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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_VI | Pages 7 - 7
1 Mar 2012
Madhu T Akula M Panteliades P Scott B Templeton P
Full Access

Purpose of the study

To report the difference in the rates of avascular necrosis (AVN) of the femoral head following change in the hip abduction angle in the hip spica.

Methods

Up until 2002, following closed and medial open reduction of the dislocated hip, the joint was immobilised in a 90° of flexion, 60° of abduction and 10-20° of internal rotation hip spica. The practice was changed after 2002 to 45° of hip abduction in the spica with other parameters remaining same.

We audited the rates of radiologic AVN in these two groups of children. Group A, before 2002, had 20 children and in group B, after 2002 till Aug 2007, had 53 children. AVN was quantified on 2 year radiograph by the classification described by Salter and noted its progression on serial radiographs.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_VI | Pages 12 - 12
1 Mar 2012
Akula M Madhu T Scott B Templeton P
Full Access

Purpose of the study

We describe a new technique of talar dome osteotomy in the treatment of fixed equinovalgus deformity of the foot in patients with Fibular Hemimelia and successfully applied it in two patients.

Background

Fibular Hemimelia is a congenital absence or hypoplasia of fibula with associated fixed equinovalgus deformity of the foot. Treatment for this deformity ranges from corrective osteotomy of the tibia, calcaneum to Syme's amputation.