Objectives. There are several reports clarifying successful results following
open reduction using Ludloff’s medial approach for
Aims. To describe the clinical, radiological, and functional outcomes in patients with isolated
Diastematomyelia is a rare
There is a close link between the embryological development of the musculoskeletal system and all other main organ systems. We report a prospective series of 202 patients with
Aims. The aim of this study was to gain an agreement on the management of idiopathic
Aims. To identify the minimum set of outcomes that should be collected in clinical practice and reported in research related to the care of children with idiopathic
This paper reports a high incidence of minor
Talipes equinovarus is one of the more common
There were 47 patients with
Adult presentation of neglected
We studied the effect of trochanteric osteotomy in 192 total hip replacements in 140 patients with
A combined anterior and posterior surgical approach
is generally recommended in the treatment of severe
We report the case of a 24-year-old man with a
1. One hundred cases of torticollis and 117 cases of sternomastoid tumour have been reviewed. 2.
Difficulties posed in managing developmental dysplasia of the hip diagnosed late include a high-placed femoral head, contracted soft tissues and a dysplastic acetabulum. A combination of open reduction with femoral shortening of untreated
This paper reviews the current knowledge relating to the management of adult patients with
Ninety-seven limbs, in eighty-one patients, with a diagnosis of
Morphological abnormalities are present in patients with developmental dysplasia of the hip (DDH). We studied and compared the pelvic anatomy and morphology between the affected hemipelvis with the unaffected side in patients with unilateral Crowe type IV DDH using 3D imaging and analysis. A total of 20 patients with unilateral Crowe-IV DDH were included in the study. The contralateral side was considered normal in all patients. A coordinate system based on the sacral base (SB) in a reconstructed pelvic model was established. The pelvic orientations (tilt, rotation, and obliquity) of the affected side were assessed by establishing a virtual anterior pelvic plane (APP). The bilateral coordinates of the anterior superior iliac spine (ASIS) and the centres of hip rotation were established, and parameters concerning size and volume were compared for both sides of the pelvis.Aims
Methods
Aims. To our knowledge, no study has compared the long-term results of cemented and hybrid total hip arthroplasty (THA) in patients with osteoarthritis (OA) secondary to
We have evaluated the results of total hip replacement in patients with
1.
1. General joint laxity affecting more than three joints was found in 7 per cent of normal schoolchildren. Similar laxity was found in fourteen of a random series of forty-eight girls, and in nineteen of twenty-six boys, with non-familial
Sixty-nine patients with
1 . The magnitude of the problem of
1. Eighty infants with
1. The clinical and radiological features of thirty-two feet with
1. An unusual
In five children, six forearms with a fixed pronation deformity secondary to
1. Four cases of true
A
There is controversy whether
Children with
Structural defects of the posterior arch of the atlas are rare, and range from clefts of variable location and size to more extensive defects such as complete agenesis. These abnormalities are usually incidental radiological findings. We present a case of a fracture of the anterior arch of the atlas associated with a
The clinical and radiological features of 12 knees (10 patients) with
We carried out three total knee replacements with proximal realignment in two patients with severe osteoarthritis of the knee and
1. Observations on ninety-four persons with
The early management of bilateral
The variability in measurement of angles in
A five-day-old boy was referred with a soft-tissue mass in his right upper arm. Plain radiographs and ultrasound demonstrated a lesion extending from the axilla to the elbow on the posterolateral aspect of the humerus. Open biopsy confirmed the diagnosis of
We present a retrospective review of a single-surgeon series of 30 consecutive lengthenings in 27 patients with
1. Two cases of an unrecognised
Only two cases have been reported of
Five knees with
Fifty-four adults with eighty hips affected by
1. Twenty-one cases of
A few points in this report deserve to be stressed. Indications–It is important that the orthopaedic surgeon should decide at a very early stage which of the two methods, closed or open, he must use. These do not exclude each other but are on the other hand complementary. Nowadays the dislocated hip can be reduced by open operation with a very good chance of lasting success. This should be carried out if a hip cannot easily be reduced otherwise, or if there is any doubt that closed reduction has been successful–and as early as possible, preferably before the age of three years. Technique–Ample exposure of the joint and removal of all obstacles to reduction are important. Reduction must be complete and stable but without stress, and there must be no interference with the articular bone and cartilage. After-care–Reduction, however perfect, is only the first step towards recovery. The hip must be observed carefully and the most suitable moments for mobilisation and for walking must be chosen; this calls for nice judgment. When it is clear that the roof of the acetabulum is not developing or that persistent valgus and anteversion may encourage subluxation, a secondary operation should be undertaken at once. Radiography is necessary about every three months for the first two years. Assessment of results–With a strict system of assessment, like McFarland's, we have observed 68·3 per cent favourable results in 171 hips treated by open reduction. It is obvious that the problem of
1. Radiological criteria in the diagnosis of
1. A patient with ectopic bone in the upper arm associated with multiple
We present a systematic review of the results of the Ponseti method of management for
1. Breech malposition and hormonal joint laxity produce atraumatic posterior dislocations in the hip joints of young rabbits. 2. Experimental studies were shown to cause the development of a limbus and other softtissue changes similar to those found in human
Sixty patients with
1. The family history of, and associated
Between November 1997 and December 2000 we performed 27 total hip replacements in 22 patients with high
A clinical and radiological study was conducted on 97 total hip replacements performed for
We report for the first time the combination of
Instability of the knee is frequently found in association with
1.
