Modified split tendon transfer of posterior tibialis muscle in the treatment of spastic equinovarus foot deformity: long-term results and comparison with the standard procedure.

Introduction: Split tendon transfer of tibialis posterior (SPOTT) is a treatment option for the hindfoot varus deformity in patients with cerebral palsy (CP). The purpose of this study was to present the long-term results of the newly modified SPOTT procedure developed by our senior author and compare it with the standard SPOTT technique in equinovarus foot deformity due to CP.

Method: Our retrospective cohort study included patients with spastic foot deformity due to CP treated with the standard or modified SPOTT technique.

The results of surgical treatment for pronation deformities of the forearm in cerebral palsy after a mean follow-up of 17.5 years.

Aim: This study evaluates the effects of three surgical procedures in the treatment of pronation deformities of the forearm in cerebral palsy patients; namely the transposition of pronator teres to extensor carpi radialis brevis muscle; and rerouting of the pronator teres muscle with or without pronator quadratus muscle myotomy.

Methods: Sixty-one patients, 48 male/13 female, with a mean age of 17 years (5-41 years) were treated between 1971 and 2011. Pronator teres transposition was performed in 10, pronator rerouting in 35, and pronator rereouting with pronator quadratus myotomy in 16 patients.

The challenge of osteo-articular tuberculosis in the twenty-first century: a 15-year population-based study.

Setting: Serbia, an intermediate tuberculosis (TB) incidence country in socio-economic transition.

Objective: To examine the epidemiological and clinical pattern of osteo-articular TB (OATB) in Serbia over 15 years.

Design: This retrospective observational study included OATB cases diagnosed between 1 January 1993 and 31 December 2007, according to the National Referral Institute of Lung Diseases and TB in Belgrade and the Central TB Register.

[Paralytic dislocations of the hip in adolescence--orthopaedic treatment].

Paralytic dislocation of the hip in adolescence is not typical, but presents a serious problem whether diagnosed primarily in adolescence or due to the lack of treatment or failed treatment in earlier age. It is characteristic of cerebral palsy and myelomeningocele. If the paralytic dislocation of the hip in adolescence is asymmetric, then pelvic obliquity, leg-length discrepancy, imbalance in sitting position, scoliosis and secondary spondylosis with all its consequences ensue.

[Martin Kirschner (1879-1942): the founder of modern trauma clinics and emergency medicine].

German surgeon Martin Kirschner (1879-1942) made a significant contribution not only to the general surgery but to orthopaedic surgery, traumatology and pain therapy as well. He gave a huge contribution to the institutions where he worked (Köningsberg), and some of them he had even built from the foundation (Tübingen, Heidelberg). He also established mobile hospitals and is the forefather of the trauma service and emergency medicine.