0000000000856869
AUTHOR
B. Henault
Posterior perilunate carpal dislocation associated with a multifragmentary distal radius fracture.
Summary Dorsal perilunate wrist dislocations are rare. Associated carpal bones or radial styloid process fractures can occur and be included in the current classifications. The authors report an unusual association of dorsal perilunate wrist dislocation with a multifragmentary distal radius fracture. Such traumatic entity has never been previously described. Poor functional outcome may justify the inclusion of associated complex forearm bone fractures in wrist dislocation classifications.
Capillary measurement of lactate and glucose for free flap monitoring.
Summary Background It is reported that the salvage rate of free flaps is inversely related to the time interval between the onset of pedicle impairments and their clinical recognition. Monitoring of free flaps is therefore of major importance and clinical monitoring remains the most used technique because of lack of low-cost and non-invasive techniques. The authors suggested an efficient, simple and cheap technique to detect early thrombotic events in monitoring free flaps with skin paddle. Methods In this multicentre prospective study, measurements of capillary glucose and lactate in the flaps were done. These parameters were compared to standardized clinical monitoring during the first fi…
Le lambeau ostéo-fascio-cutané antébrachial radial dans la reconstruction maxillo-faciale
Resume Introduction Les pertes de substance maxillo-faciales souvent pluritissulaires relevent d’une reconstruction par lambeaux composites. Le lambeau osteo-fascio-cutane antebrachial radial (LOFCAR) est l’un des moins utilise. Nous presentons nos resultats de reconstruction maxillo-faciale avec ce lambeau. Patients et methode Nous avons repris les dossiers des patients reconstruits par LOFCAR entre 2009 et 2011. Les pertes de substance mandibulaires ont ete classees selon la classification HCL, les maxillaires selon celle de Cordeiro-Santamaria. Les resultats fonctionnels (deglutition et elocution) ont ete analyses a partir du sixieme mois. Resultats L’âge moyen des dix patients etait de …
Kystes trichilemmaux ossifiants multiples du cuir chevelu : un cas familial
Resume Introduction Le kyste trichilemmal, egalement appele kyste pilaire, est un kyste epithelial dermique developpe aux depens du follicule pileux. Le cuir chevelu est la localisation la plus frequente de cette lesion. Les cas ossifiant et familiaux sont rares. Observation Nous rapportons un cas de kystes trichilemmaux multiples du cuir chevelu, decouverts chez femme de 61 ans ayant des antecedents familiaux. Le diagnostic a ete confirme par l’histologie de la piece operatoire. Les kystes trichilemmaux se caracterisaient par remaniements intrakystiques, sous forme d’ossification. L’etendue des lesions a necessite une exerese chirurgicale elargie du cuir chevelu. La reconstruction a ete fa…