A total of 38 relapsed
1. Three cases of
In a retrospective review of 302 clinically suspected cases of
Comparisons were made between 54 children with resolving
1. The problem of instability of reduction in
We have reviewed the results in 37 patients with unilateral
Van Nes rotationplasty may be used for patients
with
A long-term review of 131 children fitted with upper limb prostheses at the Ontario Crippled Children's Centre between 1965 and 1975 is reported. There were 116 children with
We report a prospective study of the feasibility of employing specially trained physiotherapists to screen neonates for
In this study we evaluated the results of midtarsal
release and open reduction for the treatment of children with convex
congenital foot (CCF) (vertical talus) and compared them with the
published results of peritalar release. Between 1977 and 2009, a
total of 22 children (31 feet) underwent this procedure. In 15 children
(48%) the CCF was isolated and in the remainder it was not (seven
with arthrogryposis, two with spinal dysraphism, one with a polymalformative
syndrome and six with an undefined neurological disorder). Pre-operatively, the mean tibiotalar angle was 150.2° (106° to
175°) and the mean calcaneal pitch angle was -19.3° (-72° to 4°).
The procedure included talonavicular and calcaneocuboid joint capsulotomies,
lengthening of tendons of tibialis anterior and the extensors of
the toes, allowing reduction of the midtarsal joints. Lengthening
of the Achilles tendon was necessary in 23 feet (74%). The mean follow-up was 11 years (2 to 21). The results, as assessed
by the Adelaar score, were good in 24 feet (77.4%), fair in six
(19.3%) and poor in one foot (3.3%), with no difference between
those with isolated CCF and those without. The mean American Orthopaedic
Foot and Ankle Society midfoot score was 89.9 (54 to 100) and 77.8
(36 to 93) for those with isolated CCF and those without, respectively.
At the final follow-up, the mean tibiotalar (120°; 90 to 152) and
calcaneal pitch angles (4°; -13 to 22) had improved significantly
(p <
0.0001). Dislocation of the talonavicular and calcaneocuboid
joints was completely reduced in 22 (70.9%) and 29 (93.6%) of feet,
respectively. Three children (five feet) underwent further surgery
at a mean of 8.5 years post-operatively, three with pes planovalgus
and two in whom the deformity had been undercorrected. No child
developed avascular necrosis of the talus. Midtarsal joint release and open reduction is a satisfactory
procedure, which may provide better results than peritalar release.
Complications include the development of pes planovalgus and persistent
dorsal subluxation of the talonavicular joint. Cite this article:
The hips of twenty full-term African neonates have been examined in detail to determine any anatomical factors which might explain the difference in the incidence of
The term "congenital scoliosis" contributes little to our understanding of aetiology, for "congenital" simply means "to be born with" and is applicable to deformities present at birth whether these are genetically determined or acquired in utero. The presentation of monozygotic twins, one of whom has
Thirteen patients with
We reviewed the serial radiographs of 54 hips in 47 children treated by closed reduction for
Operative correction of
We report on a radiographic screening programme at four months of age for infants who were clinically normal at neonatal examination but were considered to be 'at risk' for
We reviewed 33 patients (35 hips) after open reduction of
1. A case of
A review of seventy-one children with sacral anomalies is presented. The aetiology is discussed and a classification of sacral anomalies is suggested, with three groups of patients: agenetic, dysgenetic and dysraphic. The clinical presentation of each group is discussed and the high incidence of
Seventy patients with 91
A new concept of the etiology of
We investigated 60 patients (89 feet) with a
mean age of 64 years (61 to 67) treated for
1. An anatomical study of
1. Nineteen patients with
We describe two patients with an atypical
The late results of treatment of 24 legs in 21 children with
We measured the range of rotation in both hips of 397 normal children and in the unaffected hip of 135 children with unilateral
We performed nine metatarsal and three proximal phalangeal lengthenings in five patients with
We reviewed 13 patients with
1. One hundred cases of
1. The "frame" or traction method of reduction of
1. A case of discoid medial cartilage is describeâthe fifth so far recordedâand comparison is made with the previous cases in the literature. 2. The origin of the anomaly, its incidence and clinical features are discussed. 3. The view is expressed that discoid cartilage is a
1. Attention is drawn to that type of rigid
1. An unusual case of bilateral and symmetrical
1. Twenty patients with
We studied 24 children (40 feet) to demonstrate that a physiotherapist-delivered Ponseti service is as successful as a medically-led programme in obtaining correction of an idiopathic
1. Two cases of
To determine the effect of cordotomy on the function of the bladder during surgical correction of
The outcome in 83 patients with
1. It is suggested that the obstruction causing delayed reduction of the
1. Four cases of