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Biomedical subjects

H Carlioz

Publications and source records attributed to H Carlioz.

At least 19 recordsLinked to original sources
PubMed1992

[Supracondylar fractures of the humerus associated with ipsilateral fractures of the forearm].

We report 20 cases of ipsilateral supracondylar elbow fracture and forearm fracture in childhood. The mean follow-up was 20 months. For an analysis of the results, we used a global rotation of the upper limb. We appreciated the motion and the carrying angle of the elbow and the wrist. 15 cases were very good or good; there were 4 cubitus varus without functional impairment and 1 failure after one open Monteggia fracture. The therapeutic strategy is discussed. If one does not want to increase the damage to periosteum in the elbow during the forearm reduction, one must first reduce the supracondylar fracture and fix it by 2 pins like in Judet procedure. Then, the forearm fracture should be treated conservatively.

Child↗
PubMed1992

[Spinal deformities in Marfan disease].

Spinal deformities are frequent in Marfan's disease. 37 patients were examined at the average age of 11 years. 32 showed a spinal deformity. The treatment of the spinal deformity was a brace in 15 cases, surgery in 16 cases (including 5 cases after brace-failure). 7 cases were just followed-up without treatment. Bracing was efficient only for mild curves, this treatment was satisfying 4 times out of 11 with adequate follow-up. The surgical treatment in 16 cases was a posterior fusion twice associated with anterior fusion. We used the same technique as for idiopathic scoliosis with Harrington instrumentation 5 times, Harrington with sublaminar wires 4 times and Cotrel-Dubousset instrumentation 7 times. The correction of scoliosis was achieved in 48.2 per cent. The use of segmental instrumentation compared with the use of the Harrington instrumentation can explain the small number of non unions and the improvement of the lateral spinal balance. We did not note any cardiovascular complication during or early after the operation. Aortic lesions were responsible of one death in the long term, three patients went through a surgical replacement of aortic valves or the aorta.

Adolescent↗
PubMed1991

[Growth of the hip].

The hip grows by a complex process involving several growth cartilages, each one playing a specific role. Dysfunction of any of these cartilages, whatever its cause, may result in architectural defects of the hip. These defects must be perfectly known in order to foresee the consequences of some hip diseases in children and sometimes to prevent these diseases by orthopaedic measures. The copious blood supply of the acetabulum protects it against all traumas, in contrast with the poor blood supply of the upper end of the femur which exposes to the risk of femoral head necrosis.

Adolescent↗
PubMed1991

[Conservation of the foot in the treatment of longitudinal external ectromelia].

We studied 52 congenital longitudinal deficiencies of the fibula in 44 children, 25 girls and 19 boys. We preferred equalization of leg-length discrepancy and correction of equinovalgus deformity of the foot, to amputation. Correction of the deformity in valgus and equinus is obtained at the price of the section of triceps, peroneus brevis and fibula, inserted on the calcaneum. In some cases an open osteotomy of the talocalcaneal synostosis, or an osteotomy of the lower part of the tibia are also necessary. Good correction of foot has been obtained in 62.8 per cent of cases. 39.5 per cent of children have had suitable foot for weight-bearing, with normal shoes, and 23, 25 per cent have had prosthesis for discrepancy. This procedure should be carried out in predictable discrepancies below 150 mm, whereas 89 per cent of children were saved from amputation; this latter is recommended, at early age, for more important discrepancies.

Bone Lengthening↗
PubMed1991

[A technical modification of the use of Dwyer's equipment].

Dwyer's technique for correction and anterior fusion of the spine was improved by using lockers at the level of each screw. So, like with the Zielke's technic this procedure allowed a global progressive and controllable correction and a real derotation of the spine.

Humans↗
PubMed1991

Surgical treatment of brachial plexus birth palsy.

Brachial plexus birth palsy remains a challenging condition. In the 1000 infants followed from 1977 to 1988, functional results were much improved over those obtained by observation only, if surgical exploration and repair were performed when no clinical recuperation of biceps function occurred by three months of age. Recovery is slow, and comprehensive follow-up study of reconstructed and conservatively managed children is required to prevent joint contractures. Children who will benefit from palliative procedures such as tendon transfers must also be identified.

Brachial Plexus↗
PubMed1990

[Thoracophrenotomy. An economical approach of the thoracolumbar spine].

Enlarging the thoracophrenic approach by a lumbotomy to reach the lower part of the dorsal spine and the upper part of the lumbar spine is not necessary every times. A thoracophrenotomy--if necessary extended in a classical TPL--allows the treatment of most of the kyphosis or thoracolumbar kyphoscoliosis from T9 to L3. This limited approach was used 13 times.

Diaphragm↗
PubMed1990

[Salter innominate osteotomy for the treatment of congenital dislocation of the hip].

Thirty-one children (43 hips) were reviewed after having sustained a Salter innominate osteotomy. The average follow up was 10 years. The indication for the osteotomy was a persisting dysplasia after conservative treatment of congenital dislocation of the hip. The X rays study allowed to describe the importance of the remodeling of the femoral head. The overall results were satisfactory in 60 per cent of the cases. The age of the patient at the time of surgery was important: the results being much better in children under 5 years of age. The failures were mostly related to technical faults. However some failures could not be predicted.

Child↗
PubMed1989

Lateral discoid menisci in children.

In children, the snapping-knee syndrome is strongly suggestive of a diagnosis of discoid menisci; alternatively, the loss of physiological hyperextension of the knee suggests a diagnosis of a torn lateral discoid meniscus. We used arthroscopic meniscectomy to treat 19 lateral discoid menisci in 16 children (average age, 10.5 years). Excellent results were achieved in 18 of 19 cases, with disappearance of the snapping with knee flexion (maximum follow-up, 3 years).

Arthroscopy↗
PubMed1989

[Triplane fractures of the tibia. Apropos of 25 cases and general review].

The authors report their experience with a series of 25 distal tibial triplane fractures: 13 two-fragment lateral triplane fractures, 10 three-fragment lateral triplane fractures and 2 medial triplane fractures. These cases were mostly adolescents near the end of the growth spurt period. Tomography or CT scanning allowed a better delineation of the anatomic type of the fracture and of the displacements. Treatment modalities, surgical versus conservative are presented. Therapeutic indications depended on the anatomic configuration of the fracture; closed methods were most often applied to the two-fragment lateral triplane fractures, surgical treatment for most of the three-fragment lateral triplane fractures and for the medial triplane fractures. Results were usually good after an intermediate term follow-up. Joint incongruity secondary to insufficient reduction was a more severe sequela than growth disturbances.

Adolescent↗
PubMed1988

[Varus and pseudoarthrosis of the upper end of the femur due to malformation].

Congenital coxa vara with severe angulation is a difficult lesion to treat and of uncertain outcome. Many valgus osteotomies have resulted in failure because of inadequate correction or recurrence of deformity. The 27 cases described confirm this view. Out of 18 cases whose results are known, only four were good, compared with six fair and eight bad results. The causes of these failures arise from technical difficulties in the operative procedures, their inadequacy, significant muscle tension and malformation of the growth plates. An effective and lasting valgus is only possible if the internal fixation is well applied in the femoral neck, with a pin inserted into its axis. A moderate shortening avoids excessive tension in the region of the joint.

Child↗