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Biomedical subjects

H Carlioz

Publications and source records attributed to H Carlioz.

At least 37 records · Page 2Linked to original sources
PubMed1991

Surgical treatment of brachial plexus birth palsy.

Brachial plexus birth palsy remains a challenging condition. In the 1000 infants followed from 1977 to 1988, functional results were much improved over those obtained by observation only, if surgical exploration and repair were performed when no clinical recuperation of biceps function occurred by three months of age. Recovery is slow, and comprehensive follow-up study of reconstructed and conservatively managed children is required to prevent joint contractures. Children who will benefit from palliative procedures such as tendon transfers must also be identified.

Brachial Plexus↗
PubMed1990

[Thoracophrenotomy. An economical approach of the thoracolumbar spine].

Enlarging the thoracophrenic approach by a lumbotomy to reach the lower part of the dorsal spine and the upper part of the lumbar spine is not necessary every times. A thoracophrenotomy--if necessary extended in a classical TPL--allows the treatment of most of the kyphosis or thoracolumbar kyphoscoliosis from T9 to L3. This limited approach was used 13 times.

Diaphragm↗
PubMed1990

[Salter innominate osteotomy for the treatment of congenital dislocation of the hip].

Thirty-one children (43 hips) were reviewed after having sustained a Salter innominate osteotomy. The average follow up was 10 years. The indication for the osteotomy was a persisting dysplasia after conservative treatment of congenital dislocation of the hip. The X rays study allowed to describe the importance of the remodeling of the femoral head. The overall results were satisfactory in 60 per cent of the cases. The age of the patient at the time of surgery was important: the results being much better in children under 5 years of age. The failures were mostly related to technical faults. However some failures could not be predicted.

Child↗
PubMed1989

Lateral discoid menisci in children.

In children, the snapping-knee syndrome is strongly suggestive of a diagnosis of discoid menisci; alternatively, the loss of physiological hyperextension of the knee suggests a diagnosis of a torn lateral discoid meniscus. We used arthroscopic meniscectomy to treat 19 lateral discoid menisci in 16 children (average age, 10.5 years). Excellent results were achieved in 18 of 19 cases, with disappearance of the snapping with knee flexion (maximum follow-up, 3 years).

Arthroscopy↗
PubMed1989

[Triplane fractures of the tibia. Apropos of 25 cases and general review].

The authors report their experience with a series of 25 distal tibial triplane fractures: 13 two-fragment lateral triplane fractures, 10 three-fragment lateral triplane fractures and 2 medial triplane fractures. These cases were mostly adolescents near the end of the growth spurt period. Tomography or CT scanning allowed a better delineation of the anatomic type of the fracture and of the displacements. Treatment modalities, surgical versus conservative are presented. Therapeutic indications depended on the anatomic configuration of the fracture; closed methods were most often applied to the two-fragment lateral triplane fractures, surgical treatment for most of the three-fragment lateral triplane fractures and for the medial triplane fractures. Results were usually good after an intermediate term follow-up. Joint incongruity secondary to insufficient reduction was a more severe sequela than growth disturbances.

Adolescent↗
PubMed1988

[Varus and pseudoarthrosis of the upper end of the femur due to malformation].

Congenital coxa vara with severe angulation is a difficult lesion to treat and of uncertain outcome. Many valgus osteotomies have resulted in failure because of inadequate correction or recurrence of deformity. The 27 cases described confirm this view. Out of 18 cases whose results are known, only four were good, compared with six fair and eight bad results. The causes of these failures arise from technical difficulties in the operative procedures, their inadequacy, significant muscle tension and malformation of the growth plates. An effective and lasting valgus is only possible if the internal fixation is well applied in the femoral neck, with a pin inserted into its axis. A moderate shortening avoids excessive tension in the region of the joint.

Child↗
PubMed1987

[A case of epiphyseal osteoid osteoma].

The authors describe a case of osteoid osteoma developing in the lower femoral epiphysis of a 9-year-old child. It was close to the growth plate and was recognised with the aid of digital angiography and tomo-densitometry. It was removed by a surgical approach across the growth plate.

Angiography↗
PubMed1987

[Corrections of limb deformities in children with Wagner's external fixator].

The authors describe a method of correction of limb deformities whilst allowing the length of the limb segment to be maintained. The apparatus used was the Wagner external fixator which first allows distraction at the site of an osteotomy followed by correction of angulation with suppression of this temporary lengthening.

Bone and Bones↗
PubMed1986

Congenital aplasia of the cruciate ligaments. A report of six cases.

Instability of the knee is frequently found in association with congenital leg-length discrepancy. We have studied six such patients clinically, radiologically and arthroscopically. Clinical signs of knee instability and significant radiological changes were present in all, and at arthroscopy the anterior cruciate ligament was completely absent in four patients and functionless in the other two. This deficiency appears to be a congenital condition which may predispose to meniscus injury or retropatellar pain; it may also lead to subluxation or dislocation of the knee during leg-lengthening procedures.

Adolescent↗
PubMed1986

[Epiphyseal closure correction in children. Apropos of 18 cases].

The authors have performed 18 operative procedures to remove bony bridges across the growth plate in children. The causes of the formation of the bone bridge were many, including 10 after injury and 3 after infection. There were 9 good results and 9 failures. The causes of the failures were the extent of the bone bridge, sepsis as the causative lesion and technical errors during operation. The best results were obtained in cases where the bridge was peripheral, was easily approached and followed injury in young children. Extensive bridges located centrally had a poor prognosis. All the post-infective cases were failures.

Child↗