joint

RUBRIC "Arthroplastie par prothse totale du coude, avec reconstruction osseuse Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0138"
MAIN replacing
	ACTS_ON joint of elbow
	BY_MEANS_OF prosthetic elbow joint
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF joint of elbow
	BY_MEANS_OF autograft

RUBRIC "Changement [ablation-implantation] d'une ou des 2 pice(s) prothtique(s) du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0139"
MAIN removing
	ACTS_ON prosthetic elbow joint
	HAS_EXTENT partial
WITH installing
	ACTS_ON prosthetic elbow joint
	HAS_EXTENT partial
OR_MAIN removing
	ACTS_ON prosthetic elbow joint
	HAS_EXTENT total
WITH installing
	ACTS_ON prosthetic elbow joint
	HAS_EXTENT total

RUBRIC "Ablation d'une prothse totale du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0140"
MAIN removing
	ACTS_ON prosthetic elbow joint
	HAS_EXTENT total

RUBRIC "Contention d'une fracture de l'extrmit suprieure d'un ou des deux os de l'avant-bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:34:38 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0141"
MAIN immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION proximal
OR_MAIN immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION proximal
OR_MAIN immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF radius
			HAS_POSITION proximal
		HAS_LOCATION_2 part
			IS_PART_OF ulna
			HAS_POSITION proximal

RUBRIC "Rduction orthopdique d'une fracture d'un ou des deux os de l'avant-bras A l'exclusion d'une fracture de l'extrmit infrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0142"
MAIN reducing (a fracture)
	ACTS_ON ulna
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON radius
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON_1 radius
	ACTS_ON_2 ulna
	BY_MEANS_OF hand

RUBRIC "Ostosynthse d'une fracture simple de l'extrmit suprieure d'un os de l'avant-bras,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:33:43 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0143"
MAIN fixing
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION proximal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION proximal

RUBRIC "Ostosynthse d'une fracture complexe de l'extrmit suprieure d'un os de l'avant-bras,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:31:33 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0144"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY several
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION proximal
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY several
		IS_PART_OF ulna
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION proximal

RUBRIC "Ostosynthse de l'extrmit suprieure d'un os de l'avant-bras, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:33:09 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0145"
MAIN fixing
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse de l'extrmit suprieure des deux os de l'avant-bras, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:32:22 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0146"
MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse d'une fracture de l'extrmit suprieure des deux os de l'avant-bras,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:34:54 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:35:19 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0147"
MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION proximal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF ulna
			HAS_POSITION proximal
		HAS_LOCATION_2 part
			IS_PART_OF radius
			HAS_POSITION proximal

RUBRIC "Ostosynthse de l'extrmit suprieure du radius par broche(s) centro-mdullaire(s)  foyer ferm Exemple : mthode de Mtaizeau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:31:53 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0148"
MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION proximal
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
			IS_PART_OF part
				IS_PART_OF radius
				HAS_POSITION proximal
	HAS_APPROACH closed

RUBRIC "Ostosynthse diaphysaire d'un os de l'avant-bras par matriel centro-mdullaire,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0149"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed

RUBRIC "Ostosynthse diaphysaire d'un os de l'avant-bras par matriel centro-mdullaire  foyer ferm avec rduction d'une luxation de l'autre os au coude ou au poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:17:03 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0150"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
			IS_PART_OF joint of wrist
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION proximal
			IS_PART_OF joint of elbow
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
			IS_PART_OF joint of wrist
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION proximal
			IS_PART_OF joint of elbow

RUBRIC "Ostosynthse diaphysaire des deux os de l'avant-bras par matriel centro-mdullaire,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0151"
MAIN fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF ulna
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed

RUBRIC "Ostosynthse diaphysaire d'un os de l'avant-bras,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0152"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture diaphysaire des deux os de l'avant-bras,  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0153"
MAIN fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	ACTS_ON_2 diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION radius & ulna

RUBRIC "Ostosynthse diaphysaire d'un os de l'avant-bras avec rduction d'une luxation de l'autre os au coude ou au poignet,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990330,,0;
Manual accept at 1:19:54 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0154"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
			IS_PART_OF joint of wrist
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION proximal
			IS_PART_OF joint of elbow
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
			IS_PART_OF joint of wrist
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION proximal
			IS_PART_OF joint of elbow

RUBRIC "Ostosynthse diaphysaire des deux os de l'avant-bras avec rduction d'une luxation au coude ou au poignet,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0155"
MAIN fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	ACTS_ON_2 diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON joint of elbow
OR_MAIN fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	ACTS_ON_2 diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON joint of wrist

RUBRIC "Rsection d'une synostose radio-cubitale Exclut: la synostose congnitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0156"
MAIN resecting
	ACTS_ON radioulnar acquired synostosis

RUBRIC "Rsection d'une synostose radio-cubitale avec ostotomie diaphysaire de drotation et/ou de correction angulaire du cubitus et/ou du radius Inclut : l'ostosynthse Exclut: la synostose congnitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0157"
MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON diaphysis
		IS_PART_OF radius
	TO_ACHIEVE derotating
		ACTS_ON radius
OR_MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON wedge
		IS_PART_OF diaphysis
			IS_PART_OF radius
	TO_ACHIEVE correcting
		ACTS_ON radius
OR_MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE derotating
		ACTS_ON ulna
OR_MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON wedge
		IS_PART_OF diaphysis
			IS_PART_OF ulna
	TO_ACHIEVE correcting
		ACTS_ON ulna
OR_MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON diaphysis
		IS_PART_OF radius
	TO_ACHIEVE derotating
		ACTS_ON radius
	TO_ACHIEVE correcting
		ACTS_ON radius
OR_MAIN resecting
	ACTS_ON radioulnar acquired synostosis
WITH incising
	ACTS_ON diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE derotating
		ACTS_ON ulna
	TO_ACHIEVE correcting
		ACTS_ON ulna

RUBRIC "Ostotomie d'allongement ou d'accourcissement du radius ou du cubitus, Inclut : l'ostosynthse Maladie de Kienbck"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0158"
MAIN incising
	ACTS_ON radius
	TO_ACHIEVE lengthening
WITH fixing
	ACTS_ON radius
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON radius
	TO_ACHIEVE shortening
WITH fixing
	ACTS_ON radius
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON ulna
	TO_ACHIEVE lengthening
WITH fixing
	ACTS_ON ulna
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON ulna
	TO_ACHIEVE shortening
WITH fixing
	ACTS_ON ulna
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie diaphysaire de drotation et/ou de correction angulaire d'un des deux os de l'avant-bras Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0159"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF radius
	TO_ACHIEVE derotating
		ACTS_ON radius
WITH fixing
	ACTS_ON radius
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF radius
	TO_ACHIEVE correcting
		ACTS_ON radius
WITH fixing
	ACTS_ON radius
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE derotating
		ACTS_ON ulna
WITH fixing
	ACTS_ON ulna
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE correcting
		ACTS_ON ulna
WITH fixing
	ACTS_ON ulna
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF radius
	TO_ACHIEVE derotating
		ACTS_ON radius
	TO_ACHIEVE correcting
		ACTS_ON radius
WITH fixing
	ACTS_ON radius
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE derotating
		ACTS_ON ulna
	TO_ACHIEVE correcting
		ACTS_ON ulna
WITH fixing
	ACTS_ON ulna
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie diaphysaire de drotation et/ou de correction angulaire des deux os de l'avant-bras Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0160"
MAIN incising
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	ACTS_ON_2 diaphysis
		IS_PART_OF ulna
	TO_ACHIEVE correcting
		ACTS_ON radius & ulna
WITH fixing
	ACTS_ON_1 ulna
	ACTS_ON_2 radius

RUBRIC "Arthroscopie du poignet avec ou sans biopsie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0161"
MAIN inspecting
	ACTS_ON joint of wrist
	BY_MEANS_OF arthroscope
OR_MAIN inspecting
	ACTS_ON joint of wrist
	BY_MEANS_OF arthroscope
WITH biopsying
	ACTS_ON joint of wrist

RUBRIC "Confection d'un appareil d'immobilisation rigide externe antbrachio-palmaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0162"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION forearm & palm

RUBRIC "Confection d'un appareil d'immobilisation rigide externe du poignet et/ou de la main Exclut:l'appareil d'immobilisation rigide externe des doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0163"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION wrist
OR_MAIN creating
	ACTS_ON cast
		HAS_DESTINATION hand
OR_MAIN creating
	ACTS_ON cast
		HAS_DESTINATION wrist & hand

RUBRIC "Confection d'une attelle de posture ou de mobilisation du poignet et/ou de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0164"
MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON wrist
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON hand
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON hand & wrist

RUBRIC "Rduction orthopdique et contention d'une fracture ou d'un dcollement piphysaire de l'extrmit infrieure du radius et/ou du cubitus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:13:07 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:50:35 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0165"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF plaster cast
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF radius
			HAS_POSITION distal
		HAS_LOCATION_2 part
			IS_PART_OF ulna
			HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF radius
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF ulna
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION_1 epiphysis
			IS_PART_OF part
				IS_PART_OF ulna
				HAS_POSITION distal
		HAS_LOCATION_1 epiphysis
			IS_PART_OF part
				IS_PART_OF radius
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast

RUBRIC "Ostosynthse d'une fracture de l'extrmit infrieure du radius ou du cubitus, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:10:42 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0166"
MAIN fixing
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture de l'extrmit infrieure des deux os de l'avant-bras, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:23:44 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0167"
MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF ulna
			HAS_POSITION distal
		HAS_LOCATION_2 part
			IS_PART_OF radius
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture ou dcollement piphysaire de l'extrmit infrieure du radius par broches, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:26:30 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:45:18 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0168"
MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF radius
				HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture de l'extrmit infrieure du cubitus par broches, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:38:10 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0169"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture de l'extrmit infrieure d'un ou des deux os de l'avant-bras par fixateur externe,par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:10:16 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0170"
MAIN fixing
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF ulna
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF ulna
			HAS_POSITION distal
		HAS_LOCATION_2 part
			IS_PART_OF radius
			HAS_POSITION distal

RUBRIC "Ostotomie de rorientation de l'extrmit infrieure du radius Cal vicieux Inclut : l'ostosynthse Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:17:46 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0171"
MAIN incising
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	TO_ACHIEVE correcting
		ACTS_ON part
			IS_PART_OF radius
			HAS_POSITION distal
WITH fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie de l'extrmit infrieure du radius avec rsection partielle ou complte de l'extrmit infrieure du cubitus Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:25:43 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0172"
MAIN incising
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
WITH resecting
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	HAS_EXTENT partial
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
WITH resecting
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	HAS_EXTENT total
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF ulna
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie de l'extrmit infrieure des 2 os de l'avant-bras Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:20:34 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0173"
MAIN incising
	ACTS_ON_1 part
		IS_PART_OF radius
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF ulna
		HAS_POSITION distal
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF radius
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF ulna
		HAS_POSITION distal
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie du cubitus avec rsection, et arthrodse de l'articulation radio-cubitale infrieure [intervention de Sauv-Kapandji ] Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0174"
MAIN incising
	ACTS_ON ulna
WITH resecting
	ACTS_ON articulatio radioulnaris distalis
WITH fixing
	ACTS_ON articulatio radioulnaris distalis

RUBRIC "Rsection partielle ou totale de l'extrmit infrieure du cubitus ou stylodectomie radiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:38:27 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0175"
MAIN resecting
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	HAS_EXTENT partial
OR_MAIN resecting
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION distal
	HAS_EXTENT total
OR_MAIN excising
	ACTS_ON radius styloid

RUBRIC "Rduction orthopdique d'une fracture,fracture-luxation ou luxation du poignet Articulation radio-cubitale infrieure, radio-carpienne ou articulations intra-carpiennes"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0176"
MAIN reducing (a dislocation)
	ACTS_ON joint of wrist
	BY_MEANS_OF hand
	FOLLOWED_BY reducing (a fracture)
		ACTS_ON bone
			IS_PART_OF wrist
OR_MAIN reducing (a fracture)
	ACTS_ON bone
		IS_PART_OF wrist
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of wrist
	BY_MEANS_OF hand

RUBRIC "Rduction d'une luxation du poignet et rfection capsulo-ligamentaire, ciel ouvert Articulation radio-cubitale infrieure et/ou radio-carpienne et/ou intra-carpienne Inclut : la contention par broche et pltre post-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0177"
MAIN reducing (a dislocation)
	ACTS_ON joint of wrist
	FOLLOWED_BY installing
		ACTS_ON_1 pin
		ACTS_ON_2 cast
	HAS_APPROACH open
WITH refashioning
	ACTS_ON capsula & ligament
		IS_PART_OF joint of wrist

RUBRIC "Rduction d'une luxation du poignet avec ostosynthse d'une fracture d'un os du carpe,  ciel ouvert Inclut la rfection capsulo-ligamentaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0178"
MAIN reducing (a dislocation)
	ACTS_ON joint of wrist
	HAS_APPROACH open
WITH fixing
	ACTS_ON os carpale
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os carpale
WITH refashioning
	ACTS_ON capsula & ligament
		IS_PART_OF joint of wrist

RUBRIC "Rduction et stabilisation temporaire d'une luxation ou luxation- fracture carpomtacarpienne foyer ferm Exclut : la fracture trapzo-mtacarpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0179"
MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
	HAS_APPROACH closed
WITH blocking
	ACTS_ON carpometacarpal joint
	HAS_TEMPORAL_MARKER temporary
OR_MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
	HAS_APPROACH closed
WITH blocking
	ACTS_ON carpometacarpal joint
	HAS_TEMPORAL_MARKER temporary
WITH reducing (a fracture)
	ACTS_ON os metacarpale

RUBRIC "Rduction et stabilisation temporaire d'une luxation ou luxation- fracture carpomtacarpienne avec ostosynthse  foyer ouvert Exclut : la fracture trapzo-mtacarpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990330,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0180"
MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
	HAS_APPROACH open
WITH blocking
	ACTS_ON carpometacarpal joint
	HAS_TEMPORAL_MARKER temporary
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
	HAS_APPROACH open
WITH blocking
	ACTS_ON carpometacarpal joint
	HAS_TEMPORAL_MARKER temporary
WITH reducing (a fracture)
	ACTS_ON os metacarpale
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device

RUBRIC "Rduction et stabilisation temporaire d'une luxation ou fracture-luxation carpomtacarpienne du pouce  foyer ferm "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990330,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0181"
MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_APPROACH closed
WITH blocking
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_TEMPORAL_MARKER temporary
OR_MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_APPROACH closed
WITH blocking
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_TEMPORAL_MARKER temporary
WITH reducing (a fracture)
	ACTS_ON os metacarpale
		IS_PART_OF thumb

RUBRIC "Rduction et stabilisation d'une luxation ou fracture-luxation carpomtacarpienne du pouce  foyer ouvert Inclut : la capsuloplastie Exclut : la ligamentoplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990330,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0182"
MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_APPROACH open
WITH blocking
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF carpometacarpal joint
OR_MAIN reducing (a dislocation)
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	HAS_APPROACH open
WITH blocking
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
WITH reducing (a fracture)
	ACTS_ON os metacarpale
		IS_PART_OF thumb
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF carpometacarpal joint
			IS_PART_OF thumb

RUBRIC "Ostosynthse d'une fracture du scaphode carpien, quels que soient le matriel et la voie d'abord,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0183"
MAIN fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION os scafoideum

RUBRIC "Ostosynthse d'un os du carpe quelle que soit la voie d'abord, ciel ouvert Exclut : le scaphode"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0184"
MAIN fixing
	ACTS_ON os carpale
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse de deux os ou plus du carpe quelle que soit la voie d'abord,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0185"
MAIN fixing
	ACTS_ON os carpale
		HAS_QUANTITY more than one
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une pseudarthrose du scaphode par vissage ou brochequelle que soit la voie d'abord, ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0186"
MAIN fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF screw
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON pseudarthrose
		HAS_LOCATION os scafoideum
OR_MAIN fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF pin
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON pseudarthrose
		HAS_LOCATION os scafoideum

RUBRIC "Curetage et comblement par greffe osseuse d'une ncrose du semi-lunaire au poignet Inclut : le prlvementin situ d'autogreffe osseuse Exclut : le prlevement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0187"
MAIN evacuating
	ACTS_ON necrosis
		HAS_LOCATION os lunatum
	BY_MEANS_OF curet
WITH filling
	ACTS_ON necrosis
		HAS_LOCATION os lunatum
	BY_TECHNIQUE grafting
		ACTS_ON bone

RUBRIC "Rsection de la premire range du carpe par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0188"
MAIN resecting
	ACTS_ON os carpale proximale
		HAS_QUANTITY all
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON intercarpal joint

RUBRIC "Rsection totale d'un os du carpe avec arthrodse d'une ou de deux articulations carpiennes  ciel ouvert Inclut : le prlvement d'autogreffe osseuse in situ ventuel Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0189"
MAIN resecting
	ACTS_ON os carpale
	HAS_APPROACH open
	HAS_EXTENT total
WITH fixing
	ACTS_ON intercarpal joint
	HAS_QUANTITY less than three

RUBRIC "Rsection d'un os du carpe avec arthrodse de plus de deux articulations intra-carpiennes  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0190"
MAIN resecting
	ACTS_ON os carpale
	HAS_APPROACH open
WITH fixing
	ACTS_ON intercarpal joint
		HAS_QUANTITY more than two

RUBRIC "Rsection parcellaire d'un os du carpe sans arthrodse "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0191"
MAIN resecting
	ACTS_ON os carpale
	HAS_APPROACH open
	HAS_EXTENT partial

RUBRIC "Rsection du poignet avec reconstruction en un temps par arthroplastie avec ou sans prothse Inclut : le prlvement d'autogreffe osseuse in situ ventuel Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0192"
MAIN resecting
	ACTS_ON bone
		IS_PART_OF joint of wrist
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON joint of wrist
	BY_TECHNIQUE grafting
		ACTS_ON bone
OR_MAIN resecting
	ACTS_ON bone
		IS_PART_OF joint of wrist
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON joint of wrist
	BY_TECHNIQUE installing
		ACTS_ON prosthetic wrist joint

RUBRIC "Suture rinsertion et/ou plastie d'une lsion ligamentaire radio-cubitale infrieure, radio-carpienne, ou intracarpienne, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0193"
MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF articulatio radioulnaris distalis
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF articulatio radioulnaris distalis
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON radiocarpal joint
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF radiocarpal joint
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON radiocarpal joint
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF radiocarpal joint
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON intercarpal joint
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF intercarpal joint
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON intercarpal joint
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF intercarpal joint
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Suture rinsertion et/ou plastie d'une lsion ligamentaire radio-cubitale infrieure, radio-carpienne, ou intracarpienne, par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0194"
MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF articulatio radioulnaris distalis
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF articulatio radioulnaris distalis
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON radiocarpal joint
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF radiocarpal joint
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON radiocarpal joint
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF radiocarpal joint
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON intercarpal joint
	BY_TECHNIQUE suturing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF intercarpal joint
OR_MAIN reimplanting
	ACTS_ON ligament
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON intercarpal joint
	BY_TECHNIQUE plastic repairing
		ACTS_ON lesion (as structure)
			HAS_LOCATION ligament
				IS_PART_OF intercarpal joint

RUBRIC "Synovectomie radio-cubitale infrieure , par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0195"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Synovectomie radio-cubitale infrieure , par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0196"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis

RUBRIC "Synovectomie radio-carpienne et/ou intracarpienne, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0197"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Synovectomie radio-carpienne et/ou intracarpienne , par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0198"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis

RUBRIC "Synovectomie radio-cubitale infrieure et radio-carpienne et intracarpienne, par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0199"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio radioulnaris distalis
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON radiocarpal joint
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON intercarpal joint

RUBRIC "Synovectomie radio-cubitale infrieure et radio-carpienne et intracarpienne, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0200"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio radioulnaris distalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio radioulnaris distalis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF radiocarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON radiocarpal joint
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF intercarpal joint
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON intercarpal joint
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Exrse d'un kyste synovial du poignet,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0201"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF joint of wrist
	HAS_APPROACH open

RUBRIC "Tno-synovectomie des extenseurs au poignet,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0202"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_APPROACH open
	HAS_QUANTITY all

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet :poignet =articulation radiocubitale infrieure ,radiiocarpienne et intracarpiennes"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0203"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_APPROACH open
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec rsection de la tte cubitale par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0204"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_APPROACH open
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH resecting
	ACTS_ON head
		IS_PART_OF ulna

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec rsection de la tte cubitale et transferts tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0205"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH resecting
	ACTS_ON head
		IS_PART_OF ulna
WITH transposing
	ACTS_ON tendon

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec arthrodse radiocubitale infrieure et rsection du cubitus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0206"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH resecting
	ACTS_ON part
		IS_PART_OF ulna
WITH fixing
	ACTS_ON articulatio radioulnaris distalis
	BY_MEANS_OF fixation device

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec rsection partielle du carpe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0207"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH resecting
	ACTS_ON ossa carpi
	HAS_EXTENT partial

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec arthrodse(s) ou arthroplastie(s) du pouce inclut transfers tendineux et prlvement in situ d'autogreffe osseuse ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0208"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH fixing
	ACTS_ON joint
		IS_PART_OF thumb
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH replacing
	ACTS_ON joint
		IS_PART_OF thumb
	BY_MEANS_OF prosthetic implant

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec arthrodse(s) ou arthroplastie(s) au niveau d'un ou deux doigts  inclut transfers tendineux et prlvement in situ d'autogreffe osseuse ventuels exclut le pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0209"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH fixing
	ACTS_ON joint
		IS_PART_OF finger
			HAS_QUANTITY less than three
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH replacing
	ACTS_ON joint
		IS_PART_OF finger
			HAS_QUANTITY less than three
	BY_MEANS_OF prosthetic implant

RUBRIC "Tno-synovectomie des extenseurs au poignet et synovectomie articulaire du poignet avec arthrodse(s) ou arthroplastie(s) au niveau de plus de deux doigts  inclut transfers tendineux et prlvement in situ d'autogreffe osseuse ventuels exclut le pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0210"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH fixing
	ACTS_ON joint
		IS_PART_OF finger
			HAS_QUANTITY more than two
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON synovial membrane
		CONNECTS extensor muscle of finger
		IS_PART_OF wrist
	HAS_QUANTITY all
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of wrist
WITH replacing
	ACTS_ON joint
		IS_PART_OF finger
			HAS_QUANTITY more than two
	BY_MEANS_OF prosthetic implant

RUBRIC "Tno-synovectomie digito-palmaire d'une gaine des flchisseurs par abord direct Exclut:Tno-synovectomie au niveau du carpe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0211"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF palm
			IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY less than two

RUBRIC "Tno-synovectomie digito-palmaire de deux gaines des flchisseurs par abord direct Exclut:Tno-synovectomie au niveau du carpe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0212"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF palm
			IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three

RUBRIC "Tno-synovectomie des flchisseurs au poignet,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0213"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF wrist
	HAS_APPROACH open
	HAS_QUANTITY all

RUBRIC "Tno-synovectomie digitale des flchisseurs,  ciel ouvert : un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0214"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF finger
			HAS_QUANTITY less than two
	HAS_APPROACH open

RUBRIC "Tno-synovectomie digitale des flchisseurs,  ciel ouvert : deux doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0215"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF finger
			HAS_QUANTITY more than one
			HAS_QUANTITY less than three
	HAS_APPROACH open

RUBRIC "Tno-synovectomie digitale des flchisseurs,  ciel ouvert : trois doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0216"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS flexor mscle of fingers
		IS_PART_OF finger
			HAS_QUANTITY more than two
			HAS_QUANTITY less than four
	HAS_APPROACH open

RUBRIC "Nettoyage articulaire[debridement]du poignet par arthrotomie(s) Inclut:la rsect. localis. de synoviale et/ou de replis synov. et/ou d'ostophyt.,l'ablation de corps trangers, de petits fragm. fibro-cartilag.et/ou autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0217"
MAIN freeing
	ACTS_ON joint of wrist
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of wrist
	BY_TECHNIQUE resecting
		ACTS_ON synovial membrane
			IS_PART_OF joint of wrist
	BY_TECHNIQUE removing
		ACTS_ON_1 foreign body
			HAS_LOCATION joint of wrist
		ACTS_ON_2 cartilage
			IS_PART_OF joint of wrist

RUBRIC "Nettoyage articulaire[debridement]du poignet par arthroscopie Inclut:la rsect. localis. de synoviale et/ou de replis synov. et/ou d'ostophyt.,l'ablation de corps trangers., de petits fragm. fibro-cartilag.et/ou autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0218"
MAIN freeing
	ACTS_ON joint of wrist
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of wrist
		BY_MEANS_OF arthroscope
	BY_TECHNIQUE resecting
		ACTS_ON synovial membrane
			IS_PART_OF joint of wrist
	BY_TECHNIQUE removing
		ACTS_ON_1 foreign body
			HAS_LOCATION joint of wrist
		ACTS_ON_2 cartilage
			IS_PART_OF joint of wrist

RUBRIC "Arthrolyse (mobilisatrice) du poignet  ciel ouvert "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0219"
MAIN freeing
	ACTS_ON joint of wrist
	HAS_APPROACH open

RUBRIC "Cration d'une bute cubitale au poignet  ciel ouvert "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0220"
MAIN plastic constructing
	ACTS_ON bone
		HAS_FUNCTION blocking
			ACTS_ON joint of wrist
	HAS_APPROACH open

RUBRIC "Arthrodse radiocarpienne avec ou sans greffon sans reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0221"
MAIN fixing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse radiocarpienne avec ou sans greffon  avec reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0222"
MAIN fixing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF radiocarpal joint
OR_MAIN fixing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF radiocarpal joint

RUBRIC "Arthrodse carpo-mtacarpienne du pouce avec ou sans greffon sans reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0223"
MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse carpo-mtacarpienne du pouce avec ou sans greffon  avec reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0224"
MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF carpometacarpal joint
			IS_PART_OF thumb
OR_MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF thumb
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF carpometacarpal joint
			IS_PART_OF thumb

RUBRIC "Arthrodse carpo-mtacarpienne (trapzo-mtacarpienne exclue)sans reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0225"
MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF finger
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse carpo-mtacarpienne (trapzo-mtacarpienne exclue) avec reconstruction, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0226"
MAIN fixing
	ACTS_ON carpometacarpal joint
		IS_PART_OF finger
	BY_MEANS_OF bone
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF carpometacarpal joint
			IS_PART_OF finger

RUBRIC "Arthrodse trapzo-mtacarpienne quelle que soit la technique, Inclut : le prlvement d'autogreffe osseuse in situ et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0227"
MAIN fixing
	ACTS_ON trapezial metacarpal joint
	BY_MEANS_OF bone
OR_MAIN fixing
	ACTS_ON trapezial metacarpal joint
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse intracarpienne d'un interligne, quelle que soit la technique Inclut : l'ostosynthse et le prlvement in situ d'autogreffe osseuse, et l'ventuelle rsection parcellaire d'un os du carpe Exclut : le prlvement ex situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0228"
MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF bone
	HAS_QUANTITY less than two
OR_MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than two

RUBRIC "Arthrodse intracarpienne de deux interlignes, quelle que soit la technique Inclut : l'ostosynthse et le prlvement in situ d'autogreffe osseuse, et l'ventuelle rsection parcellaire d'un os du carpe Exclut : le prlvement d'autogreffe osseuse  dis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0229"
MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF bone
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three
OR_MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three

RUBRIC "Arthrodse intracarpienne de trois interlignes, quelle que soit la technique Inclut : l'ostosynthse et le prlvement in situ d'autogreffe osseuse, et l'ventuelle rsection parcellaire d'un os du carpe Exclut : le prlvement d'autogreffe osseuse  dis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990408,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0230"
MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF bone
	HAS_QUANTITY more than two
	HAS_QUANTITY less than four
OR_MAIN fixing
	ACTS_ON intercarpal joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than two
	HAS_QUANTITY less than four

RUBRIC "Arthroplastie par prothse totale de la radio-carpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0231"
MAIN replacing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF prosthetic radiocarpal joint
	HAS_EXTENT total

RUBRIC "Arthroplastie par prothse partielle de la radio-carpienne, de la radio-cubitale infrieure ou de l'intracarpienne ( l'exclusion de la trapzo-mtacarpienne)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0232"
MAIN replacing
	ACTS_ON radiocarpal joint
	BY_MEANS_OF prosthetic implant
	HAS_EXTENT partial
OR_MAIN replacing
	ACTS_ON articulatio radioulnaris distalis
	BY_MEANS_OF prosthetic implant
	HAS_EXTENT partial
OR_MAIN replacing
	ACTS_ON intercarpal joint
	BY_MEANS_OF prosthetic implant
	HAS_EXTENT partial

RUBRIC "Arthroplastie de la trapzo-mtacarpienne prothtique ou non prothtique avec plastie capsulo-ligamentaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0233"
MAIN replacing
	ACTS_ON trapezial metacarpal joint
	BY_MEANS_OF prosthetic trapezialmetacarpal joint
WITH plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF trapezial metacarpal joint
	ACTS_ON_2 ligament
		IS_PART_OF trapezial metacarpal joint
OR_MAIN plastic repairing
	ACTS_ON trapezial metacarpal joint
WITH plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF trapezial metacarpal joint
	ACTS_ON_2 ligament
		IS_PART_OF trapezial metacarpal joint

RUBRIC "Greffe cortico-spongieuse encastre du scaphode (Matti-Russe) Inclut : l'ostosynthse ventuelle et le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0234"
MAIN inserting
	ACTS_ON_1 bone cortex
		HAS_DESTINATION os scafoideum
	ACTS_ON_2 spongiosa
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE autografting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
OR_MAIN inserting
	ACTS_ON_1 bone cortex
		HAS_DESTINATION os scafoideum
	ACTS_ON_2 spongiosa
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE autografting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
WITH fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF fixation device

RUBRIC "Greffe cortico-spongieuse du scaphode intercale avec correction d'une dformation angulaire   Inclut : osteotomie,stylodectomie et ostosynthse ventuelles "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0235"
MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION os scafoideum
	BY_TECHNIQUE incising
		ACTS_ON os scafoideum
WITH inserting
	ACTS_ON_1 bone cortex
		HAS_DESTINATION os scafoideum
	ACTS_ON_2 spongiosa
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE autografting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
OR_MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION os scafoideum
	BY_TECHNIQUE incising
		ACTS_ON os scafoideum
WITH inserting
	ACTS_ON_1 bone cortex
		HAS_DESTINATION os scafoideum
	ACTS_ON_2 spongiosa
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE autografting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
WITH fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF fixation device
OR_MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION os scafoideum
	BY_TECHNIQUE incising
		ACTS_ON os scafoideum
WITH inserting
	ACTS_ON_1 bone cortex
		HAS_DESTINATION os scafoideum
	ACTS_ON_2 spongiosa
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE autografting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
WITH fixing
	ACTS_ON os scafoideum
	BY_MEANS_OF fixation device
WITH excising
	ACTS_ON radius styloid

RUBRIC "Greffe cortico-spongieuse pdicule vascularise du scaphode Inclut : la stylodectomie ventuelle "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0236"
MAIN installing
	ACTS_ON bone
		CONTAINS vascular pedicle
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE harvesting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
OR_MAIN installing
	ACTS_ON bone
		CONTAINS vascular pedicle
		HAS_DESTINATION os scafoideum
	BY_TECHNIQUE harvesting
		ACTS_ON_1 bone cortex
		ACTS_ON_2 spongiosa
WITH excising
	ACTS_ON radius styloid

RUBRIC "Ablation d'une prothse totale radio-carpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0237"
MAIN removing
	ACTS_ON prosthetic radiocarpal joint

RUBRIC "Changement[ablation-rimplantation]d'une ou des deux pice(s) prothtique(s) de l'articulation radio-carpienne,avec ou sans reconstruction osseuse Inclut :le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0238"
MAIN replacing
	ACTS_ON component
		IS_PART_OF prosthetic radiocarpal joint
OR_MAIN replacing
	ACTS_ON component
		IS_PART_OF prosthetic radiocarpal joint
WITH reconstruction
	ACTS_ON bone
OR_MAIN replacing
	ACTS_ON prosthetic radiocarpal joint
OR_MAIN replacing
	ACTS_ON prosthetic radiocarpal joint
WITH reconstruction
	ACTS_ON bone

RUBRIC "Ablation d'une prothse du poignet Exclut : l'articulation radio-carpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0239"
MAIN removing
	ACTS_ON prosthetic joint
		HAS_LOCATION articulatio radioulnaris distalis
OR_MAIN removing
	ACTS_ON prosthetic joint
		HAS_LOCATION intercarpal joint

RUBRIC "Dnervation complte du poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0240"
MAIN removing
	ACTS_ON nerve
		IS_PART_OF wrist
	HAS_QUANTITY all

RUBRIC "Replantationdu poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0241"
MAIN reimplanting
	ACTS_ON wrist

RUBRIC "Rparation d'une amputation subtotale au poignet avec ischmie complte de la main [hmi-section antrieure du poignet]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0242"
MAIN repairing
	ACTS_ON wrist
MOTIVATED_OVERALL_BY curing
	ACTS_ON detachment
		HAS_LOCATION part
			HAS_POSITION anterior
			IS_PART_OF wrist

RUBRIC "Ponction(s) biopsie(s) osseuse(s) ou articulaire(s) au niveau de la main  par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0243"
MAIN biopsying
	ACTS_ON bone / joint
		IS_PART_OF hand
	BY_TECHNIQUE puncturing
	HAS_APPROACH percutaneous route

RUBRIC "Biopsie(s) osseuse(s) ou articulaire(s) de la main  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990411,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0244"
MAIN biopsying
	ACTS_ON bone / joint
		IS_PART_OF hand
	HAS_APPROACH open

RUBRIC "Arthroscopie diagnostique de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0245"
MAIN inspecting
	ACTS_ON joint
		IS_PART_OF hand
	BY_MEANS_OF arthroscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Ponction  vise diagnostique d'une articulation de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0246"
MAIN puncturing
	ACTS_ON joint
		IS_PART_OF hand
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Examen de la main sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0247"
MAIN inspecting
	ACTS_ON hand
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN inspecting
	ACTS_ON hand
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Confection d'un appareil d'immobilisation rigide externe des doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0248"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION finger

RUBRIC "Rduction orthopdique d'une fracture mtacarpienne ou phalangienne d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0249"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF finger
	BY_MEANS_OF hand

RUBRIC "Rduction orthopdique et contention d'une fracture de deux ou plus de deux os de la main [mtacarpien(s) et/ou phalange(s) digitale(s)]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0250"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
	BY_MEANS_OF hand
	HAS_QUANTITY more than one
WITH installing
	ACTS_ON cast

RUBRIC "Ostosynthse de la base du premier mtacarpien  ciel ouvert Inclut la stabilisation temporaire ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0251"
MAIN fixing
	ACTS_ON epiphysis
		HAS_POSITION proximal
		IS_PART_OF os metacarpale primum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON epiphysis
		HAS_POSITION proximal
		IS_PART_OF os metacarpale primum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH blocking
	ACTS_ON os metacarpale primum
	HAS_TEMPORAL_MARKER temporary

RUBRIC "Ostosynthse d'un mtacarpien ou d'une phalange digitale par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0252"
MAIN fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF external fixation device
	BY_MEANS_OF external fixation device
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse par brochage focal ou centro-mdullaire d'une fracture extra-articulaire d'un mtacarpien ou d'une phalange digitale,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0253"
MAIN fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF pin
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
OR_MAIN fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF pin
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger

RUBRIC "Ostosynthse d'une fracture extra-articulaire mtacarpienne ou phalangienne d'un doigt,  foyer ouvert Exclut : la base du 1er mtacarpien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0254"
MAIN fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
WITHOUT fixing
	ACTS_ON epiphysis
		HAS_POSITION proximal
		IS_PART_OF os metacarpale primum
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger

RUBRIC "Ostosynthse d'une fracture extra-articulaire mtacarpienne ou phalangienne d'un doigt  foyer ouvert, sur deux rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:22:51 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0255"
MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digital ray
			HAS_QUANTITY less than three
			HAS_QUANTITY more than one
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF finger
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digital ray
			HAS_QUANTITY less than three
			HAS_QUANTITY more than one
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger

RUBRIC "Ostosynthse d'une fracture extra-articulaire mtacarpienne ou phalangienne d'un doigt  foyer ouvert, sur trois rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;
Manual accept at 12:23:13 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0256"
MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digital ray
			HAS_QUANTITY less than four
			HAS_QUANTITY more than two
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF finger
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digital ray
			HAS_QUANTITY less than four
			HAS_QUANTITY more than two
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger

RUBRIC "Ostosynthse d'une fracture extra-articulaire de deux os [mtacarpien ouphalange(s) digitale(s)],quel que soit le matriel  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:23:31 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0257"
MAIN fixing
	ACTS_ON os metacarpale
		HAS_QUANTITY more than one
		HAS_QUANTITY less than three
		IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF finger
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than one
		HAS_QUANTITY less than three
		IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF finger

RUBRIC "Ostotomie d'un mtacarpien ou d'une phalange digitale, Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0258"
MAIN incising
	ACTS_ON os metacarpale
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		IS_PART_OF finger
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie d'un mtacarpien ou d'une phalange digitale avec arthrolyse et/ou tnolyse Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0259"
MAIN incising
	ACTS_ON os metacarpale
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
OR_MAIN incising
	ACTS_ON os metacarpale
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON os metacarpale
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON os metacarpale
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
OR_MAIN incising
	ACTS_ON phalanx
		IS_PART_OF finger
WITH freeing
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger

RUBRIC "Ostotomie de deux mtacarpiens ou phalanges digitales avec arthrolyse et/ou tnolyse Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;
Manual accept at 12:32:29 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0260"
MAIN incising
	ACTS_ON os metacarpale
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON os metacarpale
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON os metacarpale
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH fixing
	ACTS_ON os metacarpale
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON metacarpophalangeal joint
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON os metacarpale
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON os metacarpale
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON phalanx
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF finger
WITH freeing
	ACTS_ON tendon
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF finger
	BY_MEANS_OF fixation device

RUBRIC "Rduction orthopdique d'une luxation ou fracture-luxation mtacarpo-phalangienne ou interphalangienne digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0261"
MAIN reducing (a dislocation)
	ACTS_ON metacarpophalangeal joint
OR_MAIN reducing (a dislocation)
	ACTS_ON interphalangeal joint
OR_MAIN reducing (a dislocation)
	ACTS_ON metacarpophalangeal joint
WITH reducing (a fracture)
	ACTS_ON metacarpophalangeal joint
OR_MAIN reducing (a dislocation)
	ACTS_ON interphalangeal joint
WITH reducing (a fracture)
	ACTS_ON interphalangeal joint

RUBRIC "Rduction orthopdique de luxation ou fracture-luxation de deux ou plus de deux articulations mtacarpo-phalangienne et/ou interphalangienne digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0262"
MAIN reducing (a dislocation)
	ACTS_ON metacarpophalangeal joint
	HAS_QUANTITY more than one
OR_MAIN reducing (a dislocation)
	ACTS_ON interphalangeal joint
	HAS_QUANTITY more than one
OR_MAIN reducing (a dislocation)
	ACTS_ON metacarpophalangeal joint
	HAS_QUANTITY more than one
WITH reducing (a fracture)
	ACTS_ON metacarpophalangeal joint
OR_MAIN reducing (a dislocation)
	ACTS_ON interphalangeal joint
	HAS_QUANTITY more than one
WITH reducing (a fracture)
	ACTS_ON interphalangeal joint

RUBRIC "Rductiond'une luxation d'articulation digitale avec rfection capsulo-ligamentaire, ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0263"
MAIN reducing (a dislocation)
	ACTS_ON joint of finger
	HAS_APPROACH open
WITH refashioning
	ACTS_ON_1 ligament
		IS_PART_OF joint of finger
	ACTS_ON_2 capsula
		IS_PART_OF joint of finger
	HAS_APPROACH open

RUBRIC "Ostosynthse extra ou intrafocale d'une fracture articulaire digitale par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0264"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
	HAS_ROUTE percutaneous route
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION bone
				IS_PART_OF joint of finger

RUBRIC "Ostosynthse extra ou intrafocale de deux fractures articulaires digitales par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0265"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three
	HAS_ROUTE percutaneous route
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION bone
				IS_PART_OF joint of finger
			HAS_QUANTITY more than one
			HAS_QUANTITY less than three

RUBRIC "Ostosynthse extra ou intrafocale de trois fractures articulaires digitales par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0266"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than two
	HAS_QUANTITY more than four
	HAS_ROUTE percutaneous route
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION bone
				IS_PART_OF joint of finger
			HAS_QUANTITY more than two
			HAS_QUANTITY less than four

RUBRIC "Ostosynthse d' une fracture articulaire digitalepar fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0267"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF external fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION joint of finger

RUBRIC "Ostosynthse d'une fracture articulaire digitale [mtacarpophalangienne ou interphalangienne],  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0268"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION joint of finger

RUBRIC "Ostosynthse de deux fractures articulaires digitales [mtacarpophalangienne ou interphalangienne],  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0269"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION joint of finger
			HAS_QUANTITY more than one
			HAS_QUANTITY less than three

RUBRIC "Ostosynthse de trois fractures articulaires digitales [mtacarpophalangienne ou interphalangienne],  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0270"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF joint
			IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_QUANTITY more than two
	HAS_QUANTITY more than four
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION bone
				IS_PART_OF joint
					IS_PART_OF finger
			HAS_QUANTITY more than two
			HAS_QUANTITY less than four

RUBRIC "Rparation capsulo-ligamentaire d'une articulation mtacarpo-phalangienne ( pouce exclu ) Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0271"
MAIN repairing
	ACTS_ON capsula & ligament
		IS_PART_OF metacarpophalangeal joint
			IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF metacarpophalangeal joint
			IS_PART_OF finger
	BY_MEANS_OF fixation device

RUBRIC "Rparationcapsulo-ligamentaire de la mtacarpo-phalangienne du pouce  ciel ouvert Inclut : l'ventuelle ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0272"
MAIN repairing
	ACTS_ON capsula & ligament
		IS_PART_OF metacarpophalangeal joint
			IS_PART_OF thumb
	HAS_APPROACH open
WITH fixing
	ACTS_ON bone
		IS_PART_OF metacarpophalangeal joint
			IS_PART_OF thumb
	BY_MEANS_OF fixation device
OR_MAIN repairing
	ACTS_ON capsula & ligament
		IS_PART_OF metacarpophalangeal joint
			IS_PART_OF thumb
	HAS_APPROACH open

RUBRIC "Evacuation-lavage avec ou sans drainage d'une ou de deux articulations digitales [mtacarpophalangienne ou interphalangienne]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0273"
MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION joint
			HAS_QUANTITY less than three
			IS_PART_OF finger
WITH washing
	ACTS_ON joint
		IS_PART_OF finger
WITH draining
	ACTS_ON joint
		IS_PART_OF finger
OR_MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION joint
			HAS_QUANTITY less than three
			IS_PART_OF finger
WITH washing
	ACTS_ON joint
		IS_PART_OF finger

RUBRIC "Arthrolyse mobilisatrice d'une articulation digitale ( mtacarpophalangienne ou interphalangienne ) avec ou sans capsulectomie par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0274"
MAIN freeing
	ACTS_ON joint
		IS_PART_OF finger
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON joint
			IS_PART_OF finger
WITH excising
	ACTS_ON capsula
		IS_PART_OF joint
			IS_PART_OF finger
OR_MAIN freeing
	ACTS_ON joint
		IS_PART_OF finger
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON joint
			IS_PART_OF finger

RUBRIC "Arthrolyse avec tnolyse d'une articulation digitale ( mtacarpophalangienne ou interphalangienne ) par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0275"
MAIN freeing
	ACTS_ON joint
		IS_PART_OF finger
	HAS_APPROACH open
WITH freeing
	ACTS_ON tendon
	HAS_APPROACH open

RUBRIC "Arthrolyse avec tnolyse de deux articulations digitales ( mtacarpophalangienne ou interphalangienne ) par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0276"
MAIN freeing
	ACTS_ON joint
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY more than one
	HAS_QUANTITY less than three
WITH freeing
	ACTS_ON tendon
	HAS_APPROACH open

RUBRIC "Arthrolyse avec tnolyse de trois articulations digitales ( mtacarpophalangienne ou interphalangienne ) par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0277"
MAIN freeing
	ACTS_ON joint
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY more than two
	HAS_QUANTITY less than four
WITH freeing
	ACTS_ON tendon
	HAS_APPROACH open

RUBRIC "Exrse d'un kyste synovial ou mucode d'une poulie ou d'une gaine tendineuse ou d'une articulation digitale [mtacarpophalangienne ou interphalangienne] Inclut : lavage, rsection d'ostophyte et synovectomie ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0278"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION synovial sheath of tendon
			IS_PART_OF joint
				IS_PART_OF finger
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION pulley of tendon
			IS_PART_OF joint
				IS_PART_OF finger

