Background: In slipped capital femoral epiphysis (SCFE), the femoral head slides in an anterosuperior direction along the growth plate. The femoral head remains in the acetabulum. The pathogenesis of SCFE is multifactorial.
View Article and Find Full Text PDFA number of different acquired pathologies can affect the pediatric hip joint. The classical and relatively common reactive, inflammatory or traumatic entities have to be differentiated from each other. Rarer and very rare pathologies, such as neoplastic entities or tenosynovial giant cell tumor, must also be considered in the differential diagnostics.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
August 2016
Purpose Of The Study: Whole-body computed tomography is accepted as the standard procedure in the primary diagnostic of polytraumatised adults in the emergency room. Up to now there is still controversial discussion about the same algorithm in the primary diagnostic of children. The aim of this study was to survey the participation of German trauma-centres in the care of polytraumatised children and the hospital dependant use of whole-body computed tomography for initial patient work-up.
View Article and Find Full Text PDFIntroduction: Prospective collected data of the TraumaRegister DGU(®) were analyzed to derive survival rates and predictors for non-survival in the children who had suffered traumatic cardiorespiratory arrest. Different time points of resuscitation efforts (only preclinical, in the emergency room (ER) or preclinical+ER) were analyzed in terms of mortality and neurological outcome.
Methods: The database of the TraumaRegister DGU(®) comprising 122,742 patients from 1993 to 2013 was analyzed.
Background: The survival rate of cemented knee prosthesis depends among other factors on optimal cement-bone contact, nevertheless no standard exists for cementing technique of tibial components. The aim of this study was to determine which tibial surface preparation technique leads to the best bone-cement contact.
Materials And Methods: HUMAN TIBIAL PLATEAU SPECIMENS WERE CLEANED IN FOUR DIFFERENT WAYS BEFORE CEMENTING: a) no cleaning, b) manual syringe irrigation, c) fracture brush cleaning, and d) pulsatile jet-lavage.
Acta Chir Orthop Traumatol Cech
May 2012
Purpose Of The Study: Surgical techniques for the treatment of supracondylar fractures in children are repeatedly the subject of discussion. The aim of the present study was to compare experience with the technique of crossed Kirschner wires at our own hospital with current literature.
Patients And Methods: In the period from 2000-2006 a total of 86 children aged 1.
Background: Elastic stable intramedullary nailing (ESIN) is a common procedure for stabilization of femoral shaft fractures in childhood. Prebending of the nail is generally recommended to achieve optimal nail tension at the fracture site. To our knowledge there are no published data on the effects of prebending on stability.
View Article and Find Full Text PDFActa Chir Orthop Traumatol Cech
September 2011
Purpose Of The Study: Fractures affecting a partially closed physis are described as transitional fractures. The distal tibia is one of the most common locations for transitional fractures second only to the distal radius. Aim of this retrospective study was to evaluate the clinical and radiological results after surgical treatment of transitional fractures of the distal tibia.
View Article and Find Full Text PDFFractures of the patella in children and adolescents are rare injuries with particular characteristics. The aim of this study was an analysis of epidemiology, treatment strategy and outcome of this injury. Between 1992 and 2006 all fractures of the patella in patients with an age 5 16 years were included in a case control study.
View Article and Find Full Text PDFIntroduction: Treatment of diaphyseal forearm fractures by open reduction and internal plate fixation is a well-accepted strategy. In a variety of fracture localizations, the use of bridging plate fixation with locking compression plates (LCP) has been shown to improve biomechanical and biological characteristics. Only very limited clinical data are available on bridging plate fixation using LCPs for the treatment of diaphyseal forearm fractures.
View Article and Find Full Text PDFBackground: The Monteggia lesion is a rare injury of the elbow in children. This lesion is defined as a shaft fracture of the ulna combined with a luxation of the radial head. The primary problem in this injury is the proper diagnosis because the misalignment of the radial head is often missed.
View Article and Find Full Text PDFBoth traumatic and congenital dislocation of the radial head are very rare in childhood. It can sometimes be difficult to tell them apart in practice. In this paper therefore, we present one case and discuss the various aspects of both conditions with reference to the available literature.
View Article and Find Full Text PDFBased on two cases and a review of the literature, we describe a rare injury in childhood, intertrochanteric femoral fracture. Because of the insertion and traction of muscles at the proximal femur, conservative treatment is difficult. The hip muscles pull the proximal fragment into flexion, abduction and external rotation.
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