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1.
Article in Chinese | WPRIM | ID: wpr-888330

ABSTRACT

OBJECTIVE@#To investigate the effect of different proximal femoral shapes on leg length discrepancy(LLD) after total hip arthroplasty(THA).@*METHODS@#Total 131 patients with osteoarthritis or osteonecrosis received unilateral biological total hip arthroplasty from June 2013 to June 2019. All patients' age, sex, side and pelvis anteroposterior digital radiography were retraspectively analyzed. There were 69 males and 62 females, 57 cases of left hip and 74 cases of right hip. The age ranges from 25 to 89 with an average age of 62 years. There were 48 cases of osteoarthritis and 83 cases of osteonecrosis. In this study, femoral cortical index (FCI) was used as the classification of proximal femoral shape, and bilateral lower limb length differences were measured by preoperative and postoperative pelvis anteroposterior digital radiography. Grouping according to FCI:> 0.6 was Dorr A group, 0.5 to 0.6 was Dorr B group, 0.6, the postoperative LLD was 6.30 mm (IQR 1.00 to 10.95 mm). When FCI was 0.5 to 0.6, the postoperative LLD was 5.85 mm(IQR-0.55 to 8.90 mm). FCI<0.5, the postoperative LLD was 1.95 mm(IQR -2.50 to 6.68 mm). LLD comparison of different proximal femoral shape was statistically significant (@*CONCLUSION@#High FCI increases the risk of lower extremity prolongation after surgery on the affectedside, while low FCI reduces the risk of lower extremity prolongation after surgery on the affected side. The surgeon can assess the shape of the proximal femur of the patient preoperatively and inform the patient in advance of possible changes in leg length of both lower extremities after total hip replacement.


Subject(s)
Arthroplasty, Replacement, Hip/adverse effects , Female , Femur/surgery , Humans , Leg , Leg Length Inequality/etiology , Male , Middle Aged , Retrospective Studies
2.
An. Facultad Med. (Univ. Repúb. Urug., En línea) ; 4(1): 34-49, jul. 2017. ilus, tab
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1088664

ABSTRACT

Evaluamos los niños con dismetrías y deformidades angulares operados mediante la Técnica de Metaizeau en el período 2010-2014, mediante un estudio retrospectivo de 11 pacientes, analizados en 2 Grupos. Grupo 1 (Dismetrías), formado por 5 pacientes, de los cuales 3 fueron operados solamente mediante esta técnica, mientras que 2 requirieron adicionalmente procedimientos de alargamiento femoral, valoramos dismetría inicial, dismetría por predicción para el último control y para el final de la madurez, y dismetría final. Grupo 2 (Deformidades Angulares), formado por 6 pacientes, de los cuales 1 presentaba genu varo, 4 genu valgo y 1 valgo de tobillo, valoramos el ángulo femorotibial anatómico, ángulo femoral distal lateral anatómico, ángulo tibial proximal medial, y ángulo tibioastragalino. En ambos Grupos se valoraron las complicaciones. El seguimiento promedio fue de 2 años y 5 meses. En el Grupo 1 obtuvimos dismetría promedio inicial 7,64 cm., dismetría promedio por predicción para el último control 8,54 cm., dismetría promedio final 7,62 cm., corrección promedio lograda 0,91 cm. En el Grupo 2 el promedio de corrección del ángulo femorotibial anatómico 16,85˚, promedio de corrección del ángulo femoral distal lateral anatómico 16,85˚, promedio de corrección del ángulo tibial proximal medial 7,62˚. No detectamos complicaciones en ningún paciente. En 8 (72,72%) pacientes la Técnica fue efectiva, mientras que en 3 (27,27%) los resultados fueron malos por errores técnicos o error en la predicción. La Técnica de Metaizeau, respetando los detalles quirúrgicos y realizando una adecuada predicción, es una buena opción para el tratamiento de dismetrías y deformidades angulares.


