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Biomedical subjects

G Dautel

Publications and source records attributed to G Dautel.

57 records · Page 4Linked to original sources

Direct and reverse dorsal metacarpal flaps.

We reviewed the anatomy of vascular systems used for both direct and reverse dorsal metacarpal flaps. The three-dimensional arrangement of the dorsal arterial network of the hand was examined. The collateral and terminal branches of this dorsal arterial network are described as a potential source of blood supply for composite flaps. Three types of dorsal-palmar anastomotic network were identified at the first and second metacarpal spaces, in the web space area. They could provide blood supply to reverse metacarpal flaps. Results of a series of 12 cases of reverse metacarpal flaps are given.

Adolescent↗

Low-grade osteosarcoma of metacarpal bone.

A radiograph of the second left metacarpal bone in a 34-year-old man showed irregular lytic areas in the diaphysis that was expanded with perpendicular periosteal reactions. Examination of the first biopsy specimen indicated a fibrous dysplasia. Examination of the second biopsy specimen revealed an unequivocal grade I intramedullary osteosarcoma, desmoid to fibrous dysplasia-like in histological pattern. Three years after an adequate en bloc resection of the metacarpal bone, the man was healthy. The long-term course is usually favorable.

Adult↗

[Toe transfers in traumatic mutilations of the hand in children. Solutions, techniques and results].

Severe mutilating injuries of the hand are rarely encountered in children. Among the reconstruction techniques, partial and total toe transfers are to be considered because these techniques fulfill the growth requirements and because good sensory results can be expected in children. A clinical series of partial or total toe transfers, performed for correction of post traumatic mutilations is presented. Clinical results and technical refinements are discussed.

Adolescent↗