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Biomedical subjects

A Deburge

Publications and source records attributed to A Deburge.

At least 91 records · Page 5Linked to original sources
PubMed1981

[Arthroplasty of the hip using a double cup].

In this double-cup arthroplasty, only the acetabular cup is sealed with cement; the femoral cup is simply implanted into the femoral head and neck. This operation was performed on 67 hips. Complications were limited to one hip dislocation, one break in cemented seal with ossification, one isolated massive ossification, and one fracture of the femoral neck in a case of polyarthritis. In 45 of these cases, follow-up has been continued for at least one year. X-ray signs of injury are frequent and seen in one out of two cases, but are no more frequent than in classical total prothesis and are therefore not alarming. The result of this technique with respect to pain is the same as for total prothesis. Mobility of the hip is maintained and is markedly improved when the hip was stiff prior to the operation. The major indication for this operation is osteoarthritis of the hip in patients 40 to 65 years of age for whom medical treatment is ineffective and where osteotomy cannot be performed. One fundamental point must be underlined: this technique must not jeopardize possible later surgery for total prothesis, and surgical technique must therefore be adapted with this in mind.

Adult↗
PubMed1976

Guepar hinge prosthesis: complications and results with two years' follow-up.

Experience with the GUEPAR prosthesis in 292 cases of which 103 have been followed for more than 2 years, suggests that: implanting a hinge prosthesis is major surgery on elderly patients in whom severe complications have occurred and for this reason, the operations should be reserved for extremely damaged and unstable knees; the most important local complications have been deep sepsis for which we have noted a rate of 6.6 per cent; in the treatment of sepsis, everything must be done to preserve the prosthesis because arthrodesis is difficult to obtain; pain relief has been significant as a result of the operation. The prosthetic design allows flexion of more than 90 degrees in 85 per cent of the cases and 120 degrees in 26 per cent; after two years, the results seem relatively stable. We have not observed aseptic loosening after this period but a longer observation period is necessary to be reassured on this point; patellar pain remains a major concern because this arthroplasty has not solved the problem, and other solutions will have to be found.

Adult↗