We evaluated children with lower limb length discrepancy and angular deformity operated by the Metaizeau technique in the 2010-2014 period through a retrospective study of 11 patients analyzed in 2 groups. Group 1 (Lower limb length discrepancy), consisted of 5 patients, among whom 3 were operated only by Metaizeau technique, whereas the other 2 additionally required procedures for femoral elongation. We evaluated initial discrepancy, predicted discrepancy for ultimate control and at maturity, and final discrepancy. Group 2 (Angular deformity), consisted of 6 patients, among whom 1 had genu varum, 4 genu valgum and, 1 ankle valgus. We evaluated anatomic femorotibial angle, anatomic lateral distal femoral angle, medial proximal tibial angle, and tibio talar angle. In both groups the complications were assessed. The average follow-up was 2 years and 5 months. In Group 1 we obtained the following values: average initial discrepancy, 7.64 cm; average discrepancy predicted for ultimate control, 8.54 cm; average final discrepancy, 7.62 cm and average correction achieved, 0.91 cm. In Group 2 the values were: average correction anatomic femorotibial angle, 16.85˚; average correction anatomic lateral distal femoral angle, 16.85˚ and average correction medial proximal tibial angle, 7.62˚. We found no complications in any patient. In 8 patients (72.72%) the technique was effective, while in 3 (27.27%) the results were poor due to technical errors or prediction errors . Metaizeau Technique, respecting the surgical details and making an accurate prediction is an effective, simple and uncomplicated procedure.


Avaliamos as crianças com dismetrias e deformidades angulares operadas pela técnica de Metaizeau no período de 2010 até 2014, mediante um estudo retrospectivo de 11 pacientes analisados em dois grupos. Grupo 1 (Dismetrias), constituído por cinco pacientes, dos quais 3 foram operados apenas por esta técnica, enquanto que os outros dois precisaram de procedimentos adicionais de alongamento femoral. Avaliamos a dismetria inicial, a dismetria por predição para o último controle e para o final da maturação, e a dismetria final. Grupo 2 (deformidades angulares), constituído por 6 pacientes, entre os quais um apresentava genu varo, 4 genu valgo e um, valgo do tornozelo. Avaliamos o ângulo femorotibial anatômico, o ângulo femoral distal anatômico o ângulo femoral distal lateral anatômico, o ângulo tibial proximal medial, e o ângulo tibioastragalino. Em ambos os grupos foram avaliadas as complicações. O seguimento médio foi de 2 anos e 5 meses. No Grupo 1, obtivemos dismetría inicial média de 7,64 cm, dismetria média por previsão para o último controle de 8,54 cm, dismetría final média de 7,62 cm e correcção média atingida de 0,91 cm. No Grupo 2, a correção de ângulo tibiofemoral anatómica média 16,85˚, correção média do ângulo femoral distal lateral anatómico 16,85˚, e correção média de ângulo tibial proximal medial de 7,62˚. Não detectamos complicações em nenhum paciente. A técnica foi efetiva em 8 (72,72%) pacientes, mas em 3 (27,27%) os resultados foram insatisfatórios por erros técnicos ou na predicção. A técnica de Metaizeau, desde que sejam respeitados os detalhes cirúrgicos e seja feita uma predicção adequada, é uma boa escolha para o tratamento de dismetrías e deformidades angulares.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Orthopedic Procedures/methods , Orthopedic Procedures/statistics & numerical data , Bones of Lower Extremity/surgery , Genu Valgum/surgery , Genu Varum/surgery , Leg Length Inequality/surgery , Bone Screws , Epidemiology, Descriptive , Retrospective Studies , Follow-Up Studies , Orthopedic Procedures/adverse effects , Orthopedic Procedures/instrumentation , Bones of Lower Extremity/pathology , Leg Length Inequality/etiology
3.
Säo Paulo med. j ; 131(1): 5-12, mar. 2013. tab, graf
Article in English | LILACS | ID: lil-668874

ABSTRACT

CONTEXT AND OBJECTIVE

Femoral fractures are common in children between 2 and 12 years of age, and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. However, in some situations, a surgical approach is recommended. The objective here was to compare treatments for femoral shaft fractures using intramedullary nails (titanium elastic nails, TEN) versus traction and plaster casts in children. The hypothesis was that TEN might provide better treatment, with good clinical results in comparison with plaster casts. DESIGN AND SETTING

This retrospective comparative study was conducted in a public university hospital. METHODS

