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Biomedical subjects

A Gilbert

Publications and source records attributed to A Gilbert.

At least 91 records · Page 5Linked to original sources
PubMed1989

[Repair of cutaneous tissue loss of the arm. Development of the principles and technics].

Few sectors of reconstructive surgery have evolved as quickly over the past few years as the use of skin flaps, especially those used to cover losses of substance in the upper limb. This development is due to the increasing concern of surgeons about: 1) ensuring selective coverage of higher quality (the teguments used for the hand must be supple, thin and sensitive); 2) having reliable techniques; 3) reducing operating times and the duration of treatment.

Arm↗
PubMed1988

[The cubital flap].

The authors describe a flap with a pedicle derived from the dorsal branch of the ulnar artery. The ulnar artery gives rise to the dorsal ulnar artery 2 to 5 cm before the pisiform. This artery passes under the flexor carpi ulnaris muscle, accompanied by the dorsal branch of the ulnar nerve. It supplies an area 10 to 20 cm long by 5 to 9 cm wide on the ulnar side of the forearm and it also supplies the skin lying over the last three metacarpals on the dorsum of the hand and the Vth abductor. This artery also sends a branch to flexor carpi ulnaris and to the pisiform. It is now possible to trace a large flap in the forearm without interrupting the arterial axis. Large defects of the dorsum of the hand, wrist, thenar and hypothenar eminences can be covered by this pedicle or island flap. This artery is remarkably constant. Five clinical cases are presented.

Adult↗
PubMed1988

[The ulnar flap].

A new skin or fascial flap is described, based on the dorsal ulnar artery. In hundred fresh cadaveric forearms this vessel was constant with a diameter of 1 to 1.3 mm, passing dorsally from the ulnar artery deep to the flexor carpi ulnaris muscle. It supplies the skin and the fascia in the distal two thirds of the ulnar side of the forearm (length from 9 to 20 cm; width 1.5 to 10 cm). A flap based on this vessel can cover defects of the dorsal and palmar aspects of the hand and wrist, the thenar and the hypothenar eminence. It can be used as a fascial flap to avoid fibrosis around the median nerve and the tendons. The authors show the anatomy and some clinical cases.

Adult↗
PubMed1988

Tendon transfers for shoulder paralysis in children.

The treatment of shoulder paralysis in children is discussed and a new classification system is presented. The importance of treating contracture before considering tendon transfers is emphasized, especially for internal rotation contracture where subscapularis release alone results in the return of active external rotation is 47 per cent of patients. Specific transfers for external rotation, internal rotation and abduction are discussed.

Child, Preschool↗
PubMed1988

Indications and results of brachial plexus surgery in obstetrical palsy.

This article presents the first series with long-term results of a large number of patients. As a result, it is difficult to compare these results with anything but spontaneous recovery. In most cases, the end result after surgical treatment will be better than spontaneous recovery.

Brachial Plexus↗
PubMed1987

The anterior tibial artery flap: anatomic study and clinical application.

Satisfactory replacement of skin defects over the lower leg remains a difficult problem. Various forms of coverage, including, local rotation flaps, muscle flaps, and fascial and free flaps, have their specific indications and inherent disadvantages. In this work, a new axial skin flap based on perforating vessels in the territory of the anterior tibial artery is described. A series of 50 lower leg dissections was carried out in 25 fresh cadavers after latex injection into the femoral artery. Detailed studies of the cutaneous distribution of the anterior tibial artery showed that three main arteries perfuse the anterior lateral portion of the lower leg. The superior lateral peroneal artery and the inferior lateral peroneal artery interseptal cutaneous perforators arise at an average of 25.6 and 17.2 cm from the lateral malleolus, respectively. The superior lateral peroneal artery was present in 100 percent of the specimens, whereas the inferior lateral peroneal artery was present in 70 percent of the specimens. In their course, they give several muscular branches to the peroneus longus and brevis prior to perforating the fascia and arborizing in the subcutaneous tissues of the anterolateral portion of the leg. The average external diameter was 1.6 cm for the superior and 1.4 cm for the inferior lateral peroneal artery. The superficial peroneal nerve accessory artery is the third artery which contributes to the skin of the lower leg. It arises from the superior lateral peroneal artery in 30 percent of cases, from the inferior lateral peroneal artery in 40 percent, and from both in 30 percent. The artery runs along with the superficial peroneal nerve and gives several cutaneous perforators along its descending course. Several cutaneous axial flaps can be fashioned around this anatomy. The operative technique along with demonstrative clinical cases is presented followed by pertinent discussion.

Arteries↗
PubMed1987

[Coverage of cutaneous loss of substance in the lower limb].

In the light of 10 years experience with more than 200 operative cases, the author presents the various operative techniques for the cover of skin loss in the lower limb. The different techniques are reviewed: muscle rotation flaps, myocutaneous flaps, pure cutaneous flaps, neurovascular island flaps and free vascular flaps. These procedures are described in detail, particularly those most often used. Indications are considered in terms of levels. At the present time, the author's preference is for muscle rotation or cutaneous flaps; his use of free vascular flaps has much diminished in recent years. The indications also depend on the patient's age, the condition of his joints and the state of his vessels.

Achilles Tendon↗
PubMed1986

[Macrolipodystrophy. The value of soft-tissue radiography].

Macrodystrophia lipomatosa is the hypertrophy of a limb or of a limb-segment due to fatty infiltration. X-ray examination of the soft tissues which reveals the presence of fat, most often allows the easy distinction of this disorder from other causes of localized hypertrophy.

Female↗