RUBRIC "Synovectomie d'une articulation digitale ( mtacarpophalangienne ou interphalangienne ) par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0279"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF metacarpophalangeal joint
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF interphalangeal joint
	HAS_APPROACH open

RUBRIC "Synovectomie de trois articulations digitales (mtacarpophalangienne et/ou interphalangienne)  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0280"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of finger
			HAS_QUANTITY more than two
	HAS_APPROACH open

RUBRIC "Synovectomie de deux articulations digitales (mtacarpophalangienne et/ou interphalangienne(s)) par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0281"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of finger
			HAS_QUANTITY less than three
			HAS_QUANTITY more than one
	HAS_APPROACH open

RUBRIC "Arthrorise temporaire par broche d'une articulation digitale [mtacarpophalangienne ou interphalangienne]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0282"
MAIN blocking
	ACTS_ON metacarpophalangeal joint
		IS_PART_OF finger
	BY_MEANS_OF pin
	HAS_TEMPORAL_MARKER temporary
OR_MAIN blocking
	ACTS_ON interphalangeal joint
		IS_PART_OF finger
	BY_MEANS_OF pin
	HAS_TEMPORAL_MARKER temporary

RUBRIC "Arthrodse d'une articulation digitale ( mtacarpophalangienne ou interphalangienne ) quelle que soit la technique sans reconstruction, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0283"
MAIN fixing
	ACTS_ON metacarpophalangeal joint
		IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON interphalangeal joint
		IS_PART_OF finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse d'une articulation digitale ( mtacarpo- ou interphalangienne ) quelle que soit la technique avec reconstruction,  ciel ouvert Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0284"
MAIN fixing
	ACTS_ON metacarpophalangeal joint
		IS_PART_OF finger
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON metacarpophalangeal joint
		IS_PART_OF finger
OR_MAIN fixing
	ACTS_ON interphalangeal joint
		IS_PART_OF finger
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON interphalangeal joint
		IS_PART_OF finger

RUBRIC "Arthrodse de deux articulations digitales ( mtacarpophalangienne et/ou interphalangienne(s) ) quelle que soit la technique sans reconstruction, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0285"
MAIN fixing
	ACTS_ON joint of finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Arthrodse de deux articulations digitales ( mtacarpo-et/ou interphalangienne(s) ) quelle que soit la technique avec reconstruction,  ciel ouvert Inclut :le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0286"
MAIN fixing
	ACTS_ON joint of finger
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one
WITH reconstruction
	ACTS_ON joint of finger
WITH harvesting
	ACTS_ON bone
		IS_PART_OF finger

RUBRIC "Arthrodse intermtacarpienne du premier espace Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0287"
MAIN fixing
	ACTS_ON intermetacarpal joint
		CONNECTS os metacarpale primum
	BY_MEANS_OF fixation device
WITH harvesting
	ACTS_ON bone
		IS_PART_OF metacarpal bone

RUBRIC "Reconstruction articulaire par transfert pdicul d'une articulation digitale ou digito-carpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0288"
MAIN reconstruction
	ACTS_ON carpometacarpal joint
	BY_TECHNIQUE moving
		ACTS_ON carpometacarpal joint
			CONNECTS vascular pedicle
OR_MAIN reconstruction
	ACTS_ON joint of finger
	BY_TECHNIQUE moving
		ACTS_ON joint of finger
			CONNECTS vascular pedicle

RUBRIC "Arthroplastieavec ou sans prothse d'une articulation digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0289"
MAIN plastic repairing
	ACTS_ON joint of finger
OR_MAIN replacing
	ACTS_ON joint of finger
	BY_MEANS_OF prosthetic joint

RUBRIC "Arthroplastieavec ou sans prothse de deux articulations digitales"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0290"
MAIN plastic repairing
	ACTS_ON joint of finger
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one
OR_MAIN replacing
	ACTS_ON joint of finger
	BY_MEANS_OF prosthetic joint
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Arthroplastieavec ou sans prothse de trois articulations digitales"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0291"
MAIN plastic repairing
	ACTS_ON joint of finger
	HAS_QUANTITY less than four
	HAS_QUANTITY more than two
OR_MAIN replacing
	ACTS_ON joint of finger
	BY_MEANS_OF prosthetic joint
	HAS_QUANTITY less than four
	HAS_QUANTITY more than two

RUBRIC "Sympathectomie des artres interosseuses et collatrales digitales Syndrome de Raynaud"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0292"
MAIN excising
	ACTS_ON sympathetic nerve
		HAS_PROXIMITY digital artery collateral & interosseous artery forearm

RUBRIC "Exploration d'une plaie profonde de la main ou des doigts sans rparation d'organe noble au bloc opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0293"
MAIN exploring
	ACTS_ON wound
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF hand
OR_MAIN exploring
	ACTS_ON wound
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF finger

RUBRIC "Suture et/ou plastie d'allongement ou de retournement et/ou greffed'un tendon extenseur d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0294"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF finger
OR_MAIN everting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
OR_MAIN grafting
	ACTS_ON tendon, extensor
		IS_PART_OF finger

RUBRIC "Suture et/ou plastie d'allongement ou de retournement et/ou greffe d'un tendon extenseurd'un doigt et ostosynthse d'une fracture articulaire (une ou deux surfaces) d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0295"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
OR_MAIN everting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
OR_MAIN grafting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device

RUBRIC "Suture et/ou plastie d'allongement ou de retournement et/ou greffe d'un tendon extenseurd'un doigt et ostosynthse d'une fracture extra-articulaire d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0296"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN everting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	BY_MEANS_OF fixation device
OR_MAIN grafting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	BY_MEANS_OF fixation device

RUBRIC "Suture et/ou plastie d'allongement ou de retournement et/ou greffe d'un tendon extenseur et suture d'une plaie articulaire d'un doigt  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0297"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
	HAS_APPROACH open
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
	HAS_APPROACH open
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF finger
	HAS_APPROACH open
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
	HAS_APPROACH open
OR_MAIN everting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
	HAS_APPROACH open
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
	HAS_APPROACH open
OR_MAIN grafting
	ACTS_ON tendon, extensor
		IS_PART_OF finger
	HAS_APPROACH open
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
	HAS_APPROACH open

RUBRIC "Suture d'un tendon extenseur d'un doigt avec ostosynthse d'une fracture extra ou intra-articulaire digitale et suture d'une plaie articulaire avec rparation d'un nerf collatral palmaire ou d'une artre collatrale palmaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:24:27 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0298"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH repairing
	ACTS_ON digital nerve palmar / digital artery collateral
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	BY_MEANS_OF fixation device
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
OR_MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH repairing
	ACTS_ON digital nerve palmar / digital artery collateral
WITH fixing
	ACTS_ON bone
		IS_PART_OF joint of finger
	BY_MEANS_OF fixation device
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger

RUBRIC "Suture d'un tendon extenseurd'un doigt avec ostosynthse d'une fracture extra ou intra-articulaire et suture d'une plaie articulaire avec rparation d'un nerf collatral palmaire et d'une artre collatrale palmaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0299"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger / joint of finger
	BY_MEANS_OF fixation device
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
WITH repairing
	ACTS_ON digital nerve palmar & digital artery collateral

RUBRIC "Suture d'un tendon extenseur d'un doigt avec ostosynthse d'une fracture extra ou intra-articulaire et suture d'une plaie articulaire avec rparation d'un nerf collatral palmaire d'une artre collatrale palmaire et d'un tendon flchisseur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0300"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH repairing
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger / joint of finger
	BY_MEANS_OF fixation device
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
WITH repairing
	ACTS_ON digital nerve palmar & digital artery collateral

RUBRIC "Suture d'un tendon extenseur d'un doigt avec ostosynthse d'une fracture extra ou intra-articulaire et sutured'une plaie articulaire avec rparation d'un nerf collatral palmaire, d'une artre collatrale palmaire et de deux tendons flchisseurs"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0301"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger / joint of finger
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
WITH repairing
	ACTS_ON digital nerve palmar & digital artery collateral
WITH repairing
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Suture d'un tendon extenseur d'un doigt avec ostosynthse d'une fracture extra ou intra-articulaire et sutured'une plaie articulaire et rparation d'un ou deux tendons flchisseurs et de 2 paquets collatraux palmaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0302"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF finger
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger / joint of finger
WITH suturing
	ACTS_ON wound
		HAS_LOCATION joint of finger
WITH repairing
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one
WITH repairing
	ACTS_ON digital artery collateral & digital nerve palmar
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Suture d'un tendon flchisseur  la main,  ciel ouvert Inclut : la rfection ventuelle des poulies"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:53:25 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:58:19 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:01:19 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:02:47 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0303"
MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open
WITH refashioning
	ACTS_ON pulley of tendon
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open

RUBRIC "Suture de deux tendons flchisseurs  la main,  ciel ouvert Inclut : la rfection ventuelle des poulies"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;
Manual accept at 1:53:43 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:55:46 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0304"
MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open
	HAS_QUANTITY two
WITH refashioning
	ACTS_ON pulley of tendon
		IS_PART_OF flexor muscle of finger
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open
	HAS_QUANTITY two

RUBRIC "Suture de trois tendons flchisseurs  la main,  ciel ouvert Inclut : la rfection ventuelle des poulies"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990412,rodrigues,0;
Manual accept at 1:54:04 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:54:36 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:57:57 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:12:06 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0305"
MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open
	HAS_QUANTITY three
WITH refashioning
	ACTS_ON pulley of tendon
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
			IS_PART_OF hand
	HAS_APPROACH open
	HAS_QUANTITY three

RUBRIC "Suture d'un nerf digital ou collatral palmaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0306"
MAIN suturing
	ACTS_ON digital nerve palmar
	HAS_APPROACH open

RUBRIC "Suture d'une artre collatrale palmaire ou interosseuse  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0307"
MAIN suturing
	ACTS_ON digital artery collateral / interosseous artery forearm
	HAS_APPROACH open

RUBRIC "Suture de deux artres collatrales palmaires ou interosseuses  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0308"
MAIN suturing
	ACTS_ON digital artery collateral / interosseous artery forearm
	HAS_APPROACH open
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Suture d'un nerf collatral et d'une artre collatrale palmaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0309"
MAIN suturing
	ACTS_ON digital nerve palmar & digital artery collateral
	HAS_APPROACH open

RUBRIC "Suture d'un nerf collatral palmaireet d'un tendon flchisseur d'un doigt  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0310"
MAIN suturing
	ACTS_ON_1 digital nerve palmar
	ACTS_ON_2 tendon
		IS_PART_OF flexor mscle of fingers
	HAS_APPROACH open

RUBRIC "Suture d'un nerf collatral palmaireet de deux tendons flchisseurs d'un doigt  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0311"
MAIN suturing
	ACTS_ON_1 digital nerve palmar
	ACTS_ON_2 tendon
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF flexor mscle of fingers
	HAS_APPROACH open

RUBRIC "Suture d'un nerf collatral palmaire, d'une artre collatrale palmaire et de deux tendons flchisseurs d'un doigt  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0312"
MAIN suturing
	ACTS_ON_1 digital artery collateral & digital nerve palmar
	ACTS_ON_2 tendon
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF flexor mscle of fingers
	HAS_APPROACH open

RUBRIC "Suture d'un nerf collatral palmaire, d'une artre collatrale palmaire et de 2 tendons flchisseurs d'un doigt avec ostosynthse d'une fracture de 2 ou plus de 2 os [mtacarpien ouphalange(s) digitale(s)], quelque soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0313"
MAIN suturing
	ACTS_ON_1 digital nerve palmar & digital artery collateral
	ACTS_ON_2 tendon
		HAS_QUANTITY less than three
		HAS_QUANTITY more than one
		IS_PART_OF flexor mscle of fingers
WITH fixing
	ACTS_ON bone
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY more than one

RUBRIC "Suture de deux nerfs collatraux palmaires d'un doigt  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0314"
MAIN suturing
	ACTS_ON digital nerve palmar
	HAS_APPROACH open
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one

RUBRIC "Suture de deux nerfs collatraux d'un doigt et d'une artre collatrale palmaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0315"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON digital artery collateral
	HAS_APPROACH open

RUBRIC "Suture de deux nerfs collatraux palmaires d'un doigt et d'un tendon flchisseur  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0316"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON tendon, flexor
		IS_PART_OF finger
	HAS_APPROACH open

RUBRIC "Suture de deux nerfs collatraux palmaires d'un doigt et de deux tendons flchisseurs  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0317"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON tendon, flexor
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_QUANTITY more than one

RUBRIC "Suture de deux nerfs collatraux palmaires d'un doigt, d'une ou deux artre palmaires et d'un ou de deux tendons flchisseurs  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0318"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON digital artery collateral
		HAS_QUANTITY at least 1
	HAS_APPROACH open
WITH suturing
	ACTS_ON tendon, flexor
		HAS_QUANTITY at least 1
		IS_PART_OF finger
	HAS_APPROACH open

RUBRIC "Suture de deux nerfs collatraux palmaires d'un doigt, d'une ou deux artres palmaires et d'un ou de deux tendons flchisseurs et ostosynthse d'une fracture mtacarpienne ou phalangienne d'un doigt,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:30:11 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0319"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON digital artery collateral
		HAS_QUANTITY at least 1
	HAS_APPROACH open
WITH suturing
	ACTS_ON tendon, flexor
		HAS_QUANTITY at least 1
		IS_PART_OF finger
	HAS_APPROACH open
WITH fixing
	ACTS_ON epiphysis
		IS_PART_OF phalanx
			IS_PART_OF digital ray
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digital ray
OR_MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF finger
	HAS_APPROACH open
	HAS_LATERALITY bilateral
WITH suturing
	ACTS_ON digital artery collateral
		HAS_QUANTITY at least 1
	HAS_APPROACH open
WITH suturing
	ACTS_ON tendon, flexor
		HAS_QUANTITY at least 1
		IS_PART_OF finger
	HAS_APPROACH open
WITH fixing
	ACTS_ON epiphysis
		IS_PART_OF os metacarpale
			IS_PART_OF digital ray
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digital ray

RUBRIC "Suture d'un nerf digital ou collatral palmaire du deuxime rayon avec suture de deux tendons flchisseurs du troisime rayon et ostosynthse d'une fracture articulaire [mtacarpophalangienne ou interphalangienne] du quatrime doigt  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:47:24 pm on April 10, 2000 by DrJeremy Rogers
Manual accept at 12:47:41 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0320"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF digital ray of hand (second)
	HAS_APPROACH open
WITH suturing
	ACTS_ON tendon, flexor
		IS_PART_OF digital ray
	HAS_APPROACH open
	HAS_QUANTITY more than one
WITH fixing
	ACTS_ON bone
		IS_PART_OF metacarpophalangeal joint / interphalangeal joint
			IS_PART_OF digital ray of hand (fourth)
	HAS_APPROACH open

RUBRIC "Suture ou greffe d'un nerf ou d'une artre collatrale palmaire avec ostosynthse mtacarpienne ou phalangienne extra ou intra articulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:25:36 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0321"
MAIN suturing
	ACTS_ON digital nerve palmar
WITH fixing
	ACTS_ON os metacarpale / phalanx
	BY_MEANS_OF fixation device
OR_MAIN suturing
	ACTS_ON digital artery collateral
WITH fixing
	ACTS_ON os metacarpale / phalanx
	BY_MEANS_OF fixation device
OR_MAIN grafting
	ACTS_ON digital nerve palmar
WITH fixing
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digital ray
	BY_MEANS_OF fixation device
OR_MAIN grafting
	ACTS_ON digital artery collateral
WITH fixing
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digital ray
	BY_MEANS_OF fixation device

RUBRIC "Suture ou allongement ou greffe d'un ou de deux tendons flchisseurs d'un doigt avec ostosynthse mtacarpienne ou phalangienneextra ou intra articulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0322"
MAIN suturing
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
	HAS_QUANTITY at least 1
WITH fixing
	ACTS_ON os metacarpale / phalanx
	BY_MEANS_OF fixation device
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
	HAS_QUANTITY at least 1
WITH fixing
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digital ray
	BY_MEANS_OF fixation device
OR_MAIN grafting
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
	HAS_QUANTITY at least 1
WITH fixing
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digital ray
	BY_MEANS_OF fixation device

RUBRIC "Replantation de la main aprs amputation transmtacarpienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0323"
MAIN reimplanting
	ACTS_ON hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON detachment
		ACTS_ON hand
		HAS_LOCATION wrist

RUBRIC "Replantation d'un doigt (pouce compris)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0324"
MAIN reimplanting
	ACTS_ON finger / thumb

RUBRIC "Replantation de deux doigts (pouce compris)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0325"
MAIN reimplanting
	ACTS_ON finger / thumb
	HAS_QUANTITY more than one

RUBRIC "Replantation de trois doigts (pouce compris)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990422,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0326"
MAIN reimplanting
	ACTS_ON finger / thumb
	HAS_QUANTITY more than two

RUBRIC "Translocation digitale ou digito-mtacarpo-carpienne d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0327"
MAIN transposing
	ACTS_ON finger
OR_MAIN transposing
	ACTS_ON digital ray

RUBRIC "Translocation digitale et digito-mtacarpo-carpienne de deux doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990422,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0328"
MAIN transposing
	ACTS_ON_1 finger
	ACTS_ON_2 digital ray

RUBRIC "Pollicisation d'un moignon digital"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0329"
MAIN transposing
	ACTS_ON stump
		IS_PART_OF finger
TO_ACHIEVE_OVERALL movement
	ACTS_ON thumb

RUBRIC "Pollicisation d'un doigt complet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0330"
MAIN transposing
	ACTS_ON finger
TO_ACHIEVE_OVERALL movement
	ACTS_ON thumb

RUBRIC "Reconstruction de doigt par transfert libre partiel de doigt ou d'orteil Inclut:le prlvement  et l'anastomose"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990422,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0331"
MAIN reconstruction
	ACTS_ON finger
	BY_TECHNIQUE transposing
		ACTS_ON finger / toe
		HAS_EXTENT partial
	BY_TECHNIQUE harvesting
		ACTS_ON finger / toe
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure

RUBRIC "Reconstruction de doigt par transfert libre total de doigt ou d'orteil Inclut:le prlvement  et l'anastomose"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0332"
MAIN reconstruction
	ACTS_ON finger
	BY_TECHNIQUE transposing
		ACTS_ON finger / toe
		HAS_EXTENT total
	BY_TECHNIQUE harvesting
		ACTS_ON finger / toe
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure

RUBRIC "Ponction(s)-biopsie(s) osseuse(s) de la ceinture pelvienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0333"
MAIN puncturing
	ACTS_ON bone
		IS_PART_OF pelvic girdle
WITH biopsying
	ACTS_ON bone
		IS_PART_OF pelvic girdle

RUBRIC "Biopsie(s) osseuse(s) du bassin par voie exopelvienne, par abord direct ( l'exclusion de la hanche)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0334"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF pelvic girdle
	HAS_APPROACH open
WITHOUT biopsying
	ACTS_ON hip

RUBRIC "Biopsie(s) osseuse(s) du bassin par voie endopelvienne ou trans-iliaque, ciel ouvert ( l'exclusion de la hanche)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0335"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF pelvic girdle
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON os ilium
	HAS_APPROACH open
WITHOUT biopsying
	ACTS_ON hip

RUBRIC "Biopsie(s) synoviale(s)de la ceinture pelvienne  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0336"
MAIN biopsying
	ACTS_ON synovial membrane
		IS_PART_OF pelvic girdle

RUBRIC "Ponction ou injection articulaire  vise thrapeutique:ceinture pelvienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0337"
MAIN puncturing
	ACTS_ON joint of pelvis
OR_MAIN injecting
	ACTS_ON therapeutic agent
		HAS_DESTINATION joint of pelvis

RUBRIC "Ponction(s) biopsie(s) osseuse(s) ou articulaire(s) au niveau du membre infrieur par voie transcutane Exclut : la ceinture pelvienne etl'articulation coxo-fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0338"
MAIN puncturing
	ACTS_ON bone
		IS_PART_OF lower extremity
	HAS_ROUTE transcutaneous approach
WITH biopsying
	ACTS_ON bone
		IS_PART_OF lower extremity
OR_MAIN puncturing
	ACTS_ON joint
		IS_PART_OF lower extremity
	HAS_ROUTE transcutaneous approach
WITH biopsying
	ACTS_ON joint
		IS_PART_OF lower extremity

RUBRIC "Biopsie(s) osseuse(s) ou articulaire(s) au niveau du membre infrieur  ciel ouvert Exclut : la ceinture pelvienne etl'articulation coxo-fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0339"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lower extremity
	HAS_APPROACH open
OR_MAIN biopsying
	ACTS_ON joint
		IS_PART_OF lower extremity
	HAS_APPROACH open

RUBRIC "Ponction  vise diagnostique d'une articulation du membre infrieure par voie transcutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0340"
MAIN puncturing
	ACTS_ON joint
		IS_PART_OF lower extremity
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Ponction(s) ou ponction(s) biopsie(s) de l'articulation coxo-fmorale par voie transcutane, sous contrle radioscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0341"
MAIN puncturing
	ACTS_ON joint of hip
	BY_TECHNIQUE imaging
		ACTS_ON hip
		BY_MEANS_OF fluoroscope
		TO_ACHIEVE controlling
			ACTS_ON puncturing
	HAS_APPROACH transcutaneous approach
OR_MAIN puncturing
	ACTS_ON joint of hip
	BY_TECHNIQUE imaging
		ACTS_ON hip
		BY_MEANS_OF fluoroscope
		TO_ACHIEVE controlling
			ACTS_ON puncturing
	HAS_APPROACH transcutaneous approach
WITH biopsying
	ACTS_ON joint of hip

RUBRIC "Biopsie(s) de l'articulation coxo-fmorale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0342"
MAIN biopsying
	ACTS_ON joint of hip
	HAS_APPROACH open

RUBRIC "Arthroscopie  vise diagnostique de l'articulation coxo-fmorale Inclut : la(les) biopsie(s) ventuelle(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0343"
MAIN inspecting
	ACTS_ON joint of hip
	BY_MEANS_OF arthroscope
MOTIVATED_OVERALL_BY diagnosis
OR_MAIN inspecting
	ACTS_ON joint of hip
	BY_MEANS_OF arthroscope
MOTIVATED_OVERALL_BY diagnosis
WITH biopsying
	ACTS_ON joint of hip

RUBRIC "Examen de la hanche sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0344"
MAIN examining
	ACTS_ON hip
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN examining
	ACTS_ON hip
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Injection au niveau d'une articulation du membre infrieur par voie transcutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0345"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION joint
			IS_PART_OF lower extremity
	HAS_ROUTE transcutaneous approach

RUBRIC "Rductiond'une fracture du pelvis, d'une fracture-luxation ou d'une luxation de la symphyse pubienne ou de l'articulation sacro-iliaque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0346"
MAIN reducing (a fracture)
	ACTS_ON pelvic girdle
OR_MAIN reducing (a dislocation)
	ACTS_ON pubic symphysis
WITH reducing (a fracture)
	ACTS_ON pubic symphysis
OR_MAIN reducing (a dislocation)
	ACTS_ON sacroiliac joint
WITH reducing (a fracture)
	ACTS_ON sacroiliac joint
OR_MAIN reducing (a dislocation)
	ACTS_ON pubic symphysis
OR_MAIN reducing (a dislocation)
	ACTS_ON sacroiliac joint

RUBRIC "Rduction progressive d'une fracture du bassin ou d'une luxation ou fracture-luxation de la symphyse pubienne et/ou de l'articulation sacro-iliaque,par traction-suspension, hamac, contre-extension ..."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0347"
MAIN reducing (a fracture)
	ACTS_ON pelvic girdle
	BY_MEANS_OF device
	HAS_FEATURE progressive
OR_MAIN reducing (a dislocation)
	ACTS_ON pubic symphysis
	BY_MEANS_OF device
	HAS_FEATURE progressive
OR_MAIN reducing (a fracture)
	ACTS_ON pubic symphysis
	BY_MEANS_OF device
	HAS_FEATURE progressive
WITH reducing (a dislocation)
	ACTS_ON pubic symphysis
	BY_MEANS_OF device
	HAS_FEATURE progressive
OR_MAIN reducing (a dislocation)
	ACTS_ON sacroiliac joint
	BY_MEANS_OF device
	HAS_FEATURE progressive
OR_MAIN reducing (a fracture)
	ACTS_ON sacroiliac joint
	BY_MEANS_OF device
	HAS_FEATURE progressive
WITH reducing (a dislocation)
	ACTS_ON sacroiliac joint
	BY_MEANS_OF device
	HAS_FEATURE progressive

RUBRIC "Ostosynthse du pelvis par broche(s) ou fixateur externe par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0348"
MAIN fixing
	ACTS_ON pelvis
	BY_MEANS_OF pin
	HAS_ROUTE percutaneous route
OR_MAIN fixing
	ACTS_ON pelvis
	BY_MEANS_OF external fixation device
	HAS_ROUTE percutaneous route

RUBRIC "Ostosynthse unifocale d'une fracture du bassin ou d'une luxation ou fracture-luxation de la symphyse pubienne ou de l'articulation sacro-iliaque  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0349"
MAIN fixing
	ACTS_ON pelvic girdle
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION pelvic girdle
OR_MAIN fixing
	ACTS_ON pubic symphysis
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON dislocation
			HAS_LOCATION pubic symphysis
OR_MAIN fixing
	ACTS_ON pubic symphysis
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON dislocation & fracture
			HAS_LOCATION pubic symphysis
OR_MAIN fixing
	ACTS_ON sacroiliac joint
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON dislocation
			HAS_LOCATION sacroiliac joint
OR_MAIN fixing
	ACTS_ON sacroiliac joint
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON dislocation & fracture
			HAS_LOCATION sacroiliac joint

RUBRIC "Ostosynthse plurifocale de fracture(s) ou fracture(s)-luxation(s) du bassin  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0350"
MAIN fixing
	ACTS_ON pelvic girdle
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION pelvic girdle
			HAS_QUANTITY several
OR_MAIN fixing
	ACTS_ON pelvic girdle
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture & dislocation
			HAS_LOCATION pelvic girdle
			HAS_QUANTITY several

RUBRIC "Arthrodse sacro-iliaque quelle que soit la technique sans reconstruction, par abord direct Inclut : le prlvement in situ d'autogreffe osseuse et l'ventuelle ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0351"
MAIN fixing
	ACTS_ON sacroiliac joint
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting
		ACTS_ON bone
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON sacroiliac joint
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting
		ACTS_ON bone
	HAS_APPROACH open
WITH fixing
	ACTS_ON autograft
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie sus-cotylodienne avec un seul trait avec ou sans ostosynthse Inclut : l'intervention de Chiari et Salter"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:33:01 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0352"
MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
OR_MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
WITH fixing
	ACTS_ON os ilium
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie sus-cotylodienne avec un seul trait avec ostotomie fmorale avec ou sans ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:33:22 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0353"
MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
WITH incising
	ACTS_ON femur
OR_MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
WITH incising
	ACTS_ON femur
WITH fixing
	ACTS_ON_1 os ilium
	ACTS_ON_2 femur
	BY_MEANS_OF fixation device

RUBRIC "Bute ostoplastique sus-cotylodienne, quelle que soit la technique Inclut : le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:37:05 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0354"
MAIN blocking
	ACTS_ON joint of hip
	BY_TECHNIQUE autografting
		ACTS_ON bone tissue
			HAS_DESTINATION supracotyloidcavity part of os ilium

RUBRIC "Bute ostoplastique sus-cotylodienne, quelle que soit la technique, avec ostotomie du grand trochanter Inclut : le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:37:49 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0355"
MAIN blocking
	ACTS_ON joint of hip
	BY_TECHNIQUE autografting
		ACTS_ON bone tissue
			HAS_DESTINATION supracotyloidcavity part of os ilium
WITH incising
	ACTS_ON greater trochanter

RUBRIC "Ostotomie extra-articulaire du pelvis avec plusieurs sections osseuses [type Paul Lecoeur]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0356"
MAIN incising
	ACTS_ON pelvic girdle
	HAS_QUANTITY several

RUBRIC "Ostotomie pri-actabulaire par interruption de la continuit de l'anneau pelvien [type Ganz ou Wagner] Inclut : l'ostosynthse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:43:25 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0357"
MAIN incising
	ACTS_ON periacetabular part of os ilium
	TO_ACHIEVE dividing
		ACTS_ON pelvic girdle
OR_MAIN incising
	ACTS_ON periacetabular part of os ilium
	TO_ACHIEVE dividing
		ACTS_ON pelvic girdle
WITH fixing
	ACTS_ON os ilium
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie intra-articulaire du col fmoral [Type Dunn] Inclut : l'ostosynthse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0358"
MAIN incising
	ACTS_ON neck
		IS_PART_OF femur
		IS_PART_OF joint of hip
OR_MAIN incising
	ACTS_ON neck
		IS_PART_OF femur
		IS_PART_OF joint of hip
WITH fixing
	ACTS_ON neck
		IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Prlvement unique de moelle osseuse Exclut : le prlvement sternal"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0359"
MAIN harvesting
	ACTS_ON bone marrow

RUBRIC "Prlvement multiple de moelle osseuse Exclut : le prlvement sternal"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0360"
MAIN harvesting
	ACTS_ON bone marrow
	HAS_QUANTITY several

RUBRIC "Drainage ou synovectomie de la symphyse pubienne ou de l'articulation sacro-iliaque par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0361"
MAIN draining
	ACTS_ON sacroiliac joint
	BY_TECHNIQUE incising
		ACTS_ON sacroiliac joint
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF sacroiliac joint
	BY_TECHNIQUE incising
		ACTS_ON sacroiliac joint
OR_MAIN draining
	ACTS_ON pubic symphysis
	BY_TECHNIQUE incising
		ACTS_ON pubic symphysis
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF pubic symphysis
	BY_TECHNIQUE incising
		ACTS_ON pubic symphysis

RUBRIC "Rduction orthopdique d'une luxation de l'articulation coxo-fmorale, Inclut contention par traction suspension"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990423,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0362"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	FOLLOWED_BY immobilising
		ACTS_ON joint of hip
		BY_MEANS_OF device
			HAS_FUNCTION putting into traction

RUBRIC "Rduction orthopdique d'une luxation d'une prothse de l'articulation coxo-fmorale, contention comprise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0363"
MAIN reducing (a dislocation)
	ACTS_ON prosthetic hip
	FOLLOWED_BY immobilising
		ACTS_ON joint of hip
		BY_MEANS_OF device
			HAS_FUNCTION putting into traction

RUBRIC "Rduction orthopdique d'une luxation de l'articulation coxo-fmorale avec fracture ou dcollement piphysaire de la tte fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:44:46 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0364"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
WITH reducing (a fracture)
	ACTS_ON head
		IS_PART_OF femur
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of hip
WITH reducing (a dislocation)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF femur
				HAS_POSITION proximal

RUBRIC "Rduction orthopdique d'une fracture du fmur par traction continue colle Inclut : la contention par pltre pelvi-pdieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0365"
MAIN reducing (a fracture)
	ACTS_ON femur
	BY_TECHNIQUE immobilising
		ACTS_ON femur
		BY_MEANS_OF cast
			HAS_FUNCTION putting into traction

RUBRIC "Rduction orthopdique d'une fracture du fmur par traction continue transosseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0366"
MAIN reducing (a fracture)
	ACTS_ON femur
	BY_MEANS_OF skeletal traction device

RUBRIC "Rduction d'une luxation de prothse de l'articulation coxo-fmorale  ciel ouvert Inclut : l'ventuel changement de la tte fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0367"
MAIN reducing (a dislocation)
	ACTS_ON prosthetic hip
	HAS_APPROACH open
OR_MAIN reducing (a dislocation)
	ACTS_ON prosthetic hip
	HAS_APPROACH open
WITH replacing
	ACTS_ON prosthetic head of femur

RUBRIC "Rduction d'une luxation de l'articulation coxo-fmorale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0368"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	HAS_APPROACH open

RUBRIC "Rduction d'une luxation de l'articulation coxo-fmorale  ciel ouvert avec ostosynthse d'une fracture de la tte fmorale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0369"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	HAS_APPROACH open
WITH fixing
	ACTS_ON head
		IS_PART_OF femur
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION head
				IS_PART_OF femur

RUBRIC "Ostosynthse du cotyle par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0370"
MAIN fixing
	ACTS_ON acetabulum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF hip
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse du cotyle par voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990423,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0371"
MAIN fixing
	ACTS_ON acetabulum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF hip
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse d'une fracture du cotyle par deux voies d'abord ou une seule voie abordant la colonne antrieure et postrieure du cotyle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0372"
MAIN fixing
	ACTS_ON acetabulum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF edge
				IS_PART_OF acetabulum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF edge
				IS_PART_OF acetabulum
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION acetabulum

RUBRIC "Ostosynthse d'une fracture de la tte fmorale par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0373"
MAIN fixing
	ACTS_ON head
		IS_PART_OF femur
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of hip
		BY_MEANS_OF endoscope
	BY_MEANS_OF fixation device
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION head
			IS_PART_OF femur

RUBRIC "Ostosynthse d'une fracture de la tte fmorale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0374"
MAIN fixing
	ACTS_ON head
		IS_PART_OF femur
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION head
			IS_PART_OF femur

RUBRIC "Ostosynthse d'une fracture intracapsulaire du col fmoral , d'un dcollement piphysaire ou d'une piphysiolyse quelles que soient la technique et la voie d'abord Fracture transcervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:42:40 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0375"
MAIN fixing
	ACTS_ON neck
		IS_PART_OF femur
		IS_PART_OF joint of hip
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION neck
			IS_PART_OF femur
			IS_PART_OF joint of hip
OR_MAIN fixing
	ACTS_ON neck
		IS_PART_OF femur
		IS_PART_OF joint of hip
	BY_MEANS_OF fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF femur
				HAS_POSITION proximal

RUBRIC "Ostosynthse d'une fracture extracapsulaire de la rgion trochantrienne , quels que soient le matriel et la voie d'abord "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990415,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0376"
MAIN fixing
	ACTS_ON trochanter
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION trochanter

RUBRIC "Ostosynthse d'une fracture extracapsulaire de la rgion trochantrienne  ciel ouvert, quel que soit le matriel et ostosynthse d'une fracture de l'extrmit infrieure du radius par broches par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:23:57 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0377"
MAIN fixing
	ACTS_ON trochanter
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION trochanter
WITH fixing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_ROUTE percutaneous route
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION part
				IS_PART_OF radius
				HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture sous-trochantrienne ou trochantro-diaphysaire quels que soient le matriel et la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0378"
MAIN fixing
	ACTS_ON part
		HAS_POSITION inferior
		IS_PART_OF trochanter
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION trochanter
OR_MAIN fixing
	ACTS_ON_1 trochanter
	ACTS_ON_2 diaphysis
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION_1 trochanter
			HAS_LOCATION_2 diaphysis
				IS_PART_OF femur

RUBRIC "Ostosynthse d'une fracture du grand trochanter"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0379"
MAIN fixing
	ACTS_ON greater trochanter
	BY_MEANS_OF fixation device
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION greater trochanter

RUBRIC "Changement de broches ou rglage de fixateur pour rduction secondaire d'une fracture du membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0380"
MAIN reducing (a fracture)
	ACTS_ON lower extremity
	BY_TECHNIQUE replacing
		ACTS_ON pin
			HAS_DESTINATION lower extremity
	HAS_TEMPORAL_MARKER secondary
OR_MAIN reducing (a fracture)
	ACTS_ON lower extremity
	BY_TECHNIQUE repositioning
		ACTS_ON fixation device
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Ostotomie du grand trochanter Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0381"
MAIN incising
	ACTS_ON greater trochanter
WITH fixing
	ACTS_ON greater trochanter
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie inter-trochantrienne ou sous-trochantrienne du fmur avec ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0382"
MAIN incising
	ACTS_ON_1 greater trochanter
	ACTS_ON_2 lesser trochanter
WITH fixing
	ACTS_ON_1 greater trochanter
	ACTS_ON_2 lesser trochanter
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION inferior
		IS_PART_OF trochanter
WITH fixing
	ACTS_ON trochanter
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie basi-cervicale de l'extrmit suprieure du fmur[SUJIOKA] Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0383"
MAIN incising
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF neck
			IS_PART_OF femur
WITH fixing
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF neck
			IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie inter-trochantrienne ou sous-trochantrienne du fmur et bute ostoplastique sus-cotylodienne Inclut : l'ostosynthse et le prlvement in situ"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:36:59 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0384"
MAIN incising
	ACTS_ON_1 greater trochanter
	ACTS_ON_2 lesser trochanter
WITH fixing
	ACTS_ON_1 greater trochanter
	ACTS_ON_2 lesser trochanter
	BY_MEANS_OF fixation device
WITH blocking
	ACTS_ON joint of hip
	BY_TECHNIQUE autografting
		ACTS_ON bone tissue
			HAS_DESTINATION supracotyloidcavity part of os ilium
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION inferior
		IS_PART_OF trochanter
WITH fixing
	ACTS_ON trochanter
	BY_MEANS_OF fixation device
WITH blocking
	ACTS_ON joint of hip
	BY_TECHNIQUE autografting
		ACTS_ON bone tissue
			HAS_DESTINATION supracotyloidcavity part of os ilium

RUBRIC "Nettoyage articulaire[debridement]coxo-fmoral par arthroscopie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyt, l'ablation de corps trangers,de petits fragments fibro-cartilagineux et/ou d'autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0385"
MAIN debriding
	ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of hip
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Arthrolyse coxo-fmorale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0386"
MAIN freeing
	ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip

RUBRIC "Correction isole d'attitudes vicieuses de hanche par tnotomie(s) percutane(s) Exclut : le psoas"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0387"
MAIN incising
	ACTS_ON tendon
		IS_PART_OF hip
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip

RUBRIC "Correction d'attitudes vicieuses de hanche par tnotomie ou allongement,  ciel ouvert, par une seule voie d'abord Inclut : l'allongement du psoas"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0388"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF psoas
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN incising
	ACTS_ON tendon
		IS_PART_OF psoas
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip

RUBRIC "Correction d'attitudes vicieuses de hanche par tnotomies ou allongements multiples par plusieurs voies d'abord  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0389"
MAIN incising
	ACTS_ON tendon
	HAS_APPROACH open
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN lengthening
	ACTS_ON tendon
	HAS_APPROACH open
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip

RUBRIC "Nettoyage de l'articulato[dbridemt]de la hanche par arthrotomie Inclut:la rsecto localis. de synoviale et/ou de replis synoviaux et/ou d'ostophyt, l'ablato de corps trang., de petits fragments fibro-cartilagineux et/ou autres chondropathi. localis. Exclut : l'infection"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0390"
MAIN debriding
	ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip

RUBRIC "Evacuation-drainage d'une collection coxo-fmorale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0391"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
WITH draining
	ACTS_ON abscess
		HAS_LOCATION joint of hip

RUBRIC "Synovectomie coxo-fmorale par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0392"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of hip
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of hip
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Synovectomie coxo-fmorale par arthrotomie par une voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0393"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
	HAS_APPROACH open

RUBRIC "Synovectomie coxo-fmorale totale par arthrotomie par deux voies d'abord dont une postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0394"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF hip
	HAS_APPROACH open
	HAS_EXTENT total

RUBRIC "Ablation d'une ossification sus-trochantrienne isole"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:45:48 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:46:04 pm on March 2, 2000 by DrJeremy Rogers
Transformation - adjusting descriptor: space - applied at 1:48:11 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0395"
MAIN removing
	ACTS_ON osteoma
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip

RUBRIC "Rsection d'ostome para-articulaire coxo-fmoral antrieur ou postrieur ou interne quelle que soit la voie d'abord Inclut : l'arthrolyse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:46:51 pm on March 2, 2000 by DrJeremy Rogers
Transformation - adjusting descriptor: space - applied at 1:48:11 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0396"
MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION part
			HAS_POSITION anterior
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip
WITH_OPTIONALLY freeing
	ACTS_ON joint of hip
OR_MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION part
			HAS_POSITION posterior
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip
WITH_OPTIONALLY freeing
	ACTS_ON joint of hip
OR_MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION part
			HAS_POSITION medial
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip
WITH_OPTIONALLY freeing
	ACTS_ON joint of hip

RUBRIC "Rsection d'ostome para-articulaire coxo-fmoral antrieur et postrieur, quelle que soit voie d'abord Inclut : l'arthrolyse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:47:00 pm on March 2, 2000 by DrJeremy Rogers
Transformation - adjusting descriptor: space - applied at 1:48:11 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0397"
MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION_1 part
			HAS_POSITION anterior
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip
		HAS_LOCATION_2 part
			HAS_POSITION posterior
			IS_PART_OF peri articular space
				HAS_PROXIMITY joint of hip
WITH_OPTIONALLY freeing
	ACTS_ON joint of hip

RUBRIC "Rsection de la tte et du col fmoral, sans reconstruction, avec ou sans ostotomie fmorale, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0398"
MAIN resecting
	ACTS_ON_1 head
		IS_PART_OF femur
	ACTS_ON_2 neck
		IS_PART_OF femur
OR_MAIN resecting
	ACTS_ON_1 head
		IS_PART_OF femur
	ACTS_ON_2 neck
		IS_PART_OF femur
WITH incising
	ACTS_ON femur

RUBRIC "Rsection de l'articulation coxo-fmorale avec coaptation trochantro-iliaque ou fmoro-iliaque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0399"
MAIN resecting
	ACTS_ON joint of hip
WITH fusing
	ACTS_ON_1 trochanter
	ACTS_ON_2 os ilium
OR_MAIN resecting
	ACTS_ON joint of hip
WITH fusing
	ACTS_ON_1 femur
	ACTS_ON_2 os ilium

RUBRIC "Arthrodse coxo-fmorale , quelles que soient la technique et la voie d'abord, sans reconstruction Inclut : le prlvement in situ d'autogreffe osseuse et l'ventuelle ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0400"
MAIN fixing
	ACTS_ON joint of hip
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse coxo-fmorale , quelles que soient la technique et la voie d'abord, avec reconstruction Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0401"
MAIN fixing
	ACTS_ON joint of hip
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON joint of hip
	BY_TECHNIQUE autografting
		ACTS_ON bone
			IS_PART_OF hip
	BY_TECHNIQUE fixing
		ACTS_ON autograft
		BY_MEANS_OF fixation device

RUBRIC "Arthroplastie par prothse fmorale cervico-cphalique de premire intention, scelle ou non"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0402"
MAIN replacing
	ACTS_ON_1 neck
		IS_PART_OF femur
	ACTS_ON_2 head
		IS_PART_OF femur
	BY_MEANS_OF prosthetic neck and head of femur
	HAS_TEMPORAL_MARKER primary

RUBRIC "Arthroplastie par cupule fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0403"
MAIN replacing
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_MEANS_OF prosthetic acetabular cup

RUBRIC "Arthroplastie par prothse fmorale et cupule mobile, de premire intention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0404"
MAIN replacing
	ACTS_ON_1 acetabulum
		IS_PART_OF os ilium
	ACTS_ON_2 head & neck
		IS_PART_OF femur
	BY_MEANS_OF prosthetic acetabular cup & prosthetic neck and head of femur

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non , quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0405"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec renfort cotylodien, quelles que soient la technique et la voie d'abord Inclut : le prlvement in situ d'autogreffe osseuse Exclut : les vis pilotis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0406"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
WITH reinforcing
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_TECHNIQUE autografting
		ACTS_ON bone
			HAS_DESTINATION acetabulum
				IS_PART_OF os ilium
			IS_PART_OF hip

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec reconstruction cotylodienne ou fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0407"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH reconstruction
	ACTS_ON acetabulum
		IS_PART_OF os ilium
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH reconstruction
	ACTS_ON femur

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec greffe de reconstruction cotylodienne, quelles que soient la technique et la voie d'abord Inclut : le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0408"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH reconstruction
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_TECHNIQUE autografting
		ACTS_ON bone
			HAS_DESTINATION acetabulum
				IS_PART_OF os ilium
			IS_PART_OF hip

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec greffe de reconstruction fmorale et renfort cotylodien Inclut:le prlvement in situ d'autogreffe osseuse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0409"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH reconstruction
	ACTS_ON femur
	BY_MEANS_OF autograft
WITH reinforcing
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_MEANS_OF autograft
WITH autografting
	ACTS_ON bone
		IS_PART_OF joint of hip

