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H Zreik

Publications and source records attributed to H Zreik.

6 recordsLinked to original sources

Superior vena cava obstruction after extracorporeal membrane oxygenation.

Of 60 neonates who survived extracorporeal membrane oxygenation (ECMO) in our institution between June 1992 and March 1994, seven had either complete or partial superior vena cava (SVC) obstruction. When the patients with SVC obstruction were compared with those who had an echocardiogram after ECMO, no predisposing factors for the development of SVC thrombus could be found. Our data show that SVC thrombus may be a significant complication after ECMO.

Echocardiography

[Can one determine the age at which epiphysiodesis should be performed in the treatment of genu valgum in the adolescent?].

The authors describe a simplified method for the assessment of the correct time at which tibial epiphyseal arrest may be performed to correct genu valgum in adolescents. The calculation is based on measurements of the length of the tibia, the length of the upper tibial plate and the intermalleolar distance. These measurements make it possible to establish an index of prediction of the amount of growth necessary to bring about correction. This index is then associated with the tables of Green and Anderson in relation to bone age and residual potential for growth. In this way, the age at which epiphyseal arrest must be performed is automatically deduced. Both the risk of hyper-correction and growth rebound after removal of the staples are thus minimised. This method was tested on thirteen patients with satisfactory results. Some uncertainty, however, remains in the exact assessment of bone age.

Adolescent

[Treatment of bimalleolar fractures by centromedullary nailing of the fibula].

An osteosynthesis technique involving nailing of the fibula was used to treat 106 bimalleolar fractures. Details of the technique used are described and results analyzed with respect to clinical course and radiologic findings. A generally favorable outcome was obtained. Nailing of the fibula provides a solid foundation, particularly in low and comminuted fractures.

Adolescent