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Biomedical subjects

P Rigault

Publications and source records attributed to P Rigault.

184 records · Page 11Linked to original sources

[Compartment syndrome of the leg in children (author's transl)].

Seventeen children were seen either with acute compartment syndrome of the leg or leg sequelae. Most of the cases were non traumatic. The diagnosis was difficult to establish, especially in the post operative period. Only early fasciotomy (four patients) saved the limb from muscular contractures. These contractures, even with a long follow-up, did not affect the limb growth but induced severe foot deformities. Secondary surgical treatment was uneasy to perform and followed by fair results.

Adolescent↗

[Congenital radio-ulnar synostosis of children (author's transl)].

29 congenital radio-ulnar synostosis have been observed in 16 childrens. The authors review the clinical patterns of this affection: most often bilateral, it results in impossibility of pronosupination of the wrist which has but little functional consequence, if the hand is in an intermediary position. On the X-ray its almost always a superior radio-ulnar synostosis but the inferior radio-ulnar joint is abnormal and non functional. Only the children severely handicapped by a hand fixed in pronation should be operated upon. No good result can be hoped from a surgery that tries to restore pro-supination. The best surgical technique seems to be a simple horizontal osteotomy through the synostosis itself which allows a derotation of the forearm into the functional intermediary position. Severe complications can occur. Indications and technique must be very careful since this congenital abnormality is very well tolerated.

Child↗