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Biomedical subjects

G Fabry

Publications and source records attributed to G Fabry.

At least 127 records · Page 7Linked to original sources
PubMed1994

Arthroscopic ankle arthrodesis. Preliminary report.

A review of the first 10 arthroscopic ankle fusions at our institution was performed. Union was obtained in 7 of the 10 ankles with an average time to fusion of 4 months. There were 3 nonunions. Arthroscopic ankle fusion is less invasive than open techniques and less painful for the patient. However, there is a learning curve, and the arthroscopic technique is time-consuming. Arthroscopic ankle fusion has restricted indications, as patients with significant angulation, rotatory malalignment and extensive avascular necrosis of the talus can only be treated with open techniques.

Adult↗
PubMed1994

[Correction of severe deformities of the foot, using Ilizarov's equipment].

MATERIAL AND METHODS: 38 feet in 36 patients who underwent a progressive foot correction without osteotomies, with an Ilizarov frame have been reviewed. There were 23 equinovarus, 2 equinovalgus, 13 equinus deformities. In 20 patients, the deformity had relapsed after one to four previous operations. The mean follow-up was 22 (12-35) months. The mean age was 17 years (6-68). There were 15 females and 21 males. RESULTS: All but 4 patients were satisfied with the result, although 15 still had pain during daily activities. The shape of the feet was distinctly improved in all patients, although residual equinus was found in 6 patients, residual varus in 2 and forefoot problems in 6. Pintract infections were encountered in half of the patients, all settled with local treatment, adjustement of the tension of the wires and antibiotics. Three specific complications were encountered: talus subluxations (7), toe contractures (6), relapse of equinus (4). DISCUSSION: Few alternatives are available to correct severe foot deformities. Soft tissue releases and/or wedge osteotomies are technically demanding, cause shortening of the foot, correct only one predominant component, are contraindicated in patients with infections or a poor vascular or skin condition. Progressive correction by the Ilizarov method is a valuable alternative, although we would like to stress the importance of some details in order to avoid the specific complications. Progressive correction of foot deformities by the Ilizarov frame is demanding for patient and surgeon. It should be reserved for the indications mentioned earlier and also for foot deformities combined with shortening or axial deviations.

Adolescent↗
PubMed1994

Unstable femoral neck fractures treated with a 130 degrees blade plate.

We reviewed 32 patients who sustained an unstable intracapsular hip fracture, treated with an AO 130 degrees blade plate. The low incidence in complications (avascular necrosis 7%, delayed union 3%, no nonunion or loss of fracture reduction) compares favorably with previous reports. Experience with this highly demanding surgical technique is however essential to obtain good results.

Adult↗
PubMed1994

Syndactyly of the ring and small finger.

Five new cases of isolated syndactyly of the small and ring finger are described. Autosomal dominant inheritance is obvious. Brachymesophalangia of the fifth finger is a frequent association. Surgery is required at a young age.

Child, Preschool↗
PubMed1994

Pin removal after in-situ pinning for slipped capital femoral epiphysis.

We retrospectively reviewed 28 pin-removal procedures in 20 patients with slipped capital femoral epiphysis, who were all treated by in-situ pinning with Kowles pins. Failure to extract the pins occurred in 8 cases (28.6%), and in another 8 cases (28.68%), pin retrieval was only possible after major excavation of the lateral femoral cortex. In view of these data we do not recommend routine removal of Knowles pins used for in-situ pinning of slipped capital femoral epiphysis.

Adolescent↗
PubMed1994

Monostotic localization of Paget disease in the hand.

Paget disease rarely affects the hand and when it does, there is usually a polyosteotic involvement. Only a few cases have been described in the literature on monostotic localization in the hand. This paper adds two cases with solitary involvement of a metacarpal.

Aged↗
PubMed1994

The Sauvé-Kapandji procedure for nonrheumatic disorders of the distal radioulnar joint.

The Sauvé-Kapandji procedure has received little attention until recently. Follow-up survey was performed of 31 wrists with nonrheumatic disorders. The wrists were evaluated with the Cooney score. A satisfactory result with good pain relief was obtained in 87% of the patients. The most frequent complication, reossification of the gap that is created, can be avoided with correct operative technique.

Activities of Daily Living↗
PubMed1994

Normal and abnormal torsional development in children.

This study presents findings in a series of 123 children with intoeing gait. The intoeing was caused by increased femoral anteversion (IFA) in 70% of the cases, and internal tibial torsion (ITT) in 30%. Rotation of the hips, thigh-foot angle, Q-angle, and computed tomography measured anteversion and tibial torsion divided the two groups very clearly. In the IFA group, 40.3% of the patients presented with an externally rotated tibia and 59.7% had an internally rotated tibia. In the ITT group, the anteversion was normal for age and the tibial torsion was significantly decreased. Eighty children who corrected their intoeing gait, and of whom 83.4% had IFA, were also reviewed: a decrease in anteversion was observed in 20.5% of the patients; 62.9% showed no decrease in anteversion.

Adolescent↗
PubMed1994

An arthroplastic salvage procedure for combined radiocarpal and distal radioulnar pathology.

In a patient with silicone synovitis and degeneration of the distal radioulnar joint after 2 operative procedures for Kienböck's disease, and in a patient with long-standing scapholunate dissociation and distal radioulnar degenerative arthritis, a combined salvage arthroplasty was performed. A proximal row carpectomy with a Sauvé Kapandji procedure maintained reasonable function.

Adult↗
PubMed1993

Resection of a periosteal osteosarcoma and reconstruction using the Ilizarov technique of segmental transport.

The reconstruction of a large diaphyseal bone defect is a surgical challenge. Autologous bone grafts are usually insufficient to bridge the gap and allografts are prone to infection and may pose problems with internal fixation. Another solution is presented for the reconstruction of a large ulnar defect due to tumour resection, using the Ilizarov technique of segmental transport.

Adolescent↗
PubMed1993

Arthroscopic suturing of TFCC lesions.

Different types of triangular fibrocartilage complex (TFCC) lesions have been described. We propose an arthroscopic repair of the peripheral tear, as it is a tear in the vascular portion of the TFCC. The technique is based on one used for meniscal repairs of the knee, and it is quite easy to perform.

Arthroscopy↗