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Biomedical subjects

M Bardier

Publications and source records attributed to M Bardier.

At least 19 recordsLinked to original sources
PubMed1989

[Long-term results of the Harrington operation. Apropos of a series of 200 cases (1964-1986)].

The authors present a series of 200 patients who underwent vertebral arthrodesis with Harrington's distraction rods for idiopathic scoliosis reviewed after a mean follow-up of 7.5 years (maximum: 24 years). The surgical procedure consisted of either simple distraction or distraction associated with convex compression or a transverse traction device or insertion of double rods according to Armstrong's technique. The operative gain was 44%, the angular loss was 12% and the definitive gain was 32%. The results were better in girls and in juvenile scoliosis type III and adolescent scoliosis. The best long-term correction was obtained in cases of lumbar scoliosis. The best operative reduction was obtained in thoracic and thoracolumbar scoliosis and the greatest angular loss was observed with major double scolioses. The most favourable results were obtained in cases of scoliosis were severe angulation. The best system was Armstrong's followed by Dollar's and the least effective was simple distraction. Heavy pre- and intra-operative vertebral traction improved the angular score. Rupture of the rod, when it occurred late, was not equivalent to pseudarthrosis. Angular deterioration over time was essentially observed over the first 10 years but led to disappointing results.

Adolescent↗
PubMed1989

[Subtotal avulsion of the lower limb after traumatic section in a 2 and a half-year-old child].

Reimplantation after subtotal section of the right lower limb under the Scarpa triangle was been attempted and was successful. Section and contusion of the femoral artery and vein required 2 end-to-end saphenous bypass grafts. The use of the lower limb is correct, after to a follow up of 4 years. The risks, inherent to all proximal section, with important muscular masses, in a small child, are described. Functional prognosis depends on three aspects: bone, vessels, and nerves. A tibial pseudarthrosis had to be operated secondarily with significant lengthening. A partial stenosis of the graft was demonstrated arteriographically. Pes equinus, a result of paralysis, has been fitted with an orthesis. This observation is almost an experimental one: what can be the future of a reimplanted lower limb in the child.

Amputation, Traumatic↗
PubMed1988

[Subtotal traumatic amputation of the limb in young children. Analysis of 2 successful repairs].

Two replantations of nearly completely amputated limbs are presented. In both cases there were young children. These two success explain the necessity of limb preservation if the nerve integrity is respected. In the young child, the vital risk is lower because of the vessels, the local immunologic defense. The bone union is normal. The vascular suture with venous grafts is made with simple interrupted sutures rather than with continuous over and over sutures. The fasciotomy avoid a compartment syndrome. The bone graft growth is unforeseeable. These two case reports are nearly experimental because of the young age of the patients.

Age Factors↗
PubMed1986

[Subacute or initially chronic osteomyelitis in children. A series of 17 cases].

17 cases of subacute or at once chronic osteomyelitis are shown. At this occasion, an analysis of epidemiological, topographical, clinical and bacteriological data is given. An immunological study has been made in 5 cases: diagnosis is difficult at all stages. A reflexion is proposed concerning the treatment to be performed.

Acute Disease↗
PubMed1984

[Sports injuries in children. Epidemiologic study].

Among 49 000 cases of infantile emergencies which were received in the BUCI (Bloc d'urgence chirurgical infantile: surgical infantile emergency unit), 5 546 were sport traumas. At an early age, they were caused by outdoor plays; during adolescence, the main cases were caused by team sports. Males are predominant. The number of cases has been regularly progressing, particularly since 1976. The fashion in sports is influenced by médias (i.e. skate board), and can be opposed to the continuous practice of popular sports (swimming, ball games, bycicle. There are winter, summer, school timed sports (the latter being influenced by the sportive scholar associations). The most frequent sports are cycling, football playing, swimming and horse riding, athleticism skating, Other are occasionnal. Changes in sport fashions, female increasing participation, such as horse riding and skating, democratisation (skiing, riding), the worsening of traumas; the pathology concerning bystanders, are described. Cranial and peripheric pathology are dominant. Trunk traumas are scarce but severe. Each sport has an elective pathologic localisation. Injury mechanisms are found, such as stirrup, saddle, ski baton pathology. There is traumatologic similarities; skate board and roller skating; judo and atheleticism; cycling and horse riding. Sport in children is not a replica of the one among adults. Riding a bike is not cycling. Some sports are dangerous: cycling, horse riding, rugby. A traumatological outline is revealed. Preventive measures should be taken. The socio-economical cost is heavy.

