摘要:

Summary:The newborn screening results of 1,310 children examined by Ortolani's and Barlow's manual test, as well as 2,587 children investigated by sonography, have been compared. Of the sonographically pathological hips (technique of Graf), 52.2% had no sign of instability. This was especially true in dysplastic and decentering hip joints, but was found to a smaller degree even in dislocated hips. As a result, twice as many abduction pillows were ordered during the second period. Sonography also detected joints that were immature at birth, but became worse during development (8.9% of hips labeled type 2a, after Graf). A total of 6.54% pathological hips were detected by newborn screening and follow‐up of immature hips.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The records of 100 patients (116 hips) with Legg‐Calvé‐Perthes' (LCP) disease, with a minimum follow‐up of 4 years and treated at the University Hospital, Pellenberg, were reviewed. Sex, Salter's, and Catterall's classifications and lateral subluxation were found to be important prognostic indices. Older children tended to do worse than younger children, but statistical significance could not be established. “Head at risk” factors other than lateral subluxation were found to be unimportant as prognostic indices. Salter's classification was found to be simple, accurate, and significant, and could be made quite early. In the future, this should be an important consideration when making decisions on the management ofLCP.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The results of 83 Salter's innominate osteotomies (i.o.) performed to correct congenital subluxation and dislocation of the hip joint in 76 patients were reviewed. The overall radiographic results were classified as excellent or good in 34 hips (41%) and as fair or failure in 49 hips (59%). The best results were obtained in subluxated hips, previously not treated or treated only with closed reduction, prior to i.o. in patients operated on before the age of 5 years. In that group of hips, excellent or good results were obtained in 18 of 20 hips (90%). The poorest results were obtained in hips with residual subluxation or dislocation after previous operation with a result of fair or failure obtained in 26 of 28 hips (93%).

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:A retrospective study of 17 Chiari osteotomies performed on patients with Perthes disease who were followed until the end of growth is presented. The average age at operation was 8 years 9 months. Catterall grading was mainly group IV. Chiari osteotomy provided satisfactory femoral head coverage with a decreased acetabular index and a 19.6° improvement of the Wiberg angle. Good femoral coverage was related to age at operation and the site of the osteotomy on the upper rim of the acetabulum. The postoperative result was less successful on younger patients or when the osteotomy was performed higher. At follow‐up, the results of femoral head sphericity studied by Mose measurements were favorable under Catterall grading.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The results of elastic stable intramedullary nailing (ESIN) of 85 forearm fractures in children are reported. A single curved nail was inserted into each forearm bone with closed reduction. Immediate mobilization was allowed postoperatively. In a 3 year 6 month follow‐up of 76 patients, 92% had excellent results with a full range of movement. There were neither nonunions nor infections. ESIN is recommended in the treatment of displaced forearm fractures in children older than 10 years of age, and in younger children when conservative treatment fails.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:The functional, radiological, and ambulatory status of 30 patients (58 knees) with arthrogryposis multiplex congenita (AMC) were analyzed after a follow‐up of 1‐36 years. The muscular imbalance presented in many of these patients corresponded well to the type of deformity. The primary treatment was nonoperative in most cases. In spite of the initial promising results, a significant number of patients underwent operation for residual symptoms. Treatment of flexion contractures seems to be more discouraging than the treatment of extension contractures. On the other hand, the risk for degenerative arthritis seemed to be elevated, especially in the extension‐contracture group.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:We report a European study of idiopathic clubfoot that was compiled with the aid of a detailed questionnaire. The retrospective study was presented at the seventh meeting of the European Paediatric Orthopaedic Society (EPOS). Most EPOS members treat idiopathic clubfoot at birth with plaster cast, but a few use physiotherapy and splints. The results of this conservative treatment vary. Operation is usually indicated at an age ranging from 4 to 15 months. Some physicians perform extensive procedures, and others limit operation to the medial and posterior parts of the foot. We propose a classification system for idiopathic clubfoot in an attempt to standardize procedures.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Summary:Physical therapy without anesthesia or plaster casts was used to treat 338 cases of clubfoot (CF). Our technique is based on progressive sequential manipulations at birth. We first reduce the varus and later the equinus component of the CF. The gentle stretches used in this technique are complemented by active physiotherapy stimulating the muscles, and then a simple splint is suited to the foot to fix its degree of realignment. When used alone, this technique achieves 77% good and fair results. In resistant cases, complementary surgery was used. We obtained 96% good and fair results.

ISSN:0271-6798    

出版商:OVID    

年代:1990

数据来源: OVID