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H Judet

Publications and source records attributed to H Judet.

At least 19 recordsLinked to original sources
PubMed1992

[Patelloplasty for extensive lesions of the patellar cartilage].

We have been able to review 100 cases of patelloplasty for extensive lesion of the patellar cartilage with an average follow up of 5 years. The technic for the procedure is described. The study of the results (64% of good and very good results) allow us the emphasize the criteria for best indications and technic. We prefer this technic to patellectomy or femoro-patellar prothesis in the cases of symptomatic degenerative arthrites with patellar excentration with special mention on the fact that it does not cut bridge to further procedure on the knee.

Arthroscopy↗
PubMed1991

[Reconstruction of loss of bony substance in limbs by free vascularized fibula transplant].

The authors present their experience of bone-loss reconstruction by a free vasculized fibular transfer. 62 cases were operated, with an average follow-up of 6 years (between 24 to 13 years). Studied were 15 upper limbs (10 humerus, 3 ulna, 2 radius), 28 femurs and 19 tibias. We found a male predominance: 46 cases and the average age was 33 years old. The etiology was often due to trauma: serious road traffic accidents (37 cases). 44 cases were septic and the average bone-loss was of 10 cm (between 4 cm to 30). The most frequent complications were due to fractures of the graft (10 cases) and stiffness (15 cases). Consolidation rate was of 87%: 8 were failures (3 upper limbs: 20% at femur level, 10% at tibia level). The average consolidation rate of the septic cases was of 81%, and the non-septic cases over 97.5%. It seems to be a good technique and in particular for septic cases using a basic orthopedic technique and microsurgical suture.

Bone Transplantation↗
PubMed1990

[Hip prosthesis].

Explore the source record for details and available documents.

Hip Prosthesis↗
PubMed1989

[Stiffness of the knee of joint origin].

The knee usually loses its mobility following trauma, such as fracture of the femur, fracture of the upper extremity of the tibia, or fracture of the patella. We are concerned here only with joint stiffness, exclusive of any case presenting limited mobility of the knee articulation associated with retraction and/or adhesions of the entire quadriceps muscle of the femur. Forceful mobilization is strongly discouraged. The operation consists in removing all obstacles, one by one, the main ones being adhesion of the patella to the femur due to sclerosis of the cul-de-sac; adhesion of the lateral parts to the internal and external surfaces of the condyle, retraction of the patellar retinacula; finally, multiple intra-articular adhesions. This loosening procedure is studied here and its results are analyzed.

Humans↗
PubMed1989

[Late results of Mac Murray's osteotomy].

From a total of 817 cases, 133 cases were reviewed where a Mc Murray osteotomy had been carried out more than 10 years previously. Operative results were favourable, but the authors stress the very precise indications for this procedure. Deterioration occurred in one case where the indication appeared dubious. With the development of arthroplasty, this has replaced osteotomy in cases where a doubt exists. Mc Murray osteotomy remains indicated in conservative surgery and in particular the results of arthroplasty of the hip indicate that this very interesting alternative should not be forgotten.

Follow-Up Studies↗
PubMed1985

[Anterior approach in total hip arthroplasty].

The anterior approach to the hip is first between the tensor muscle of fascia lata and the sartorius muscle, then laterally to the vastus externus. Desinsertion of the fascia lata from the ilium is necessary in only slightly more than one half of the cases, and it is always limited. Access to the capsule is wide and, provided one works on an orthopaedic operating table, the manoeuvres required to dislocate the joint and expose the femoral head and neck, then the cotyloid cavity, are simple. Closure is easy, and because the trochanter has not been sectioned, early rehabilitation is possible.

Hip↗
PubMed1979

[Flat foot: treatment by sub-talar arthrodesis with reposition of the talus calcaneum (author's transl)].

Since 1962, the authors have used a technique of sub-talar arthrodesis combined with talar-calcaneal reposition ("horseman" operation) in cases of valgus flat foot, accompanied by symptoms, in moderate forms with exaggerated talar-calcaneal divergence and verticalisation of the talus. This operation involves only the sub-talar joint. The mid-tarsal joint is untouched. Technique must be precise in order to avoid hyper or hypo-correction. The results are constantly good. The mid-tarsal joint remains free, which offers a definite advantage in comparison with classical double tarsectomy.

Arthrodesis↗
PubMed1979

[First results of a surgical treatment of a persistant low-back pain of dorso-lumbar origin].

Low-back pain may originate in the thoraco-lumbar joints. Due to motion and stress, the latter constitute a high-risk transitional zone. Pain is transmitted by the posterior branches of the D11, D12 or L1 spinal nerves, which innervate the cutaneous and subcutaneous levels of the low-back and upper buttocks region. It is experienced as a deep-seated pain. Clinical examination makes it possible to determine the level responsible. The lumbar pain disappears with anesthesia of the interapophysary articulation. Appropriate medical treatment most often succeeds. If its fails, surgery can provide a solution. It consists of a capsulectomy on the level responsible, and on the upper and lower adjoining regions. This operation also destroys the posterior branch, which is closely joined to the capsule. Out of the 10 cases operated on, there was 1 failure, 6 very good results and 3 good results after follow-up periods of 20 months to 6 months. Without prejudging the future, it seems that there is hope for the treatment of unexplained back pains or those persisting after operations on lumbar disks that are not relieved by appropriate medical treatment of the thoraco-lumbar joints.

Adult↗
PubMed1978

[Low back pain of dorse-lumbar origin: surgical treatment of postérlor articular capsule excision (author's transl)].

Low back pain may be of dorso-lumbar spinal origin. Pain is transmitted via the posterior branches of the D11, D12, and L1 spinal nerves. The existence in the patient with lumbago of an area of localised pain along the iliac crest, of subcutaneous tenderness or pain in the buttock and of pain over the dorso-lumbar joints is indicative of the diagnosis. Local infiltration at the site of dorso-lumbar tenderness often causes the low back pain to disappear, often temporarily. Since the posterior branches of the spinal nerves are struck down to the capsules of the inter-apophyseal joints, it was felt that excision of these capsules would reproduce, in a permanent manner, the effects of these infiltrations. On the basis of initial results these are grounds for hope relief for certain cases of unexplained lumbar pain or of the sequellae of low lumbar surgery.

Back Pain↗