RUBRIC "Arthroplastie coxofmorale par prothse totale de premire intention, scelle ou non, avec abaissement de la tte fmorale dans le palocotyle, avec ou sans greffe de reconstruction cotylodienne visse quelles que soient la technique et la voie d'abord Inclut : le prlvement in situ d'autogreffe osseuse Luxation haute ou intermdiaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0410"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		ACTS_ON head
			IS_PART_OF femur
WITH moving
	ACTS_ON head
		HAS_DESTINATION acetabulum
			IS_PART_OF os ilium
		IS_PART_OF femur
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		ACTS_ON head
			IS_PART_OF femur
WITH moving
	ACTS_ON head
		HAS_DESTINATION acetabulum
			IS_PART_OF os ilium
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_MEANS_OF screw
	BY_TECHNIQUE autografting
		ACTS_ON bone
			HAS_DESTINATION acetabulum
				IS_PART_OF os ilium
			IS_PART_OF hip

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec ostotomie fmorale de raxation ou d'alignement"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0411"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH incising
	ACTS_ON femur

RUBRIC "Arthroplastie coxofmorale par prothse totale de premire intention, scelle ou non, avec abaissement de la tte fmorale dans le palocotyle, et ostotomie fmorale de raxation ou d'alignement sur luxation haute ou intermdiaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990427,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0412"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		ACTS_ON head
			IS_PART_OF femur
WITH moving
	ACTS_ON head
		HAS_DESTINATION acetabulum
			IS_PART_OF os ilium
		IS_PART_OF femur
WITH incising
	ACTS_ON femur

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, aprs ostotomie fmorale Inclut : l'ablation du matriel d'ostosynthse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0413"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	FOLLOWS incising
		ACTS_ON femur
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	FOLLOWS incising
		ACTS_ON femur
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH removing
	ACTS_ON fixation device

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec dsarthrodse coxo-fmorale, quelles que soient la technique et la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0414"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH removing
	ACTS_ON fixation device
		HAS_LOCATION joint of hip

RUBRIC "Arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, avec dsarthrodse et renfort cotylodien et/ou greffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0415"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH removing
	ACTS_ON fixation device
		HAS_LOCATION joint of hip
WITH reinforcing
	ACTS_ON acetabulum
		IS_PART_OF os ilium
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
	HAS_EXTENT total
	HAS_TEMPORAL_MARKER primary
WITH removing
	ACTS_ON fixation device
		HAS_LOCATION joint of hip
WITH reinforcing
	ACTS_ON acetabulum
		IS_PART_OF os ilium
	BY_TECHNIQUE autografting
		ACTS_ON bone
			HAS_DESTINATION acetabulum
				IS_PART_OF os ilium
			IS_PART_OF hip

RUBRIC "Evacuation-drainage d'une collection pri-prothtique coxo-fmorale par arthrotomie quelle que soit la voie d'abord Inclut : l'ventuelle synovectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0416"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION hip
			HAS_PROXIMITY prosthetic hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
WITH draining
	ACTS_ON hip
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION hip
			HAS_PROXIMITY prosthetic hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
WITH draining
	ACTS_ON hip
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of hip

RUBRIC "Mise en place d'une bute arme ou en polythylne visse et/ou abaissement du grand trochanter pour stabilisation d'une prothse totale de l'articulation coxo-fmorale et/ou changement de la tte ou du col amovible"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0417"
MAIN installing
	ACTS_ON metalic device
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
WITH moving
	ACTS_ON greater trochanter
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN installing
	ACTS_ON synthetic material
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
	BY_MEANS_OF screw
OR_MAIN changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN installing
	ACTS_ON synthetic material
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
	BY_MEANS_OF screw
WITH moving
	ACTS_ON greater trochanter
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN installing
	ACTS_ON metalic device
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN installing
	ACTS_ON synthetic material
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
	BY_MEANS_OF screw
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN moving
	ACTS_ON greater trochanter
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN moving
	ACTS_ON greater trochanter
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip
OR_MAIN installing
	ACTS_ON metalic device
		HAS_DESTINATION upper extremity
			IS_PART_OF femur
		HAS_FUNCTION blocking
			ACTS_ON prosthetic hip

RUBRIC "Changement de l'insert cotylodien d'une prothse totale de hanche avec ou sans changement de la tte et/ou du col fmoral amovible"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0418"
MAIN changing
	ACTS_ON prosthetic acetabular cup
		HAS_LOCATION prosthetic hip
OR_MAIN changing
	ACTS_ON prosthetic acetabular cup
		HAS_LOCATION prosthetic hip
WITH changing
	ACTS_ON prosthetic head of femur / prosthetic neck of femur
OR_MAIN changing
	ACTS_ON prosthetic acetabular cup
		HAS_LOCATION prosthetic hip
WITH changing
	ACTS_ON prosthetic neck and head of femur

RUBRIC "Ablation d'une prothse fmorale cervico-cphalique et implantation d'une prothse totale coxo-fmorale , scelle ou non, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0419"
MAIN removing
	ACTS_ON prosthetic neck and head of femur
WITH implanting
	ACTS_ON prosthetic hip
	BY_MEANS_OF cement
OR_MAIN removing
	ACTS_ON prosthetic neck and head of femur
WITH implanting
	ACTS_ON prosthetic hip

RUBRIC "Ablation d'une prothse totale coxo-fmorale sans reconstruction ni rimplantation de prothse, quelles que soient la technique et la voie d'abord Inclut : l'ventuelle interposition temporaire [spacer]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0420"
MAIN removing
	ACTS_ON prosthetic hip

RUBRIC "Ablation d'une prothse totale coxo-fmorale avec reconstruction osseuse du cotyle ou du fmur sans rimplantation de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0421"
MAIN removing
	ACTS_ON prosthetic hip
WITH reconstruction
	ACTS_ON acetabulum
OR_MAIN removing
	ACTS_ON prosthetic hip
WITH reconstruction
	ACTS_ON femur

RUBRIC "Ablation d'une prothse totale coxo-fmorale avec reconstruction osseuse du cotyle et du fmur sans rimplantation de prothse Inclut:le prlvement in situ d'autogreffe osseuse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0422"
MAIN removing
	ACTS_ON prosthetic hip
WITH reconstruction
	ACTS_ON acetabulum & femur

RUBRIC "Ablation d'une prothse totale coxo-fmorale suivie de coaptation trochantro-iliaque, quel que soit le mode d'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0423"
MAIN removing
	ACTS_ON prosthetic hip
WITH fixing
	ACTS_ON_1 greater trochanter
	ACTS_ON_2 os ilium
	BY_MEANS_OF fixation device

RUBRIC "Changement [ablation-rimplantation] de la pice fmorale ou cotylodienne d'une prothse totale de hanche sans reconstruction ni ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0424"
MAIN replacing
	ACTS_ON prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic acetabular cup
OR_MAIN replacing
	ACTS_ON prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic neck and head of femur

RUBRIC "Changement [ablation-rimplantation] de la pice fmorale ou cotylodienne d'une prothse totale de hanche avec ostosynthse du fmur ou du cotyle sana greffe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0425"
MAIN replacing
	ACTS_ON prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic acetabular cup
WITH fixing
	ACTS_ON acetabulum
	BY_MEANS_OF fixation device
OR_MAIN replacing
	ACTS_ON prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic neck and head of femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche sans reconstruction ni ostosynthse quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0426"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic hip

RUBRIC "Changement [ablation-rimplantation] de la pice fmorale ou cotylodienne d'une prothse totale de hanche avec reconstruction"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0427"
MAIN replacing
	ACTS_ON prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic acetabular cup
WITH reconstruction
	ACTS_ON acetabulum
OR_MAIN replacing
	ACTS_ON prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic neck and head of femur
WITH reconstruction
	ACTS_ON femur

RUBRIC "Changement [ablation-rimplantation] de la pice fmorale ou cotylodienne d'une prothse totale de hanche avec reconstruction osseuse du fmur ou du cotyle :quasi doublon de R0427"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0428"
MAIN replacing
	ACTS_ON prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic acetabular cup
WITH reconstruction
	ACTS_ON acetabulum
OR_MAIN replacing
	ACTS_ON prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic neck and head of femur
WITH reconstruction
	ACTS_ON femur

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche avec reconstruction osseuse d'une pice"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0429"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic hip
WITH reconstruction
	ACTS_ON acetabulum / femur

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche avec ostosynthse du fmur ou du cotyle sans greffe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0430"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic hip
WITH fixing
	ACTS_ON acetabulum / femur
	BY_MEANS_OF fixation device

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche avec ostosynthse du fmur ou du cotyle et reconstruction osseuse quelles que soient les techniques et les voies d'abord Inclut le prlvement d'autogreffe osseuse in situ :exclut le prlvement d'autogreffe osseus greffe  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0431"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic hip
WITH fixing
	ACTS_ON acetabulum / femur
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON acetabulum / femur
	BY_MEANS_OF bone
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF hip

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche avec ostosynthse du fmur ou du cotyle et reconstruction(s) osseuse(s) quelles que soient les techniques et les voies d'abord :exclut le prlvement d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0432"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_MEANS_OF prosthetic hip
WITH fixing
	ACTS_ON acetabulum / femur
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON acetabulum / femur
	BY_MEANS_OF bone

RUBRIC "Changement [ablation-rimplantation] de la pice fmorale ou cotylodienne d'une prothse totale de hanche par greffes compactes sans ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0433"
MAIN replacing
	ACTS_ON prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	BY_TECHNIQUE filling
		ACTS_ON hole
			HAS_LOCATION acetabulum
		BY_MEANS_OF bone
OR_MAIN replacing
	ACTS_ON prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_TECHNIQUE filling
		ACTS_ON hole
			HAS_LOCATION femur
		BY_MEANS_OF bone

RUBRIC "Changement [ablation-rimplantation] des pices fmorale et cotylodienne d'une prothse totale de hanche par greffes compactes sans ostosynthse inclut :le prlvement d'autogreffe osseuse in situ: exclut le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0434"
MAIN replacing
	ACTS_ON_1 prosthetic acetabular cup
		IS_PART_OF prosthetic hip
	ACTS_ON_2 prosthetic neck and head of femur
		IS_PART_OF prosthetic hip
	BY_TECHNIQUE filling
		ACTS_ON hole
			HAS_LOCATION_1 femur
			HAS_LOCATION_2 acetabulum
		BY_MEANS_OF bone
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF hip

RUBRIC "Rintervention pour pseudarthrose du grand trochanter quel que soit le matriel utilis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0435"
MAIN surgical deed
	ACTS_ON greater trochanter
		IS_PART_OF femur
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY curing
	ACTS_ON pseudarthrose
		HAS_LOCATION greater trochanter

RUBRIC "Rimplantation d'une prothse totale coxo-fmorale, scelle ou non, avec reconstruction(s) osseuse(s) quelles que soient la technique et la voie d'abord 2me temps aprs ablation Exclut : le prlvement d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0436"
MAIN reimplanting
	ACTS_ON prosthetic hip
	BY_TECHNIQUE fixing
		ACTS_ON prosthetic hip
		BY_MEANS_OF cement
	HAS_TEMPORAL_MARKER secondary
WITH reconstruction
	ACTS_ON acetabulum / femur
OR_MAIN reimplanting
	ACTS_ON prosthetic hip
	HAS_TEMPORAL_MARKER secondary
WITH reconstruction
	ACTS_ON acetabulum / femur

RUBRIC "Rimplantation d'une prothse totale coxo-fmorale, scelle ou non,sans reconstruction osseuse quelles que soient la technique et la voie d'abord 2me temps aprs ablation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0437"
MAIN reimplanting
	ACTS_ON prosthetic hip
	BY_TECHNIQUE fixing
		ACTS_ON acetabulum / femur
		BY_MEANS_OF cement
	HAS_TEMPORAL_MARKER secondary
OR_MAIN reimplanting
	ACTS_ON prosthetic hip
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Confection d'un appareil d'immobilisation rigide externe pelvi-pdieux ou pelvi-jambier ou pelvi-crural"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0438"
MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 lower extremity
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 leg
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 thigh

RUBRIC "Ostosynthse d'une fracture de la diaphyse fmorale,  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0439"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF femur

RUBRIC "Ostosynthse de la diaphyse fmorale,  foyer ouvert, quel que soit le matriel et ostosynthse par fixateur externe d'une fracture ouverte de la diaphyse fmorale controlatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0440"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 diaphysis
			IS_PART_OF femur
		HAS_LOCATION_2 diaphysis
			IS_PART_OF femur
				HAS_LATERALITY contralateral
WITH fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF external fixation device
	HAS_LATERALITY contralateral

RUBRIC "Ostosynthse d'une fracture de la diaphyse fmorale par enclouage avec verrouillage distal,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0441"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF femur
WITH blocking
	ACTS_ON intramedullary nail device

RUBRIC "Ostosynthse de la diaphyse fmorale par enclouage avec verrouillage distal et ostosynthse de la diaphyse tibiale homolatrale par matriel centro-mdullaire sans verrouillage,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0442"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH blocking
	ACTS_ON intramedullary nail device
WITH fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF intramedullary nail device
	HAS_LATERALITY ipsilateral

RUBRIC "Ostosynth. de la diaphy fmorale par enclouage avec verrouillage distal et ostosynth. de la diaphy tibiale homolatrale par matriel centro-mdullaire sans verrouillage,  foyer fermavec ostosynth diaphysaire des 2 os de l'avant-bras  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0443"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH blocking
	ACTS_ON intramedullary nail device
WITH fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF intramedullary nail device
	HAS_LATERALITY ipsilateral
WITH fixing
	ACTS_ON diaphysis
		IS_PART_OF ulna & radius
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynth. d'une fract. de la diaphyse fmorale par enclouage avec verrouillage distal, foyer ferm avec parage et/ou suture de plaie profonde [sous fasciale]de la peau et des parties molles,de + de 10 cm de grand axe sur le mme membre Fracture ouverte"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0444"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF femur
WITH blocking
	ACTS_ON intramedullary nail device
WITH washing
	ACTS_ON wound
		HAS_LOCATION limb
			HAS_POSITION inferior
		HAS_QUANTITY more than 10 cm
WITH suturing
	ACTS_ON wound
		HAS_LOCATION limb
			HAS_POSITION inferior
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF femur
WITH blocking
	ACTS_ON intramedullary nail device
WITH washing
	ACTS_ON wound
		HAS_LOCATION limb
			HAS_POSITION inferior
		HAS_QUANTITY more than 10 cm
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF femur
WITH blocking
	ACTS_ON intramedullary nail device
WITH suturing
	ACTS_ON wound
		HAS_LOCATION limb
			HAS_POSITION inferior
		HAS_QUANTITY more than 10 cm

RUBRIC "Ostosynthse de la diaphyse fmorale avec enclouage  foyer ferm Inclut : l'ventuel verrouillage proximal"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0445"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
OR_MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
WITH blocking
	ACTS_ON intramedullary nail device

RUBRIC "Ostosynthse de la diaphyse fmorale et du col fmoral ipsilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0446"
MAIN fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF femur
	ACTS_ON_2 neck
		HAS_LATERALITY ipsilateral
		IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse par fixateur externe ou broche de la diaphyse fmorale par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0447"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF external fixation device / pin
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse par fixateur externe d'une fracture ouverte de la diaphyse fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0448"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		CONNECTS wound
		HAS_LOCATION diaphysis
			IS_PART_OF femur

RUBRIC "Ostotomie avec correction axiale unidirectionnelle de la diaphyse fmorale Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0449"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
WITH harvesting
	ACTS_ON bone
		IS_PART_OF femur
	TO_ACHIEVE autografting

RUBRIC "Ostotomie complexe [pluridirectionnelle] de la diaphyse fmorale Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0450"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF femur
	HAS_EXTENT complex
	TO_ACHIEVE straightening
		ACTS_ON femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
WITH harvesting
	ACTS_ON bone
		IS_PART_OF femur
	TO_ACHIEVE autografting

RUBRIC "Replantation du membre infrieur sectionn au niveau de la cuisse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0451"
MAIN repositioning
	ACTS_ON lower extremity
		HAS_DESTINATION thigh
MOTIVATED_OVERALL_BY curing
	ACTS_ON detachment
		ACTS_ON lower extremity
		HAS_LOCATION thigh

RUBRIC "Perforation, forage, injection intra-osseuse de la tte fmorale Exclut : les piphyses fertiles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0452"
MAIN dig up
	ACTS_ON head
		IS_PART_OF femur
OR_MAIN drilling
	ACTS_ON head
		IS_PART_OF femur
OR_MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION head
			IS_PART_OF femur

RUBRIC "Arthroscopie du genou  vise diagnostique avec ou sans biopsie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0453"
MAIN inspecting
	ACTS_ON joint of knee
	BY_MEANS_OF arthroscope
TO_ACHIEVE_OVERALL diagnosis
	ACTS_ON joint of knee
WITH biopsying
	ACTS_ON joint of knee
OR_MAIN inspecting
	ACTS_ON joint of knee
	BY_MEANS_OF arthroscope
TO_ACHIEVE_OVERALL diagnosis
	ACTS_ON joint of knee

RUBRIC "Examen de la stabilit ligamentaire du genou sous anesthsie Inclut : la ponction ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0454"
MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent / local anesthesic agent
TO_ACHIEVE_OVERALL measuring
	ACTS_ON abnormal movement
		ACTS_ON knee
OR_MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent / local anesthesic agent
TO_ACHIEVE_OVERALL measuring
	ACTS_ON abnormal movement
		ACTS_ON knee
WITH puncturing
	ACTS_ON knee

RUBRIC "Examen de la stabilit ligamentaire du genou sous anesthsie gnrale ou loco-rgionale avec contention par pltre ou rsine Inclut : la ponction ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0455"
MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent / local anesthesic agent
TO_ACHIEVE_OVERALL measuring
	ACTS_ON abnormal movement
		ACTS_ON knee
WITH immobilising
	ACTS_ON knee
	BY_MEANS_OF cast
OR_MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent / local anesthesic agent
TO_ACHIEVE_OVERALL measuring
	ACTS_ON abnormal movement
		ACTS_ON knee
WITH immobilising
	ACTS_ON knee
	BY_MEANS_OF cast
WITH puncturing
	ACTS_ON knee

RUBRIC "Rduction orthopdique d'une fracture dcollement piphysaire de l'extrmit infrieure du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:48:03 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:48:18 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0456"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF femur
				HAS_POSITION distal
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF femur
			HAS_POSITION distal
	BY_MEANS_OF hand

RUBRIC "Ostosynthse d'une fracture dcollement piphysaire de l'extrmit infrieure du fmur par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:40:13 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0457"
MAIN fixing
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF femur
				HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture simple d'un condyle fmoral, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0458"
MAIN fixing
	ACTS_ON condyle
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION condyle
			IS_PART_OF femur

RUBRIC "Ostosynthse d'une fracture simple supra condylienne extra-articulaire du fmur, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:30:46 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0459"
MAIN fixing
	ACTS_ON supracondylar part of femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supracondylar part of femur

RUBRIC "Ostosynthse d'une fracture simple sus et intercondylienne du fmur,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:50:58 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:59:50 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R0460"
MAIN fixing
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 intercondylar femoral notch
		HAS_LOCATION_2 supracondylar part of femur

RUBRIC "Ostosynthse d'une fracture sus et intercondylienne complexe [plurifragmentaire] de l'extrmit infrieure du fmur, quels que soient le matriel et la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:00:16 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R0461"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY several
		IS_PART_OF lower extremity
			IS_PART_OF femur
	BY_MEANS_OF fixation device
TO_ACHIEVE_OVERALL curing
	ACTS_ON fracture
		HAS_LOCATION_1 supracondylar part of femur
		HAS_LOCATION_2 intercondylar femoral notch

RUBRIC "Ostosynthse percutane par broche ou fixateur externe de l'extrmit infrieure du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0462"
MAIN fixing
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route

RUBRIC "Fixation d'un fragment ostochondral du genou par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0463"
MAIN fixing
	ACTS_ON cartilage & bone tissue
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Fixation d'un fragment ostochondral du genou par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990406,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0464"
MAIN fixing
	ACTS_ON cartilage & bone tissue
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Ostosynthse d'une fracture de la rotule  un seul trait,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0465"
MAIN fixing
	ACTS_ON patella
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION patella

RUBRIC "Ostosynthse d'une fracture complexe de la rotule,  foyer ouvert Fracture comminutive"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0466"
MAIN fixing
	ACTS_ON patella
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON comminuted fracture
		HAS_LOCATION patella

RUBRIC "Ostotomie de drotation de l'extrmit infrieure du fmur ou de l'extrmit suprieure du tibia avec abord pralable vasculaire ou nerveux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0467"
MAIN incising
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_APPROACH_TECHNIQUE dissecting
		ACTS_ON vessel / nerve
	TO_ACHIEVE derotating
		ACTS_ON femur
OR_MAIN incising
	ACTS_ON upper extremity
		IS_PART_OF tibia
	BY_APPROACH_TECHNIQUE dissecting
		ACTS_ON vessel / nerve
	TO_ACHIEVE derotating
		ACTS_ON tibia

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit infrieure du fmur avec l'ostosynthse (sans greffe)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0468"
MAIN incising
	ACTS_ON lower extremity
		IS_PART_OF femur
WITH fixing
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit infrieure du fmur avec autogreffe osseuse Inclut : le prlvement d'autogreffe osseuse et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:11:03 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0469"
MAIN incising
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF femur
WITH fixing
	ACTS_ON bone
		HAS_DESTINATION part
			HAS_POSITION lower
			IS_PART_OF femur
	BY_MEANS_OF fixation device
WITH harvesting
	ACTS_ON bone
	TO_ACHIEVE autografting

RUBRIC "Ostotomie complexe [pluridirectionnelle] de l'extrmit infrieure du fmur avec ostosynthse sans greffe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0470"
MAIN incising
	ACTS_ON lower extremity
		IS_PART_OF femur
	HAS_EXTENT complex
WITH fixing
	ACTS_ON lower extremity
		IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie complexe [pluridirectionnelle] de l'extrmit infrieure du fmur avec ostosynthse avec greffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:49:41 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:50:13 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0471"
MAIN incising
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF femur
	HAS_EXTENT complex
WITH fixing
	ACTS_ON bone
		HAS_DESTINATION part
			HAS_POSITION lower
			IS_PART_OF femur
	BY_MEANS_OF fixation device
WITH harvesting
	ACTS_ON bone
		IS_PART_OF femur
	TO_ACHIEVE autografting

RUBRIC "Dcortication du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0472"
MAIN decorticating
	ACTS_ON femur

RUBRIC "Injection du genou pour synoviorthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0473"
MAIN injecting
	ACTS_ON radioactive substance
		HAS_DESTINATION knee
TO_ACHIEVE_OVERALL irradiating
	ACTS_ON synovial membrane
		IS_PART_OF knee

RUBRIC "Ponction du genou ou injection  vise thrapeutique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0474"
MAIN puncturing
	ACTS_ON joint of knee
OR_MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION joint of knee

RUBRIC "Mobilisation du genou sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0475"
MAIN mobilisation
	ACTS_ON joint of knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent / local anesthesic agent

RUBRIC "Rduction orthopdique d'une luxation ou luxation-fracture du genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0476"
MAIN reducing (a dislocation)
	ACTS_ON joint of knee
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of knee
	BY_MEANS_OF hand
WITH reducing (a fracture)
	ACTS_ON joint of knee
	ACTS_ON bone
		IS_PART_OF joint of knee
	BY_MEANS_OF hand

RUBRIC "Mniscectomie interne ou externe, partielle ou totale, par arthroscopie Inclut : la rgularisation cartilagineuse, la synovectomie localise, la rsection de plica... ventuelles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0477"
MAIN excising
	ACTS_ON meniscus
		HAS_POSITION medial
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	HAS_EXTENT partial / total
	WITH_GUIDANCE_BY arthroscope
OR_MAIN excising
	ACTS_ON meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	HAS_EXTENT partial / total
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Mniscectomie interne ou externe partielle ou totale, par arthrotomie Inclut : la rgularisation cartilagineuse, la synovectomie partielle, la rsection de plica... ventuelles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0478"
MAIN excising
	ACTS_ON meniscus
		HAS_POSITION medial
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	HAS_EXTENT partial / total
OR_MAIN excising
	ACTS_ON meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	HAS_EXTENT partial / total

RUBRIC "Mniscectomie interne ou externe partielle ou totale, par arthroscopie Inclut : la rgularisation cartilagineuse, la synovectomie partielle, la rsection de plica... ventuelles:doublon absolu de R0477"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0479"
MAIN excising

RUBRIC "Mniscectomie interne et externe partielle ou totale, par arthrotomie Inclut : la rgularisation cartilagineuse, la synovectomie partielle, la rsection de plica... ventuellesdoublon absolu de R0478"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0480"
MAIN excising

RUBRIC "Rinsertion ou suture d'un mnisque par arthroscopie quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0481"
MAIN reimplanting
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN suturing
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Rinsertion ou suture d'un mnisque avec reconstruction du ligament crois antrieur de premire intention, par arthroscopie Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0482"
MAIN reimplanting
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_TECHNIQUE harvesting
		ACTS_ON tendon
	HAS_TEMPORAL_MARKER primary
OR_MAIN suturing
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_TECHNIQUE harvesting
		ACTS_ON tendon
	HAS_TEMPORAL_MARKER primary

RUBRIC "Rinsertion ou suture d'un mnisquepar arthrotomie Inclut : l'abord postrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0483"
MAIN reimplanting
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF joint of knee
OR_MAIN suturing
	ACTS_ON meniscus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF joint of knee

RUBRIC "Rinsertion ou suture de deux mnisques par arthroscopie Inclut : l'abord postrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0484"
MAIN reimplanting
	ACTS_ON_1 meniscus
		HAS_POSITION medial
	ACTS_ON_2 meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN suturing
	ACTS_ON_1 meniscus
		HAS_POSITION medial
	ACTS_ON_2 meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Rinsertion ou suture de deux mnisques par arthrotomie Inclut : l'abord postrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0485"
MAIN reimplanting
	ACTS_ON_1 meniscus
		HAS_POSITION medial
	ACTS_ON_2 meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN suturing
	ACTS_ON_1 meniscus
		HAS_POSITION medial
	ACTS_ON_2 meniscus
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Rinsertion et/ou suture du tendon quadricipital  ciel ouvert Inclut : la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0486"
MAIN reimplanting
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
	HAS_APPROACH open
WITH suturing
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
WITH immobilising
	ACTS_ON lower extremity
	BY_MEANS_OF cast
OR_MAIN reimplanting
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
	HAS_APPROACH open
WITH immobilising
	ACTS_ON lower extremity
	BY_MEANS_OF cast
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
	HAS_APPROACH open
WITH immobilising
	ACTS_ON lower extremity
	BY_MEANS_OF cast

RUBRIC "Rinsertion et/ou suture du tendon rotulien sans plastie Inclut : le cadrage transosseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0487"
MAIN reimplanting
	ACTS_ON patellar ligament
WITH suturing
	ACTS_ON patellar ligament
OR_MAIN reimplanting
	ACTS_ON patellar ligament
OR_MAIN suturing
	ACTS_ON patellar ligament

RUBRIC "Rinsertion et/ou suture du tendon rotulien avec plastie autologueInclut : le prlvement in situ Exclut : le prlvement sur le genou controlatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0488"
MAIN reimplanting
	ACTS_ON patellar ligament
	BY_TECHNIQUE plastic repairing
		ACTS_ON patellar ligament
		BY_MEANS_OF autograft
WITH suturing
	ACTS_ON patellar ligament
WITH harvesting
	ACTS_ON tendon
		IS_PART_OF knee
			HAS_LATERALITY ipsilateral
OR_MAIN reimplanting
	ACTS_ON patellar ligament
	BY_TECHNIQUE plastic repairing
		ACTS_ON patellar ligament
		BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON tendon
		IS_PART_OF knee
			HAS_LATERALITY ipsilateral
OR_MAIN suturing
	ACTS_ON patellar ligament
	BY_TECHNIQUE plastic repairing
		ACTS_ON patellar ligament
		BY_MEANS_OF autograft

RUBRIC "Rinsertion et/ou suture du tendon rotulien avec plastie autologue Inclut : le prlvement osto-tendineux sur le genou controlatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0489"
MAIN reimplanting
	ACTS_ON patellar ligament
	BY_TECHNIQUE plastic repairing
		ACTS_ON patellar ligament
		BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON bone & tendon
		IS_PART_OF knee
			HAS_LATERALITY contralateral
	TO_ACHIEVE autografting
WITH suturing
	ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON patellar ligament
	BY_TECHNIQUE plastic repairing
		ACTS_ON patellar ligament
		BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON bone & tendon
		IS_PART_OF knee
			HAS_LATERALITY contralateral
	TO_ACHIEVE autografting
OR_MAIN suturing
	ACTS_ON patellar ligament

RUBRIC "Rinsertion tendineuse transosseuse du Ligament rotulien sur la tubrosit tibiale antrieure ou la rotule, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0490"
MAIN reimplanting
	ACTS_ON patellar ligament
		HAS_DESTINATION tuberosity of tibia
OR_MAIN reimplanting
	ACTS_ON patellar ligament
		HAS_DESTINATION patella

RUBRIC "Rinsertion tendineuse transosseuse du ligament rotulien sur la tubrosit tibiale antrieure ou la rotule, quelle que soit la technique doublon absolu de R0490"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0491"
MAIN reimplanting

RUBRIC "Incisions axiales [ peignage] du tendon rotulien sans plastie Inclut : l'excision des tissus pathologiques"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0492"
MAIN incising
	ACTS_ON patellar ligament
	HAS_QUANTITY several
WITH excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION knee

RUBRIC "Incisions axiales [ peignage ] du tendon rotulien avec plastie autologue Inclut : le prlvement et l'excision des tissus pathologiques"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0493"
MAIN incising
	ACTS_ON patellar ligament
	HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON patellar ligament
	BY_MEANS_OF autograft
WITH excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION knee

RUBRIC "Evacuation-drainage du genou, prothtique ou non, par arthroscopie Inclut : l'abord postrieur ventuel Exclut : synovectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0494"
MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH draining
	ACTS_ON knee
OR_MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH draining
	ACTS_ON knee

RUBRIC "Evacuation-drainage du genou, prothtique ou non, par arthrotomie Inclut : l'abord postrieur ventuel Exclut : synovectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0495"
MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH draining
	ACTS_ON knee
OR_MAIN evacuating
	ACTS_ON liquid substance
		HAS_LOCATION knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
WITH draining
	ACTS_ON knee

RUBRIC "Synovectomie totale du compartiment antrieur du genou par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0496"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF part
			HAS_POSITION anterior
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Synovectomie totale du compartiment antrieur du genou par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0497"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF part
			HAS_POSITION anterior
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	HAS_EXTENT total

RUBRIC "Synovectomie antrieure du genou par arthroscopie et synovectomie postrieure par arthrotomie, sans changement de position"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0498"
MAIN excising
	ACTS_ON synovial membrane
		HAS_POSITION anterior
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH excising
	ACTS_ON synovial membrane
		HAS_POSITION posterior
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Synovectomie totale du genou par arthroscopie avec au moins un abord antrieur et postrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0499"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON_1 part
				HAS_POSITION anterior
				IS_PART_OF joint of knee
			ACTS_ON_2 part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
			HAS_QUANTITY at least 1
		BY_MEANS_OF arthroscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Synovectomie totale du genou par arthrotomie antrieure et postrieure sans changement de position"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0500"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF joint of knee
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF joint of knee
	HAS_EXTENT total

RUBRIC "Synovectomie totale du genou par arthrotomie ou arthroscopie antrieure et postrieure avec changement de position"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990413,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0501"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF joint of knee
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF joint of knee
	HAS_EXTENT total
WITH moving
	ACTS_ON body part
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON_1 part
				HAS_POSITION anterior
				IS_PART_OF joint of knee
			ACTS_ON_2 part
				HAS_POSITION posterior
				IS_PART_OF joint of knee
		BY_MEANS_OF arthroscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY arthroscope
WITH moving
	ACTS_ON body part

RUBRIC "Exrse d'un hygroma du genou par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0502"
MAIN excising
	ACTS_ON hygroma
		HAS_LOCATION knee
	HAS_APPROACH open

RUBRIC "Libration postrieure du genou par allongement tendineux et/ou capsulotomie  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0503"
MAIN lengthening
	ACTS_ON tendon
		HAS_POSITION posterior
		IS_PART_OF joint of knee
	HAS_APPROACH open
TO_ACHIEVE_OVERALL moving
	ACTS_ON joint of knee
	HAS_EXTENT anterior
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint of knee
OR_MAIN incising
	ACTS_ON capsula
		IS_PART_OF joint of knee
	HAS_APPROACH open
TO_ACHIEVE_OVERALL moving
	ACTS_ON joint of knee
	HAS_EXTENT anterior
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_POSITION posterior
		IS_PART_OF joint of knee
	HAS_APPROACH open
TO_ACHIEVE_OVERALL moving
	ACTS_ON joint of knee
	HAS_EXTENT anterior

RUBRIC "Arthrolyse mobilisatrice du genou par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0504"
MAIN lysing
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
TO_ACHIEVE_OVERALL moving
	ACTS_ON joint of knee

RUBRIC "Arthrolyse du genou par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0505"
MAIN freeing
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
TO_ACHIEVE_OVERALL moving
	ACTS_ON joint of knee

RUBRIC "Arthrolyse du genou par arthroscopie ou arthrotomie, avec libration complte du quadriceps [intervention mobilisatrice de JUDET]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0506"
MAIN freeing
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH freeing
	ACTS_ON musculus quadriceps femoris
	HAS_EXTENT complete
OR_MAIN freeing
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH freeing
	ACTS_ON musculus quadriceps femoris
	HAS_EXTENT complete

RUBRIC "Nettoyage articulaire[dbridement]du genou par arthroscopie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyt,l'ablation de corps trang., de petits fragments fibro-cartilagineux et/ou d'autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0507"
MAIN debriding
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Nettoyage articulaire[dbridement]du genou par arthrotomlie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyt,l'ablation de corps trang., de petits fragments fibro-cartilagineux et/ou d'autres chondropathies localis."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990407,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0508"
MAIN debriding
	ACTS_ON joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Rduction orthopdique et contention, par pltre ou rsine d'une luxation de la rotule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0509"
MAIN reducing (a dislocation)
	ACTS_ON patella
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON knee
	BY_MEANS_OF cast

RUBRIC "Contention lastique ou bandage du genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0510"
MAIN banding
	ACTS_ON knee

RUBRIC "Section de l'aileron rotulien externe par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0511"
MAIN dividing
	ACTS_ON patella lateral process
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Section de l'aileron rotulien externepar arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0512"
MAIN dividing
	ACTS_ON patella lateral process
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Recentrage de la rotule par capsulotendinomyoplastie et section de l'aileron rotulien externe, par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0513"
MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE plastic repairing
		ACTS_ON_1 capsula
			IS_PART_OF joint of knee
		ACTS_ON_2 tendon & muscle (striated)
			IS_PART_OF musculus quadriceps femoris
WITH dividing
	ACTS_ON patella lateral process

RUBRIC "Recentrage de la rotule par ostotomie de la tubrosit tibiale antrieure ou mobilisation du tendon rotulien et section de l'aileron rotulien externe par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0514"
MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE incising
		ACTS_ON tuberosity of tibia
WITH dividing
	ACTS_ON patella lateral process
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE mobilisation
		ACTS_ON patellar ligament
WITH dividing
	ACTS_ON patella lateral process

RUBRIC "Recentrage de la rotule par capsulomyotendinoplastie et section de l'aileron rotulien externe avec ostotomie de la tubrosit tibiale ant. ou mob.te. rot et patello. model. par tomie Inclut:l'interposito tissulaire et l'exrse d'une partie dela rotule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0516"
MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE plastic repairing
		ACTS_ON_1 capsula
			IS_PART_OF joint of knee
		ACTS_ON_2 muscle (striated) & tendon
			IS_PART_OF musculus quadriceps femoris
WITH dividing
	ACTS_ON patella lateral process
WITH incising
	ACTS_ON tuberosity of tibia
		HAS_POSITION anterior
WITH refashioning
	ACTS_ON patella
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE plastic repairing
		ACTS_ON_1 capsula
			IS_PART_OF joint of hip
		ACTS_ON_2 muscle (striated) & tendon
			IS_PART_OF musculus quadriceps femoris
WITH dividing
	ACTS_ON patella lateral process
WITH mobilisation
	ACTS_ON patellar ligament
WITH refashioning
	ACTS_ON patella

RUBRIC "Ostotomie trochlenne et section de l'aileron rotulien externe par arthrotomie Inclut : l'ostosynthse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:59:40 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:28:59 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:29:34 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:29:47 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:29:58 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:02:26 pm on April 10, 2000 by DrJeremy Rogers
Manual accept at 12:03:40 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0517"
MAIN incising
	ACTS_ON trochlea femoris
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH dividing
	ACTS_ON patella lateral process
OR_MAIN incising
	ACTS_ON trochlea femoris
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH dividing
	ACTS_ON patella lateral process
WITH fixing
	ACTS_ON tuberosity of tibia
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie trochlenne et de la tubrosit tibiale antrieure ou mobilsation du tendon rotulien et section de l'aileron rotulien externe avec ou sans capsulomyotendinoplastie pour recentrage rotulien (ou stabilisation) par arthrotomie Inclut:l'ostosynthse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990430,rodrigues,0;
Manual accept at 2:04:21 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:01:27 pm on April 10, 2000 by DrJeremy Rogers
Manual accept at 12:04:16 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0518"
MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE plastic repairing
		ACTS_ON_1 capsula
			IS_PART_OF joint of knee
		ACTS_ON_2 muscle (striated) & tendon
			IS_PART_OF musculus quadriceps femoris
WITH dividing
	ACTS_ON patella lateral process
WITH incising
	ACTS_ON tuberosity of tibia
WITH incising
	ACTS_ON trochlea femoris
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE plastic repairing
		ACTS_ON_1 capsula
			IS_PART_OF joint of hip
		ACTS_ON_2 muscle (striated) & tendon
			IS_PART_OF musculus quadriceps femoris
WITH dividing
	ACTS_ON patella lateral process
WITH mobilisation
	ACTS_ON patellar ligament
WITH incising
	ACTS_ON trochlea femoris
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH dividing
	ACTS_ON patella lateral process
WITH incising
	ACTS_ON tuberosity of tibia
WITH incising
	ACTS_ON trochlea femoris
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH dividing
	ACTS_ON patella lateral process
WITH mobilisation
	ACTS_ON patellar ligament
WITH incising
	ACTS_ON trochlea femoris

RUBRIC "Patellectomie partielle quelle que soit la technique de reconstruction de l'appareil extenseur,  ciel ouvert Fracture de la rotule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0519"
MAIN excising
	ACTS_ON patella
	HAS_APPROACH open
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION patella
WITH reconstruction
	ACTS_ON patella
	ACTS_ON_1 patellar ligament
	ACTS_ON_2 tendon
		IS_PART_OF musculus quadriceps femoris

RUBRIC "Patellectomie partielle quelle que soit la technique de reconstruction de l'appareil extenseur,"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990430,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0520"
MAIN excising
	ACTS_ON patella
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON patella
	ACTS_ON_1 patellar ligament
	ACTS_ON_2 tendon
		IS_PART_OF musculus quadriceps femoris

RUBRIC "Patelloplastie modelante ostochondrale [rsection arthroplastique] avec ou sans interposition de tissu vivant ou inerte"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0521"
MAIN plastic repairing
	ACTS_ON patella
	BY_TECHNIQUE resecting
		ACTS_ON_1 bone
			IS_PART_OF patella
		ACTS_ON_2 cartilage
			IS_PART_OF patella
WITH interposing
	ACTS_ON tissue graft
OR_MAIN plastic repairing
	ACTS_ON patella
	BY_TECHNIQUE resecting
		ACTS_ON patella

RUBRIC "Patelloplastie modelante ostochondrale [rsection arthroplastique] avec ou sans interposition de tissu vivant ou inerte et/ou capsulomyotendinoplastie avec transposition de la tubrosit tibiale antrieure par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0522"
MAIN plastic repairing
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE resecting
		ACTS_ON_1 bone
			IS_PART_OF patella
		ACTS_ON_2 cartilage
			IS_PART_OF patella
WITH interposing
	ACTS_ON tissue graft
WITH plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of knee
	ACTS_ON_2 tendon & muscle (striated)
		IS_PART_OF musculus quadriceps femoris
WITH transposing
	ACTS_ON tuberosity of tibia
OR_MAIN plastic repairing
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_TECHNIQUE resecting
		ACTS_ON_1 bone
			IS_PART_OF patella
		ACTS_ON_2 cartilage
			IS_PART_OF patella
WITH plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of knee
	ACTS_ON_2 tendon & muscle (striated)
		IS_PART_OF musculus quadriceps femoris
WITH transposing
	ACTS_ON tuberosity of tibia

RUBRIC "Suture ou rinsertion d'un ou plusieurs lment(s) capsulo-ligamentaire(s) priphrique(s) du genou  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0523"
MAIN suturing
	ACTS_ON part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	HAS_APPROACH open
OR_MAIN reimplanting
	ACTS_ON part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	HAS_APPROACH open

RUBRIC "Suture ou rinsertion du ligament crois antrieur par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0524"
MAIN suturing
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Suture ou rinsertion du ligament crois antrieur par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0525"
MAIN suturing
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Suture ou rinsertion du ligament crois antrieur et d'un ou plusieurs lment(s) capsulo-ligamentaire(s) priphrique(s) par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0526"
MAIN suturing
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN suturing
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		HAS_QUANTITY several
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		HAS_QUANTITY several
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Suture ou rinsertion des ligaments croiss antrieur et postrieur et d'un ou plusieurs lments capsulo-ligamentaires priphriques par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0527"
MAIN suturing
	ACTS_ON_1 cruciate ligament of knee anterior & cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN suturing
	ACTS_ON_1 cruciate ligament of knee anterior & cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		HAS_QUANTITY several
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON_1 cruciate ligament of knee anterior & cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
OR_MAIN reimplanting
	ACTS_ON_1 cruciate ligament of knee anterior & cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		HAS_QUANTITY several
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Suture ou rinsertion du ligament crois postrieur par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0528"
MAIN suturing
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
OR_MAIN reimplanting
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Suture ou rinsertion du ligament crois postrieur  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0529"
MAIN suturing
	ACTS_ON cruciate ligament of knee posterior
	HAS_APPROACH open
OR_MAIN reimplanting
	ACTS_ON cruciate ligament of knee posterior
	HAS_APPROACH open

RUBRIC "Suture ou rinsertion du ligament crois postrieur et des lment(s) capsulo-ligamentaire(s) priphrique(s)  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0530"
MAIN suturing
	ACTS_ON_1 cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	HAS_APPROACH open
OR_MAIN reimplanting
	ACTS_ON_1 cruciate ligament of knee posterior
	ACTS_ON_2 part
		HAS_POSITION peripheral
		IS_PART_OF capsula & ligament
			IS_PART_OF joint of knee
	HAS_APPROACH open

RUBRIC "Reconstruction par autogreffe du ligament crois antrieur, de premire intention, par arthroscopie Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0531"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	BY_MEANS_OF autograft

RUBRIC "Reconstruction par autogreffe du ligament crois antrieur, de premire intention, par arthrotomie Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0532"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_MEANS_OF autograft

RUBRIC "Reconstruction du ligament crois postrieur, de premire intention,par arthroscopie. Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0533"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope

RUBRIC "Reconstruction du ligament crois postrieur, de premire intention, par arthrotomie, Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0534"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

RUBRIC "Reconstruction par ligament synthtique du crois postrieur, de premire intention, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0535"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_MEANS_OF prosthetic graft
	HAS_TEMPORAL_MARKER primary

RUBRIC "Reconstruction par ligament synthtique du crois postrieur, de premire intention, par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0536"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	BY_MEANS_OF prosthetic graft
	HAS_TEMPORAL_MARKER primary
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Reconstruction des ligaments croiss antrieur et postrieur, de premire intention,par arthroscopie Inclut : le(s) prlvement(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0537"
MAIN reconstruction
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	BY_MEANS_OF tendon
	HAS_TEMPORAL_MARKER primary
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Reconstruction des ligaments croiss antrieur et postrieur, de premire intention,par arthrotomie Inclut : le(s) prlvement(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0538"
MAIN reconstruction
	ACTS_ON_1 cruciate ligament of knee anterior
	ACTS_ON_2 cruciate ligament of knee posterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_MEANS_OF tendon
	HAS_TEMPORAL_MARKER primary

RUBRIC "Plastie ligamentaire extra-articulaire externe du genou avec le fascia lata [type Lemaire]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0539"
MAIN plastic repairing
	ACTS_ON collateral fibular ligament
		HAS_PROXIMITY joint of knee
		IS_PART_OF knee
	BY_MEANS_OF fascia lata femoris

