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Biomedical subjects

B Brahin

Publications and source records attributed to B Brahin.

7 recordsLinked to original sources

[Compensatory carpal malalignments].

This new nosological chapter deals with carpal malalignments due to osseous disorders which are secondary to alterations of the spatial coherence of the carpus with respect to variations in the form or in the volume of the carpal complex. The authors have included as well, the compensatory realignments which are secondary to modifications of the radial buttress. The malalignments secondary to disorders of the lunate (excision of the lunate, Kienböck's disease, lunar implants), scaphoid (excision of the scaphoid, nonunion, implants) as well as those due to proximally located malunions of the lower extremity of the radius, are studied. The therapeutic rationale which may be concluded from this study is exposed.

Bone Transplantation

The surgical treatment of the rheumatoid wrist. Current perspectives.

The authors stress the prevalence and severity of wrist involvement in rheumatoid disease. Improved knowledge of aetiopathogenesis and deformities had led to identification of the importance of the distal consequences on the digital joints of decentralization of the wrist. Synovectomy retains an important place at the onset of the disease. This may be completed by stabilization procedures (tendon transfer and partial arthrodesis). At the advanced stage of the disease, arthroplasty is currently overtaking arthrodesis. Interposition arthroplasty, with its rare indications, is now well developed. Although the solution of the future, arthroplasties lack sufficient follow up in terms of their results. The Swanson implant offers limited mobility but ensures freedom from pain and a good wrist axis. The ideal treatment of the rheumatoid wrist is oriented towards early conservative surgery and later, at an advanced stage, towards arthroplasty, the ideal technique of which remains to be discovered.

Arthritis, Rheumatoid

[Conservative treatment of deformities of the anterior chest wall].

The authors have treated 55 deformities of the anterior chest wall in children. There were 37 cases of symmetrical pectus carinatum, 15 cases of asymmetrical pectus carinatum and 3 cases of pectus arcuatum. Associated lesions of the ribs, scapulae and spine are described. Treatment in every case was by plaster casts followed by a plaster jacket and exercises. The results were much more satisfactory in deformities associated with prominence than with depression of the sternum. In pectus carinatum, the results were better when the apex of the deformity was more distal. The best age for treatment was between 12 and 13 years. No patient was treated by operation.

Adolescent