ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

From 1983 to 1990 a total of 136 patients with adolescent idiopathic scoliosis were treated with the Boston brace. With the aim of examining the social and psychological impact of the brace treatment all patients received a questionnaire at an average of 3.5 years after termination of the treatment. Ninety-three percent responded to the questionnaire. The overall picture was that the patient's daily activities and social contacts, not least with the opposite sex, were affected both during the bracing period and at follow-up. It is important that the indications for the treatment are assured, and weaning should be initiated at the latest 3 years after menarche.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Geleophysic dysplasia is a rare skeletal dysplasia characterised by ‘happy natured’ facies, short stature with short limbs, brachydactyly, and joint contractures. This report describes a case of a patient with unilateral Legg-Calvé-Perthes-like changes associated with dysplastic proximal capital femoral epiphysis, typical to geleophysic dysplasia.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Salter's innominate osteotomy is a commonly used procedure in the treatment of developmental dysplasia of the hip. The graft is usually fixed with two K-wires that are removed surgically 6 weeks later. The use of bioabsorbable rods to fix the graft saves patients further surgery for removal of wires and ensures a better scar. This paper reports for the first time the successful use of bioabsorbable self-reinforced polyglycolic acid rods for fixing the graft of Salter's innominate osteotomy in the treatment of developmental dysplasia of the hip, and describes the suggested operative technique for their use.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Plain radiographs and arthrograms on 46 patients with Legg-Calvé-Perthes were evaluated. Measurements of containment including epiphyseal extrusion, caput index, femoral subluxation, percentage acetabular coverage, were determined. Only with arthrography are measurements of acetabular coverage, subluxation and epiphyseal extrusion consistent and reliable. The concept of eccentricity was developed to assist in the understanding of femoral containment.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Two cases of bacterial adductor myositis that presented as painful hips in boys aged 4 and 9 years are reported. Clinically, there was severe pain and a high pyrexia, a raised C-reactive protein and positive blood cultures but a negative hip ultrasound. Urgent magnetic resonance imaging demonstrated changes throughout the adductor muscles in keeping with bacterial myositis. Both boys settled with intravenous antibiotic therapy. We propose that magnetic resonance imaging is a valuable tool in the assessment of infection around the hip and should be indicated when other investigations have excluded a septic arthritis but the child remains unwell.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Twenty-three foot deformities in 22 patients had been treated without any real surgical incision, ‘the bloodless technique’, after the application of the Ilizarov external fixator. The ages of the patients ranged from 2 years and 6 months to 49 years. After an average follow-up of 18.3 months (range 8–40 months), all patients had a plantigrade foot. There was no need for soft tissue release or osteotomy. Pin tract infection occurred mostly in the metatarsal wire. However it did not affect final results. The bloodless technique is an effective way of treating foot deformities in children and adults.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Idiopathic congenital talipes equinovarus has a reported prevalence of between 0.64 and 2.5 per thousand live births in the Scottish population. A retrospective study of neonates (n=162), who presented with idiopathic congenital talipes equinovarus in Scotland over a 3 year period (1994–1996) revealed a seasonal increased incidence of the condition in neonates born in March and April. The probable aetiological factors for congenital talipes equinovarus are discussed.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

As the navicular is unossified in infants with foot deformities, until 5 years old (boys) and 3 years old (girls), it is difficult to give the exact position of hindfoot bones. Magnetic resonance imaging associated with three-dimensional reconstruction allows the visualization of the cartilaginous volume of the bones and the measurement of the relationships of the navicular with the talus. In normal feet, we noted that in the coronal plane the navicular was laterally situated (75%) relative to the talus. In club feet (17 patients), the navicular and the cuboid had a large medial displacement (77%) with a slight pronation movement in the sagittal plane. In suspected skewfoot (seven feet) we noted three cases with a lateral subluxation of the navicular. This objective technique of measurement may be of value for diagnosis and treatment of foot deformities.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Twenty patients with Type II clubfeet were evaluated an average of 3.1 years after complete surgical soft tissue release. A pinned group had fixation of the talonavicular and calcaneocuboid joints and a non-pinned group had no fixation. The control group consisted of 10 children without foot ailments. Radiographic measurements of talocalcaneal and talus–first metatarsal angles and frequencies of dorsal and medial navicular subluxation were not different for the two treatment groups. Foot progression angle was not significantly different for the two treatment groups, but was significantly different between all clubfoot patients (3.6° of in-toeing) and the control group (5.0° of out-toeing). Tourniquet time was significantly greater for the pinned than for the non-pinned group, but the duration of surgery was similar. Similar radiographic and gait measurement findings suggest that clubfoot surgery with and without percutaneous fixation have comparable outcomes.

ISSN:0271-6798    

出版商:OVID    

年代:2002

数据来源: OVID