Leg length discrepancy treatment with subtrochanteric shortening osteotomy and blade plate fixation.

Background: Subtrochanteric femoral shortening osteotomy is a method of surgical treatment of lower limb discrepancy (LLD). It is less commonly used due to numerous limitations and the resulting decrease in height, which is an undesirable effect for most patients. The aim of this study was to analyze the results and complications of treatment of leg length discrepancy (LLD) by femoral shortening osteotomy fixed with a blade plate and screws.

Phemister epiphysiodesis in leg length inequality treatment--evaluative outcome analysis.

Background: The aim of this study was to evaluate the efficacy of Phemister epiphysiodesis for leg length inequality (LLI) treatment in comparison with epiphysiodesis techniques currently in use and to determine factors that may influence outcomes.

Materials And Methods: Nineteen girls and sixteen boys with a mean skeletal age of 12.2 years and a mean functional LLI of 3.

Valgus slipped capital femoral epiphysis: subcapital growth plate orientation analysis.

The aim of the study was to determine the risk factors of unusual, lateral direction of epiphyseal displacement in primarily unilateral slipped capital femoral epiphysis (SCFE) patients with a special focus on radiological parameters of an unaffected hip. A total of 115 patients (75 boys, 40 girls), mean age 13.2 years (8.

Dega's transiliac osteotomy in the treatment of spastic hip subluxation and dislocation in cerebral palsy.

The study presents the long-term results of operative treatment of spastic subluxation and dislocation of hip joints in cerebral palsy children with open reduction and pelvic transiliac osteotomy by Dega. The subjects were 25 patients (30 hips) and the follow-up lasted from 3 to 25 years (average 12 years). Final examinations were carried out after the end of body growth.

Muscular strength after extensive operative treatment of congenital talipes equinovarus.

Maximum isometric voluntary contraction (MIVC) strength of muscles (extensors, plantar flexors, pronators and supinators of the foot) in children with congenital talipes equinovarus who underwent extensive operative treatment was evaluated. The first group consisted of 28 children (50 clubfeet) operated on with posteromedial-lateral release aged 7 months to 76 months (mean, 22 months), with mean follow-up period of 85 months. The second group consisted of 32 children (39 clubfeet) operated on with complete subtalar release from Cincinnati incision aged from 3 months to 50 months (mean, 11 months), with mean follow-up period of 51 months.

Evaluation of patella position based on radiologic and ultrasonographic examination: comparison of the diagnostic value.

This study compared radiologic and ultrasonographic methods of evaluation of patella position. The radiologic examination was based on the evaluation of Insall and Salvati's index (I-S index), whereas the ultrasonographic examination was based on the determination of analogous coefficient called the patellar tendon-patellar coefficient (T-P coefficient). The total number of examined knee joints was 55 in 30 patients (13 children, aged 7-16 years and 17 adults aged 17-39 years) with knee pain.

Patella position versus length of hamstring muscles in children.

The results of ultrasonographic examinations of the patellar height in the knee joints in children was subjected to analysis. The study aimed at the specification of a norm of patellar height in the developmental age, based on the tendon-patellar coefficient (analogous to the radiologic measurement according to Insall and Salvati). The results of ultrasonographic and clinical examinations of 114 knee joints performed in 57 healthy children were used for the study.

Hamstring shortening: postural defect or congenital contracture.

The clinical appearance of hamstring shortening in 10 patients referred with diagnosis of asymmetry of the trunk, scoliosis, postural defect, strange gait, and back pain is reported. Additionally, an assessment of knee extension deficit (KED) angle in 575 healthy children (4-15 years of age) was performed. The mean KED angle in the group of healthy children was 35 degrees (SD = 14 degrees).

Congenital vertical talus: a retrospective and critical review of 32 feet operated on by peritalar reduction.

Thirty-two feet in 23 children treated for congenital vertical talus by peritalar reduction have been evaluated. The age at operation ranged from 9 months to 8 years (mean 3.2 years).