Postoperative skin-flap decongestion, leeches and Aeromonas hydrophila.
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Biomedical subjects
Publications and source records attributed to M Relave.
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The authors report a radio-anatomic study of the carotid axis in the context of the implantation of microsurgical vascular anastomoses. The information derived from 36 dissections and 50 arteriographic studies suggests the preferential use of the superior thyroid, facial and lingual branches. Section and turning-down of the external carotid and direct end-to-side implantation on the common carotid could provide fall-back solutions when the collaterals are slender. Because of anatomic variations and frequent atheromatous lesions, arteriographic study before implantation appears essential.
The authors have made an anatomical and experimental study in cadavers. They consider that one of the main features of chronic anterior instability of the knee is related to the instability of the lateral femoral condyle. This is due to the loss of its two stabilizers: the anterior cruciate ligament and the popliteal muscle. The signs of a lesion of the postero-lateral structures have to be looked for: antero-posterior drawer sign in extension, hypermobility of the tibia in lateral rotation and varus laxity. Such instability leads to arthrosis in the long-term. The proposed treatment is based on a reconstruction of the anterior cruciate ligament, using semitendinosus associated with a postero-lateral reconstruction using either the biceps or the fascia lata, or a free transplant from the patellar ligament. Corrective osteotomy of an associated varus deformity may be indicated.
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