Late-onset Perthes disease usually carries a poor prognosis. In severe cases there may be increasing pain, decreased range of motion and hinge abduction which forms a contraindication for surgical containment. We have managed 14 such patients in a two-stage procedure. Arthrodiastasis done as a first stage dramatically reduced pain and Trendelenburg limp while at the same time leading to a substantial improvement in range of motion and hinged abduction. Once the contraindications to surgical containment were overcome by arthrodiastasis, we proceeded with a varus osteotomy of the femur in a second stage in the hope that the femoral head would remodel to some extent with time and would improve the final functional outcome.

Download full-text PDF

Source

Publication Analysis

Top Keywords

surgical containment
12
late-onset perthes
8
perthes disease
8
range motion
8
arthrodiastasis surgical
4
containment severe
4
severe late-onset
4
disease analysis
4
analysis patients
4
patients late-onset
4

Similar Publications

Background: Allergic contact dermatitis (ACD) induced by topical application of neomycin is frequently reported.

Objectives: This multi-center study investigated prevalence and determinants of neomycin sensitisations in 30 629 outpatients from North-eastern Italy during 1997-2021.

Patients And Methods: European baseline and extended Triveneto series were applied on the upper back of patients patch testing for suspected ACD and removed after 48 h.

View Article and Find Full Text PDF

Background: To decrease the risk of unsuspected malignancies disseminating, several studies have shown the safety of using a containment bag to limit tissue dissemination during manual or power morcellation. Furthermore, in 2020, the FDA recommended performing laparoscopic power morcellation for myomectomy or hysterectomy only within a tissue containment system.

Objective: To show step-by-step a new surgical technique using vaginal power morcellation within an endoscopic pouch without adding or extending other incisions.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to establish a control pathway for using haemostatic clips in laparoscopic cholecystectomy (LC) based on patient clinical variations to optimize consumption and reduce costs.
  • Researchers conducted a retrospective observational study using data from 1001 patients who underwent LC, identifying key factors influencing clip usage.
  • The findings showed that conditions like acute cholecystitis and anatomical variations significantly impacted clip use, with recommendations suggesting a maximum of three clips in about 17.3% of cases for better resource management.
View Article and Find Full Text PDF

Use of parenteral nutrition in the management of enterocutaneous fistula.

Nutr Clin Pract

February 2025

Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado, USA.

Nutrition plays an integral role in the management of patients with enterocutaneous fistula (ECF), but practice guidelines are often vague because of limited evidence. As a result, clinicians must rely on expert consensus and sound nutrition principles to guide practice. The initial phase of ECF management involves recognition (eg, fistula location and quantifying output) and stabilization (eg, source control and fluid and electrolyte balance).

View Article and Find Full Text PDF

Objective: To evaluate the efficacy of the combined application of platelet-rich plasma (PRP) and negative pressure wound therapy (NPWT) in cavitary infected wounds, in addition to the parameter settings of NPWT.

Methods: The outcomes of patients with cavitary wounds who received debridement with either PRP plus NPWT (PRP group) or NPWT alone (controls) as part of their treatment protocol were retrospectively compared by examining preoperative and postoperative data on high-sensitivity C-reactive protein (hs-CRP), erythrocyte sedimentation rate (ESR), white blood cell (WBC) count, neutrophil percentage, bacterial cultures, pain (measured using visual analogue scale [VAS] scores), postoperative hospitalization duration, and effective hospitalization days.

Results: A total of 24 patients were included (11 who received PRP plus NPWT and 13 who received NPWT alone).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!