Aims. The
Aims. The primary aim of this study was to describe long-term patient-reported outcomes after
Aims. The aim of this study was to assess the ability of morphological spinal parameters to predict the outcome of bracing in patients with adolescent idiopathic scoliosis (AIS) and to establish a novel supine correction index (SCI) for guiding bracing treatment. Methods. Patients with AIS to be treated by bracing were prospectively recruited between December 2016 and 2018, and were followed until brace removal. In all, 207 patients with a mean age at recruitment of 12.8 years (SD 1.2) were enrolled. Cobb angles, supine flexibility, and the rate of in-brace correction were measured and used to predict curve progression at the end of follow-up. The SCI was defined as the ratio between correction rate and flexibility. Receiver operating characteristic (ROC) curve analysis was carried out to assess the optimal thresholds for flexibility, correction rate, and SCI in predicting a higher risk of progression, defined by a change in Cobb angle of ≥ 5° or the need for surgery. Results. The baseline Cobb angles were similar (p = 0.374) in patients whose curves progressed (32.7° (SD 10.7)) and in those whose curves remained stable (31.4° (SD 6.1)). High supine flexibility (odds ratio (OR) 0.947 (95% CI 0.910 to 0.984); p = 0.006) and correction rate (OR 0.926 (95% CI 0.890 to 0.964); p < 0.001) predicted a lower incidence of progression after adjusting for Cobb angle, Risser sign, curve type, menarche status, distal radius and
Purpose: We report three cases of extensive resection of the
Purpose of the study: The purpose of using distal metaphyso-epiphyseal osteotomy to shorten the
Non-union of the radius and/or
Aim: The aim of this investigation was to determine how the rotational axis of the wrist moves as the hand goes from full
Aim: The carpal bone arrangement can be described as a matrix of two rows and three columns. There a various theories as to how the bones within the matrix move during
The aim of this study was to investigate how the rotational axis of the wrist moves as the hand goes from full
Aims:. 1) To determine the predictive value of a simple stability test in children’s wrist fractures treated with simple manipulation and plaster of Paris (PoP) cast immobilisation. 2) To determine the effect of cast quality as reflected in the skin cast distance (distance between the cast and the skin in the plane of major displacement or angulation) and the cast index (the inside diameter of the cast in the sagittal plane divided by the inside diameter in the coronal plane) on re-displacement rates in children’s wrist fractures treated with simple manipulation and plaster of Paris (PoP) cast immobilisation. Methods: This is a prospective study of 57 children aged 4 to 15 with metaphyseal and Salter-Harris II wrist fractures treated with simple manipulation. Under fluoroscopic imaging, a simple stability test involving moving the hand at the wrist in the dorsopalmar, and radioulnar planes was performed following reduction, and x-ray images were saved. We recorded and compared the displacement and angulation on the initial x-rays, during the test, and at one-and 6-week follow-up. We also recorded the skin-cast distance (SCD), and the cast index (CI). Results: 38 patients had isolated radius fractures and 19 had radius and
Purpose of Study:. To review the outcome of paediatric patients with radius and
After a fracture of the distal radius, the bone segments may heal in a suboptimal position. This condition may lead to a reduced hand function, pain and finally osteoarthritis, sometimes requiring corrective surgery. The contralateral unaffected radius is often used as a reference in planning of a corrective osteotomy procedure of a malunited distal radius. In the conventional procedure, radiographs of both the affected radius and the contralateral radius have been used for planning. The 2D nature of radiographs renders them sub-optimal for planning due to overprojection of anatomical structures. Therefore, computer-assisted 3D planning techniques have been developed recently based on CT images of both forearms. The accuracy of using the contralateral forearm for CT based 3D planning the surgery of the affected arm and the optimal strategy for planning have not been studied thoroughly. To estimate the accuracy of the planned repositioning using the contralateral forearm we investigated bilateral symmetry of corresponding radii and ulnae using 3-dimensional imaging techniques. A total of 20 healthy volunteers without previous wrist injury underwent a volumetric computed tomography scan of both forearms. The left radius and
Stress shielding (i.e. reduction in bone strains) in the distal
The treatment of relapsing pseudoarthrosis of
Clinical Problem: fractures under tension are common injuries and occur when patients are falling on partial flexed limbs under maximal contraction of the extensor muscles. Typical injuries are patella and olecranon. For these fractures the tension belt osteosyntheses is the mainly used procedure. A high complication rate regarding dislocation, bone healing, pain and functional outcome are reported. This is due to the unstable fixation with the tension belt because of the tendon insertion around the bone fragment witch allow secondary loosening of the tension belt under alternating load. This was found allready 1987 by Brill and Hopf in an experimental study. Materials and Methods: To improve stabilisation a new device was developed: the XS (4,5mm diameter) and the XXS nail (3,5mm) witch is locked with threaded wires and a set screw allows fracture compression inside the nail independend from the soft tissues around. Fiber Wire cerclage transversal around the threaded wire ends allow the fixation of additional frontal plane fragments or marginal fragments. Experimental test were performed in a patella sow-bone models and showed superior to tension bel (patella) and Plate fixation/fibula). On the other side the locked nail system allows percutaaneous osteosynthesis of the whole
Introduction and Aims: The purpose of our study was to assess the efficacy of double osteotomy of the radius and
Methicillin– resistant Staphylococcus aureus (MRSA) infected gap non –union of long bones fractures is a challenge to manage. Treatment options are limited such a Ilizarov bone transport, vascularized bone free transfer etc. These techniques have complications and require expertise. We present a rare case with MRSA infected nonunion and bone defect 5cm of
Distal radius and
Number one in frequency of all fractures in children is the distal forearm fracture. The most common green-stick fracture with minor or no dislocation is treated by short or long arm cast. Depending on the age 4 or six weeks of immobilization is sufficient. Displaced fractures of the distal radius and