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Biomedical subjects

G Fabry

Publications and source records attributed to G Fabry.

At least 91 records · Page 5Linked to original sources
PubMed1996

Grip strength in patients with tennis elbow. Influence of elbow position.

We measured the grip force in 20 chronic tennis elbows: The grip strength, measured with the elbow in 90 degrees flexion as well as in full extension, was significantly less (p < 0.001) on the pathological side when compared to the other, uninvolved side. on the pathological side, the grip strength measured with the elbow in full extension, was significantly reduced when compared to the grip strength measured with the elbow at 90 degrees flexion (p < 0.0001). on the normal side, the grip strength measured with the elbow in extension was not significantly different when compared to the grip strength measured with the elbow in 90 degrees flexion.

Adult↗
PubMed1996

Is there a correlation between mobility of the thumb and mechanical hand function?

Is there a correlation between thumb mobility and mechanical hand function? The metacarpophalangeal mobility, the web, grip force and dexterity were measured on volunteers. Statistical analysis showed a good correlation between the dominant and nondominant hand. Thumb mobility shows no correlation with grip force and dexterity while the width of the webspace has a clear influence on them. We could not find a compensatory mechanism between thumb mobility and the first web.

Adolescent↗
PubMed1996

The value of wrist arthroscopy. An evaluation of 129 cases.

In order to evaluate diagnostic and therapeutic wrist arthroscopy we analyzed 129 arthroscopies with a follow-up of at least 6 months. Seventy-seven arthroscopies were performed for therapeutic purposes; 52 arthroscopies were diagnostic. There were diagnostic benefits in 55 arthroscopies (42.5%), therapeutic benefits in 29 arthroscopies (22.5%), combined diagnostic and therapeutic benefits in 39 (30%) and no benefits in six (5%). In 65 cases of the therapeutic group (with preoperative diagnosis) the authors found that the arthroscopy had been worthwhile. For the diagnostic group without a preoperative diagnosis, an arthroscopic diagnosis was made in 44 cases. Complications occurred in two patients: one tendon incision over a Kirschner wire in the therapeutic group and one superficial infection in the diagnostic group.

Adult↗
PubMed1996

The Judet quadricepsplasty: a retrospective analysis of 16 cases.

Sixteen quadricepsplasties performed for severe extension contractures of the knee were reviewed. Preoperatively all cases showed a severe extension contracture with an average of 23 degrees flexion. Only two patients had more than 30 degrees flexion preoperatively. The average improvement in knee flexion at follow-up was 69 degrees with 11 (68.7%) patients achieving a final flexion of 90 degrees or more. In four cases there was a 15 degrees loss of terminal active extension. In one case a rapid recurrence of the contracture was seen during the initial postoperative weeks. One patient developed a deep infection, and another an acute compartment syndrome.

Adolescent↗
PubMed1996

Slipped capital femoral epiphysis: a long-term follow-up, with special emphasis on the capacities for remodeling.

We reviewed 59 hips in 44 children with slipped capital femoral epiphysis (SCFE), all treated by in situ pinning. The average clinical and radiographic follow-up was 11.4 years. Fifty-three hips (90%) were rated as either excellent or good. Osteonecrosis or chondrolysis developed in five patients. Postoperative remodeling was noted, not only by a process of local resorption and apposition of bone, but also by correction of the disturbed anatomic axes, in proportion to the severity of the slip, together with global thickening of the femoral neck. We believe that the good long-term results after in situ pinning are the consequence of this important remodeling process.

Adolescent↗
PubMed1996

Internal fixation of the spine in traumatic and scoliotic cases. The potential of pedicle screws.

Internal fixation techniques are in common used to stabilize vertebral fractures and correct severe scoliosis. Consolidation of injured vertebrae with neighbouring intact vertebra is the goal in the former case whilst fusion of the vertebrae in a corrected position is aimed at in the latter case. Degenerative spine diseases are not considered in this paper. Classical instrumentation consists of rods (e.g., Cotrel-Dubousset, Harrington, Luque-Galveston) attached to the bone by means of hooks or wires. More recently, transpedicular screws are introduced as an alternative bone/implant interface. Comparing the results of several studies, the posterior pedicle screw based devices demonstrate the ability to produce the most rigid constructs. However, the insertion of pedicle screws implicates a relatively high complication risk and its success strongly depends on the experience of the surgeon. Incorrect drilled holes or malplacement of the screws can result in nerve root injuries and fracture of the pedicle. Studies reported complication ratios up to 30% with substantial neurological implications. A certain degree of automation of the critical actions may be necessary to enhance the safety of pedicle screw insertion. Two techniques of computer assisted spine surgery are compared. Both techniques permit a computer assisted surgical planning based on CT images. During operation the first system permanently observes the position of the drill relative to the spine and informs the surgeon on the deviation of the actual drill path to the planned drill path. The second system uses a pre-operative surgical planning to design and construct a mechanical drill guide, fitting perfectly on the patient's spine.

