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  • 1
    Electronic Resource
    Electronic Resource
    Greffe Intertibio-péronière dans le Traitement des Pseudarthroses Fistuleuses Diaphysaires de Jambe (1977)
    Springer
    International orthopaedics 1 (1977), S. 58-63 
    Details
    ISSN: 1432-5195
    Keywords: Bone Graft ; Non-united Fractures ; Leg
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The authors present a series of 30 cases of fistular non united fractures of the leg treated by interosseous bone graft. Survey was performed from 3 to 9 years. In most cases, the surgical approach is made behind the fibula; in 14 cases, immobilization by means of a plaster cast and in 16 cases by means of external fixation (in 9 cases, external fixation bar + screws was realised first). Healing occured in 28 cases (quick in 25 cases, i.e. within 3–8 months, slow in 3 cases) and 2 failures. The authors emphasize the value of the posterior (retrofibular) approach, which avoids the distal “septic” soft areas, and of the bar-screws device. The procedure is mostly relevant in old infected non united fractures, with atrophic bony extremities or with boneloss. In the other cases, Judet's procedure is more simple and allows excellent results.
    Notes: Résumé Les auteurs présentent une série de 30 pseudarthroses fistuleuses de jambe traitées par greffe intertibiopéronière, revues avec un recul allant de 3 à 9 ans. La voie d'abord utilisée pour la greffe est le plus souvent rétropéronière; dans 14 cas l'immobilisation a été réalisée par un plâtre et dans 16 cas par un fixateur externe (chez 9 malades, l'opération a été réalisée après mise en place du fixateur). 28 guérisons sont constatées (25 rapides en 3 à 8 mois, 3 plus lentes) et 2 échecs. Les auteurs insistent sur l'intérêt de la voie rétropéronière qui permet le plus souvent de rester à distance des parties molles «septiques» et du fixateur externe comme moyen de contention. L'indication de cette méthode concerne surtout les pseudarthroses infectées anciennes avec des extrémités osseuses atrophiques ou en cas de perte de substance osseuse. Dans les autres cas, la décortication de Judet est plus simple et permet d'obtenir d'excellents résultats.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00269761
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  • 2
    Electronic Resource
    Electronic Resource
    Technique d'étude de la vascularisation artérielle de l'os (1977)
    Springer
    International orthopaedics 1 (1977), S. 171-178 
    Details
    ISSN: 1432-5195
    Keywords: Arterial vascularisation ; Humerus ; Pedicle
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Afin d'étudier la vascularisation artérielle intraosseuse, les auteurs présentent une méthode dérivée de celle de Trueta (1953). Des microangiographies de coupes osseuses, après injection de sulfate de baryum, ont permis l'étude de la vascularisation intraosseuse de l'humérus chez l'homme. Au niveau de l'extrémité supérieure, il existe quatre pédicules, nés des arteriae circumflexae, qui donnent les artères épiphysaires supérieures. La diaphyse est vascularisée par des artères nourricières — la plus importante, l'arteria nutriciae humeri, donne une branche ascendante et une branche descendante dont les terminales s'anastomosent chez l'adulte avec des vaisseaux épiphysaires — et des vaisseaux périostés qui semblent moins nombreux au niveau d'une zone comprise entre la moitié supérieure de l'os et son quart inférieur. L'extrémité inférieure reçoit des vaisseaux de quatre pédicules issus d'artères collatérales de l'arteria brachialis.
