摘要:

The results of functional treatment using the Pavlik harness in congenital dislocation and congenital dysplasia of the hip in children aged < 11 months were examined by an EPOS study group. This study was conducted on 3,611 hips in 2,636 patients for a period of 1–9 years after treatment. The reduction rate was 92% in grade Tonnis 2 and 3; the healing rate was 80%. In children with dysplastic hips, the healing rate was 95.35%. Avascular necrosis of the femoral head was observed in 2.38%. The Pavlik harness is designed for outpatient treatment if the parents are compliant.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Triple prevention of congenital dislocation of the hip (CDH) consists of screening and earliest treatment in newborns, universal wide diapering in all presumably healthy hips, and repeated screening and early treatment in infants. Preventive activity proved to be decisively stimulated by introduction of “baby packages,” containing equipment for wide diapering, which are being distributed to every newborn free of charge. Since the introduction of baby packages, prevalence of CDH dropped from 1.3 to 0.7% despite incomplete distribution. Likewise, incidence of surgery for CDH decreased sevenfold.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Ultrasonic examination is an established technique for the diagnosis of congenital hip dysplasia. The procedure is outlined and results of screening examinations of 2,000 newborn hips according to the classification of Graf are presented. A differentiated diagnostic-therapeutic concept is available for each sonographic hip type. Social and economic advantages call for an ultrasonic screening examination of newborn hips worldwide.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

We examined the causes of iatrogenic avascular necrosis of the femoral head in 254 hips with congenital dislocation (CDH) treated conservatively. The influence of the age of the child, the height of the displacement of the femoral head, the extent of acetabular dysplasia, and the method of treatment on the frequency and degree of necrosis were estimated. The investigation showed that children are at the highest risk of iatrogenic necrosis in the following cases: (a) age < 6 months, (b) severe acetabular dysplasia, (c) use of an abduction apparatus such as the Frejka pillow for outpatients, and (d) “frog-leg” position after reduction.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

In southern Finland between 1966 through 1975, 920 newborns were treated with a Frejka pillow for dilocation of the hip. The treatment failed in 55 patients. The pillow was then rejected and replaced with the von Rosen splint. One hundred eighty patients were treated with the new method between 1978 and 1981. The treatment failed in one girl. At 3 years of age, one boy had slight features of avascular necrosis. Temporary skin irritation was found in 19% of patients. In two patients, the splint had to be replaced with a pillow because of skin problems. A treatment device which parents are allowed to take off between outpatient visits is not recommended.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Twelve patients with slipped capital femoral epiphysis and 12 age- and sex-matched controls were prospectively studied. Their height, weight, skeletal maturation, and thyroid status were assessed. The duration of symptoms and severity of the slip was recorded in the test group. There was no correlation between duration of symptoms and severity of the slip or delay in making the diagnosis and severity. Although 50 percent of patients with slipped capital femoral epiphysis were over the 90th percentile for weight, there was no overall significant difference in weight, height, or skeletal maturation between the two groups. There was no evidence of either overt or subclinical hypothyroidism in patients with slipped capital femoral epiphysis.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

In operative clubfoot therapy, early operation plays an important role. Between 1975 and 1982, we operated on 55 children with 72 clubfeet: 56 postero-plantar releases in patients with an average age of 5.8 months, and 16 posteromedial releases in patients with an average age of 8.1 months. The average follow-up was 3.5 years. The results, based on an investigation scheme according to Henkel, were good and very good in 94%. Operative treatment is indicated after 3 to 4 months of intensive plaster treatment if there has been no further correction.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Forty-seven children with fractures of the lateral condyle were reviewed, 4 of whom were treated after a five month delay. The roentgenographic study revealed 4 different types of fractures according to the degree of displacement. Each type corresponded to precise anatomical lesions. In the treatment of recent fractures, we must distinguish between strictly undisplaced fractures, which can be immobilized in a cast, and other fractures, which require open reduction and internal fixation.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

This report is a review of long-term results of 42 consecutive fractures of the neck of the radius in children. More than half the patients were followed for >4 years. The results were assessed clinically and radiologically at 6 months and at review. Twenty-seven children (64%) had a good result, 2 (5%) had a fair result, and 13 (31%) had a poor result. Primary angulation was the most important factor affecting the results. Periarticular ossification, avascular necrosis, enlargement of the radial head and of the proximal end of the radius were the most important causes of poor results. Unlike other fractures with unpredictable results, more accurate reduction is mandatory to improve the final outcome.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Fractures not related to birth trauma were diagnosed in 1.2% of preterm infants between the 24th and the 160th day of life. The clinical and radiologic findings as well as the follow-up on 12 preterm infants with one or more fractures were reviewed. Fractures occurred either in the ribs or long bones or both. Their clinical history, the radiographic appearance, and laboratory data suggest that most of the infants may have suffered from bone loss associated with low intake of calcium and phosphorus. Improving the metabolic status and removing the risk factors prevented further fractures and led to good healing.

ISSN:0271-6798    

出版商:OVID    

年代:1988

数据来源: OVID