;;          Date:   2000-02-10
;;          Author: 
;;          Description: 
;;          Generated by: Spet
;;          Exported from Tigger version 4.9, at 11:53:50 am on February 25, 2000
;;         Exported from Tigger version 4.9, at 4:21:02 pm on February 25, 2000
;;        Exported from Tigger version 4.9, at 1:08:10 pm on March 1, 2000
;;       Exported from Tigger version 4.9, at 2:48:25 pm on March 2, 2000
;;      Exported from Tigger version 4.9, at 4:54:10 pm on March 7, 2000
;;     Exported from Tigger version 4.9, at 5:49:13 pm on March 7, 2000
;;    Exported from Tigger version 4.9, at 1:05:53 pm on April 10, 2000
;;   Exported from Tigger version 4.9, at 4:56:15 pm on April 10, 2000
;;  Exported from Tigger version 4.9, at 11:13:38 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:16 pm on April 13, 2000

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 "RP001"
MAIN creating
	ACTS_ON thoracobrachial cast
		HAS_FUNCTION immobilising

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 "RP002"
MAIN creating
	ACTS_ON arm-forearm-palm cast
		HAS_FUNCTION immobilising

RUBRIC "Contention orthopdique d'une fracture de la clavicule avec ou sans rduction"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP003"
MAIN immobilising
	ACTS_ON clavicula
	BY_MEANS_OF cast
OR_MAIN immobilising
	ACTS_ON clavicula
	BY_MEANS_OF cast
	FOLLOWS reducing (a fracture)
		ACTS_ON clavicula

RUBRIC "Rduction orthopdique d'une fracture ou dcollement piphysaire de l'extrmit suprieure ou de la diaphysede l'humrus Ex :fracture sous tubrositaire [du col chirurgical]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:03:55 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP004"
MAIN reducing (a fracture)
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
OR_MAIN reducing (a fracture)
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF humerus

RUBRIC "Rduction par traction continue squelettique d'une fracture  de l'extrmit suprieure ou de la diaphyse humrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990513,rodrigues,0;
Manual accept at 1:08:20 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP005"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
	BY_MEANS_OF skeletal traction device
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF humerus
			HAS_POSITION proximal
OR_MAIN reducing (a fracture)
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF skeletal traction device
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  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP006"
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 cphalo-tubrositaire [col anatomique] de l'humrus,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP007"
MAIN fixing
	ACTS_ON neck
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH closed

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 1:04:10 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP008"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF humerus
	HAS_QUANTITY more than one
OR_MAIN incising
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION proximal
	HAS_QUANTITY more than one

RUBRIC "Rduction chirurgicale d'une fracture du condyle humral mdial ou latral avec ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:01:01 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP009"
MAIN reducing (a fracture)
	ACTS_ON condyle
		IS_PART_OF humerus
	HAS_APPROACH open
WITH fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF fixation device

RUBRIC "Rduction et contention 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 "RP010"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
	FOLLOWED_BY immobilising
		ACTS_ON elbow
		BY_MEANS_OF cast
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
	FOLLOWED_BY immobilising
		ACTS_ON elbow
		BY_MEANS_OF cast
WITH reducing (a fracture)
	ACTS_ON bone
		IS_PART_OF elbow

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 1:34:02 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP011"
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 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 "RP012"
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 du condyle humral latral par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:00:51 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP013"
MAIN fixing
	ACTS_ON condyle
		HAS_POSITION lateral
		IS_PART_OF humerus
	BY_MEANS_OF fixation device
	HAS_APPROACH percutaneous route

RUBRIC "Ostosynthse d'une fracture de l'picondyle mdial ou latral,par voie percutane (broches bicorticales)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP014"
MAIN excising

RUBRIC "Ostosynthse de l'picondyle mdial ou latral  ciel ouvert avec rduction d'une luxation du coude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:56:46 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP015"
MAIN reducing (a dislocation)
	ACTS_ON joint of elbow
	BY_MEANS_OF hand
	FOLLOWED_BY fixing
		ACTS_ON condyle
			IS_PART_OF humerus
		BY_MEANS_OF fixation device
		HAS_APPROACH open

RUBRIC "Ostosynthse d'une fracture sus et intercondylienne de l'humrus  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:59:02 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:01:44 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "RP016"
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_1 supracondylar part of humerua
	ACTS_ON_2 intercondylar notch of humerus

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire 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 1:36:59 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:48:23 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "RP017"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION 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 fracture
		HAS_LOCATION 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 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 "19990330,,0;
Manual accept at 1:22:10 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP018"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius
	BY_MEANS_OF fixation device
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION diaphysis
				IS_PART_OF radius
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 closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION diaphysis
				IS_PART_OF radius
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 closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION diaphysis
				IS_PART_OF ulna
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 closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION diaphysis
				IS_PART_OF ulna
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 d'une fracture humrale supracondylienne de l'enfant par broches par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:59:50 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:30:58 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP019"
MAIN fixing
	ACTS_ON part
		IS_PART_OF humerus
		HAS_POSITION distal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
HAS_PATIENT child
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supracondylar part of humerus

RUBRIC "Ostosynthse d'une fracture simple de l'olcrne,  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP020"
MAIN fixing
	ACTS_ON olecranon
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION olecranon

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 "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:35:46 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP021"
MAIN fixing
	ACTS_ON part
		IS_PART_OF ulna
		HAS_POSITION proximal
	BY_MEANS_OF pin
		HAS_DESTINATION bone medulla
	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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP022"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF radius / ulna
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed

RUBRIC "Ostosynthse centromdullaire d'une fracture des deux os de l'avant-bras, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP023"
MAIN fixing
	ACTS_ON_1 radius
	ACTS_ON_2 ulna
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 radius
	ACTS_ON_2 fracture
		HAS_LOCATION ulna

RUBRIC "Ostotomie de rorientation pour synostose radio-cubitale congnitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP024"
MAIN incising
	ACTS_ON synostosis
		HAS_LOCATION_1 radius
		HAS_LOCATION_2 ulna
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 radius
		ACTS_ON_2 ulna

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 "RP025"
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 "Cration d'une pince par dissociation des deux os de l'avant bras dans le cadre d'une amputation de main (intervention de Kruckenberg)."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP026"
MAIN separating
	ACTS_ON_1 radius
		HAS_FUNCTION catching
	ACTS_ON_2 ulna
		HAS_FUNCTION catching
MOTIVATED_OVERALL_BY curing
	ACTS_ON detachment
		ACTS_ON hand

RUBRIC "Confection d'une attelle de posture ou de mobilisation du coude (y compris Sarmiento)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP027"
MAIN creating
	ACTS_ON splint
		HAS_FUNCTION posture
			ACTS_ON elbow
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION movement
			ACTS_ON elbow

RUBRIC "Confection d'un appareil d'immobilisation rigide externe du poignet et /ou de la main Exclut: l'appareil d'immobibisation digital pur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP028"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION forearm & palm

RUBRIC "Rduction orthopdique et contention d'une fracture 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 1:29:38 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:29:51 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP029"
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 cast
OR_MAIN reducing (a fracture)
	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
	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

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 "19990516,rodrigues,0;
Manual accept at 1:27:11 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:29:09 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:37:45 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:34:55 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:35:38 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:37:55 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:38:10 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:51:03 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:51:40 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP030"
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 cast
OR_MAIN reducing (a fracture)
	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
	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 fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF radius
			HAS_POSITION distal
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF radius
				HAS_POSITION distal
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF ulna
				HAS_POSITION distal
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast
OR_MAIN reducing (a fracture)
	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
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION_1 epiphysis
			IS_PART_OF part
				IS_PART_OF ulna
				HAS_POSITION distal
		HAS_LOCATION_2 part
			IS_PART_OF radius
			HAS_POSITION distal
WITH immobilising
	ACTS_ON forearm
	BY_MEANS_OF cast

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 "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:23:17 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:45:10 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP031"
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 "Rduction orthopdique d'une fracture mtacarpienne ou phalangienne d'un doigt"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP032"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digit
	BY_MEANS_OF hand

RUBRIC "Rduction orthopdique et contention d'une fracture mtacarpienne ou phalangienne sur deux doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP033"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digit
			HAS_QUANTITY more than one
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON digit
		HAS_QUANTITY more than one
	BY_MEANS_OF cast

RUBRIC "Rduction orthopdique et contention d'une fracture mtacarpienne ou phalangienne sur trois doigts"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP034"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
		IS_PART_OF digit
			HAS_QUANTITY more than two
	BY_MEANS_OF hand
	HAS_QUANTITY more than two
WITH immobilising
	ACTS_ON digit
		HAS_QUANTITY more than two
	BY_MEANS_OF cast

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 "RP035"
MAIN reducing (a fracture)
	ACTS_ON os metacarpale / phalanx
	BY_MEANS_OF hand
	HAS_QUANTITY at least 2
WITH installing
	ACTS_ON cast
		HAS_LOCATION digit
			HAS_QUANTITY at least 1

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 "RP036"
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 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 "RP037"
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 d'une fracture extra-articulaire de deux os [mtacarpien ouphalange(s) digitale(s)],  foyer ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:26:36 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP038"
MAIN fixing
	ACTS_ON os metacarpale
		HAS_QUANTITY more than one
		IS_PART_OF digit
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
OR_MAIN fixing
	ACTS_ON phalanx
		HAS_QUANTITY more than one
		IS_PART_OF digit
	BY_MEANS_OF fixation device
	HAS_APPROACH open
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit

RUBRIC "Ostosynthse par brochage percutan 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 "19990516,rodrigues,0;
Manual accept at 12:31:07 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP039"
MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit
OR_MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
OR_MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire d'une fracture extra-articulaire d'un mtacarpien ou d'une phalange digitale sur deux doigts,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;
Manual accept at 12:33:07 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP040"
MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	HAS_QUANTITY at least 2
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
			HAS_QUANTITY at least 2
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	HAS_QUANTITY at least 2
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit
			HAS_QUANTITY at least 2
OR_MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	HAS_QUANTITY at least 2
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
			HAS_QUANTITY at least 2
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	HAS_QUANTITY at least 2
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit
			HAS_QUANTITY at least 2

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire d'une fracture extra-articulaire d'un mtacarpien ou d'une phalange digitale sur trois doigts,  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;
Manual accept at 12:33:42 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP041"
MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	HAS_QUANTITY more than two
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
			HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF pin
	HAS_APPROACH closed
	HAS_QUANTITY more than two
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit
			HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON os metacarpale
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	HAS_QUANTITY more than two
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION os metacarpale
				IS_PART_OF digit
			HAS_QUANTITY more than two
OR_MAIN fixing
	ACTS_ON phalanx
		IS_PART_OF digit
	BY_MEANS_OF fixation device
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
	HAS_QUANTITY more than two
	MOTIVATED_BY curing
		ACTS_ON fracture
			HAS_LOCATION phalanx
				IS_PART_OF digit
			HAS_QUANTITY more than two

RUBRIC "Arthoplastie du poignet avec ostosynthse pour radialisation Inclut : l'ostotomie cubitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:22:46 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP042"
MAIN plastic constructing
	ACTS_ON part
		IS_PART_OF radius
		HAS_POSITION distal
	BY_MEANS_OF ulna
	BY_TECHNIQUE incising
		ACTS_ON ulna
	BY_TECHNIQUE fixing
		ACTS_ON ulna
		BY_MEANS_OF fixation device
TO_ACHIEVE_OVERALL creating
	ACTS_ON wrist

RUBRIC "Ostotomie de drotation du pouce dans le cadre d'une malformation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP043"
MAIN derotating
	ACTS_ON thumb
	BY_TECHNIQUE incising
		ACTS_ON bone
			IS_PART_OF thumb
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION thumb

RUBRIC "Ablation d'un pouce surnumraire sans ostotomie ni capsuloplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP044"
MAIN removing
	ACTS_ON supernumerary thumb

RUBRIC "Ablation d'un pouce surnumraire avec ostotomie(s) ou capsuloplastie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:26:11 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP045"
MAIN removing
	ACTS_ON supernumerary thumb
WITH incising
	ACTS_ON bone
		IS_PART_OF thumb
OR_MAIN removing
	ACTS_ON supernumerary thumb
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint
			IS_PART_OF thumb
WITH incising
	ACTS_ON bone
		IS_PART_OF thumb

RUBRIC "Rsection complte d'une phalange avec rtablissement de la continuit, dans le cadre d'une malformation triphalangienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP046"
MAIN excising
	ACTS_ON phalanx
		IS_PART_OF digit
	HAS_EXTENT total
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION phalanx
			HAS_QUANTITY more than two
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 os metacarpale / phalanx
			IS_PART_OF digit
		CONNECTS_2 phalanx
			IS_PART_OF digit

RUBRIC "Rsection segmentaire sur une phalange , sur deux phalanges ou une articulation interphalangienne avec rtablissement de la continuit, dans le cadre d'une malformation triphalangienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP047"
MAIN excising
	ACTS_ON phalanx
		IS_PART_OF digit
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION phalanx
			HAS_QUANTITY more than two
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 os metacarpale / phalanx
			IS_PART_OF digit
		CONNECTS_2 phalanx
			IS_PART_OF digit
OR_MAIN excising
	ACTS_ON phalanx
		IS_PART_OF digit
	HAS_EXTENT partial
	HAS_QUANTITY more than one
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION phalanx
			HAS_QUANTITY more than two
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 os metacarpale / phalanx
			IS_PART_OF digit
		CONNECTS_2 phalanx
			IS_PART_OF digit
OR_MAIN excising
	ACTS_ON interphalangeal joint
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION phalanx
			HAS_QUANTITY more than two
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 phalanx
			IS_PART_OF digit
		CONNECTS_2 phalanx
			IS_PART_OF digit

RUBRIC "Transfert musculotendineux et plastie commissurale pour hypoplasie du pouce"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP048"
MAIN transposing
	ACTS_ON_1 muscle (striated)
		HAS_DESTINATION thumb
	ACTS_ON_2 tendon
		HAS_DESTINATION thumb
		IS_PART_OF muscle (striated)
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypoplastic lesion
		HAS_LOCATION thumb
WITH plastic repairing
	ACTS_ON commissure of the hand first

RUBRIC "Transfert de phalange d'orteil sans anastomose vasculaire pour agnsie digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP049"
MAIN transposing
	ACTS_ON phalanx
		HAS_DESTINATION digit
		IS_PART_OF toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON aplasia
		HAS_LOCATION digit

RUBRIC "Transfert partiel ou total d'orteil avec anastomose microchirurgicale vasculaire et nerveuse pour agnsie digitale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP050"
MAIN transposing
	ACTS_ON toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON aplasia
		HAS_LOCATION digit
WITH creating
	ACTS_ON_1 anastomosis structure
		CONNECTS_1 vessel
			IS_PART_OF toe
		CONNECTS_2 vessel
			IS_PART_OF hand
	ACTS_ON_2 anastomosis structure
		CONNECTS_1 nerve
			IS_PART_OF toe
		CONNECTS_2 nerve
			IS_PART_OF hand
	BY_MEANS_OF microsurgical device

RUBRIC "Rduction des parties molles au niveau de la main pour mgadactylie sans rduction nerveuse Inclut : la plastie cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP051"
MAIN resecting
	ACTS_ON soft tissue
		IS_PART_OF digit
MOTIVATED_OVERALL_BY curing
	ACTS_ON megalodactyly
WITH plastic repairing
	ACTS_ON skin
		CONTAINS finger

RUBRIC "Rduction des parties molles au niveau de la main pour mgadactylie avec rduction nerveuse Inclut : la plastie cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP052"
MAIN resecting
	ACTS_ON_1 soft tissue
		IS_PART_OF digit
	ACTS_ON_2 nerve
		IS_PART_OF digit
MOTIVATED_OVERALL_BY curing
	ACTS_ON megalodactyly
WITH plastic repairing
	ACTS_ON skin
		CONTAINS 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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP053"
MAIN suturing
	ACTS_ON tendon, extensor
		IS_PART_OF digit
OR_MAIN plastic repairing
	ACTS_ON tendon, extensor
		IS_PART_OF digit
	BY_TECHNIQUE lengthening
		ACTS_ON tendon, extensor
			IS_PART_OF digit
OR_MAIN plastic repairing
	ACTS_ON tendon, extensor
		IS_PART_OF digit
	BY_TECHNIQUE rotating
		ACTS_ON tendon, extensor
			IS_PART_OF digit
OR_MAIN autografting
	ACTS_ON tendon, extensor
		IS_PART_OF digit

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 1:53:55 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP054"
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
		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

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 1:53:33 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:55:24 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:02:07 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:03:01 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP055"
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 1:53:08 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:55:02 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:58:09 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:01:52 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 2:02:40 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP056"
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 "RP057"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF digit
	HAS_APPROACH open

RUBRIC "Suture d'un nerf digital ou collatral palmaire sur deux doigts  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP058"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF digit
			HAS_QUANTITY more than one
	HAS_APPROACH open

RUBRIC "Suture d'un nerf digital ou collatral palmaire sur trois doigts  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP059"
MAIN suturing
	ACTS_ON digital nerve palmar
		IS_PART_OF digit
			HAS_QUANTITY more than two
	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 "RP060"
MAIN suturing
	ACTS_ON_1 digital nerve palmar
		IS_PART_OF digit
	ACTS_ON_2 tendon
		IS_PART_OF flexor mscle of fingers
	HAS_APPROACH open

RUBRIC "Suture d'un nerf collatral palmaireet d'un tendon flchisseur sur deux doigts "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP061"
MAIN suturing
	ACTS_ON_1 digital nerve palmar
		IS_PART_OF digit
			HAS_QUANTITY more than one
	ACTS_ON_2 tendon
		IS_PART_OF flexor mscle of fingers
			IS_PART_OF digit
				HAS_QUANTITY more than one

RUBRIC "Suture d'un nerf collatral palmaireet d'un tendon flchisseur sur trois doigts "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP062"
MAIN suturing
	ACTS_ON_1 digital nerve palmar
		IS_PART_OF digit
			HAS_QUANTITY more than two
	ACTS_ON_2 tendon
		IS_PART_OF flexor mscle of fingers
			IS_PART_OF digit
				HAS_QUANTITY more than two

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 "RP063"
MAIN suturing
	ACTS_ON digital artery collateral / interosseous artery forearm
	HAS_APPROACH open

RUBRIC "Pollicisation d'un moignon digital"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP064"
MAIN plastic constructing
	ACTS_ON thumb
	BY_MEANS_OF stump
		IS_PART_OF digit

RUBRIC "Pollicisation d'un doigt complet"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP065"
MAIN plastic constructing
	ACTS_ON thumb
	BY_MEANS_OF digit

RUBRIC "Cure de syndactylie complte  squelette normal, en un temps, sur deux doigts de la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP066"
MAIN separating
	ACTS_ON_1 soft tissue
		IS_PART_OF finger
			HAS_QUANTITY more than one
MOTIVATED_OVERALL_BY curing
	ACTS_ON complete syndactyly
		HAS_LOCATION digit

RUBRIC "Cure de syndactylie complte avec geste osseux, sur deux doigts de la main Inclut : l'autoplastie ou la  greffe cutane avec son prlvement"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990516,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP067"
MAIN separating
	ACTS_ON_1 soft tissue
		IS_PART_OF finger
			HAS_QUANTITY more than one
MOTIVATED_OVERALL_BY curing
	ACTS_ON complicated syndactyly
WITH separating
	ACTS_ON_1 bone
		IS_PART_OF digit
	ACTS_ON_2 bone
		IS_PART_OF digit
WITH plastic repairing
	ACTS_ON skin
OR_MAIN separating
	ACTS_ON_1 soft tissue
		IS_PART_OF finger
			HAS_QUANTITY more than one
MOTIVATED_OVERALL_BY curing
	ACTS_ON complicated syndactyly
WITH separating
	ACTS_ON_1 bone
		IS_PART_OF digit
	ACTS_ON_2 bone
		IS_PART_OF digit
WITH autografting
	ACTS_ON skin
	BY_TECHNIQUE harvesting
		ACTS_ON skin

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;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP068"
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 stabilising
	ACTS_ON intramedullary nail device

RUBRIC "Ostosynthse de la diaphyse fmorale avec enclouage sans verrouillage  foyer ferm "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP069"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF intramedullary nail device
	HAS_APPROACH closed

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 "19990325,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000
Manual accept at 1:36:49 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP070"
MAIN stabilising
	ACTS_ON joint of hip
	BY_TECHNIQUE plastic constructing
		ACTS_ON bone
			HAS_DESTINATION supracotyloidcavity part of os ilium
		BY_TECHNIQUE harvesting
			ACTS_ON bony autograft
				IS_PART_OF bone
					IS_PART_OF hip

RUBRIC "Bute ostoplastique sus-cotylodienne, quelle que soit la technique avec ostotomie fmorale Inclut : le prlvement in situ d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000
Manual accept at 1:37:56 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP071"
MAIN stabilising
	ACTS_ON joint of hip
	BY_TECHNIQUE plastic constructing
		ACTS_ON bone
			HAS_DESTINATION supracotyloidcavity part of os ilium
		BY_TECHNIQUE harvesting
			ACTS_ON bony autograft
				IS_PART_OF bone
					IS_PART_OF hip
WITH incising
	ACTS_ON neck
		IS_PART_OF femur

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 "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:37:19 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP072"
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 "19990519,rodrigues,0;
Manual accept at 1:37:13 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP073"
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 fixing
	ACTS_ON os ilium
	BY_MEANS_OF fixation device
WITH incising
	ACTS_ON femur

RUBRIC "Ostotomie sus-cotylodienne avec un seul trait avec ou sans ostosynthse avec capsuloplastie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;
Manual accept at 1:33:16 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP074"
MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hip
OR_MAIN incising
	ACTS_ON supracotyloidcavity part of os ilium
WITH fixing
	ACTS_ON os ilium
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hip

RUBRIC "Ostotomie de valgisation-translation pour dysplasie du col fmoral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP075"
MAIN resecting
	ACTS_ON neck
		IS_PART_OF femur
	HAS_LATERALITY unilateral
TO_ACHIEVE_OVERALL correcting
	ACTS_ON coxa vara

RUBRIC "Ostotomie bilatrale de valgisation-translation pour dysplasie du col fmoral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP076"
MAIN resecting
	ACTS_ON neck
		IS_PART_OF femur
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL correcting
	ACTS_ON coxa vara

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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP077"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF femur
TO_ACHIEVE_OVERALL correcting
	ACTS_ON deformation
		HAS_LOCATION diaphysis
			IS_PART_OF femur
WITH harvesting
	ACTS_ON bony autograft
		IS_PART_OF femur
WITH fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie sous-trochantrienne du fmur avec ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP078"
MAIN incising
	ACTS_ON part
		HAS_PROXIMITY trochanter
		IS_PART_OF diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie inter-trochantrienne ou sous-trochantrienne du fmur avec ostosynthse et bute ostoplastique sus-cotylodienne Inclut :  le prlvement in situ exclut l'ostotomie pour dysplasie du col fmoral"
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
Manual accept at 1:37:31 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP079"
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 stabilising
	ACTS_ON joint of hip
	BY_TECHNIQUE plastic constructing
		ACTS_ON bony autograft
			HAS_DESTINATION supracotyloidcavity part of os ilium
		BY_TECHNIQUE harvesting
			ACTS_ON bone
				IS_PART_OF os ilium
OR_MAIN incising
	ACTS_ON part
		HAS_PROXIMITY trochanter
		IS_PART_OF diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON trochanter
	BY_MEANS_OF fixation device
WITH stabilising
	ACTS_ON joint of hip
	BY_TECHNIQUE plastic constructing
		ACTS_ON bony autograft
			HAS_DESTINATION supracotyloidcavity part of os ilium
		BY_TECHNIQUE harvesting
			ACTS_ON bone
				IS_PART_OF os ilium

RUBRIC "Ostotomie extra-articulaire du pelvis avec plusieurs sections osseuses"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP080"
MAIN incising
	ACTS_ON pelvic girdle
	HAS_QUANTITY several

RUBRIC "Ostotomie extra-articulaire du pelvis [bassin]avec plusieurs sections osseuses avec ostotomie fmorale sans capsuloplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP081"
MAIN incising
	ACTS_ON pelvic girdle
	HAS_QUANTITY several
WITH incising
	ACTS_ON femur

RUBRIC "Ostotomie extra-articulaire du pelvis [bassin]avec plusieurs sections osseuses avec capsuloplastie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP082"
MAIN incising
	ACTS_ON pelvic girdle
	HAS_QUANTITY several
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hip

RUBRIC "Ostotomie extra-articulaire du pelvis [bassin]avec plusieurs sections osseuses avec capsuloplastie et ostotomie fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP083"
MAIN incising
	ACTS_ON pelvic girdle
	HAS_QUANTITY several
WITH incising
	ACTS_ON femur
WITH plastic repairing
	ACTS_ON capsula
		IS_PART_OF joint of hip

RUBRIC "Ostotomie extra-articulaire du pelvis [bassin] priactabulaire avec bute ostoplastique sus-cotylodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000
Manual accept at 1:33:08 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP084"
MAIN incising
	ACTS_ON part
		HAS_PROXIMITY acetabulum
		IS_PART_OF pelvic girdle
WITH stabilising
	ACTS_ON joint of hip
	BY_TECHNIQUE plastic constructing
		ACTS_ON bony autograft
			HAS_DESTINATION supracotyloidcavity part of os ilium

RUBRIC "Actabuloplastie Exclut : la bute sous-cotylodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP085"
MAIN plastic repairing
	ACTS_ON acetabulum

RUBRIC "Actabuloplastieavec ostotomie fmorale Exclut : la bute sous-cotylodienne Exemple : intervention de Dega"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP086"
MAIN plastic repairing
	ACTS_ON acetabulum
WITH incising
	ACTS_ON femur

RUBRIC "Trochantroplastie avec creusement du cotyle et interposition capsulaire et/ou aponvrotique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP087"
MAIN plastic repairing
	ACTS_ON trochanter
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
WITH filling
	ACTS_ON hole
	BY_MEANS_OF capsula
OR_MAIN plastic repairing
	ACTS_ON trochanter
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
WITH filling
	ACTS_ON hole
	BY_MEANS_OF aponeurosis

RUBRIC "Trochantroplastie avec ostotomie fmorale , creusement du cotyle et interposition capsulaire et/ou aponvrotique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP088"
MAIN plastic repairing
	ACTS_ON trochanter
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
WITH incising
	ACTS_ON femur
WITH filling
	ACTS_ON hole
	BY_MEANS_OF capsula
OR_MAIN plastic repairing
	ACTS_ON trochanter
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
WITH filling
	ACTS_ON hole
	BY_MEANS_OF aponeurosis
WITH incising
	ACTS_ON femur

RUBRIC "Correction isole d'attitudes vicieuses de hanche par libration des parties molles percutane inclut : la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP089"
MAIN freeing
	ACTS_ON soft tissue
		IS_PART_OF hip
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip
WITH immobilising
	ACTS_ON hip

RUBRIC "Correction d'attitudes vicieuses de hanche par tnotomie ou allongement par une voie d'abord  ciel ouvert  inclut : le tendon du psoas"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP090"
MAIN incising
	ACTS_ON tendon
		HAS_PROXIMITY hip
	HAS_APPROACH open
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_PROXIMITY hip
	HAS_APPROACH open
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF psoas
	HAS_APPROACH open
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip

RUBRIC "Correction d'attitudes vicieuses de hanche par tnotomie ou allongement par une voie d'abord (externe,interne antrieure ou postrieure )  ciel ouvert  exclut : l'allongement du psoas"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP091"
MAIN incising
	ACTS_ON tendon
		HAS_PROXIMITY hip
	HAS_APPROACH open
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_PROXIMITY hip
	HAS_APPROACH open
TO_ACHIEVE_OVERALL correcting
	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 "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP092"
MAIN incising
	ACTS_ON tendon
		HAS_PROXIMITY hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skin
		HAS_QUANTITY several
	HAS_APPROACH open
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip
OR_MAIN lengthening
	ACTS_ON tendon
		HAS_PROXIMITY hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skin
		HAS_QUANTITY several
	HAS_APPROACH open
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL correcting
	ACTS_ON posture
		ACTS_ON hip

RUBRIC "Rsection de la tte et du col fmoral avec interposition capsulaire et/ou aponvrotique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP093"
MAIN resecting
	ACTS_ON_1 neck
		IS_PART_OF femur
	ACTS_ON_2 head
		IS_PART_OF femur
WITH filling
	ACTS_ON hole
	BY_MEANS_OF capsula
OR_MAIN resecting
	ACTS_ON_1 neck
		IS_PART_OF femur
	ACTS_ON_2 head
		IS_PART_OF femur
WITH filling
	ACTS_ON hole
	BY_MEANS_OF aponeurosis

RUBRIC "Arthroplastie de hanche avec creusement du cotyle avec interposition capsulaire et/ou aponvrotique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP094"
MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
		ACTS_ON acetabulum
WITH filling
	ACTS_ON hole
	BY_MEANS_OF capsula
OR_MAIN replacing
	ACTS_ON joint of hip
	BY_MEANS_OF prosthetic hip
WITH fashioning
	ACTS_ON acetabulum
	BY_TECHNIQUE dig up
		ACTS_ON acetabulum
WITH filling
	ACTS_ON hole
	BY_MEANS_OF aponeurosis

RUBRIC "Rsection d'ostome para-articulaire coxo-fmoral par une voie d'abord Inclut : l'arthrolyse ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:46:21 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 1:46:29 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 "RP095"
MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION peri articular space
			HAS_PROXIMITY joint of hip
OR_MAIN resecting
	ACTS_ON osteoma
		HAS_LOCATION peri articular space
			HAS_PROXIMITY joint of hip
WITH freeing
	ACTS_ON joint of hip

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale du fmur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP096"
MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale du fmur avec transfert axial progressif d'un fragment osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP097"
MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
WITH moving
	ACTS_ON part
		IS_PART_OF femur
	BY_TECHNIQUE arranging
		ACTS_ON fixation device
	HAS_FEATURE progressive

RUBRIC "Rglage de fixateur pour rduction secondaire d'une fracture d'un membre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP098"
MAIN reducing (a fracture)
	ACTS_ON limb
	BY_TECHNIQUE arranging
		ACTS_ON fixation device
		HAS_TEMPORAL_MARKER secondary

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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP099"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF upper extremity
	HAS_APPROACH open
OR_MAIN biopsying
	ACTS_ON joint
		IS_PART_OF upper extremity
	HAS_APPROACH open

RUBRIC "Ponction  vise diagnostique d'une articulation du membre infrieure par voie transcutane Exclut : l'articulation coxo-fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP100"
MAIN puncturing
	ACTS_ON joint
		IS_PART_OF upper extremity
	HAS_APPROACH transcutaneous approach
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Ponction  vise diagnostique de l'articulation coxo-fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP101"
MAIN puncturing
	ACTS_ON joint of hip
	HAS_APPROACH transcutaneous approach
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Ponction(s) biopsie(s) de l'articulation coxo-fmorale par voie transcutane, sous contrle radioscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP102"
MAIN biopsying
	ACTS_ON joint of hip
	BY_TECHNIQUE puncturing
		ACTS_ON joint of hip
	BY_TECHNIQUE imaging
		ACTS_ON joint of hip
		BY_MEANS_OF fluoroscope
		TO_ACHIEVE controlling
			ACTS_ON puncturing
	HAS_APPROACH transcutaneous approach

RUBRIC "Ponction lavage de l'articulation coxo-fmorale "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP103"
MAIN washing
	ACTS_ON joint of hip
	BY_TECHNIQUE puncturing
		ACTS_ON joint of hip

RUBRIC "Evacuation drainage d'une collection  coxo-fmorale par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990519,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP104"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip
	BY_TECHNIQUE draining
		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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP105"
MAIN inspecting
	ACTS_ON joint of hip
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
OR_MAIN inspecting
	ACTS_ON joint of hip
	BY_TECHNIQUE injecting
		ACTS_ON local anesthesic agent

RUBRIC "Examen sous anesthsie gnrale pour hanche instable non traumatique et contention sans arthrographie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP106"
MAIN inspecting
	ACTS_ON joint of hip
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip
WITH immobilising
	ACTS_ON joint of hip

RUBRIC "Examen sous anesthsie gnrale pour hanche instable non traumatique et contention avec arthrographie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP107"
MAIN inspecting
	ACTS_ON joint of hip
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip
WITH immobilising
	ACTS_ON joint of hip
WITH imaging
	ACTS_ON joint of hip
	BY_MEANS_OF Xray device
	BY_TECHNIQUE injecting
		ACTS_ON contrast medium
			HAS_DESTINATION joint of hip

RUBRIC "Confection d'un appareil d'immobilisation rigide externe pelvi-bi-crural, bi-jambier ou bi-pdieux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP108"
MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 thigh
				HAS_LATERALITY bilateral
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 thigh & leg
				HAS_LATERALITY bilateral
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 lower extremity
				HAS_LATERALITY bilateral

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 "RP109"
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 "Confection d'un appareil d'immobilisation solidaire bi--cruro-pdieux,ou bi-cruro-jambier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP110"
MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_2 thigh & leg
				HAS_LATERALITY bilateral
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_2 lower extremity
				HAS_LATERALITY bilateral

RUBRIC "Rduction progressive d'une hanche instable non traumatique par appareil Inclut : le harnais de Pavlik"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,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 "RP111"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	BY_MEANS_OF device
	HAS_FEATURE progressive
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip

RUBRIC "Rduction progressive d'une hanche instable non traumatique par traction de 4 mois  12 mois"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP112"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	BY_MEANS_OF banding device
	HAS_TEMPORAL_MARKER between 4 months and 12 months
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip

RUBRIC "Rduction progressive d'une hanche instable non traumatique par traction aprs 12 mois inclut la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;
Manual accept at 12:00:05 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP113"
MAIN reducing (a dislocation)
	ACTS_ON dislocation lesion
		HAS_LOCATION hip joint
	BY_MEANS_OF banding device
	HAS_TEMPORAL_MARKER after 12 months
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip

RUBRIC "Rduction chirurgicale d'une hanche instable non traumatique chez l'enfant quelle que soit la voie d'abord et la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP114"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	HAS_APPROACH open
HAS_PATIENT child
MOTIVATED_OVERALL_BY curing
	ACTS_ON abnormal movement
		HAS_LOCATION joint of hip

RUBRIC "Rduction orthopdique et contention par traction ou appareil pelvi-pdieux d'une luxation traumatique de la hanche"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP115"
MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		CAUSED_BY trauma
		HAS_LOCATION joint of hip
WITH immobilising
	ACTS_ON joint of hip
	BY_MEANS_OF banding device
OR_MAIN reducing (a dislocation)
	ACTS_ON joint of hip
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		CAUSED_BY trauma
		HAS_LOCATION joint of hip
WITH immobilising
	ACTS_ON joint of hip
	BY_MEANS_OF cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 pelvic girdle
			ACTS_ON_2 lower extremity

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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP116"
MAIN reducing (a fracture)
	ACTS_ON femur
	BY_MEANS_OF banding device
	HAS_TEMPORAL_MARKER permanent
WITH immobilising
	ACTS_ON femur
	BY_MEANS_OF cast

RUBRIC "Traction continue sqelettique du membre infrieur coxite, piphysite, fracture du cotyle ..."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP117"
MAIN installing
	ACTS_ON skeletal traction device
		HAS_DESTINATION lower extremity

RUBRIC "Rduction orthopdique d'une fracture du fmur par traction continue transosseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP118"
MAIN reducing (a fracture)
	ACTS_ON femur
	BY_MEANS_OF skeletal traction device
	HAS_TEMPORAL_MARKER permanent

RUBRIC "Traction continue cutane du membre infrieur Rhume de hanche, ostochondrite ... d'une dure infrieure  7 jours"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP119"
MAIN installing
	ACTS_ON banding device
		HAS_DESTINATION lower extremity
	HAS_TEMPORAL_MARKER between 1 and six days

RUBRIC "Traction continue cutane du membre infrieur Rhume de hanche, ostochondrite ... d'une dure suprieure ou gale  7 jours"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990522,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP120"
MAIN installing
	ACTS_ON banding device
		HAS_DESTINATION lower extremity
	HAS_TEMPORAL_MARKER more than six days

RUBRIC "Nettoyage de l'articulation [dbridement]de la hanche par arthrotomie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyte, l'ablation de corps trangers, de petits fragments fibro-cartilagineux et/ou autres chondropathi"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP121"
MAIN debriding
	ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of hip

RUBRIC "Ostosynthse par broche centromdullaire de la diaphyse fmorale  foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP122"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF pin
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed

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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP123"
MAIN fixing
	ACTS_ON part
		IS_PART_OF neck
			IS_PART_OF femur
		IS_PART_OF joint of hip
	BY_MEANS_OF fixation device

RUBRIC "Ponction du genou  vise diagnostique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP124"
MAIN puncturing
	ACTS_ON joint of knee
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Examen de la stabilit ligamentaire du genou sous anesthsie gnrale ou loco-rgionale  Inclut : la ponction ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP125"
MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic 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
TO_ACHIEVE_OVERALL measuring
	ACTS_ON abnormal movement
		ACTS_ON knee
WITH puncturing
	ACTS_ON knee
OR_MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON 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 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 "RP126"
MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic 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
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
OR_MAIN inspecting
	ACTS_ON ligament
		IS_PART_OF knee
	BY_TECHNIQUE injecting
		ACTS_ON 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 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 "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 "RP127"
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 "Confection d'une attelle de posture ou de mobilisation du genou (y compris Sarmiento)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP128"
MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON posture
				ACTS_ON knee
OR_MAIN creating
	ACTS_ON splint
		HAS_FUNCTION assisting
			ACTS_ON mobilisation
				ACTS_ON knee

RUBRIC "Confection d'un appareil d'immobilisation cruro-pdieux ou cruro-jambier en platre ou rsine"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990523,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP129"
MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON lower extremity
OR_MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 thigh
			ACTS_ON_2 leg

RUBRIC "Rduction et contention 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 4:40:25 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:41:17 pm on March 7, 2000 by DrJeremy Rogers
Manual accept at 4:50:50 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP130"
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
WITH immobilising
	ACTS_ON femur
	BY_MEANS_OF cast
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			HAS_POSITION distal
			IS_PART_OF femur
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON femur
	BY_MEANS_OF cast

RUBRIC "Rduction et contention orthopdique  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 "RP131"
MAIN reducing (a dislocation)
	ACTS_ON patella
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON knee
	BY_MEANS_OF cast

RUBRIC "Rduction et contention 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 12:55:50 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP132"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 part
			IS_PART_OF tibia
			HAS_POSITION upper
	ACTS_ON_2 fracture
		HAS_LOCATION part
			IS_PART_OF fibula
			HAS_POSITION upper
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON leg
	BY_MEANS_OF cast
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 cast

RUBRIC "Rduction orthopdique et contention par pltre ou rsine d'une fracture  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 "RP133"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION_1 diaphysis
			IS_PART_OF fibula
	ACTS_ON_2 fracture
		HAS_LOCATION diaphysis
			IS_PART_OF tibia
	BY_MEANS_OF hand
WITH immobilising
	ACTS_ON leg
	BY_MEANS_OF cast

RUBRIC "Nettoyage articulaire [dbridement]du genou  par arthroscopie Inclut:la rsection localise de synoviale et/ou de replis synoviaux et/ou d'ostophyte, l'ablation de corps trangers, de petits fragments fibro-cartilagineux et/ou autres chondropathi"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990523,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP134"
MAIN debriding
	ACTS_ON joint of hip
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Ostosynthse percutane 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 4:43:28 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP135"
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 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 "RP136"
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 du massif des pines tibiales par arthoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:03:57 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:01:07 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "RP137"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION tibial plateau
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint of knee
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibial plateau

RUBRIC "Ostosynthse d'une fracture du massif des pines tibiales  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990523,rodrigues,0;
Manual accept at 2:01:09 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:00:47 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "RP138"
MAIN fixing
	ACTS_ON tibial plateau
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibial plateau

RUBRIC "Ostosynthse d'une fracture dcollement piphysaire de l'extrmit suprieure du tibia par voie percutan avec contention cruro-pdieuse [broches bicorticales]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:00:27 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 2:00:35 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:44:21 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP139"
MAIN fixing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
	HAS_EXTENT complete
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION proximal
OR_MAIN fixing
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
	BY_MEANS_OF pin
	HAS_APPROACH percutaneous route
	HAS_EXTENT complete
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal

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 "RP140"
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 de la diaphyse tibiale par broche centro-mdullaire   foyer ferm"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP141"
MAIN fixing
	ACTS_ON diaphysis
		IS_PART_OF tibia
	BY_MEANS_OF pin
		HAS_DESTINATION bone medulla
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION diaphysis
			IS_PART_OF tibia

RUBRIC "Fixation d'un fragment  ostochondral du genou par arthrotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP142"
MAIN removing
	ACTS_ON_1 cartilage
		IS_PART_OF joint of knee
	ACTS_ON_2 bone
		IS_PART_OF knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee

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 "RP143"
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"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP144"
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 "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 "RP145"
MAIN reconstruction
	ACTS_ON cruciate ligament of knee anterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
	BY_MEANS_OF autograft
	BY_TECHNIQUE harvesting
		ACTS_ON tendon

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 "RP146"
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 "Libration postrieure du genou par allongement tendineux et/ou capsulotomie  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP147"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF part
			HAS_POSITION posterior
			IS_PART_OF knee
	HAS_APPROACH open
TO_ACHIEVE_OVERALL movement
	ACTS_ON joint of knee
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 movement
	ACTS_ON joint of knee
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF part
			HAS_POSITION posterior
			IS_PART_OF knee
	HAS_APPROACH open
TO_ACHIEVE_OVERALL movement
	ACTS_ON joint of knee

RUBRIC "Abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio-patellaire Exclut : la tnotomie ou l'allongement du muscle droit antrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP148"
MAIN repositioning
	ACTS_ON patella
	BY_TECHNIQUE shortening
		ACTS_ON patellar ligament

RUBRIC "Abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio-patellaire avec tnotomie ou allongement du muscle droit antrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP149"
MAIN repositioning
	ACTS_ON patella
	BY_TECHNIQUE shortening
		ACTS_ON patellar ligament
WITH incising
	ACTS_ON tendon
		IS_PART_OF musculus rectus femoris
OR_MAIN repositioning
	ACTS_ON patella
	BY_TECHNIQUE shortening
		ACTS_ON patellar ligament
WITH lengthening
	ACTS_ON musculus rectus femoris

RUBRIC "Recentrage de la rotule avec ostotomie de la tubrosit tibiale antrieure ou mobilisation du tendon rotulien, capsulomyotendinoplastie 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 "RP150"
MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH incising
	ACTS_ON tuberosity of tibia
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 dividing
	ACTS_ON patella lateral process
OR_MAIN repositioning
	ACTS_ON patella
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON joint of knee
WITH mobilisation
	ACTS_ON patellar ligament
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 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 "RP151"
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 "Exrse d'une exostose inter-tibio-pronire suprieure  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP152"
MAIN excising

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 "RP153"
MAIN decorticating
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN decorticating
	ACTS_ON diaphysis
		IS_PART_OF fibula

RUBRIC "Greffe intertibio-pronire, quelle que soit la voie d'abord Inclut : l'ventuelle ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP154"
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 "Correction progressive de(s) dformation(s) du genou par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,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 "RP155"
MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION knee
	BY_MEANS_OF fixation device
	HAS_FEATURE progressive

RUBRIC "Correction d'attitude vicieuse du genou par allongements multiples et/ou transferts sans capsulotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP156"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF knee
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee
OR_MAIN transposing
	ACTS_ON tendon
		IS_PART_OF knee
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee

RUBRIC "Correction d'attitude vicieuse du genou par allongements multiples et/ou transferts avec capsulotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP157"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF knee
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint of knee
OR_MAIN transposing
	ACTS_ON tendon
		IS_PART_OF knee
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint of knee

RUBRIC "Ostotomie simple [unidirectionnelle] de la diaphyse du tibia avec ou sans ostotomie du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP158"
MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF tibia
OR_MAIN incising
	ACTS_ON diaphysis
		IS_PART_OF tibia
WITH incising
	ACTS_ON diaphysis
		IS_PART_OF fibula

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale du tifia et/ou du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP159"
MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION tibia
WITH fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
OR_MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION fibula
WITH fixing
	ACTS_ON fibula
	BY_MEANS_OF fixation device

RUBRIC "Rsection en bloc de l'extrmit suprieure du tibia avec remplacement articulaire par prothse massive ou sur mesure du genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990506,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:00:42 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP160"
MAIN excising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
WITH replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
OR_MAIN excising
	ACTS_ON part
		IS_PART_OF tibia
		HAS_POSITION proximal
WITH replacing
	ACTS_ON joint of knee
	BY_MEANS_OF prosthetic knee joint
	HAS_EXTENT partial

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale du tibia et/ou du pron avec transfert axial progressif d'un fragment osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP161"
MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION tibia
WITH fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
WITH moving
	ACTS_ON part
		IS_PART_OF tibia
	BY_TECHNIQUE arranging
		ACTS_ON fixation device
	HAS_FEATURE progressive
OR_MAIN resecting
	ACTS_ON pseudarthrose
		CAUSED_BY congenital defect
		HAS_LOCATION fibula
WITH fixing
	ACTS_ON fibula
	BY_MEANS_OF fixation device
WITH moving
	ACTS_ON part
		IS_PART_OF fibula
	BY_TECHNIQUE arranging
		ACTS_ON fixation device
	HAS_FEATURE progressive

RUBRIC "Confection d'une contention lastique ou bandage de la cheville [strapping]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP162"
MAIN creating
	ACTS_ON bandage
		HAS_LOCATION ankle

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 "RP163"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION foot & leg

RUBRIC "Rduction par manoeuvres externes et contention cruro-pdieuse 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 1:54:19 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 1:56:45 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:33:19 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP164"
MAIN reducing (a fracture)
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION supramalleolar part of tibia
WITH immobilising
	BY_MEANS_OF cast
		HAS_LOCATION lower extremity
OR_MAIN reducing (a fracture)
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION medial malleolus
			IS_PART_OF tibia
WITH immobilising
	BY_MEANS_OF cast
		HAS_LOCATION lower extremity
OR_MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION part
			IS_PART_OF tibia
			HAS_POSITION distal
WITH immobilising
	BY_MEANS_OF cast
		HAS_LOCATION lower extremity

RUBRIC "Manipulation et confection d'un appareil rigide externe de rduction progressive d'un pied bot varus quin ou pied convexe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,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 "RP165"
MAIN correcting
	ACTS_ON talipes equinovarus
	BY_MEANS_OF hand
	BY_TECHNIQUE immobilising
		ACTS_ON foot
		BY_MEANS_OF cast
		HAS_QUANTITY several
	HAS_FEATURE progressive
OR_MAIN correcting
	ACTS_ON congenital convex pes valgus
	BY_MEANS_OF hand
	BY_TECHNIQUE immobilising
		ACTS_ON foot
		BY_MEANS_OF cast
		HAS_QUANTITY several
	HAS_FEATURE progressive

RUBRIC "Manipulation et confection d'un appareil rigide externe de rduction progressive d'une dformation du pied de l'enfant avant l'age de 2 ans  Exclut le pied bot varus quin et le pied convexe congnitaux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP166"
MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION foot
	BY_MEANS_OF hand
	BY_TECHNIQUE immobilising
		ACTS_ON foot
		BY_MEANS_OF cast
		HAS_QUANTITY several
	HAS_FEATURE progressive

RUBRIC "Ostosynthse d'une fracture ou d'un dcollement piphysaire mallolaire du tibia quel que soit le matriel utilis  foyer ouvert: Inclut la contention post opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990524,rodrigues,0;
Manual accept at 1:41:09 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 4:39:44 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP167"
MAIN fixing
	ACTS_ON malleolus
		IS_PART_OF tibia
	BY_MEANS_OF fixation device
	FOLLOWED_BY immobilising
		ACTS_ON ankle
	HAS_APPROACH open
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 fixation device
	FOLLOWED_BY immobilising
		ACTS_ON ankle
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF 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 "19990418,,0;
Manual accept at 1:56:33 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:33:28 pm on March 2, 2000 by DrJeremy Rogers
Manual accept at 4:49:38 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP168"
MAIN fixing
	ACTS_ON supramalleolar part of tibia
	BY_MEANS_OF fixation device
	FOLLOWED_BY immobilising
		ACTS_ON ankle
	HAS_APPROACH open
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 fixation device
	FOLLOWED_BY immobilising
		ACTS_ON ankle
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION epiphysis
			IS_PART_OF part
				IS_PART_OF tibia
				HAS_POSITION distal

RUBRIC "Ostosynthse d'une fracture triplane du tibia quel que soit le matriel utilis  foyer ouvert "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP169"
MAIN fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON fracture
		HAS_LOCATION tibia

RUBRIC "Ostosynthse par brochage percutan ou centro-mdullaire d'une fracture 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 "RP170"
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 d'une fracture 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 "RP171"
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 "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 1:44:41 pm on February 25, 2000 by DrJeremy Rogers
Manual accept at 12:30:31 pm on March 2, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP172"
MAIN incising
	ACTS_ON supramalleolar part of tibia
WITH fixing
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF tibia
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie du calcanum avec libration plantaire par dsinsertion(s) musculaire(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP173"
MAIN incising
	ACTS_ON calcaneum
WITH detaching
	ACTS_ON muscle (striated)
		IS_PART_OF planta pedis
	TO_ACHIEVE freeing
		ACTS_ON movement
			ACTS_ON planta pedis

RUBRIC "Ostotomies et/ou rsections osseuses du mdio-pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP174"
MAIN incising
	ACTS_ON bone
		IS_PART_OF midfoot
OR_MAIN resecting
	ACTS_ON bone
		IS_PART_OF midfoot

RUBRIC "Tarsectomie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP175"
MAIN excising
	ACTS_ON os tarsale
		HAS_POSITION anterior

RUBRIC "Tarsectomie antrieure ou ostotomie extra-articulaire du mdio ou de l'arrire 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 "RP176"
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
OR_MAIN excising
	ACTS_ON os tarsale
		HAS_POSITION anterior
MOTIVATED_OVERALL_BY correcting
	ACTS_ON posterior foot
OR_MAIN incising
	ACTS_ON posterior foot
MOTIVATED_OVERALL_BY correcting
	ACTS_ON midfoot

RUBRIC "Ostotomie du premier mtatarsien inclut l'ostosynthse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP177"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH fixing
	ACTS_ON os metatarsale primum
	BY_MEANS_OF fixation device

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 interphalangienne d'un orteil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP178"
MAIN incising
	ACTS_ON os metatarsale primum
		IS_PART_OF great toe
WITH incising
	ACTS_ON os metatarsale laterale
WITH resecting
	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 os metatarsale laterale
WITH replacing
	ACTS_ON interphalangeal joint
		IS_PART_OF toe
	BY_MEANS_OF prosthetic interphalangeal joint
OR_MAIN incising
	ACTS_ON os metatarsale primum
		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 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 "RP179"
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 "RP180"
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 "Libration de l'articulation tarso-mtatarsienne sur 5 rayons"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP181"
MAIN freeing
	ACTS_ON tarsometatarsal joint
	HAS_QUANTITY all

RUBRIC "Libration primitive des parties molles avec capsulotomie, avec ou sans allongement(s) tendineux postrieur(s) de la cheville ou de l'arrire pied par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP182"
MAIN incising
	ACTS_ON soft tissue
		IS_PART_OF foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
OR_MAIN incising
	ACTS_ON soft tissue
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF posterior foot

RUBRIC "Correction d'attitudes vicieuses du pied par tnotomie ou allongement sans capsulotomie  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP183"
MAIN incising
	ACTS_ON tendon
		IS_PART_OF foot
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF foot
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON joint of knee

RUBRIC "Libration primitive des parties molles avec capsulotomie, avec ou sans allongement(s) tendineux postrieur(s) de la cheville ou de l'arrire pied par voie postrieure et interne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP184"
MAIN incising
	ACTS_ON soft tissue
		HAS_LOCATION foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
OR_MAIN incising
	ACTS_ON soft tissue
		HAS_LOCATION foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF posterior foot

RUBRIC "Libration primitive des parties molles avec capsulotomie, avec ou sans allongement(s) tendineux postrieur(s) de la cheville ou de l'arrire pied et du mdio-pied par voie postrieure ,interne et externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP185"
MAIN incising
	ACTS_ON soft tissue
		IS_PART_OF ankle / foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF foot
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
OR_MAIN incising
	ACTS_ON soft tissue
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF foot
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF posterior foot

RUBRIC "Libration primitive des parties molles avec capsulotomie, avec ou sans allongement(s) tendineux postrieur(s) de la cheville ou de l'arrire pied et du mdio-pied par voie postrieure ,interne et externe avec ostotomie du tarse ou du mtatarse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;
Manual accept at 12:34:42 pm on April 10, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP186"
MAIN incising
	ACTS_ON soft tissue
		IS_PART_OF ankle
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF foot
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH incising
	ACTS_ON os tarsale / os metatarsale
OR_MAIN incising
	ACTS_ON soft tissue
		IS_PART_OF foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF foot
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH incising
	ACTS_ON os tarsale / os metatarsale
OR_MAIN incising
	ACTS_ON soft tissue
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF foot
		ACTS_ON_1 part
			HAS_POSITION posterior
			IS_PART_OF foot
		ACTS_ON_2 part
			HAS_POSITION medial
			IS_PART_OF foot
TO_ACHIEVE_OVERALL freeing
	ACTS_ON movement
		ACTS_ON_1 ankle
		ACTS_ON_2 posterior foot
WITH incising
	ACTS_ON capsula
		IS_PART_OF joint
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
		IS_PART_OF posterior foot
WITH incising
	ACTS_ON os tarsale / os metatarsale

RUBRIC "Libration plantaire par aponvrotomie  et dsinsertion(s) musculaire(s) pied creux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP187"
MAIN freeing
	ACTS_ON movement
		ACTS_ON planta pedis
	BY_TECHNIQUE incising
		ACTS_ON plantar aponeurosis
MOTIVATED_OVERALL_BY curing
	ACTS_ON talipes cavus
WITH detaching
	ACTS_ON muscle (striated)
		IS_PART_OF planta pedis

RUBRIC "Libration plantaire avec ostotomie et/ou rsection mtatarsienne(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP188"
MAIN detaching
	ACTS_ON muscle (striated)
		IS_PART_OF planta pedis
	TO_ACHIEVE freeing
		ACTS_ON movement
			ACTS_ON planta pedis
WITH incising
	ACTS_ON os metatarsale
OR_MAIN detaching
	ACTS_ON muscle (striated)
		IS_PART_OF planta pedis
	TO_ACHIEVE freeing
		ACTS_ON movement
			ACTS_ON planta pedis
WITH resecting
	ACTS_ON os metatarsale

RUBRIC "Libration antrieure de la cheville et du pied pour pied convexe avec ou sans allongement(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP189"
MAIN freeing
	ACTS_ON_1 joint of ankle
	ACTS_ON_2 joint of foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF ankle & foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital convex pes valgus
OR_MAIN freeing
	ACTS_ON_1 joint of ankle
	ACTS_ON_2 joint of foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF ankle & foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital convex pes valgus
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF ankle / foot

RUBRIC "Libration antrieure et postrieure en un temps de la cheville et du pied pour pied convexe avec ou sans allongement(s) tendineux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP190"
MAIN freeing
	ACTS_ON_1 joint of ankle
	ACTS_ON_2 joint of foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF ankle & foot
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF ankle & foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital convex pes valgus
OR_MAIN freeing
	ACTS_ON_1 joint of ankle
	ACTS_ON_2 joint of foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF ankle & foot
		ACTS_ON_2 part
			HAS_POSITION posterior
			IS_PART_OF ankle & foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital convex pes valgus
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF ankle / foot

RUBRIC "Libration de l'articulation tarso-mtatarsienne et arthrorise sous talienne (pied en z)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: stopping - applied at 11:52:37 am on March 1, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP191"
MAIN freeing
	ACTS_ON tarsometatarsal joint
WITH stabilising
	ACTS_ON articulatio subtalaris
	BY_MEANS_OF bone

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 "RP192"
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

RUBRIC "Arthrodse du couple de torsion [sous-talienne et mdio-tarsienne]   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 "19990525,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP193"
MAIN fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
	HAS_APPROACH open

RUBRIC "Allongement(s) de tendon(s) de l'arrire-pied quelle que soit la technique,  ciel ouvert, Exclut le tendon d'Achille"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP194"
MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF posterior foot
	HAS_APPROACH open
WITHOUT lengthening
	ACTS_ON calcaneal tendon
OR_MAIN lengthening
	ACTS_ON tendon
		IS_PART_OF posterior foot
	HAS_APPROACH open
	HAS_QUANTITY several
WITHOUT lengthening
	ACTS_ON calcaneal tendon

RUBRIC "Correction progressive de(s) dformation(s)du pied par fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,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 "RP195"
MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION foot
	BY_MEANS_OF fixation device
	HAS_FEATURE progressive

RUBRIC "Correction progressive de(s) dformation(s)du pied par fixateur externe avec libration des parties molles et/ou ostotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990525,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP196"
MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION foot
	BY_MEANS_OF fixation device
	HAS_FEATURE progressive
WITH incising
	ACTS_ON soft tissue
		IS_PART_OF foot
OR_MAIN correcting
	ACTS_ON abnormal bone shape
		HAS_LOCATION foot
	BY_MEANS_OF fixation device
	HAS_FEATURE progressive
WITH incising
	ACTS_ON bone
		IS_PART_OF foot

RUBRIC "Reposition du pied pour agnsie du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000210,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP197"
MAIN repositioning
	ACTS_ON foot
	BY_TECHNIQUE plastic constructing
		ACTS_ON fibula
MOTIVATED_OVERALL_BY curing
	ACTS_ON aplasia
		HAS_LOCATION fibula

RUBRIC "Reposition du pied pour agnsie du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP198"
MAIN repositioning
	ACTS_ON foot
	BY_TECHNIQUE plastic constructing
		ACTS_ON tibia
MOTIVATED_OVERALL_BY curing
	ACTS_ON aplasia
		HAS_LOCATION tibia

RUBRIC "Rsection des parties molles pour hypertrophie et gigantisme du pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP199"
MAIN resecting
	ACTS_ON soft tissue
		IS_PART_OF foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 hypertrophy
		HAS_LOCATION foot
	ACTS_ON_2 abnormal growth
		HAS_LOCATION foot

RUBRIC "Rsection des parties molles avec rsection osseuse pour hypertrophie et gigantisme du pied et dysplasie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP200"
MAIN resecting
	ACTS_ON soft tissue
		IS_PART_OF foot
	ACTS_ON_2 bone
		IS_PART_OF foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON_1 hypertrophy
		HAS_LOCATION foot
	ACTS_ON_2 abnormal growth
		HAS_LOCATION foot

RUBRIC "Reconstruction de l'avant pied pour malformation de type pied en fourche"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP201"
MAIN reconstruction
	ACTS_ON forefoot
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION foot

RUBRIC "Reconstruction et ralignement du premier rayon malformatif avec ou sans exrse d'orteil(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP202"
MAIN reconstruction
	ACTS_ON toe ray first
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION toe ray first
WITH straightening
	ACTS_ON toe ray first
WITH_OPTIONALLY excising
	ACTS_ON toe

RUBRIC "Amputation d'orteil surnumraire  squelette discontinu"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP203"
MAIN excising
	ACTS_ON supernumerary toe
	BY_TECHNIQUE dividing
		ACTS_ON soft tissue

RUBRIC "Amputation d'orteil surnumraire  squelette continu sans reconstruction articulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP204"
MAIN excising
	ACTS_ON supernumerary toe
	BY_TECHNIQUE dividing
		ACTS_ON soft tissue
		ACTS_ON_2 bone
			CONNECTS_1 supernumerary toe
			CONNECTS_2 foot

RUBRIC "Amputation d'orteil surnumraire  squelette continu avec reconstruction articulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP205"
MAIN excising
	ACTS_ON supernumerary toe
	BY_TECHNIQUE dividing
		ACTS_ON soft tissue
		ACTS_ON_2 bone
			CONNECTS_1 supernumerary toe
			CONNECTS_2 foot
WITH reconstruction
	ACTS_ON joint
		IS_PART_OF toe

RUBRIC "Libration d'une syndactylie des orteils au niveau d'une ou plusieurs commissures"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP206"
MAIN plastic repairing
	ACTS_ON commissure of the foot
MOTIVATED_OVERALL_BY curing
	ACTS_ON syndactyly
		HAS_LOCATION toe
OR_MAIN plastic repairing
	ACTS_ON commissure of the foot
	HAS_QUANTITY several
MOTIVATED_OVERALL_BY curing
	ACTS_ON syndactyly
		HAS_LOCATION toe

RUBRIC "Alignement d'une clinodactylie d'un orteil par ostotomie quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP207"
MAIN straightening
	ACTS_ON toe
	BY_TECHNIQUE incising
		ACTS_ON bone
			IS_PART_OF toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON clinodactyly

RUBRIC "Alignement d'une camptodactylie d'un orteil par libration des parties molles avec ou sans greffe cutane Exclut le prlvement de greffe cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP208"
MAIN straightening
	ACTS_ON toe
	BY_TECHNIQUE freeing
		ACTS_ON soft tissue
			IS_PART_OF toe
MOTIVATED_OVERALL_BY curing
	ACTS_ON camptodactyly
WITH_OPTIONALLY autografting
	ACTS_ON skin

RUBRIC "Double arthrodse de l'arrire pid et du mdio-tarse avec correction des vices architecturaux,  ciel ouvert "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP209"
MAIN fixing
	ACTS_ON articulatio tarsi transversa
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON abnormal bone shape
		HAS_LOCATION_1 posterior foot
		HAS_LOCATION_2 midfoot

RUBRIC "Double arthrodse de l'arrire pid et du mdio-tarse avec correction des vices architecturaux,avec transfert et/ou allongement tendineux   ciel ouvert "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP210"
MAIN fixing
	ACTS_ON articulatio tarsi transversa
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON abnormal bone shape
		HAS_LOCATION_1 posterior foot
		HAS_LOCATION_2 midfoot
WITH transposing
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF foot
OR_MAIN fixing
	ACTS_ON articulatio tarsi transversa
	ACTS_ON_2 articulatio subtalaris
	BY_MEANS_OF fixation device
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON abnormal bone shape
		HAS_LOCATION_1 posterior foot
		HAS_LOCATION_2 midfoot
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF foot

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 "RP211"
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 "Allongement du tendon d'Achille par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP212"
MAIN lengthening
	ACTS_ON calcaneal tendon
	HAS_APPROACH percutaneous route

RUBRIC "Allongement du tendon d'Achille  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990526,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP213"
MAIN lengthening
	ACTS_ON calcaneal tendon
	HAS_APPROACH open

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 "RP214"
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 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 "RP215"
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 "Biopsie osseuse corporale ou discale de la colonne vertbrale par voie postrieure  transpdiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP216"
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 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 "RP217"
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 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 "RP218"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbar region
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbar region

RUBRIC "Biopsie osseuse ou discale de la colonne thoracique par mthode endoscopique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP219"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic spine
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic spine
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Biopsie osseuse ou discale de la colonne lombaire par mthode endoscopique (rtropritonoscopie)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP220"
MAIN biopsying
	ACTS_ON bone
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN biopsying
	ACTS_ON intervertebral disk
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Confection d'un appareil d'immobilisation rigide cervical avec appui occipito-mentonnier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP221"
MAIN creating
	ACTS_ON cast
		HAS_DESTINATION chin & os occipitale
		HAS_FUNCTION immobilising
			ACTS_ON neck

RUBRIC "Confection d'un appareil d'immobilisation rigide cervical avec appui fronto-occipito-mentonnier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP222"
MAIN creating
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON neck
		HAS_LOCATION frontal bone
		HAS_LOCATION chin
		HAS_LOCATION_2 os occipitale

RUBRIC "Contention externe sans rduction de la colonne vertbrale par minerve pltre en rsine ou synthtique,  l'exclusion du collier cervical "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP223"
MAIN installing
	ACTS_ON resin setting device / cast
		HAS_DESTINATION neck
		HAS_FUNCTION immobilising
			ACTS_ON cervical spine
	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 par corset pltr en rsine ou synthtique, lombostat"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP224"
MAIN installing
	ACTS_ON resin setting device / cast
		HAS_DESTINATION thorax wall
		HAS_FUNCTION immobilising
			ACTS_ON spine
	HAS_APPROACH closed

RUBRIC "Contention orthopdique sans rduction de la colonne vertbrale cervicale et thoracique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP225"
MAIN installing
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON_1 cervical spine
			ACTS_ON_2 thoracic spine
	HAS_APPROACH closed

RUBRIC "Contention orthopdique sans rduction de la colonne vertbrale lombaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990527,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP226"
MAIN installing
	ACTS_ON cast
		HAS_FUNCTION immobilising
			ACTS_ON lumbar spine
	HAS_APPROACH closed

RUBRIC "Rduction par manoeuvres externes et contention par corset pltr ou rsine d'une scoliose ou d'une cyphose"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP227"
MAIN correcting
	ACTS_ON scoliosis
	BY_MEANS_OF hand
	BY_TECHNIQUE installing
		ACTS_ON cast
			HAS_DESTINATION thorax
OR_MAIN correcting
	ACTS_ON kyphosis
	BY_MEANS_OF hand
	BY_TECHNIQUE installing
		ACTS_ON cast
			HAS_DESTINATION thorax
OR_MAIN correcting
	ACTS_ON scoliosis
	BY_MEANS_OF hand
	BY_TECHNIQUE installing
		ACTS_ON resin setting device
			HAS_DESTINATION thorax
OR_MAIN correcting
	ACTS_ON kyphosis
	BY_MEANS_OF hand
	BY_TECHNIQUE installing
		ACTS_ON resin setting device
			HAS_DESTINATION thorax

RUBRIC "Traction  de la colonne cervicale par collier de traction exclut la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP228"
MAIN installing
	ACTS_ON cervical collar device
TO_ACHIEVE_OVERALL traction
	ACTS_ON cervical spine

RUBRIC "Rduction d'une dformation non traumatique de la colonne vertbrale par halo cranien inclut la contention"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP229"
MAIN correcting
	ACTS_ON deformation
		HAS_LOCATION spine
	BY_TECHNIQUE installing
		ACTS_ON banding device
			HAS_DESTINATION skull
			HAS_FUNCTION immobilising
				ACTS_ON spine

RUBRIC "Ostosynthse de la colonne cervicale de C2  C7 sur un tage par voie antrieure ou antro-latrale avec arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP230"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF cervical vertebral column
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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
	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 thoraciquesur un tage par voie antrieure ou antro-latrale "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP231"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION lateral
			IS_PART_OF thoracic spine
		HAS_APPROACH anterior approach
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vetbrale lrombaire ou lombo-sacre sur un tage par laparotomie transpritonale ou extra-pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP232"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_1 extraperitoneal
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		HAS_APPROACH transperitoneal approach
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF lumbosacral spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
		ACTS_ON_1 extraperitoneal
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale cervicale ,thoracique ou lombaire sur un tage  par voie postrieure  "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP233"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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_QUANTITY less than two
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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 un tage  par voie postrieure  avec arthrodse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP234"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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 part
		HAS_QUANTITY less than two
		IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
OR_MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		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 jonction lombo-sacre par voie postrieure  "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP235"
MAIN fixing
	ACTS_ON part
		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 "Ostosynthse de la colonne thoraco-lombaire [T11-L2] sur un tage par thoraco-phrno-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP236"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne thoraco-lombaire [T11-L2] sur deux tages par thoraco-phrno-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP237"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than three
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne thoraco-lombaire [T11-L2] sur trois tages par thoraco-phrno-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP238"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than four
		IS_PART_OF thoracolumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale lombaire  sur un tage par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP239"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than two
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_2 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale lombaire  sur deux tages par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP240"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than three
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_2 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Ostosynthse de la colonne vertbrale lombaire  sur trois tages par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990625,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP241"
MAIN fixing
	ACTS_ON part
		HAS_QUANTITY less than four
		IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_2 lumbus
	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 "RP242"
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 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 "RP243"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		HAS_QUANTITY less than two
		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 lumbus
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse antrieure de la colonne vertbrale lombaire 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 "RP244"
MAIN fixing
	ACTS_ON part
		HAS_POSITION anterior
		HAS_QUANTITY less than two
		IS_PART_OF vertebral joint
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
	BY_MEANS_OF fixation device

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 "RP245"
MAIN fixing
	ACTS_ON intervertebral disk
		HAS_QUANTITY less than two
		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
		HAS_QUANTITY less than two
		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 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 "RP246"
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
	HAS_QUANTITY less 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 fixation device
	HAS_QUANTITY less 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 fixation device
	HAS_QUANTITY less 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 fixation device
	HAS_QUANTITY less than two

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 "19990630,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP247"
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_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION anterior
			IS_PART_OF vertebral column
	BY_MEANS_OF fixation device
	HAS_QUANTITY less than two

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 "RP248"
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 corporale d'une vertbre thoracique malformative par thoracotomie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP249"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF thoracic vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION vertebra
			IS_PART_OF thoracic vertebral column

RUBRIC "Exrse corporale d'une vertbre thoraco-lombaire malformative par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP250"
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 abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION vertebra
			IS_PART_OF thoracolumbar spine

RUBRIC "Exrse corporale d'une vertbre lombaire malformative par lombotomie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990701,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP251"
MAIN excising
	ACTS_ON corpus vertebrae
		IS_PART_OF vertebra
			IS_PART_OF lumbar vertebral column
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lumbus
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION vertebra
			IS_PART_OF lumbar spine

RUBRIC "Exrse corporale  d'une vertbre lombaire malformative par laparotomie trans ou extrapritonale "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP252"
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION vertebra
			IS_PART_OF lumbar vertebral column
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION vertebra
			IS_PART_OF lumbar 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 "RP253"
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 "RP254"
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 "RP255"
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 "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 "RP256"
MAIN reducing (a dislocation)
	ACTS_ON spondylolisthesis
		HAS_LOCATION lumbar vertebral column
	BY_MEANS_OF device
	HAS_FEATURE progressive

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire, par voie postrieure  sans ostosynthse :exclut le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990702,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP257"
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
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device
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
WITHOUT fixing
	ACTS_ON vertebra
		IS_PART_OF lumbar vertebral column
	BY_MEANS_OF fixation device

RUBRIC "Arthrodse postrieure ou postro-latrale sans rduction d'un spondylolisthsis lombaire, par voie postrieure  avec ostosynthse "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP258"
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

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 "RP259"
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 "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 "RP260"
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  y compris la libration radiculaire 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 "RP261"
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 dplacement avec ostosynthse avec arthrodse intersomatique trans-sacro-lombaire par voie postrieure ,avec libration radiculaire Exclut:le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990521,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP262"
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 postro-latrale d'un spondylolisthsis  grand dplacementavec ostosynthse avec arthrodse intersomatique (PLIF) avec ou sans implant par voie postrieure avec libration radiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP263"
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 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 "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 "RP264"
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 6  9 vertbres  par voie postro-latrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990622,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP265"
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 lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	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 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 "RP266"
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 plus de 9 vertbres  par voie postro-latrale sans fixation sacre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP267"
MAIN 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 lateral
			IS_PART_OF vertebral column
		HAS_APPROACH posterior approach
	BY_MEANS_OF device
WITH fixing
	ACTS_ON vertebral joint
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 6 and 9
WITHOUT fixing
	ACTS_ON sacrum
	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 "RP268"
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-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP269"
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 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 voie antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP270"
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 part
			HAS_POSITION anterior
			IS_PART_OF vertebral column
	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  9 vertbres  par voie postrieure avec ostosynthse de la jonction lombo-sacre par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP271"
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
WITH 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 "Correction instrumentale d'une dformation non rigide et arthrodse sur 10 vertbres ou plus  par voie postrieure avec ostosynthse de la jonction lombo-sacre par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP272"
MAIN 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
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine
WITH 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 "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 "RP273"
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 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 "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP274"
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 avec correction instrumentale d'une dformation rigide et arthrodse sur 10 vertbres  ou plus par voie postrieure avec ostosynthse de la jonction lombo-sacre par voie postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP275"
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
WITH 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
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
WITH 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 "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) thoracique(s)  (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 "RP276"
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 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

RUBRIC "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) thoracique(s)  (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 "19990704,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP277"
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
			CONTAINS vertebra
				HAS_QUANTITY more than three
			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 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 vertebral column
	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-lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP278"
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 lumbus
	HAS_QUANTITY less than four
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			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 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
		ACTS_ON_1 diaphragm
		ACTS_ON_2 lumbus
	HAS_EXTENT total
	HAS_QUANTITY less than four
WITH correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			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 less than four

RUBRIC "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) thoraco-lombaire(s)  (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 "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP279"
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(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) lombaire(s)  (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 "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP280"
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(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) lombaire(s)  (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 "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP281"
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 thoracique  (T3-T11)  d'une dformation rigide et arthrodse sur 1  3 vertbres par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP282"
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracic spine
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracic spine
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracic spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY between 1 and 3

RUBRIC "Ostotomie(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) thoracique(s) (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 "RP283"
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(s) vertbrale(s) antrieure(s) ou discectomie(s) totale(s) lombaire(s) (L1-L4) sans correction instrumentale d'une dformation rigide et arthrodse sur 4 vertbres et plus par lombotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP284"
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
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITHOUT 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
WITHOUT correcting
	ACTS_ON deformation
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF lumbar spine
	BY_MEANS_OF device
WITHOUT 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 thoraco-lombaire  (T11-L2) d'une dformation rigide et arthrodse sur 1  3 vertbres  par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP285"
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 less than four
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracolumbar spine
WITH 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
		ACTS_ON_1 diaphragm
		ACTS_ON_2 abdominal wall
	HAS_EXTENT total
	HAS_QUANTITY less than four
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracolumbar spine
WITH 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) d'une dformation rigide et arthrodse sur 4 vertbres et plus   par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP286"
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracolumbar spine
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
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		HAS_LOCATION thoracolumbar spine
WITH fixing
	ACTS_ON vertebral joint
		IS_PART_OF thoracolumbar spine
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than three

RUBRIC "Gibbectomie  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP287"
MAIN excising
	ACTS_ON corpus vertebrae
	HAS_APPROACH open
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON kyphosis

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 6  9 vertbres  par voie postrieure avec rsection de 3 ctes ou plus  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP288"
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
WITH resecting
	ACTS_ON rib
	HAS_APPROACH open
	HAS_QUANTITY more than two

RUBRIC "Correction instrumentale d'une dformation non rigide et arthrodse sur 10 vertbres ou plus par voie postrieure avec rsection de 3 ctes ou plus  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP289"
MAIN 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
	BY_MEANS_OF fixation device
	HAS_QUANTITY more than nine
WITH resecting
	ACTS_ON rib
	HAS_APPROACH open
	HAS_QUANTITY more than two

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 avec rsection de 3 ctes ou plus  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP290"
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
WITH resecting
	ACTS_ON rib
	HAS_APPROACH open
	HAS_QUANTITY more than two
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
WITH resecting
	ACTS_ON rib
	HAS_APPROACH open
	HAS_QUANTITY more than two

RUBRIC "Thoracoplastie pour dformation thoracique en entonnoir ou en carne  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP291"
MAIN plastic repairing
	ACTS_ON sternum
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON pectus carinatum
OR_MAIN plastic repairing
	ACTS_ON sternum
	HAS_APPROACH open
MOTIVATED_OVERALL_BY curing
	ACTS_ON pectus excavatum

RUBRIC "Ablation de matriel d'ostosynthse de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre par voie postrieure sur 1  3 tages"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP292"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF cervical spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY less than four
			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 de la colonne vertbrale cervicale, thoracique, lombaire ou lombo-sacre par voie postrieure sur plus de 3 tages"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP293"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF lumbar spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF lumbar spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF cervical spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF cervical spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			IS_PART_OF thoracic spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF thoracic spine
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than three
			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 pour scoliose ou cyphose par voie postrieure sur plus de 6 tages"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990707,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP294"
MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than six
			IS_PART_OF spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF spine
MOTIVATED_OVERALL_BY curing
	ACTS_ON scoliosis
OR_MAIN removing
	ACTS_ON fixation device
		HAS_LOCATION part
			CONTAINS vertebra
				HAS_QUANTITY more than six
			IS_PART_OF spine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION posterior
			IS_PART_OF spine
MOTIVATED_OVERALL_BY curing
	ACTS_ON kyphosis

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 "RP295"
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
OR_MAIN suturing
	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

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 "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP296"
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 "RP297"
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 "RP298"
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 "RP299"
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 complmentaire d'une lsion infectieuse diffuse  de la peau et des parties molles (bloc opratoire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP300"
MAIN washing
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	OCCURS_DURING surgical deed
MOTIVATED_OVERALL_BY curing
	ACTS_ON infection
		HAS_LOCATION_1 skin
		HAS_LOCATION_2 subcutaneous tissue

RUBRIC "Exploration, parage et suture d'une plaie pulpo unguale, suture ou plastie du lit ungual et reposition de la tablette unguale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP301"
MAIN exploring
	ACTS_ON wound
		HAS_LOCATION_2 nail
	ACTS_ON_2 wound
		HAS_LOCATION digital pulp
WITH washing
	ACTS_ON wound
		HAS_LOCATION_2 nail
	ACTS_ON_2 wound
		HAS_LOCATION digital pulp
WITH suturing
	ACTS_ON_1 nail bed
	ACTS_ON_2 digital pulp
WITH repositioning
	ACTS_ON nail
OR_MAIN exploring
	ACTS_ON wound
		HAS_LOCATION_2 nail
	ACTS_ON_2 wound
		HAS_LOCATION digital pulp
WITH washing
	ACTS_ON wound
		HAS_LOCATION_2 nail
	ACTS_ON_2 wound
		HAS_LOCATION digital pulp
WITH suturing
	ACTS_ON_1 digital pulp
	ACTS_ON_2 nail bed
WITH repositioning
	ACTS_ON nail
WITH plastic repairing
	ACTS_ON_2 nail bed

RUBRIC "Exrse de pleine paisseur [piderme, derme, hypoderme] de lsion cutane, de moins de 10 cm Inclut : suture ventuelle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP302"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION skin
	HAS_EXTENT full thickness
	HAS_QUANTITY less than 10 cm 2
WITH_OPTIONALLY suturing
	ACTS_ON skin

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 "RP303"
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 "RP304"
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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP305"
MAIN excising
	ACTS_ON_1 skin
	ACTS_ON_2 soft tissue
	HAS_QUANTITY less than 50 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 soft tissue

RUBRIC "Incision ou excision d'un panaris superficiel"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP306"
MAIN excising
	ACTS_ON abscess
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF finger
OR_MAIN incising
	ACTS_ON abscess
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF finger

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 "RP307"
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 "RP308"
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 vacuation, lavage avec ou sans drainage d'un phlegmon profond de la main et des doigts, Inclut :excisions tendineuses et tnosynovectomie, lavage articulaire, synovectomie articulaire et arthrodse ventuels"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP309"
MAIN evacuating
	ACTS_ON phlegmon
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF finger & hand
WITH excising
	ACTS_ON soft tissue
		HAS_LOCATION finger
	ACTS_ON soft tissue
		HAS_LOCATION hand
WITH washing
	ACTS_ON soft tissue
		HAS_LOCATION finger
	ACTS_ON soft tissue
		HAS_LOCATION hand
WITH_OPTIONALLY draining
	ACTS_ON soft tissue
		HAS_LOCATION finger / hand
WITH_OPTIONALLY fixing
	ACTS_ON joint
		IS_PART_OF finger / hand

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 "RP310"
MAIN excising
	ACTS_ON nail
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON nail
	HAS_EXTENT total

RUBRIC "Exrse unguo-matricielle partielle ou totale avec plastie pulpaire [ongles incarns]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP311"
MAIN excising
	ACTS_ON_1 nail
	ACTS_ON_2 nail bed
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON pathology
WITH 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 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 "RP312"
MAIN resecting
	ACTS_ON exostosis
		HAS_LOCATION nail bed
			IS_PART_OF toe

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 "RP313"
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 "Reconstruction par autogreffe de peau totale sur une seule localisation 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 "RP314"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
		HAS_QUANTITY less than 10 cm 2

RUBRIC "Rparation par autogreffe en pastilles 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 "RP315"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
			HAS_QUANTITY less than 10 cm 2
		HAS_QUANTITY less than or equal to 20mm
	HAS_QUANTITY several

RUBRIC "Rparation par autogreffe en pastilles de 11 cm2  49 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991217,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP316"
MAIN autografting
	ACTS_ON skin
		HAS_DESTINATION skin
			HAS_QUANTITY between 10 cm 2 and 49 cm 2
		HAS_QUANTITY less than or equal to 20mm
	HAS_QUANTITY several

RUBRIC "Ralisation par lambeau libre musculaire ou musculo-cutane avec anastomoses vasculaires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991217,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP317"
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 vascular pedicle
			IS_PART_OF flap
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION muscle (striated)
		HAS_LOCATION_2 skin
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF muscle (striated) & skin
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS vascular pedicle
			IS_PART_OF flap

RUBRIC "Ralisation 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 "RP318"
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 fascia
WITHOUT dissecting
	ACTS_ON_1 vascular pedicle
	ACTS_ON_2 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"
SOURCE ""
CODE "RP319"
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 "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 "RP320"
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 "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 "RP321"
MAIN suturing
	ACTS_ON tendon
WITHOUT suturing
	ACTS_ON tendo calcaneus / patellar ligament / hand

RUBRIC "Dsinsertion isole du sous scapulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP322"
MAIN excising

RUBRIC "Dsinsertion du sous scapulaire avec un (des) transfert(s) musculaire(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP323"
MAIN excising

RUBRIC "Grande libration tendino-musculo-cutane avec ou sans rduction osseuse pour surlvation congnitale de l'omoplate"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP324"
MAIN freeing
	ACTS_ON nerve & tendon & muscle (striated) & skin
		IS_PART_OF limb
			HAS_POSITION upper
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital malformation
		HAS_LOCATION scapula
WITH_OPTIONALLY decreasing
	ACTS_ON scapula

RUBRIC "Ouverture ou plastie d'agrandissement  d'une poulie de rflexion des tendons flchisseurs des doigts de la main (doigt  ressaut)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:46:55 pm on March 1, 2000 by jeremy"
PARAPHRASE "a"
SOURCE ""
CODE "RP325"
MAIN opening
	ACTS_ON pulley of tendon
		IS_PART_OF flexor muscle of finger
OR_MAIN plastic repairing
	ACTS_ON pulley of tendon
		IS_PART_OF flexor muscle of finger
	BY_TECHNIQUE augmenting
		ACTS_ON pulley of tendon
			IS_PART_OF flexor muscle of finger

RUBRIC "Transfert du psoas  travers ou en avant de l'aile iliaque"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP326"
MAIN moving
	ACTS_ON psoas
		HAS_DESTINATION pre os ilium space

RUBRIC "Transfert du psoas  travers ou en avant de l'aile iliaque avec ostotomie pelvienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991217,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP327"
MAIN moving
	ACTS_ON psoas
		HAS_DESTINATION pre os ilium space
WITH incising
	ACTS_ON pelvic girdle

RUBRIC "Transfert du psoas  travers ou en avant de l'aile iliaque avec ostotomie fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991217,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP328"
MAIN moving
	ACTS_ON psoas
		HAS_DESTINATION pre os ilium space
WITH incising
	ACTS_ON femur

RUBRIC "Transfert du psoas  travers ou en avant de l'aile iliaque avec ostotomie pelvienne et fmorale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19991217,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP329"
MAIN moving
	ACTS_ON psoas
		HAS_DESTINATION pre os ilium space
WITH incising
	ACTS_ON femur
	ACTS_ON_2 pelvic girdle

RUBRIC "Neurotomie et/ou neurectomie et/ou neuroclasie  ciel ouvert par la mme voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP330"
MAIN incising
	ACTS_ON nerve
	HAS_APPROACH open
WITH excising
	ACTS_ON nerve
WITH destroying
	ACTS_ON nerve
OR_MAIN excising
	ACTS_ON nerve
	HAS_APPROACH open
WITH incising
	ACTS_ON nerve
OR_MAIN destroying
	ACTS_ON nerve
	HAS_APPROACH open
WITH incising
	ACTS_ON nerve
OR_MAIN destroying
	ACTS_ON nerve
	HAS_APPROACH open
WITH excising
	ACTS_ON nerve

RUBRIC "Injection d'un nerf moteur des membres inclut : la stimulo-dtection"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP331"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION nerve
			HAS_FUNCTION muscle contraction

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 "RP332"
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 "RP333"
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 "RP334"
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 "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 12:17:31 pm on February 25, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP335"
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 genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP336"
MAIN freeing
	ACTS_ON peroneal nerve common
		IS_PART_OF knee

RUBRIC "Pansement immdiat d'une brlure intressant moins de 10% de la surface corporelle, toute localisation sauf extrmit cphalique(visage,cuir chevelu et cou) et mains(au bloc opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000125,rodrigues,0;
Manual accept at 3:44:58 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP337"
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 saufextrmit cphalique(cuir chevelu ,face ,cou) et mains'au bloc opratoire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP338"
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

RUBRIC "Pansement immdiat d'une brlure sur l'extrmit cphalique "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP339"
MAIN installing
	ACTS_ON dressing device
		HAS_DESTINATION skin
			IS_PART_OF head
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON burning

RUBRIC "Pansement immdiat d'une brlure d'une main "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP340"
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 (cuir chevelu,visage,cou) et la main : 2 sites(au bloc opratoire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP341"
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 secondaire d'une brlure intressant moins de 10% de la surface corporelle, toute localisation sauf extrmit cphalique(visage,cuir chevelu et cou) et mains(au bloc opratoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:45:21 pm on March 7, 2000 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "RP342"
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(cuir chevelu ,visage ,cou) et mains'au bloc opratoire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990614,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP343"
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 "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 "RP344"
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 "RP345"
MAIN incising
	ACTS_ON tendon
	HAS_APPROACH open
WITHOUT incising
	ACTS_ON tendon
		IS_PART_OF hand / foot

RUBRIC "Allongement, plastie, raccourcissement par ddoublement ou retournement d'un tendon, Exclut : les tendons d'Achille ,rotulien et du psoas"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP346"
MAIN lengthening
	ACTS_ON tendon
WITHOUT lengthening
	ACTS_ON tendo calcaneus / patellar ligament
	ACTS_ON_2 tendon
		IS_PART_OF psoas
OR_MAIN plastic repairing
	ACTS_ON tendon
WITHOUT plastic repairing
	ACTS_ON tendo calcaneus / patellar ligament
	ACTS_ON_2 tendon
		IS_PART_OF psoas
OR_MAIN shortening
	ACTS_ON tendon
WITHOUT shortening
	ACTS_ON tendo calcaneus / patellar ligament
	ACTS_ON_2 tendon
		IS_PART_OF psoas

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 "RP347"
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 "Exrse, sans interruption de la continuit osseuse,d'un fragment osseux 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 "RP348"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF upper extremity
	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 "20000125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP349"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF femur
	HAS_APPROACH open

RUBRIC "Exrse, d'un fragment osseux au niveau du fmur ,  ciel ouvert sans reconstruction"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990616,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP350"
MAIN excising
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF femur
	HAS_APPROACH open
WITHOUT plastic constructing
	ACTS_ON femur

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 "RP351"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF upper extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF bony autograft
OR_MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF upper extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF material

RUBRIC "Evidement osseux au 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 "RP352"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF lower extremity
	HAS_APPROACH open

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 "RP353"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF lower extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF lower extremity
	BY_MEANS_OF bony autograft
OR_MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF lower extremity
	HAS_APPROACH open
WITH filling
	ACTS_ON bone
		IS_PART_OF lower extremity
	BY_MEANS_OF material

RUBRIC "Evidement osseux  ciel ouvert au niveau du fmur, avec comblement par autogreffe Squestrectomie,curetage de lsion infectieuse saucrisationExclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP354"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF femur
	HAS_APPROACH open
WITH filling
	ACTS_ON femur
	BY_MEANS_OF bony autograft

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 "20000125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP355"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF femur
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON femur

RUBRIC "Excision de squestre de la tubrosit tibiale antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP356"
MAIN excising
	ACTS_ON sequestrum
		HAS_LOCATION tuberosity of tibia

RUBRIC "Evidement osseux piphysaireen prsence d'un cartilage piphysaire actif, sans comblement,  ciel ouvert Exclut : paule, hanche et genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP357"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON epiphysis
WITHOUT evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF shoulder / hip / knee

RUBRIC "Evidement osseux piphysaireen prsence d'un cartilage piphysaire actif, avec  comblement par greffe,  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse EXclut le lprlvement d'autogreffe osseus  distance Exclut : paule, hanche et genou"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP358"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
	HAS_APPROACH open
WITH filling
	ACTS_ON epiphysis
	BY_MEANS_OF bony autograft
WITHOUT evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF shoulder / hip / knee

RUBRIC "Evidement osseux piphysaire au niveau de l'paule en prsence d'un cartilage piphysaire actif, sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP359"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF shoulder
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON epiphysis

RUBRIC "Evidement osseux piphysaire au niveau de l'paule en prsence d'un cartilage piphysaire actif, avec  comblement par greffe,  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse EXclut le lprlvement d'autogreffe osseus  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP360"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF shoulder
	HAS_APPROACH open
WITH filling
	ACTS_ON epiphysis
	BY_MEANS_OF bony autograft

RUBRIC "Evidement osseux piphysaire au niveau de la hanche en prsence d'un cartilage piphysaire actif, sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP361"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF hip
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON epiphysis

RUBRIC "Evidement osseux piphysaire au niveau de la hanche en prsence d'un cartilage piphysaire actif, avec  comblement par greffe,  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse EXclut le lprlvement d'autogreffe osseus  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP362"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF hip
	HAS_APPROACH open
WITH filling
	ACTS_ON epiphysis
	BY_MEANS_OF bony autograft

RUBRIC "Evidement osseux piphysaire au niveau du genou en prsence d'un cartilage piphysaire actif, sans comblement,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP363"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF knee
	HAS_APPROACH open
WITHOUT filling
	ACTS_ON epiphysis

RUBRIC "Evidement osseux piphysaire au niveau du genou en prsence d'un cartilage piphysaire actif, avec  comblement par greffe,  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse EXclut le lprlvement d'autogreffe osseus  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP364"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
			CONTAINS cartilago epiphysialis
			IS_PART_OF knee
	HAS_APPROACH open
WITH filling
	ACTS_ON epiphysis
	BY_MEANS_OF bony autograft

RUBRIC "Evidement osseux piphysaire par voie extra articulaire avec reconstruction Inclut le prlvement in situ d'autogreffe osseuse EXclut le lprlvement d'autogreffe osseus  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000127,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP365"
MAIN evacuating
	ACTS_ON bone tissue
		IS_PART_OF epiphysis
WITH reconstruction
	ACTS_ON epiphysis
	BY_MEANS_OF bony autograft
WITHOUT incising
	ACTS_ON joint

RUBRIC "Reconstruction osseuse par greffe ou matriel inerte aprs rsection d'une piphyse et/ou de la diaphyse humrale Inclut : l'ostosynthse ventuelle Exclut : le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP366"
MAIN reconstruction
	ACTS_ON epiphysis
		IS_PART_OF humerus
	BY_MEANS_OF bony autograft
	FOLLOWS resecting
		ACTS_ON epiphysis
			IS_PART_OF humerus
WITH_OPTIONALLY fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device
OR_MAIN reconstruction
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF bony autograft
	FOLLOWS resecting
		ACTS_ON diaphysis
			IS_PART_OF humerus
WITH_OPTIONALLY fixing
	ACTS_ON bony autograft
	BY_MEANS_OF fixation device
OR_MAIN reconstruction
	ACTS_ON epiphysis
		IS_PART_OF humerus
	BY_MEANS_OF material
	FOLLOWS resecting
		ACTS_ON epiphysis
			IS_PART_OF humerus
OR_MAIN reconstruction
	ACTS_ON diaphysis
		IS_PART_OF humerus
	BY_MEANS_OF material
	FOLLOWS resecting
		ACTS_ON diaphysis
			IS_PART_OF humerus

RUBRIC "Rsection en bloc d'une l'piphyse et/ou de la diaphyse du fmur sans reconstruction "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP367"
MAIN resecting
	ACTS_ON epiphysis
		IS_PART_OF femur
WITHOUT reconstruction
	ACTS_ON epiphysis
		IS_PART_OF femur
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
WITHOUT reconstruction
	ACTS_ON 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 "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP368"
MAIN resecting
	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 resecting
	ACTS_ON upper extremity
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON upper extremity
		IS_PART_OF femur
	BY_MEANS_OF bony autograft
	BY_TECHNIQUE 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 prosthetic implant
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH reconstruction
	ACTS_ON diaphysis
		IS_PART_OF femur
	BY_MEANS_OF bony autograft
	BY_TECHNIQUE fixing
		ACTS_ON bony autograft
		BY_MEANS_OF fixation device

RUBRIC "Reconstruction articulaire du genou avec arthrodse Exclut:le prlvement  distance d'autogreffe osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP369"
MAIN reconstruction
	ACTS_ON joint of knee
	BY_MEANS_OF bony autograft
WITH fixing
	ACTS_ON joint of knee
	BY_MEANS_OF fixation device

RUBRIC "Rsection en bloc de l'extrmit suprieure du tibia et du pron"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP370"
MAIN resecting
	ACTS_ON upper extremity
		IS_PART_OF tibia
	ACTS_ON_2 upper extremity
		IS_PART_OF fibula

RUBRIC "Rsection en bloc de la diaphyse ou de l'piphyse infrieure du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP371"
MAIN resecting
	ACTS_ON lower extremity
		IS_PART_OF tibia
OR_MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia

RUBRIC "Amputation ou dsarticulation trans-tarsienne ou trans-mtatarsienne sur un seul ou plusieurs rayons avec stabilisation de l'arrire pied"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990304,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP372"
MAIN removing
	ACTS_ON toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
	HAS_QUANTITY several
WITH fixing
	ACTS_ON posterior foot
	BY_MEANS_OF fixation device
OR_MAIN removing
	ACTS_ON toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
	HAS_QUANTITY several
WITH fixing
	ACTS_ON posterior foot
	BY_MEANS_OF fixation device
OR_MAIN removing
	ACTS_ON toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os tarsale
WITH fixing
	ACTS_ON posterior foot
	BY_MEANS_OF fixation device
OR_MAIN removing
	ACTS_ON toe ray
	BY_TECHNIQUE dividing
		ACTS_ON os metatarsale
WITH fixing
	ACTS_ON posterior foot
	BY_MEANS_OF fixation device

RUBRIC "Exrse, sans interruption de la continuit osseuse,de fragment(s) osseux du membre infrieur, par une voie d'abord  ciel ouvert Exclut Pelvis  fmur pied et inter tibio pronier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP373"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF lower extremity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lower extremity
		HAS_QUANTITY less than two
	HAS_APPROACH open
WITHOUT resecting
	ACTS_ON pelvic bone
WITHOUT resecting
	ACTS_ON femur
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF foot
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF ankle

RUBRIC "Exrse, sans interruption de la continuit osseuse,de fragment(s) osseux du membre infrieur, par deux voies d'abord  ciel ouvert Exclut Pelvis  fmur pied et inter tibio pronier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP374"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF lower extremity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lower extremity
		HAS_QUANTITY less than three
	HAS_APPROACH open
WITHOUT resecting
	ACTS_ON pelvic bone
WITHOUT resecting
	ACTS_ON femur
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF foot
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF ankle

RUBRIC "Exrse, sans interruption de la continuit osseuse,de fragment(s) osseux du membre infrieur, par trois voies d'abord ou plus ciel ouvert Exclut Pelvis  fmur pied et inter tibio pronier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP375"
MAIN resecting
	ACTS_ON part
		IS_PART_OF bone
			IS_PART_OF lower extremity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON lower extremity
		HAS_QUANTITY more than two
	HAS_APPROACH open
WITHOUT resecting
	ACTS_ON pelvic bone
WITHOUT resecting
	ACTS_ON femur
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF foot
WITHOUT resecting
	ACTS_ON bone
		IS_PART_OF ankle

RUBRIC "Ablation de plaque, clou-plaque ou vis-plaque d'un os long  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP376"
MAIN excising

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 "RP377"
MAIN removing
	ACTS_ON intramedullary nail device
		HAS_LOCATION long bone
	HAS_APPROACH open
OR_MAIN removing
	ACTS_ON pin
		HAS_DESTINATION bone medulla
			IS_PART_OF long bone
	HAS_APPROACH open

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 "RP378"
MAIN removing
	ACTS_ON pin
		HAS_LOCATION bone cortex
	BY_TECHNIQUE inspecting
		ACTS_ON bone
		BY_MEANS_OF fluoroscope

RUBRIC "Ablation de broches non enfouies quel que soit la localisation "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000130,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP379"
MAIN removing
	ACTS_ON pin
		HAS_LOCATION cutaneous layer

RUBRIC "Changement d'une ou deux fiches, ou broches d'un systme d'allongement osseux ou de fixateur externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP380"
MAIN replacing
	ACTS_ON pin
		IS_PART_OF fixation device
	HAS_QUANTITY less than three
OR_MAIN replacing
	ACTS_ON pin
		IS_PART_OF device
			HAS_FUNCTION lengthening
				ACTS_ON bone
	HAS_QUANTITY less than three

RUBRIC "Epiphysiodse au niveau du genou par une voie d'abord percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP381"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	HAS_APPROACH percutaneous route

RUBRIC "Epiphysiodse au niveau du genou sur deux localisations [deux voies d'abord] par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP382"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	HAS_APPROACH percutaneous route
	HAS_QUANTITY more than one

RUBRIC "Epiphysiodse au niveau du genou par trois voies d'abord percutanes ou plus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP383"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	HAS_APPROACH percutaneous route
	HAS_QUANTITY more than two

RUBRIC "Epiphysiodse au niveau du genou par une voie d'abord directe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP384"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON knee
	HAS_APPROACH open

RUBRIC "Epiphysiodse au niveau du genou par deux voies d'abord directes"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP385"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON knee
		HAS_QUANTITY more than one
	HAS_APPROACH open

RUBRIC "Epiphysiodse au niveau du genou par trois voies d'abord directes et plus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP386"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON knee
		HAS_QUANTITY more than two
	HAS_APPROACH open

RUBRIC "Epiphysiodse en dehors du genou sur une localisation quelle que soit la voie d'abord "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP387"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF joint
WITHOUT fixing
	ACTS_ON epiphysis
		IS_PART_OF knee

RUBRIC "Epiphysiodse en dehors du genou sur plusieurs localisations par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP388"
MAIN fixing
	ACTS_ON epiphysis
		IS_PART_OF joint
	HAS_APPROACH percutaneous route
	HAS_QUANTITY more than one
WITHOUT fixing
	ACTS_ON epiphysis
		IS_PART_OF knee

RUBRIC "Dspiphysiodse au niveau du cotyle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP389"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF acetabulum

RUBRIC "Dspiphysiodse centrale au niveau du fmur ou du tibia "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP390"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF upper extremity
				IS_PART_OF femur
OR_MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF upper extremity
				IS_PART_OF tibia

RUBRIC "Dspiphysiodse priphrique au niveau du fmur ou du tibia "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP391"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF lower extremity
				IS_PART_OF femur
OR_MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF lower extremity
				IS_PART_OF tibia

RUBRIC "Dspiphysiodse centrale ou priphrique au niveau du fmur ou du tibia avec ostotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP392"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF upper extremity
				IS_PART_OF femur
WITH incising
	ACTS_ON femur
OR_MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF upper extremity
				IS_PART_OF tibia
WITH incising
	ACTS_ON tibia
OR_MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF lower extremity
				IS_PART_OF femur
WITH incising
	ACTS_ON femur
OR_MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF lower extremity
				IS_PART_OF tibia
WITH incising
	ACTS_ON tibia

RUBRIC "Dspiphysiodse en dehors du cotyle du femur ou du tibia extrmit infrieure du radius"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000131,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP393"
MAIN removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF joint
WITHOUT removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF acetabulum
WITHOUT removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF femur
WITHOUT removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF tibia
WITHOUT removing
	ACTS_ON fixation device
		HAS_DESTINATION epiphysis
			IS_PART_OF lower extremity
				IS_PART_OF radius

RUBRIC "Allongement ou raccourcissement extemporan du fmur ou du tibia quelle que soit la technique Inclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP394"
MAIN lengthening
	ACTS_ON femur
	BY_MEANS_OF bony autograft
OR_MAIN shortening
	ACTS_ON femur
	BY_MEANS_OF bony autograft
OR_MAIN lengthening
	ACTS_ON tibia
	BY_MEANS_OF bony autograft
OR_MAIN shortening
	ACTS_ON tibia
	BY_MEANS_OF bony autograft

RUBRIC "Allongement ou raccourcissement squelettique extemporan de la main ou de l'avant pied quelle que soit la technique Inclut : le prlvement d'autogreffe osseuse  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP395"
MAIN lengthening
	ACTS_ON bone
		IS_PART_OF hand
	BY_MEANS_OF bony autograft
OR_MAIN shortening
	ACTS_ON bone
		IS_PART_OF hand
	BY_MEANS_OF bony autograft
OR_MAIN lengthening
	ACTS_ON bone
		IS_PART_OF anterior foot
	BY_MEANS_OF bony autograft
OR_MAIN shortening
	ACTS_ON bone
		IS_PART_OF anterior foot
	BY_MEANS_OF bony autograft

RUBRIC "Allongement ou raccourcissement squelettique extemporan d'un os d'un membre suprieurquelle que soit la technique Inclut : le prlvement d'autogreffe osseuse  distance Exclut la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP396"
MAIN lengthening
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF bony autograft
WITHOUT lengthening
	ACTS_ON bone
		IS_PART_OF hand
OR_MAIN shortening
	ACTS_ON bone
		IS_PART_OF upper extremity
	BY_MEANS_OF bony autograft
WITHOUT shortening
	ACTS_ON bone
		IS_PART_OF hand

RUBRIC "Mise en place d'un systme interne d'allongement osseux progressif au niveau de la cuisse ou de la jambe Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,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 "RP397"
MAIN installing
	ACTS_ON internal fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF thigh
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF thigh
	HAS_FEATURE progressive
OR_MAIN installing
	ACTS_ON internal fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF leg
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF leg
	HAS_FEATURE progressive

RUBRIC "Mise en place d'un systme externe d'allongement osseux progressif au niveau de la cuisse ou de la jambe Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP398"
MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF thigh
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF thigh
	HAS_FEATURE progressive
OR_MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF leg
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF leg
	HAS_FEATURE progressive

RUBRIC "Mise en place d'un systme externe d'allongement osseux progressif au niveau de la cuisse ou de la jambe avec allongement(s) tendineux Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP399"
MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF thigh
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF thigh
	HAS_FEATURE progressive
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF thigh
OR_MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF leg
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF leg
	HAS_FEATURE progressive
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF leg

RUBRIC "Mise en place d'un systme interne d'allongement osseux progressif au niveau de la cuisse ou de la jambe avec allongement(s) tendineux Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP400"
MAIN installing
	ACTS_ON internal fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF thigh
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF thigh
	HAS_FEATURE progressive
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF thigh
OR_MAIN installing
	ACTS_ON internal fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF leg
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF leg
	HAS_FEATURE progressive
WITH lengthening
	ACTS_ON tendon
		IS_PART_OF muscle (striated)
			IS_PART_OF leg

RUBRIC "Mise en place d'un systme externe d'allongement osseux progressif au niveau du bras ou de l'avant bras Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP401"
MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF arm
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF arm
	HAS_FEATURE progressive
OR_MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF forearm
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF forearm
	HAS_FEATURE progressive

RUBRIC "Mise en place d'un systme externe d'allongement osseux progressif au niveau de la main ou du pied Inclut : l'(les) ostotomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000202,rodrigues,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP402"
MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF hand
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF hand
	HAS_FEATURE progressive
OR_MAIN installing
	ACTS_ON external fixation device
	FOLLOWS incising
		ACTS_ON bone
			IS_PART_OF foot
TO_ACHIEVE_OVERALL lengthening
	ACTS_ON bone
		IS_PART_OF foot
	HAS_FEATURE progressive

RUBRIC "Accourcissement du fmur ou du tibia, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP403"
MAIN shortening
	ACTS_ON femur
OR_MAIN shortening
	ACTS_ON tibia

RUBRIC "Accourcissement de la main ou de l'avant-pied, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP404"
MAIN shortening
	ACTS_ON bone
		IS_PART_OF hand
OR_MAIN shortening
	ACTS_ON bone
		IS_PART_OF anterior foot

RUBRIC "Accourcissement osseux au niveau du membre suprieur, quelle que soit la technique Exclut : la main"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP405"
MAIN shortening
	ACTS_ON bone
		IS_PART_OF upper extremity
WITHOUT shortening
	ACTS_ON bone
		IS_PART_OF hand

RUBRIC "Changement complet du systme d'allongement osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP406"
MAIN replacing
	ACTS_ON fixation device
		HAS_FUNCTION lengthening
			ACTS_ON bone

RUBRIC "Rglage et modification d'axe d'un systme d'allongement osseux sous anesthsie gnrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP407"
MAIN arranging
	ACTS_ON fixation device
		HAS_FUNCTION lengthening
			ACTS_ON bone
	BY_TECHNIQUE injecting
		ACTS_ON general anesthetic agent

RUBRIC "Reprise d'ostotomie (itrative) pour cal osseux prmatur en cours d'allongement osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP408"
MAIN incising
	ACTS_ON abnormal bone consolidation
		HAS_LOCATION bone
	HAS_TEMPORAL_MARKER secondary
	OCCURS_DURING lengthening
		ACTS_ON bone

RUBRIC "Ostotomies multiples d'alignement avec abord des deux extrmits et ostosynthse interne d'un os long (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP409"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device

RUBRIC "Ostotomies bilatrales multiples d'alignement avec abord des deux extrmits et ostosynthse interne d'un os long (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP410"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_LATERALITY bilateral
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device

RUBRIC "Ostotomies multiples d'alignement avec abord des deux extrmits et ostosynthse interne de 2 os long (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP411"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device
	HAS_QUANTITY more than one

RUBRIC "Ostotomies bilatrales multiples d'alignement avec abord des deux extrmits et ostosynthse interne de 2 os longs (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP412"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_LATERALITY bilateral
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device
	HAS_QUANTITY more than one

RUBRIC "Ostotomies multiples d'alignement avec abord des deux extrmits et ostosynthse interne de 3 os longs (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP413"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device
	HAS_QUANTITY more than two

RUBRIC "Ostotomies bilatrales multiples d'alignement avec abord des deux extrmits et ostosynthse interne de 3 os longs (fmur ou tibia ou humrus)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP414"
MAIN incising
	ACTS_ON long bone
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON upper extremity
			IS_PART_OF long bone
		ACTS_ON_2 lower extremity
			IS_PART_OF long bone
	HAS_LATERALITY bilateral
	HAS_QUANTITY several
TO_ACHIEVE_OVERALL straightening
	ACTS_ON long bone
WITH fixing
	ACTS_ON_1 long bone
	BY_MEANS_OF internal fixation device
	HAS_QUANTITY more than two

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale de la clavicule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP415"
MAIN resecting
	ACTS_ON clavicula
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital malformation
		HAS_LOCATION clavicula
WITH fixing
	ACTS_ON clavicula
	BY_MEANS_OF fixation device

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale d'un os en dehors de la clavicule du fmur et du tibia"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP416"
MAIN resecting
	ACTS_ON bone
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital malformation
		HAS_LOCATION bone
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF fixation device
WITHOUT resecting
	ACTS_ON clavicula
WITHOUT resecting
	ACTS_ON femur
WITHOUT resecting
	ACTS_ON tibia

RUBRIC "Rsection et ostosynthse pour pseudarthrose congnitale en dehors du fmur du tibia et du pron avec transfert axial progressif d'un fragment osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;
Transformation - substituting link: HAS_TEMPORAL_MARKER - applied at 12:04:43 pm on March 2, 2000"
PARAPHRASE "a"
SOURCE ""
CODE "RP417"
MAIN resecting
	ACTS_ON bone
MOTIVATED_OVERALL_BY curing
	ACTS_ON congenital malformation
		HAS_LOCATION bone
WITH fixing
	ACTS_ON bone
	BY_MEANS_OF fixation device
WITH moving
	ACTS_ON part
		IS_PART_OF bone
	HAS_FEATURE progressive
WITHOUT resecting
	ACTS_ON fibula
WITHOUT resecting
	ACTS_ON femur
WITHOUT resecting
	ACTS_ON tibia

RUBRIC "Injection intra osseuse de moelle inclut : le prlvement"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP418"
MAIN injecting
	ACTS_ON bone marrow
		HAS_DESTINATION bone
	FOLLOWS harvesting
		ACTS_ON bone marrow

RUBRIC "Injection mdicamenteuse intra osseuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP419"
MAIN injecting
	ACTS_ON drug
		HAS_DESTINATION bone

RUBRIC "Perforation ou forage d'une piphyse fertile par arthoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP420"
MAIN drilling
	ACTS_ON epiphysis
		CONTAINS cartilago epiphysialis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON joint
		BY_MEANS_OF arthroscope
	WITH_GUIDANCE_BY arthroscope

RUBRIC "Perforation ou forage d'une piphyse fertile  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP421"
MAIN drilling
	ACTS_ON epiphysis
		CONTAINS cartilago epiphysialis
	HAS_APPROACH open

RUBRIC "Fixation ou exrse d'un noyau d'ossification accessoire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990325,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP422"
MAIN fixing
	ACTS_ON heterotopic ossification
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON heterotopic ossification
	HAS_APPROACH open

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux , par plus de 3 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 "RP423"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux ,  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP424"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux , par plus de 3 voies d'abord   ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP425"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux    ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP426"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON hip
		ACTS_ON knee
		ACTS_ON foot

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  avec abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio patellaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP427"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux  avec abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio patellaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP428"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord , abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio patellaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP429"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux , abaissement rotulien par raccourcissement du tendon rotulien avec ou sans cerclage tibio patellaire  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP430"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH shortening
	ACTS_ON patellar ligament
WITH_OPTIONALLY fixing
	ACTS_ON patella
		HAS_DESTINATION tibia
	BY_MEANS_OF cerclage device

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP431"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche et de genou par tnotomies ou allongements ou transferts tendineux  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP432"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP433"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP434"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  et ostotomie avec correction axiale unidirectionelle de la diaphyse fmorale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP435"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux et ostotomie avec correction axiale unidirectionelle de la diaphyse fmorale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP436"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur

RUBRIC "Correction unilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  et ostotomie avec correction axiale unidirectionelle de la diaphyse fmorale et tibiale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP437"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux et ostotomie avec correction axiale unidirectionelle de la diaphyse fmorale et tibiale  ciel ouvert"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000208,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP438"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON_1 tendon
		HAS_FUNCTION movement
			ACTS_ON knee
	ACTS_ON_2 tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	HAS_APPROACH open
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON_1 hip
		ACTS_ON_2 foot
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
		ACTS_ON_2 diaphysis
			IS_PART_OF tibia
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia

RUBRIC "Ostotomie bilatrale 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 "19990506,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP439"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting

RUBRIC "Ostotomie simple [unidirectionelle] bilatrale  de la diaphyse du tibia avec ou sans ostotomie du pron 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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP440"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF tibia
WITH fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomies unilatrales avec correction axiale unidirectionnelle de la diaphyse fmorale et du tibia avec ou sans ostotomie du pron 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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP441"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
	HAS_LATERALITY unilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomies bilatrales avec correction axiale unidirectionnelle de la diaphyse fmorale et du tibia avec ou sans ostotomie du pron 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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP442"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF femur
	ACTS_ON_2 diaphysis
		IS_PART_OF tibia
WITH fixing
	ACTS_ON femur
	ACTS_ON_2 tibia
	BY_MEANS_OF fixation device
	BY_TECHNIQUE autografting
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomie unilatrale avec correction axiale unidirectionnelle de la diaphyse fmorale et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse et l'ostosynthse "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP443"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	HAS_APPROACH open
	HAS_LATERALITY unilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie bilatrale avec correction axiale unidirectionnelle de la diaphyse fmorale et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert Inclut le prlvement in situ d'autogreffe osseuse et l'ostosynthse "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP444"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	HAS_APPROACH open
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF femur
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Ostotomie simple [unidirectionnelle ]unilatrale  de la diaphyse du tibia avec ou sans ostotomie du pron  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP445"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
	HAS_APPROACH open
	HAS_LATERALITY unilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF tibia
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomie simple [unidirectionnelle ]bilatrale  de la diaphyse du tibia avec ou sans ostotomie du pron  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP446"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
	HAS_APPROACH open
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF tibia
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON tibia
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomies unilatrales  avec correction axiale unidirectionnelle de la diaphyse fmorale et du tibia avec ou sans ostotomie du pron  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP447"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF femur
	HAS_APPROACH open
	HAS_LATERALITY unilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF femur
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON tibia
	ACTS_ON_2 femur
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Ostotomies bilatrales  avec correction axiale unidirectionnelle de la diaphyse fmorale et du tibia avec ou sans ostotomie du pron  et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  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 "20000209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "RP448"
MAIN resecting
	ACTS_ON diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF femur
	HAS_APPROACH open
	HAS_LATERALITY bilateral
TO_ACHIEVE_OVERALL straightening
	ACTS_ON diaphysis
		IS_PART_OF tibia
	ACTS_ON_2 diaphysis
		IS_PART_OF femur
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH fixing
	ACTS_ON tibia
	ACTS_ON_2 femur
	BY_MEANS_OF fixation device
WITH_OPTIONALLY resecting
	ACTS_ON fibula

RUBRIC "Correction unilatrale d'attitudes vicieuses de han. de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  avec ostotomies et correction axiale unidirectionnelle de la diaphyse fmorale et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert Inclut cf paraphrase"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000209,,0;"
PARAPHRASE "l'ostosynthseet la prise in situ d'autogreffe osseuse ventuelle"
SOURCE ""
CODE "RP449"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

RUBRIC "Correction bilatrale d'attitudes vicieuses de hanche de genou et de pied par tnotomies ou allongements ou transferts tendineux ,par plus de 3 voies d'abord  avec ostotomies et correction axiale unidirectionnelle de la diaphyse fmorale et arthrodse du couple de torsion (sous astragalienne et mdio tarsienne)avec correction de vices architecturaux  ciel ouvert Inclut cf paraphrase"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "20000209,,0;"
PARAPHRASE "l'ostosynthse et la prise in situ d'autogreffe osseus ventuelle"
SOURCE ""
CODE "RP450"
MAIN lengthening
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
OR_MAIN incising
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device
OR_MAIN moving
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON hip
	ACTS_ON tendon
		HAS_FUNCTION joint flexion
			ACTS_ON knee
	ACTS_ON tendon
		HAS_FUNCTION movement
			ACTS_ON foot
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON body part
		HAS_QUANTITY more than three
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON posture
		ACTS_ON knee
		ACTS_ON hip
		ACTS_ON foot
WITH fixing
	ACTS_ON_1 articulatio subtalaris
	ACTS_ON_2 articulatio tarsi transversa
	BY_MEANS_OF fixation device
WITH plastic repairing
	ACTS_ON bone
	BY_TECHNIQUE autografting
WITH resecting
	ACTS_ON diaphysis
		IS_PART_OF femur
	TO_ACHIEVE straightening
		ACTS_ON diaphysis
			IS_PART_OF femur
WITH fixing
	ACTS_ON femur
	BY_MEANS_OF fixation device