RUBRIC "Plastie ligamentaire extra-articulaire externe du genou avec le fascia lata [type Lemaire] avec reconstruction des ligaments croiss antrieur ou postrieur Inclut : le prlvement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0540"
MAIN plastic repairing
	ACTS_ON collateral fibular ligament
		IS_PART_OF knee
	BY_MEANS_OF fascia lata femoris
WITH reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_MEANS_OF tendon
OR_MAIN plastic repairing
	ACTS_ON collateral fibular ligament
		IS_PART_OF knee
	BY_MEANS_OF fascia lata femoris
WITH reconstruction
	ACTS_ON cruciate ligament of knee posterior
	BY_MEANS_OF tendon

RUBRIC "Arthroplastie par prothse unicompartimentaire, de premire intention,fmorotibiale ou fmoropatellaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:51:21 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0541"
MAIN replacing
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF femur
	BY_MEANS_OF prosthetic femur lower extremity
	HAS_TEMPORAL_MARKER primary
OR_MAIN replacing
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF tibia
	BY_MEANS_OF prosthetic tibia upper extremity
	HAS_TEMPORAL_MARKER primary
OR_MAIN replacing
	ACTS_ON patella
	BY_MEANS_OF prosthetic patella
	HAS_TEMPORAL_MARKER primary

RUBRIC "Arthroplastie du genou par prothse  charnire fixe ou rotatoire Inclut : ostotomie de la tubrosit tibiale antrieure ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0542"
MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
OR_MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
WITH incising
	ACTS_ON tuberosity of tibia

RUBRIC "Arthroplastie par prothse tricompartimentaire du genou, de premire intention, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0543"
MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
		CONNECTS_1 prosthetic femur lower extremity
		CONNECTS_2 prosthetic tibia upper extremity
		CONNECTS_3 prosthetic patella
	HAS_TEMPORAL_MARKER primary

RUBRIC "Arthroplastie par prothse tricompartimentaire du genou, de premire intention, sur dformation suprieure  10dans le plan frontal (charnire exclue), avec arthrolyse et ventuelle reconstruction Inclut : le relchement ligamentaire et l'ostotomie ventuelle de la tubrosit tibiale antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0544"
MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
		CONNECTS_1 prosthetic femur lower extremity
		CONNECTS_2 prosthetic patella
		CONNECTS_3 prosthetic tibia upper extremity
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION joint of knee
WITH freeing
	ACTS_ON joint of knee
OR_MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
		CONNECTS_1 prosthetic femur lower extremity
		CONNECTS_2 prosthetic patella
		CONNECTS_3 prosthetic tibia upper extremity
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION joint of knee
WITH freeing
	ACTS_ON joint of knee
WITH reconstruction
	ACTS_ON joint of knee
WITH incising
	ACTS_ON tuberosity of tibia

RUBRIC "Arthroplastie par prothse tricompartimentaire du genou, de premire intention, sclle ou non avec reconstruction(s) osseuse(s) Inclut le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0545"
MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
		CONNECTS_1 prosthetic femur lower extremity
		CONNECTS_2 prosthetic patella
		CONNECTS_3 prosthetic tibia upper extremity
	HAS_TEMPORAL_MARKER primary
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF knee
	BY_MEANS_OF autograft
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF knee

RUBRIC "Changement de l'insert d'une prothse uni ou tricompartimentaire du genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0546"
MAIN replacing
	ACTS_ON part
		IS_PART_OF prosthetic knee joint

RUBRIC "Changement [ablation et implantation] d'une prothse unicompartimentaire du genou Inclut : l'ostotomie de la tubrosit tibiale antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0547"
MAIN replacing
	ACTS_ON prosthetic femur lower extremity
WITH incising
	ACTS_ON tuberosity of tibia
OR_MAIN replacing
	ACTS_ON prosthetic patella
WITH incising
	ACTS_ON tuberosity of tibia
OR_MAIN replacing
	ACTS_ON prosthetic tibia upper extremity
WITH incising
	ACTS_ON tuberosity of tibia

RUBRIC "Changement [ablation et implantation] d'une prothse du genou unicompartimentaire en prothse tricompartimentaire sans reconstruction osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0548"
MAIN replacing
	ACTS_ON prosthetic femur lower extremity
	BY_MEANS_OF prosthetic knee joint
OR_MAIN replacing
	ACTS_ON prosthetic patella
	BY_MEANS_OF prosthetic knee joint
OR_MAIN replacing
	ACTS_ON prosthetic tibia upper extremity
	BY_MEANS_OF prosthetic knee joint

RUBRIC "Changement [ablation et implantation] d'une prothse du genou tricompartimentaire en prothse tricompartimentaire, sans reconstruction osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0549"
MAIN replacing
	ACTS_ON prosthetic knee joint

RUBRIC "Ablation de prothse de genou avec ou sans interposition de matriel non prothtique [spacer] Inclut : le nettoyage et la synovectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0550"
MAIN removing
	ACTS_ON prosthetic knee joint
WITH interposing
	ACTS_ON material
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee
OR_MAIN removing
	ACTS_ON prosthetic knee joint
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee

RUBRIC "Ablation de prothse de genou avec synovectomie et arthrodse Inclut : l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0551"
MAIN removing
	ACTS_ON prosthetic knee joint
WITH fixing
	ACTS_ON joint of knee
	BY_MEANS_OF fixation device
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF joint of knee

RUBRIC "Rimplantation de prothse de genou aprs ablation de prothse, sans reconstruction osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0552"
MAIN reimplanting
	ACTS_ON prosthetic knee joint
	FOLLOWS removing
		ACTS_ON prosthetic knee joint

RUBRIC "Rimplantation de prothse de genou aprs ablation de prothse, avec reconstruction osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0553"
MAIN reimplanting
	ACTS_ON prosthetic knee joint
	FOLLOWS removing
		ACTS_ON prosthetic knee joint
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF knee

RUBRIC "Changement [ablation-implantation] de prothse de genou avec reconstruction osseuse Inclut : l'ostotomie de la tubrosit tibiale antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0554"
MAIN replacing
	ACTS_ON prosthetic knee joint
WITH reconstruction
	ACTS_ON bone
		IS_PART_OF knee
WITH incising
	ACTS_ON tuberosity of tibia

RUBRIC "Greffe ostotendineuse de reconstruction de l'appareil extenseur du genou par prlvement d'une autogreffe homolatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0555"
MAIN reconstruction
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
	ACTS_ON_1 patellar ligament
	ACTS_ON_2 patella
	BY_MEANS_OF autograft
		HAS_LATERALITY ipsilateral

RUBRIC "Greffe ostotendineuse de reconstruction de l'appareil extenseur du genou par prlvement d'une autogreffecontrolatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0556"
MAIN reconstruction
	ACTS_ON tendon
		IS_PART_OF musculus quadriceps femoris
	ACTS_ON_1 patellar ligament
	ACTS_ON_2 patella
	BY_MEANS_OF autograft
		HAS_LATERALITY contralateral

RUBRIC "Arthrodse fmoro-tibiale quelle que soit la technique sans reconstruction Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:44:50 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0557"
MAIN fixing
	ACTS_ON joint
		CONNECTS_1 femur
		CONNECTS_2 tibia
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse fmoro-tibiale quelle que soit la technique avec reconstruction Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;
Manual accept at 12:49:20 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0558"
MAIN fixing
	ACTS_ON joint
		CONNECTS_1 femur
		CONNECTS_2 tibia
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON_1 femur
	ACTS_ON_2 tibia

RUBRIC "Rduction orthopdique d'une fracture de l'extrmit suprieure des deux os de la jambe ou du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:56:03 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0559"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF tibia
			HAS_POSITION upper
		HAS_LOCATION_2 part
			IS_PART_OF fibula
			HAS_POSITION upper
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION upper
	BY_MEANS_OF hand

RUBRIC "Rduction orthopdique et contention par traction continue d'une fracture de l'extrmit suprieure des deux os de la jambe ou du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:55:35 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0560"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF tibia
			HAS_POSITION upper
		HAS_LOCATION_2 part
			IS_PART_OF fibula
			HAS_POSITION upper
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON leg
	BY_MEANS_OF banding device
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION upper
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON leg
	BY_MEANS_OF banding device

RUBRIC "Ostosynthse par fixateur externe ou broches d'une fracture de l'extrmit suprieure du tibia,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:57:53 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0561"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal
	BY_MEANS_OF external fixation device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal
	BY_MEANS_OF pin
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal

RUBRIC "Ostosynthse d'une fracture-sparation d'un plateau tibial unitubrositaire,  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:02:51 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0562"
MAIN fixing
	ACTS_ON condyle
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION condyle
			IS_PART_OF tibia

RUBRIC "Ostosynthse d'une fracture articulaire complexe d'un plateau tibial [avec enfoncement ostochondral] ou d'une fracture complexe d'un condyle fmoral [plurifragmentaire],  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:47:17 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:48:46 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0563"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION tibial plateau
	HAS_EXTENT complex
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibial plateau
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY several
		IS_PART_OF condyle
			IS_PART_OF femur
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_EXTENT complex
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION femur

RUBRIC "Ostosynthse de l'extrmit suprieure du tibia  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:04:50 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0564"
MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit suprieure du tibia avec ostosynthse (sans greffe) Inclut : l'ostotomie ventuelle du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:59:58 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0565"
MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
WITH incising
	ACTS_ON fibula

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit suprieure du tibia avec ostosynthse (sans greffe)  ciel ouvert et mnisectomie interne ou externe, partielle ou totale, par arthrotomie Inclut : l'ostotomie ventuelle du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:00:50 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:29:26 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0566"
MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH excising
	ACTS_ON meniscus
		HAS_POSITION medial / lateral
	HAS_EXTENT partial
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH excising
	ACTS_ON meniscus
		HAS_POSITION medial / lateral
	HAS_EXTENT total

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit suprieure du tibia avec ostosynthse (sans greffe)  ciel ouvert et mnisectomie interne ou externe,partielle ou totale,et reconstruction du ligament crois antrieur de 1re intention par arthrotomie Inclut : l'ostotomie ventuelle du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:03:10 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:29:09 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0567"
MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH excising
	ACTS_ON meniscus
		HAS_POSITION medial / lateral
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON cruciate ligament of knee anterior
	HAS_TEMPORAL_MARKER primary
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH excising
	ACTS_ON meniscus
		HAS_POSITION medial / lateral
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON cruciate ligament of knee anterior
	HAS_TEMPORAL_MARKER primary

RUBRIC "Ostotomie simple [unidirectionnelle] de l'extrmit suprieure du tibia avec interposition de matriel inerte ou greffe osseuse inclut ostosynthse exclut : le prlvement d'autogreffe osseus  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;
Manual accept at 2:04:38 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0568"
MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
WITH interposing
	ACTS_ON material
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device
WITH autografting
	ACTS_ON bone

RUBRIC "Ostotomie complexe [pluridirectionnelle] de l'extrmit suprieure du tibia avec ostosynthse sans greffe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:01:23 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0569"
MAIN incising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	HAS_EXTENT complex
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse pronotibiale suprieure Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:11:51 pm on March 1, 2000 by jeremy
Manual accept at 12:12:03 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R0572"
MAIN fixing
	ACTS_ON superior tibiofibular joint
	BY_MEANS_OF fixation device
	BY_MEANS_OF autograft
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF knee

RUBRIC "Rduction orthopdique d'une fracture diaphysaire des deux os de la jambe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0573"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 diaphysis
			IS_PART_OF fibula
		HAS_LOCATION_2 diaphysis
			IS_PART_OF tibia
	BY_MEANS_OF hand

RUBRIC "Rduction itrative d'une fracture de jambe Inclut : la gypsotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0574"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION leg
	BY_TECHNIQUE incising
		ACTS_ON cast
	HAS_TEMPORAL_MARKER revision

RUBRIC "Rduction par traction continue d'une fracture diaphysaire des deux os de la jambe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0575"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 diaphysis
			IS_PART_OF fibula
		HAS_LOCATION_2 diaphysis
			IS_PART_OF tibia
	BY_MEANS_OF banding device

RUBRIC "Ostosynthse d'une fracture du tibia par fixateur externe Exclut : l'ostosynthse interne complmentaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0576"
MAIN fixing
	ACTS_ON tibia
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibia

RUBRIC "Ostosynthse d'une fracture de la diaphyse tibiale par matriel centro-mdullaire sans verrouillage,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0577"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF tibia

RUBRIC "Ostosynthse d'une fracture du tibia par enclouage centro-mdullaire avec verrouillage distal,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0578"
MAIN fixing
	ACTS_ON tibia
	BY_MEANS_OF intramedullary nail device
	BY_TECHNIQUE stabilising
		ACTS_ON intramedullary nail device
		BY_MEANS_OF screw
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibia

RUBRIC "Ostosynthse d'une fracture du tibia par enclouage centro-mdullaire avec verrouillage distal,  foyer ferm avec parage et/ou suture de plaie profonde [sous fasciale] de la peau et des parties molles, de plus de 10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0579"
MAIN fixing
	ACTS_ON tibia
	BY_MEANS_OF intramedullary nail device
	BY_TECHNIQUE stabilising
		ACTS_ON intramedullary nail device
		BY_MEANS_OF screw
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
		HAS_QUANTITY more than 10 cm
WITH arranging
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
OR_MAIN fixing
	ACTS_ON tibia
	BY_MEANS_OF intramedullary nail device
	BY_TECHNIQUE stabilising
		ACTS_ON intramedullary nail device
		BY_MEANS_OF screw
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
		HAS_QUANTITY more than 10 cm
WITH suturing
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue

RUBRIC "Ostosynthse par fixateur externe d'une fracture complexe du pilon tibial [plurifragmentaire ou avec enfoncement ostochondral] Exclut : l'ostosynthse complmentaire ventuelle par broches ou vis, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:47:01 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0580"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_EXTENT complex
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture de la diaphyse tibiale, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0581"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF tibia

RUBRIC "Ostosynthse de la diaphyse du pron, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0582"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF fibula
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse interne de la diaphyse tibiale avec autogreffe cortico-spongieuse,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0583"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	BY_MEANS_OF autograft
	HAS_APPROACH open

RUBRIC "Dcortication de la diaphyse tibiale ou pronire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0584"
MAIN decorticating
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN decorticating
	ACTS_ON diaphysis
		IS_PART_OF fibula

RUBRIC "Dcortication du tibia avec autogreffe osseuse cortico-spongieuse visse Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0585"
MAIN decorticating
	ACTS_ON tibia
WITH autografting
	ACTS_ON_1 bone cortex
	ACTS_ON_2 bone layer
	BY_MEANS_OF screw
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF tibia

RUBRIC "Greffe intertibio-pronire, quelle que soit la voie d'abord Inclut : le prlvement in situ d'autogreffe osseuse et l'ventuelle ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0586"
MAIN installing
	ACTS_ON bone
		CONNECTS_1 tibia
		CONNECTS_2 fibula
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF leg
OR_MAIN installing
	ACTS_ON bone
		CONNECTS_1 tibia
		CONNECTS_2 fibula
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF leg
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF fixation device

RUBRIC "Ablation de greffon, d'autre matriau ou de stimulateur interne de la diaphyse tibia-pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:31:07 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0587"
MAIN removing
	ACTS_ON material
		HAS_LOCATION diaphysis
			IS_PART_OF tibia
OR_MAIN removing
	ACTS_ON bone
		CAUSED_BY grafting
		IS_PART_OF diaphysis
			IS_PART_OF tibia
OR_MAIN removing
	ACTS_ON device
		HAS_FUNCTION stimulating
			ACTS_ON growing
				ACTS_ON diaphysis
		HAS_LOCATION diaphysis
			IS_PART_OF tibia
OR_MAIN removing
	ACTS_ON material
		HAS_LOCATION diaphysis
			IS_PART_OF fibula
OR_MAIN removing
	ACTS_ON bone
		CAUSED_BY grafting
		IS_PART_OF diaphysis
			IS_PART_OF fibula
OR_MAIN removing
	ACTS_ON device
		HAS_FUNCTION stimulating
			ACTS_ON growing
				ACTS_ON diaphysis
		HAS_LOCATION diaphysis
			IS_PART_OF fibula

RUBRIC "Ostotomie simple [unidirectionnelle] de la diaphyse du tibia avec ou sans ostotomie du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0588"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN incising
	ACTS_ON_1 diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF fibula

RUBRIC "Ostotomie complexe [pluridirectionnelle] de la diaphyse du tibia avec ou sans ostotomie du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0589"
MAIN incising
	ACTS_ON_1 diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF fibula
	HAS_EXTENT complex
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF tibia
	HAS_EXTENT complex

RUBRIC "Replantation du membre infrieur sectionn  la jambe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0590"
MAIN reimplanting
	ACTS_ON leg

RUBRIC "Arthroscopiedu tarse Inclut : la biopsie ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0591"
MAIN inspecting
	ACTS_ON tarsus joint
	BY_MEANS_OF arthroscope
OR_MAIN inspecting
	ACTS_ON tarsus joint
	BY_MEANS_OF arthroscope
WITH biopsying
	ACTS_ON tarsus joint

RUBRIC "Examen de la cheville sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0592"
MAIN inspecting
	ACTS_ON ankle
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN inspecting
	ACTS_ON ankle
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Mobilisation de la cheville sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0593"
MAIN mobilisation
	ACTS_ON ankle
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN mobilisation
	ACTS_ON ankle
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Confection d'une attelle de posture ou de mobilisation de la cheville"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0594"
MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON ankle
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON mobilisation
				ACTS_ON ankle

RUBRIC "Confection d'une contention lastique ou bandage de la cheville [strapping], ou d'une semelle pltre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0595"
MAIN creating
	ACTS_ON bandage
		HAS_LOCATION ankle
OR_MAIN creating
	ACTS_ON cast
		HAS_LOCATION planta pedis

RUBRIC "Confection d'une botte rigide externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0596"
MAIN creating
	ACTS_ON cast
		HAS_LOCATION_1 leg
		HAS_LOCATION_2 foot

RUBRIC "Rduction orthopdique et contention cruro-pdieuse d'une fracture ou dcollement piphysaire supramallolaire, mallolaire ou du pilon tibial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:53:50 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:55:42 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:31:23 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:39:24 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0597"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION malleolus medialis tibiae
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON foot
	ACTS_ON_1 thigh
	ACTS_ON_2 leg

RUBRIC "Rduction par traction continue d'une fracture supramallolaire, mallolaire ou du pilon tibial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:47:29 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:47:48 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:30:01 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 12:30:19 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0598"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
	BY_MEANS_OF banding device
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION medial malleolus
			IS_PART_OF tibia
	BY_MEANS_OF banding device
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION segment
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF banding device

RUBRIC "Rduction orthopdique d'une luxation tibio-astragalienne ou sous-astragalienne ou mdio-tarsienne Inclut : la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0599"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio talocruralis
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio subtalaris
	BY_MEANS_OF hand
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio tarsi transversa
	BY_MEANS_OF hand

RUBRIC "Rduction orthopdique d'une fracture ou d'une fracture-luxation du tarse Inclut : la contention post opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0600"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION os tarsale
	BY_MEANS_OF hand
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION os tarsale
	BY_MEANS_OF hand
WITH reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION tarsus joint

RUBRIC "Rduction d'une luxation tibio-talienne ou sous-talienne et/ou mdio-tarsienne  ciel ouvert Inclut : la stabilisation temporaire et la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990503,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0601"
MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio talocruralis
	HAS_APPROACH open
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio subtalaris
	HAS_APPROACH open
OR_MAIN reducing (a dislocation)
	ACTS_ON dislocation
		HAS_LOCATION articulatio tarsi transversa
	HAS_APPROACH open

RUBRIC "Rduction orthopdique avec ostosynthse percutane par broches ou vis d'une luxation tibio-astragalienne et/ou sous-astragalienne et/ou mdio-tarsienne y compris la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0602"
MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio talocruralis
		HAS_LOCATION_2 articulatio subtalaris
		HAS_LOCATION_3 articulatio tarsi transversa
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio talocruralis
		HAS_LOCATION_2 articulatio subtalaris
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio talocruralis
		HAS_LOCATION_2 articulatio tarsi transversa
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio tarsi transversa
		HAS_LOCATION_2 articulatio subtalaris
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio tarsi transversa
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio subtalaris
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot
OR_MAIN reducing (a dislocation)
	ACTS_ON luxation
		HAS_LOCATION_1 articulatio talocruralis
	BY_MEANS_OF hand
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
WITH immobilising
	ACTS_ON foot

RUBRIC "Ostosynthse percutane par broche ou vis d'une fracture ou dcollement piphysaire supramallolaire, mallolaire ou du pilon tibial Inclut : la contention terminale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:53:28 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:55:26 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:31:56 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:42:15 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0603"
MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF femur
			HAS_POSITION distal
WITH immobilising
	ACTS_ON ankle & leg
OR_MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture ou dcollement piphysaire supramallolaire, mallolaire ou du pilon tibial par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:43:13 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:43:55 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:32:39 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:43:16 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0604"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
OR_MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
OR_MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION distal
	BY_MEANS_OF external fixation device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal

RUBRIC "Ostosynthse percutane par broche ou vis et par fixateur externe d'une fracture ou dcollement piphysaire supramallolaire, mallolaire ou du pilon tibial Inclut : la contention terminale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:45:58 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:46:34 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:33:05 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:43:55 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0605"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
WITH immobilising
	ACTS_ON ankle & leg
OR_MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION distal
	BY_MEANS_OF pin
	BY_MEANS_OF external fixation device
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire supramallolaire, mallolaire ou du pilon tibial, par un clou transplantaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:52:07 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:32:12 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0606"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
	BY_MEANS_OF transplantar nail device
		HAS_LOCATION supramalleolar part of tibia
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
	BY_MEANS_OF transplantar nail device
		HAS_LOCATION malleolus
			IS_PART_OF tibia
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF transplantar nail device
		HAS_LOCATION tibia
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire supramallolaire tibiale, quel que soit le matriel,  foyer ouvert Inclut : la contention post-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:54:57 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:30:59 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:36:49 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0607"
MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire supramallolaire tibiale et du pron, quel que soit le matriel,  foyer ouvert Inclut : la contention post-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 12:53:59 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:54:19 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:35:13 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:46:21 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:47:23 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:47:37 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0608"
MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF tibia
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF fibula
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF tibia
			HAS_POSITION distal
		HAS_LOCATION_2 part
			IS_PART_OF fibula
			HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON_1 part
		IS_PART_OF tibia
		HAS_POSITION distal
	ACTS_ON_2 part
		IS_PART_OF fibula
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
		HAS_LOCATION_1 epiphysis
			IS_PART_OF part
				IS_PART_OF fibula
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire mallolaire du tibia, quel que soit le matriel,  foyer ouvert Inclut : la contention post-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:41:54 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:44:10 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0609"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION malleolus
			IS_PART_OF tibia
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture de l'extrmit infrieure du pron, quel que soit le matriel utilis,  foyer ouvert Inclut : la contention post-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:52:02 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0610"
MAIN fixing
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF fibula
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			HAS_POSITION lower
			IS_PART_OF fibula
WITH immobilising
	ACTS_ON leg

RUBRIC "Ostosynthse d'une fracture simple tri-mallolaire ou du pilon tibial [sans enfoncement ostochondral] , quel que soit le matriel,  foyer ouvert Inclut : la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:40:48 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0611"
MAIN fixing
	ACTS_ON_3 malleolus medialis tibiae
	ACTS_ON_1 malleolus lateralis fibulae
	ACTS_ON_2 part
		HAS_POSITION posterior
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION ankle
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse d'une fracture simple tri-mallolaire ou du pilon tibial [sans enfoncement ostochondral] , quel que soit le matriel,  foyer ouvert Inclut : la contention avec R0613"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990504,rodrigues,0;
Manual accept at 1:44:30 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0612"
MAIN fixing
	ACTS_ON_3 malleolus medialis tibiae
	ACTS_ON_1 malleolus lateralis fibulae
	ACTS_ON_2 part
		HAS_POSITION posterior
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
WITH immobilising
	ACTS_ON foot & leg
OR_MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			HAS_POSITION posterior
			IS_PART_OF tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			HAS_POSITION posterior
			IS_PART_OF tibia
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynth. de la diaphy tibiale homolatrale par matriel centro-mdullaire sans verrouillage,  foyer ferm avec ostosynth diaphysaire des deux os de l'avant-bras  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0613"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed
	HAS_LATERALITY ipsilateral
WITH fixing
	ACTS_ON_1 diaphysis
		IS_PART_OF radius
	ACTS_ON_2 diaphysis
		IS_PART_OF ulna
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture simple bi-mallolaire  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0614"
MAIN fixing
	ACTS_ON_1 malleolus lateralis fibulae
	ACTS_ON_2 malleolus medialis tibiae
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 malleolus lateralis fibulae
		HAS_LOCATION_2 malleolus medialis tibiae

RUBRIC "Ostosynthse d'une fracture complexe (plurifragmentaire) bi-mallolaire  foyer ouvert, quel que soit le matriel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990504,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0615"
MAIN fixing
	ACTS_ON_1 malleolus lateralis fibulae
	ACTS_ON_2 malleolus medialis tibiae
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_EXTENT complex
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 malleolus lateralis fibulae
		HAS_LOCATION_2 malleolus medialis tibiae

RUBRIC "Ostosynthse d'une fracture complexe [enfoncement ostochondral] du pilon tibial, quel que soit le matriel utilis,  foyer ouvert Inclut :la contention post opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:39:25 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0616"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_EXTENT complex
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
WITH immobilising
	ACTS_ON foot & leg

RUBRIC "Ostosynthse percutane intrafocale par broches ou vis pour fracture de l'astragale, du calcanum ou du mdio-pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0617"
MAIN fixing
	ACTS_ON talus
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION talus
OR_MAIN fixing
	ACTS_ON calcaneum
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION calcaneum
OR_MAIN fixing
	ACTS_ON midfoot
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION midfoot

RUBRIC "Ostosynthse par fixateur externe du tarse Inclut l'ventuel appui sur le tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0618"
MAIN fixing
	ACTS_ON os tarsale
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse du tarse  foyer ouvert quelle que soit la technique Exclut : l'astragale et le calcanum"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0619"
MAIN fixing
	ACTS_ON os tarsale distale
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse du corps ou du col de l'astragale, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0620"
MAIN fixing
	ACTS_ON corpus
		IS_PART_OF talus
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON neck
		IS_PART_OF talus
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture parcellaire ostochondrale de la poulie astragalienne, quels que soient le matriel et la voie d'abord,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:07:23 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0621"
MAIN fixing
	ACTS_ON trochlea tali
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF trochlea tali

RUBRIC "Ostosynthse d'une fracture simple du calcanum  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0622"
MAIN fixing
	ACTS_ON calcaneum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION calcaneum

RUBRIC "Ostosynthse de fracture simple du calcanum, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0623"
MAIN fixing
	ACTS_ON calcaneum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION calcaneum

RUBRIC "Ostosynthse d'une fracture du calcanum, quel que soit le matriel,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0624"
MAIN fixing
	ACTS_ON calcaneum
	BY_MEANS_OF fixation device
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION calcaneum

RUBRIC "Ostosynthse de fracture complexe du calcanum, quel que soit le matriel,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0625"
MAIN fixing
	ACTS_ON calcaneum
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	HAS_EXTENT complex
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION calcaneum

RUBRIC "Ablation d'un fragment astragalien ostochondral par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0626"
MAIN removing
	ACTS_ON_1 cartilage
		IS_PART_OF talus
	ACTS_ON_2 bone
		IS_PART_OF talus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio talocruralis

RUBRIC "Ablation d'un fragment astragalien ostochondral par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990504,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0627"
MAIN removing
	ACTS_ON_1 cartilage
		IS_PART_OF talus
	ACTS_ON_2 bone
		IS_PART_OF talus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Ostotomie supra mallolaire Inclut : l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:52:16 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:52:32 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:35:24 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0628"
MAIN incising
	ACTS_ON supramalleolar part of tibia
WITH fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION distal
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie intra-articulaire tibio-talienne Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:54:39 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0629"
MAIN incising
	ACTS_ON_1 part
		IS_PART_OF tibia
		HAS_POSITION distal
		IS_PART_OF articulatio talocruralis
	ACTS_ON_2 talus
		IS_PART_OF articulatio talocruralis
WITH fixing
	ACTS_ON_1 part
		IS_PART_OF tibia
		HAS_POSITION distal
	ACTS_ON_2 talus
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie du calcanum ou de l'astragale Inclut:l' ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0630"
MAIN incising
	ACTS_ON calcaneum
WITH fixing
	ACTS_ON calcaneum
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON talus
WITH fixing
	ACTS_ON talus
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie d'un os du mdio-pied Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0631"
MAIN incising
	ACTS_ON bone
		IS_PART_OF midfoot
WITH fixing
	ACTS_ON bone
		IS_PART_OF midfoot
	BY_MEANS_OF fixation device

RUBRIC "Rsection d'une saillie osseuse de l'arrire-pied ou du mdio-pied sans interruption de la continuit, sur une localisation Tubercule des proniers, tarse bossu, tubercule interne du scaphode, os tibial externe, maladie de Haglund"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0632"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF posterior foot
OR_MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF midfoot

RUBRIC "Astragalectomie avec cration d'une narthrose tibio-pdieuse, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0633"
MAIN excising
	ACTS_ON talus
WITH neoforming
	ACTS_ON joint
		CONNECTS_1 tibia
		CONNECTS_2 foot

RUBRIC "Astragalectomie avec arthrodse de rtablissement de la continuit tibio-tarsienne Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0634"
MAIN excising
	ACTS_ON talus
WITH fixing
	ACTS_ON tarsus joint
	BY_MEANS_OF fixation device
	BY_TECHNIQUE harvesting
		ACTS_ON bone
			IS_PART_OF tibia / os tarsale

RUBRIC "Tarsectomie antrieure ou ostotomie extra-articulaire du mdio-pied pour correction uni ou multi-directionnelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0635"
MAIN excising
	ACTS_ON os tarsale
		HAS_POSITION anterior
MOTIVATED_OVERALL_BY correcting
	ACTS_ON midfoot
OR_MAIN incising
	ACTS_ON midfoot
MOTIVATED_OVERALL_BY correcting
	ACTS_ON midfoot

RUBRIC "Tarsectomie postrieure ou ostotomie de l'arrire-pied ou supra-mallolaire avec allongements tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:47:12 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:29:41 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0636"
MAIN excising
	ACTS_ON os tarsale
	HAS_EXTENT posterior
WITH lengthening
	ACTS_ON tendon
OR_MAIN incising
	ACTS_ON posterior foot
WITH lengthening
	ACTS_ON tendon
OR_MAIN excising
	ACTS_ON supramalleolar part of tibia
WITH lengthening
	ACTS_ON tendon

RUBRIC "Tarsectomie postrieure ou ostotomie de l'arrire-pied ou supra-mallolaire avec transfert(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:44:51 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:33:34 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0637"
MAIN excising
	ACTS_ON os tarsale
	HAS_EXTENT posterior
WITH transposing
	ACTS_ON tendon
OR_MAIN incising
	ACTS_ON posterior foot
WITH transposing
	ACTS_ON tendon
OR_MAIN excising
	ACTS_ON supramalleolar part of tibia
WITH transposing
	ACTS_ON tendon

RUBRIC "Tarsectomie ou ostotomie de l'arrire-pied avec ostotomie supra-mallolaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:41:25 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:32:19 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0638"
MAIN excising
	ACTS_ON os tarsale
WITH incising
	ACTS_ON supramalleolar part of tibia
OR_MAIN incising
	ACTS_ON posterior foot
WITH incising
	ACTS_ON supramalleolar part of tibia

RUBRIC "Tarsectomie ou ostotomie de l'arrire-pied avec ostotomie supra-mallolaire avec allongement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:55:04 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:31:33 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0639"
MAIN excising
	ACTS_ON os tarsale
WITH incising
	ACTS_ON supramalleolar part of tibia
WITH lengthening
	ACTS_ON tendon
OR_MAIN incising
	ACTS_ON posterior foot
WITH incising
	ACTS_ON supramalleolar part of tibia
WITH lengthening
	ACTS_ON tendon

RUBRIC "Tarsectomie ou ostotomie de l'arrire-pied avec ostotomie supra-mallolaire avec transfert(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;
Manual accept at 1:54:49 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:30:46 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0640"
MAIN excising
	ACTS_ON os tarsale
WITH incising
	ACTS_ON supramalleolar part of tibia
WITH transposing
	ACTS_ON tendon
OR_MAIN incising
	ACTS_ON posterior foot
WITH incising
	ACTS_ON supramalleolar part of tibia
WITH transposing
	ACTS_ON tendon

RUBRIC "Lavage-drainage articulaire tibio-talien ou du pied par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0641"
MAIN draining
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio talocruralis
WITH washing
	ACTS_ON articulatio talocruralis

RUBRIC "Lavage drainage articulaire tibio-talien ou du pied par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0642"
MAIN draining
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH washing
	ACTS_ON articulatio talocruralis
OR_MAIN draining
	ACTS_ON joint of foot
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of foot
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
WITH washing
	ACTS_ON joint of foot

RUBRIC "Nettoyage articulaire[debridement]tibio-talien par arthrotomie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyt.,l'ablation de corps trang.,de petits fragments fibro-cartilag. et/ou d'autres chondropathies localises"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0643"
MAIN freeing
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON articulatio talocruralis

RUBRIC "Nettoyage articulaire[dbridement]tibio-talien par arthroscopie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyt.,l'ablation de corps trang.,de petits fragments fibrocartilag. et/ou d'autres chondropathies localises"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0644"
MAIN freeing
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Arthrolyse mobilisatrice et/ou synovectomie tibio-talienne par arthroscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0645"
MAIN freeing
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
	WITH_GUIDANCE_BY arthroscope
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
	WITH_GUIDANCE_BY arthroscope
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Arthrolyse mobilisatrice et/ou synovectomie tibio-talienne avec allongement du tendon d'Achille  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0646"
MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH lengthening
	ACTS_ON calcaneal tendon
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
WITH lengthening
	ACTS_ON calcaneal tendon
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
WITH lengthening
	ACTS_ON calcaneal tendon

RUBRIC "Arthrolyse mobilisatrice et/ou synovectomie tibio-talienne avec libration et/ou allongement tendineux multiples  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0647"
MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN freeing
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
	TO_ACHIEVE mobilisation
		ACTS_ON articulatio talocruralis
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
WITH freeing
	ACTS_ON tendon
		HAS_QUANTITY several
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
WITH lengthening
	ACTS_ON tendon
		HAS_QUANTITY several

RUBRIC "Rsection d'une synostose talo-calcanenne Inclut : l'ventuelle interposition de matriel inerte ou vivant"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0648"
MAIN resecting
	ACTS_ON synostosis
		HAS_LOCATION articulatio talocruralis
OR_MAIN resecting
	ACTS_ON synostosis
		HAS_LOCATION articulatio talocruralis
WITH interposing
	ACTS_ON material

RUBRIC "Rsection d'une synostose calcano-naviculaire Inclut : l'ventuelle interposition de matriel inerte ou vivant"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0649"
MAIN resecting
	ACTS_ON synostosis
		CONNECTS_1 calcaneum
		CONNECTS_2 os naviculare (pedis)
OR_MAIN resecting
	ACTS_ON synostosis
		CONNECTS_1 calcaneum
		CONNECTS_2 os naviculare (pedis)
WITH interposing
	ACTS_ON material

RUBRIC "Rsection d'une synostose d'os du tarse (en dehors de l'articulation talocalcanenne et calcano-naviculaire) Inclut : l'ventuelle interposition de matriel inerte ou vivant"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0650"
MAIN resecting
	ACTS_ON synostosis
		HAS_LOCATION os tarsale distale
OR_MAIN resecting
	ACTS_ON synostosis
		HAS_LOCATION os tarsale distale
WITH interposing
	ACTS_ON material

RUBRIC "Arthrodse de l'articulation tibio-talienne, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0651"
MAIN fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse de l'articulation tibio-talienne, quelle que soit la technique avec ostotomie du premier mtatarsien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0652"
MAIN fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
WITH incising
	ACTS_ON os metacarpale primum

RUBRIC "Arthrodse de l'articulation tibio-talienne, par arthroscopie Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0653"
MAIN fixing
	ACTS_ON articulatio talocruralis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio talocruralis
		BY_MEANS_OF arthroscope
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
		IS_PART_OF tibia / talus
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Arthrodse de l'articulation sous-talienne, par arthroscopie Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0654"
MAIN fixing
	ACTS_ON articulatio subtalaris
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON articulatio subtalaris
		BY_MEANS_OF arthroscope
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
		IS_PART_OF talus
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Arthrodse tibio-talienne avec reconstruction par autogreffe  ciel ouvert Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0655"
MAIN fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF bony autograft

RUBRIC "Arthrodse tibio-talo-calcanenne, quelle que soit la technique, sans reconstruction,  ciel ouvert Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0656"
MAIN fixing
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse tibio-talo-calcanenne, quelle que soit la technique, avec reconstruction,  ciel ouvert Inclut : l'ostosynthse et le prlvementin situ d'autogreffe osseuse ventuels Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990418,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0657"
MAIN fixing
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris
OR_MAIN fixing
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris

RUBRIC "Arthrodse tibio-talienne sous-talienne et mdio-tarsienne [panarthrodse],  ciel ouvert Inclut : le prlvement in situ d'autogreffe osseuse et l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0658"
MAIN fixing
	ACTS_ON articulatio tarsi transversa
	ACTS_ON_1 articulatio talocruralis
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
		IS_PART_OF foot
	HAS_APPROACH open

RUBRIC "Arthrodse d'un seul interligne du mdio-tarse, quelle que soit la technique, sans reconstruction,  ciel ouvert Inclut : l'ostosynthse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0659"
MAIN fixing
	ACTS_ON part
		IS_PART_OF articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse d'un seul interligne du mdio-tarse, avec reconstruction,  ciel ouvert Inclut : l'ostosynthse et la prise in situ d'autogreffe osseuse ventuels Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0660"
MAIN fixing
	ACTS_ON part
		IS_PART_OF articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON articulatio tarsi transversa

RUBRIC "Arthrodse sous-talienne, sans reconstruction,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0661"
MAIN fixing
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse sous-talienne avec reconstruction,  ciel ouvert Inclut : l'ostosynthse et la prise in situ d'autogreffe osseuse ventuels Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0662"
MAIN fixing
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
		IS_PART_OF foot
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON articulatio subtalaris

RUBRIC "Arthrodse mdio-tarsienne [sous talienne antrieure, talo-naviculaire et calcano-cubodienne]  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0663"
MAIN fixing
	ACTS_ON articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodse du couple de torsion [sous-talienne et mdio-tarsienne] avec correction de vices architecturaux,  ciel ouvert Inclut : l'ostosynthse et la prise in situ d'autogreffe osseuse ventuels Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0664"
MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
WITH plastic repairing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa

RUBRIC "Arthrodse du couple de torsion [sous-talienne et mdio-tarsienne], quelle que soit la technique,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0665"
MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	HAS_APPROACH open

RUBRIC "Arthrodse du couple de torsion [sous-talienne et mdio-tarsienne] avec correction de vices architecturaux, avec transfert et/ou allongement tendineux,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0666"
MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
WITH lengthening
	ACTS_ON tendon
WITH transposing
	ACTS_ON tendon
OR_MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
WITH transposing
	ACTS_ON tendon
OR_MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
WITH lengthening
	ACTS_ON tendon

RUBRIC "Arthrodse tarso-mtatarsienne sur un rayon, quelle que soit la technique sans reconstruction,  ciel ouvert Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0667"
MAIN fixing
	ACTS_ON tarsometatarsal joint
		HAS_QUANTITY less than two
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrodses tarso-mtatarsiennes sur 2 ou 3 rayons,  ciel ouvert Inclut : l'ostosynthse et la prise in situ d'autogreffe osseuse ventuels Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0668"
MAIN fixing
	ACTS_ON tarsometatarsal joint
		HAS_QUANTITY more than one
	BY_MEANS_OF fixation device
	BY_MEANS_OF bony autograft
	HAS_APPROACH open

RUBRIC "Arthrodses tarso-mtatarsiennes [Lisfranc] sur 4 ou 5 rayons,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0669"
MAIN fixing
	ACTS_ON tarsometatarsal joint
		HAS_QUANTITY more than three
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Arthrorise tibio-talienne ou sous talienne, avec ou sans ostosynthse,  ciel ouvert Intervention de Grice, cavalier, anti-cavalier..."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0670"
MAIN stabilising
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
OR_MAIN stabilising
	ACTS_ON articulatio subtalaris
	HAS_APPROACH open
OR_MAIN stabilising
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
WITH fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
OR_MAIN stabilising
	ACTS_ON articulatio subtalaris
	HAS_APPROACH open
WITH fixing
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF fixation device

RUBRIC "Suture d'un appareil capsuloligamentaire collatral de l'articulation tibio-talienne et/ou sous talienne,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0671"
MAIN suturing
	ACTS_ON_1 capsula
		IS_PART_OF articulatio talocruralis
	ACTS_ON_2 ligament
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON_1 capsula
		IS_PART_OF articulatio subtalaris
	ACTS_ON_2 ligament
		IS_PART_OF articulatio subtalaris
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON_1 capsula
		IS_PART_OF articulatio talocruralis
	ACTS_ON_2 ligament
		IS_PART_OF articulatio talocruralis
	HAS_APPROACH open
WITH suturing
	ACTS_ON_1 capsula
		IS_PART_OF articulatio subtalaris
	ACTS_ON_2 ligament
		IS_PART_OF articulatio subtalaris
	HAS_APPROACH open

RUBRIC "Plastie d'un appareil ligamentaire collatral de l'articulation tibio-talienne et/ou sous-talienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0672"
MAIN plastic repairing
	ACTS_ON ligament
		IS_PART_OF articulatio talocruralis
OR_MAIN plastic repairing
	ACTS_ON ligament
		IS_PART_OF articulatio subtalaris
OR_MAIN plastic repairing
	ACTS_ON ligament
		IS_PART_OF articulatio talocruralis
WITH plastic repairing
	ACTS_ON ligament
		IS_PART_OF articulatio subtalaris

RUBRIC "Plastie d'un appareil capsulo-ligamentaire de l'articulation mdio-tarsienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0673"
MAIN plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF articulatio tarsi transversa
	ACTS_ON_2 ligament
		IS_PART_OF articulatio tarsi transversa

RUBRIC "Exrse d'un kyste synovial de la cheville, de l'arrire-pied et du mdio-pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0674"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF joint of ankle
WITH excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF articulatio subtalaris
WITH excising
	ACTS_ON cyst
		HAS_LOCATION synovial membrane
			IS_PART_OF articulatio tarsi transversa

RUBRIC "Tno-synovectomie d'un tendon de l'arrire-pied, en dehors du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0675"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS tendon
			IS_PART_OF posterior foot

RUBRIC "Tno-synovectomie de plusieurs tendons de l'arrire-pied, en dehors du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0676"
MAIN excising
	ACTS_ON synovial membrane
		CONNECTS tendon
			IS_PART_OF posterior foot
	HAS_QUANTITY several
WITHOUT excising
	ACTS_ON synovial membrane
		CONNECTS calcaneal tendon

RUBRIC "Arthroplastie tibio-talienne par prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0677"
MAIN replacing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF prosthetic talocruralis joint

RUBRIC "Arthroplastie sous-talienne par prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0678"
MAIN replacing
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF prosthetic subtalaris joint

RUBRIC "Arthroplastie sous-talienne et mdio-tarsienne par prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0679"
MAIN replacing
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF prosthetic subtalaris joint
WITH replacing
	ACTS_ON articulatio tarsi transversa
	BY_MEANS_OF prosthetic tarsitransversal joint

RUBRIC "Ablation de prothse tibio-talienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0680"
MAIN removing
	ACTS_ON prosthetic talocruralis joint

RUBRIC "Ablation de prothse sous-talienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0681"
MAIN removing
	ACTS_ON prosthetic subtalaris joint

RUBRIC "Ablation de prothse tibio-talienne avec arthrodse et reconstruction Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0682"
MAIN removing
	ACTS_ON prosthetic talocruralis joint
WITH fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF bony autograft
		IS_PART_OF foot

RUBRIC "Allongement du tendon d'Achille par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0683"
MAIN lengthening
	ACTS_ON calcaneal tendon
	HAS_ROUTE percutaneous route

RUBRIC "Allongement du tendon d'Achille  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0684"
MAIN lengthening
	ACTS_ON calcaneal tendon
	HAS_APPROACH open

RUBRIC "Rinsertion tendineuse transosseuse du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0685"
MAIN reimplanting
	ACTS_ON calcaneal tendon
		HAS_DESTINATION calcaneum

RUBRIC "Tnolyse ou tno-synovectomie ou peignage du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0686"
MAIN freeing
	ACTS_ON calcaneal tendon
OR_MAIN excising
	ACTS_ON synovial membrane
		CONNECTS calcaneal tendon
OR_MAIN fashioning
	ACTS_ON calcaneal tendon

