Spontaneous healing of fractures and osteotomy within intercalary allograft reconstruction after distal femur osteosarcoma resection in a child.

Intercalary biologic reconstructions using allogenic bone grafts remain a useful option in orthopedic oncology; however, these reconstructions are prone to fractures, and treatment is usually required involving surgical interventions. Biologic activity of the implanted allografts remains minimal, but in some cases, spontaneous healing of the graft may occur. We present a report and discussion on two fractures and corrective osteotomy within the implanted allograft that healed with abundant callus without the need for additional surgery.

Expansion of Carraro syndrome or a new disorder?

A 6-year-old girl is described with a unique, rare type of tibial hemimelia known as Carraro syndrome (OIMI 275230). There are only two previous reports of this condition in the literature. In our patient, the tibia anomaly was associated with other skeletal abnormalities, hemivertebra and tetralogy of Fallot.

[Nonspecific sacroiliac joint arthritis in children].

The authors present their experiences in diagnosis and treatment of sacroiliac joint arthritis in 7 children, that were admitted to Orthopaedic Ward of University Children's Hospital in Cracow, Poland in years 2000-2004. The mean age at the time of admission was 11,6 years (6-17). Main complaints given by patients were as follows: affected side buttock pain (3 patients), sacroiliac pain (2 patients) and hip pain (2 patients).

[The treatment of the hip cotructure with intertrochanteric osteotomy of the femur in children with Arthrogryposis multiplex congenita].

Background: The flexion contractures of the hips affect mobility in patients with Arthrogryposis Multiplex Congenita (AMC). There are only a few reports concerning correction of those deformities with femoral intertrochanteric osteotomy.

Aim: The results' analysis of fixed hip flexion deformity correction with femoral intertrochanteric osteotomy in AMC patients.

[Reconstructions of the teratogenic hip dislocation in childrens with AMC].

Unlabelled: Hip diclocation is the cause of the mobility impairment in children with arthrogryposis. Hip joint reconstruction is a commonly accepted treatment method in unilateral dislocations, but opinions are divided in bilateral.

Aim Of The Study: Hip joint function assessment after reconstruction due to teratogenic dislocation in arthrogryposis.

[Fractures of the proximal tibial epiphyseal cartilage].

The authors present 9 children who sustained 10 fractures of proximal tibial epiphyseal cartilage (7--left tibia, 3--right tibial), and were treated in Children's University Hospital in Kraków between years 1994-2001. Mean age in the time of trauma was 12.7 years (6-17 years), the mean follow-up time was 17.

[Percutaneous tenotomy of achilles tendon in the treatment of congenital clubfeet--a preliminary report].

The authors present early results of conservative treatment in congenital clubfeet connected with the percutaneous tendon Achilles tenotomy in 10 children (16 feet). 9 feet were of type III and 7 of type IV according to the Dimeglio scale. Minimum follow up was 6 months, with an average follow up period of 10 months.

[The experience in employing reciprocal gait orthoses].

The paper presents the experience of the authors in employing reciprocal gait orthoses in a group of 23 patients age 3-25 years (mean age 7.8 years). The orthoses were indicated in patients with flaccid paresis (17 children with myelodysplasia and 3 patients with traumatic paraplegia) and with arthrogryposis (3 patients).

[Treatment of benign chondroblastoma].

Six children have been operated on due to benign chondroblastoma at the mean age at first operation of 14.2 years (range 11-17 years). Mean follow-up was 4 years (2-7 years).

[Possibilities of ambulation in children with myelodysplasia].

The authors discuss the possibility of ambulation of children with myelodysplasia, employing different types of orthopedic devices. According to the personal experience of 23 myelodysplastic patients, the indications and results of using reciprocal gait orthoses have been described. The paper emphasizes the significance of interdisciplinary team in the treatment of this disease.

[Chronic recurrent multifocal osteomyelitis--personal experience].

Chronic recurrent multifocal osteomyelitis is a rare entity with obscure etiology. A review of literature concerning clinical appearance, diagnostics and management of this condition is presented. Own material embraces a group of 7 children who have chronic recurrent multifocal osteomyelitis.

[Proximal hamstring release for knee flexion contracture treatment in children with childhood cerebral palsy].

A series of 24 children with cerebral palsy has been reviewed to asses proximal hamstrings release for treatment of flexion contracture of the knee. In 22 cases improvement of a various degree has been achieved, in 2 cases no improvement was gained. In 4 children hyperextension of the knee and lumbar hyper-lordosis was found.

[Errors and complications in treatment of lateral humeral condyle fractures in children].

The long-term results of the lateral humeral condyle fracture treatment in 35 children are presented. The mean follow-up was 8.2 years.