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Biomedical subjects

G Saillant

Publications and source records attributed to G Saillant.

At least 91 records · Page 5Linked to original sources
PubMed1987

[Surgical treatment of Achilles tendinitis in athletes].

A study of 65 cases of Achilles tendinitis treated surgically has allowed us to define the specific symptomatology of the lesion which particularly affects young athletes. Surgical treatment should only be given for high-level athletes who are well-motivated and in whom tendinitis prevents their sporting activity and has proved resistant to prolonged and adequate medical treatment. The details of the suggested operative technique are described. A review of the results shows that, after unsuccessful medical treatment, surgical treatment allowed the athlete to return to his sporting activity in 86 per cent of cases. Post-operative cutaneous or tendinous complications were rare and were directly linked to intra-tendinous injections with steroids.

Achilles Tendon↗
PubMed1987

[Magnetic resonance imaging in lesions of the plantar aponeurosis].

Exploration of sporting injures to plantar aponeurosis (PA) has up to now been based mainly on clinical examination, from which the diagnosis was established. Imaging technics such as standard radiography and ultrasound scanning have limitations allowing diagnosis to be made usually only by elimination, the lesion being very rarely visualized directly. Ten patients with hyperalgic lesion of plantar arch and functional impotence were explored by MR imaging, and in all cases this examination provided superior data confirmed at operation. The examination is painless and little invasive and can be carried out during the acute phase. The plantar aponeurosis is visualized directly between the muscle mass of the plantar arch and the fatty cushion. All three spatial planes can be investigated, most interesting data being obtained from the sagittal (in the PA axis) and frontal (comparative) planes.

Adult↗
PubMed1987

[Surgery of severe vertebral kyphosis in ankylosing spondylitis].

12 cases of spinal osteotomy in patients with ankylosing spondylarthritis are reported. It concerns 3 cases of cervical osteotomy and 9 cases of lumbar osteotomy with severe kyphotic deformity. The techniques and the operated cases are analyzed. The indications of this surgery, which is not devoid of neurological risks, are rare. It is only justified in severe deformities in order to restore a normal visual field for the patient.

Adult↗
PubMed1986

The surgical treatment of post-traumatic vertebral deformities.

The authors report their experience in the treatment of malunited fractures of the spine. After eliminating reducible lesions, the methods of treatment used for fixed irreducible lesions are described. In the cervical spine, the approach is anterior, and includes corporectomy to decompress the medullary canal. It is often impossible to restore cervical lordosis but this is not essential. In the dorsal, dorsolumbar and lumbar spines, experience has demonstrated the inadequacy of isolated anterior and posterior surgical approaches, so a combined approach is proposed aimed at achieving good results, both neurological and mechanical. Reconstruction of the vertebral body is carried out by anterior grafting using bank bone from femoral heads, while fixation is achieved posteriorly by the use of Roy-Camille plates. Indications are carefully considered, taking into account that progression is always a possibility in patients with no neurological deficit. The results are analysed in 14 cervical lesions and 10 dorsolumbar lesions. This operative treatment frequently produced stabilisation as well as the regression of pyramidal signs, but recovery of medullary lesions was never observed. The relief of pain, however, was a constant finding.

Fractures, Bone↗
PubMed1986

[Chronic external instability of the ankle. Surgical treatment by a periosteum ligamentoplasty].

The authors have used an original technique of repair for lateral instability of the ankle. The method utilises the fibro-periosteal covering of the lateral malleolus as a strip which is inserted either into the talus only, or into the talus and the calcaneum in cases with severe talar tilt. The advantages of this technique are to preserve the peroneus brevis tendon and to leave sub-talar joint mobility unimpaired. Twenty-three patients have been operated on and reviewed with an average follow-up of 27 months. The results were encouraging.

Ankle Joint↗
PubMed1986

[Traumatic atlanto-occipital luxation. Value of new radiologic signs (apropos of 2 cases)].

Two cases atlanto-occipital dislocation with survival are reported. The displacement was anterior. One case was associated only with some pyramidal signs and was diagnosed fourteen months after the injury. The other was associated with immediate tetraplegia. Both cases were treated by occipitocervical fusion with plate fixation. The second case was reduced during operation. A review of the literature has shown that dislocation with anterior displacement is more severe than with posterior displacement. The diagnosis is always difficult. The authors show the importance of certain radiological signs such as the curved anterior line joining the odontoid process to the occiput. The need to reduce the displacement in old lesions is discussed.

Adolescent↗
PubMed1986

Plating of thoracic, thoracolumbar, and lumbar injuries with pedicle screw plates.

This article describes a technique of plating thoracic, thoracolumbar, and lumbar injuries with pedicle screw plates. The shape of the plates is premolded to the spine curvature. The strength of the pedicles where the screws are implanted explains the good results of reduction and stabilization. This technique allows the surgeon either to reduce and fix a spinal fracture or to perform large approaches and extensive procedures when necessary.

Adolescent↗
PubMed1986

Internal fixation of the lumbar spine with pedicle screw plating.

The results and complications of pedicle screw plate (PSP) stabilizations were investigated in lumbar fresh fractures, malunions, lumbar metastases, primary tumors, lumbosacral fusions, and highgrade spondylolisthesis. The low incidence of neurologic complications of PSP is noteworthy, and a reason for recommending the method.

Bone Plates↗
PubMed1985

[The anterior interosseous nerve syndrome. A rare lesion of a median nerve branch in the forearm. A case].

Apparently spontaneous and isolated lesions of the anterior interosseous nerve--a purely motor branch of the median nerve in the forearm--are extremely rare. Their clinical manifestations are fairly stereotyped, consisting of paralysis restricted to the long flexor muscle of the thumb, the deep flexor muscle of the index finger and the quadrate pronator muscle, without sensory disorders. The diagnosis is confirmed by electromyography. The syndrome may caused by traumas of the forearm or may develop spontaneously, although underlying anatomical abnormalities which may act as predisposing factors are not infrequently found in this case. The natural outcome may be favourable, but surgery may be required to release the nerve.

Adult↗
PubMed1985

Transverse fracture of the upper sacrum. Suicidal jumper's fracture.

Thirteen patients with transverse fractures of the upper sacrum were studied to determine fracture anatomy, clinical presentation, and therapeutic approaches. The injury results from falls from a height and is usually associated with suicidal attempts by jumping. The position of the lumbar spine in lordosis or kyphosis at the time of impact determines which of three types of morbid anatomy will result. Because of associated polytrauma, fracture of the upper sacrum is often not recognized in the acute stage, and awareness of the possibility of such injury, especially in the presence of perineal neurologic deficit should result in securing good quality radiographic study, including tomograms. Surgical treatment is often required.

Adult↗