Search PubMed⌕ Search

Biomedical subjects

H Carlioz

Publications and source records attributed to H Carlioz.

At least 55 records · Page 3Linked to original sources
PubMed1986

[Congenital posterior bowing of the leg. 18 cases in children].

The authors have seen 18 cases of congenital posterior bowing of the tibia and fibula associated with valgus deformity and shortening. They have noted that the valgus deformity had a tendency to improve during the first four to five years of life. The recurvatum may also improve, but less so than the valgus. Walking is not frequently impaired significantly by the deformity. When it is, an early osteotomy should be done, associated with lengthening using a Wagner distractor. In most of the cases, the progress of the case cannot be predicted accurately. It is therefore concluded that surgical correction-epiphysiodesis in three cases or progressive lengthening in five cases should be performed as late as possible.

Adolescent↗
PubMed1986

[Progressive lengthening of the femur using Wagner's technic. Apropos of 48 cases].

Forty eight progressive femoral lengthenings using the Wagner technique have been performed on patients aged between 6 and 18 years (average 12 years). The main aetiology of the shortening was congenital deformity (25 cases). The mean lengthening obtained was 5.2 cm and the greatest was 11.2 cm. Lengthening obtained was more than 20 p. 100 in six cases with an extreme of 24 p. 100. The final discrepancy was always less than 25 mm. In 6 cases this was corrected by the addition of a contralateral epiphysiodesis or tibial lengthening. Weight bearing was resumed after an average of 5-6 months. Many complications occurred. Some were minor: sepsis in the pin tracks (14 cases) or varus derotation corrected at the end of lengthening (22 cases). Some were more severe: varus deformities of more than 5 degrees (8 cases), contractures at the knee or the hip corrected by tenotomies in the course of lengthening (2 cases), subluxation of the hip or knee (5 cases), fractures, delayed unions, non-unions without infection (7 cases). The major complications were 15 severe infections, 6 of them with fractures or non-unions and 5 neurological lesions.

Adolescent↗
PubMed1986

[Osteoid osteoma of the floor of the acetabulum in children. Apropos of a case].

The authors report a case of osteoid osteoma of the acetabulum in a 5 year old child. It was resected after arthrotomy by an anterior approach. The upper end of the femur was deformed and this was related to impaired growth. After the operation, the pain subsided but the deformity was still noticeable two years later.

Acetabulum↗
PubMed1985

[Osteochondritis dissecans of the hip in Legg-Perthes-Calve disease].

Osteochondritis dissecans in a few cases may complicate Perthes' disease. A review of the literature shows 27 published cases. The authors have personally observed 6 cases. The age of the patient was older than in most Perthes' disease. All were male. This condition is diagnosed by the presence of a persisting irregularity of the femoral head with abnormal texture. The clinical signs are not obvious except in cases of recurrent locking where there is a loose body. The avascular fragment is visible on standard radiographs and is best recognised by arthrography. Conservative treatment should be given when the disability is moderate. The loose body should be removed surgically when it is mobile, when it bulges into the joint space or when there are signs of early arthrosis.

Child↗
PubMed1984

Epiphyseal vascularization during growth: the upper limb.

Sixty fetal, newborn and child cadavers were injected with India ink and plastic material (Batson's technique) via the subclavian artery. The arterial and capillary intracartilaginous and intraosseous networks of the physes of the long bones of the upper limb were then studied by microdissection of the vascular sources and serial epiphyseal sections in different planes. Already present in the third week of fetal life and present all during the rest of life, this circulation plays a fundamental role not only in the ossification of the epiphyseal cartilage but also in the trophicity of the bone that supports the cartilaginous articular surfaces. Like those of the lower limb, the epiphyses of the upper limb present a typical vascular pattern consisting of three entries, with the exception however of the inferior extremity of the ulna.

Arm↗
PubMed1984

Posterior dislocation of the elbow in children.

