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Biomedical subjects

A Deburge

Publications and source records attributed to A Deburge.

125 records · Page 7Linked to original sources
PubMedDate not supplied

[Articular fractures of the calcaneum. Therapeutic indications based on a series of 105 cases].

The authors have treated 105 articular fractures of the calcaneum. Three methods were tested: open reduction and fixation, conservative treatment with early mobilization, primary subtalar arthrodesis. The final results were satisfactory in 85% of the cases. However the three above groups were hardly comparable. Details on the radiological study of these fractures are given. The authors conclude that when osteosynthesis obtained a perfect anatomical reduction, functional results were good. But perfect reduction was rarely obtained. Final results could be improved by a better selection of the surgical cases and a better surgical technique.

Adult↗
PubMedDate not supplied

[Treatment of giant cell tumors of the sacrum. Apropos of an observed case].

A case of giant cells tumor of the sacrum, invading a large part of the sacral body, the buttock is reported. The sacro-rectal space and the sacral canal with the cauda equina were compressed. Complete avulsion was performed, each nerve being closely dissected. Clinical recovery with roentgenographic aspect of bone healing is still present, three years and a half post-operatively.

Adult↗
PubMedDate not supplied

[Avascular necrosis of the femoral head following fracture of the neck. Early diagnosis using radioactive tracers].

The authors have injected Sr85 intravenously and studied its fixation in samples taken from the femoral head with a trephine in the course of reduction and fixation of fractures of the femoral neck. Thirty-eight cases were studied, of which ten developed secondary avascular necrosis of the femoral head. All the patients were followed up for more than three years. The standard technique is described in detail. The authors consider that this technique was valid. All the necroses were able to be predicted. The examination of the samples took about 15 minutes during the operation. The method makes it possible to choose between internal fixation and prosthetic replacement.

Arthroplasty↗
PubMedDate not supplied

[Pyogenic spondylitis in adults].

The authors have treated 50 cases of non specific spondylitis in adults and reviewed the clinical signs and diagnostic problems in this condition. They advocate a systematic surgical approach to the focus. This allows identification of the organism unless the patient has previously received antibiotics. Even then, a direct approach allows histological examinations to be made and necrotic and infected tissues to be cleaned up. In 12 highly destructive lesions, a bone graft was added. The results were more satisfactory when fusion across the disc was achieved. There were only two deaths.

Adolescent↗
PubMedDate not supplied

Current status of a hinge prosthesis (GUEPAR).

Although a great many GUEPAR hinge knee prostheses have been successful, the early complications have been numerous. Also, long-term follow up studies have been hampered owing to the patients' advanced age. Many of the patients died of causes unrelated to their knee. The use of this prosthesis is limited to very old patients or individuals with grossly dislocated knees. Previous problems such as patellar pain have been resolved. Because the femoral and tibial stems have been reinforced, they are much stronger and cement is no longer necessary for fixation. The part that articulates with the patella has been changed so that it is now more shallow and better adapted to the shape of the patella.

Adult↗
PubMedDate not supplied

[Double occurrence of a giant-cell tumour (author's transl)].

The authors report a case of giant-cell tumour of the lower end of the radius treated by resection-arthrodesis of the wrist with cure of the lesion for 9 years. There then appeared, in the same hand, a second giant-cell tumour at the level of the first metacarpal bone which was not an extension of the first lesion. It was treated by prosthetic replacement of the first metacarpal bone. A review of the literature has shown 13 similar cases of polycentric giant-cell tumours.

Adult↗
PubMedDate not supplied

[Lateral lumbar disk herniation].

A retrospective study of 41 lateral discal hernias observed between 1984 and 1991 were studied among the 1080 discal hernias treated during this period. CT scan, performed in all cases, distinguished several different types of hernia: foramen hernias (26), extraforamen hernias (12), mixed forms (5) associated with canal component (11). Thirteen disco scans were required. Nucleolysis was performed in 24 patients (58%) and surgical treatment was the first intention choice in 17 (41%). Outcome, evaluated with a function score developed in the unit were good in the 17 surgery cases (100%). In the nucleolysis patients results were good or excellent in 13, average in 4, and poor in 7. Five of the nucleolysis failures were later operated leading to good results in 3, average in 1 and no change in 1. Indications for surgery are more frequent in this type of discal hernia and results in our surgical series were better than those for chemonucleolysis.

Adult↗
PubMedDate not supplied

[Arthrotic sciatica caused by radicular compression of osteophytic origin in the lateral recess. Apropos of 18 cases].

The authors report 18 cases of arthrosic sciatica due to toot compression in the lateral recess by posterior corporeal and/or posterior apophyseal osteophytosis. The authors study the clinical and radiological characteristics that may indicate the diagnosis and discuss the different mechanisms by which vertebral arthrosis can lead to radicular compression. When surgery is necessary because of the persistent nature of the sciatica, a broader approach should be undertaken than that required for excision of the disc, in order to explore fully the roots, the multiplicity of possible compression sites being one of the essential characteristics of these cases of arthrosic radiculopathy. Study of the literature and of the series of sciatica patients operated upon by the authors shows that although discal hernia is far from being the most frequent cause of common sciatica, arthrosic compression is a cause that cannot be ignored, especially in aged subjects.

Female↗