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Biomedical subjects

G Foucher

Publications and source records attributed to G Foucher.

At least 163 records · Page 9Linked to original sources
PubMed1989

[Role of orthosis in the treatment of stiffness of the hand].

The statistical analysis of results obtained with splinting treatment of finger and hand stiffness, and derived from a series of 635 motion range measurements taken on 249 hand joints, provided us with sufficient data to identify the various factors likely to have an impact on the therapeutic outcome. A mean increase of 25.8% in the range of movements is enough to justify the use of orthosis, although this figure actually varies substantially with the patient's age, the duration of the stiffness, the latter's degree and origin, the joint involved, and the duration of the orthotic treatment. An analysis of the time factor enabled us to establish the date beyond which changes for recovery are quite limited, whereby allowing to schedule surgical mobilization.

Hand Deformities↗
PubMed1988

The venous dorsal digital island flap or the "neutral" flap.

Over a 4 1/2 year period, 23 patients with an age range of 13 months to 66 years have undergone reconstruction of palmar or dorsal digital and hand defects using a "venous" island flap. The reconstructive surgery was carried out in the S.O.S. Main, Strasbourg. The results of this form of reconstruction are presented. The indications and clinical applications of this controversial flap are discussed.

Adult↗
PubMed1988

[Matev's digit lengthening technic. Apropos of 20 cases].

The authors reviewed 20 lengthening procedures according to Matev performed between 1982 and 1985 at SOS Main Strasbourg. They developed a special device which has proved to be simple and easy to use. Indications are limited to a few congenital malformations and traumatic mutilations. In children a free vascularized epiphysis transfer has been used to allow normal growth. Results are analysed and short-comings are outlined: lengthening is limited (47.8%); frequency of complications mainly trivial account for 25%; treatment period is lengthy (2.8 m in children and 4.2 m in adults).

Adolescent↗
PubMed1988

[Miniaturized osteosynthesis of articular fractures of the fingers. Results of a series of 60 cases].

The importance of anatomical reduction of articular fractures and early mobilisation of these severe forms of trauma which frequently damage the extensor apparatus (58% of cases, led us to propose direct miniaturised osteosynthesis as described by the Nancy-Strasbourg team. Of the 1,000 cases of osteosynthesis performed between 1978 and 1985, we selected 12 fractures of the MP joint, 38 fractures of the PIP joint and 10 fractures of the DIP joint, differentiated into 4 stages according to the condition of the skin and tendons and into 9 categories according to the anatomical type and the site of the fracture. Direct osteosynthesis (screw, bolt, pin) was used in every case. The clinical results were evaluated in terms of the Total Active Range of Movements, the local trophic state, the amount of pain and return to work, for each joint. When well conducted and with effective skin cover, this technique allows almost normal reconstruction in simple fractures and is valuable in more complex fractures by preserving sliding of the tendinous apparatus due to early mobilisation.

Adolescent↗
PubMed1988

[The kite flap].

Explore the source record for details and available documents.

Adolescent↗
PubMed1988

[Dissection technic for the superficial flexor tendon of the ring finger].

Raising of the superficial flexor of the ring finger for tendon transfer may leave major sequelae, especially if the blood supply of the deep tendon is damaged. For this reason, the authors stress two important points: raising of the flap proximal to the chiasma to avoid damage to the blood supply of the deep tendon, stepped section for opening of the tendon sheath to prevent any mechanism of adherence. The intersection should be followed by gentle traction by means of a splint.

Dissection↗
PubMed1988

Use of glutaraldehyde stabilized mammalian pericardium in hand surgery.

Initial feasibility studies of glutaraldehyde-stabilized bovine pericardium show promise for use in hand surgery. The pericardium exhibits excellent handling characteristics with no obvious biologically adverse reactions. Testing in the experimental models show a decrease in adhesion formation and an increase in tendon gliding. Clinical use of the bovine pericardium in selected cases appears to be confirm the experimental results.

Animals↗
PubMed1988

[Littler's operation (SORL = spiral oblique retinacular ligament) in the treatment of "swan neck"].

The surgical treatment of "swan-neck" deformities secondary to mallet finger using Littler's technique (Spiral Oblique Retinacular Ligament) in a series of 35 cases, led to a complete correction of the PIP joint hyperextension in 95% of the cases and a correction of the DIP joint flexure in 70% of the cases. This active tenodesis restores the physiology of the extension of the PIP and DIP joints as far as the surgical technique has been strictly respected.

Adolescent↗
PubMed1988

Automated photography in microsurgery.

An automated method is proposed for photographing a microsurgical field that avoids missed photographs and time-consuming manipulations. The basic principles applied to microscopic photography are briefly reviewed and instructions are provided for standardized, reproducible, high quality photographs. A limitation at present is that auto-focusing cameras have not yet been adapted for use with surgical microscopes. One type of microscope is discussed and details about the only camera system currently suitable for such a microscope are described.

Humans↗
PubMed1988

The dorsal approach in harvesting the second toe.

The dorsal approach, with early section of the second metatarsal bone, allows direct access to the plantar structures of the second toe (arteries, nerves, and flexor tendons). A "multiple set arterial transfer" then becomes possible, improving the blood supply to the toe. Early walking is encouraged on the fifth postoperative day when the patient leaves the hospital. No vascular complications have occurred in any microvascular reconstruction after the fifth postoperative day. Close approximation of the first and third toe of the donor foot not only improves the overall appearance of the foot, but also avoids a possible hallux valgus deformity as a postoperative complication.

Anastomosis, Surgical↗