RUBRIC "Suture du tendon d'Achille  ciel ouvert Inclut : le laage ventuel par matriaux vivant ou inerte"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0687"
MAIN suturing
	ACTS_ON calcaneal tendon
	HAS_APPROACH open
OR_MAIN suturing
	ACTS_ON calcaneal tendon
	BY_MEANS_OF material
	HAS_APPROACH open

RUBRIC "Rparation d'une rupture du tendon d'Achille, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0688"
MAIN plastic repairing
	ACTS_ON calcaneal tendon
	HAS_ROUTE percutaneous route
	MOTIVATED_BY curing
		ACTS_ON rupture
			HAS_LOCATION calcaneal tendon

RUBRIC "Autoplastie du tendon d'Achille, quelles que soient la voie d'abord et la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0689"
MAIN autografting
	ACTS_ON calcaneal tendon

RUBRIC "Aponvrectomie intramusculaire  vise d'allongement du triceps sural  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0690"
MAIN excising
	ACTS_ON aponeurosis
		IS_PART_OF musculus triceps surae
	HAS_APPROACH open
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON musculus triceps surae

RUBRIC "Allongement d'un tendon de l'arrire-pied quelle que soit la technique,  ciel ouvert, en dehors du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0691"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF posterior foot
	HAS_APPROACH open
WITHOUT lengthening
	ACTS_ON calcaneal tendon

RUBRIC "Suture du tendon du jambier postrieur ou antrieur,  ciel ouvert Inclut : la contention postopratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0692"
MAIN suturing
	ACTS_ON tendon
		IS_PART_OF musculus tibialis posterior
	HAS_APPROACH open
WITH immobilising
	ACTS_ON leg
	HAS_TEMPORAL_MARKER postoperative
OR_MAIN suturing
	ACTS_ON tendon
		IS_PART_OF musculus tibialis anterior
	HAS_APPROACH open
WITH immobilising
	ACTS_ON leg
	HAS_TEMPORAL_MARKER postoperative

RUBRIC "Autoplastie du tendon du jambier antrieur ou postrieur Inclut : le laage ventuel par matriaux vivant ou inerte"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0693"
MAIN autografting
	ACTS_ON tendon
		IS_PART_OF musculus tibialis anterior
OR_MAIN autografting
	ACTS_ON tendon
		IS_PART_OF musculus tibialis posterior
OR_MAIN autografting
	ACTS_ON tendon
		IS_PART_OF musculus tibialis anterior
	BY_MEANS_OF material
OR_MAIN autografting
	ACTS_ON tendon
		IS_PART_OF musculus tibialis posterior
	BY_MEANS_OF material

RUBRIC "Plastie capsulo-ligamentaire et/ou prioste, et/ou osseuse de stabilisation des tendons proniers luxables"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0694"
MAIN plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of ankle
	ACTS_ON_2 ligament
		IS_PART_OF joint of ankle
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON periosteum
WITH plastic repairing
	ACTS_ON bone tissue
OR_MAIN plastic repairing
	ACTS_ON periosteum
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON bone tissue
OR_MAIN plastic repairing
	ACTS_ON periosteum
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
OR_MAIN plastic repairing
	ACTS_ON bone tissue
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
OR_MAIN plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of ankle
	ACTS_ON_2 ligament
		IS_PART_OF joint of ankle
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON periosteum
OR_MAIN plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of ankle
	ACTS_ON_2 ligament
		IS_PART_OF joint of ankle
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON bone tissue
OR_MAIN plastic repairing
	ACTS_ON_1 capsula
		IS_PART_OF joint of ankle
	ACTS_ON_2 ligament
		IS_PART_OF joint of ankle
TO_ACHIEVE_OVERALL stabilising
	ACTS_ON tendon
		IS_PART_OF musculus peroneus
			HAS_QUANTITY several

RUBRIC "Transfert(s) tendineux et/ou tnodse(s) pour rtablissement de la flexion dorsale de la cheville"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0695"
MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, extensor
			IS_PART_OF ankle
WITH fixing
	ACTS_ON tendon, extensor
		IS_PART_OF ankle
OR_MAIN fixing
	ACTS_ON tendon, extensor
		IS_PART_OF ankle
OR_MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, extensor
			IS_PART_OF ankle

RUBRIC "Transfert(s) tendineux et/ou tnodse(s) pour rtablissement de la flexion plantaire de la cheville"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0696"
MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, flexor
			IS_PART_OF ankle
WITH fixing
	ACTS_ON tendon, flexor
		IS_PART_OF ankle
OR_MAIN fixing
	ACTS_ON tendon, flexor
		IS_PART_OF ankle
OR_MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, flexor
			IS_PART_OF ankle

RUBRIC "Transfert(s) tendineux et/ou tnodse(s) pour rtablissement de l'version ou de l'inversion du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0697"
MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon
			HAS_FUNCTION everting
				ACTS_ON foot
WITH fixing
	ACTS_ON tendon
		HAS_FUNCTION everting
			ACTS_ON foot
OR_MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon
			HAS_FUNCTION everting
				ACTS_ON foot
OR_MAIN fixing
	ACTS_ON tendon
		HAS_FUNCTION everting
			ACTS_ON foot

RUBRIC "Transfert(s) tendineuxpour rtablissement de la fonction intrinsque des orteils et/ou du gros orteil avec ou sans tnodse(s), avec ou sans capsulodse, avec ou sans arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0698"
MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION toe
OR_MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION toe
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION toe
WITH fixing
	ACTS_ON capsula
		IS_PART_OF joint of toe
WITH fixing
	ACTS_ON joint of toe
	BY_MEANS_OF fixation device

RUBRIC "Transfert(s) tendineux pour rtablissement de l'extension du gros orteil avec ou sans tnodse(s) avec ou sans capsulodse avec ou sans arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0699"
MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, extensor
			IS_PART_OF great toe
OR_MAIN moving
	ACTS_ON tendon
		HAS_DESTINATION tendon, extensor
			IS_PART_OF great toe
WITH fixing
	ACTS_ON tendon
		IS_PART_OF tendon, extensor
			IS_PART_OF great toe
WITH fixing
	ACTS_ON capsula
		IS_PART_OF metatarsophalangeal joint first
WITH fixing
	ACTS_ON metatarsophalangeal joint first
	BY_MEANS_OF fixation device
WITH_OPTIONALLY fixing
	ACTS_ON metatarsophalangeal joint first

RUBRIC "Aponvrotomie ou aponvrectomie ou dsinsertion de l'aponvrose plantaire [LedderHose]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0700"
MAIN incising
	ACTS_ON plantar aponeurosis
OR_MAIN excising
	ACTS_ON plantar aponeurosis
OR_MAIN detaching
	ACTS_ON plantar aponeurosis

RUBRIC "Exrse d'une bourse sreuse de l'arrire ou du mdio-pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:42:26 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R0701"
MAIN excising
	ACTS_ON bursa
		IS_PART_OF hindfoot
OR_MAIN excising
	ACTS_ON bursa
		IS_PART_OF midfoot

RUBRIC "Rduction orthopdique et contention d'une luxation ou fracture de l'avant-pied portant sur un rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0702"
MAIN reducing (a dislocation)
	ACTS_ON toe ray
	HAS_QUANTITY less than two
WITH immobilising
	ACTS_ON anterior foot
OR_MAIN reducing (a fracture)
	ACTS_ON toe ray
	HAS_QUANTITY less than two
WITH immobilising
	ACTS_ON anterior foot

RUBRIC "Rduction orthopdique et contention d'une luxation ou fracture de l'avant-pied portant sur deux rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0703"
MAIN reducing (a dislocation)
	ACTS_ON toe ray
	HAS_QUANTITY more than one
WITH immobilising
	ACTS_ON anterior foot
OR_MAIN reducing (a fracture)
	ACTS_ON toe ray
	HAS_QUANTITY more than one
WITH immobilising
	ACTS_ON anterior foot

RUBRIC "Rduction orthopdique et contention d'une luxation ou fracture de l'avant-pied portant sur trois rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0704"
MAIN reducing (a dislocation)
	ACTS_ON toe ray
	HAS_QUANTITY more than two
WITH immobilising
	ACTS_ON anterior foot
OR_MAIN reducing (a fracture)
	ACTS_ON toe ray
	HAS_QUANTITY more than two
WITH immobilising
	ACTS_ON anterior foot

RUBRIC "Ostosynthse d'un mtatarsien ou d'une phalange d'orteil, par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0705"
MAIN fixing
	ACTS_ON os metatarsale
	BY_MEANS_OF external fixation device
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF external fixation device

RUBRIC "Ostosynthse d'un mtatarsien et/ou d'une phalange d'orteil,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0706"
MAIN fixing
	ACTS_ON os metatarsale
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON os metatarsale
	BY_MEANS_OF fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse de deux os [mtatarsien ou phalange(s) d'orteil]  foyer ouvert sur un rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0707"
MAIN fixing
	ACTS_ON bone
		HAS_QUANTITY more than one
		IS_PART_OF toe ray
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse de trois os [mtatarsien ou phalange(s) d'orteil]  foyer ouvertsur un rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0708"
MAIN fixing
	ACTS_ON bone
		HAS_QUANTITY more than two
		IS_PART_OF toe ray
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture d'un mtatarsien ou d'une phalange d'orteil,  foyer ouvert, sur deux rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0709"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY more than one
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture d'un mtatarsien ou d'une phalange d'orteil,  foyer ouvert, sur trois rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0710"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY more than two
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire d'un mtatarsien ou d'une phalange d'orteil,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0711"
MAIN fixing
	ACTS_ON os metatarsale
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON os metatarsale
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire de deux mtatarsiens ou phalanges d'orteils,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0712"
MAIN fixing
	ACTS_ON os metatarsale
		HAS_QUANTITY more than one
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON os metatarsale
		HAS_QUANTITY more than one
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than one
		IS_PART_OF toe
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than one
		IS_PART_OF toe
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire de trois ou plus de trois mtatarsiens ou phalanges d'orteils,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0713"
MAIN fixing
	ACTS_ON os metatarsale
		HAS_QUANTITY more than two
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON os metatarsale
		HAS_QUANTITY more than two
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than two
		IS_PART_OF toe
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than two
		IS_PART_OF toe
	BY_MEANS_OF pin
		HAS_DESTINATION bone marrow
	HAS_APPROACH closed

RUBRIC "Rduction d'1luxatotibiotalienne ou soustalienne et/ou mdiotarsienne  cielouvert avec ostosynt. percutane parbroches ou vis d'1fract mtatarsienne ou luxatotarsomtatarsienne ou mtatarsophalangienne d'1ou2rayons Inclut:stabilisatotemporaire etcontention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0714"
MAIN reducing (a dislocation)
	ACTS_ON articulatio talocruralis
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON articulatio tarsi transversa
	HAS_APPROACH open
WITH fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY less than three
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN reducing (a dislocation)
	ACTS_ON articulatio subtalaris
	HAS_APPROACH open
WITH reducing (a dislocation)
	ACTS_ON articulatio tarsi transversa
	HAS_APPROACH open
WITH fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY less than three
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
OR_MAIN reducing (a dislocation)
	ACTS_ON articulatio tarsi transversa
	HAS_APPROACH open
WITH fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY less than three
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse percutane par broches ou vis d'une fracture mtatarsienne ou d'une luxation tarso-mtatarsienne oumtatarso-phalangiennne d'un ou deux rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0715"
MAIN fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY less than three
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture / dislocation
		HAS_LOCATION toe ray
			HAS_QUANTITY less than three
OR_MAIN fixing
	ACTS_ON bone
		IS_PART_OF toe ray
			HAS_QUANTITY less than three
	BY_MEANS_OF screw
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture / dislocation
		HAS_LOCATION toe ray
			HAS_QUANTITY less than three

RUBRIC "Arthrolyse de l'articulation mtatarsophalangienne du premier orteil[ Intervention de Mac Bride ] Inclut : le transfert tendineux et la rsection de l'exostose ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0716"
MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier cuniforme avec arthrolyse de l'articulation mtatarsophalangienne du premier orteil Inclut : le transfert tendineux et la rsection de l'exostose ventuels et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0717"
MAIN incising
	ACTS_ON os cuneiforme mediale
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH fixing
	ACTS_ON bone
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier cuniforme et du premier mtatarsienavec arthrolyse de l'articulation mtatarsophalangienne du premier orteil Inclut : le transfert tendineux et la rsection de l'exostose ventuels et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0718"
MAIN incising
	ACTS_ON os cuneiforme mediale
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH fixing
	ACTS_ON bone
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH incising
	ACTS_ON os metatarsale primum
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier cuniforme et du premier mtatarsien et de la premire phalange avec arthrolyse de l'articulation mtatarsophalangienne du premier orteil Inclut : le transfert tendineux et la rsection de l'exostose ventuels et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0719"
MAIN incising
	ACTS_ON os cuneiforme mediale
WITH incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH fixing
	ACTS_ON bone
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier mtatarsien Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0720"
MAIN incising
	ACTS_ON os metatarsale primum
WITH fixing
	ACTS_ON os metatarsale primum
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie du premier mtatarsien avec arthrolyse de l'articulation mtatarsophalangienne du premier orteil Inclut : le transfert tendineux et la rsection de l'exostose ventuels et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0721"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH fixing
	ACTS_ON bone
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier mtatarsien et de la premire phalange avec ostosynthse et arthrolyse de la premirearticulation mtatarso-phalangienne Inclut: la rsection de l'exostose ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0722"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH fixing
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier mtatarsien et de la premire phalange avec arthrolyse de la premire articulation mtatarso-phalangienne avec ostotomie de deux mtatarsiens latraux Inclut: la rsection de l'exostose ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0723"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
		HAS_QUANTITY more than one
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie du premier mtatarsien et de la premire phalange avec arthrolyse de la premire articulation mtatarso-phalangienne avec ostotomie d'un mtatarsien latral et rsection, arthroplastie ou arthrodse inter-phalangienne d'un orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0724"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
WITH resecting
	ACTS_ON toe
OR_MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
WITH plastic repairing
	ACTS_ON interphalangeal joint
		IS_PART_OF toe
OR_MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
WITH fixing
	ACTS_ON interphalangeal joint
		IS_PART_OF toe
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie de la premire phalange du premier orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0725"
MAIN incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe

RUBRIC "Ostotomie de la premire phalange avec arthrolyse de l'articulation mtatarsophalangienne du premier orteil Inclut : le transfert tendineux et la rsection de l'exostose ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0726"
MAIN incising
	ACTS_ON phalanx
		HAS_POSITION proximal
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH moving
	ACTS_ON tendon
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Ostotomie d'un mtatarsien latral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0727"
MAIN incising
	ACTS_ON os metatarsale laterale
		IS_PART_OF toe
			HAS_POSITION lateral

RUBRIC "Ostotomie d'un mtatarsien latral avec ostosynthse et arthrolyse mtatarso-phalangienne Inclut : l'allongement tendineux ventuel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0728"
MAIN incising
	ACTS_ON os metatarsale laterale
WITH fixing
	ACTS_ON os metatarsale laterale
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
WITH_OPTIONALLY lengthening
	ACTS_ON tendon

RUBRIC "Ostotomie d'un mtatarsien latral avec arthroplastie ou arthrodse d'un orteil Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0729"
MAIN incising
	ACTS_ON os metatarsale laterale
WITH fixing
	ACTS_ON os metatarsale laterale
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
OR_MAIN incising
	ACTS_ON os metatarsale laterale
WITH fixing
	ACTS_ON os metatarsale laterale
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie d'un mtatarsien latral avec arthrolyse mtatarso-phalangienne, avec arthroplastie ou arthrodse d'un orteil inclut : le(s) allongement(s) tendineux ventuel(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0730"
MAIN incising
	ACTS_ON os metatarsale laterale
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
WITH plastic repairing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
WITH_OPTIONALLY lengthening
	ACTS_ON tendon
OR_MAIN incising
	ACTS_ON os metatarsale laterale
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
WITH fixing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
	BY_MEANS_OF fixation device
WITH_OPTIONALLY lengthening
	ACTS_ON tendon

RUBRIC "Ostotomie phalangienne d'un orteil latral Inclut : l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0731"
MAIN incising
	ACTS_ON phalanx
		IS_PART_OF toe
			HAS_POSITION lateral
WITH fixing
	ACTS_ON phalanx
		IS_PART_OF toe
			HAS_POSITION lateral
	BY_MEANS_OF fixation device

RUBRIC "Mobilisation d'une ou plusieurs articulations du pied sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0732"
MAIN mobilisation
	ACTS_ON joint of foot
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN mobilisation
	ACTS_ON joint of foot
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Exrse d'un ssamode du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0733"
MAIN excising
	ACTS_ON sesamoid bone of foot

RUBRIC "Synovectomie d'une ou plusieurs articulations du premier rayon du premier orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0734"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF joint
			IS_PART_OF toe ray
				IS_PART_OF great toe

RUBRIC "Arthroplastie par rsection de l'articulation mtatarso-phalangienne du premier rayon du premier orteil inclut : transfert tendineux et rsection de l'exostose ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0735"
MAIN plastic repairing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
	BY_TECHNIQUE resecting
		ACTS_ON metatarsophalangeal joint
			IS_PART_OF great toe
WITH_OPTIONALLY moving
	ACTS_ON tendon
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Rsection d'ostophytes [cheilectomie] et/ou arthroplastie de la premire articulation mtatarsophalangienne par rsection osseuse sur les deux versants articulaires [hallux rigidus]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0736"
MAIN resecting
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint first
			IS_PART_OF great toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON hallux rigidus
OR_MAIN resecting
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF great toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON hallux rigidus
WITH replacing
	ACTS_ON metatarsophalangeal joint first
	BY_MEANS_OF prosthetic first metatarsophalangeal joint
OR_MAIN replacing
	ACTS_ON metatarsophalangeal joint first
	BY_MEANS_OF prosthetic first metatarsophalangeal joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON hallux rigidus

RUBRIC "Arthrolyse mtatarsophalangienne pour correction de l'hallux varus iatrogne ou congnital du premier orteil Inclut : le(s) transfert (s) tendineux et larsection de l'exostose ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0737"
MAIN freeing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON hallux varus
WITH_OPTIONALLY moving
	ACTS_ON tendon
WITH_OPTIONALLY resecting
	ACTS_ON exostosis

RUBRIC "Arthrodse de la premire articulation mtatarso-phalangienne, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0738"
MAIN fixing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse de la premire articulation mtatarso-phalangienne avec reconstruction Inclut : l'ostosynthse et le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0739"
MAIN fixing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH reconstruction
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH fixing
	ACTS_ON_1 os metatarsale primum
		IS_PART_OF great toe
	ACTS_ON_2 phalanx
		IS_PART_OF great toe
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse de l'articulation interphalangienne du gros orteil, quelle que soit la technique sans reconstruction"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0740"
MAIN fixing
	ACTS_ON interphalangeal joint
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITHOUT reconstruction
	ACTS_ON interphalangeal joint
		IS_PART_OF great toe

RUBRIC "Arthroplastiede la premire articulation mtatarso-phalangienne avec interposition de prothse uni-compartimentaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0741"
MAIN replacing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
	BY_MEANS_OF prosthetic first metatarsophalangeal joint

RUBRIC "Arthroplastie de la premire articulation mtatarso-phalangienne avec interposition de prothse bi-compartimentaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0742"
MAIN replacing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
	BY_MEANS_OF prosthetic first metatarsophalangeal joint
		CONNECTS component

RUBRIC "Arthroplastie de l'interphalangienne proximale avec interposition de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0743"
MAIN replacing
	ACTS_ON interphalangeal joint proximal
		IS_PART_OF toe
	BY_MEANS_OF prosthetic interphalangeal joint

RUBRIC "Arthrolyse d'une articulation MP d'un rayon latral avec ou sans allongement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0744"
MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
WITH_OPTIONALLY lengthening
	ACTS_ON tendon

RUBRIC "Synovectomie d'une articulation MP d'un rayon latral avec ou sans allongement tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0745"
MAIN excising
	ACTS_ON synovial membrane
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF toe
				HAS_POSITION lateral
WITH_OPTIONALLY lengthening
	ACTS_ON tendon

RUBRIC "Arthroplastie par rsection d'une tte mtatarsienne latrale [alignement]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0746"
MAIN resecting
	ACTS_ON head
		IS_PART_OF os metatarsale laterale
TO_ACHIEVE_OVERALL straightening
	ACTS_ON os metatarsale laterale

RUBRIC "Arthroplastie par rsection des ttes mtatarsiennes latrales [alignement]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0747"
MAIN resecting
	ACTS_ON head
		IS_PART_OF os metatarsale laterale
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON os metatarsale laterale

RUBRIC "Arthroplastie mtatarso-phalangienne latrale avec interposition de prothse sur un rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0748"
MAIN replacing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe
			HAS_POSITION lateral
	BY_MEANS_OF prosthetic metatarsophalangeal joint

RUBRIC "Arthrolyse de l'articulation mtatarsophalangienne du cinquime rayon et tnotomie ou allongement d'un tendon [quintus varus supraductus ou infraductus] Inclut : l'autoplastie cutane ou la syndactylie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0749"
MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH incising
	ACTS_ON tendon
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH lengthening
	ACTS_ON tendon

RUBRIC "Arthrolyse de l'articulation mtatarsophalangienne du cinquime rayon et tnotomie ou allongement d'un tendon [quintus varus supraductus ou infraductus] avec transfert tendineux et/ou ostotomie Inclut : l'autoplastie cutane ou la syndactylie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0750"
MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH incising
	ACTS_ON tendon
WITH moving
	ACTS_ON tendon
WITH incising
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF toe 5
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH lengthening
	ACTS_ON tendon
WITH moving
	ACTS_ON tendon
WITH incising
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF toe 5
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH incising
	ACTS_ON tendon
WITH moving
	ACTS_ON tendon
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH incising
	ACTS_ON tendon
WITH incising
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF toe 5
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH lengthening
	ACTS_ON tendon
WITH moving
	ACTS_ON tendon
OR_MAIN freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF toe 5
WITH lengthening
	ACTS_ON tendon
WITH incising
	ACTS_ON bone
		IS_PART_OF metatarsophalangeal joint
			IS_PART_OF toe 5

RUBRIC "Ostotomie du premier mtatarsien et de la premire phalangeet arthrolyse de la premirearticulation mtatarso-phalangienne avec ostotomie d'un mtatarsien latral Inclut : l'ventuelle rsection de l'exostose et l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0751"
MAIN incising
	ACTS_ON_1 os metatarsale primum
		IS_PART_OF great toe
	ACTS_ON_2 phalanx
		IS_PART_OF great toe
WITH freeing
	ACTS_ON metatarsophalangeal joint
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
		IS_PART_OF toe
			HAS_POSITION lateral
WITH_OPTIONALLY resecting
	ACTS_ON exostosis
WITH_OPTIONALLY fixing

RUBRIC "Arthrodse de la 1re articulation mtatarso-phalangienne et arthroplastie par rsection des ttes mtatarsiennes latrales[alignement]et arthroplastie par rsection ou arthrodse de l'articulationinterphalangienne proximale ou distale d'1orteil latral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0752"
MAIN fixing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH resecting
	ACTS_ON head
		IS_PART_OF os metatarsale laterale
	HAS_QUANTITY several
	TO_ACHIEVE straightening
		ACTS_ON os metatarsale laterale
WITH resecting
	ACTS_ON interphalangeal joint
		HAS_POSITION proximal / distal
		IS_PART_OF toe
			HAS_POSITION lateral
OR_MAIN fixing
	ACTS_ON metatarsophalangeal joint first
		IS_PART_OF great toe
	BY_MEANS_OF fixation device
WITH resecting
	ACTS_ON head
		IS_PART_OF os metatarsale laterale
	HAS_QUANTITY several
	TO_ACHIEVE straightening
		ACTS_ON os metatarsale laterale
WITH fixing
	ACTS_ON interphalangeal joint
		HAS_POSITION proximal / distal
		IS_PART_OF toe
			HAS_POSITION lateral
	BY_MEANS_OF fixation device

RUBRIC "Tnotomie ou allongement d'un tendon extenseur ou flchisseur d'un orteil  l'avant pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0753"
MAIN incising
	ACTS_ON tendon, extensor
		IS_PART_OF toe
			IS_PART_OF anterior foot
OR_MAIN incising
	ACTS_ON tendon, flexor
		IS_PART_OF toe
			IS_PART_OF anterior foot
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF toe
			IS_PART_OF anterior foot
OR_MAIN lengthening
	ACTS_ON tendon, flexor
		IS_PART_OF toe
			IS_PART_OF anterior foot

RUBRIC "Replantation du gros orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0754"
MAIN reimplanting
	ACTS_ON great toe

RUBRIC "Replantation du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0755"
MAIN reimplanting
	ACTS_ON foot

RUBRIC "Ponction biopsie d'une lsion vertbrale osseuse ou discale sous contrle radioscopique ou radiographique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0756"
MAIN biopsying
	ACTS_ON lesion (as structure)
		HAS_LOCATION vertebra
	BY_TECHNIQUE puncturing
		ACTS_ON vertebra
	BY_TECHNIQUE imaging
		ACTS_ON vertebra
		BY_MEANS_OF Xray device
OR_MAIN biopsying
	ACTS_ON lesion (as structure)
		HAS_LOCATION vertebra
	BY_TECHNIQUE puncturing
		ACTS_ON vertebra
	BY_TECHNIQUE imaging
		ACTS_ON vertebra
		BY_MEANS_OF fluoroscope
OR_MAIN biopsying
	ACTS_ON lesion (as structure)
		HAS_LOCATION intervertebral disk
	BY_TECHNIQUE puncturing
		ACTS_ON intervertebral disk
	BY_TECHNIQUE imaging
		ACTS_ON vertebra
		BY_MEANS_OF Xray device
OR_MAIN biopsying
	ACTS_ON lesion (as structure)
		HAS_LOCATION intervertebral disk
	BY_TECHNIQUE puncturing
		ACTS_ON intervertebral disk
	BY_TECHNIQUE imaging
		ACTS_ON vertebra
		BY_MEANS_OF fluoroscope

RUBRIC "Discographie percutane : par tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0757"
MAIN imaging
	ACTS_ON intervertebral disc
	BY_MEANS_OF Xray device
	HAS_APPROACH percutaneous route

RUBRIC "Scintigraphie osseuse per-opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0758"
MAIN imaging
	ACTS_ON bone
	BY_MEANS_OF radioactive process device
	OCCURS_DURING intraoperative

RUBRIC "Ponction lombaire sans injection"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0759"
MAIN evacuating
	ACTS_ON cerebrospinal fluid
		IS_CONTAINED_IN subarachnoid space
	BY_APPROACH_TECHNIQUE puncturing
		ACTS_ON lumbar vertebral column

RUBRIC "Ponction lombaire avec injection"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0760"
MAIN evacuating
	ACTS_ON cerebrospinal fluid
		IS_CONTAINED_IN subarachnoid space
	BY_APPROACH_TECHNIQUE puncturing
		ACTS_ON lumbar vertebral column
WITH injecting
	ACTS_ON substance
		HAS_DESTINATION subarachnoid space

RUBRIC "Infiltration articulaire vertbrale postrieure sous contrle par radiographie ou radioscopie quels que soient le nombre de segments et de cots"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0761"
MAIN injecting
	ACTS_ON drug
		HAS_DESTINATION vertebral joint
WITH_GUIDANCE_BY imaging
	ACTS_ON vertebral joint
	BY_MEANS_OF Xray device
OR_MAIN injecting
	ACTS_ON drug
		HAS_DESTINATION vertebral joint
WITH_GUIDANCE_BY inspecting
	ACTS_ON vertebral joint
	BY_MEANS_OF fluoroscope

RUBRIC "Biopsie osseuse corporale ou discale de la colonne vertbrale par voie postrieure ou transpdiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0762"
MAIN biopsying
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
OR_MAIN biopsying
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pediculus arcus vertebrae
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pediculus arcus vertebrae

RUBRIC "Biopsie osseuse de l'arc vertbral postrieur par abord postrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0763"
MAIN biopsying
	ACTS_ON lamina arcus vertebrae
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale par abord postro-latral thoracique ou lombaire [costo-transversectomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0764"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			HAS_POSITION lateral
			IS_PART_OF thorax wall
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			HAS_POSITION lateral
			IS_PART_OF lumbar region
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			HAS_POSITION lateral
			IS_PART_OF thorax wall
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			HAS_POSITION lateral
			IS_PART_OF lumbar region

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale cervicale haute (C1, C2) par abord antrieur transoral ou prmastoidien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0765"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF atlas / axis
			IS_PART_OF cervical vertebral column
	HAS_APPROACH transoral access
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF atlas / axis
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF mastoid part of temporal bone
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		CONNECTS_1 atlas
		CONNECTS_2 axis
	HAS_APPROACH transoral access
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		CONNECTS_1 atlas
		CONNECTS_2 axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF mastoid part of temporal bone

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale par abord cervical antro-latral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0766"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			HAS_POSITION lateral
			IS_PART_OF neck
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			HAS_POSITION lateral
			IS_PART_OF neck

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale thoracique par thoracotomie ou sternotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0767"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale thoraco-lombaire par thoraco-phrno-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0768"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF dorso-lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF dorso-lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale lombaire ou lombo-sacre par lombotomie sous-pritonale ou par laparotomie transpritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0769"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_ROUTE transperitoneal approach
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
OR_MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_ROUTE transperitoneal approach
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_ROUTE transperitoneal approach
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_ROUTE transperitoneal approach

RUBRIC "Biopsie osseuse ou discale de la colonne vertbrale par mthode endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0770"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place d'une traction de la colonne cervicale par sangles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0771"
MAIN installing
	ACTS_ON cervical traction device
		HAS_LOCATION cervical vertebral column

RUBRIC "Mise en place d'une traction de la colonne cervicale par halo ou trier d'attente"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0772"
MAIN installing
	ACTS_ON cervical traction device
		HAS_LOCATION cervical vertebral column

RUBRIC "Rduction extemporane par tractiond'une lsion de la colonne cervicale Inclut : la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0773"
MAIN reducing (a fracture)
	ACTS_ON lesion (as structure)
		HAS_LOCATION cervical vertebral column
	BY_TECHNIQUE installing
		ACTS_ON cervical traction device
WITH immobilising
	ACTS_ON cervical vertebral column

RUBRIC "Rduction progressive par traction continue d'une lsion de la colonne cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0774"
MAIN reducing (a fracture)
	ACTS_ON lesion (as structure)
		HAS_LOCATION cervical vertebral column
	BY_TECHNIQUE installing
		ACTS_ON cervical traction device
	HAS_FEATURE progressive

RUBRIC "Rduction par manoeuvres externes et contention par pltre ou rsine d'une lsion de la colonne thoracique ou lombaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0775"
MAIN reducing (a fracture)
	ACTS_ON lesion (as structure)
		HAS_LOCATION thoracic vertebral column
	BY_MEANS_OF cast / resin setting device
	BY_TECHNIQUE external manipulation
		ACTS_ON thoracic vertebral column
	BY_TECHNIQUE immobilising
		ACTS_ON thoracic vertebral column
OR_MAIN reducing (a fracture)
	ACTS_ON lesion (as structure)
		HAS_LOCATION lumbar vertebral column
	BY_MEANS_OF cast / resin setting device
	BY_TECHNIQUE external manipulation
		ACTS_ON lumbar vertebral column
	BY_TECHNIQUE immobilising
		ACTS_ON lumbar vertebral column

RUBRIC "Contention externe sans rduction de la colonne vertbrale cervicale par appareil pltr, en rsine ou synthtique,  l'exclusion du collier cervical et d'un appareil avec appui occipito-mentonnier Minerve"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0776"
MAIN installing
	ACTS_ON resin setting device / cast
		HAS_DESTINATION neck
	HAS_APPROACH closed
WITHOUT installing
	ACTS_ON cervical collar device
		HAS_DESTINATION neck
	HAS_APPROACH closed

RUBRIC "Contention externe sans rduction de la colonne vertbrale lombaire par appareil pltr, en rsine ou synthtique Lombostat"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0777"
MAIN installing
	ACTS_ON resin setting device / cast
		HAS_DESTINATION lumbar region
	HAS_APPROACH closed

RUBRIC "Mise en place d'une traction continue bipolaire de la colonne vertbrale par sangles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0778"
MAIN installing
	ACTS_ON device
		HAS_FUNCTION banding
			ACTS_ON vertebral column
		HAS_LOCATION_1 cervical vertebral column
		HAS_LOCATION_2 lumbar vertebral column

RUBRIC "Mise en place d'une traction par halo cranien avec contre-appui thoracique, pelvien ou fmoral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0779"
MAIN installing
	ACTS_ON device
		HAS_FUNCTION banding
			ACTS_ON vertebral column
		HAS_LOCATION_1 skull
		HAS_LOCATION_2 thorax / femur / pelvic girdle

RUBRIC "Ostosynthse de l'odontoide par voie trans-orale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0780"
MAIN fixing
	ACTS_ON dens axis
		IS_PART_OF axis
	BY_MEANS_OF fixation device
	HAS_APPROACH transoral access

RUBRIC "Rduction et ostosynthse de l'odontode par voie cervicale antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0781"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION dens axis
			IS_PART_OF axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck
WITH fixing
	ACTS_ON dens axis
		IS_PART_OF axis
	BY_MEANS_OF fixation device
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION dens axis
			IS_PART_OF axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF neck
WITH fixing
	ACTS_ON dens axis
		IS_PART_OF axis
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse transarticulaire de C1-C2 par voieantrieure ou antro-latrale bilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0782"
MAIN fixing
	ACTS_ON vertebral joint
		CONNECTS_1 atlas
		CONNECTS_2 axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck
	BY_MEANS_OF fixation device
	HAS_LATERALITY bilateral
OR_MAIN fixing
	ACTS_ON vertebral joint
		CONNECTS_1 atlas
		CONNECTS_2 axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF neck
	BY_MEANS_OF fixation device
	HAS_LATERALITY bilateral

RUBRIC "Ostosynthse de la colonne cervicale de C2  C7 sur un tage par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0783"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF neck
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne cervicale de C2  C7sur un tage par voie antrieure ou antro-latrale avec arthrodse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0784"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF neck
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne cervicale de C2  C7sur un tage par voie antrieure ou antro-latrale avec arthrodse et exploration endocanalaire Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0785"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF vertebral column
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF neck
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF vertebral column

RUBRIC "Ostosynthse de la colonne cervicale suprieure (occipito-C1 C3)par voie trans-mandibulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0786"
MAIN fixing
	ACTS_ON os occipitale
	ACTS_ON_1 axis & atlas
	ACTS_ON_2 vertebra c3
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON mandibula
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne thoracique sur un tage par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0787"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thorax wall
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thorax wall
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne thoracique par mthode endoscopique sur un tage par voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0788"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic vertebral column
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thorax wall
	BY_MEANS_OF fixation device
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ostosynthse de la colonne thoraco-lombaire [T11-L2] sur un tagepar thoraco-phrno-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0789"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale thoraco-lombaire [T11-L2] sur un tage par mthode endoscopique par voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0790"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracolumbar spine
		BY_MEANS_OF endoscope
	BY_MEANS_OF fixation device
	HAS_APPROACH abdominal approach
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ostosynthse de la colonne vertbrale lombaire ou lombo-sacre sur un tage par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0791"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbralel ombaire ou lombo-sacre sur un tage par laparotomie transpritonale ou extra-pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0792"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne lombaire ou lombo-sacre sur un tage par mthode endoscopiquepar voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0793"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON lumbosacral spine
		BY_MEANS_OF endoscope
	BY_MEANS_OF fixation device
	HAS_APPROACH abdominal approach
	WITH_GUIDANCE_BY endoscope
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON lumbar vertebral column
		BY_MEANS_OF endoscope
	BY_MEANS_OF fixation device
	HAS_APPROACH abdominal approach
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ostosynthsede la jonction cranio-vertbrale par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0794"
MAIN fixing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF articulatio atlanto-occipitalis
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthsede la jonction cranio-vertbrale par voie postrieure avec exploration endocanalaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0795"
MAIN fixing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF articulatio atlanto-occipitalis
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF cervical vertebral column

RUBRIC "Ostosynthse interlamairede C1 et C2 par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0796"
MAIN fixing
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF atlas
	ACTS_ON_2 lamina arcus vertebrae
		IS_PART_OF axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse transarticulaire et/outranspdiculaire de C1 et C2 par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0797"
MAIN fixing
	ACTS_ON_1 pediculus arcus vertebrae
		IS_PART_OF axis
	ACTS_ON_2 pediculus arcus vertebrae
		IS_PART_OF atlas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebral joint
		CONNECTS_1 atlas
		CONNECTS_2 axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF cervical vertebral column
	ACTS_ON_1 pediculus arcus vertebrae
		IS_PART_OF axis
	ACTS_ON_2 pediculus arcus vertebrae
		IS_PART_OF atlas
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		CONNECTS_1 atlas
		CONNECTS_2 axis
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur un tage par voiepostrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0798"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur deux tages par voiepostrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0799"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than three
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than three
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than three

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur trois tages par voiepostrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0800"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur un tage par voie postrieure avec arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0801"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur un tage par voie postrieure avec exploration endocanalaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0802"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF cervical vertebral column
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF thoracic vertebral column
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF lumbar spine

RUBRIC "Ostosynthse de la colonne vertbrale cervicale, thoracique ou lombaire sur un tage par voie postrieure avec arthrodse et exploration endocanalaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0803"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF cervical vertebral column
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF thoracic vertebral column
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF lumbar spine

RUBRIC "Ostosynthse de la jonction lombo-sacre par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0804"
MAIN fixing
	ACTS_ON lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la jonction lombo-sacre par voie postrieure avec exploration endocanalaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0805"
MAIN fixing
	ACTS_ON lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH exploring
	ACTS_ON vertebral canal
		IS_PART_OF lumbosacral spine

RUBRIC "Ostosynthse du sacrum par voie postrieure inclut : la libration radiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0806"
MAIN fixing
	ACTS_ON sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON root
		IS_PART_OF nerve

RUBRIC "Ostosynthse de la colonne vertbrale thoracique ou lombaire par fixateur externe percutan par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0807"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF external fixation device
	HAS_ROUTE percutaneous route
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF external fixation device
	HAS_ROUTE percutaneous route

RUBRIC "Ostosynthse de la colonne vertbrale thoracique ou lombaire par fixateur externe  foyer ouvert par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990505,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0808"
MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF external fixation device
	HAS_APPROACH open
OR_MAIN fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
	BY_MEANS_OF external fixation device
	HAS_APPROACH open

RUBRIC "Ligamentoplastie de la colonne vertbrale par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0809"
MAIN plastic repairing
	ACTS_ON ligament
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column

RUBRIC "Arthrodse antrieure cranio-vertbrale par voie trans-orale ou antro-latrale Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0810"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF articulatio atlanto-occipitalis
	BY_MEANS_OF fixation device
	HAS_APPROACH transoral access
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF articulatio atlanto-occipitalis
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale cervicale sur un tage par voie antrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0811"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale thoracique, sur un tage, par thoracotomie Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0812"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale thoracique par mthode endoscopique sur un tage Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0813"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vertebral joint
			IS_PART_OF thoracic vertebral column
		BY_MEANS_OF endoscope
	BY_MEANS_OF fixation device
	WITH_GUIDANCE_BY endoscope

RUBRIC "Arthrodse antrieure de la colonne vertbrale thoraco-lombaire par thoraco-phrno-lombotomie sur un tage Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0814"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale lombaire ou lombo-sacre sur un tage par laparotomie trans ou extra-pritonale Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0815"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale lombaire ou lombo-sacre sur un tage par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0816"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse de la colonne vertbrale lombaire ou lombo-sacre par mthode endoscopique sur un tage par voie antrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0817"
MAIN fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vertebral joint
			IS_PART_OF lumbar vertebral column
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
	WITH_GUIDANCE_BY endoscope
OR_MAIN fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vertebral joint
			IS_PART_OF lumbosacral spine
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
	WITH_GUIDANCE_BY endoscope

RUBRIC "Arthrodse intersomatique lombaire ou lombo-sacresur un tage par voie postrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0818"
MAIN fixing
	ACTS_ON intervertebral disk
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON intervertebral disk
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse postrieure de la jonction occipito-cervicale par voie postrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0819"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF articulatio atlanto-occipitalis
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse postrieure de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre sur un tage par voie postrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0820"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse postrieure de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre sur deux tages par voiepostrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0821"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than one
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than one
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than one
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than one

RUBRIC "Arthrodse postrieure de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre sur trois tages par voiepostrieure Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0822"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF bony autograft
	HAS_QUANTITY more than two

RUBRIC "Arthrodse antrieure et postrieure de la colonne vertbrale sur un tage par une seule voie d'abord postrolatrale Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0823"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF bony autograft
WITH fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF bony autograft

RUBRIC "Arthrodse antrieure et postrieure de la colonne vertbrale sur un tage par deux voies d'abord Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0824"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF bony autograft
WITH fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Arthrodse intersomatique et postro-latrale de la colonne lombaire par voie postrieure sur un tage Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0825"
MAIN fixing
	ACTS_ON intervertebral disk
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
WITH fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Chimionuclolyse percutane d'un disque vertbral (y compris discographie et manomtrie)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0826"
MAIN injecting
	ACTS_ON chemical substance
	HAS_ROUTE percutaneous route
	TO_ACHIEVE lysing
		ACTS_ON intervertebral disk nucleus pulposus
WITH imaging
	ACTS_ON intervertebral disk
	BY_MEANS_OF Xray device
WITH measuring pressure
	ACTS_ON subarachnoid space
	BY_MEANS_OF pressure captor device

RUBRIC "Nuclotomie percutane automatise ou non d'un disque(y compris discographie et manomtrie)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0827"
MAIN incising
	ACTS_ON intervertebral disk nucleus pulposus
	HAS_APPROACH percutaneous route
WITH imaging
	ACTS_ON intervertebral disk
	BY_MEANS_OF Xray device
WITH measuring pressure
	ACTS_ON subarachnoid space
	BY_MEANS_OF pressure captor device

RUBRIC "Exrse d'une hernie discale cervicale et/ou d'ostophytes sans arthrodsepar voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0828"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale cervicale et/ou d' ostophytes avec arthrodse sans ostosynthse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0829"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale cervicaleet/ou d' ostophytes avec arthrodse et ostosynthse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0830"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale cervicale et/ou d'ostophytespar voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0831"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH posterior approach
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
OR_MAIN excising
	ACTS_ON osteophyte
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH posterior approach

RUBRIC "Exrse d'une hernie discale thoracique sans arthrodse par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0832"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique avec arthrodse sans ostosynthse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0833"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique avec arthrodse et ostosynthse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0834"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique sans arthrodse par voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0835"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH posterior approach
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique avec arthrodse par voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0836"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH posterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique avec arthrodse et ostosynthse par voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0837"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH posterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale thoracique par mthode endoscopique par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0838"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON hernia of intervertebral disk
			HAS_LOCATION thoracic vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic vertebral column
		HAS_APPROACH anterior approach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON hernia of intervertebral disk
			HAS_LOCATION thoracic vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'une hernie discale lombaire sans arthrodse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0839"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH anterior approach
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale lombaire avec arthrodse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0840"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale lombaire avec arthrodse et ostosynthse par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0841"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH anterior approach
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Exrse d'une hernie discale lombaire par mthode endoscopique par voie antrieure ou antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0842"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON hernia of intervertebral disk
			HAS_LOCATION lumbar vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH anterior approach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON hernia of intervertebral disk
			HAS_LOCATION lumbar vertebral column
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'une hernie discale lombaire y compris rsection d'ostophytes, et ouverture du recessus latral au mme segment [arthrectomie partielle, foraminotomie] par voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0843"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial

RUBRIC "Exrse de deux hernies discales lombaires y compris rsection d'ostophytes et ouverture du recessus latral aumme segment [arthrectomie partielle, foraminotomie] par voie postrieure ou postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0844"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	HAS_QUANTITY more than one
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	HAS_QUANTITY more than one
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial

RUBRIC "Exrse d'une rcidive au mme niveau de hernie discale lombaire pralablement opere par abord direct, y compris la rsection d'ostophytes, et ouverture du rcessus latral au mme segment [arthrectomie partielle,foraminotomie] par voie postrieure avec arthrodse et/ou ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0846"
MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	FOLLOWS surgical deed
		ACTS_ON hernia of intervertebral disk
		HAS_APPROACH open
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON hernia of intervertebral disk
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	FOLLOWS surgical deed
		ACTS_ON hernia of intervertebral disk
		HAS_APPROACH open
WITH resecting
	ACTS_ON osteophyte
		HAS_LOCATION lumbar vertebral column
	HAS_QUANTITY several
WITH opening
	ACTS_ON spinal lateral recess
WITH incising
	ACTS_ON intervertebral foramen
WITH excising
	ACTS_ON postero-latral vertebral joint
	HAS_EXTENT partial
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Arthroplastie intersomatique (prothse discale) sur un niveau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0847"
MAIN replacing
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_MEANS_OF prosthetic implant