    Notes: Summary The authors present a method derived from that of Trueta (1953) for a study of intraosseous arterial vascularisation. This was studied on bone sections of the human humerus after barium sulfate injection and microangiography. There are four pedicles at the upper extremity, arising from the arteriae circumflexae, which give rise to the upper epiphyseal arteries. The diaphysis is supplied by feeder arteries — the most important, the arteria nutriciae humeri, yields an ascending branch and a descending branch, whose terminals anastomose in the adult with the epiphyseal vessels — and the periosteal vessels, which are apparently fewer in number at the level of the zone between the upper half of the bone and its lowest quarter. The lower extremity receives the vessels of 4 pedicles which arise from collateral arteries of the arteria brachialis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00266334
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  • 3
    Electronic Resource
    Electronic Resource
    Du rôle des muscles et des ligaments dans le contrôle de la stabilité du genou (1978)
    Springer
    Surgical and radiologic anatomy 1 (1978), S. 43-53 
    Details
    ISSN: 1279-8517
    Keywords: genou ; anatomie fonctionnelle ; biomécanique ; ligaments du genou ; muscles du genou ; stabilité du genou
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Résumé La finalité de la disposition anatomique précise des formations ligamentaires passives et musculaires actives du genou assure la stabilité de cette articulation dans les trois plans de l'espace: A. La stabilité sagittale est principalement contrôlée par les ligaments croisés et l'antagonisme extenseursfléchisseurs. B. La stabilité transversale est surtout dévolue aux formations médiales et latérales actives et passives (ligaments collatéraux, muscles de la patte d'oie, biceps et fascia lata). C. La stabilité horizontale ou rotatoire fait intervenir l'ensemble des éléments passifs et actifs autorisant à concevoir les formations périarticulaires du genou essentiellement comme un système antitorsion.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01654347
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Morphometry of the talocrural joint (1997)
    Springer
    Surgical and radiologic anatomy 19 (1997), S. 299-302 
    Details
    ISSN: 1279-8517
    Keywords: Talocrural joint ; Ankle arthroplasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé A partir de deux incidences radiologiques orthogonales, les auteurs proposent une étude morphométrique de l'art. talo-crurale. Sur une population de 50 sujets non pathologiques, dix paramètres ont été mesurés et répartis en trois groupes : le groupe des paramètres de la surface articulaire distale du tibia, le groupe des paramètres malléolaires, le groupe des paramètre du talus. Ces paramètres ont fait l'objet d'une analyse descriptive et d'une analyse corrélative. Si l'art. talo-crurale est une ginglyme dont la surface articulaire du talus peut être simplifiée et assimilée à un segment de cylindre, les auteurs, par le calcul, peuvent en définir le rayon de courbure. L'analyse corrélative permet alors de définir les paramètres du talus et les paramètres correspondant de la surface articulaire distale du tibia. Les paramètres malléolaires en restent indépendants. Ce travail est une première analyse morphologique pour concevoir une arthroplastie de cheville.
    Notes: Summary Based on two orthogonal radiologic views, the authors present a morphometric study of the talocrural joint. In 50 normal subjects, 10 parameters were measured and divided into 3 groups: the distal tibial joint surface parameters, the malleolar parameters and the talar parameters. These parameters were treated in both a descriptive and a correlative analysis. If the talocrural joint is a hinge joint whose talar articular surface can be simplified and classed as a cylinder segment, it is possible to calculate its curve radius. Then the correlative analysis allows to define the talar parameters and the corresponding parameters of the distal tibial joint surface. The malleolar parameters are independent factors. This study is the first morphologic analysis to serve as a basis for an ankle arthroplasty.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01637597
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  • 5
    Electronic Resource
    Electronic Resource
    Morphometry of the talocrural joint (1998)
    Springer
    Surgical and radiologic anatomy 19 (1998), S. 299-302 
    Details
    ISSN: 1279-8517
    Keywords: Talocrural joint ; Ankle arthroplasty
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Based on two orthogonal radiologic views, the authors present a morphometric study of the talocrural joint. In 50 normal subjects, 10 parameters were measured and divided into 3 groups: the distal tibial joint surface parameters, the malleolar parameters and the talar parameters. These parameters were treated in both a descriptive and a correlative analysis. If the talocrural joint is a hinge joint whose talar articular surface can be simplified and classed as a cylinder segment, it is possible to calculate its curve radius. Then the correlative analysis allows to define the talar parameters and the corresponding parameters of the distal tibial joint surface. The malleolar parameters are independent factors. This study is the first morphologic analysis to serve as a basis for an ankle arthroplasty.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-997-0299-9
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  • 6
    Electronic Resource
    Electronic Resource
    Anatomical and functional study on the musculus semimembranosus (1984)
    Springer
    Surgical and radiologic anatomy 6 (1984), S. 215-223 
    Details
    ISSN: 1279-8517
    Keywords: Functional anatomy ; Knee ; Musculus semimembranosus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La dissection de 18 genoux de cadavres frais permet de préciser la terminaison distale du muscle semi-membranosus. Elle est exclusivement tibiale par trois tendons qui rendent ce muscle fonctionnel quelle que soit la position du genou. Les autres faisceaux parfois décrits ne sont que des expansions aux formations ménisco-tibiale et ménisco-fémorale dont il faut dissocier cette terminaison distale. Une étude électromyographique, réalisée chez 17 sujets confirme que ce muscle est plus un frein de la rotation externe qu'un rotateur interne, d'autant plus que la hanche est en flexion et le genou en extension.
