Publications by authors named "John S Doyle"
The lateral column lengthening procedure is a commonly used osteotomy for correction of pes planus performed by inserting a graft in the anterior aspect of the calcaneus through a transverse osteotomy. Though nonunion and calcaneo-cuboid subluxation have been previously reported, these complications have not been extensively studied in pediatric patients. After IRB approval, 111 patients (151 feet) who underwent lateral column lengthening at a single institution were identified.
View Article and Find Full Text PDFIntroduction: Hereditary multiple exostoses (HME) disease is hallmarked by cartilaginous osteochondromas secondary to an autosomal dominant mutation within the exostosin gene family. These outgrowths predominantly occur around the long bone physis. An associated disease is dysplasia epiphysealis hemimelica also known as Trevor's disease.
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- Legg-Calvé-Perthes disease (LCPD) and Blount's disease often present similarly in children, both causing symptoms like limp and knee pain, and can co-occur, complicating diagnosis and treatment.
- A study reviewed cases of four children with both conditions, revealing that obesity is a common factor, with three of the children classified as obese or overweight.
- In cases where Blount's disease is diagnosed, ongoing symptoms like gait disturbance may signal the need for further examination to rule out or confirm LCPD, as early diagnosis is crucial for effective management.
Ponseti treatment for clubfoot has been successful, but recurrence continues to be an issue. After correction, patients are typically braced full time with a static abduction bar and shoes. Patient compliance with bracing is a modifiable risk factor for recurrence.
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