Cortical bone fenestrations with continuous antibiotic irrigation to mediate hematogenous tibial osteomyelitis in children.

The objective of this study was to evaluate the results of drainage and continuous antibiotic irrigation of the medullary canal to mediate hematogenous osteomyelitis of the tibia in children. Data were analyzed from 376 patients (388 tibiae) treated from January 1982 to December 2004. The average age at the time of surgery was 5 years and 9 months.

Use of an intramedullary Kirschner wire for treatment of congenital pseudarthrosis of the tibia in children.

Congenital pseudarthrosis of the tibia remains one of the most difficult, challenging conditions in pediatric orthopedics. The purpose of this study was to evaluate the long-term results of a technique consisting of excision of the pseudarthrosis, autologous bone grafting, and insertion of an intramedullary Kirschner wire into the tibia. Twenty-nine consecutive patients with congenital pseudarthrosis of the tibia were treated with this technique between 1984 and 2004, and the results were retrospectively reviewed and classified into three levels: good, fair, and poor.

Fibrous deltoid muscle in Vietnamese children.

To evaluate the clinical and functional results of surgical treatment for fibrous deltoid muscle in children, a retrospective study has been undertaken. The data were analysed on 105 patients with age over 5 years (182 shoulders) from August 1994 to December 2004. Surgical techniques performed by the author were divided into four types: (i) type I, proximal release of intermediate portion of deltoid muscle; (ii) type II, distal release of intermediate portion of deltoid muscle; (iii) type III, lengthening of intermediate portion of deltoid muscle; and (iv) type IV, distal release of intermediate portion of deltoid muscle and transfer of posterior portion of deltoid muscle to fill the gap.