RUBRIC "Laminectomie pour dcompression mdullaire et/ou de la queue de cheval par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0848"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae

RUBRIC "Laminectomie pour exploration et dcompression intradurales sans plastie par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0849"
MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITHOUT plastic repairing
	ACTS_ON lamina arcus vertebrae
OR_MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITHOUT plastic repairing
	ACTS_ON lamina arcus vertebrae

RUBRIC "Laminectomie pour exploration et dcompression intradurales avec plastie par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0850"
MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITH plastic repairing
	ACTS_ON lamina arcus vertebrae
OR_MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITH plastic repairing
	ACTS_ON lamina arcus vertebrae

RUBRIC "Laminoplastie pour dcompression mdullaire et/ou de la queue de cheval par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0851"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE plastic repairing
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE plastic repairing
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE plastic repairing
		ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE plastic repairing
		ACTS_ON lamina arcus vertebrae

RUBRIC "Laminotomie avec reposition pour dcompression mdullaire et/ou de la queue de cheval par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0852"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH repositioning
	ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH repositioning
	ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH repositioning
	ACTS_ON lamina arcus vertebrae
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH repositioning
	ACTS_ON lamina arcus vertebrae

RUBRIC "Laminotomie pour exploration et dcompression intra durale sans plastie par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0853"
MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITHOUT plastic repairing
	ACTS_ON lamina arcus vertebrae
OR_MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITHOUT plastic repairing
	ACTS_ON lamina arcus vertebrae

RUBRIC "Laminotomie pour exploration et dcompression intradurale avec plastie par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0854"
MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITH plastic repairing
	ACTS_ON lamina arcus vertebrae
OR_MAIN exploring
	ACTS_ON subdural space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE incising
		ACTS_ON lamina arcus vertebrae
WITH decompressing
	ACTS_ON subdural space
WITH plastic repairing
	ACTS_ON lamina arcus vertebrae

RUBRIC "Laminoarthrectomie partielle pour dcompression mdullaire et/ou de la queue de cheval par voie postrieure ou postro-latrale, sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0855"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
		ACTS_ON_2 vertebral joint
		HAS_EXTENT partial
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
		ACTS_ON_2 vertebral joint
		HAS_EXTENT partial
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
		ACTS_ON_2 vertebral joint
		HAS_EXTENT partial
OR_MAIN decompressing
	ACTS_ON cauda equina
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_TECHNIQUE excising
		ACTS_ON lamina arcus vertebrae
		ACTS_ON_2 vertebral joint
		HAS_EXTENT partial

RUBRIC "Recalibrage unilatral cervical par voie postrieure, sur un tage Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0856"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION cervical vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF cervical vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two

RUBRIC "Recalibrage bilatral cervical par voie postrieure, sur un tage Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0857"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION cervical vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF cervical vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two

RUBRIC "Recalibrage unilatral lombaire et (?jmr)lombo-sacr par voie postrieure, sur un tage Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0858"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbar vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbar vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
OR_MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbosacral spine
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbosacral spine
		HAS_EXTENT partial
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two

RUBRIC "Recalibrage bilatral lombaire et (?jmr) lombo-sacr par voie postrieure, sur un tage Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0859"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbar vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbar vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two
OR_MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbosacral spine
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbosacral spine
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two

RUBRIC "Recalibrage bilatral lombaire et(?jmr] lombo-sacr par voie postrieure, sur deux tages Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0860"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbar vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbar vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than one
OR_MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbosacral spine
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbosacral spine
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than one

RUBRIC "Recalibrage bilatral lombaire et(?jmr) lombo-sacr par voie postrieure, sur trois tages Recalibrage=laminoarthrectomie partielle, foraminotomie, rsection d'ostophyte et curage de disque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990603,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0861"
MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbar vertebral column
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbar vertebral column
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than two
OR_MAIN augmenting
	ACTS_ON segment
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	BY_TECHNIQUE excising
		ACTS_ON_1 lamina arcus vertebrae
		ACTS_ON_2 postero-latral vertebral joint
		HAS_EXTENT partial
	BY_TECHNIQUE incising
		ACTS_ON intervertebral foramen
	BY_TECHNIQUE resecting
		ACTS_ON osteophyte
			HAS_LOCATION lumbosacral spine
		HAS_QUANTITY several
	BY_TECHNIQUE excising
		ACTS_ON intervertebral disc
			IS_PART_OF lumbosacral spine
		HAS_EXTENT partial
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than two

RUBRIC "Lamino-arthrectomie totale unilatrale cervicale sans arthrodse avec ou sans ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0862"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF cervical vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF cervical vertebral column
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH_OPTIONALLY fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale unilatrale cervicale avec arthrodse et ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0863"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF cervical vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF cervical vertebral column
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale unilatrale lombaire et[? jmr] lombo-sacr sans arthrodse avec ou sans ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0864"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbar vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH_OPTIONALLY fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbosacral spine
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbosacral spine
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH_OPTIONALLY fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale unilatrale lombaire et[? jmr] lombo-sacr avec arthrodse et ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0865"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbar vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbosacral spine
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbosacral spine
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale bilatrale cervicale avec arthrodse et ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0866"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF cervical vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF cervical vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale bilatrale lombaire et[?jmr] lombo-sacr avec arthrodse et ostosynthse sur un tage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0867"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbar vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbosacral spine
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbosacral spine
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale bilatrale lombaire et lombo-sacr avec arthrodse et ostosynthse sur deux tages"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0868"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbar vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbosacral spine
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbosacral spine
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than three
	HAS_QUANTITY more than one
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Lamino-arthrectomie totale bilatrale lombaire et lombo-sacr avec arthrodse et ostosynthse sur trois tages"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0869"
MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbar vertebral column
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than four
	HAS_QUANTITY more than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON_1 lamina arcus vertebrae
		IS_PART_OF lumbosacral spine
	ACTS_ON_2 postero-latral vertebral joint
		IS_PART_OF lumbosacral spine
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than four
	HAS_QUANTITY more than two
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device

RUBRIC "Uncusectomie ou foraminotomie cervicale unilatrale d'une vertbre par voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0870"
MAIN excising
	ACTS_ON uncus corporis vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	HAS_LATERALITY unilateral
OR_MAIN incising
	ACTS_ON foramen vertebrale
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	HAS_LATERALITY unilateral

RUBRIC "Somatotomie d'une vertbre cervicale pour dcompression mdullaire par voie antrieure ou antro-latrale sans arthrodse ni ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0871"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Somatotomie d'une vertbre cervicale pour dcompression mdullaire par voie antrieure ou antro-latrale avec arthrodse et/ou ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0872"
MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN decompressing
	ACTS_ON spinal cord
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	BY_TECHNIQUE incising
		ACTS_ON corpus vertebrae
			IS_PART_OF vertebra
				IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device

RUBRIC "Corporectomie partielle d'une vertbre cervicale ( y compris,la reconstruction etl'ostosynthse) par voie antrieure ou antro-latrale Exclut : l'ventuel prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0873"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie partielle d'une vertbre thoracique ( y compris,la reconstruction etl'ostosynthse) par thoracotomie Exclut : l'ventuel prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0874"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie partielle d'une vertbre thoraco-lombaire ( y compris,la reconstruction etl'ostosynthse) par thoraco-phrno-lombotomie Exclut : l'ventuel prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0875"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie partielle d'une vertbre lombaire ( y compris,la reconstruction etl'ostosynthse) par lombotomie Exclut : l'ventuel prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0876"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie partielle d'une vertbre lombaire ( y compris,la reconstruction etl'ostosynthse) par laparotomie trans ou extrapritonale Exclut : l'ventuel prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0877"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_2 extraperitoneal
	HAS_EXTENT partial
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie totale d'une vertbre cervicale, ou temps antrieur d'une vertbrectomie totale sur une vertbre ( y compris, la reconstruction etl'ostosynthse) par voie antrieure ou antro-latrale Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0878"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF cervical vertebral column
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie totale d'une vertbre thoracique, ou temps antrieur d'une vertbrectomie totale sur une vertbre ( y compris, la reconstruction etl'ostosynthse) par thoracotomie Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0879"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie totale d'une vertbre thoraco-lombaire, ou temps antrieur d'une vertbrectomie totale sur une vertbre ( y compris, la reconstruction etl'ostosynthse) par thoraco-phrno-lombotomie Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0880"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie totale d'une vertbre lombaire ou lombo-sacre, ou temps antrieur d'une vertbrectomie totale sur une vertbre ( y compris, la reconstruction etl'ostosynthse) par lombotomie Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0881"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF bony autograft

RUBRIC "Corporectomie totale d'une vertbre lombaire ou lombo-sacre, ou temps antrieur d'une vertbrectomie totale sur une vertbre ( y compris, la reconstruction etl'ostosynthse) par laparotomie trans ou extrapritonale Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0882"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_2 extraperitoneal
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
WITH fixing
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF bony autograft

RUBRIC "Exrse totale de l'arc postrieurvertbral quel que soit le niveau [temps postrieur d'une vertbrectomie totale] y compris la reconstruction"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0883"
MAIN excising
	ACTS_ON lamina arcus vertebrae
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON lamina arcus vertebrae

RUBRIC "Vertbrectomie totale cervicale par double voie d'abord dont une cervicotomie Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0884"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF neck
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF neck
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF cervical vertebral column

RUBRIC "Vertbrectomie totale thoracique par une seule voie postrieure Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0885"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column

RUBRIC "Vertbrectomie totale thoracique par double voie d'abord dont une thoracotomie Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0886"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF thoracic vertebral column

RUBRIC "Vertbrectomie totale thoraco-lombaire par double voie d'abord dont une thoraco-phrno-lombotomie Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0887"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracolumbar spine
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF thoracolumbar spine

RUBRIC "Vertbrectomie totale lombaire ou lombo-sacre par double voie d'abord dont une lombotomie Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0888"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
OR_MAIN excising
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine

RUBRIC "Vertbrectomie totale lombaire ou lombo-sacre par double voie d'abord dont une laparotomie trans ou extrapritonale Inclut la reconstruction Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0889"
MAIN excising
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH transperitoneal approach
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
OR_MAIN excising
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_1 part
			HAS_POSITION anterior
			IS_PART_OF lumbosacral spine
		ACTS_ON_2 extraperitoneal
	HAS_EXTENT total
WITH reconstruction
	ACTS_ON vertebra
		IS_PART_OF lumbosacral spine

RUBRIC "Vertbroplastie percutane d'une vertbre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0890"
MAIN plastic repairing
	ACTS_ON vertebra
	HAS_APPROACH percutaneous route

RUBRIC "Rduction orthopdique progressive d'un spondylolisthsis lombaire par hamac et/ou traction bipolaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "R0891"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
	BY_MEANS_OF device
	HAS_FEATURE progressive

RUBRIC "Reconstruction isthmique vertbrale, quelle que soit la technique par voie postrieure ou postro-latrale Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0892"
MAIN reconstruction
	ACTS_ON isthmus
		IS_PART_OF vertebra
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
OR_MAIN reconstruction
	ACTS_ON isthmus
		IS_PART_OF vertebra
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire, par voie postrieure Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0893"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire, par voie postrieure ou postro-latrale avec ostosynthse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0894"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire par voie postrieure ou postro-latrale avec libration radiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0895"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire par voie postrieure ou postro-latrale avec ostosynthse et libration radiculaire.Exclut le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990617,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0896"
MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
OR_MAIN fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF lumbar vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column

RUBRIC "Arthrodse antrieure sans rduction d'un spondylolisthsis lombaire par laparotomie Inclut : l'ventuelle ostosynthse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0897"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
WITH_OPTIONALLY fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse sans rduction d'un spondylolisthsis lombaire par double voie dont une laparotomie Inclut : l'ventuelle ostosynthse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0898"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_1 lumbar vertebral column
	BY_MEANS_OF fixation device
WITHOUT reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
WITH_OPTIONALLY fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Rduction arthrodse d'un spondylolisthsis  grand dplacement sans ostosynthse par voie postrieure Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0899"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Rduction arthrodse postrieure ou postro-latrale d'un spondylolisthsis  grand dplacementavec ostosynthse par voie postrieure, y compris la libration radiculaire Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0900"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebral joint
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
OR_MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF vertebral joint
	BY_MEANS_OF fixation device
	HAS_APPROACH posterior approach
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Rduction arthrodse d'un spondylolisthsis  grand dplacementavec ostosynthse, y compris libration radiculaire avec arthrodse intersomatique (PLIF) avec ou sans implant par voie postrieure Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0901"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
WITH fixing
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITH_OPTIONALLY installing
	ACTS_ON implant
		HAS_DESTINATION spine

RUBRIC "Rduction arthrodse d'un spondylolisthsis  grand dplacementavec ostosynthse et arthrodse intersomatique (PLIF) avec ou sans implant par voie postrieure , y compris libration radiculaire Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0902"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		HAS_POSITION proximal
		IS_PART_OF spinal nerve
WITH fixing
	ACTS_ON intervertebral disk
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
WITH_OPTIONALLY installing
	ACTS_ON implant
		HAS_DESTINATION vertebral column

RUBRIC "Rduction arthrodse d'un spondylolisthsis  grand dplacement avec ostosynthse, y compris libration radiculaire avec arthrodse intersomatique trans-sacro-lombaire par voie postrieure Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0903"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		IS_PART_OF spinal nerve
WITH fixing
	ACTS_ON intervertebral disk
		CONNECTS_1 lumbar vertebral column
		CONNECTS_2 sacrum
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
	BY_MEANS_OF fixation device

RUBRIC "Rduction arthrodse d'un spondylolisthsis lombaire avec ostosynthse, par voie antrieure Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0904"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Rduction arthrodse d'un spondylolisthsis lombaire avec ostosynthse, y compris libration radiculaire , par voie combine  Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0905"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF lumbar vertebral column
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
WITH freeing
	ACTS_ON part
		IS_PART_OF spinal nerve
			IS_PART_OF lumbar region

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 5 vertbres ou moins par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0906"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 6  9 vertbres  par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0907"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 6 and 9
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9

RUBRIC "Correction instrumentale d'une dformation non rigide sans arthrodse sur 6  9 vertbres  par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0908"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 6 and 9
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		HAS_QUANTITY between 6 and 9
	BY_MEANS_OF fixation device

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 5 vertbres ou moins par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0909"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 5 vertbres ou moins par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0910"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 5 vertbres ou moins par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0911"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 6 vertbres ou plus par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0912"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than five
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than five

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 6 vertbres ou plus par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0913"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than five
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than five

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures avec correction instrumentale d'une dformation rigide et arthrodse sur 5 vertbres ou moins par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0914"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than six
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY less than six
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY less than six
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures et antrieures par voie transpdiculaire avec correction instrumentale d'une dformation rigide et arthrodse sur 5 vertbres ou moins par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0915"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY less than six
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY less than six
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pediculus arcus vertebrae
	HAS_QUANTITY less than six
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than six
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than six
WITH incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY less than six

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures avec correction instrumentale d'une dformation rigide et arthrodse sur 6  9 vertbres  par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0916"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY between 6 and 9
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY between 6 and 9
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY between 6 and 9
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 6 and 9
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures et antrieures par voie transpdiculaire avec correction instrumentale d'une dformation rigide et arthrodse sur 6  9  vertbres  par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0917"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY between 6 and 9
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY between 6 and 9
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pediculus arcus vertebrae
	HAS_QUANTITY between 6 and 9
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 6 and 9
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9
WITH incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY between 6 and 9

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures avec correction instrumentale d'une dformation rigide et arthrodse sur 10 vertbres ou plus par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0918"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than nine
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY more than nine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY more than nine
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than nine
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine

RUBRIC "Arthrectomies totales bilatrales et / ou ostotomies vertbrales postrieures et antrieures par voie transpdiculaire avec correction instrumentale d'une dformation rigide et arthrodse sur 10  vertbres ou plus par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0919"
MAIN excising
	ACTS_ON postero-latral vertebral joint
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	HAS_QUANTITY more than nine
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			IS_PART_OF vertebral column
				CONTAINS vertebra
					HAS_QUANTITY more than nine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pediculus arcus vertebrae
	HAS_QUANTITY more than nine
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than nine
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine
WITH incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vertebra
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column
	HAS_QUANTITY more than nine

RUBRIC "Ostotomie vertbrale ou discectomie totale occipito-C2avec correction instrumentale d'une dformation rigide et arthrodse par voie trans-orale ou cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0920"
MAIN incising
	ACTS_ON bone
		IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON bone
		IS_PART_OF cervical vertebral column
	HAS_APPROACH transoral access
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 os occipitale
		CONNECTS_2 axis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 os occipitale
		CONNECTS_2 axis
	HAS_APPROACH transoral access
	HAS_EXTENT total
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) cervicale(s) (C2-C7) avec correction instrumentale d'une dformation rigide et arthrodse par cervicotomie sur 4 vertbres ou moins"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990605,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0921"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_QUANTITY less than five
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than five
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than five
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF cervical vertebral column
		CONNECTS_2 vertebra
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
	HAS_QUANTITY less than five
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than five
			IS_PART_OF cervical vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than five

RUBRIC "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) cervico-thoraciques(C6-T3) avec correction instrumentale d'une dformation rigide et arthrodse par cervicothoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0922"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF cervicothoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
		ACTS_ON_2 thorax wall
	HAS_QUANTITY between 1 and 5
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 5
			IS_PART_OF cervicothoracic spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervicothoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 5
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF cervicothoracic spine
		CONNECTS_2 vertebra
			IS_PART_OF cervicothoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
		ACTS_ON_2 thorax wall
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 5
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 5
			IS_PART_OF cervicothoracic spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervicothoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 5

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoracique (T3-T11) avec correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0923"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF thoracic vertebral column
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracic spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoracique(T3-T11) avec correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0924"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			HAS_QUANTITY more than three
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracic spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoraco-lombaire(T11-L2) avec correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0925"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracolumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoraco-lombaire(T11-L2) avec correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0926"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracolumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	HAS_EXTENT total
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totales lombaire(L1-L4) avec correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0927"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF lumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale lombaire(L1-L4) avec correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0928"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF lumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	HAS_EXTENT total
	HAS_QUANTITY more than three
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale lombo-sacre(L4-S1) avec correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par voie trans ou rtropritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0929"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH transperitoneal approach
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF lumbosacral spine
		CONNECTS_2 vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH transperitoneal approach
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON retroperitoneal space
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF lumbosacral spine
		CONNECTS_2 vertebra
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON retroperitoneal space
	HAS_EXTENT total
	HAS_QUANTITY between 1 and 3
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY between 1 and 3
			IS_PART_OF lumbosacral spine
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF lumbosacral spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoracique (T3-T11) sans correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990605,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0930"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_QUANTITY less than four
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracic vertebral column
		CONNECTS_2 vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
	HAS_QUANTITY less than four
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoracique (T3-T11) sans correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990605,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0931"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_QUANTITY more than three
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracic vertebral column
		CONNECTS_2 vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
	HAS_QUANTITY more than three
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracic spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoraco-lombaire (T11-L2) sans correction instrumentale d'une dformation rigide et arthrodse sur 1  3 vertbres par thoracophrenolaparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990605,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0932"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_QUANTITY less than four
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracolumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
	HAS_QUANTITY less than four
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than four

RUBRIC "Ostotomie vertbrale antrieure ou discectomie totale thoraco-lombaire (T11-L2) sans correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par thoracophrenolaparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990605,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0933"
MAIN incising
	ACTS_ON part
		HAS_POSITION anterior
		IS_PART_OF vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_QUANTITY more than three
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three
OR_MAIN excising
	ACTS_ON intervertebral disk
		CONNECTS_1 vertebra
			IS_PART_OF thoracolumbar spine
		CONNECTS_2 vertebra
			IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
	HAS_QUANTITY more than three
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracolumbar spine
	BY_MEANS_OF device
WITHOUT fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Mise  plat d'une lsion infectieuse vertbrale ou paravertbrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0934"
MAIN opening
	ACTS_ON abcess
		HAS_LOCATION vertebra
OR_MAIN opening
	ACTS_ON abcess
		HAS_LOCATION perivertebral space

RUBRIC "Parage [ lavage et drainage] par abord direct d'une pidurite et/ou d'une spondylodiscite"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0935"
MAIN washing
	ACTS_ON epidural space
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON external pachymeningitis
WITH draining
	ACTS_ON epidural space
	HAS_APPROACH open
OR_MAIN washing
	ACTS_ON epidural space
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON spondylodiscitis
WITH draining
	ACTS_ON epidural space
	HAS_APPROACH open

RUBRIC "Parage [lavage et drainage] par abord direct d'une spondylodiscite avec reconstruction (greffe et/ou ostosynthse) dans le mme temps opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0936"
MAIN washing
	ACTS_ON epidural space
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON spondylodiscitis
WITH draining
	ACTS_ON epidural space
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON vertebra
	BY_MEANS_OF bony autograft
OR_MAIN washing
	ACTS_ON epidural space
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON spondylodiscitis
WITH draining
	ACTS_ON epidural space
	HAS_APPROACH open
WITH reconstruction
	ACTS_ON vertebra
	BY_TECHNIQUE fixing
		ACTS_ON vertebra
		BY_MEANS_OF fixation device

RUBRIC "Fermeture de fistule postopratoire spinale de LCS"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0937"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 spinal cord
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER postoperative

RUBRIC "Rparation d'une mningocle spinale postopratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0938"
MAIN plastic repairing
	ACTS_ON meningocele
		HAS_LOCATION vertebral column
	HAS_TEMPORAL_MARKER postoperative

RUBRIC "Evacuation d'un hmatome vertbral pidural postopratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0939"
MAIN evacuating
	ACTS_ON epidural hematoma
		IS_CONTAINED_IN vertebral column
	HAS_TEMPORAL_MARKER postoperative

RUBRIC "Evacuation d'un hmatome vertbral pidural par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0940"
MAIN evacuating
	ACTS_ON epidural hematoma
		IS_CONTAINED_IN vertebral column
	HAS_APPROACH open

RUBRIC "Mise  plat d'une lsion infectieuse pidurale et/ou paravertbrale postopratoire [sepsis]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0941"
MAIN opening
	ACTS_ON abscess
		HAS_LOCATION perivertebral space
	HAS_TEMPORAL_MARKER postoperative
OR_MAIN opening
	ACTS_ON abscess
		HAS_LOCATION epidural space
	HAS_TEMPORAL_MARKER postoperative

RUBRIC "Dcompression pour malformation de la jonction occipito-cervicale par voie antrieure [trans-orale]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0942"
MAIN decompressing
	ACTS_ON articulatio atlanto-occipitalis
	HAS_APPROACH transoral access
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION articulatio atlanto-occipitalis

RUBRIC "Dcompression pour malformation de la jonction occipito-cervicale par voie antro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0943"
MAIN decompressing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF cervical vertebral column
		HAS_APPROACH anterior approach
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION articulatio atlanto-occipitalis

RUBRIC "Dcompression pour malformation de la jonction occipito-cervicale par voie postrieure sans ouverture durale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0944"
MAIN decompressing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION articulatio atlanto-occipitalis
WITHOUT opening
	ACTS_ON dura mater

RUBRIC "Dcompression pour malformation de la jonction occipito-cervicale par voie postrieure avec ouverture durale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0945"
MAIN decompressing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION articulatio atlanto-occipitalis
WITH opening
	ACTS_ON dura mater

RUBRIC "Dcompression d'une malformation de la jonction occipito-cervicale par voie postrieure avec ostosynthse sans ouverture durale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0946"
MAIN decompressing
	ACTS_ON articulatio atlanto-occipitalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION articulatio atlanto-occipitalis
WITH fixing
	ACTS_ON_1 os occipitale
	ACTS_ON_2 atlas
	BY_MEANS_OF fixation device
WITHOUT opening
	ACTS_ON dura mater

RUBRIC "Fermeture d'un spina bifida avec mningocle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0947"
MAIN closing
	ACTS_ON dura mater
	ACTS_ON_1 pediculus arcus vertebrae
MOTIVATED_OVERALL_BY curing
	ACTS_ON spina bifida
	ACTS_ON_1 meningocele

RUBRIC "Fermeture d'un spina bifida avec mylo-mningocle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990624,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0948"
MAIN closing
	ACTS_ON dura mater
	ACTS_ON_1 pediculus arcus vertebrae
MOTIVATED_OVERALL_BY curing
	ACTS_ON spina bifida
	ACTS_ON_1 myelomeningocele

RUBRIC "Ablation de matriel d'ostosynthse occipito- C1-C2 par voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0949"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION os occipitale
		HAS_DESTINATION atlas
		HAS_DESTINATION axis
	HAS_APPROACH transoral access

RUBRIC "Ablation de matriel d'ostosynthse de la colonne cervicale (C2  C7) par cervicotomie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0950"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF neck

RUBRIC "Ablation de matriel d'ostosynthse de la colonne vertbrale thoracique par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0951"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall

RUBRIC "Ablation de matriel d'ostosynthse de la colonne vertbrale thoraco-lombaire par thoraco-phrnotomie lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0952"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbar region

RUBRIC "Ablation de matriel d'ostosynthsede la colonne vertbrale lombaire ou lombo-sacre par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0953"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus

RUBRIC "Ablation de matriel d'ostosynthse de la colonne vertbrale lombaire ou lombo-sacre par laparotomie trans ou extra-pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0954"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_2 extraperitoneal
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_2 extraperitoneal

RUBRIC "Ablation de matriel d'ostosynthsede la colonne vertbrale par voie postrieure, sur 1  3 tage(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0955"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY less than four
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column

RUBRIC "Ablation de matriel d'ostosynthse de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre par voie postrieure sur 5  9 vertbres"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0956"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY between 6 and 9
			IS_PART_OF cervical vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical vertebral column
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY between 6 and 9
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic vertebral column
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY between 6 and 9
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar vertebral column
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY between 6 and 9
			IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbosacral spine

RUBRIC "Ablation de matriel d'ostosynthse vertbrale par voie postrieure, sur plus de 3 tage(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0957"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION segment
			HAS_QUANTITY more than three
			IS_PART_OF vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF vertebral column

RUBRIC "Biopsie cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0958"
MAIN biopsying
	ACTS_ON skin

RUBRIC "Biopsie des tissus sous cutans sus fasciaux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0959"
MAIN biopsying
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF subcutaneous tissue

RUBRIC "Biopsie des tissus sous fasciaux des parties molles, biopsie musculaire comprise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0960"
MAIN biopsying
	ACTS_ON part
		HAS_POSITION deep
		IS_PART_OF subcutaneous tissue
WITH biopsying
	ACTS_ON muscle (striated)

RUBRIC "Parage et/ou suture de plaie superficielle de la peau et des parties molles, de moins de 3 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0961"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	HAS_QUANTITY less than 3 cm
WITH suturing
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_QUANTITY less than 3 cm
OR_MAIN suturing
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_QUANTITY less than 3 cm
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue

RUBRIC "Parage et/ou suture de plaie superficielle de la peau et des parties molles, de 3  10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990507,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0962"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm
OR_MAIN suturing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm

RUBRIC "Parage et/ou suture de plaie superficielle de la peau et des parties molles, de plus de 10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0963"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY more than 10 cm
OR_MAIN suturing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY more than 10 cm

RUBRIC "Parage et/ou suture initiale de plaie profondede la peau et des parties molles, de moins de 3 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0964"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY less than 3 cm
OR_MAIN suturing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY less than 3 cm

RUBRIC "Parage et/ou suture initiale de plaie profonde de la peau et des parties molles, de 3  10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0965"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm
OR_MAIN suturing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm

RUBRIC "Parage et/ou suture initiale de plaie profonde [sous fasciale] de la peau et des parties molles, de plus de 10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0966"
MAIN washing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY more than 10 cm
OR_MAIN suturing
	ACTS_ON wound
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
		HAS_QUANTITY more than 10 cm

RUBRIC "Parage chirurgical itratif d'une lsion traumatique de la peau et des parties molles par passage au bloc opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0967"
MAIN washing
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON lesion (as structure)
		CAUSED_BY trauma
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue

RUBRIC "Extraction de corps tranger superficiel de la peau et des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0968"
MAIN removing
	ACTS_ON foreign body
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue

RUBRIC "Extraction de corps tranger profond [sous fascial] des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0969"
MAIN removing
	ACTS_ON foreign body
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue

RUBRIC "Exrse et/ou suture de lsion cutane de moins de 10 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0970"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY less than 10 cm 2
OR_MAIN suturing
	ACTS_ON skin
	HAS_QUANTITY less than 10 cm 2

RUBRIC "Exrse et/ou suture de lsion cutane de 10 cm2  49 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0971"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY between 10 cm 2 and 49 cm 2
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY between 10 cm 2 and 49 cm 2

RUBRIC "Exrse et/ou suture de lsion cutane de 50 cm2  200 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0972"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY between 50 cm 2 and 200 cm 2
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY between 50 cm 2 and 200 cm 2

RUBRIC "Exrse et/ou suturede lsion cutane de plus de 200 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0973"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY more than 200 cm 2
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_QUANTITY more than 200 cm 2

RUBRIC "Exrse et/ou suturede lsion du plan sous-cutan sus fascial ncessitant une rsection de moins de 3 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0974"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY less than 3 cm
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY less than 3 cm

RUBRIC "Exrse et/ou suturede lsiondu plan sous-cutan sus fascial ncessitant une rsection de 3 cm 10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0975"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY between 3 and 10 cm

RUBRIC "Exrse et/ou suturede lsion du plan sous-cutan sus fascial ncessitant une rsection de plus de 10 cm de grand axe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0976"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY more than 10 cm
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	BY_TECHNIQUE resecting
		ACTS_ON subcutaneous tissue
		HAS_QUANTITY more than 10 cm

RUBRIC "Exrse et/ou suturede lsion du plan fascial et sous fascial  l'exclusion de la paume de la main , du pli du coude, de la racine d'un membre et du creux poplit"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0977"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
WITHOUT excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION palm
			IS_PART_OF hand
WITHOUT excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION anterior
			IS_PART_OF elbow
WITHOUT excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION posterior
			IS_PART_OF knee
WITHOUT excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF limb
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
WITHOUT suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION palm
			IS_PART_OF hand
WITHOUT suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION anterior
			IS_PART_OF elbow
WITHOUT suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF limb
WITHOUT suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION part
			HAS_POSITION posterior
			IS_PART_OF knee

RUBRIC "Exrse et/ou suturede lsion du plan aponvrotique et sous aponvrotique de la paume de la main "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990507,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0978"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION_2 muscle (striated)
			IS_PART_OF palm
				IS_PART_OF hand
	ACTS_ON_2 aponeurosis
		IS_PART_OF palm
			IS_PART_OF hand
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION_2 muscle (striated)
			IS_PART_OF palm
				IS_PART_OF hand
	ACTS_ON_2 aponeurosis
		IS_PART_OF palm
			IS_PART_OF hand
OR_MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION_2 muscle (striated)
			IS_PART_OF palm
				IS_PART_OF hand
	ACTS_ON_2 aponeurosis
		IS_PART_OF palm
			IS_PART_OF hand

RUBRIC "Exrse et/ou suturede lsion du plan fascial et sous-fascial du pli du coude, de la racine d'un membre et du creux poplit"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0979"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION anterior
				IS_PART_OF elbow
OR_MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION posterior
				IS_PART_OF knee
OR_MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF limb
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION anterior
				IS_PART_OF elbow
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION posterior
				IS_PART_OF knee
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF limb

RUBRIC "Exrse et/ou suturede lsion du plan fascial et sous-fascial ncessitant la dissection d'un gros tronc vasculo-nerveux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991013,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0980"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vessel & nerve
		HAS_PROXIMITY part
			HAS_POSITION proximal
			IS_PART_OF limb
		IS_PART_OF limb
OR_MAIN suturing
	ACTS_ON lesion (as structure)
		HAS_LOCATION subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vessel & nerve
		HAS_PROXIMITY part
			HAS_POSITION proximal
			IS_PART_OF limb
		IS_PART_OF limb

RUBRIC "Ponction de collection superficielle ou profonde de la peau et des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0981"
MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
OR_MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue

RUBRIC "vacuation avec ou sans drainage de collection superficielle de la peau et des parties molles  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0982"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue
	HAS_APPROACH open
WITH_OPTIONALLY draining
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION superficial
			IS_PART_OF subcutaneous tissue

RUBRIC "vacuation avec ou sans drainage de collection profonde de la peau et des parties molles  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0983"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue
	HAS_APPROACH open
WITH_OPTIONALLY draining
	ACTS_ON abscess
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF subcutaneous tissue

RUBRIC "Excision et mise  plat initiale de lsion infectieuse diffuse de la peau et des parties molles, de moins de 50 cm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0984"
MAIN excising
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_EXTENT less than or equal to 50 cm2
MOTIVATED_OVERALL_BY curing
	ACTS_ON infection
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue

RUBRIC "Excision et mise  plat initiale de lsion infectieuse diffuse de la peau et des parties molles, entre 50   199 cm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0985"
MAIN excising
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_QUANTITY between 50 cm 2 and 200 cm 2
MOTIVATED_OVERALL_BY curing
	ACTS_ON infection
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
WITH opening
	ACTS_ON_1 skin
	ACTS_ON_2 subcutaneous tissue
	HAS_QUANTITY between 50 cm 2 and 200 cm 2

RUBRIC "Excision et mise  plat initiale de lsion infectieuse diffuse de la peau et des parties molles, de 200 cm et plus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0986"
MAIN excising
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_QUANTITY more than 200 cm 2
MOTIVATED_OVERALL_BY curing
	ACTS_ON infection
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
WITH opening
	ACTS_ON_1 skin
	ACTS_ON_2 subcutaneous tissue
	HAS_QUANTITY more than 200 cm 2

RUBRIC "Parage itratif d'une lsion infectieuse diffuse de la peau et des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0987"
MAIN washing
	ACTS_ON lesion (as structure)
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Incision ou excision d'un panaris superficiel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0988"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF digit
OR_MAIN excising
	ACTS_ON abscess
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF digit

RUBRIC "Excision d'un panaris profond de la pulpe, sous garrot pneumatique [phlegmon pulpaire]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0989"
MAIN excising
	ACTS_ON abscess
		HAS_LOCATION subcutaneous tissue
			HAS_POSITION deep
			IS_PART_OF digit
	BY_TECHNIQUE clamping
		ACTS_ON digit
		BY_MEANS_OF mechanical process device

RUBRIC "Lavage-drainage d'un phlegmon d'une gaine digitale ou digito-carpienne Inclut : la synovectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0990"
MAIN washing
	ACTS_ON abscess
		HAS_LOCATION sheath
			CONTAINS tendon
			IS_PART_OF digit
WITH excising
	ACTS_ON synovial membrane
OR_MAIN washing
	ACTS_ON abscess
		HAS_LOCATION sheath
			CONTAINS tendon
			IS_PART_OF digit & hand & wrist
WITH excising
	ACTS_ON synovial membrane

RUBRIC "Excision d'un phlegmon profond de la main et des doigts avec excisions tendineuses et tno-synovectomie Inclut : le lavage articulaire, la synovectomie articulaire et l'ventuelle arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0991"
MAIN washing
	ACTS_ON abscess
		HAS_LOCATION_1 part
			HAS_POSITION deep
			IS_PART_OF hand
		HAS_LOCATION_2 part
			HAS_POSITION deep
			IS_PART_OF finger
WITH excising
	ACTS_ON tendon
WITH excising
	ACTS_ON synovial membrane

RUBRIC "Lavage-drainage d'un phlegmon de la main ou de l'avant bras  l'exclusion de phlegmon des gaines"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0992"
MAIN washing
	ACTS_ON abscess
		HAS_LOCATION hand / forearm
WITH draining
	ACTS_ON abscess
		HAS_LOCATION hand / forearm
WITHOUT washing
	ACTS_ON abscess
		HAS_LOCATION sheath
			CONTAINS tendon
WITHOUT draining
	ACTS_ON abscess
		HAS_LOCATION sheath
			CONTAINS tendon

RUBRIC "Excision d'une fasciite ncrosante de la main ou de l'avant-bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0993"
MAIN excising
	ACTS_ON necrotizing fasciitis
		HAS_LOCATION hand
OR_MAIN excising
	ACTS_ON necrotizing fasciitis
		HAS_LOCATION forearm

RUBRIC "Autogreffe de peau totale sur une seule localisation, de moins de 10 cm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0994"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
	HAS_QUANTITY less than 10 cm 2

RUBRIC "Autogreffe de peau totale sur une seule localisation de 10 cm ou plus Inclut : prise de la greffe, traitement de la zone de prlvement par fermeture et pansement, pose de la greffe Exclut : greffe cutane pour brlure rcente"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0995"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
	HAS_QUANTITY more than 10 cm 2
WITHOUT autografting
	ACTS_ON skin
	MOTIVATED_BY curing
		ACTS_ON burning

RUBRIC "Autogreffe de peau totale sur plus d'une localisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0996"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
	HAS_QUANTITY more than one

RUBRIC "Autogreffe de peau mince ou demi-paisse, pleine ou en filet, de moins de 50 cm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0997"
MAIN autografting
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF skin
	HAS_EXTENT less than or equal to 50 cm2
OR_MAIN autografting
	ACTS_ON mesh graft
	BY_TECHNIQUE harvesting
		ACTS_ON part
			HAS_POSITION superficial
			IS_PART_OF skin
	HAS_EXTENT less than or equal to 50 cm2

RUBRIC "Autogreffe de peau mince ou demi-paisse, pleine ou en filet, de 50 cm  200 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0998"
MAIN autografting
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF skin
	HAS_QUANTITY between 50 cm 2 and 200 cm 2
OR_MAIN autografting
	ACTS_ON mesh graft
	BY_TECHNIQUE harvesting
		ACTS_ON part
			HAS_POSITION superficial
			IS_PART_OF skin
	HAS_QUANTITY between 50 cm 2 and 200 cm 2

RUBRIC "Autogreffe de peau mince ou demi-paisse, pleine ou en filet, de 200 cm2  500 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R0999"
MAIN autografting
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF skin
	HAS_QUANTITY between 200 cm 2 and 500 cm 2
OR_MAIN autografting
	ACTS_ON mesh graft
	BY_TECHNIQUE harvesting
		ACTS_ON part
			HAS_POSITION superficial
			IS_PART_OF skin
	HAS_QUANTITY between 200 cm 2 and 500 cm 2

RUBRIC "Autogreffe de peau mince ou demi-paisse, pleine ou en filet, de 500 cm2  1000 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1000"
MAIN autografting
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF skin
	HAS_QUANTITY between 500 cm 2 and 1000 cm 2
OR_MAIN autografting
	ACTS_ON mesh graft
	BY_TECHNIQUE harvesting
		ACTS_ON part
			HAS_POSITION superficial
			IS_PART_OF skin
	HAS_QUANTITY between 500 cm 2 and 1000 cm 2

RUBRIC "Autogreffe de peau mince ou demi-paisse, pleine ou en filet, de plus de1000 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1001"
MAIN autografting
	ACTS_ON part
		HAS_POSITION superficial
		IS_PART_OF skin
	HAS_QUANTITY more than 1000cm 2
OR_MAIN autografting
	ACTS_ON mesh graft
	BY_TECHNIQUE harvesting
		ACTS_ON part
			HAS_POSITION superficial
			IS_PART_OF skin
	HAS_QUANTITY more than 1000cm 2

RUBRIC "Autogreffe en pastilles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1002"
MAIN autografting
	ACTS_ON skin
		HAS_QUANTITY less than or equal to 20mm
	HAS_QUANTITY several

RUBRIC "Autogreffe de peau dspidermise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1003"
MAIN autografting
	ACTS_ON dermis

RUBRIC "Autogreffe (dermo-)cellulo-adipeuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1004"
MAIN autografting
	ACTS_ON_1 dermis
	ACTS_ON_2 fat tissue

RUBRIC "Rparation par lambeau local ou rgional muqueux, cutan ou fascio-cutan, avec pdicule vasculo-nerveux non individualis ou non individualisable ( plastie d'avancement, de rotation, de transposition, plastie en Z, en LLL, en W, en H, en V-Y ...)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1005"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin
WITHOUT dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION mucosa
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON mucosa
WITHOUT dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin
			ACTS_ON_2 subcutaneous tissue
WITHOUT dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve

RUBRIC "Rparation par lambeau avec pdicule vasculaire ou vasculo-nerveux anatomique cutane ,fascial, fascio cutane septo cutan ,musculaire musculo cutan"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1006"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin
			ACTS_ON_2 subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated)
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin & muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin & muscle (striated)
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve

RUBRIC "Rparation par lambeau avec pdicule vasculaire ou vasculo-nerveux anatomique dissqu en ilt (cutane ,fascial, fascio cutane septo cutan ,musculaire musculo cutan,ostomusculaire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1007"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	HAS_QUANTITY several
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin
			ACTS_ON_2 subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	HAS_QUANTITY several
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	HAS_QUANTITY several
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated)
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	HAS_QUANTITY several

RUBRIC "Rparation par lambeau  distance  pdicule transitoire (lambeau cutane ,fascial, fascio cutane septo cutan ,musculaire musculo cutan,ostomusculaire  pdicule transitoire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991014,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1008"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	FOLLOWED_BY dividing
		ACTS_ON vascular pedicle
		HAS_TEMPORAL_MARKER secondary
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin
			ACTS_ON_2 subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	FOLLOWED_BY dividing
		ACTS_ON vascular pedicle
		HAS_TEMPORAL_MARKER secondary
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF subcutaneous tissue
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	FOLLOWED_BY dividing
		ACTS_ON vascular pedicle
		HAS_TEMPORAL_MARKER secondary
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated)
WITH dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 nerve
	FOLLOWED_BY dividing
		ACTS_ON vascular pedicle
		HAS_TEMPORAL_MARKER secondary

RUBRIC "Autonomisationde lambeau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1009"
MAIN dividing
	ACTS_ON vascular pedicle
		HAS_DESTINATION flap

RUBRIC "Prfabrication de lambeau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1010"
MAIN creating
	ACTS_ON flap

RUBRIC "Section du pdicule d'un lambeau  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1011"
MAIN dividing
	ACTS_ON vascular pedicle
		HAS_DESTINATION distant flap

RUBRIC "Suture microchirurgicale d'une veine de drainage sur un lambeau pdicul = AC"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1012"
MAIN suturing
	ACTS_ON vein
		HAS_DESTINATION pedicle flap
	BY_MEANS_OF microsurgical device

RUBRIC "Rparation par lambeau pdicul de grand piploon, utilis en situation extra-abdominale, greffe cutane comprise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1013"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION body part
	BY_MEANS_OF pedicle flap
		IS_PART_OF greater omentum
	BY_TECHNIQUE moving
		ACTS_ON flap
			HAS_DESTINATION body part
WITH grafting
	ACTS_ON skin

RUBRIC "Remodelage secondaire d'un lambeau"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1014"
MAIN refashioning
	ACTS_ON flap
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Rparation par lambeau libre cutane ,fascial, fascio cutane ou sous cutan avec anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1015"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF skin
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin
			ACTS_ON_2 subcutaneous tissue
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION subcutaneous tissue
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF subcutaneous tissue
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel

RUBRIC "Rparation par lambeau libre musculaire ,musculo-cutane avec anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1016"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated)
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION_1 skin & muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
		BY_TECHNIQUE harvesting
			ACTS_ON_1 skin & muscle (striated)
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel

RUBRIC "Rparation par lambeau libre musculo-tendineux  avec anastomoses microchirurgicales vasculaires et nerveuses"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1017"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated) & tendon
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated) & tendon
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
	BY_MEANS_OF microsurgical device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS nerve
	BY_MEANS_OF microsurgical device

RUBRIC "Rparation par lambeau libre osseux avec anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1018"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION bone
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF bone
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel

RUBRIC "Rparation par lambeau libre composite osseux avec anastomoses vasculaires(transplant libre osto-cutan,osto-musculo-cutan, ostomusculaire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1019"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION bone & skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF bone & skin
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION bone & muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF bone & muscle (striated)
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION bone & skin & muscle (striated)
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF bone & skin & muscle (striated)
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel

RUBRIC "Reprise pour ischmie d'un lambeau ou d'un transplant sans rfection des anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1020"
MAIN revising
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
		HAS_DESTINATION flap
MOTIVATED_OVERALL_BY curing
	ACTS_ON ischemic area
		HAS_LOCATION flap
WITHOUT creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
		HAS_DESTINATION flap

