Guided Growth With Minifragment Plates for Angular Deformities in the Distal Radius in Skeletally Immature Patients. Preliminary Results.

Introduction: Growth modulation allows correction of progressive ulnar deviation of the distal radius in skeletally immature patients, which may occur as a consequence of various pathologies. The aim of this study is to evaluate the radiographic results and complication rate in a series of patients treated with minifragment plates.

Methods: The medical records of 12 patients who underwent guided growth with a minifragment plate on the radial aspect of the distal radius as a consequence of angular deformities in the distal radius were retrospectively reviewed.

[Developmental dysplasia of the hip in children with a psychomotor disorder. A risk factor for a poor outcome?].

Introduction: Orthopaedic treatment of developmental dysplasia of the hip (DDH) has a high success rate in cases that are diagnosed early. However, the outcomes of these patients are not really known when they are subsequently diagnosed with some type of cerebral impairment.

Materials And Methods: A retrospective observational study was conducted on cases of DDH with a poor outcome after orthopaedic treatment, being unknown if they had any type of psychomotor disorder.

Avascular necrosis of distal tibial epiphysis: report of two cases.

Unlabelled: The authors present two cases of necrosis of the distal tibial epiphysis without evidence of trauma in either of the patients. One patient after a long follow-up showed a Charcot arthropathy. In contrast, the second patient recovered distal epiphysis ad integrum.

Percutaneous trigger thumb release in children.

The objective of this study was to determine whether percutaneous release of the A1 pulley is an adequate treatment of trigger thumb in children. Twenty-three children under the age of 6 years with 27 trigger thumbs fixed in flexion were evaluated prospectively. All were treated with a percutaneous release of the A1 pulley in an ambulatory setting and followed for at least 1 year.

Acute compartment syndrome of the foot caused by a hemangioma.

Acute compartment syndrome is most commonly caused by trauma. Although it has been well described in adults, few have addressed this condition in the pediatric patient. The most common causes of acute compartment syndrome of the foot in children are crush syndromes with or without fractures.

Metaizeau's technique for displaced metatarsal neck fractures.

Metaizeau's technique can be applied to reduce the displaced metatarsal head distally from the fracture in an easier way and to keep the fracture site closed, as compared with retrograde Kirschner wires. We present seven fractures treated anterograde with progressive weight-bearing after 2 weeks. Open reduction was unnecessary in all cases.

Valgus deformity after fibular resection in children.

The authors present a retrospective study of 23 patients in their growing period who underwent resection of more than 2 cm of the fibula. Long-term effects in the ankle and tibia were analyzed. The patients were radiologically studied using the contralateral side as control.