Biomedical subjects

R Libri

Publications and source records attributed to R Libri.

13 recordsLinked to original sources

PubMed1990

The correction of valgus knee by temporary epiphyseal stapling.

Unilateral temporary epiphysiodesis with Blount staples is a surgical method used to gradually correct axial deviations of the knee, slowing down the growth of one side of the conjugate cartilage. The authors analyse the results obtained with this method in the treatment of infantile valgus knee, in an attempt to determine an average monthly value of angular correction, based on which it is possible to plan the best time to perform this type of surgery. They affirm the effectiveness of the procedure, the success of which nonetheless appears to be related to the correct choice of the site of application and the number of staples used.

Adolescent↗

PubMed1990

The Steindler method in the treatment of paralytic elbow flexion.

Based on an average follow-up of 8.6 years, the authors analyse the functional results obtained in 16 patients submitted to Steindler flexoroplasty of the elbow between 1975 and 1986. The absence of active flexion of the elbow produces a severe deficit in the upper limb even when there is good function of the shoulder and hand. Since 1921, the year in which Steindler published a report on his surgical method, numerous surgical methods have been described for the treatment of paralytic elbow. Clark (1946), Merle d'Aubigné et al. (1956), Brook and Sendon (1959) propose transposing pectoralis major by suturing it to the tendon of the biceps muscle. Le Coeur (1953) instead isolates pectoralis minor and then transposes it on the biceps tendon. Bunnel (1951) describes two methods: the first consists in isolating the sternocleidomastoid by lengthening it with the fascia lata and inserting it into the tendon of the biceps, the second proposes anteriorly transposing the distal triceps tendon. Hovnanian (1956) and Zancolli and Mitré (1973) transpose the latissimus dorsi by inserting it distally on the distal biceps tendon, while Axer et al. (1973) transpose part of the same muscle. It is the purpose of this study to report the experience obtained using the Steindler method in 22 patients affected with paralysis of the flexor muscles of the elbow.

Adolescent↗

PubMed1986

Traumatic dislocation of the hip in children and adolescents.

The authors carried out a long-term review of 22 children and adolescents treated for traumatic dislocation and fracture dislocation of the hip with a view to ascertaining the factors responsible for unsatisfactory results. They considered the age of the patient, the severity of the trauma, the presence of associated fractures of the acetabular rim, the method of reduction, the time between injury and reduction, and the time between reduction and full weight-bearing. They stress the importance of early recognition of bone or soft tissue fragments included in the joint after closed reduction and immediate operation to remove them. Displaced fragments of the acetabular rim fracture should also be fixed. They also consider it important not to allow full weight-bearing until full hip movement has been restored, whatever the age of the patient and the time necessary to achieve it.

Acetabulum↗

PubMed1976