Biomedical subjects
Publications and source records attributed to J Mullier.
Three cases of pigmented villonodular synovitis treated in recent years are described. One case presents a malignant transformation and raises the question of the benign character of these lesions. The therapeutic options are considered as well as the need for a larger series of patients to define therapeutic strategy.
Alcaptonuria is a disorder of amino acid metabolism with accumulation of homogentisic acid in the connective tissues. These deposits result in ochronotic arthropathy of which the present report describes the radiologic manifestations.
The authors have analyzed the postoperative results in 50 patients of two surgical techniques used for the treatment of anterior recurrent dislocation of the shoulder. The study only concerns "virgin" shoulders having formally presented numerous anterior recurrent dislocations treated by the Bankart procedure or the Bristow-Latarjet operation. This work consists of a clinical evaluation with objective and subjective results on one hand, and a radiological evaluation on the other hand. The Latarjet operation gives 97% excellent and good results, as compared with 76% for the Bankart procedure. The radiological study confirms the "arthrogenetic" nature of the Latarjet operation and reveals a frequent lysis of the coracoid bone block. Nevertheless, these two factors do not affect in any way the objective and subjective results. The Latarjet operation, insofar as it is carefully executed, remains in our opinion, the prime operation, particularly with respect to the quality of the stability achieved.
The Authors have reviewed the charts of 25 patients with scaphoid lesions treated with the Herbert screw and this study reports their personal experience. Between September 1983 and December 1986, 4 fresh fractures, 5 delayed unions and 16 pseudarthrosis were treated by means of this osteosynthesis procedure. The mean follow-up was 22 months. Bony union occurred in 21 patients. The series contains 2 failures defined as an absence of bony union after a post-operative delay of more than 6 months. There were 2 other cases considered as doubtful unions on X-rays. Wrist function, nevertheless, was restored in 23 patients. Plaster immobilization did not appear to be essential for every case. The short leave of absence, averaging 2 months only, is also in favour of this technique.
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