Bone Screws↗
PubMed1995

The ground reaction force in the gait of intoeing children.

One hundred twenty-four intoeing and 80 age-matched normal children were studied using the Kistler force plate. Intoeing gait was usually caused by increased femoral anteversion (IFA), internal tibial torsion (ITT), or metatarsus adductus (MAD). Thirty-five children showing spontaneous correction and a return to normal gait (COR) were singled out. Our results confirmed that there were variations of the ground reaction force (GRF) in three directions in the different groups, particularly in the vertical and medial-lateral components. Alterations of magnitude of GRF or duration of stance phase was found to be significant compared with normal subjects. On this basis, we suggest that dynamic forces are related to the remodeling of the epiphyseal plate or respond to actions of the plantar flexors, although we could not discern a specific correlation between them.

Biomechanical Phenomena↗
PubMed1995

A false aneurysm complicating a subcutaneous Achilles tendon lengthening.

Subcutaneous lengthening of the Achilles tendon is a routinely used technique in our department. We report a case with a severe complication after this minor procedure in a 13-year-old patient with cerebral palsy. Six weeks after the operation the patient had a false aneurysm caused by a lesion of the posterior tibial artery at the time of surgery. After ligating the artery and draining the false aneurysm, recovery was uneventful. Although subcutaneous lengthening is an easy and reliable operation, one has to keep in mind its possible complications.

Achilles Tendon↗
PubMed1995

Ultrasound, radiographs, and clinical symptoms in developmental dislocation of the hip: a study of 170 patients.

We evaluated ultrasound findings in developmental dislocation of the hip in relation to clinical signs, risk factors, and radiographic measurements. The ultrasound rating was determined according to the method of Graf. An ultrasound rating > IIa was considered abnormal. The risk factors corresponding best with an abnormal ultrasound were breech delivery (42.8%) and familial occurrence (21%). For the clinical findings, the risk factors corresponding best were abduction < 50 (42.5%) and asymmetric skinfolds in patients (26.4%). The radiographic evaluation showed more abnormal findings, but there was no statistical difference between the overall ultrasound and radiographic results.

Female↗
PubMed1995

Ground reaction torque and pathway of point of application of ground reaction force during gait of intoeing children.

One hundred twenty-four children with intoeing and 80 age-matched controls were investigated with the Kistler force plate. Tr2, reflecting the maximum external rotational ground reaction torque, is reduced by 30% to 40% in all intoeing children. There also is an appreciably shorter pathway of the point of application of the ground reaction force in the Y-direction (from 20% to 25%) and an obvious medial shift of the point of application of the ground reaction force in the X-direction (from 105% to 290%), from heel strike to toe-off as compared with controls. In spontaneous correction of intoeing, point of application of the ground reaction force in the X-direction becomes more close to normal. The "foot progression angle," which can easily be calculated from the force plate measurements to judge the degree of intoeing, is different from the values in the literature.

Biomechanical Phenomena↗
PubMed1995

Split posterior tibial tendon transfer through the interosseus membrane in spastic equinovarus deformity.

The split posterior tibial tendon transfer procedure was first reported by Green for correction of equinovarus hindfoot deformity in patients with cerebral palsy. A modification of the split posterior tibial tendon transfer combined with an Achilles tendon lengthening is described in 17 children (21 procedures) with a minimum follow-up of 3 years. This modified technique is indicated in young children with a continuously spastic posterior tibial tendon to correct a dynamic equinovarus. It restores active dorsiflexion when the anterior tibial and extensor muscles are weak. The anterior half of the split tibialis posterior is transferred through the interosseus membrane to the dorsum of the foot. Excellent or good results and two poor results were noted after a mean follow-up of 29 months. In the patients with an excellent or good result, marked improvement of their equinovarus foot deformity in stance and swing phase of gait was seen. In two patients, the procedure failed because of technical errors.

Achilles Tendon↗