Ankle reconstruction in type II fibular hemimelia.

Ankle reconstruction prior to limb lengthening for was performed in 13 patients with fibular hemimelia with complete radiological absence of the fibula (type II). There were different degrees of absence of metatarsal rays. The hindfoot deformity was a heel valgus in 12 patients and equinovarus in 1 patient.

Multiple tenotomies after Ponseti method for management of severe rigid clubfoot.

The purpose of the present study was to evaluate the efficacy of multiple tenotomies performed after application of the Ponseti method in reducing the tendency for recurrence in the severe rigid idiopathic clubfoot and limiting the need for application of the hyperabduction brace in the prewalking age. From November 2002 to December 2004, 30 severe (Pirani >5), rigid (nonresilient), idiopathic clubfeet in newly born infants aged 2 to 24 days were treated by the Ponseti method of weekly manipulations and castings until achieving full correction, apart from equinus. With the patient under general anesthesia, through 2 small incisions (2 cm), tenotomy of the Achilles tendon, tibialis posterior, and flexor digitorum longus was performed, together with posterior capsulotomy of the ankle to achieve >30° dorsiflexion in 26 feet.

One-stage hip reconstruction in late neglected developmental dysplasia of the hip presenting in children above 8 years of age.

Purpose: To assess the clinical and radiological results of one-stage hip reconstruction for late neglected developmental dysplasia of the hip (DDH) in children above 8 years of age.

Methods: Nineteen hips in 16 patients, 14 females and two males (three being bilateral), were treated by open reduction adequate shortening (up to 5 cm) with derotation, and limited varization if needed, tight capsulorrhaphy, and appropriate pelvic reconstruction (Salter or triple acetabular osteotomy). The average age at operation 10.

Osteochondroplasty of the femoral head in hip reconstruction for type II late sequelae of septic arthritis: a preliminary report.

Purpose: To suggest different procedures tailored for hip reconstruction in type II late sequelae of septic arthritis.

Methods: The severely deformed subluxated or dislocated femoral head is reshaped in accordance to radiographic and on-table assessment (osteochondroplasty). Sixteen hips in 13 patients (three bilateral) were the subject of this study.