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Biomedical subjects

J F Lelièvre

Publications and source records attributed to J F Lelièvre.

13 recordsLinked to original sources

[Spherical osteotomy (author's transl)].

The authors have devised a new type of saw which makes it possible to cut bone spherically. This type of osteotomy is useful when correction is required in more than one plane and provides good bone contact between bone ends. The technique is described. It has been used at the upper end of the tibia or femur and in the calcaneus and forefoot.

Calcaneus↗

[Screw-plate with translation for high femoral osteotomy (author's transl)].

A plate designed from the model used by R. Judet for fractures of femoral neck is presented. It is adapted to the fixation of high femoral osteotomy with internal translation, affected or not with valgus or varus. The screwing of the plate, when in place, realizes systematically a compression at the level of the osteotomy. The system is very stable and enables the begining of reeducation without delay.

Bone Plates↗

[Pseudarthrosis of the dorso-lumbar vertebrae].

The authors have observed three cases of fractures at the thoraco-lumbar level which did not unite after ten to twelve months - Dynamic X-rays demonstrated persisting mobility of about 20 degrees. The fracture line of the vertebral bodies was situated in a frontal plane and fragments were separated by the antero-inferior edge of the above vertebral body. The authors conclude that such fractions ought to be treated by internal fixation when recent, internal fixation and grafting when ancient.

Adult↗

[General foot pain revealing a syndrome of orthostatic idiopathic edema].

A relatively frequent diagnosis, made however with difficulty. It concerns young women presenting morning attacks of headaches, subcutaneous eyelids and hands edema preventing the easy removal of rings and feet edema causing a difficult fitting of shoes. The weight fluctuates quite rapidly: several kilos from one day to another, sometimes even during the same day. This is accompanied by an oliguria aggravated by stress and orthostatism. After eliminating all other causes of edema, one must also rule out a cause of hyperaldosteronemia secondary to long-term intake of Thiazidic diuretics or laxatives. The physiological defect disturbing water metabolism remains to be identified. The Landis test offers an essential contribution.

Adult↗