卷 3, 编号 2 (2015)
- 年: 2015
- 文章: 12
- URL: https://journals.rcsi.science/turner/issue/view/33
- DOI: https://doi.org/10.17816/PTORS32
Articles
Malformations of the internal organs and systems in children with asymptomatic spinal dysraphism
摘要
The purpose of research is to determine the prevalence of associated malformations in children with latent forms of spinal dysraphism.
Materials and methods.
The study involved 64 patients aged from 9 months to 17 years old. Clinical and radiological examination including MRI scan of spine and spinal canal were performed to evaluate the orthopaedic and neurological status of the patients.
Results.
Malformations of the spine were observed in 100 % of children, associated malformations of the organs and systems are found in 33 (52 %) patients. Herewith the malformations of the genitourinary system were revealed - in 52 % of patients, the musculoskeletal system - in 45 % of children, the cardiovascular system - in 39 %, the digestive system - 12 %, otolaryngology - 9 % and bronchopulmonary system - in 3 % of patients.
Conclusion.
Pediatric patients with latent forms of spinal dysraphism require detailed examination both on the part of the spine and the spinal canal and the internal organs and systems. The most prevalent malformations included those of genitourinary, musculoskeletal (appendicular skeleton) and cardiovascular systems.



Сomparative study of computer-assistance ortho-suv external fixation and conventional hybrid external fixation in adolescent with genu recurvatum
摘要
The aim of the study: to compare the results with the use of computer-assisted Ortho-SUV ExFix and conventional hybrid external fixator.
Materials and methods.
A retrospective analysis of examination and treatment of 13 patients aged 13 to 17 years with genu recurvatum of different etiology in combination with crus shortening. Ortho-SUV Frame was used in 5 patient, conventional hybrid external fixation was used in 5 patients.
Results.
Average time correction of deformity using Ortho-SUV ExFix (group A) was 23 ± 3,8 days, and using hybrid external fixator - 31 ± 4,5 days (group B). Fixation index (FI) for group A was 49,8 days/cm and 72,7 days/cm for group B. Posterior proximal tibia angle (aPPTA) reference value is 81° (77-84°). aPPTA after the final correction was 81,8 ± 1,6° for group A and 85,2 ± 4,1° for group B.
Conclusions.
Ortho-SUV frame allow for correction time reduction of 8 days and FI decrease of 22,9 days/cm. Genu recurvatum correction accuracy by Ortho-SUV frame is superior to the correction accuracy when using a hybrid wire-rod device.



Malformations of the first ray of the foot in children: diagnosis, clinical picture, treatment
摘要



Surgical treatment of thumb adduction contracture in children with infantile cerebral palsy
摘要
The purpose of the work is to evaluate the effectiveness of different methods of surgical treatment of thumb adduction contracture in children with infantile cerebral palsy.
Materials and methods.
The present study is based on diagnostic results of children with infantile cerebral palsy with affected upper limb. The main criterion for selection of patients was the presence of thumb adduction contracture, the absence of significant positive outcome in a patient after conservative treatment, the impossibility of active thumb abduction more than 30° and the instability of the first metacarpophalangeal joint. Total we examined and treated 9 patients with spastic types of cerebral palsy.
Results and conclusions.
We evaluated the results of the following types of surgical treatment: release of adductor pollisis muscle, release of adductor pollisis muscle and tendon shortening of m.abductor pollicis longus, release of adductor pollisis muscle and tendon transfer of m.extensor indicis in the tendon m. abductor pollicis longus, the fixation of the first metacarpophalangeal joint with extramedullary plate. Based on these data, we were able to confirm the effectiveness of surgical treatment of thumb adduction contracture.



Radiological diagnosis of hip joint abnormalities in children
摘要



Femoroacetabular impingement: literature review
摘要
Aim.
To review the concept of the femoroacetabular impingement, its causes, pathogenesis, diagnosis and methods of treatment to increase the awareness among the practicing physicians.
Materials and methods.
literature data available from the medical data-bases was analyzed.
Results.
English-languaged literature was reviewed, key-points important to know were identified.
Conclusion.
Femoroacetabular impingement is a condition with quite non-specific clinic. At the moment x-ray features of this condition are well-known, algorithms of diagnosis and methods of treatment are established.



Repeated fracture of the femoral neck. Tactics of treatment. Clinical observation
摘要



Treatment of post-burn secondary foot deformity
摘要



Giant congenital melanocytic nevus of the face. A clinical case report
摘要



Embryonic development and the structure of the growth plate
摘要



Features rehabilitation of infants with congenital hip dislocation on the stages of conservative treatment
摘要



The first professor N.D. Kazantseva research work. In regards to the 70th anniversary of great victory


