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A novel treatment strategy with hyperbaric oxygen of chronic osteomyelitis and pseudoarthrosis in a child with congenital hereditary sensory and autonomic neuropathy type 4 congenital insensitivity to pain with anhidrosis syndrome: a case report.
J Med Case Rep
January 2025
Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Background: Congenital insensitivity to pain with anhidrosis is a rare but devastating hereditary disease. Congenital insensitivity to pain with anhidrosis is caused by a mutation in the neurotrophic receptor tyrosine kinase 1 gene (NRTK1). The condition is characterized by multiple injuries, recurrent infections, and mental retardation.
View Article and Find Full Text PDFPediatric Scaphoid Nonunions: Does Insurance Status Play a Role?
J Pediatr Orthop
February 2025
Orthopaedic Surgery and Sports Medicine, Akron Children's Hospital, Columbus, OH.
Article Synopsis
- The study aimed to assess how insurance status and socioeconomic factors influence treatment timelines and outcomes for scaphoid nonunions in children.
- A review of patient charts from a pediatric hospital found no significant differences in treatment delays or postoperative outcomes between privately insured and underinsured patients.
- Results indicated comparable recovery outcomes, including rates of fracture union and levels of pain or mobility issues, regardless of insurance status, suggesting equitable access to care across both groups.
Efficacy of the cross-union protocol in the treatment of congenital tibial pseudarthrosis: a comparative study.
BMC Musculoskelet Disord
January 2025
Department of Orthopaedics Surgery, National Children's Medical Center & Children's Hospital of Fudan University, Wanyuan Road 399, Minhang District, Shanghai, 201102, China.
Background: Congenital Pseudarthrosis of the Tibia (CPT) is a rare pediatric condition presenting substantial challenges for orthopedic surgeons. Aiming to achieve bone union, with subsequent complications such as refractures being common. The aim of the present study is to evaluate the results of our intentional cross-union protocol and to compare these outcomes with those obtained from our previously used techniques.
View Article and Find Full Text PDFTemporary circular external fixation for effective management of bilateral radial non-union in a Toy Poodle.
Open Vet J
November 2024
Department of Veterinary Surgery, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea.
Background: Distal radius fractures are prevalent in small and toy-breed dogs, presenting significant treatment challenges due to complications such as delayed union or non-union. These complications are often exacerbated by reduced vascular density at the distal diaphyseal-metaphyseal junction of the radius, which is vital for bone healing, particularly in toy and small breed dogs. Circular external fixation (CEF) is known for its effectiveness in managing acute and chronic fractures and providing temporary stabilization in humans.
View Article and Find Full Text PDFPostoperative dorsal step-off predicts olecranon osteotomy union: a retrospective cohort study.
Eur J Orthop Surg Traumatol
December 2024
University Hospitals Cleveland Medical Center, Cleveland, USA.
Purpose: Olecranon osteotomy has been associated with loss of reduction, nonunion, implant failure, and migration of wires. We aim to evaluate quality of reduction of the osteotomy site as a predictor of olecranon osteotomy nonunion.
Methods: One hundred and twenty-five distal humerus fractures that underwent open reduction internal fixation (ORIF) were reviewed.
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