    Notes: Summary The dissection of 18 knees taken from fresh cadavers has led to a detailed description of the semimembranosus muscle (musculus semimembranosus). It is exclusively tibial with its three tendons rendering the muscle functional, whatever the position of the knee may be. There are other attachments, sometimes described are merely expansions extending to the meniscotibial and menisco-femoral formations, from which this distal termination must be distinguished. Electromyography performed on 17 specimens confirms that this muscle serves more as a brake on outer rotation than an inner rotator muscle, especially when the hip is flexed and the knee stretched.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01784316
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  • 7
    Electronic Resource
    Electronic Resource
    The left retro-aortic brachiocephalic vein: morphologic data and diagnostic ultrasound in 27 cases (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 251-254 
    Details
    ISSN: 1279-8517
    Keywords: Left brachiocephalic vein ; Ultrasonography ; Tetralogy of Fallot
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La veine brachiocéphalique gauche rétro-aortique est une entité anatomique rare. Une analyse rétrospective a été réalisée sur 5 218 cardiopathies congénitales traitées entre 1982 et 1998 dans un département médico-chirurgical de cardiologie pédiatrique. Une veine brachiocéphalique gauche rétro-aortique a été mis en évidence chez 27 patients soit une incidence de 0,5 %. La cardiopathie principale était une tétralogie de Fallot dans 25 cas (93 %). Parmi ces 25 cas de tétralogie de Fallot, l'arc aortique était droit dans 19 cas (70 %). Le diagnostic paraclinique de cette anomalie est aisé par échocardiographie à condition de la rechercher. Dans cette série, 6 cas (22 %) ont été découverts pendant la chirurgie sans diagnostic échographique préalable. L'origine embryologique de la veine brachiocéphalique gauche rétro-aortique est différente de celle de la v. brachiocéphalique dans sa forme anatomique classique. Elle provient des plexus transverses inférieurs (et non supérieurs) mettant en communication les deux veines cardinales antérieures. Une des principales conséquences cliniques de cette anomalie est la confusion possible avec d'autres structures vasculaires en particulier l'a. pulmonaire droite. Une telle confusion peut être à l'origine d'indications chirurgicales non appropriées. Le diagnostic différentiel est facilité par l'utilisation du Doppler : le flux veineux est biphasique et rythmé par la respiration alors que l'enregistrement Doppler d'une a. pulmonaire donne un flux artériel systolique caractéristique.
    Notes: Summary A left retro-aortic brachiocephalic vein is a rare anatomic entity. A retrospective study was made of 5218 congenital cardiopathies treated between 1982 and 1998 in a medico-surgical department of paediatric cardiology. A left retro-aortic brachiocephalic vein was demonstrated in 27 patients, i.e. an incidence of 0.5%. The chief cardiopathy in these patients was a tetralogy of Fallot in 25 cases (93%). Among these 25 cases of Fallot's tetralogy the aortic arch was rightsided in 19 cases (70%). The paraclinical diagnosis of this anomaly was facilitated by ultrasonography, provided it was sought for. In this series 6 cases (22%) were discovered during surgery without previous ultrasound diagnosis. The embryological origin of the left retro-aortic brachiocephalic v. differs from that of the venous trunk in its classical anatomic form. It derives from the inferior (but not superior) transverse plexuses, connecting the two anterior cardinal veins. One of the main consequences of this anomaly is its possible confusion with other vascular structures, particularly the right pulmonary artery. Such confusion may give rise to inappropriate surgical procedures. The differential diagnosis is facilitated by the use of the Doppler: the venous flow is biphasic and regulated by respiration, whereas the Doppler recording from a pulmonary artery is that of a characteristic systolic arterial flow.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01631395
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Locating the center of rotation of the hip (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 247-250 
    Details
    ISSN: 1279-8517
    Keywords: Total hip replacement ; Center of rotation of the hip ; Leverage of gluteus medius muscle
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé En chirurgie prothétique de l'articulation coxo-fémorale, il est fondamental de recentrer la hanche pour recréer la balance du muscle moyen fessier. La détermination du centre de rotation de la hanche est difficile si les deux articulations coxo-fémorales sont détruites. A partir de 70 radiographies du bassin de face debout, les auteurs mesurent la position du centre de la tête fémorale par rapport à la ligne de Kohler et par rapport à la ligne TD, unissant les deux U radiologiques. Sur cette même radiographie, ils définissent des index horizontaux et des index verticaux. L'analyse descriptive de ces paramètres met l'accent sur l'influence du sexe sur les coordonnées du centre de rotation de la hanche. Les auteurs mettent en évidence des corrélations statistiques entre les coordonnées de ce centre de rotation de l'articulation et certains index horizontaux et verticaux. Il en résulte que la connaissance de ces index suffit à définir la position théorique du centre de rotation. La méthode est comparée aux autres principes énoncés dans la littérature. Le procédé trouve sa place en clinique, dans le cadre de la planification pré-opératoire des reconstructions prothétiques de l'acétabulum, chaque fois qu'il est détruit de façon bilatérale (séquelle traumatique, luxation congénitale, descellement acétabulaire, etc.).
