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P Lascombes

Publications and source records attributed to P Lascombes.

78 records · Page 5Linked to original sources
PubMedDate not supplied

Elastic stable intramedullary nailing in forearm shaft fractures in children: 85 cases.

The results of elastic stable intramedullary nailing (ESIN) of 85 forearm fractures in children are reported. A single curved nail was inserted into each forearm bone with closed reduction. Immediate mobilization was allowed postoperatively. In a 3 year 6 month follow-up of 76 patients, 92% had excellent results with a full range of movement. There were neither nonunions nor infections. ESIN is recommended in the treatment of displaced forearm fractures in children older than 10 years of age, and in younger children when conservative treatment fails.

Adolescent↗
PubMedDate not supplied

[The portal system (vena portae). Embryology and morphology (author's transl)].

The embryology and anatomy of the portal system are reviewed in the light of data reported in the published literature. A detailed description of the mode of formation of the portal vein and its branches up to the 52nd day of intrauterine life is given, this being the period when embryonic features are comparable to those in adults. Dimensions and physiological variations during growth are discussed, though it is regrettable that few studies have been concerned with this aspect. Portal system afferent vessels are then described and several statistics cited, this providing an explanation for the different modes of origin of the main portal vessel, and the limits of the regions not receiving collaterals. These anatomical zones, isolated in this manner, represent elective zones for surgical approach and for anastomotic procedures.

Adolescent↗
PubMedDate not supplied

[The ECMES [Centro-Medullary Elastic Stabilising Wiring) osteosynthesis method in limb fractures in children. Principle, application on the femur. Apropos of 250 fractures followed-up since 1979].

The theoretical basis of this new technique were recalled: a closed operation respecting the conjugation cartilages. The material, composed of flexible wires of adequate diameter are bent and stabilised forming a non traumatic fixation which is inserted into the medullary canal of the fractured bone under fluoroscopic surveillance. The second part of this paper deals with the results of 250 fractures of the femur followed up since 1979. Late outcome in terms of complications and stimulation of the post-trauma growth, which is a problem in all forms of fractures in the child, especially of the femur, is presented.

Adolescent↗
PubMedDate not supplied

[Congenital fibular hemimelia].

Among the congenital malformations of the lower limb, hemimelia of the fibula is particularly important because of its frequency and the large number of anatomic forms which have been observed. Attempts at various therapeutic approaches have ranged from external prostheses to amputations and finally major skeletal lengthening. Based on a statistical study of 17 patients, we examined the different steps in the treatment of such cases with the aim of preserving the limb. Modalities for lengthening procedures and complications were studied in a comparison with results obtained with classical treatments.

Amputation, Surgical↗