Publications by authors named "Y Gelfer"
Background: Legg-Calve-Perthes disease (LCPD) is a developmental disorder causing avascular necrosis of the femoral head in children, with long-term consequences that can extend into adulthood. Early diagnosis and management in primary care are crucial but challenging.
Aim: This review aims to provide a concise overview of the presentation, differential diagnosis and management of LCPD, offering practical guidance for primary healthcare professionals.
Article Synopsis
- The British Orthopaedic Association recommends surgical debridement for pediatric Gustilo-Anderson type I upper limb open fractures, but evidence for its benefits is limited due to low infection rates in these cases.
- A systematic review was conducted, focusing on patients under 18 with type I fractures treated either with antibiotics alone or surgical debridement, excluding those requiring stabilization.
- Results showed that both treatment methods had low infection rates (0.3% for non-operative and 0.4% for operative), indicating that surgical debridement may not be necessary, and treatment should be tailored based on individual patient factors.
Aims: The aim of this study was to gain a consensus for best practice of the assessment and management of children with idiopathic toe walking (ITW) in order to provide a benchmark for practitioners and guide the best consistent care.
Methods: An established Delphi approach with predetermined steps and degree of agreement based on a standardized protocol was used to determine consensus. The steering group members and Delphi survey participants included members from the British Society of Children's Orthopaedic Surgery (BSCOS) and the Association of Paediatric Chartered Physiotherapists (APCP).
Aims: There is a lack of high-quality research investigating outcomes of Ponseti-treated idiopathic clubfeet and correlation with relapse. This study assessed clinical and quality of life (QoL) outcomes using a standardized core outcome set (COS), comparing children with and without relapse.
Methods: A total of 11 international centres participated in this institutional review board-approved observational study.