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Biomedical subjects

L Lopez-Duran

Publications and source records attributed to L Lopez-Duran.

3 recordsLinked to original sources

Bilateral sacroiliac dislocation with intrapelvic intrusion of the lumbosacral spine. A case report.

A patient sustained bilateral sacroiliac dislocation in which the proximal part of the sacrum was displaced 10 cm anteriorly and 6 cm inferiorly into the pelvis. Stabilisation was initially obtained with an external fixator. Operation was carried out later: reduction was achieved by overhead skeletal traction using sublaminar wires; two screws were inserted through each sacroiliac joint and the two fragments of the sacrum were wired in place.

Adult↗

Osteochondral allografts for osteochondritis dissecans and osteonecrosis of the femoral condyles.

Osteochondral allografts were used in 11 patients with osteochondritis dissecans and 4 with osteonecrosis of the femoral condyles. The lesions were mainly in the medial condyle in 13 cases, and in the weightbearing area in 10. The grafts had a mean size of 6 cm2; 8 were kept in hypothermia at 4 degrees C for less than 24 h and 7 were stored at -80 degrees C with cryoprotection. After an average follow up of 3.2 years, only 2 patients needed a further operation, one for nonunion and the other for a fracture of the graft. The others had improved clinically and showed radiological union of the graft with preservation of the joint space.

Adult↗

Osseous hydatidosis.

Nineteen patients with osseous hydatidosis were treated over a period of thirteen years. There were four deaths. Ten patients became asymptomatic. The treatment used was either curetage or resection, often repeatedly, and protracted lavage of the wound with ethacridine. Five patients received a desensitization treatment (hydatin), but the results in these cases were indeterminate as far as the action of the drug was concerned.

Adolescent↗