Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main最新文献

{"title":"Informations","authors":"","doi":"10.1016/S0753-9053(88)80041-3","DOIUrl":"https://doi.org/10.1016/S0753-9053(88)80041-3","url":null,"abstract":"","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 4","pages":"Page 346"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80041-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137184033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plastie d'opposition par translocation du long fléchisseur du pouce. Technique et indications","authors":"C. Oberlin,&nbsp;J.Y. Alnot","doi":"10.1016/S0753-9053(88)80066-8","DOIUrl":"10.1016/S0753-9053(88)80066-8","url":null,"abstract":"<div><p>Onze cas de plastie d'opposition par translocation du long fléchisseur du pouce sont rapportés. Plusieurs points techniques sont soulignés : la translocation est réalisée le plus souvent à travers l'articulation interphalangienne du pouce qui est arthrodésée ; la réflexion du tendon transloqué doit se faire impérativement au niveau du col du premier métacarpien. Neuf cas ont été revus avec 8 très bons résultats. La brièveté de la série reflète la rareté des indications : paralysies totales des muscles thénariens avec griffe enraidie de l'articulation interphalangienne du pouce, lorsqu'une arthrodèse est indiquée ; certaines séquelles de paralysies hautes du membre supérieur lorsqu'aucun autre transfert n'est utilisable.</p></div><div><p>Eleven cases of opponensplasty by translocation of the flexor pollicis longus are reported. Some technical points ought to be outlined : this translocation is mostly performed through a fused IP joint; the level of the reflection of the translocated tendon should necessarily be the neck of the first metacarpal bone. Nine cases were reviewed with eight very good results. There are very few indications for this technique : total palsy of thenar muscles with stiff IP flexion deformity of the thumb, whenever a fusion is indicated. Particular cases of high-level palsy of the upper limb, when no other transfer can possibly be used.</p></div>","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 1","pages":"Pages 25-31"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80066-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14531913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthésie sélective sensitive par péridurale cervicale dans la chirurgie de la rééducation de la main","authors":"J. Deschodt ,&nbsp;D. Mailhe ,&nbsp;J.F. Lubrano ,&nbsp;Y. Jullien ,&nbsp;J. du Cailar ,&nbsp;Y. Allieu","doi":"10.1016/S0753-9053(88)80005-X","DOIUrl":"10.1016/S0753-9053(88)80005-X","url":null,"abstract":"<div><p>La participation active du malade en per- et post-opératoire est très importante dans les ténolyses, les greffes tendineuses, les arthrolyses. Différentes techniques anesthésiques peuvent être utilisées pour obtenir une anesthésie sensitive sélective. Nous avons utilisé l'anesthésie péridurale cervicale dans 15 cas de chirurgie de la main. Nous décrivons la technique, les résultats sont analysés. Les indications et l'utilisation de l'anesthésie péridurale cervicale dans la chirurgie de la main sont discutées.</p></div><div><p>Active patient participation in the operative and postoperative programme is very important for tenolysis, tendon grafts and joint releases. Different anesthesic means can be used to perform selective sensitive analgesia. Cervical epidural anesthesia was used for fifteen cases of hand surgery. The technique is described, the results are analyzed. Indications and use of cervical epidural anesthesia for hand surgery are discussed.</p></div>","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 3","pages":"Pages 217-221"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80005-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14320432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La méthode d'Ilizarov pour l'allongement et la correction du cubitus dans la main bote radiale","authors":"A. Messina","doi":"10.1016/S0753-9053(88)80009-7","DOIUrl":"10.1016/S0753-9053(88)80009-7","url":null,"abstract":"<div><p>La technique révolutionnaire de traitement des fractures et de leurs complications par la méthode d'Ilizarov trouve également son application dans le traitement des malformations congénitales. La compactotomie et la distraction des segments osseux de 1 mm par jour, pratiquées selon la méthode d'Ilizarov, provoquent également un allongement progressif induit des parties molles contiguës à l'os. Le patient que nous avons opéré était un enfant de 12 ans présentant une main bote radiale bilatérale associée à une cardiopathie congénitale et des malformations génito-urinaires. Il avait subi deux ans auparavant (1982) une intervention de centralisation du poignet droit sur le cubitus, avec intervention plastique cutanée et aponévrotomie du versant radial de l'avant-bras, et il présentait une incurvation résiduelle du cubitus de 40° environ. Par la méthode d'Ilizarov, nous avons obtenu la correction complète de l'axe et un allongement du cubitus, des nerfs, des artères, des veines et des muscles de 7,5 cm par rapport au cubitus opposé. En 1985, on a pratiqué une intervention de pollicisation de l'index de la main droite. Actuellement, la déformation anatomique et esthétique du membre supérieur droit est très atténuée, la main atteint l'épaule homolatérale, l'avantbras est proportionné au bras et à la main.</p></div><div><p>The revolutionary method of treatment of fractures and their complications according to Ilizarov' can also be applied in congenital deformities. Ilizarov uses « compactotomyand distraction of 1 mm a day, in order to cause a « driving osteogenesisand the stimulus to regenerate the bone and soft tissues near it and connected to it. In this way it is possible to obtain progressive lengthening of a limb or bone fragment. Bone stumps are fixed with crossed Kirschner wires, and such as we can obtaine at the same time a lengthening of nerves, vessels, tendons, muscles ; and that, in one of his patients, Ilizarov succeded in reaching an elongation until 25 cm ! Our patient is a 12 years old boy, affected by bilateral radial club hand, congenital heart and kidney diseases. After both wrist centralization requiring soft tissues release, we established that the right forearm showed persistant shortening and radial bowing of the ulna. So we used the Ilizarov's method, mending both deformities and reaching an elongation of the ulna of 7,5 cm. A remarkable both functional an aesthetic improvement of the forearm has been also obtain without any loss of function of soft tissues, such as throphic troubles, functional loss of vessels, nerves, tendons, muscles and skin.