Search PubMed⌕ Search

Biomedical subjects

J Puget

Publications and source records attributed to J Puget.

32 records · Page 2Linked to original sources
PubMed1993

[Proximal fibulo-tibial dislocation and ischemia associated with a leg fracture. Apropos of 2 cases].

Proximal fibulotibial dislocation may remain escape detection in leg injuries. Posterior dislocations are unusual and are associated with shortening of the limb due to the tibial fracture. Two cases of such dislocation are reported, associated with lower limb ischemia due to an injury of the arterial popliteal trifurcation. An anatomical model indicates the mechanism of this lesion. Such an unusual association has not be found elsewhere in literature.

Adolescent↗
PubMed1993

[Intraarticular fractures of the calcaneus: pathological description. Contribution of x-ray computed tomography].

Computed tomography (CT) is of cardinal importance in the study of displaced intra-articular fractures of the calcaneus, as with this imaging technique the primary fracture line of Palmer can be followed and its various locations visualised. If the three-stage classification system of these fractures as vertical, horizontal or mixed fractures, based on their radiological appearance, is adopted, a correlation can be established between the location of Palmer's line and these three anatomical types. The fundamental fracture line is medial in the vertical types, lateral in the horizontal types and is located in the centre of the posterior facet in the mixed types. It can be seen that the fundamental fracture line separates a laterally detached fragment which is always tilted, giving a vertical slope to the surface of the posterior facet which it supports and thus giving a vertical image. This fragment is itself separated from a medially detached fragment which is tilted horizontally and produces a horizontal image on the lateral view. The CT sections must be examined for the presence of a secondary sagittal line completely isolating the horizontally tilted fragment. The importance of the location of the fundamental fracture line, which is on the borderline between tilting and horizontalisation, suggests that pronation-supination of the foot is a factor in the causal mechanism of these fractures. A clear understanding of the three-dimensional position of the fragments and of their displacement, essentially defined by the location of the fracture line, is a prequisite before attempting surgical reduction of calcaneal fractures.

Calcaneus↗
PubMed1991

[Osteoid osteoma of the trapezoid bone].

The present report describes a case of osteoid osteoma of the trapezoid. It'is an unusual localisation. Synovitis was the first clinical symptom. Tomograms allowed diagnosis and guided the treatment. Radical excision prevented recurrence.

Adult↗
PubMed1990

[A large vascularized allograft of the femoral diaphysis in man].

A fresh vascularised femoral allograft was used to replace a 27 centimetre section of the diaphysis of the femur following a crush injury in a 35 year old man. The technique of operation and details of management are described. After nine months the graft junctions were incorporated, and vascular perfusion was satisfactory.

Adult↗
PubMed1990

[Posterior sternoclavicular luxation. Apropos of 6 cases].

The authors have reviewed six retro-sternal dislocations of the clavicle. The indirect mechanism of this dislocation was in 3 cases, due to sport accidents (rugby). The radiological incidence of Heining allowed the diagnosis and the CT examination carried out the checkup of the associated lesions. The surgical reduction revealed lesions of the meniscus which were found in 3 cases out of 6 and allowed one to realize a plastic operation using the tendon of the subclavian muscle (4 times out of 6) in order to stabilize by sternoclavicular joint, as well in recent injuries as in old ones. The results were satisfactory.

Adolescent↗
PubMed1986

[Reconstruction of the iliac bone using the homolateral femur after resection for pelvic tumor].

The authors have treated three patients with extensive involvement of the acetabular and periacetabular bone by a malignant tumour. One had a metastasis from a carcinoma of the thyroid, one from a carcinoma of the breast and one a plasmocytoma. In all three cases, the upper part of the femur was unaffected. It was used to replace the resected innominate bone and fixed to the remaining bone by screws and plates. An acetabular cup was cemented into the transplanted bone, which itself was replaced by a massive femoral prosthesis. This technique allowed the patients to resume weight bearing rapidly. Two patients were alive and walked satisfactorily after two and four years respectively. The third died five months after the surgical procedure.

Female↗
PubMed1983

[Deep lesion of the femoral artery and fracture of the femoral diaphysis. Value of selective embolization].

The authors report a case of an osteosynthesized fracture of the femoral shaft with a lesion of the deep femoral artery revealed at a late stage by sudden appearance of a hematoma. A diagnostic arteriogram was performed, followed by therapeutic embolization: temporary hemostasis was achieved by the hyper-selective injection of Gelfoam, thus allowing anti-coagulant therapy for associated venous thrombosis to be continued, without abnormal delay in bone consolidation.

Adult↗