Pediatria Medica e Chirurgica最新文献_第4页

Subtalar arthroeresis with peek endorthesis in juvanile flexible flafoot: Short-term results. 青少年柔性足扁平足的距下关节内固定术:短期结果。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.301

Giacomo Riva, Luca Monestier, Mirko Colombo, Fabio D'angelo, Michele Francesco Surace

引用次数: 0

Acquired genu recurvatum in a skeletally immature patient treated by physeal distraction: A case report. 一例骨骼发育不成熟的患者接受物理牵引治疗后获得性膝下弯：一例报告。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.294

Silvia Pierantoni, Marco Corradin, Roberto Schiavon, Valentina Luppi, Andrea Micaglio

{"title":"Acquired genu recurvatum in a skeletally immature patient treated by physeal distraction: A case report.","authors":"Silvia Pierantoni, Marco Corradin, Roberto Schiavon, Valentina Luppi, Andrea Micaglio","doi":"10.4081/pmc.2022.294","DOIUrl":"10.4081/pmc.2022.294","url":null,"abstract":"The proximal tibia physis' anterior growth arrest is the cause of the uncommon condition known as acquired genu recurvatum, which can also be congenital, idiopathic, or secondary to trauma, infections, cerebrovascular accidents, or neuromuscular diseases. In order to avoid the reported drawbacks that could complicate osteotomies-incomplete correction, patella infera, knee pain or stiffness, and the requirement to remove plate metalwork-physeal distraction and callotasis with external fixation has been suggested. We present the case of a 14-year-old boy who had a 5 cm difference in limb length, with the right leg being shorter, and a right knee that was 30° recurved with flexion restriction beyond 40°. The correction was made in 50 days, and the external fixator was removed in 92 days after we performed a physeal distraction with an axial EF (ST.A.R., Citieffe) through an anterior physeal osteotomy just proximal to the tuberosity in conjunction with simultaneous asymmetrical tibial and femoral contralateral epiphysiodesys. The patient returned to playing football within 8 months despite the persistence of a 3 cm leg length discrepancy and had a symmetric full range of motion of the knee without any complications or persistent pain. The correction of genu recurvatum in adolescents may be achieved safely and effectively through physeal distraction with an axial external fixator.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital vertical talus open reduction surgery: Technique description and our twenty-years personal experience. 先天性距骨垂直切开复位手术:技术描述及二十年的个人经验。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.292

Federica De Rosa, Giorgio Cecarini, Cristina Lazzotti, Daniele Sini, Carlo Origo

{"title":"Congenital vertical talus open reduction surgery: Technique description and our twenty-years personal experience.","authors":"Federica De Rosa, Giorgio Cecarini, Cristina Lazzotti, Daniele Sini, Carlo Origo","doi":"10.4081/pmc.2022.292","DOIUrl":"https://doi.org/10.4081/pmc.2022.292","url":null,"abstract":"Congenital vertical talus foot is a complex deformity, characterized by a dislocation of the talus-calcanear navicular joint. It is a rare form of congenital flat foot, where the hindfoot is valgus and equine, the midfoot dorsiflexed and the forefoot abducted. Regardless of the type of classification, the therapeutic approach and prognosis must take into account the functionality and motility of the foot. Initial treatment is manipulative. After 3 months of age, it is possible to think about soft tissue surgery. In this study, we present congenital vertical talus feet treated at the Pediatric Orthopedics Department of SS. Antonio Biagio and Cesare Arrigo Children's Hospital of Alessandria from 1995 to 2022. All 8 patients (12 feet) underwent through the surgical operation technique of open reduction described by Tachdjian and further reviewed and subjected to the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score. The mean follow up is 13 years. Global functional result was good and surgery allowed the growth of the foot, which would otherwise be blocked by an ax that is the vertical talus. Questioned remotely, all patients perform sporting activities and wear normal footwear.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arthroscopic treatment of tibial intercondylar eminence fractures in skeletally immature patients with bioabsorbable nails. 关节镜下生物可吸收钉治疗骨未成熟患者胫骨髁间隆起骨折。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.299

Francesco M Uboldi, Paolo Trezza, Elena Panuccio, Antonio Memeo

{"title":"Arthroscopic treatment of tibial intercondylar eminence fractures in skeletally immature patients with bioabsorbable nails.","authors":"Francesco M Uboldi, Paolo Trezza, Elena Panuccio, Antonio Memeo","doi":"10.4081/pmc.2022.299","DOIUrl":"https://doi.org/10.4081/pmc.2022.299","url":null,"abstract":"Fractures involving tibial eminence caused by ACL avulsion lesion most frequently occur paediatric patients. Satisfactory reduction in displaced fractures cannot be achieved through conservative treatment, while arthroscopy-assisted fixation technique represents the gold standard to reduce and to fix articular fractures and several effective implants have been used to treat this kind of fractures. In our retrospective study, we proposed a different arthroscopic technique to fix Type II and Type III tibial eminence fractures by using bioabsorbable nails. Nineteen patients, aged 6 to 13 years were treated with arthroscopic reduction and fixation of the fragment using bioabsorbable nails. At 6-month follow-up, all patients showed a decrease of less than 2mm of the anterior edge. All patients at maximum follow-up reached a full knee flexion/extension. IKDC subjective mean score at six-month was 88.14.2 points (range 80-95; p<0.01). For what concerns the Tegner Activity Scale, the mean value of 5.51 (range 3-7) prior to the surgery changed into 5.10.9 (range 3-6) at 6 months. No inflammatory reactions were reported and all fractures healed without complications. The objective IKDC grade A was reported in 18 patients and grade B in one patient, having a \"nearly normal\" range of motion item (92% compared to contralateral). Results can be compared to other surgical procedures described in the literature, having the same fast learning curve increase and limited complications, beside the fact that a second operation for metallic implants removal was avoided.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of congenital hip dislocation before the walking age. 行走年龄前先天性髋关节脱位的治疗。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.300

