摘要:

The roentgen stereophotogrammetric method has been used in 19 children treated by Blount stapling for progressive leg length discrepancy. The growth plates of distal femur and/or proximal tibia were stapled with a total of 31 growth regions stapled. Longitudinal growth rate of 25 intact growth regions of distal femur and proximal tibia was determined and correlated well to growth rates as derived from growth tables of Green and Anderson and Kember and Sissons. In stapled growth regions, a uniform pattern of growth retardation was found and correlated well to skeletal age: the more advanced the skeletal age at time of stapling, the more pronounced and rapid initial growth retardation and the lower basal growth rate. Significant asymmetric growth was registered in 5 of 31 stapled growth regions, especially in three patients who developed loosening of staples. In five patients the staple tip motion was analyzed. Widening of staples and staple tip movements within the bony epiphysis and metaphysis were small. In the skeletally younger cases the widening and tip movement were more pronounced than in the older cases. In summary, the roentgen stereophotogrammetric method was used in order to analyze pre- and postoperative growth pattern and was found valuable in checking growth rates after Blount stapling to detect early complications such as asymmetric growth and loosening of staples. Furthermore, the movements and the deformation of the staples by the growth process could be evaluated with high precision.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A retrospective review of all Child Advocacy Committee records at Naval Regional Medical Center, Portsmouth, Virginia, was carried out in an attempt to characterize abuse in a military population. We found little difference between our 273 cases of documented abuse and previous reports from civilian institutions as far as patient age, death rate, types of injuries, and social factors involved. We attributed our low incidence of fractures (11%) to our active Child Advocacy Committee. Spiral fractures in children less than 3 years old were the most common orthopedic injury and we concluded that a high index of suspicion should be maintained in young children with spiral fractures.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Recurrent superior mesenteric artery syndrome is an infrequent complication following reconstructive spinal surgery. However, if diagnosis and treatment are delayed, life-threatening dehydration and electrolyte abnormalities may occur. Recent advances in oral and parenteral alimentation have simplified the treatment of superior mesenteric artery syndrome following the early recognition of the characteristic clinical and radiographic presentation. This case report describes the early diagnosis and various methods of conservative treatment of recurrent superior mesenteric artery syndrome following staged reconstructive spinal surgery.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

An 11-year-2-month-old girl sustained a triplane fracture in the distal humeral epiphysis. Open reduction and internal fixation were performed, producing an excellent result, after closed manipulation failed to achieve complete reduction. The triplane fracture can occur in areas other than the distal tibia.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A technique is described for the early correction of congenital anterior subluxation of the knee by soft tissue release. After 5 years, the results of operation in three knees were encouraging and superior to the reported results of late correction of the established deformity.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A case is presented of a child who sustained septic growth arrest of the distal radial epiphysis following osteomyelitis at 5 weeks of age. At age 8 years and 8 months radial lengthening using the Wagner apparatus was performed. Two and one-half centimeters of total length (18%) of original length) was gained. No significant complications were encountered and normal function has been maintained. Although follow-up is short and additional lengthening is anticipated, this report illustrates the technical considerations for performing this procedure.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Proximal tibial physeal fractures combined with medial collateral ligament ruptures are relatively rare injuries. A case is presented where the avulsed medial collateral ligament was trapped within the fracture, preventing reduction.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

Two cases of humeroradial synostosis are presented, one in connection with idiopathic scoliosis. Less than 70 cases have been reported in the literature. The inheritance pattern is somewhat controversial. Despite the presenting angular deformity, the patients usually do well and surgery is seldom necessary.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A 6-year-old boy suffering from hemophilia A sustained a spontaneous posterior dislocation of the hip due to repeated intra-articular hemorrhages. This is a rare complication of hemophilia, previously unreported in the orthopaedic literature. Despite prompt reduction, the hip became ankylosed.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID

摘要:

A case of extensive ligamentous disruption of the knee associated with avulsion of the patellar tendon in a 12-year-old boy is shown. The operative findings are presented and pertinent literature is discussed. This combination of findings has not previously been presented.

ISSN:0271-6798    

出版商:OVID    

年代:1983

数据来源: OVID