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Biomedical subjects

P Feuilhade de Chauvin

Publications and source records attributed to P Feuilhade de Chauvin.

7 recordsLinked to original sources
PubMed1985

[Posterior and external transtrochanteric approaches for total hip prosthesis. Comparative study].

1100 total hip prostheses were inserted between 1977 and 1978. Among them, the authors have selected at random 150 cases operated on by the Austin Moore approach and 150 cases by trochanteric division. The pathology and the type of patient were the same in both groups. A study of the late results showed no difference between the two series. In each, there were two early infections and three late infections. The rate of post-operative dislocation was the same, two early and six late in the Moore approach group, and five early, and two late in the trochanteric division group. There were six sciatic involvements after the Moore approach but only three after trochanteric division, but in this last group there were complications relating to the trochanteric division itself. There were no statistical differences in a comparison of the numbers of re-interventions required. Both techniques appeared to be satisfactory. The Moore approach appeared to be better for the comfort of the patient and does not give any additional risk. Trochanteric osteotomy is indicated in particularly stiff hips, when the greater trochanter has to be displaced downwards or in cases of post-operative scarring.

Femur Head↗
PubMed1984

[Recent fractures of the humeral diaphysis in adults. Comparison of orthopedic and surgical treatment. Apropos of 252 cases].

Two hundred and fifty two cases of fracture of the humeral shaft have been treated by the authors, half conservatively by mobilisation against the chest wall and half surgically. The main surgical procedures were plating, nailing without reaming, fascicular intramedullary pinning, or external fixation. Conservative treatment gave satisfactory results without iatrogenic complications. However, significant limitation of movement was seen in 61 cases and was severe in 14. Eight non-unions occurred. The best surgical fixation was either by intramedullary nailing or fascicular intramedullary pinning in fractures of the upper third or the middle third of the humeral shaft. These techniques resulted in very few post operative radial palsies. Plating is indicated in unstable fractures of the lower third of the humerus. Conservative treatment or blind intramedullary nailing or pinning is indicated in cases of initial radial palsy, the nerve being explored only after three to six months in the absence of recovery.

Adolescent↗
PubMed1983

[Luxations of the Charnley type and Kerboull-modified Charnley-type total prostheses].

The authors have observed 82 dislocations in a series of 4833 total hip prostheses of the Charnley or modified Charnley type. This represents 1.7 p. 100 of the cases. In 26 instances, the hip dislocated only once. In other instances, the dislocation became recurrent. Several factors favoured the incidence of dislocation and could be corrected - malposition of the prosthetic components as shown in radiographs, leverage due to ossification or hypertrophic synovium, and non-union after division of the greater trochanter. In 17 instances, no reason could be found except muscle atrophy. This type of case was difficult to treat and continued to dislocate later.

Hip Prosthesis↗
PubMed1981

[Posterior dislocation of the scaphoid: report of one case (author's transl)].

The authors have observed one case of dislocation of the scaphoid posterior to the radius. There had been a complex trauma of the wrist with disruption of the palmar and dorsal ligaments, the capitate bone being interposed between the scaphoid and the lunate. A good result was obtained by a closed reduction with fixation by two pins through the scaphoid, lunate and capitate.

Adult↗