A series of 58 traumatic dislocations of the elbow observed over a 5-year period is reported. Average age of the children was 12 years old (range, 6 to 15 years). All dislocations were posterior. Neurovascular complications were few and transient in all cases. Associated fractures were present in 64% of the cases. In six cases (10%) closed reduction of the dislocation failed. Nineteen children (33%) were operated on, in most cases because of an associated fracture of the medial epicondyle. Results were the following: 21 excellent, 12 good, four fair, and two poor. Functional impairment was present only in the two cases with poor results. These occurred in patients in whom an associated fracture of the neck of the radius was present and were due to radioulnar synostosis.

Adolescent↗
PubMed1984

Treatment of slipped upper femoral epiphysis: 80 cases operated on over 10 years (1968-1978).

Guidelines are proposed for the treatment of slipped upper femoral epiphysis based on the analysis of 80 cases. Treatment is strictly surgical, but the procedure to be employed depends on the degree of displacement. Major operations are reserved for maximum tilting of the epiphysis: Dunn's operation when the growth plate is still open, trochanteric osteotomy once it has closed. Complications of treatment are epiphyseal necrosis and stiffness.

Adolescent↗
PubMed1984

[Disseminated bone angiomatosis and focal epilepsy].

The authors report a case of diffuse angiomatosis of bone associated with focal epilepsy. This case confirms the usual absence of cerebromeningeal angiomatosis in cases with diffuse angiomatosis of bone and establishes a relationship between angioma of the dome of the skull and focal epilepsy.

Angiomatosis↗
PubMed1982

Use of the Pavlik harness in treating congenital dislocation of the hip.

The Pavlik harness has made an important contribution to the treatment of congenital dislocation of the hip before walking age. Our experience of 74 cases confirms the good results already reported by several authors; however, four instances of moderate avascular necrosis of the femoral head occurred. The precise indications for the harness and the rules governing its use must be clearly understood. It may be used from the neonatal period up to 6 to 8 months of age for dislocation or subluxation with limitation of hip abduction. Selection of suitable candidates is made more accurate by taking into account the child's general tone and that of the adductor muscles, as well as the data from X-ray films taken in the harness position.

Female↗
PubMed1982

[Epiphyseal vascularization during growth. Study preliminary to transplantation].

A study was conducted of 50 cadavers in children and 25 immature dogs to discover more precisely the vascularization of the lower end of the femur and the iliac crest. It was concluded that it is possible to transplant these epiphyses with anastomosis of three pedicles in the same line. It was also concluded that the vascularisation differs before and after the formation of the bony epiphyseal nucleus. The cartilaginous canals which preclude the vascularisation of hyaline cartilage, the formation of the bony nucleus and the nutrition of the germinal layers of the growth plate are described.

Animals↗
PubMed1982

[Post-traumatic instability between the atlas and the axis in children. Apropos of 5 cases].

The authors have observed 5 cases of atlanto-axial instability in children aged from 18 months to 8 years. All the cases were seen after severe trauma and presented with abnormal neurological signs. All patients were first treated conservatively and were operated on secondarily by atlanto-axial fusion using graft and wiring for persistent radiological instability between the atlas and axis. In two cases instability was due to an atlanto-axial subluxation with rupture of the transverse ligament; one of these was reduced by traction. In one case there was an anterior subluxation without fracture. In one case there was a fracture of the odontoid process in which instability persisted in spite of bony union of the fracture. In the last case, the odontoid process was intact shortly after the trauma but its central portion disappeared secondarily. The cause of this disappearance is discussed.

Atlanto-Axial Joint↗
PubMed1982

[Triple juxtacotyloid osteotomy].

The authors have developed a technique of triple innominate osteotomy derived from that describe by Steele. The three osteotomy divisions are made very close to the acetabulum. With this technique the acetabulum can more easily be re-orientated and the pubis and ischium are left intact with their muscle attachments.

Adolescent↗