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Biomedical subjects

B Augereau

Publications and source records attributed to B Augereau.

At least 73 records · Page 4Linked to original sources

[Engagement anomalies of the patella].

Among the patellar instabilities, the authors have singled out the anomaly of engagement. Occurring accidentally in the first 30 degrees of knee flexion, it causes a dynamic derangement. The sole logical treatment appears to be wide resection of the lateral retinaculum and a heightening and shortening suture of the medial retinaculum.

Adult↗

[Plate osteosynthesis of unstable fractures of the wrist with anterior displacement].

A shaped plate was used for internal fixation of 23 fractures of the anterior margin of the lower end of the radius and of 5 Smith's fractures. Exposure was improved by opening the carpal tunnel. The fractures were accurately reduced and temporarily maintained by K wires before application of the plate and screws. Satisfactory results were obtained.

Bone Plates↗

[Closed intramedullary nailing of fractures of the shaft of the humerus].

Fifty seven fractures of the shaft of the humerus were treated by closed intramedullary nailing without reaming of the proximal part of the bone. Fifty three of the fifty seven fractures healed promptly with an average time to union of 52 days. The technique of operation is described and the authors compare the results of their management with other methods of treatment. The indications for the use of closed nailing are discussed and its role in the treatment of pathological fractures and ununited fractures indicated.

Adolescent↗

[The first Zancolli procedure in the treatment of cubital and mediocubital claw hand. Apropos of 32 cases].

The authors have reviewed 32 cases of claw hand due to lesions of the ulnar nerve only in 25 cases or associated lesions of the ulnar and median nerve in 7 cases treated by the first Zancolli procedure. This procedure consists of advancement of the pulleys and anterior capsulorraphy of the metacarpo-phalangeal joints. One case had to be operated on twice. In 25 instances there was a complete division of the nerve. One 17 occasions the procedure was done on the ring and little fingers only and on 12 occasions on the other finger. The results were excellent or good in 23 cases. An associated tendon transfer in the thumb was done in all cases in which there was an associated median lesion.

Adolescent↗

Pathogenesis of Volkmann's ischemic contracture of the first web space and treatment.

Reporting three cases of sequelae of Volkmann's ischemia of the first web space of the hand, following barbiturate overdose, the authors suggest several pathogenic hypothesis. The major factor is obviously an elective compression of the top of the first commissure on its dorsal aspect but it due to a compartmental syndrome or to a stoppage in the blood flow? The second explanation seems the best; the radial artery compressed at the top of the first commissure over the first dorsal intermetacarpal ligament is not able to vascularize the dorsal digital artery of the thumb and the first dorsal interosseous artery. These arteries being terminal in type, an elective muscle necrosis is takes place in the adductor pollicis and the first dorsal interosseous. This phenomenon being increased in this last muscle by a simultaneous compartmental syndrome. A precocious diagnosis must be made during the acute stage and some logical surgical procedures performed in emergency: fasciectomy, muscle excision and fixation of the trapezometacarpal joint in opposition with a pin.

Acute Disease↗

[Post-traumatic discoligamentous lesions of the lower cervical spine : delayed diagnosis of a second lesion (author's transl)].

Unilateral luxation of the lower cervical spine was diagnosed following injury in a patient, an associated severe subjacent ligamentous sprain remaining undetected until a later date. The reasons for the delay in making the second diagnosis are exposed. The possibility of employing peridurography in order to treat these discoligamentous lesions simultaneously, is discussed.

Cervical Vertebrae↗