Results of recent internal fixation of displaced lateral humeral condyle in children, a retrospective study

This work was done on 40 cases of fracture lateral humeral condyle reviewed. 30 cases fixed by K-wires and 10 cases treated by open reduction and fixed by catgut sutures. The late results were evaluated in both groups. It was proved that internal fixation by K-wire is more secure and stable, with better late results

Femoral osteotomy in Perthes' disease

This study was carried out to evaluate the early results of subtrochanteric derotation and varus osteotomy, in treatment of Perthes' disease. Sixteen patients were involved in this study; 13 males and 3 females. Their ages ranged between 6 to 11 years [average 8. 1 years]. Duration of symptoms since onest ranged from 5 to 12 months. Preoperative clinical and radiographic assessment was done for each case. The operative technique followed was that of Muller et al. [1979]. Postoperatively, and after union of the osteotomy, the patient was allowed to walk first with partial weight-bearing and then full weight bearing was allowed. Average follow up period was 28.5 months [range from 24 months to 38 months]. Results were evaluated by using the criterie of Catterall [1971]. The results were good in 50%, fair in 25% and poor in 25% of cases. The study showed that the results were affected by many factors. Incidence of good results decreased in direct propotion to the extent of head involvement. Children aged 8 years or below gave good results and those above 9 years gave poor results. The age factor was found highly significant. Results were also affected by the duration of symptoms. Duration of 7.1 months on the average was compatible with good results and that of 11 months on tile average gave fair and poor results. The results were also affected by the amount of the induced varus and this factor was statistically significant. Follow up of the patients after osteotomy showed improvement in leg length discrepancy by 0, 9 cm on the average if compared to that was present preoperatively. The recovery from the induced varus was recorded in all cases. From the results it is concluded that femoral osteotomy is a satisfactory method for treatment of Perthes' disease

relationship between osteoarthritis of the hand and various clinical and radiological criteria

This study comprised 54 patients with hand osteoarthritis and 24 normal controls. The following criteria were assessed in all patients and controls: Joint pain, joint tenderness, grip strength, inactivity stiffness, obesity, arm girth and functional status of the hand. Radiological examination of both hands and wrists was also performed. There was a centrifugal affection of hand joints with OA with more affection of DIP joints than MCP joints. There was increased tendency of OA to increase in severity from ulnar to the radial side of hands. Symptoms of OA in the hand joints were more common in females than males. These symptoms were found to be significantly correlated with the mean number of radiologically affected joints. Grip strength was significantly decreased in patients with hand OA as compared to controls. There was a highly significant correlation between the severity and number of hand joints affected with OA and reduction in grip strength [P < 0.001]. The degree of radiological changes of hand OA was found to have a positive correlation with age. A positive correlation was demonstrated between hand OA and obesity, arm girth, OA elsewhere in the body and the presence of Heberden[s] nodes, in patients with hand OA. No statistically significant reduction in hand function was demonstrated as measured by Jebsen[s] test