Sixty children with femoral fractures were evaluated; 30 of them underwent surgical treatment with TEN and 30 were treated conservatively using plaster casts. The patients' ages ranged from 5 to 13 years (mean of 9 years). RESULTS

The mean duration of hospitalization was nine days for the surgical group and 20 days for the conservative group. The incidence of overgrowth in the patients treated with TEN was 60.0% and, for those treated conservatively, 13.3%. Partial weight-bearing was allowed after 3.5 weeks in the surgical group and after 9.6 weeks in the conservative group. New hospitalization was required for 90.0% in the surgical group and 16.7% in the conservative group. Patients treated with plaster casts presented higher incidence of complications, such as loss of reduction. CONCLUSIONS

The surgical method presented better results for children. .


CONTEXTO E OBJETIVO

Fraturas femorais são comuns em crianças entre 2 e 12 anos de idade, e 75% das lesões acometem a diáfise. Tração seguida de aparelho gessado (“gesso”) é universalmente aceita como tratamento conservador. Entretanto, em algumas situações o tratamento cirúrgico é recomendado. O objetivo foi comparar o tratamento de fraturas diafisárias do fêmur com hastes intramedulares (titanium elastic nails, TEN) com tração e gesso em crianças. A hipótese era de que TEN pode ser melhor tratamento, com bons resultados clínicos em comparação com o gesso. TIPO DE ESTUDO E LOCAL

Este estudo retrospectivo e comparativo foi conduzido num hospital público universitário. MÉTODOS

Sessenta crianças com fraturas de fêmur foram avaliadas, 30 delas foram submetidas a tratamento cirúrgico com TEN e 30 foram tratadas de forma conservadora usando gesso. A idade dos pacientes variou de 5 a 13 anos (média de 9 anos). RESULTADOS

O tempo médio de internação foi de 9 dias para o grupo cirúrgico e 20 dias para o grupo conservador. A incidência de crescimento excessivo nos pacientes tratados com TEN foi de 60,0% e, para aqueles tratados de forma conservadora, 13,3%. Sustentação parcial de peso foi permitida após 3,5 semanas no grupo cirúrgico e após 9,6 semanas no grupo conservador. Houve 90,0% de novas internações no grupo cirúrgico e 16,7% no grupo conservador. Pacientes tratados com gesso apresentaram maior incidência de complicações, tais como perda de redução. CONCLUSÃO


Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Bone Nails , Casts, Surgical/adverse effects , Femoral Fractures/therapy , Fracture Fixation, Intramedullary/methods , Leg Length Inequality/etiology , Length of Stay/statistics & numerical data , Analysis of Variance , Femoral Fractures/surgery , Fracture Fixation, Intramedullary/adverse effects , Fracture Fixation, Intramedullary/instrumentation , Retrospective Studies , Titanium , Treatment Outcome
4.
Rev. chil. radiol ; 19(4): 177-186, 2013. ilus, tab
Article in Spanish | LILACS | ID: lil-701728

ABSTRACT

Limb length discrepancy or anisomelia has long been objectified with imaging.The biomechanical implications for patients with a developing skeleton are more relevant than the cosmetic aspects, both in treatment and in follow-up. The aim of this publication is to review the most common causes of lower limb asymmetry in children, with emphasis on imaging findings, which are of great importance for clinical management. A retrospective review was performed on patients younger than 15 years, who required evaluation at our center for lower limb asymmetry, using simple X-ray, CT scan and /or MRI. The anatomical findings and morphometric analysis were recorded for each case. The causes of limb length discrepancy are many, including congenital and sequelae conditions. A knowledge and proper assessment of the imaging findings helps to improve and standardize the radiology report.


La asimetría de extremidades inferiores o anisomelia ha sido largamente objetivada con imágenes y posee implicancias biomecánicas para los pacientes con esqueleto en desarrollo que son más relevantes que los aspectos cosméticos, tanto en su tratamiento como en el seguimiento. El objetivo de esta publicación es revisar las causas más frecuentes de asimetría de extremidades inferiores en la edad pediátrica con énfasis en los hallazgos imaginológicos, que son de gran importancia para el manejo clínico. Se realizó una revisión retrospectiva de pacientes menores de 15 años que requirieron evaluación en nuestro centro por asimetría de extremidades inferiores mediante radiografía simple, tomografía computarizada y/o resonancia magnética, consignando los hallazgos anatómicos y el análisis morfométrico para cada caso. Las causas de anisomelia son múltiples, incluyendo trastornos congênitos y secuelares. Su conocimiento y la adecuada valoración de los hallazgos en imágenes permiten enriquecer y estandarizar el informe radiológico.


Subject(s)
Humans , Child , Leg Length Inequality/diagnostic imaging , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Leg Length Inequality/etiology , Leg Length Inequality/therapy
5.
Article in English | WPRIM | ID: wpr-115530

ABSTRACT

BACKGROUND: A second staged operation using temporary bridging external fixation (TBEF) has been widely used in patients with periarticular complex fracture, yet few papers have been published on the related complications. The purpose of this study was to report the complication rate and pitfalls directly related to TBEF through a retrospective study and to suggest some solutions. METHODS: Fifty-nine cases that were treated by using TBEF were studied among 195 periarticular complex fractures. We retrospectively collected the clinical and radiological data and then the study data was evaluated for 1) cases with unsatisfactory restoration of length, 2) cases with deep infection caused by half pins invading the zone of definitive fixation, and 3) neurovascular injuries related to half pins. RESULTS: Complications were observed in 7/59 cases (11%). Problems related to the achievement of length were observed in one case of distal tibia fracture and 2 cases of distal femur fracture. Half pin related infection was observed in 2 cases of distal femur fracture. Neurovascular injury (medial calcaneal nerve injury in a distal tibia fracture) was observed in 2 cases. Among 7 complications, four were related to using TBEF in distal femur fracture. This is because the abundant leg muscles have strong deforming force and infection might be increased due to frequent irritation by the half pins. CONCLUSIONS: TBEF is a simple procedure with several advantages. However, complications might be observed if certain principles are not followed. It is thought that many complications due to TBEF can be reduced if the half pins are not inserted in the zone of injury, restoration of length is fully achieved and the neurovascular characteristics are carefully considered. In particular, much more caution is needed in the distal femur, which has abundant muscles surrounding it.


Subject(s)
Adult , Aged , External Fixators/adverse effects , Female , Femoral Fractures/surgery , Fracture Fixation/adverse effects , Fractures, Comminuted/surgery , Humans , Leg Length Inequality/etiology , Male , Middle Aged , Peripheral Nerves/injuries , Retrospective Studies , Surgical Wound Infection/etiology , Tibial Fractures/surgery , Young Adult
6.
J. pediatr. (Rio J.) ; 82(3): 236-239, May-June 2006. ilus
Article in Portuguese | LILACS | ID: lil-431081

ABSTRACT

OBJETIVO: O arqueamento das pernas geralmente é atribuído ao raquitismo causado pela carência de vitamina D; portanto, várias crianças afetadas acabam sendo classificadas erroneamente e tratadas inadequadamente. Este caso ilustra como uma avaliação clínica e radiológica cuidadosa pode levar à elucidação de sua causa. DESCRIÇÃO: Relatamos um caso esporádico de um menino de 2 anos de idade que apresentou achados radiológicos compatíveis com síndrome de Weismann-Netter-Stuhl. Além disso, observamos o complexo de malformação craniovertebral. O paciente possuía inteligência normal. Até onde sabemos, a combinação de síndrome de Weismann-Netter-Stuhl e occipitalização do atlas hipoplásico e posterior fusão das vértebras C2 e C3 nunca foi relatada antes. Descrevemos o diagnóstico da síndrome de Weismann-Netter-Stuhl. As características clássicas da síndrome de Weismann-Netter-Stuhl são baixa estatura, retardamento mental (em alguns indivíduos), calcificação da dura-máter e arqueamento anterior da tíbia. Todavia, acreditamos que um exame clínico e radiológico cuidadoso possa revelar dados mais contundentes que poderiam influenciar positivamente o processo de tratamento. COMENTARIOS: Presumimos que as limitações congênitas dos movimentos do pescoço em nosso paciente surgiram por causa da fusão acentuada do osso occipital ao atlas hipoplásico e da fusão simultânea da segunda e terceira vértebras. Portanto, se desconsiderarmos esse tipo de malformação, a estrutura atlanto-axial poderá ser comprometida, o que poderá causar complicações neurológicas sérias e até mesmo fatais. A tomografia tem um papel crucial na detecção dessas anormalidades.


Subject(s)
Humans , Male , Female , Child, Preschool , Abnormalities, Multiple/radiotherapy , Atlanto-Axial Joint/abnormalities , Bone Diseases, Developmental , Leg Length Inequality/etiology , Skull/abnormalities , Abnormalities, Multiple/etiology , Bone Diseases, Developmental/etiology , Fibula/abnormalities , Leg Length Inequality , Syndrome , Tomography, X-Ray Computed , Vitamin D Deficiency
8.
Indian J Pediatr ; 1994 Jan-Feb; 61(1): 71-4
Article in English | IMSEAR | ID: sea-78715

ABSTRACT

This study arose from observation that in children will leg shortening from paralysis, the relationship between the tibia and fibula is disturbed. This article analyses 76 patients of post polio residual paralysis involving only one lower limb. Sixteen patients had fibular shortening. Several factors that interfere with fibular growth, i.e. anatomical continuity, soleus strength, abnormal forces at distal fibular physis, result in fibular shortening. Early the age at onset of paralysis, more is the fibular shortening which is associated with lateral wedging of distal tibial epiphysis, valgus at ankle, external torsion of tibia and genu valgus.


Subject(s)
Child, Preschool , Fibula/diagnostic imaging , Humans , Infant , Leg Length Inequality/etiology , Postpoliomyelitis Syndrome/complications
9.
J Postgrad Med ; 1993 Jul-Sep; 39(3): 127-9
Article in English | IMSEAR | ID: sea-116745

ABSTRACT

Eleven patients (8 males, 3 females) undergoing limb-lengthening procedures were subjected to weekly conventional radiography along with fortnightly skeletal sonography of the distraction site, to assess the rate of new bone production and complications. The radiographs were assessed for: (i) distance between the distracted bone ends, (ii) presence of new bone formation at the distraction site, (iii) regeneration of the cortical outline and (iv) overlaying soft tissue abnormality. The sonographs were assessed for: (i) distance between the distracted bone ends, (ii) rate of new bone formation, (iii) density of the new bone produced, (iv) integrity and continuity of the cortical outline and (v) overlaying soft tissue abnormality. Our results indicate the superiority of sonography over conventional radiographs in: (i) detecting early new bone formation, (ii) establishing cortical and medullary canal remodelling, (iii) detecting soft tissue complications at the distraction site and (iv) determining the presence of fluid collection at the distraction site, in patients with delayed consolidation. Conventional radiographs were more accurate in determining the distance between the two distracted bone ends, and thus the degree of distraction achieved. Ideal assessments of events at the distraction site can be achieved by a combined assessment of conventional radiotherapy and skeletal sonography.


Subject(s)
Bone Lengthening , Bone Regeneration/physiology , External Fixators , Female , Follow-Up Studies , Humans , Leg Length Inequality/etiology , Male , Postoperative Complications/diagnostic imaging
10.
Rev. argent. radiol ; 57(3): 147-50, jul.-set. 1993. ilus
Article in Spanish | LILACS | ID: lil-125940

ABSTRACT

Realizamos un estudio retrospectivo sobre 127 elongaciones óseas efectuadas en nuestro Depto de Diagnóstico por Imágenes y Ortopedia y Traumatología. El objetivo del trabajo fue poder establecer diferentes patrones radiológicos del foco de elongación, entre los 40 y 60 días de la misma y valorar su repercusión sobre la calidad final del hueso neoformado. La etiología más frecuente fue la acondroplasia, seguida en orden por el síndrome de Turner, postraumático, raquitismo hipofosfatérmico, displasias óseas, secuelas de polio, sepsis de cadera y la enfermedad de Ollier. Los patrones radiológicos se dividieron en dos grupos, metafisarios y diafisarios,según fuese el sitio de realizada la osteotomía percutánea. Dentro de los metafisarios encontramos cuatro patrones radiológicos: fusiforme, en bosque de abedules, excéntrico e hipotrófico. En los diafisarios observamos siete patrones: en bosque de abedules, fusiforme, fusiforme discontinuo, lacunar, en reloj de arena e hipotrófico. Concluimos que en aquellos casos en los cuales encontramos patrones radiológicos en bosque de abedules, fusiforme, fusiforme discontinuo o lacunar, se observó un mejor índice de elongación y una mejor calidad de hueso neoformado. El patrón excéntrico o en reloj de arena necesitó un tratamiento más prolongado (mayor índice de elongación). Ante un patrón hipotrófico se debió efectuar ejercicio del callo de elongación o el aporte de injerto óseo