</p></div>","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 3","pages":"Pages 238-245"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80009-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14320435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le drainage veineux du lambeau à pédicule neurovasculaire de Littler","authors":"E. Lebreton,&nbsp;A. Assouline","doi":"10.1016/S0753-9053(88)80049-8","DOIUrl":"10.1016/S0753-9053(88)80049-8","url":null,"abstract":"<div><p>L'injection transosseuse antérograde des veines digitales suivie d'une dissection a permis aux auteurs d'analyser le rôle des différents réseaux dans le drainage pulpaire. Les veines satellites de l'artère digitale au doigt n'y participent vraisemblablement pas. Le retour veineux pulpaire est constitué par la continuité anatomique entre le réseau palmaire superficiel et les veines digitales communes. Un fin canal anastomotique est mis en évidence dans la commissure entre ces deux systèmes.</p></div><div><p>The antegrade transosseous injection of the digital veins, followed by dissection enables the authors to analyse the role of various networks in drainage of the pulp. The satellite veins of the digital artery in the finger are probably not involved. The venous return of the pulp is constituted by an anatomical continuity between the superficial palmar network and the common digital veins. A narrow anastomotic channel is demonstrated in the commissure between these two systems.</p></div>","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 2","pages":"Pages 126-129"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80049-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14321235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anastomoses microvasculaires expérimentales utilisant le laser au CO2","authors":"V. Travers ,&nbsp;P. Trevidic ,&nbsp;M. Jagueux ,&nbsp;A. Apoil ,&nbsp;C. Nicoletis","doi":"10.1016/S0753-9053(88)80003-6","DOIUrl":"10.1016/S0753-9053(88)80003-6","url":null,"abstract":"<div><p>Afin de comparer les sutures conventionnelles et celles utilisant un laser au CO₂ à faible intensité, 240 anastomoses fémorales expérimentales ont été pratiquées chez le rat. Le temps moyen d'anastomose a été deux fois moindre en utilisant le laser par rapport à la technique conventionnelle. Le taux de succès, équivalent pour les artères (95 %), a été de 89 % pour les veines en utilisant le laser contre 75 % par technique conventionnelle, avec un taux de thrombose secondaire de 2 % contre 18 %. L'étude en microscopie à balayage a mis en évidence une réendothélialisation légèrement plus rapide dans le groupe utilisant le laser. L'étude en microscopie électronique a mis en évidence une réaction inflammatoire très importante autour des fils de suture, alors qu'aucune réaction liée au laser n'a été retrouvée. On a, par contre, constaté l'existence de zones de nécrose de la média liée à l'irradiation, mais celle-ci a été très passagère entre le 2^c et 4^c jour. La technique d'anastomose microvasculaire utilisant le laser au CO₂ semble déjà prometteuse, et une application clinique est en cours.</p></div><div><p>In order to compare conventional microvascular suture anastomoses with CO₂ laser-assisted anastomoses, 240 anastomoses were performed in Wistar albino rats. Average time required for anastomosis was 8.30 minutes in the laser group and 14.30 minutes using the conventional technique. Patency rate was the same in both groups for arterial anastomosis but in femoral veinous anastomoses, the patency rate was of 89 % using laser and 75 % when done by hand. Secondary vein thromboses amounted respectively to 2 % with laser and 18 % with conventional sutures. Scanning electron microscope examination revealed a better endothelialization in the laser group. T.E.M. examination showed an important inflammatory reaction around the threads in the conventional suture group, even at the end of the first month. In the laser group, a partial and transient necrosis of the media appeared between the second and fourth day. Laser assisted microvascular anastomosis seems to be a promising technique with potential clinical applications.</p></div>","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 3","pages":"Pages 202-209"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80003-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14321245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problèmes posés par la pseudarthrose du scaphoïde","authors":"G. Noever","doi":"10.1016/S0753-9053(88)80019-X","DOIUrl":"10.1016/S0753-9053(88)80019-X","url":null,"abstract":"","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 3","pages":"Page 271"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80019-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56481961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fractures et pseudarthroses du scaphoïde carpien","authors":"J.P. Razemon","doi":"10.1016/S0753-9053(88)80037-1","DOIUrl":"10.1016/S0753-9053(88)80037-1","url":null,"abstract":"","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 4","pages":"Page 345"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80037-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56482482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentaire","authors":"A. Gilbert","doi":"10.1016/S0753-9053(88)80010-3","DOIUrl":"https://doi.org/10.1016/S0753-9053(88)80010-3","url":null,"abstract":"","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 3","pages":"Page 246"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80010-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137073174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Informations","authors":"","doi":"10.1016/S0753-9053(88)80056-5","DOIUrl":"https://doi.org/10.1016/S0753-9053(88)80056-5","url":null,"abstract":"","PeriodicalId":77663,"journal":{"name":"Annales de chirurgie de la main : organe officiel des societes de chirurgie de la main","volume":"7 2","pages":"Page 162"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0753-9053(88)80056-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137285598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}