Publications by authors named "L H MAYFIELD"

Article Synopsis
  • The study aimed to compare the modified Dunn procedure (MDP) and delayed Imhauser osteotomy (DIO) for treating moderate to severe stable slipped capital femoral epiphysis (SCFE) to determine which method leads to better outcomes and less joint damage over time.
  • Results showed that MDP provided greater correction of deformities and required fewer reoperations compared to DIO, although both procedures had similar clinical outcomes based on Heyman-Herndon scores.
  • The study suggests that MDP may be more effective in preventing additional complications and ensuring better alignment of the hip, highlighting its potential as a preferable option for managing SCFE.
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Aims: Abduction bracing is commonly used to treat developmental dysplasia of the hip (DDH) following closed reduction and spica casting, with little evidence to support or refute this practice. The purpose of this study was to determine the efficacy of abduction bracing after closed reduction in improving acetabular index (AI) and reducing secondary surgery for residual hip dysplasia.

Methods: We performed a retrospective review of patients treated with closed reduction for DDH at a single tertiary referral centre.

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Article Synopsis
  • The study investigates the necessity of screening ultrasounds for developmental dysplasia of the hip (DDH) in premature versus full-term infants with risk factors like breech presentation or a family history of DDH.
  • The research involved 244 hips from 122 patients, comparing premature babies (born <37 weeks) with full-term babies (born ≥37 weeks) during ultrasound screenings conducted between 5 and 8 weeks of age.
  • Findings indicate no significant differences between groups in sex distribution, age at ultrasound, or referral reasons, despite the premature group having a lower gestational age.
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Background: Abduction bracing is commonly used following open reduction and spica casting of developmental dysplasia of the hip. However, there is little evidence to support or refute this practice that carries associated cost and burden for families. The purpose of this study was to determine the efficacy of abduction bracing after open reduction in improving the acetabular dysplasia and reducing the rate of secondary surgery for residual dysplasia.

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Background: Cord blood (CB) is a cell source for hematopoietic stem cell transplantation. In 2019, the percentage of births with CB collected for banking was only 3% nationally and 0.05% in our state.

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