Daniele Sini, Federica De Rosa, Carlo Origo

引用次数: 0

Management of slipped capital femoral epiphysis: What hardware we can use in osteosynthesis in situ? 股骨头骨骺滑动的处理:我们可以使用什么硬体进行原位植骨?

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.297

Alessandra Merenda, Francesco Falciglia, Cristian Aletto, Angelo Gabriele Aulisa, Renato Maria Toniolo

引用次数: 0

Neglected patellar tendon rupture in tibial tubercle avulsion fracture in an adolescent: A case report. 青少年胫骨结节撕脱性骨折中被忽视的髌骨肌腱断裂1例。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.302

Valentina Luppi, Michele Mazzi, Andrea Micaglio, Arturo Rebeccato

引用次数: 0

Avascular necrosis of the first metatarsal head in adolescence: A case report. 青少年第一跖骨头缺血性坏死1例。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.293

Valentina Luppi, Marco Corradin, Roberto Schiavon, Silvia Pierantoni, Andrea Micaglio

引用次数: 0

Congenital hip dysplasia: The importance of early screening and treatment. 先天性髋关节发育不良:早期筛查和治疗的重要性。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.290

Francesco Marras, Chiara Asti, Corrado Ciatti, Stefano Pescia, Cristian Locci, Francesco Pisanu, Carlo Doria, Gianfilippo Caggiari

{"title":"Congenital hip dysplasia: The importance of early screening and treatment.","authors":"Francesco Marras, Chiara Asti, Corrado Ciatti, Stefano Pescia, Cristian Locci, Francesco Pisanu, Carlo Doria, Gianfilippo Caggiari","doi":"10.4081/pmc.2022.290","DOIUrl":"https://doi.org/10.4081/pmc.2022.290","url":null,"abstract":"Congenital Hip Dysplasia (CHD) is characterized by a hip joint dislocation between the femoral head and the acetabulum, with a multifactorial etiology. This disorder can be an isolated condition or the manifestation of a syndromic condition, and it has been estimated with higher rates than registered, with a predominance in female sex and left side; risk factors are now defined. In Italy, the incidence rate is 3-4%, with significant regional differences: higher in Lombardy and lower in Sicily. Because clinical examination alone is insufficient to diagnose CHD, it is supplemented with ultrasonography and X-ray if necessary. Surveillance, static or dynamic splints, or osteotomies are the only treatment options. The goal of this study was to evaluate our experience in terms of management and conservative treatment of all newborns from January 2018 to May 2022: female sex and left hip were major involved, risk factors were not significant in our case, but results from early diagnosis and treatments, in terms of better outcome, were interesting. After a strict 6-month follow-up period, 89.13% of the patients were classified as grade Ia or Ib according to the Graf classification system. Finally, we emphasize the importance of early universal screening and subsequent diagnosis to allow for early treatment of the disorder, at an age when conservative treatments can yield good results.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9845536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience. 小儿ACL病变的外科治疗。我们所有的骨骺经验。

Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI: 10.4081/pmc.2022.298

Paolo Trezza, Francesco Uboldi, Antonio Memeo

{"title":"ACL lesions surgical treatment in pediatric patients. Our all-epiphyseal experience.","authors":"Paolo Trezza, Francesco Uboldi, Antonio Memeo","doi":"10.4081/pmc.2022.298","DOIUrl":"https://doi.org/10.4081/pmc.2022.298","url":null,"abstract":"The prevalence of traumatic knee disease in children and young athletes has steadily increased over the past few years. The subjects who have engaged in intense sporting activities since a young age were especially vulnerable to developing an anterior cruciate injury. With the development of new imaging and clinical examination methods, diagnosis has also improved. The need to ensure joint growth without complications and the rising demands for a return to competitive sport are driving the search for an appropriate surgical technique. Today, only a few cases should receive conservative treatment. The main flaw of the extra-articular technique is that it doesn't respect the anatomy and results in excessive rigidity. Even precocious subjects can use the allepyphiseal technique, which allows for the respect of the growth plates. It does not present a particularly high complication rate and permits a full return to sports activities prior to the trauma with an adequate learning curve on the part of the surgeon. However, in more mature subjects with still open physis, the traditional transepiphyseal arthroscopic technique is possible as long as the tunnel is not too large. In any case, it is crucial to provide a thorough and ongoing follow-up until the end of growth as well as individualized rehabilitation.","PeriodicalId":35535,"journal":{"name":"Pediatria Medica e Chirurgica","volume":"44 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9474850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0