    Notes: Summary In prosthetic surgery of the hip joint it is essential to recenter the hip to recreate the leverage of the gluteus medius muscle. Determination of the center of rotation of the hip is difficult if both hip joints have been destroyed. On the basis of 70 frontal radiographs of the hip in the standing position, the authors measured the position of the center of the femoral head in relation to Köhler's line and the TD line joining the two radiological Us (“tear-drops”). On the same radiograph they defined the horizontal and vertical indices. The descriptive analysis of these parameters stresses the influence of sex on the coordinates of the center of rotation of the hip. The authors demonstrated the statistical correlations between the coordinates of this center of rotation of the joint and certain horizontal and vertical indices. It emerged that knowledge of these indices suffices to define the theoretic position of the center of rotation. The method is compared with other principles set out in the literature. The procedure has a clinical application in the context of preoperative planning of prosthetic reconstruction of the acetabulum, whenever it is destroyed bilaterally (after trauma, in congenital dislocation or acetabular loosening, etc).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01631394
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    Paper (German National Licenses)
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  • 9
    Electronic Resource
    Electronic Resource
    Locating the center of rotation of the hip (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 247-250 
    Details
    ISSN: 1279-8517
    Keywords: Total hip replacement Center of rotation of the hip Leverage of gluteus medius muscle
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In prosthetic surgery of the hip joint it is essential to recenter the hip to recreate the leverage of the gluteus medius muscle. Determination of the center of rotation of the hip is difficult if both hip joints have been destroyed. On the basis of 70 frontal radiographs of the hip in the standing position, the authors measured the position of the center of the femoral head in relation to Köhler’s line and the TD line joining the two radiological Us (“tear-drops”). On the same radiograph they defined the horizontal and vertical indices. The descriptive analysis of these parameters stresses the influence of sex on the coordinates of the center of rotation of the hip. The authors demonstrated the statistical correlations between the coordinates of this center of rotation of the joint and certain horizontal and vertical indices. It emerged that knowledge of these indices suffices to define the theoretic position of the center of rotation. The method is compared with other principles set out in the literature. The procedure has a clinical application in the context of preoperative planning of prosthetic reconstruction of the acetabulum, whenever it is destroyed bilaterally (after trauma, in congenital dislocation or acetabular loosening, etc).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-999-0247-y
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    Paper (German National Licenses)
    Fulltext
  • 10
    Electronic Resource
    Electronic Resource
    The left retro-aortic brachiocephalic vein: morphologic data and diagnostic ultrasound in 27 cases (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 251-254 
    Details
    ISSN: 1279-8517
    Keywords: Left brachiocephalic vein Ultrasonography Tetralogy of Fallot
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A left retro-aortic brachiocephalic vein is a rare anatomic entity. A retrospective study was made of 5218 congenital cardiopathies treated between 1982 and 1998 in a medico-surgical department of paediatric cardiology. A left retro-aortic brachiocephalic vein was demonstrated in 27 patients, i.e. an incidence of 0.5%. The chief cardiopathy in these patients was a tetralogy of Fallot in 25 cases (93%). Among these 25 cases of Fallot’s tetralogy the aortic arch was rightsided in 19 cases (70%). The paraclinical diagnosis of this anomaly was facilitated by ultrasonography, provided it was sought for. In this series 6 cases (22%) were discovered during surgery without previous ultrasound diagnosis. The embryological origin of the left retro-aortic brachiocephalic v. differs from that of the venous trunk in its classical anatomic form. It derives from the inferior (but not superior) transverse plexuses, connecting the two anterior cardinal veins. One of the main consequences of this anomaly is its possible confusion with other vascular structures, particularly the right pulmonary artery. Such confusion may give rise to inappropriate surgical procedures. The differential diagnosis is facilitated by the use of the Doppler the venous flow is biphasic and regulated by respiration, whereas the Doppler recording from a pulmonary artery is that of a characteristic systolic arterial flow.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-999-0251-2
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    Paper (German National Licenses)
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