Biomedical subjects
Publications and source records attributed to G Raimbeau.
The construction of an extra-anatomical femoropopliteal shunt resulted in the saving of a lower limb following a gunshot wound to the upper third of the thigh involving vascular lesions and extensive tissue loss. By applying this technique it was possible to obtain revascularization of the limb without the septic risks of reconstruction in situ, with the attendant difficulty of initial skin coverage of the wound.
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The authors studied two cases of persistent axial artery of the lower limb, a classic but exceptional variation (42 cases in the literature). It is well explained by embryology and is a recapitulation of anatomy in the animal series. By the systematic study of the literature, we can isolate four distinct types: Type I: Complete axial artery, normal femoral artery. Type II: Id., but incomplete femoral artery, with two subdivisions: II a: Femoral artery is present but incomplete. II b: Femoral artery is absent. Type III: Axial artery only in the proximal zone. Type IV: Axial artery only in the distal zone. In these two last types, the femoral artery is complete. The I, III and IV types correspond to organogenetic perturbation at the stage 21 of Streeter. The type II implies a more early disturbance, prior to stage 18.
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