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J Rebouillat

Publications and source records attributed to J Rebouillat.

15 recordsLinked to original sources
PubMed1995

[Long-term results of Insall's total condylar knee prosthesis (10-to-13-year follow-up)].

We have studied 10 to 13 years postoperatively the first 105 total knee arthroplasties using the Total Condylar, a semiconstrained prosthesis with sacrifice of the cruciate ligaments, inserted between 1979 and 1983, in 99 patients (6 were bilateral). The average age of these patients was 73.5 years at the time of arthroplasty. At the time of this review, 46 patients had died (49 prostheses) and 10 were lost to follow-up. Five knees had failed (4 infections), requiring prosthesis removal in three cases. The other 38 patients (41 knees) survived: 35 were available for detailed clinical and roentgenographic evaluation, 6 knees had only a clinical, x-ray, questionnaire or telephone evaluation. To evaluate the results of these prostheses, we used 3 different rating systems the SOFCOT rating system the Hospital for Special Surgery rating system the new scoring system of the Knee Society. The results with the HSS system were excellent or good in 80% of the cases. The rate of satisfactory results, somewhat lower than those of North American studies, is probably explained by the advanced age of our patients. All these prostheses were cemented. There was no aseptic loosening at 10 to 13 years follow-up. In assessing these results we can confirm the reliability of the first model of the Insall prosthesis, in spite of a small range of sizes, and of a rudimentary ancillary, which resulted in important positioning mistakes. We can confirm that a cemented knee prosthesis with sacrifice of the cruciate ligaments is reliable at more than 10 years of follow-up. The technical advancements: larger range of component sizes metal backed tibial plates better ancillary, which permits exact and reproducible placement posterially-stabilized system should yield even better long-term results, approaching those of total hip arthroplasty.

Adult↗
PubMed1994

[Long-term result of lumbar disk chemonucleolysis (a 8-12 years follow-up)].

INTRODUCTION: This study is an attempt to assess the effects of chemonucleolysis over an extended period of time (8 to 12 years follow-up). MATERIAL AND METHODS: From 1981 to 1985, chemonucleolysis using Chymopapain was performed on 134 patients for the relief of radicular pain from herniated lumbar discs. The long term results were evaluated in 110 patients. This represented a total follow-up rate of 82 per cent. 24 patients were lost to follow-up. RESULTS: Of the 110 patients who had been reviewed at 8 to 12 years follow-up: 76 patients did not need other treatment than the initial chemonucleolysis. The results were excellent or good in 69 patients (63 per cent) and fair in 7 patients (6 per cent). 34 required surgery (31 per cent). This rate does not reflect the real failure rate of chemonucleolysis: 7 patients underwent early surgery and corresponded with the beginning of our experience with chemonucleolysis. 7 patients needed surgical treatment after a successful initial result for two to nine years. The real failure rate concerned 19 patients (17 per cent). These patients did not have any pain relief following chemonucleolysis. Surgical treatment was undertaken on the average 18 months after chemonucleolysis. One patient had suffered from radicular pain 6 years following the first chemonucleolysis. In this case, iterative chemonucleolysis had been done on the same lumbar level. It was effective on the radicular pain but not on the back pain. Chemonucleolysis had been effective in 70 per cent of the patients. DISCUSSION: Our study showed that the long term results following chemonucleolysis were effective and the mortality rate was low. (No severe complication in this study). This study is compared with the literature, studying the results of chemonucleolysis patients, or comparing patients treated by chymopapain or surgical discectomy. CONCLUSION: We conclude that chemonucleolysis is an effective and safe method for treating sciatica by herniated lumbar discs.

Adolescent↗
PubMed1987

[Long-term development of primary osteochondritis of the hip (Legg-Perthes-Calvé). Apropos of 60 hips with a follow-up of more than 30 years].

This study concerns 60 hips in 57 patients aged between 33 and 56 years with a follow-up of 30 to 44 years since the onset of the disease. The progress of the condition was assessed by objective and subjective clinical criteria and radiographic criteria including roundness of the head, head height, head cover, abnormal head shape and the presence of arthrosis. The main prognostic feature was found to be the eventual shape of the femoral head. Normal heads (7 cases) and round heads with some flattening (20 cases) had few problems at the time of follow-up. Irregular heads (7 cases) and, most of all, very irregular heads (20 cases) progressed badly. Pain was common, often severe and the patients were disabled. Fourteen of them had consulted a doctor and seven had already been treated surgically. Arthrosis as a consequence of osteochondritis seemed to be due to joint incongruence. We consider that the prognosis can be made at the end of the progressive phase of the disease, since remodelling plays no part in the roundness of the head. These findings indicate the need for care in recommending treatment in the residual phase of the disease and suggest that it is difficult to determine what surgical treatment should be considered in adult life.

Adult↗
PubMed1987

[Osteogenesis imperfecta treated during growth by intramedullary nailing by the Sofield method. Outcome in adults].

Since 1985 we have used the early surgical treatment of osteogenesis imperfecta described by Sofield, even in the most severe forms of the disease. Twenty-six patients who had reached adult age have been reviewed. Whilst the functional prognosis is relatively favourable in Sillence type I cases, it is not the same for severe type III cases. In these forms, the spine and chest deformities can affect the prognosis for life. The functional state of these patients in adult life is disappointing and many of them subside progressively into the comfort of a wheelchair. Nevertheless, this assessment at the end of growth has confirmed the principles of a surgical approach, even if, at the present time, our attitude is more reserved in severe cases. Very considerable progress in treatment has resulted from telescopic rods. The improvement in prognosis seems now to depend on taking account of the spinal problem in osteogenesis imperfecta. Early surgery on a spine that is, as yet, slightly deformed should be considered in severe forms of the disease.

Adolescent↗
PubMed1986

[Plant prickle arthritis in children. Apropos of 6 personal cases].

Six children with arthritis after penetration of a vegetable prickle into the joint are reported. The affected joints were the knee (5 fold) and the elbow (1 fold). The prickles were of palm-tree (2 cases), sloe-tree (2 cases) or unknown (2 cases) origin. The culture of the synovial fluid was negative and the diagnosis was based on microscopic examination of the centrifugated fluid. Four patients needed synovectomy.

Arthritis↗
PubMed1980

[The surgical treatment of pseudoarthroses and congenital curvatures of the leg. Review of the literature on the basis of 7 personal cases (author's transl)].

On the basis of 7 personal cases of pseudarthrosis and of congenital curvature of the leg reported in detail, including 6 in which consolidation was obtained with a valid follow up (5 cases for more than 14 years), a review is undertaken of the results of surgical techniques. Analysis of these 7 cases and of 82 sufficiently detailed cases from the literature indicate that the transtarsal nailing suggested by Guillemin, combined with corticospongiose grafts, remains the technique of choice. A number of suggestions are made on particular technical points. This method results in consolidation and above all offers the best protection against recurrent fractures whilst retaining a good axis and without interfering with growth. It is the method which limits to a minimum the sequelae of shortening and valgus deformity of the ankle. Indications differ for curvatures and constituted pseudarthroses and the age at which treatment should be started is discussed.

Adolescent↗