RUBRIC "Reprise pour ischmie d'un lambeau ou d'un transplant avec rfection des anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991016,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1021"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS blood vessel
		HAS_DESTINATION flap
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON ischemic area
		HAS_LOCATION flap

RUBRIC "Mise en place d'un dispositif d'expansion des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1022"
MAIN installing
	ACTS_ON device
		HAS_FUNCTION extending
			ACTS_ON soft tissue

RUBRIC "Mise en place de plusieurs dispositifs d'expansion des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990601,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1023"
MAIN installing
	ACTS_ON device
		HAS_FUNCTION extending
			ACTS_ON soft tissue
	HAS_QUANTITY several

RUBRIC "Ablation d'un dispositif d'expansion des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990601,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1024"
MAIN removing
	ACTS_ON device
		HAS_FUNCTION extending
			ACTS_ON soft tissue

RUBRIC "Ablation de plusieurs dispositifs d'expansion des parties molles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990601,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1025"
MAIN removing
	ACTS_ON device
		HAS_FUNCTION extending
			ACTS_ON soft tissue
	HAS_QUANTITY several

RUBRIC "Suture d'une plaie ou d'une rupture musculaire"
STATUS "0"
HISTORY "19990519,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1026"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION muscle (striated)
OR_MAIN suturing
	ACTS_ON breach
		HAS_LOCATION muscle (striated)

RUBRIC "Dsinsertion tendino-musculaire  l'exclusion despicondyliens"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1027"
MAIN detaching
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
WITHOUT detaching
	ACTS_ON tendon
		CONNECTS epicondylus
			IS_PART_OF femur / humerus
		IS_PART_OF muscle (striated)

RUBRIC "Dsinsertion tendino-musculaire ou allongement des picondyliens avec ou sans exploration articulaire humro-radiale, avec ou sans libration du nerf radial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:01:45 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:02:33 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1028"
MAIN detaching
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH exploring
	ACTS_ON joint of elbow
WITH freeing
	ACTS_ON radial nerve
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH exploring
	ACTS_ON joint of elbow
WITH freeing
	ACTS_ON radial nerve
OR_MAIN detaching
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH exploring
	ACTS_ON joint of elbow
OR_MAIN detaching
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH freeing
	ACTS_ON radial nerve
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH exploring
	ACTS_ON joint of elbow
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_DESTINATION epicondylus
			HAS_POSITION medial
			IS_PART_OF humerus
		IS_PART_OF muscle (smooth)
WITH freeing
	ACTS_ON radial nerve

RUBRIC "Transfert musculo-tendineux pdicul unipolaire de ranimation motrice, en dehors du coude, du poignet, de la main et du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a nepas reprsenter  partir d'en dehors"
SOURCE ""
CODE "R1029"
MAIN moving
	ACTS_ON_1 tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 part
		IS_PART_OF muscle (striated)
		IS_SERVED_BY blood vessel
TO_ACHIEVE_OVERALL restoring
	ACTS_ON muscle contraction
WITHOUT moving
	ACTS_ON tendon
		IS_PART_OF elbow / wrist / hand / foot

RUBRIC "Transfert musculo-tendineux pdicul bipolaire de ranimation motrice, en dehors du coude, du poignet, de la main et du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991017,rodrigues,0;"
PARAPHRASE "a nepas reprsenter  partir d'en dehors"
SOURCE ""
CODE "R1030"
MAIN moving
	ACTS_ON_1 tendon
		HAS_QUANTITY more than one
		IS_PART_OF muscle (striated)
	ACTS_ON_2 part
		IS_PART_OF muscle (striated)
		IS_SERVED_BY blood vessel
TO_ACHIEVE_OVERALL restoring
	ACTS_ON muscle contraction
WITHOUT moving
	ACTS_ON tendon
		IS_PART_OF elbow / wrist / hand / foot

RUBRIC "Grande libration neuro-tendino-musculo-cutane pour avancement musculo-tendineux au membre suprieur ou au membre infrieur, neurolyse et plastie cutane comprises ( syndrme de Volkmann)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1031"
MAIN freeing
	ACTS_ON nerve & tendon & muscle (striated) & skin
		IS_PART_OF limb
			HAS_POSITION upper
TO_ACHIEVE_OVERALL advancing
	ACTS_ON muscle (striated) & tendon
OR_MAIN freeing
	ACTS_ON nerve & tendon & muscle (striated) & skin
		IS_PART_OF limb
			HAS_POSITION lower
TO_ACHIEVE_OVERALL advancing
	ACTS_ON muscle (striated) & tendon

RUBRIC "Fascio-pisiomyotomie pour dcompression d'un syndrome de loge d'un segment de membre (une loge),  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1032"
MAIN incising
	ACTS_ON_1 fascia
		IS_PART_OF segment
			IS_PART_OF limb
	ACTS_ON_2 muscle (striated)
		IS_PART_OF segment
			IS_PART_OF limb
	HAS_APPROACH open
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON segment
		IS_PART_OF limb

RUBRIC "Fascio-pisiomyotomie pour dcompression d'un syndrome de loge d'un segment de membre par voie percutane (une loge)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1033"
MAIN incising
	ACTS_ON_1 fascia
		IS_PART_OF segment
			IS_PART_OF limb
	ACTS_ON_2 muscle (striated)
		IS_PART_OF segment
			IS_PART_OF limb
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON segment
		IS_PART_OF limb

RUBRIC "Aponvrotomie intra-musculaire  vise d'allongement  l'exclusion du triceps sural"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1034"
MAIN incising
	ACTS_ON aponeurosis
		IS_PART_OF muscle (striated)
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON muscle (striated)
WITHOUT incising
	ACTS_ON aponeurosis
		IS_PART_OF musculus triceps surae

RUBRIC "Fasciotomie palmaire percutane Maladie de Dupuytren"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1035"
MAIN incising
	ACTS_ON fascia
		IS_PART_OF palm
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON dupuytren contracture

RUBRIC "Fasciotomie palmaire  ciel ouvert Maladie de Dupuytren"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1036"
MAIN incising
	ACTS_ON fascia
		IS_PART_OF palm
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON dupuytren contracture

RUBRIC "Fasciectomie palmo-digitale de deux rayons ou plus  ciel ouvert Maladie de Dupuytren"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1037"
MAIN excising
	ACTS_ON_1 fascia
		IS_PART_OF palm
			IS_PART_OF digital ray
				HAS_QUANTITY more than one
	ACTS_ON_2 fascia
		IS_PART_OF digit
			IS_PART_OF digital ray
				HAS_QUANTITY more than one
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON dupuytren contracture

RUBRIC "Tnotomie percutane d'un tendon  l'exclusion de la main et du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1038"
MAIN incising
	ACTS_ON tendon
	HAS_APPROACH percutaneous route
WITHOUT incising
	ACTS_ON tendon
		IS_PART_OF hand / foot

RUBRIC "Tnotomie  ciel ouvert d'un tendon  l'exclusion de la main et du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991018,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1039"
MAIN incising
	ACTS_ON tendon
	HAS_APPROACH open
WITHOUT incising
	ACTS_ON tendon
		IS_PART_OF hand / foot

RUBRIC "Suture d'un tendon  l'exclusion de la main, du tendon rotulien et du tendon d'achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1040"
MAIN suturing
	ACTS_ON tendon
WITHOUT suturing
	ACTS_ON tendo calcaneus / patellar ligament / hand

RUBRIC "Rinsertion tendineuse transosseuse  l'exclusion du biceps sur le radius, des phalanges des doigts, du ligament rotulien et du tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1041"
MAIN reimplanting
	ACTS_ON tendon
		HAS_DESTINATION bone
WITHOUT reimplanting
	ACTS_ON musculus biceps brachii
		HAS_DESTINATION radius
WITHOUT reimplanting
	ACTS_ON tendon
		HAS_DESTINATION phalanx
			IS_PART_OF digit
WITHOUT reimplanting
	ACTS_ON tendo calcaneus / patellar ligament

RUBRIC "Allongement, plastie, raccourcissement par ddoublement ou retournement d'un tendon,  l'exclusion du pied, de la main, et du tendon d'achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:28:10 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1042"
MAIN lengthening
	ACTS_ON tendon
EXCLUDES_CONTEXT lengthening
	ACTS_ON foot / hand
EXCLUDES_CONTEXT lengthening
	ACTS_ON tendo calcaneus / patellar ligament
OR_MAIN plastic repairing
	ACTS_ON tendon
EXCLUDES_CONTEXT plastic repairing
	ACTS_ON foot / hand
EXCLUDES_CONTEXT plastic repairing
	ACTS_ON tendo calcaneus / patellar ligament
OR_MAIN shortening
	ACTS_ON tendon
EXCLUDES_CONTEXT shortening
	ACTS_ON foot / hand
EXCLUDES_CONTEXT shortening
	ACTS_ON tendo calcaneus / patellar ligament

RUBRIC "Ouverture ou suture ou plastie d'agrandissement d'une poulie de rflexion des tendons en dehors de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:08:15 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1043"
MAIN opening
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
WITHOUT opening
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
			IS_PART_OF hand
OR_MAIN suturing
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
WITHOUT suturing
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
			IS_PART_OF hand
OR_MAIN plastic repairing
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
	TO_ACHIEVE augmenting
		ACTS_ON pulley of tendon
WITHOUT plastic repairing
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
			IS_PART_OF hand

RUBRIC "Tnodse d'un tendon sauf la main, le pied et l'paule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1044"
MAIN fixing
	ACTS_ON tendon
WITHOUT fixing
	ACTS_ON tendon
		IS_PART_OF hand / foot / shoulder

RUBRIC "Tnodse et/ou rsection de la portion articulaire du long biceps brachial par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1045"
MAIN fixing
	ACTS_ON part
		IS_PART_OF musculus biceps brachii
			IS_PART_OF joint of elbow
	HAS_APPROACH open
WITH resecting
	ACTS_ON part
		IS_PART_OF musculus biceps brachii
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF musculus biceps brachii
			IS_PART_OF joint of elbow
	HAS_APPROACH open
OR_MAIN resecting
	ACTS_ON part
		IS_PART_OF musculus biceps brachii
			IS_PART_OF joint of elbow
	HAS_APPROACH open

RUBRIC "Rinsertion du biceps sur le radius"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1046"
MAIN reimplanting
	ACTS_ON musculus biceps brachii
		HAS_DESTINATION radius

RUBRIC "Transfert tendino-musculaire pour rtablissement de l'extension active du coude avec ou sans matriel d'interpositon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1047"
MAIN moving
	ACTS_ON_1 tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON elbow

RUBRIC "Transfert tendino-musculaire pour rtablissement de la flexion  active du coude "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991018,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1048"
MAIN moving
	ACTS_ON_1 tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON elbow

RUBRIC "Allongements tendineux antrieurs et/ou dsinsertion tendino-musculaires des flchisseurs de la main ou des doigts (ex : syndrome de Volkmann)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:46:35 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1049"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
WITH detaching
	ACTS_ON tendon
		IS_PART_OF flexor mscle of fingers
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
OR_MAIN detaching
	ACTS_ON tendon
		IS_PART_OF flexor muscle of finger
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF flexor muscle of hand
WITH detaching
	ACTS_ON tendon
		IS_PART_OF flexor muscle of hand
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF flexor muscle of hand
OR_MAIN detaching
	ACTS_ON tendon
		IS_PART_OF flexor muscle of hand

RUBRIC "Libration tendineuse du poignet, synovectomie incluse(ex :Tnosynovite dede Quervain, tendinopathie du grand palmaire...)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1050"
MAIN freeing
	ACTS_ON tendon
		IS_PART_OF wrist
WITH excising
	ACTS_ON synovial membrane
		IS_PART_OF wrist

RUBRIC "Allongements tendineux des extenseurs de la main ou des doigts pour rtractions tendino-musculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1051"
MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF extensor muscle of finger
OR_MAIN lengthening
	ACTS_ON tendon, extensor
		IS_PART_OF muscle (striated)
			IS_PART_OF hand

RUBRIC "Ouverture ou plastie d'agrandissement d'une poulie de rflexion des tendons flchiseurs  des doigts de la main (doigt  ressaut)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991020,rodrigues,0;
Manual accept at 2:07:47 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:07:57 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1052"
MAIN opening
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
			IS_PART_OF flexor muscle of finger
				IS_PART_OF hand
OR_MAIN plastic repairing
	ACTS_ON pulley of tendon
		IS_PART_OF tendon
			IS_PART_OF flexor muscle of finger
				IS_PART_OF hand
	TO_ACHIEVE augmenting
		ACTS_ON pulley of tendon

RUBRIC "Tnolyse d'un appareil flchisseur des doigts de la main, ouverture et fermeture des poulies, synovectomie et tnodse comprises"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:52:55 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:58:33 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:01:59 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:02:53 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1053"
MAIN freeing
	ACTS_ON flexor muscle of finger
		IS_PART_OF hand
WITH opening
	ACTS_ON pulley of tendon
WITH closing
	ACTS_ON pulley of tendon
WITH excising
	ACTS_ON synovial membrane
WITH fixing
	ACTS_ON tendon

RUBRIC "Tnolyse d'un appareil extenseur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1054"
MAIN freeing
	ACTS_ON tendon
		IS_PART_OF extensor muscle of finger
			IS_PART_OF hand

RUBRIC "Capsuloplastie avec ou sans rsection capsulaire d'une articulation du poignet ou de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1055"
MAIN plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of wrist
WITH resecting
	ACTS_ON capsula
		IS_PART_OF joint of wrist
OR_MAIN plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hand
WITH resecting
	ACTS_ON capsula
		IS_PART_OF joint of hand
OR_MAIN plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of wrist
OR_MAIN plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hand

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de l'extension active du poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1056"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON wrist
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON wrist
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION wrist

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de l'ouverture des doigts longs"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1057"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON finger
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON finger

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de l'ouverture du pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991120,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1058"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION thumb
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de l'ouverture des doigts longs et du pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991120,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1059"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb & finger
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger & thumb
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb & finger

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de la fermeture des doigts longs et du pouce et rtablissement des fonctions intrinsques des doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991120,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1060"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON thumb & finger
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger & thumb
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON thumb & finger

RUBRIC "Transfert tendino-musculaire avec ou sans tnodse(s) pour rtablissement de l'extension active du poignet et de l''ouverture des doigts longs et du pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991120,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1061"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb & finger & wrist
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger & thumb & wrist
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint extension
		ACTS_ON thumb & finger & wrist

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de la fermeture des doigts longs "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991122,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1062"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON finger
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON finger

RUBRIC "Transfert tendineux avec ou sans tnodse(s) pour rtablissement de la fermeture du pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991122,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1063"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON thumb
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION thumb
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON thumb

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) pour rtablissement de la fermeture des doigts longs "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991122,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1064"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON finger
WITH fixing
	ACTS_ON tendon
		HAS_DESTINATION finger
OR_MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON joint flexion
		ACTS_ON finger

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) avec ou sans capsulodse avec ou sans arthrodse digitale pour rtablissement des fonctions intrinsques des doigts longs Inclut : le prlvement in situ d'autogref. osseuse Exclut :prl.  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1065"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON movement
		ACTS_ON finger
WITH_OPTIONALLY fixing
	ACTS_ON tendon
		HAS_DESTINATION finger
WITH_OPTIONALLY fixing
	ACTS_ON capsula
		HAS_DESTINATION finger
WITH_OPTIONALLY fixing
	ACTS_ON joint of finger
	BY_MEANS_OF bony autograft

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) avec ou sans capsulodse avec ou sans arthrodse du pouce  pour rtablissement des fonctions intrinsques du pouce Inclut : le prlvement in situ d'autogref. osseuse Exclut :prl.  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991122,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1066"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON movement
		ACTS_ON thumb
WITH_OPTIONALLY fixing
	ACTS_ON tendon
		HAS_DESTINATION thumb
WITH_OPTIONALLY fixing
	ACTS_ON capsula
		HAS_DESTINATION thumb
WITH_OPTIONALLY fixing
	ACTS_ON joint
		IS_PART_OF thumb
	BY_MEANS_OF bony autograft

RUBRIC "Transfert(s) tendino-musculaire avec ou sans tnodse(s) avec ou sans capsulodse avec ou sans arthrodse digitale pour rtablissement des fonctions intrinsques des doigts longs et du pouce Inclut : le prlvement in situ d'autogref. osseuse Exclut :prl.  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991122,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1067"
MAIN moving
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
	ACTS_ON_2 muscle (striated)
TO_ACHIEVE_OVERALL restoring
	ACTS_ON movement
		ACTS_ON finger
		ACTS_ON_2 thumb
WITH_OPTIONALLY fixing
	ACTS_ON tendon
		HAS_DESTINATION finger & thumb
WITH_OPTIONALLY fixing
	ACTS_ON capsula
		HAS_DESTINATION finger & thumb
WITH_OPTIONALLY fixing
	ACTS_ON joint of finger
	ACTS_ON_2 joint
		IS_PART_OF thumb
	BY_MEANS_OF bony autograft

RUBRIC "Rinsertion tendineuse transosseuse sur une phalange digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1068"
MAIN reimplanting
	ACTS_ON tendon
		IS_PART_OF phalanx
			IS_PART_OF finger
	BY_TECHNIQUE drilling
		ACTS_ON phalanx
			IS_PART_OF finger

RUBRIC "Reconstruction d'une gaine tendineuse , rfection des poulies avec mise en place de matriel comprise (1er temps d'une greffe en 2 temps )"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:02:13 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:03:09 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1069"
MAIN reconstruction
	ACTS_ON tendon sheath
	BY_MEANS_OF graft
WITH plastic repairing
	ACTS_ON pulley of tendon
		IS_PART_OF finger

RUBRIC "Reconstruction par greffe d'une poulie de rflexion des tendons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1070"
MAIN reconstruction
	ACTS_ON pulley of tendon
		IS_PART_OF finger
	BY_MEANS_OF graft

RUBRIC "Greffe par transplant libre ou pdicul d'un tendon ou 2me temps d'une greffe en 2 temps main comprise (prlvement compris)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1071"
MAIN grafting
	ACTS_ON tendon
	BY_MEANS_OF autograft
OR_MAIN grafting
	ACTS_ON tendon
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Greffe par transplant vascularis d'un tendon ou 2me temps d'une greffe en 2 temps main comprise (prlvement compris)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990531,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1072"
MAIN grafting
	ACTS_ON tendon
	BY_MEANS_OF vascular graft
OR_MAIN grafting
	ACTS_ON tendon
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Libration des parties molles de la premire commissure rtracte de la main sans libration articulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1073"
MAIN freeing
	ACTS_ON soft tissue
		IS_PART_OF commissure of the hand first
MOTIVATED_OVERALL_BY curing
	ACTS_ON contracture
		HAS_LOCATION commissure of the hand first
WITHOUT freeing
	ACTS_ON joint of hand

RUBRIC "Libration des parties molles de la premire commissure rtracte de la main avec arthrolyse ou arthroplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1074"
MAIN freeing
	ACTS_ON soft tissue
		IS_PART_OF commissure of the hand first
MOTIVATED_OVERALL_BY curing
	ACTS_ON contracture
		HAS_LOCATION commissure of the hand first
WITH freeing
	ACTS_ON joint of hand
OR_MAIN freeing
	ACTS_ON soft tissue
		IS_PART_OF commissure of the hand first
MOTIVATED_OVERALL_BY curing
	ACTS_ON contracture
		HAS_LOCATION commissure of the hand first
WITH replacing
	ACTS_ON joint of hand
	BY_MEANS_OF prosthetic joint

RUBRIC "Libration des parties molles de la premire commissure rtracte de la main avec arthrodse(s) de la colonne du pouce Inclut : le prlvement in situ d'autogreffe osseuse Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990531,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1075"
MAIN freeing
	ACTS_ON soft tissue
		IS_PART_OF commissure of the hand first
MOTIVATED_OVERALL_BY curing
	ACTS_ON contracture
		HAS_LOCATION commissure of the hand first
WITH fixing
	ACTS_ON joint
		IS_PART_OF thumb
	BY_MEANS_OF bony autograft

RUBRIC "Evacuation d'un hmatome sous ungual"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1076"
MAIN evacuating
	ACTS_ON haematoma
		HAS_LOCATION infra nail space
			IS_PART_OF digit

RUBRIC "Exrse unguale partielle ou totale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1077"
MAIN excising
	ACTS_ON nail
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON nail
	HAS_EXTENT total

RUBRIC "Exrse unguale partielle ou totale avec autogreffe de peau totale sur une seule localisation de moins de 10 cm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1078"
MAIN excising
	ACTS_ON nail
	HAS_EXTENT total
WITH autografting
	ACTS_ON skin
	HAS_QUANTITY less than 10 cm 2
OR_MAIN excising
	ACTS_ON nail
	HAS_EXTENT partial
WITH autografting
	ACTS_ON skin
	HAS_QUANTITY less than 10 cm 2

RUBRIC "Exrse unguo-matricielle partielle (interne et/ou externe) ou totale [ongles incarns]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1079"
MAIN excising
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	HAS_EXTENT total

RUBRIC "Exrse unguo-matricielle partielle ou totale avec ou sans plastie pulpaire [ongles incarns]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1080"
MAIN excising
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON pathology
WITH_OPTIONALLY plastic repairing
	ACTS_ON digital pulp
OR_MAIN excising
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	HAS_EXTENT total
MOTIVATED_OVERALL_BY curing
	ACTS_ON pathology
WITH_OPTIONALLY plastic repairing
	ACTS_ON digital pulp

RUBRIC "Rsection d'une exostose sous-unguale d'un orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1081"
MAIN resecting
	ACTS_ON exostosis
		HAS_LOCATION nail bed
			IS_PART_OF toe

RUBRIC "Mise en place d'une prothse provisoire ou reposition de la tablette unguale aprs avulsion"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1082"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION nail bed
	HAS_TEMPORAL_MARKER temporary
OR_MAIN repositioning
	ACTS_ON nail
	FOLLOWS abrading
		ACTS_ON nail bed

RUBRIC "Suture du lit ungual, avec reposition unguale ou prothtique et lambeau local du lit de l'ongle compris"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1083"
MAIN suturing
	ACTS_ON nail bed
WITH repositioning
	ACTS_ON nail
WITH autografting
	ACTS_ON nail bed
	BY_MEANS_OF flap
OR_MAIN suturing
	ACTS_ON nail bed
WITH repositioning
	ACTS_ON prosthetic implant
WITH autografting
	ACTS_ON nail bed
	BY_MEANS_OF flap

RUBRIC "Greffe libre du lit ungual,avec reposition unguale ou prothtique et prlvement compris"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1084"
MAIN grafting
	ACTS_ON nail bed
WITH repositioning
	ACTS_ON nail
OR_MAIN grafting
	ACTS_ON nail bed
WITH repositioning
	ACTS_ON prosthetic implant

RUBRIC "Mise en place d'un lambeau pdicul composite unguo-matriciel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1085"
MAIN installing
	ACTS_ON pedicle flap
	BY_TECHNIQUE harvesting
		ACTS_ON_1 nail
		ACTS_ON_2 nail bed

RUBRIC "Transfert libre micro-chirurgical de complexe unguo-matriciel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1086"
MAIN moving
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
WITH suturing
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	BY_MEANS_OF microsurgical device

RUBRIC "Exploration, parage et suture d'une plaie pulpo unguale, suture ou plastie du lit ungual et repositionde la tablette unguale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1087"
MAIN exploring
	ACTS_ON wound
		HAS_LOCATION_1 digital pulp
		HAS_LOCATION_2 nail
WITH washing
	ACTS_ON wound
		HAS_LOCATION_1 digital pulp
		HAS_LOCATION_2 nail
WITH suturing
	ACTS_ON nail bed
	ACTS_ON_1 digital pulp
	ACTS_ON_2 nail
WITH repositioning
	ACTS_ON nail
OR_MAIN exploring
	ACTS_ON wound
		HAS_LOCATION_1 digital pulp
		HAS_LOCATION_2 nail
WITH washing
	ACTS_ON wound
		HAS_LOCATION_1 digital pulp
		HAS_LOCATION_2 nail
WITH suturing
	ACTS_ON_1 digital pulp
	ACTS_ON_2 nail
WITH repositioning
	ACTS_ON nail
WITH plastic repairing
	ACTS_ON_2 nail bed

RUBRIC "Biopsie(s) de nerf(s) priphrique(s) ou de ganglion(s) par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1088"
MAIN biopsying
	ACTS_ON ganglion
	HAS_APPROACH percutaneous route
OR_MAIN biopsying
	ACTS_ON spinal nerve
	HAS_APPROACH percutaneous route

RUBRIC "Biopsie(s) d'un nerf priphrique ou d'un ganglion  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1089"
MAIN biopsying
	ACTS_ON spinal nerve
	HAS_APPROACH open
OR_MAIN biopsying
	ACTS_ON ganglion
	HAS_APPROACH open

RUBRIC "Infiltration d'un nerf priphrique sus fascial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1090"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION spinal nerve
			IS_PART_OF supra fascia space

RUBRIC "Neurolyse extra ou intra-fasciculaire sus fasciale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1091"
MAIN freeing
	ACTS_ON part
		IS_PART_OF nerve
			IS_PART_OF supra fascia space

RUBRIC "Neurotomie et/ou neurectomie sus fasciale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1092"
MAIN incising
	ACTS_ON nerve
		IS_PART_OF supra fascia space
WITH excising
	ACTS_ON nerve
		IS_PART_OF supra fascia space
OR_MAIN incising
	ACTS_ON nerve
		IS_PART_OF supra fascia space
OR_MAIN excising
	ACTS_ON nerve
		IS_PART_OF supra fascia space

RUBRIC "Neurotomie avec dlocalisation d'un nerf sus fascial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1093"
MAIN incising
	ACTS_ON spinal nerve
		IS_PART_OF supra fascia space
WITH moving
	ACTS_ON spinal nerve
		IS_PART_OF supra fascia space

RUBRIC "Suture primitive ou secondaire d'un nerfsus fascial y compris l'ventuelle rsection pour tumeur nerveuse priphrique sus-fasciale Nvrome"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1094"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF supra fascia space
	HAS_TEMPORAL_MARKER primary
OR_MAIN resecting
	ACTS_ON nerve
		IS_PART_OF supra fascia space
MOTIVATED_OVERALL_BY curing
	ACTS_ON neuroma
WITH suturing
	ACTS_ON nerve
		IS_PART_OF supra fascia space

RUBRIC "Rsection d'une tumeur nerveuse priphrique sus-fasciale Nvrome"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1095"
MAIN resecting
	ACTS_ON neuroma
		HAS_LOCATION spinal nerve
			IS_PART_OF supra fascia space

RUBRIC "Neurotomie et dlocalisation d'un nerf priphrique sous-fascial ,neurolyse comprise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1096"
MAIN incising
	ACTS_ON spinal nerve
		IS_PART_OF infra fascia space
WITH moving
	ACTS_ON spinal nerve
WITH freeing
	ACTS_ON spinal nerve

RUBRIC "Neurotisation d'un nerf priphrique sous fascial Exclut:le plexus brachial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1097"
MAIN stimulating
	ACTS_ON spinal nerve
		IS_PART_OF infra fascia space
WITHOUT stimulating
	ACTS_ON spinal nerve
		IS_PART_OF brachial plexus

RUBRIC "Neurotisation intramusculaire et neurolyse intra-fasciculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1098"
MAIN stimulating
	ACTS_ON nerve
		IS_PART_OF muscle (striated)
WITH freeing
	ACTS_ON part
		IS_PART_OF nerve

RUBRIC "Autogreffe en un temps avec pdicule vasculaire d'unnerf priphrique mixte sous fascial Exclut:le plexus brachial Inclut: la resection nerveuse et la libration"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1099"
MAIN autografting
	ACTS_ON spinal nerve
		IS_PART_OF infra fascia space
	BY_MEANS_OF vascular pedicle
WITHOUT autografting
	ACTS_ON brachial plexus

RUBRIC "Infiltration d'un nerf priphrique sous fascial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1100"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION spinal nerve
			IS_PART_OF infra fascia space

RUBRIC "Suture(s) et/ou greffe(s) et/ou neurotisation du plexus brachial par voie sus claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:36:08 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1101"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH supraclavicular
WITH grafting
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
WITH stimulating
	ACTS_ON nerve
		IS_PART_OF plexus brachialis

RUBRIC "Suture(s) et/ou greffe(s) et/ou neurotisation du plexus brachial par voie sous claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;
Manual accept at 11:21:16 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1102"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH infraclavicular
WITH grafting
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
WITH stimulating
	ACTS_ON nerve
		IS_PART_OF plexus brachialis

RUBRIC "Suture(s) et/ou greffe(s) et/ou neurotisation du plexus brachial par voie sus et sous claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;
Manual accept at 11:21:27 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1103"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH infraclavicular
	HAS_APPROACH supraclavicular
WITH grafting
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
WITH stimulating
	ACTS_ON nerve
		IS_PART_OF plexus brachialis

RUBRIC "Autogreffe avec pdicule vasculaire du plexus brachial par voie sus et sous claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:20:57 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1104"
MAIN autografting
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH infraclavicular
	HAS_APPROACH supraclavicular
	BY_MEANS_OF vascular pedicle
		CONNECTS nerve

RUBRIC "Suture du nerf radial au bras ou au coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1105"
MAIN suturing
	ACTS_ON radial nerve
		IS_PART_OF arm
OR_MAIN suturing
	ACTS_ON radial nerve
		IS_PART_OF elbow

RUBRIC "Suture primitive ou secondaire d'un nerf sous fascial au membre suprieur en amont du poignet exclut : le plexus brachial, le nerf circonflexe et le nerf musculo-cutan"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1106"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF infra fascia space
			IS_PART_OF arm / forearm
	HAS_TEMPORAL_MARKER primary
OR_MAIN suturing
	ACTS_ON nerve
		IS_PART_OF infra fascia space
			IS_PART_OF arm / forearm
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Suture du nerf mdian ou du nerf cubital au poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1107"
MAIN suturing
	ACTS_ON median nerve
		IS_PART_OF elbow
OR_MAIN suturing
	ACTS_ON cubital nerve
		IS_PART_OF elbow

RUBRIC "Suture du nerf mdian et du nerf cubital au poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1108"
MAIN suturing
	ACTS_ON_1 median nerve
		IS_PART_OF elbow
	ACTS_ON_2 cubital nerve
		IS_PART_OF elbow

RUBRIC "Suture du nerf mdian ou du nerf cubital au poignet avec suture d'une artre radiale ou cubitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990531,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1109"
MAIN suturing
	ACTS_ON median nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON radial artery
OR_MAIN suturing
	ACTS_ON cubital nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON radial artery
OR_MAIN suturing
	ACTS_ON median nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON ulnar artery
OR_MAIN suturing
	ACTS_ON cubital nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON ulnar artery

RUBRIC "Suture du nerf mdian et du nerf cubital avec suture d'une artre radiale ou cubitale au poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990531,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1110"
MAIN suturing
	ACTS_ON_1 median nerve
		IS_PART_OF elbow
	ACTS_ON_2 cubital nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON radial artery
OR_MAIN suturing
	ACTS_ON_1 median nerve
		IS_PART_OF elbow
	ACTS_ON_2 cubital nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON ulnar artery

RUBRIC "Suture du nerf mdian et du cubital avec suture des artres radiale et cubitale au poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990531,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1111"
MAIN suturing
	ACTS_ON_1 median nerve
		IS_PART_OF elbow
	ACTS_ON_2 cubital nerve
		IS_PART_OF elbow
WITH suturing
	ACTS_ON_1 radial artery
	ACTS_ON_2 ulnar artery

RUBRIC "Neurolyse du plexus brachial par voie sus-claviculaire et scalnectomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:36:15 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1112"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH supraclavicular
WITH excising
	ACTS_ON scalene muscle

RUBRIC "Neurolyse du plexus brachial par voie sus-claviculaire avec scalnotomie et ablation de cte cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:36:02 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1113"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH supraclavicular
WITH removing
	ACTS_ON cervical rib
WITH incising
	ACTS_ON scalene muscle

RUBRIC "Neurolyse du plexus brachial par voie sous-claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:20:08 am on March 1, 2000 by jeremy
Manual accept at 11:20:16 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1114"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH infraclavicular

RUBRIC "Neurolyse du plexus brachial par voie sus et sous claviculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:20:39 am on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "R1115"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF plexus brachialis
	HAS_APPROACH infraclavicular
	HAS_APPROACH supraclavicular

RUBRIC "Neurolyse du nerf circonflexe, quelle que soit la ou les voies d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1116"
MAIN freeing
	ACTS_ON circumflex nerve

RUBRIC "Neurolyse du nerf supra claviculaire et/ou de ses branches"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:17:51 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1117"
MAIN freeing
	ACTS_ON supraclavicular nerve
OR_MAIN freeing
	ACTS_ON_1 supraclavicular nerve
	ACTS_ON_2 nerve
		IS_BRANCH_OF supraclavicular nerve
OR_MAIN freeing
	ACTS_ON nerve
		IS_BRANCH_OF supraclavicular nerve

RUBRIC "Suture du nerf circonflexe avec ou sans neurolyse quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1118"
MAIN suturing
	ACTS_ON circumflex nerve
OR_MAIN suturing
	ACTS_ON circumflex nerve
WITH freeing
	ACTS_ON circumflex nerve

RUBRIC "Neurolyse du nerf musculo-cutan"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1119"
MAIN freeing
	ACTS_ON musculocutaneous nerve

RUBRIC "Suture du nerf musculo-cutan avec ou sans neurolyse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1120"
MAIN suturing
	ACTS_ON musculocutaneous nerve
OR_MAIN suturing
	ACTS_ON musculocutaneous nerve
WITH freeing
	ACTS_ON musculocutaneous nerve

RUBRIC "Neurolyse du nerf cubital au poignet et/ou  la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1121"
MAIN freeing
	ACTS_ON_1 cubital nerve
		IS_PART_OF elbow
	ACTS_ON_2 cubital nerve
		IS_PART_OF hand
OR_MAIN freeing
	ACTS_ON cubital nerve
		IS_PART_OF elbow
OR_MAIN freeing
	ACTS_ON cubital nerve
		IS_PART_OF hand

RUBRIC "Neurolyse du nerf cubital au coude Inclut : l'pitrochlectomie totale ou partielle, la transposition antrieure sous cutane, sous musculaire ou trans musculaire du nerf cubital, ventuelles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:56:33 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:56:57 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1122"
MAIN freeing
	ACTS_ON cubital nerve
		IS_PART_OF elbow
WITH excising
	ACTS_ON epicondylus
		HAS_POSITION medial
		IS_PART_OF humerus
WITH transposing
	ACTS_ON cubital nerve
		HAS_DESTINATION part
			HAS_POSITION anterior
			IS_PART_OF elbow
OR_MAIN freeing
	ACTS_ON cubital nerve
		IS_PART_OF elbow

RUBRIC "Neurolyse de la branche motrice du nerf radial au coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1123"
MAIN freeing
	ACTS_ON nerve branch
		HAS_FUNCTION movement
		IS_BRANCH_OF radial nerve
		IS_PART_OF elbow

RUBRIC "Neurolyse d'un tronc nerveux au membre suprieur au-dessus du poignet ( l'exclusion du coude)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1124"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF forearm / arm / shoulder

RUBRIC "Neurolyse du nerf mdian au canal carpien  ciel ouvert Inclut : la synovectomie partielle ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1125"
MAIN freeing
	ACTS_ON median nerve
		IS_PART_OF carpal tunnel
	HAS_APPROACH open

RUBRIC "Neurolyse du nerf mdian au canal carpien sous vidoscopie Inclut : la synovectomie partielle ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1126"
MAIN freeing
	ACTS_ON median nerve
		IS_PART_OF carpal tunnel
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON carpal tunnel
		BY_MEANS_OF videocamera device

RUBRIC "Greffe du nerf radial, prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1127"
MAIN grafting
	ACTS_ON radial nerve
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf circonflexe  prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1128"
MAIN grafting
	ACTS_ON circumflex nerve
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf musculo-cutan prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1129"
MAIN grafting
	ACTS_ON musculocutaneous nerve
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf mdian au niveau de l'avant bras prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1130"
MAIN grafting
	ACTS_ON median nerve
		IS_PART_OF forearm
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf cubital  au niveau de l'avant bras prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1131"
MAIN grafting
	ACTS_ON cubital nerve
		IS_PART_OF forearm
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf mdian dans le canal carpien ou du nerf cubital dans la loge de Guyon, prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1132"
MAIN grafting
	ACTS_ON median nerve
		IS_PART_OF carpal tunnel
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity
OR_MAIN grafting
	ACTS_ON cubital nerve
		IS_PART_OF Guyon canal
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf mdian et du nerf cubital dans la loge de Guyon, prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1133"
MAIN grafting
	ACTS_ON_1 median nerve
	ACTS_ON_2 cubital nerve
		IS_PART_OF Guyon canal
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe d'un nerf en aval du canal carpien et de la loge de Guyon, prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1134"
MAIN grafting
	ACTS_ON nerve
		IS_PART_OF hand
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Ablation d'une tumeur nerveuse priphrique sous-fasciale, neurolyse intra-fasciculaire comprise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1135"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION peripheral nerve
			IS_PART_OF infra fascia space
WITH freeing
	ACTS_ON part
		IS_PART_OF nerve

RUBRIC "Exrse d'une tumeur nerveuse plexique ( brachiale ou lombaire) Inclut : la rparation nerveuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1136"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nerve
			IS_PART_OF plexus brachialis
WITH plastic repairing
	ACTS_ON nerve
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nerve
			IS_PART_OF plexus lumbalis
WITH plastic repairing
	ACTS_ON nerve

RUBRIC "Neurotomie ou neurectomie intra ou extra fasciculaire des troncs nerveux ou des rameaux moteurs au membre suprieur pour hyponeurotisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1137"
MAIN incising
	ACTS_ON part
		IS_PART_OF nerve
			IS_PART_OF upperlimb
OR_MAIN excising
	ACTS_ON part
		IS_PART_OF nerve
			IS_PART_OF upperlimb

RUBRIC "Suture du nerf sciatique  la cuisse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1138"
MAIN suturing
	ACTS_ON sciatic nerve
		IS_PART_OF thigh

RUBRIC "Suture du nerf sciatique poplit interne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1139"
MAIN suturing
	ACTS_ON tibial nerve

RUBRIC "Suture du nerf sciatique poplit externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1140"
MAIN suturing
	ACTS_ON peroneal nerve common

RUBRIC "Suture du nerf crural (fmoral)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1141"
MAIN suturing
	ACTS_ON femoral nerve

RUBRIC "Suture d'un nerf  la cheville et au pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1142"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF ankle & foot

RUBRIC "Neurolyse du sciatique et ses branches ou du crural et ses branches  la racine du membre infrieur et  la cuisse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:18:09 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1143"
MAIN freeing
	ACTS_ON_1 sciatic nerve
		IS_PART_OF buttock / thigh
	ACTS_ON_2 nerve
		IS_BRANCH_OF sciatic nerve
			IS_PART_OF thigh
OR_MAIN freeing
	ACTS_ON_1 femoral nerve
		IS_PART_OF inguinal region / thigh
	ACTS_ON_2 nerve
		IS_BRANCH_OF femoral nerve
			IS_PART_OF thigh

RUBRIC "Neurolyse du nerf sciatique poplit externe au niveau du col du pron et/ou genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1144"
MAIN freeing
	ACTS_ON peroneal nerve common
		IS_PART_OF neck of long bone
			IS_PART_OF fibula
OR_MAIN freeing
	ACTS_ON peroneal nerve common
		IS_PART_OF knee

RUBRIC "Neurolyse du nerf sciatique poplit interne  la jambe et/ou au tunnel tarsien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1145"
MAIN freeing
	ACTS_ON tibial nerve
		IS_PART_OF tarsal tunnel
OR_MAIN freeing
	ACTS_ON tibial nerve
		IS_PART_OF leg

RUBRIC "Neurolyse d'un nerf  la cheville et au pied , en dehors du tunnel tarsien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1146"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF ankle & foot
WITHOUT freeing
	ACTS_ON nerve
		IS_PART_OF tarsal tunnel

RUBRIC "Neurolyse ou excision nerveuse d'un espace intermtatarsien pour syndrme de morton"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1147"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF intermetatarsal space
OR_MAIN excising
	ACTS_ON nerve
		IS_PART_OF intermetatarsal space

RUBRIC "Greffe nerveuse  la cheville ou au pied, prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1148"
MAIN grafting
	ACTS_ON nerve
		IS_PART_OF ankle
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity
OR_MAIN grafting
	ACTS_ON nerve
		IS_PART_OF foot
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf sciatique  la fesse  prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1149"
MAIN grafting
	ACTS_ON sciatic nerve
		IS_PART_OF buttock
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf sciatique  la cuisse  prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1150"
MAIN grafting
	ACTS_ON sciatic nerve
		IS_PART_OF thigh
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Greffe du nerf crural (fmoral)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1151"
MAIN grafting
	ACTS_ON femoral nerve

RUBRIC "Greffe du nerf sciatique  la jambe  prlvement sur le membre infrieur compris Exclut : le prlvement sur le deuxime membre infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1152"
MAIN grafting
	ACTS_ON tibial nerve / peroneal nerve common
		IS_PART_OF leg
	BY_TECHNIQUE harvesting
		ACTS_ON nerve
			IS_PART_OF lower extremity

RUBRIC "Neurotomie ou neurectomie intra ou extra fasciculaire des troncs nerveux ou des rameaux moteurs au membre infrieur pour hyponeurotisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1153"
MAIN incising
	ACTS_ON part
		IS_PART_OF nerve
			IS_PART_OF lower extremity
OR_MAIN excising
	ACTS_ON part
		IS_PART_OF nerve
			IS_PART_OF lower extremity

RUBRIC "Sutures(s) et/ou greffe(s) et/ou neurotisation du plexus lombaire, prlvement compris"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1154"
MAIN suturing
	ACTS_ON nerve
		IS_PART_OF plexus lumbalis
WITH grafting
	ACTS_ON nerve
		IS_PART_OF plexus lumbalis
WITH stimulating
	ACTS_ON nerve
		IS_PART_OF plexus lumbalis

RUBRIC "Neurolyse d'un nerf de la paroi thoracique ou abdominale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1155"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF thorax wall
OR_MAIN freeing
	ACTS_ON nerve
		IS_PART_OF abdominal wall

RUBRIC "Neurolyse du plexus lombo-sacr"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1156"
MAIN freeing
	ACTS_ON nerve
		IS_PART_OF plexus lumbalis / plexus sacralis

RUBRIC "Pansement immdiat d'une brlure intressant moins de 10% de la surface corporelle, toute localisation saufl'extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:45:15 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1157"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION part
			HAS_QUANTITY less than 10 %
			IS_PART_OF skin organ
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement immdiat d'une brlure de 10%  30% de la surface corporelle, toute localisation sauf: l'extrmit cphalique, la main et le prin"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1158"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			HAS_QUANTITY between 10 % and 30 % of body surface
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand / perineum

RUBRIC "Pansement immdiat d'une brlure intressant 30%  60% de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1159"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			HAS_QUANTITY between 30 % and 60 % of body surface
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement immdiat d'une brlure intressant plus de 60% de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:54:05 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1160"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burn
		HAS_LOCATION portion
			IS_PART_OF skin organ
			HAS_QUANTITY more than 60%
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement immdiat d'une brlure sur l'extrmit cphalique ou une main : 1 site"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1161"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
OR_MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF hand
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Pansement immdiat d'une brlure sur l'extrmit cphalique et la main : 2 sites"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1162"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head & hand
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Pansement immdiat d'une brlure sur l'extrmit cphalique et les deux mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1163"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITH installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF hand
	HAS_LATERALITY bilateral
	HAS_TEMPORAL_MARKER primary

RUBRIC "Pansement secondaire d'une brlure intressant moins de 10% de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:45:08 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1164"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION part
			HAS_QUANTITY less than 10 %
			IS_PART_OF skin organ
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement secondaire d'une brlure intressant 10%  30% de la surface corporelle, toute localisation saufextrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1165"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			HAS_QUANTITY between 10 % and 30 % of body surface
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement secondaire d'une brlure intressant 30%  60% de la surface corporelle, toute localisation saufextrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1166"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			HAS_QUANTITY between 30 % and 60 % of body surface
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement secondaire d'une brlure intressant plus de 60% de la surface corporelle, toute localisation saufextrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;
Manual accept at 3:54:20 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1167"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burn
		HAS_LOCATION portion
			IS_PART_OF skin organ
			HAS_QUANTITY more than 60%
WITHOUT installing
	ACTS_ON dressing device
		HAS_DESTINATION head / hand