Age Factors↗
PubMed1984

[Multiple wounds in children. Apropos of 76 cases].

Polytraumatisms in the child are relatively unfrequent, less severe, and get a lower rate of deaths compared with polytraumatisms in the adult. The indirect traumatism, being most frequent, is explained by projection and ejection. Direct traumatism is scacre. A classification in 4 types is proposed: type I: visceral polytraumatised child, type II: multiple fractured one, type III: mixed visceral and multiple fractured one, type IV: the crippled one. Cranial trauma has to be noticed as being a constant one. The relative unfrequency of spine, belly and thoracic injuries; the most frequent happening of peripheral traumatisms; the severeness of mutilations are emphasised. Multiple fractured children are healed with very remaining mutilations; the social and economic load is heavy; the pophylactics hypothetical.

Adolescent↗
PubMed1982

[Importance of synoviorthesis using osmic acid in the treatment of hemophilic arthropathy. Apropos of 19 cases].

While getting synovial sclerosis and articular drying, the synoviorthesis breaks the circulus vicious which comes from iterative hemarthrosis to articular destruction. With 25 cases and a follow up of 6 years, we have got 39% of good results, 35% of medium and 26% of bad ones. The therapeutic efficiency requires a certain latent time (0 to 15 days for isotopical synoviorthesis, 2 to 3 months for those ones with osmical acid.) A new synoviorthesis can be made if needed. Neither age nor radiological stage are of any influence. The radiological worsening uses to go on unchanged. The synoviorthesis should be performed at an early stage, previous to the cartilage and bone destructions.

Adolescent↗
PubMed1982

[Odontoid bone. Apropos of a case].

Reporting a clinical observation, the authors emphasize upon the extreme scarceness of this variety of so called "congenital" pseudarthrosis of the odontoid process. The congenital origin, due to a lack of fusion, or the acquired one by avascular necrosis following a trauma is explained. The diagnosis may be clinical, consisting either on a vertebral syndrome occurring in childhood, or on a neurological syndrome in the adult age. It is mainly radiological : A scanner investigation is presented here. Owing to the potential neurological severity of the disease, the posterior fusion has to be recommanded.

Cervical Vertebrae↗
PubMed1981

[Traumatic children's emergencies. An analytical and statistical study spreading over 6 years (author's transl)].

A study has been made of over 3800 children to determine the preventive measures and the possible prophylaxy of accidents by children. The traumatological emergencies are concerned. The study shows, by means of histograms, an increase of their frequency not withstanding the security measures which have been taken. Every kind of emergency is studied, with emphasis upon the fractures of pediatric surgery.

Adolescent↗
PubMed1978

[Surgical treatment of funnel chest].

The main problems of indication, operating techniques and results are recalled after 39 cases of pectus excavatum (P.E.) operated on 74 followed up children. Analysis revealed frequent family trend, respiratory past records of Marfan's morphological type and intrathoracic spur. Sternochondroplasty had varied stabilizing ways : first Garnier's technique, then Judet's costal clips, today the mediastinal rod of Morel. The relative deterioration of morphological results depended on the reliability of the manner of fixing. For good results, neither age, sex, nor the importance of the retraction interfered. The unfavourable elements are the gently sloping thorax and associated vertebral manifestation.

Child↗
PubMed1978

[Personal experience of Cotrel's method in the surgical treatment of scoliosis and kyphosis (author's transl)].

This current report of our experience of Cotrel's method falls within the context of continuing the developments in our treatment of scoliosis. Our follow-up for Harrington's operation is 13 years, 281 patients having undergone surgery. On other words, having known the beginnings of this surgery, we are in a position to measure the progress represented by Berckoise's technique (7, 6, 8).

Adolescent↗