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P Saffar

Publications and source records attributed to P Saffar.

At least 37 records · Page 2Linked to original sources
PubMed1991

Spontaneous ruptures of the extensor tendons of the fingers in Madelung's deformity.

Madelung's deformity is a congenital malformation with a slow clinical and radiological evolution and few complications. However, we have seen six instances of spontaneous rupture of the extensor tendons of the fingers related to the deformity of the inferior radio-ulnar joint. Treatment consisted of resection of the ulnar head, stabilisation of the distal ulna, and repair of the extensor tendons by tendon transfers. We discuss the possibility of avoiding the tendon ruptures by treating the deformity at an early stage.

Aged↗
PubMed1990

[Lunar-triquetral instability].

Luno-triquetral instability dogs not appear to be as rare as one is lead to believe. The clinical features are essentially of progressive discomfort on the medial aspect of the wrist. Plain radiographs are generally of little help, with the diagnosis being made by arthrography with cine-radiography. The authors are reporting a retrospective series of 24 patients which fall into two separate groups: 14 isolated luno-triquetral lesions, 10 associated with a generalized involvement of the proximal carpal row, either as a result of peri lunate dislocation or combined scapho-lunate and luno-triquetral instability without anterior subluxation. The authors have performed 13 luno-triquetral arthrodeses, 6 by pin, 6 by compression screws and one by key graft. For the mixed instabilities the treatment was less specific. The results with a mean follow up of is months have highlighted the problem of non union of the arthrodesis and residual pain various technical aspects of achieving a sound luno-triquetral arthrodesis are discussed.

Adult↗
PubMed1990

A radiological technique for measurement of the height of the trapezial cavity. Applications in pre- and post-operative assessment in osteoarthritis of the base of the thumb.

The authors present an original radiological technique which allows a precise measurement of the height of the trapezial cavity. The measurement is performed on an antero-posterior radiological projection of the trapezio-metacarpal joint in a neutral position, as described by Kapandji. The first point of reference is fixed and consists of a line projected through the radial articular surface of the second metacarpal with the trapezium. Two perpendicular lines to this first point of reference, are then projected respectively from the distal extremity of the scaphoid and the base of the first metacarpal, so defining a space which corresponds to the height of the trapezial cavity. We have used this measurement for assessment of the column of the thumb, in a series of 33 patients operated on for trapezio-metacarpal osteoarthritis (18 patients were treated by trapezectomy, ligamentous stabilisation and tendon interposition following Burton's or Jones technique and 15 patients underwent insertion of a Swanson trapezium implant. Radiologic measurement pre- and post-operatively provided information relative to the change of the height of the trapezial cavity after the two different surgical techniques, and to assess the kinetics of collapse of the trapezial gap following trapezectomy.

Female↗
PubMed1987

[Secondary repair of the extensor pollicis longus].

Repair of extensor pollicis longus, even when it is imperfect, generally gives fairly good results. This tendon is exposed to injury particularly as it leaves the pulley around Lister's tubercle and especially after a slightly displaced Pouteau-Colles fracture. Very marked retraction of the proximal part of the tendon is almost constant after three weeks and repair by secondary suture is rarely possible. For this reason, a palmaris longus graft or transfer of the intrinsic extensor of the index finger is generally required. The analysis of the results of 23 cases shows that, in order to obtain a perfect result, one should perform secondary suture with light tension when possible or transfer of the intrinsic extensor of the index finger. To improve the results, it is necessary to reconstruct a superficial pulley using the flexor retinaculum of the wrist, which prevents the tendon from sliding laterally. The test of complete cure is the capacity for hyperextension of the thumb with the wrist in complete extension.

Adult↗
PubMed1985

[Sarcoidosis of the hand].

A case of a tumor-like lesion (pseudotumor) of sarcoidosis is reported. It was a recurrence of a soft tissue tumor in the hand. Diagnosis was made by pathological examination and led to the detection of the general disease.

Adult↗
PubMed1984

[Carpal luxation and residual instability].

Perilunar dislocations lead to important capsuloligamentous lesions associated with osteochondral fractures which jeopardize carpal stability if non treated operatively. Aside from the classical mechanism in which the lesions start on the radial side, the author considers the possibility of perilunar dislocations which may begin by lunotriquetral dissociation. Post-reduction carpal instability is more frequent in pure dislocations than in those with associated fracture of the scaphoid. An anterior and posterior double approach is often necessary in order to ensure exact reduction and stability in a correct position.

Humans↗
PubMed1984

[The internal plantar island flap. Anatomic study and surgical applications].

Defects of the skin of the heel need to be repaired by skin which is both thick and sensitive. A technique of isolation of an island flap from the non-weight-bearing part of the medial side of the sole is described. It is vascularised by the medial plantar artery and innervated by the medial plantar nerve. Lesions of the heel, the medial malleolus and the lower part of the tendo Achilles can be covered by a one-stage surgical procedure without microsurgical suture.

Arteries↗
PubMed1983

Total anterior teno-arthrolysis. Report of 72 cases.

This report describes a new technique for treatment of the chronically flexed fingers which applies in particular to fingers previously operated on several times and now presenting cutaneous, tendinous and joint problems. It consists in releasing the entire flexor apparatus through a full length lateral digital incision and a sub periosteal dissection. The volar plates of PIP and DIP are released as a whole with the flexor apparatus. The extended finger and flexor apparatus then are allowed to heal in a new relationship. Straightening of the finger is always possible. The range of motion is maintained or increased. This technique can also be used in stiff PIP joints and in certain serious forms of Dupuytren's contracture. 56 cases are reviewed with 78% with good or fair results.

Arthrodesis↗
PubMed1982

[Comparison between medical and surgical treatment of Kienboeck's disease].

120 cases of necrosis of the lunate bone have been observed in workers in the building trade. In 80 cases, only medical treatment has been used, which makes it possible to follow the natural course of the disease: it goes from one stage to another in 5 years, and arthrosis appears in 10 years when mobility decreases more than 50%. However, a change in occupation is rare. Among the 40 operated in whom all the known technics were used, in half the cases there has been a change in occupation.

Adult↗
PubMed1982

[Replacement of the semilunar bone by the pisiform. Description of a new technique for the treatment of Kienboeck's disease].

Kienböck's disease treatment at stage III is difficult. We now present a new technic of replacement of the lunate by the pisiform with its vascular supply and attached to the flexor carpi ulnaris. Nine cases have been operated, on the first one in May 1979, with a follow up of 3 years. For the moment results are fair but we have to wait more to know if the technic is valuable.

Carpal Bones↗