RESUMO
The purpose of this study was to evaluate our experience with treatment of clubfoot in myelomeningocele. We evaluated 45 children with clubfoot surgically treated at a mean age of 36 months. We evaluated each patient's medical record and performed a physical examination. Based on the clinical criteria by de Carvalho Neto, we obtained 61% good results, 26% fair results and 13% poor results. Neither age at surgery nor neurosegmental level have any statistical influence on final outcome. We find that a radical posteromedial release without internal fixation is a satisfactory option for clubfoot with myelodysplasia.
Assuntos
Pé Torto Equinovaro/complicações , Pé Torto Equinovaro/cirurgia , Espinha Bífida Cística/complicações , Moldes Cirúrgicos , Pé Torto Equinovaro/fisiopatologia , Feminino , Humanos , Lactente , Masculino , Atividade Motora/fisiologia , Aparelhos Ortopédicos , Complicações Pós-Operatórias , Estudos Retrospectivos , Resultado do TratamentoRESUMO
Osteogenesis imperfecta is one of the most common groups of inherited disorders of connective tissue. Hyperplastic callus formation in patients with osteogenesis imperfecta after fracture or surgery is a rare occurrence that has often been misdiagnosed as osteosarcoma. Previous series reported that hyperplastic callus formation is more often present in osteogenesis imperfecta male patients, with white sclerae, and a negative family history of the disorder. This is the first time that this complication has been presented in three female siblings, with a positive family history of osteogenesis imperfecta type IV. An association between osteogenesis imperfecta type IV and hyperplastic callus formation is unclear. This association might, however, be a separate, specific subtype of osteogenesis imperfecta, with an unknown inheritance pattern.
Assuntos
Calo Ósseo/diagnóstico por imagem , Fixação Intramedular de Fraturas/métodos , Fraturas Espontâneas/cirurgia , Osteogênese Imperfeita/diagnóstico , Osteogênese Imperfeita/genética , Adolescente , Calo Ósseo/fisiopatologia , Criança , Diagnóstico por Imagem/métodos , Feminino , Fraturas do Fêmur/diagnóstico por imagem , Fraturas do Fêmur/cirurgia , Fixação Intramedular de Fraturas/efeitos adversos , Consolidação da Fratura/fisiologia , Fraturas Espontâneas/complicações , Fraturas Espontâneas/diagnóstico , Humanos , Padrões de Herança , Imageamento por Ressonância Magnética , Osteogênese Imperfeita/complicações , Linhagem , Prognóstico , Cintilografia/métodos , Medição de Risco , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
A longitudinal study of four-wheeled all-terrain vehicle-related musculoskeletal injuries requiring orthopedic surgery was performed. Avoidable risk factors such as alcohol intake, lack of helmets, inexperience, and excess speed were identified. This study also shows that the quantity, severity, cost, and frequency of preventable accidents while riding continue to be the same as prior to a Consent Decrees issued by the Consumer Products Safety Commission > 10 years ago.