摘要:

Summary:Suction‐assisted lipectomy was first performed in 1964 but did not become popular until 1981. Many thousands of patients are now so treated for cosmetic reasons each year, but no previous use of this technique as an adjunct to orthopaedic treatment has been reported. Two patients were successfully treated by suction‐assisted lipectomy to reduce the circumferential measurement and shape of the residual limb so that prosthetic restoration could be more easily performed.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The natural history of untreated Osgood‐Schlatter disease is presented in the retrospective study of 69 knees in 50 patients. Seventy‐six percent of the patients believed they had no limitation of activity, although 60% still could not kneel without discomfort. Two groups of patients were identified: those who presented with radiologic fragmentation and had either separated ossicles or an abnormally ossified tuberosity at review, and those who presented with soft tissue swelling without radiologic fragmentation and were asymptomatic at review. There was a low incidence of patellar instability or anterior knee pain, and no case of premature proximal tibial epiphyseal arrest.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:We evaluated the results of excision of the fragment in 16 patients with symptomatic bipartite patellae. In nine, the pain began following trauma; in seven, the onset was insidious. The pain was aggravated by activity in all patients. The average age at surgery was 14 years, 6 months, and the average postoperative follow‐up was 7 years. Fifteen of the patients were markedly improved; one was not.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The charts of 60 consecutive children aged <5 years hospitalized for evaluation of a new onset limp or refusal to bear weight were reviewed. Only 1 of 22 patients with a normal complete blood count (CBC), erythrocyte sedimentation rate (ESR), and temperature had an infection. Of the 14 patients with a diagnosis of infection, only one had a normal CBC, ESR, and temperature. Radiographs were diagnostic in only four cases, whereas aspiration identified nine of 13 infections. Thirty‐five bone scans were performed; 18 led to a definitive diagnosis including synovitis osteomyelitis, Perthes disease, juvenile rheumatoid arthritis, (JRA), fracture, soft tissue infection, and discitis.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:Reangulation and displacement after closed reduction of pediatric forearm fractures were reviewed in 90 patients treated with 1978‐1984. All fractures were remanipulated and followed to union. No complications occurred and all had a functionally satisfactory result. Both intrinsic and extrinsic factors were identified as contributing to the complication of reangulation/displacement. Nonepiphyseal fractures were safely remanipulated up to 24 days postfracture, with the majority at 1‐2 weeks. We conclude that 7% of pediatric forearm fractures treated by closed reduction are subject to reangulation and/or displacement following routine acceptable primary treatment, and that remanipulation provides a safe, effective means to obtain and maintain reduction.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The treatment of unstable forearm fractures in children remains a challenging and controversial subject. There are times when more rigid fixation is needed to obtain and maintain fracture reduction. Open reduction/internal fixation or intramedullary nailing can be avoided by the use of the technique of pins and plaster. This study reviewed 20 forearm fractures treated between 1978 and 1984. All fractures healed uneventfully in satisfactory alignment. No complications were encountered. We conclude that the method of pins and plaster is a safe and reliable method to treat unstable pediatric forearm fractures.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:In a prospective study, angular redisplacement has been correlated with immobilization in the pronated, neutral, or supinated position (20 children in each‐group). Those with >20° of dorsal angulation at day 1 and after 2 weeks were manipulated. Dorsal angulation after immobilization at day 1, 2 weeks, and 6 weeks was measured on accurate lateral views. Angular displacement during the first two weeks was (a) greater among reduced than unreduced cases in the pronation group (p < 0.001), and (b) less in the supination group than in the other groups (p < 0.05). Based on these findings, we believe that the fracture should be immobilized in the supinated position.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3‐year 6‐month follow‐up, the patients had an average flexion/extension of 136° to −6°. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60°/s, 3% deficit at 120°/s, and 3% deficit at 180°/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:Nine children with ischaemia of the forearm, associated with supracondylar fractures of the humerus, which failed to respond promptly to conservative measures, were managed by exploration of the antecubital fossa together with flexor compartment fasciotomies. The anatomic findings are described, operative procedures discussed, and clinical results reviewed. A plan of management is outlined which incorporates early surgical intervention. Results show that this is a safe and effective method of managing these injuries.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:Preoperative angiography in 30 uncorrected clubfeet demonstrated abnormal vascular patterns in all but two limbs with hypoplasia or premature termination of the anterior tibial and medial plantar arteries in the remainder. Postoperative Doppler studies in nine of the limbs with abnormal vessels indicated that these arteries were present. We suggest that the continuous‐wave Doppler technique is less useful for identifying major arteries than either dissection or angiography. Furthermore, arterial dysgenesis may play a role in the etiology of clubfoot. Since the posterior tibial artery usually provides the sole arterial supply to the foot, this vessel must be preserved at surgery and during subsequent ankle dorsiflexion.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID