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Biomedical subjects

C Baki

Publications and source records attributed to C Baki.

6 recordsLinked to original sources

Single-stage open reduction through a medial approach and innominate osteotomy in developmental dysplasia of the hip.

We treated 15 hips (15 patients) with developmental dysplasia by a single-stage combination of open reduction through a medial approach and innominate osteotomy. The mean age of the patients at the time of operation was 20 months (13 to 30). The mean follow-up period was 9.6 years (4 to 14). At the final follow-up, 14 hips were assessed clinically as excellent and one hip as good. Radiologically, ten hips were rated as class I, four as class II and one as class III according to the criteria of Severin. No avascular necrosis was seen. No patient required subsequent surgery. Our results indicate that satisfactory results can be obtained with the single-stage combination of open reduction by the medial approach and innominate osteotomy for developmental dysplasia of the hip in a selected group of children older than 12 months. To our knowledge, no similar combined technique has been previously reported.

Child, Preschool↗

Replantation in children.

The rates of survival of the amputated part and the functional outcomes were studied retrospectively after 13 replantations and 12 revascularizations in 25 children. The ages of the patients ranged from 2 to 15 years (mean, 6.4 years). The average duration of follow-up was 4.2 years (range, 2 to 7 years). The survival rate was higher after revascularization (94.6%) than after replantation (84.6%). Sensory recovery of all digits was satisfactory. The mean growth rate of replanted digits relative to contralateral digits was 80%. Functional results were rated as excellent in 11 cases, good in 8 cases, moderate in 2 cases, and poor in 1 case. In order to prevent functional and growth disturbances and due to cosmetic reasons, replantation or revascularization should definitely be tried for children.

Adolescent↗

Isolated dislocation of all five carpometacarpal joints.

Fracture-dislocation of all five carpometacarpal joints is extremely rare, only ten cases having been reported since 1873. A case of isolated dislocation of all five carpometacarpal joints is presented. A good result was obtained 1 year after open reduction and internal fixation. This case is the only isolated dislocation of all five carpometacarpal joints in the English literature.

Adult↗

Aneurysmatic dilatation of popliteal and femoral artery due to long-standing traumatic arteriovenous fistula.

A 65-year-old woman presented with an extensive femoropopliteal aneurysm discovered after a long-standing (24 years) post-traumatic arteriovenous fistula (AVF). Her complaints began after trauma. All arterial dilatations discovered during the course of an AVF must be treated because of the risk of rupture. With the advent of arterial reconstructive procedures, the surgical approach to popliteal aneurysm became and remains excision and graft interposition or by-pass graft with concomitant aneurysm ligation. Of all available graft material the autogenous saphenous vein remains the best material for arterial reconstruction. The diagnostic technics, therapeutic procedures and possible complications are discussed with literature review. The etiology of aneurysm that develop proximal to AVF is reviewed.

Aged↗