Subject(s)
Humans , Male , Female , Child, Preschool , Adolescent , Adult , Bone Lengthening/methods , Bony Callus , Bone Lengthening/statistics & numerical data , Bone Lengthening/instrumentation , Bony Callus/growth & development , Bony Callus/physiology , Leg Length Inequality/etiology , Leg Length Inequality/surgery , Osteotomy , Osteotomy/statistics & numerical data , Pattern Recognition, Automated , Predictive Value of Tests , Retrospective Studies
11.
Rev. bras. ortop ; 28(1/2): 2-8, jan.-fev. 1993. tab, graf
Article in Portuguese | LILACS | ID: lil-199931

ABSTRACT

Quarenta e cinco alongamento do fêmur pelo método de Wagner foram realizados em 44 pacientes no período de 1982 a 1990, com segmento pós-operatório de quatro a 93 meses (tempo médio de 41 meses e cinco dias). A idade dos pacientes na ocasiäo do alongamento variou de cinco a 47 anos, com média de 15,08. A desigualdade de comprimento apresentada pelos pacientes variou de 3,0 a 17,0cm, com média de 6,67cm. A etiologia da desigualdade era congênita em 19 casos e adquirida em 25. O alongamento ósseo obtido foi em média de 4,62cm (variaçäo de 0 a 12,5cm). Os resultados foram considerados bons em 42 casos e maus em três, segundo o valor do alongamento ósseo obtido. Foram observados 34 bons resultados, sete regulares e quatro maus, de acordo com a avaliaçäo clínica final. As complicaçöes observadas (46,66 por cento) näo comprometeram os resultados finais e ocorreram em 21 casos em um total de 26: infecçäo superficial em quatro e profunda em dois; deformidades: cinco em varo e uma em valgo; um caso de deformidade em flexäo do quadril e duas subluxaçöes do joelho; onze complicaçöes relacionadas com a consolidaçäo óssea, ou seja, quatro fraturas, quatro rupturas de material de síntese e três pseudartroses. Desde que realizado com atençäo aos detalhes da técnica, o método de Wagner pode proporcionar bons resultados no alongamento do fêmur.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Bone Lengthening/methods , Femur/surgery , Follow-Up Studies , Fracture Healing , Leg Length Inequality/etiology , Leg Length Inequality/surgery , Postoperative Complications
12.
Rev. bras. ortop ; 28(1/2): 9-12, jan.-fev. 1993. ilus, tab, graf
Article in Portuguese | LILACS | ID: lil-199932

ABSTRACT

Os autores discutem as indicaçöes, apresentam os resultados e as complicaçöes observadas em uma série de 14 alongamentos da tíbia com o método de Ilizarov em 13 pacientes do Departamento de Ortopedia e Traumatologia do Hospital das Clínicas da FMUSP operados no período de setembro de 1988 a março de 1991. A análise dos resultados foi realizada após seguimento que variou de 94 a 386 dias de pós-operatório, com média de 184. O alongamento obtido variou de 3,0cm a 7,5cm, com média de 4,54 + 1,864. O tempo de consolidaçao do alongamento foi em média de 184 + 79,043 dias. O índice de alongamento, que corresponde ao total de meses de tratamento dividido pelo total em cm do alongamento, foi de 1,35 mês/cm em nossa série de pacientes. Sete complicaçöes ocorreram em quatro pacientes (30,7 por cento) e foram as seguintes: corticotomia incompleta (ocorreu em três pacientes); deformidade em flexäo do joelho com subluxaçäo (em três pacientes); e parestesia do nervo ciático poplíteo externo(em um paciente). Em nove pacientes, näo foram observadas complicaçöes.


Subject(s)
Humans , Male , Female , Child , