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Biomedical subjects

A C Masquelet

Publications and source records attributed to A C Masquelet.

95 records · Page 6Linked to original sources

Technical refinement of the lateral supramalleolar flap.

The lateral supramalleolar flap has proved to be versatile for managing a variety of skin defects of the foot, ankle and lower third of the leg. An anatomical study has shown the reliability of a subcutaneous vascular network, supplied by terminal branches of the perforating branch of the peroneal artery. Our technical refinement consists in designing the skin flap more proximally on the lateral aspect of the leg, and mobilising it on its vascular fascio-subcutaneous pedicle. The flap provides considerable possibilities for covering more distal skin defects of the lower extremity.

Adult↗

[Isolated severe anterolateral scapho-trapezo-trapezoid luxation. Diagnosis and surgical treatment in four cases].

Isolated injuries of the scapho-trapezial ligament complex are not well recognized. The ligament complex comprises the stout scapho-trapezial ligament, the floor of the flexor carpi radialis (FCR) tendon sheath and the scapho-capitate ligament. Between August 1991 and May 1992, we diagnosed and treated four cases of partial chronic post-traumatic lesions of this ligament complex. There was chronic pain at the base of the thenar eminence and instability of the thumb-index-middle finger pinch. Standard X-rays were normal. The diagnosis of ligament rupture was confirmed by mid-carpal arthrography showing filling of the sheath of FCR tendon. Surgical exploration showed complete rupture of the tendon sheath of FCR in two cases, associated in the other two cases with complete rupture of the scaphotrapezial ligament. Direct repair of the ligamentous elements was performed in all cases. The tendon of FCR was sutured to the tubercle of scaphoid to protect and to reinforce the ligament repair. The patients have been followed-up for between 6 and 12 months. All four patients recovered normal pinch strength to the middle finger. One patient suffered from chronic pain at work.

Female↗