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Biomedical subjects

B Augereau

Publications and source records attributed to B Augereau.

85 records · Page 5Linked to original sources

[Eosinophil granuloma of bones. Report of 15 cases including 10 survivals with an average follow up of 4 years (author's transl)].

The bony form of eosinophil granuloma in histocytosis X, raises diagnostic and prognostic problems for the surgeon. 15 cases are reported here which permitted the authors to perform a rapid general review of this disease and judge its course as 10 patients were followed up with a minimum follow up period of 4 years. These observations confirm: --that the local course is always spontaneously favourable: --that the risk of a passage from an extra-bony form of histiocytosis X, should be considered all the more serious when the subject is younger, when there exist certain localisations, such as the mastoid, where there are certain general clinical signs or biological disturbances. Apart from exceptional symptomatic treatment, such as spinal decompression or treatment of a spontaneous fracture, the essential stage of clinical examination is biopsy. Medical treatments do not seem to have any influence on the bony lesion and are not without risk (radiotherapy). Although depending on various criteria, the prognosis should always be reserved and the patient should be followed up for a long period.

Bone Diseases↗

A 4-portal arthroscopic stabilization in posterior shoulder instability.

The purpose of this study was to present an arthroscopic stabilization technique with 4 portals for posterior instability used in 11 patients (13 shoulders). There were 7 male and 4 female patients. All patients had an arthroscopic labral suture with anchors and capsular plication with 4 portals. The follow-up period averaged 34 months. No complication or recurrence of instability was noted. A moderate loss of range of motion was noted in 4 shoulders and moderate pain in 2 shoulders. All patients were satisfied. According to the literature, the rate of recurrence of instability is currently lower than 12% when a labral suture and capsular plication are performed. Our results for pain and range of motion are similar to those described in recent publications. However, we think that the 4-portal technique allows a facilitated access to the posteroinferior part of the glenoid and reduces the rate of postoperative instability.

Adolescent↗

The posterolateral portal: A new approach for shoulder arthroscopy.

Since the beginning of shoulder arthroscopy, many different approaches were described for Bankart repair to allow visualization and treatment. The anterior portals do not allow access to the posterior and inferior part of the glenoid. We present a new instrumental portal for shoulder arthroscopy. This approach is perfectly safe, without any anatomic risk. It is particularly helpful in the correct treatment of an anterior Bankart lesion, in repairing posterior and inferior extensions of a Bankart lesion, and in performing a plication in multidirectional hyperlaxity.

Arthroscopy↗

[Technique of total hip replacement in acetabular protrusion (author's transl)].

The authors describe the technique used in total hip replacement associated with acetabular protrusion. Use is maded of the femoral head which is placed in the acetabulum after reaming of its cartilage as a free graft filling part of the cavity. The remainder of the surgical procedure is conducted in the usual way. 10 cases have been operated on. 2 had to be operated on a second time for loosening. In all cases, the grafted femoral head was well incorporated.

Acetabulum↗

[Clinical problems posed by the consumption of antithrombin III induced by heparin].

Two cases of resistance to the heparin treatment, induced by large consumption of antithrombin III, are reported. Normally small, this consumption does not automatically call for the systematic dosage of Antithrombin III for each treatment using heparin. On the other hand, any clinical or biological resistance to higher doses of heparin, any personal or family history of thrombosis necessitate the administration of Antithrombin III. Where there is an acquired or congenital deficit, an injection of Antithrombin III corrects the disorder and reduces the risk of thrombosis. In the case of a heparin-antivitamin K relay, it is essential to achieve complete biological effectiveness of the antivitamins K to interrupt the administration of the heparin.

Adult↗