RUBRIC "Pansement secondaire d'une brlure sur l'extrmit cphalique ou une main : 1 site"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1168"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
OR_MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF hand
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Pansement secondaire d'une brlure sur l'extrmit cphalique et la main : 2 sites"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1169"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head & hand
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Pansement secondaire d'une brlure sur l'extrmit cphalique et les deux mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1170"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITH installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF hand
	HAS_LATERALITY bilateral
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Excision d'une brlure intressant moins de 2,5% de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1171"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 1 % and 2 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 2,5%  5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1172"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 2.5 % and 5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 5%  7,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1173"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 5 % and 7.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 7,5%  10 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1174"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 7.5 % and 10 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 10 %  12,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1175"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 10 % and 12.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 12,5 %  15 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1176"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 12.5 % and 15 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 15 %  17,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1177"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 15 % and 17.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant de 17,5 %  20 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1178"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 17.5 % and 20 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant plus de 20 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;
Manual accept at 3:50:18 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1179"
MAIN excising
	ACTS_ON portion
		IS_PART_OF skin organ
		HAS_QUANTITY more than 20 %
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT excising
	ACTS_ON skin
		IS_PART_OF head / hand

RUBRIC "Excision d'une brlure intressant moins de 1 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1180"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 0 % and 1 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 1 %  2 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1181"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 1 % and 2 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 2 %  3 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1182"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 2 % and 3 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 3 %  4 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1183"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 3 % and 4 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 4 %  5 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1184"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 4 % and 5 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 5 %  7,5 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1185"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 5 % and 7.5 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 7,5 %  10 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1186"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 7.5 % and 10 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 10 %  12,5 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1187"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 10 % and 12.5 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant de 12,5 %  15 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1188"
MAIN excising
	ACTS_ON skin
		HAS_QUANTITY between 12.5 % and 15 % of body surface
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Excision d'une brlure intressant plus de 15 % de la surface corporelle, sur  l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;
Manual accept at 3:46:29 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1189"
MAIN excising
	ACTS_ON part
		HAS_QUANTITY more than 15 %
		IS_PART_OF skin organ
		IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de moins de 2,5% de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1190"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 1 % and 2 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 2,5%  5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1191"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 2.5 % and 5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 5%  7,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1192"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 5 % and 7.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 7,5%  10 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1193"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 7.5 % and 10 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 10 %  12,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1194"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 10 % and 12.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 12,5 %  15 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1195"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 12.5 % and 15 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 15 %  17,5 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1196"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 15 % and 17.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 17,5 %  20 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1197"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		HAS_QUANTITY between 17.5 % and 20 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de plus de 20 % de la surface corporelle, toute localisation sauf extrmit cphalique et mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;
Manual accept at 3:52:24 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1198"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
MOTIVATED_OVERALL_BY curing
	ACTS_ON burn
		HAS_LOCATION portion
			IS_PART_OF skin organ
			HAS_QUANTITY more than 20 %
WITHOUT plastic repairing
	ACTS_ON head / hand

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de moins de 1% de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1199"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 0 % and 1 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 1%  2 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991203,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1200"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 1 % and 2 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 2%  3 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1201"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 2 % and 3 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 3%  4 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1202"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 3 % and 4 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 4%  5 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1203"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 4 % and 5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 5%  7, 5 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1204"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 5 % and 7.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 7, 5%  10 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1205"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 7.5 % and 10 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 10 %  12,5 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1206"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 10 % and 12.5 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de 12,5 %  15 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1207"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
			IS_PART_OF head / hand
		HAS_QUANTITY between 12.5 % and 15 % of body surface
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane pour brlure de plus de 15 %  de la surface corporelle sur l'extrmit cphalique ou les mains"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;
Manual accept at 3:46:42 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 3:46:51 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1208"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON part
			HAS_QUANTITY more than 15 %
			IS_PART_OF skin organ
			IS_PART_OF head / hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de moins de 2,5% de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1209"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 1 % and 2 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 2,5%  5 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1210"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 2.5 % and 5 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 5%  7,5 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1211"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 5 % and 7.5 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 7, 5%  10 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1212"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 7.5 % and 10 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 10 %  12,5 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1213"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 10 % and 12.5 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 12,5 %  15 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1214"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 12.5 % and 15 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 15 %  17,5 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1215"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 15 % and 17.5 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de 17,5 %  20 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1216"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION skin
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin
		HAS_QUANTITY between 17.5 % and 20 % of body surface

RUBRIC "Fermeture de perte de substance cutane par greffe cutane en sandwich de plus de 20 % de la surface corporelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991205,rodrigues,0;
Manual accept at 3:53:11 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "R1217"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION portion
			IS_PART_OF skin organ
			HAS_QUANTITY more than 20 %
	BY_TECHNIQUE grafting
		ACTS_ON skin
		BY_TECHNIQUE wrapping
			ACTS_ON skin
			BY_MEANS_OF skin

RUBRIC "Escarrotomie de dcharge : 1 site Par site on entend : chaque membre infrieur, chaque membre suprieur, le tronc ou le cou."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1218"
MAIN incising
	ACTS_ON eschar
		HAS_LOCATION upper extremity
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF upper extremity
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION lower extremity
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF lower extremity
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF trunk
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION neck
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF neck

RUBRIC "Escarrotomie de dcharge sur 2 sites Par site on entend : chaque membre infrieur, chaque membre suprieur, le tronc ou le cou."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1219"
MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 upper extremity
		HAS_LOCATION_2 lower extremity
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF upper extremity
	ACTS_ON_2 artery
		IS_PART_OF lower extremity
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 upper extremity
		HAS_LOCATION_2 trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF upper extremity
	ACTS_ON_2 artery
		IS_PART_OF trunk
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 upper extremity
		HAS_LOCATION_2 neck
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF upper extremity
	ACTS_ON_2 artery
		IS_PART_OF neck
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 lower extremity
		HAS_LOCATION_2 trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF lower extremity
	ACTS_ON_2 artery
		IS_PART_OF trunk
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 trunk
		HAS_LOCATION_2 neck
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF trunk
	ACTS_ON_2 artery
		IS_PART_OF neck
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 trunk
		HAS_LOCATION_2 lower extremity
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON_1 artery
		IS_PART_OF trunk
	ACTS_ON_2 artery
		IS_PART_OF lower extremity

RUBRIC "Escarrotomie de dcharge : 3 sites Par site on entend : chaque membre infrieur, chaque membre suprieur, le tronc ou le cou."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1220"
MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 upper extremity
		HAS_LOCATION_2 lower extremity
		HAS_LOCATION_3 trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF lower extremity & upper extremity & trunk
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 upper extremity
		HAS_LOCATION_2 neck
		HAS_LOCATION_3 trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF upper extremity & neck & trunk
OR_MAIN incising
	ACTS_ON eschar
		HAS_LOCATION_1 lower extremity
		HAS_LOCATION_2 neck
		HAS_LOCATION_3 trunk
TO_ACHIEVE_OVERALL decompressing
	ACTS_ON artery
		IS_PART_OF lower extremity & neck

RUBRIC "Exrse, sans interruption de la continuit osseuse,d'un fragment osseux au niveau du membre suprieur,  ciel ouvert  l'exclusion de la main et de l'omoplate"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1221"
MAIN excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF upper extremity
	HAS_APPROACH open
WITHOUT excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF hand
WITHOUT excising
	ACTS_ON part
		IS_PART_OF scapula

RUBRIC "Exrse, sans interruption de la continuit osseuse,d'un fragment osseux au niveau de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1222"
MAIN excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF hand

RUBRIC "Exrse, sans interruption de la continuit osseuse, d'un fragment osseuxde l'omoplate ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1223"
MAIN excising
	ACTS_ON part
		IS_PART_OF scapula
	HAS_APPROACH open

RUBRIC "Exrse, sans interruption de la continuit osseuse, d'un fragment osseuxdu membre infrieur,  ciel ouvert Exclut : pelvis, fmur et pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1224"
MAIN excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF lower extremity
	HAS_APPROACH open
WITHOUT excising
	ACTS_ON part
		IS_PART_OF pelvic girdle / femur
WITHOUT excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF foot

RUBRIC "Exrse, sans interruption de la continuit osseuse, d'un fragment osseux du pelvis ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1225"
MAIN excising
	ACTS_ON part
		IS_PART_OF pelvic girdle
	HAS_APPROACH open

RUBRIC "Exrse, sans interruption de la continuit osseuse, d'un fragment osseux du fmur ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1226"
MAIN excising
	ACTS_ON part
		IS_PART_OF femur
	HAS_APPROACH open

RUBRIC "Exrse, sans interruption de la continuit osseuse, d'un fragment osseux du pied,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1227"
MAIN excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF foot
	HAS_APPROACH open

RUBRIC "Evidement d'un os du membre suprieur  ciel ouvert, sans comblement  l'exclusion de la main,de l'omoplate et des piphyses fertiles"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1228"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF upper extremity
	HAS_APPROACH open
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF hand
WITHOUT dig up
	ACTS_ON scapula
WITHOUT dig up
	ACTS_ON epiphysis
WITHOUT filling
	ACTS_ON bone

RUBRIC "Evidement osseux au niveau du membre sup., avec comblement par greffe osseuse ou matriel inerte ciel ouvert  l'exclusion de la main, omoplate et piphyses fertiles Inclut:le prl. in situ d'autogreffe osseuse Exclut:le prl. d'auto. oss.  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1229"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF upper extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF graft
		IS_MADE_OF bone tissue
WITHOUT dig up
	ACTS_ON scapula
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF hand
WITHOUT dig up
	ACTS_ON epiphysis
OR_MAIN dig up
	ACTS_ON bone
		IS_PART_OF upper extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF material
WITHOUT dig up
	ACTS_ON scapula
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF hand
WITHOUT dig up
	ACTS_ON epiphysis

RUBRIC "Evidement osseuxau niveau de l'omoplatesans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1230"
MAIN dig up
	ACTS_ON scapula
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON scapula

RUBRIC "Evidement osseux au niveau de l'omoplate , avec comblement par greffe osseuse ou matriel inerte  ciel ouvert Inclut:le prl. in situ d'autogreffe osseuse Exclut:le prl. d'auto. oss.  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1231"
MAIN dig up
	ACTS_ON scapula
	HAS_APPROACH open
WITH filling
	ACTS_ON scapula
	BY_MEANS_OF bony autograft
OR_MAIN dig up
	ACTS_ON scapula
	HAS_APPROACH open
WITH filling
	ACTS_ON scapula
	BY_MEANS_OF material

RUBRIC "videment osseux au niveau de la main sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1232"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF hand
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON bone

RUBRIC "Evidement osseuxau niveau de la main, avec comblement par greffe osseuse ou matriel inerte,  ciel ouvert Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1233"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF hand
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF hand
	BY_MEANS_OF bony autograft
OR_MAIN dig up
	ACTS_ON bone
		IS_PART_OF hand
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF hand
	BY_MEANS_OF material

RUBRIC "Evidement osseuxau niveau du membre infrieur, sans comblement,  ciel ouvert Exclut : pelvis, fmur et pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1234"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF lower extremity
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON bone
WITHOUT dig up
	ACTS_ON pelvic girdle
WITHOUT dig up
	ACTS_ON femur
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF foot

RUBRIC "Evidement osseux au niveau du membre infrieur, avec comblement par greffe osseuse ou matriel inerte,  ciel ouvert Inclut : le prlvement in situ d'autogreffe osseuse Exclut : pelvis, fmur et pied et le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1235"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF lower extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF lower extremity
	BY_MEANS_OF bony autograft
WITHOUT dig up
	ACTS_ON pelvic girdle
WITHOUT dig up
	ACTS_ON femur
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF foot
OR_MAIN dig up
	ACTS_ON bone
		IS_PART_OF lower extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF lower extremity
	BY_MEANS_OF material
WITHOUT dig up
	ACTS_ON pelvic girdle
WITHOUT dig up
	ACTS_ON femur
WITHOUT dig up
	ACTS_ON bone
		IS_PART_OF foot

RUBRIC "Evidement osseuxau niveau du pelvis, sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1236"
MAIN dig up
	ACTS_ON pelvic girdle
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON pelvic girdle

RUBRIC "Evidement osseux au niveau du pelvis, avec comblement par greffe osseuse ou matriel inerte,  ciel ouvert Inclut : le prlvement in situ d'autogreffe osseuse Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1237"
MAIN dig up
	ACTS_ON pelvic girdle
	HAS_APPROACH open
WITH filling
	ACTS_ON pelvic girdle
	BY_MEANS_OF bony autograft
OR_MAIN dig up
	ACTS_ON pelvic girdle
	HAS_APPROACH open
WITH filling
	ACTS_ON pelvic girdle
	BY_MEANS_OF material

RUBRIC "Evidement osseux  ciel ouvert au niveau du fmur, sans comblement Squestrectomie, curetage de lsion infectieuse, saucrisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1238"
MAIN dig up
	ACTS_ON femur
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON femur

RUBRIC "Evidement osseux  ciel ouvert au niveau du fmur, avec comblement par greffe osseuse ou matriel inerte Squestrectomie, curetage de lsion infectieuse, saucrisation Exclut : le prlvement  distanced'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1239"
MAIN dig up
	ACTS_ON femur
	HAS_APPROACH open
WITH filling
	ACTS_ON femur
	BY_MEANS_OF bony autograft
OR_MAIN dig up
	ACTS_ON femur
	HAS_APPROACH open
WITH filling
	ACTS_ON femur
	BY_MEANS_OF material

RUBRIC "Evidement osseuxau niveau du pied sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1240"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF foot
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON bone

RUBRIC "Evidement osseuxau niveau du pied, avec comblement par autogreffe osseuse ou matriel inerte,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1241"
MAIN dig up
	ACTS_ON bone
		IS_PART_OF foot
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF foot
	BY_MEANS_OF bony autograft
OR_MAIN dig up
	ACTS_ON bone
		IS_PART_OF foot
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF foot
	BY_MEANS_OF material

RUBRIC "Clidectomie totale ou d'au moins un tiers de la clavicule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1242"
MAIN excising
	ACTS_ON clavicula
OR_MAIN resecting
	ACTS_ON clavicula
	HAS_QUANTITY more than 33%

RUBRIC "Clidectomie partielle de moins d' un tiers de la clavicule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1243"
MAIN resecting
	ACTS_ON clavicula
	HAS_QUANTITY between 1% and 33%

RUBRIC "Scapulectomie partielle respectant le massif glnodien Exclut : l'acromioplastie ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1244"
MAIN resecting
	ACTS_ON scapula
WITHOUT resecting
	ACTS_ON glenoid
		IS_PART_OF scapula

RUBRIC "Scapulectomie partielle emportant la glne ou scapulectomie totale Exclut : l'acromioplastie ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1245"
MAIN resecting
	ACTS_ON scapula
WITH excising
	ACTS_ON glenoid
		IS_PART_OF scapula
OR_MAIN excising
	ACTS_ON scapula

RUBRIC "Rsection sans interruption de la continuit osseuse d'une extrmit et/ou de la diaphyse humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1246"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF humerus
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF humerus
OR_MAIN resecting
	ACTS_ON extremity
		IS_PART_OF humerus
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF humerus

RUBRIC "Rsection en bloc d'une extrmit et/ou de la diaphyse humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990725,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1247"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF humerus
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF humerus
OR_MAIN excising
	ACTS_ON extremity
		IS_PART_OF humerus
WITH excising
	ACTS_ON diaphysis
		IS_PART_OF humerus

RUBRIC "Humro-scapulectomie [arthrectomie mono bloc de l'paule]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1248"
MAIN excising
	ACTS_ON joint of shoulder

RUBRIC "Reconst.par greffe osseuse ou matriel inerte non prothtique aprs rsection en bloc d'une extrmit et/ou de la diaphyse humrale Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1249"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON extremity
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON_1 extremity
		IS_PART_OF humerus
	ACTS_ON_2 diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON_1 extremity
		IS_PART_OF humerus
	ACTS_ON_2 diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material

RUBRIC "Reconst.par greffe osseuse ou matriel inerte non prothtique aprs rsection partielle d'une extrmit et/ou de la diaphyse humrale Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990725,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1250"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON extremity
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON_1 extremity
		IS_PART_OF humerus
	ACTS_ON_2 diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON_1 extremity
		IS_PART_OF humerus
	ACTS_ON_2 diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF humerus
WITH reconstruction
	ACTS_ON humerus
	BY_MEANS_OF material

RUBRIC "Reconstruction d'une perte de substance osseuse segmentaire de l'paule avec arthrodse Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1251"
MAIN reconstruction
	ACTS_ON bone
		IS_PART_OF segment
			IS_PART_OF shoulder
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF shoulder
WITH fixing
	ACTS_ON joint of shoulder
	BY_MEANS_OF fixation device

RUBRIC "Remplacement articulaire aprs perte de substance segmentaire par prothse massive ou sur mesure de l'paule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1252"
MAIN replacing
	ACTS_ON joint of shoulder
	BY_MEANS_OF prosthetic glenohumeral joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF shoulder
OR_MAIN replacing
	ACTS_ON segment
		IS_PART_OF joint of shoulder
	BY_MEANS_OF prosthetic joint
		HAS_LOCATION joint of shoulder
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF shoulder

RUBRIC "Rsection en bloc du coude [arthrectomie monobloc du coude]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1253"
MAIN excising
	ACTS_ON joint of elbow

RUBRIC "Rsection en bloc du coude [arthrectomie monobloc du coude] et remplacement articulairepar prothse massive ou sur mesure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1254"
MAIN excising
	ACTS_ON joint of elbow
WITH installing
	ACTS_ON prosthetic elbow joint
		HAS_DESTINATION joint of elbow

RUBRIC "Rsectionsans interruption de la continuit osseuse d'une extrmit et/ ou de la diaphyse d'un os de l'avant-bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1255"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm

RUBRIC "Rsection en blocd'une extrmit et/ou de la diaphyse d'un os de l'avant-bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990725,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1256"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm

RUBRIC "Reconst.par greffe oss. ou matriel inerte non prothtique aprs rsection en bloc d'une extrmit et/ou de la diaphyse d'un os de l'avant-bras Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1257"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material

RUBRIC "Reconst.par greffe oss. ou matriel inerte non prothtique aprs rsection partielle d'une extrmit et/ou de la diaphyse d'un os de l'avant-bras Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991207,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1258"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF forearm
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material

RUBRIC "Reconstruction d'une perte de substance osseuse segmentaire du coude avec arthrodse Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991207,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1259"
MAIN reconstruction
	ACTS_ON bone
		IS_PART_OF segment
			IS_PART_OF elbow
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF shoulder
WITH fixing
	ACTS_ON joint of elbow
	BY_MEANS_OF fixation device

RUBRIC "Remplacement articulaire aprs perte de substance segmentaire par prothse massive ou sur mesure du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991207,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1260"
MAIN replacing
	ACTS_ON joint of elbow
	BY_MEANS_OF prosthetic elbow joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF elbow
OR_MAIN replacing
	ACTS_ON segment
		IS_PART_OF joint of elbow
	BY_MEANS_OF prosthetic joint
		HAS_LOCATION joint of elbow
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF elbow

RUBRIC "Rsection en bloc du poignet [arthrectomie monobloc du poignet]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991207,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1261"
MAIN excising
	ACTS_ON joint of wrist

RUBRIC "Rsection en bloc d'un ou plusieurs os du carpe et/ou du mtacarpe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1262"
MAIN excising
	ACTS_ON carpal bone
OR_MAIN excising
	ACTS_ON metacarpal bone
OR_MAIN excising
	ACTS_ON carpal bone
		HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON metacarpal bone
		HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON carpal bone & metacarpal bone
OR_MAIN excising
	ACTS_ON carpal bone & metacarpal bone
		HAS_QUANTITY several

RUBRIC "Reconstruction aprs perte de substance osseuse segmentaire du mtacarpe ou des phalanges des doigts par greffe osseuse ou matriel inerte non prothtique Inclut : l'ostosynthse ventuelle Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1263"
MAIN reconstruction
	ACTS_ON metacarpal bone
	BY_MEANS_OF bony autograft
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION metacarpal bone
OR_MAIN reconstruction
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF bony autograft
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION phalanx
			IS_PART_OF digit
OR_MAIN reconstruction
	ACTS_ON metacarpal bone
	BY_MEANS_OF material
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION metacarpal bone
OR_MAIN reconstruction
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF material
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION phalanx
			IS_PART_OF digit

RUBRIC "Reconstruction d'une perte de substance osseuse segmentaire du poignet avec arthrodse Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1264"
MAIN reconstruction
	ACTS_ON segment
		IS_PART_OF wrist
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF wrist
WITH fixing
	ACTS_ON wrist
	BY_MEANS_OF fixation device

RUBRIC "Rsection partielle de l'aile iliaque ou du cadre obturateur n'interrompant pas la continuit de l'anneau pelvien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1265"
MAIN resecting
	ACTS_ON os ilium
		IS_PART_OF pelvic girdle
OR_MAIN resecting
	ACTS_ON part
		IS_PART_OF pelvic girdle

RUBRIC "Rsection complte en bloc de l'aile iliaque ou du cadre obturateur interrompant la continuit de l'anneau pelvien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1266"
MAIN excising
	ACTS_ON os ilium
		IS_PART_OF pelvic girdle
OR_MAIN excising
	ACTS_ON os ischium
		IS_PART_OF pelvic girdle

RUBRIC "Rsection complte en bloc partielle ou totale d'un hmi-bassin emportant l'actabulum [cavit cotylode]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1267"
MAIN excising
	ACTS_ON pelvic girdle
	HAS_LATERALITY unilateral
OR_MAIN resecting
	ACTS_ON pelvic girdle
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON acetabulum
		IS_PART_OF pelvic girdle

RUBRIC "Rsection en bloc du fmur ou du pelvis avec arthrectomie monobloc de hanche"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1268"
MAIN excising
	ACTS_ON femur
WITH excising
	ACTS_ON joint of hip
OR_MAIN excising
	ACTS_ON pelvis
WITH excising
	ACTS_ON joint of hip

RUBRIC "Exrse du coccyx"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1269"
MAIN excising
	ACTS_ON os coccygis

RUBRIC "Sacrectomie partielle distale [respectant S1 et S2] , par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1270"
MAIN excising
	ACTS_ON vertebra s3 & vertebra s4 & vertebra s5
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum

RUBRIC "Sacrectomie partielle distale [respectant S1 et S2] , par voies combines antrieure etpostrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1271"
MAIN excising
	ACTS_ON vertebra s3 & vertebra s4 & vertebra s5
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum

RUBRIC "Sacrectomie partielle proximale [respectant S1 et/ou S2] , par voies antrieure  ou postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1272"
MAIN excising
	ACTS_ON vertebra s1
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
OR_MAIN excising
	ACTS_ON vertebra s2
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
OR_MAIN excising
	ACTS_ON vertebra s1
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum
OR_MAIN excising
	ACTS_ON vertebra s2
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum

RUBRIC "Sacrectomie partielle proximale [respectant S1 et/ou S2] , par voies combines antrieure etpostrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1273"
MAIN excising
	ACTS_ON vertebra s1
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum
OR_MAIN excising
	ACTS_ON vertebra s2
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum

RUBRIC "Sacrectomie totalepar voie combine antrieure et postrieure Inclut : l'ventuelle rsection du rachis lombaire Intervention  plusieurs quipes : temps orthopdique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1274"
MAIN excising
	ACTS_ON sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF sacrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF sacrum

RUBRIC "Rsection tendue de l'articulation sacro-iliaque Rsection emportant au minimum le tiers latral du sacrum et le quart postrieur de l'aile iliaque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1275"
MAIN excising
	ACTS_ON sacroiliac joint
WITH resecting
	ACTS_ON part
		HAS_POSITION medial
		IS_PART_OF sacrum
	HAS_QUANTITY more than 33%
WITH resecting
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF os ilium
	HAS_QUANTITY more than 25%

RUBRIC "Rsection sans interruption de la continuit osseuse d'une extrmit et/ou de la diaphyse du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1276"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF femur
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF femur

RUBRIC "Rsection en bloc d'une extrmit et/ou de la diaphyse du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1277"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF femur
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF femur

RUBRIC "Rsection en bloc de l'extrmit suprieure ou de la diaphyse du fmur avec reconstruction par prothse massive ou ostosynthse et greffes osseuses Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1278"
MAIN excising
	ACTS_ON upper extremity
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON upper extremity
		IS_PART_OF femur
	BY_MEANS_OF prosthetic implant
OR_MAIN excising
	ACTS_ON upper extremity
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON upper extremity
		IS_PART_OF femur
	BY_MEANS_OF bony autograft
WITH fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device

RUBRIC "Reconstruction osseuse du pelvis aprs rsection de la zone actabulaire, sans prothse d'hmibassin Inclut :l'ostosynthse et l'interposition d'une prothse totale de hanche ventuelles Exclut:le prlvt  dist. d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1279"
MAIN resecting
	ACTS_ON acetabulum
WITH reconstruction
	ACTS_ON pelvic girdle
	BY_MEANS_OF prosthetic implant
	HAS_EXTENT partial
WITH_OPTIONALLY fixing
	ACTS_ON prosthetic implant
	BY_MEANS_OF fixation device
WITH_OPTIONALLY installing
	ACTS_ON prosthetic hip

RUBRIC "Reconstruction osseuse de la hanche aprs rsection en bloc de l'hmibassin, par fixation du fmur au bassin (avec ou sans interposition de greffon) Inclut :l'ostosynthse ventuelle Exclut:le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1280"
MAIN resecting
	ACTS_ON pelvic girdle
	HAS_LATERALITY unilateral
WITH reconstruction
	ACTS_ON hip
	BY_TECHNIQUE fixing
		ACTS_ON femur
			HAS_DESTINATION pelvic girdle
WITH_OPTIONALLY interposing
	ACTS_ON bony autograft
WITH_OPTIONALLY fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device

RUBRIC "Remplacement articulaire par prothse massive ou sur mesure, aprs perte de substance segmentaire au niveau de la hanche ou du pelvis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1281"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF joint of hip
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF pelvic girdle
OR_MAIN replacing
	ACTS_ON segment
		IS_PART_OF joint of hip
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF joint of hip
OR_MAIN replacing
	ACTS_ON segment
		IS_PART_OF joint of hip
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF pelvic girdle

RUBRIC "Doublon R1278 Reconst.par greffe osseuse ou matriel inerte non prothtique aprs rsection en bloc d'une extrmit et/ou de la diaphyse fmorale Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1282"
MAIN excising

RUBRIC "Reconstruction par greffe osseuse ou matriel inerte non prothtique aprs rsection  partielle d'une  extrmit  et/ou de la diaphyse fmorale ;Inclut ostosynthse ventuelle Exclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1283"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON extremity
		IS_PART_OF femur
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON extremity
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON extremity
		IS_PART_OF femur
	BY_MEANS_OF bony autograft
WITH_OPTIONALLY fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF bony autograft
WITH_OPTIONALLY fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device

RUBRIC "Reconstruction d'une perte de substance osseuse segmentaire du genou avec arthrodse Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis ex interv. de juvara"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1284"
MAIN reconstruction
	ACTS_ON bone
		IS_PART_OF segment
			IS_PART_OF knee
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF knee
WITH fixing
	ACTS_ON joint of knee
	BY_MEANS_OF fixation device

RUBRIC "Remplacement articulaire aprs perte de substance segmentaire par prothse massive ou sur mesure du genou , Inclut reconstruction  ventuelle de l'appareil extenseur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991208,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1285"
MAIN replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF joint of knee
WITH_OPTIONALLY reconstruction
	ACTS_ON musculoskeletal system
		HAS_FUNCTION joint extension
			ACTS_ON knee
OR_MAIN replacing
	ACTS_ON segment
		IS_PART_OF joint of knee
	BY_MEANS_OF prosthetic joint
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF joint of knee
WITH_OPTIONALLY reconstruction
	ACTS_ON musculoskeletal system
		HAS_FUNCTION joint extension
			ACTS_ON knee

RUBRIC "Rsection d'une extrmit et/ou de la diaphyse du tibia sans interruption de la continuit osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1286"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF tibia
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF tibia

RUBRIC "Rsection en bloc de l'extrmit suprieure du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1287"
MAIN excising
	ACTS_ON upper extremity
		IS_PART_OF tibia

RUBRIC "Rsection en bloc de l'extrmit suprieure du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1288"
MAIN excising
	ACTS_ON upper extremity
		IS_PART_OF fibula

RUBRIC "Rsection en bloc de l'extrmit suprieure du tibia et du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1289"
MAIN excising
	ACTS_ON upper extremity
		IS_PART_OF fibula & tibia

RUBRIC "Rsection en bloc de la diaphyse et/oude l'extrmit infrieure du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1290"
MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN excising
	ACTS_ON lower extremity
		IS_PART_OF tibia
OR_MAIN excising
	ACTS_ON diaphysis & lower extremity
		IS_PART_OF tibia

RUBRIC "Rsection en bloc de la diaphyse et/oude l'extrmit infrieure du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990726,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1291"
MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF fibula
OR_MAIN excising
	ACTS_ON lower extremity
		IS_PART_OF fibula
OR_MAIN excising
	ACTS_ON diaphysis & lower extremity
		IS_PART_OF fibula

RUBRIC "Rsection en bloc d'un ou plusieurs os du tarse et/ou du mtatarse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1292"
MAIN excising
	ACTS_ON os tarsale
OR_MAIN excising
	ACTS_ON os metatarsale
OR_MAIN excising
	ACTS_ON os tarsale
	HAS_QUANTITY several
OR_MAIN excising
	ACTS_ON os metatarsale
	HAS_QUANTITY several
OR_MAIN resecting
	ACTS_ON os tarsale & os metatarsale
	HAS_EXTENT total
OR_MAIN resecting
	ACTS_ON os tarsale & os metatarsale
		HAS_QUANTITY several
	HAS_EXTENT total

RUBRIC "Rsection en bloc de la cheville [arthrectomie monobloc de la cheville]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1293"
MAIN excising
	ACTS_ON ankle

RUBRIC "Reconst.par greffe oss. ou matriel inerte non prothtique aprs rsection en bloc d'une extrmit et/ou de la diaphyse d'un os de la jambe  Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991210,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1294"
MAIN excising
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN excising
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material

RUBRIC "Reconst.par greffe oss. ou matriel inerte non prothtique aprs rsection partielle d'une extrmit et/ou de la diaphyse d'un os de la jambe Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991210,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1295"
MAIN resecting
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON extremity
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF bony autograft
OR_MAIN resecting
	ACTS_ON extremity & diaphysis
		IS_PART_OF bone
			IS_PART_OF leg
WITH reconstruction
	ACTS_ON bone
	BY_MEANS_OF material

RUBRIC "Reconstruction d'une perte de substance osseuse segmentaire de la cheville  avec arthrodse Inclut : l'ostosynt. ventuelle Exclut : le prlvt  dist. d'autogreffe oss.etle transplant vascularis "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991210,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1296"
MAIN reconstruction
	ACTS_ON bone
		IS_PART_OF segment
			IS_PART_OF ankle
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION segment
			IS_PART_OF ankle
WITH fixing
	ACTS_ON joint of ankle
	BY_MEANS_OF fixation device

RUBRIC "Reconstruction aprs perte de substance osseuse segmentaire du mtatarse ou des phalanges d'orteils par greffe osseuse ou matriel inerte non prothtique Inclut : l'ostosynthse ventuelle Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991210,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1297"
MAIN reconstruction
	ACTS_ON os metatarsale
	BY_MEANS_OF bony autograft
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION os metatarsale
OR_MAIN reconstruction
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF bony autograft
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION phalanx
			IS_PART_OF toe
OR_MAIN reconstruction
	ACTS_ON os metatarsale
	BY_MEANS_OF material
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION os metatarsale
OR_MAIN reconstruction
	ACTS_ON phalanx
		IS_PART_OF toe
	BY_MEANS_OF material
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		HAS_LOCATION phalanx
			IS_PART_OF toe

RUBRIC "Transplantation du pied  la cuisse avec conservationdes axes vasculo-nerveux Inclut : l'ostosynt. ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1298"
MAIN transplanting
	ACTS_ON foot
		HAS_DESTINATION thigh

RUBRIC "Rfection d'un moignon d'amputation de membre avec rsection de nvrome et/ou neurolyse et/ou neurotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1299"
MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH resecting
	ACTS_ON neuroma
WITH freeing
	ACTS_ON nerve
WITH incising
	ACTS_ON nerve
OR_MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH freeing
	ACTS_ON nerve
OR_MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH incising
	ACTS_ON nerve

RUBRIC "Rfection d'un moignon d'amputation de membre avec rgularisation osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1300"
MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH arranging
	ACTS_ON bone

RUBRIC "Rfection d'un moignon d'amputation de membre associant une rsection osseuse et une rsection de nvrome, et/ou une neurolyse et/ou une neurotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1301"
MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH resecting
	ACTS_ON bone
WITH resecting
	ACTS_ON neuroma
WITH freeing
	ACTS_ON nerve
WITH incising
	ACTS_ON nerve
OR_MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH freeing
	ACTS_ON nerve
WITH incising
	ACTS_ON nerve
WITH resecting
	ACTS_ON bone
OR_MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH resecting
	ACTS_ON bone
WITH incising
	ACTS_ON nerve
OR_MAIN refashioning
	ACTS_ON stump
		IS_PART_OF limb
WITH resecting
	ACTS_ON bone
WITH freeing
	ACTS_ON nerve

RUBRIC "Prlvement d'un demi-bassin, sur un sujet dcd"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1302"
MAIN harvesting
	ACTS_ON pelvic girdle
	HAS_LATERALITY unilateral
HAS_PATIENT dead donor

RUBRIC "Prlvement d'un os long complet d'un membre (fmur, tibia ou humrus), sur un sujet dcd"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1303"
MAIN harvesting
	ACTS_ON long bone
		IS_PART_OF limb
HAS_PATIENT dead donor

RUBRIC "Prlvement de plusieurs os longs complets (fmur, tibia ou humrus) sur un mme membre, sur un sujet dcd"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1304"
MAIN harvesting
	ACTS_ON long bone
		HAS_QUANTITY several
		IS_PART_OF limb
HAS_PATIENT dead donor

RUBRIC "Prlvement de deux os longs sur les deux membres infrieurs, sur un sujet dcd en tat de mort crbrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1305"
MAIN removing
	ACTS_ON long bone
		IS_PART_OF lower extremity
			HAS_LATERALITY bilateral
	HAS_QUANTITY more than one
HAS_PATIENT dead donor

RUBRIC "Prlvement d'un os du tronc ou des membres ou du crne, sur un sujet dcd"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1306"
MAIN harvesting
	ACTS_ON bone
		IS_PART_OF trunk
HAS_PATIENT dead donor
OR_MAIN harvesting
	ACTS_ON bone
		IS_PART_OF limb
HAS_PATIENT dead donor
OR_MAIN harvesting
	ACTS_ON bone
		IS_PART_OF skull
HAS_PATIENT dead donor

RUBRIC "Dsarticulation interscapulo-thoracique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1307"
MAIN removing
	ACTS_ON upper extremity
	BY_TECHNIQUE dividing
		ACTS_ON scapulothoracic space
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation glno-humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1308"
MAIN removing
	ACTS_ON upper extremity
	BY_TECHNIQUE dividing
		ACTS_ON glenohumeral joint
	HAS_LATERALITY unilateral

RUBRIC "Amputation au niveau du bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1309"
MAIN removing
	ACTS_ON part
		IS_PART_OF upper extremity
	BY_TECHNIQUE dividing
		ACTS_ON arm
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1310"
MAIN removing
	ACTS_ON forearm & hand
	BY_TECHNIQUE dividing
		ACTS_ON joint of elbow
	HAS_LATERALITY unilateral

RUBRIC "Amputation au niveau de l'avant-bras"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1311"
MAIN removing
	ACTS_ON_1 part
		IS_PART_OF forearm
	ACTS_ON_2 hand
	BY_TECHNIQUE amputating
		ACTS_ON forearm
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation du poignet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1312"
MAIN removing
	ACTS_ON hand
	BY_TECHNIQUE dividing
		ACTS_ON joint of wrist
	HAS_LATERALITY unilateral

RUBRIC "Amputation ou dsarticulation au niveau du carpe et/ou du mtacarpe sur un seul rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1313"
MAIN removing
	ACTS_ON part
		IS_PART_OF digital ray
	BY_TECHNIQUE dividing
		ACTS_ON os carpale
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF digital ray
	BY_TECHNIQUE dividing
		ACTS_ON os metacarpale
	HAS_LATERALITY unilateral

RUBRIC "Amputation ou dsarticulation au niveau du carpe et/ou du mtacarpe sur deux rayons et plus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1314"
MAIN removing
	ACTS_ON part
		IS_PART_OF hand
			HAS_QUANTITY more than one
	BY_TECHNIQUE dividing
		ACTS_ON os carpale
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF digital ray
			HAS_QUANTITY more than one
	BY_TECHNIQUE dividing
		ACTS_ON os metacarpale
	HAS_LATERALITY unilateral

RUBRIC "Amputationou dsarticulation d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1315"
MAIN removing
	ACTS_ON finger
	BY_TECHNIQUE dividing
		ACTS_ON finger
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON finger
	BY_TECHNIQUE dividing
		ACTS_ON joint of finger
	HAS_LATERALITY unilateral

RUBRIC "Amputation ou dsarticulation  travers le bassin, l'articulation sacro-iliaque ou le sacrum"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1316"
MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON pelvic girdle
		HAS_LATERALITY unilateral
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON sacrum
		HAS_LATERALITY unilateral
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON sacroiliac joint
		HAS_LATERALITY unilateral
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation de la hanche"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1317"
MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON joint of hip
		HAS_LATERALITY unilateral
	HAS_LATERALITY unilateral

RUBRIC "Amputation au niveau de la cuisse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1318"
MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON thigh
		HAS_LATERALITY unilateral
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation ou amputation inter-ilio-abdominale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1319"
MAIN removing
	ACTS_ON lower extremity
	ACTS_ON_2 pelvic girdle
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON lower extremity
	ACTS_ON_2 part
		IS_PART_OF pelvic girdle
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation du genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1320"
MAIN removing
	ACTS_ON lower extremity
	BY_TECHNIQUE dividing
		ACTS_ON joint of knee
	HAS_LATERALITY unilateral

RUBRIC "Amputation de la jambe, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1321"
MAIN removing
	ACTS_ON leg
	HAS_LATERALITY unilateral

RUBRIC "Dsarticulation au niveau de l'interligne tibiotalien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1322"
MAIN removing
	ACTS_ON foot
	BY_TECHNIQUE dividing
		ACTS_ON articulatio talocruralis

RUBRIC "Amputation ou dsarticulation trans-tarsienne ou  trans-mtatarsienne sur un seul rayon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1323"
MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_LATERALITY unilateral

RUBRIC "Amputation ou dsarticulation trans-tarsienne ou  trans-mtatarsienne sur tous les rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1324"
MAIN removing
	ACTS_ON part
		IS_PART_OF foot
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_LATERALITY unilateral
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF foot
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_LATERALITY unilateral

RUBRIC "Amputation ou dsarticulation trans-tarsienne ou  trans-mtatarsienne sur un ou plusieurs rayons avec stabilisation de l'arrire pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1325"
MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON posterior foot
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON posterior foot
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
			HAS_QUANTITY more than one
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON posterior foot
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF toe ray
			HAS_QUANTITY more than one
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON posterior foot

RUBRIC "Amputation ou dsarticulation trans-tarsienne ou  trans-mtatarsienne avec arthrodse,transfert tendineux ou fixation du calcaneum sous le pilon tibial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1326"
MAIN removing
	ACTS_ON part
		IS_PART_OF foot
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
WITH transposing
	ACTS_ON tendon
		IS_PART_OF foot
OR_MAIN removing
	ACTS_ON part
		IS_PART_OF foot
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_LATERALITY unilateral
WITH fixing
	ACTS_ON articulatio talocruralis
	BY_MEANS_OF fixation device
WITH transposing
	ACTS_ON tendon
		IS_PART_OF foot

RUBRIC "Amputation ou dsarticulation d'un orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1327"
MAIN removing
	ACTS_ON toe
	BY_TECHNIQUE dividing
		ACTS_ON joint
			CONNECTS_1 os metatarsale
			CONNECTS_2 phalanx
				IS_PART_OF toe

RUBRIC "Amputation ou dsarticulation de deux orteils"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1328"
MAIN removing
	ACTS_ON toe
	BY_TECHNIQUE dividing
		ACTS_ON joint
			CONNECTS_1 os metatarsale
			CONNECTS_2 phalanx
				IS_PART_OF toe
	HAS_QUANTITY more than one

RUBRIC "Examen de l'paule, du coude ou du poignet sous anesthsie gnrale ou loco-rgionale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1329"
MAIN examining
	ACTS_ON shoulder
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN examining
	ACTS_ON shoulder
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent
OR_MAIN examining
	ACTS_ON elbow
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN examining
	ACTS_ON elbow
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent
OR_MAIN examining
	ACTS_ON wrist
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN examining
	ACTS_ON wrist
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Ablation de plaque, clou-plaque ou vis-plaque d'un os long  ciel ouvert Exclut : les phalanges"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1330"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION long bone
	HAS_APPROACH open

RUBRIC "Ablation de matriel centro-mdullaire (clou ou broche) d'un os long,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1331"
MAIN removing
	ACTS_ON intramedullary nail device
		HAS_LOCATION long bone
	HAS_APPROACH open

RUBRIC "Ablation de matriel d'ostosynthse enfoui d'un os long, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1332"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION long bone
	HAS_APPROACH percutaneous route

RUBRIC "Ablation de matriel d'ostosynthse d'un os, autre qu'un os long,  ciel ouvert Exclut : omoplate, cotyle et rachis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1333"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION bone
	HAS_APPROACH open
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION long bone
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION scapula
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION acetabulum
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION spine

RUBRIC "Ablation de matriel d'ostosynthse d'un ou de plusieurs os, autre(s) qu'un os long, par voie percutane Exclut : omoplate, cotyle et rachis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991212,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1334"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION bone
	HAS_APPROACH percutaneous route
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION long bone
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION scapula
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION acetabulum
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION bone
			HAS_QUANTITY several
	HAS_APPROACH percutaneous route
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION long bone
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION scapula
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION acetabulum
WITHOUT removing
	ACTS_ON fixation device
		HAS_LOCATION spine

RUBRIC "Ablation de matriel d'ostosynthse de l'omoplate  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1335"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION scapula
	HAS_APPROACH open

RUBRIC "Ablation de matriel d'ostosynthse externe (fixateur externe) Exclut : la contention ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1336"
MAIN removing
	ACTS_ON external fixation device

RUBRIC "Ablation de matriel d'ostosynthse du cotyle  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1337"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION acetabulum
	HAS_APPROACH open

RUBRIC "Ablation de matriel(s) d'ostosynthse de l'arrire-pied ou du mdio-pied,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1338"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION posterior foot
	HAS_APPROACH open
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION midfoot
	HAS_APPROACH open

RUBRIC "Ablation de matriel d'ostosynthse de la main, ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1339"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION hand
	HAS_APPROACH open

RUBRIC "Ablation de matriel d'ostosynthse enfoui de la main,par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1340"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION hand
	HAS_APPROACH percutaneous route

RUBRIC "Ablation de matriel d'ostosynthse de l'avant-pied, ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1341"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION anterior foot
	HAS_APPROACH open

RUBRIC "Ablation de matriel d'ostosynthse enfoui de l'avant-pied,par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1342"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION anterior foot
	HAS_APPROACH percutaneous route

RUBRIC "Ablation de matriel d'ostosynthse centro-mdullaire, clou ou broche fmorale avec arthroplastie coxo-fmorale par prothse totale, de premire intention, scelle ou non, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1343"
MAIN removing
	ACTS_ON intramedullary nail device
		HAS_LOCATION femur
WITH replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
OR_MAIN removing
	ACTS_ON pin
		HAS_LOCATION femur
WITH replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
OR_MAIN removing
	ACTS_ON nail
		IS_PART_OF femur
WITH replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip

RUBRIC "Ablation de broches enfouies avec reprage sous imagerie (amplificateur de brillance) Exclut : les broches centro-mdullaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1344"
MAIN removing
	ACTS_ON pin
	BY_TECHNIQUE inspecting
		ACTS_ON bone
		BY_MEANS_OF fluoroscope

RUBRIC "Ablation de broches non enfouies quelle que soit la localisation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1345"
MAIN removing
	ACTS_ON pin

RUBRIC "Arthrolyse (mobilisatrice) du coude avec neurolyse du nerf cubital  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "R1346"
MAIN mobilisation
	ACTS_ON elbow
	BY_TECHNIQUE freeing
		ACTS_ON elbow
	HAS_APPROACH open
WITH freeing
	ACTS_ON cubital nerve

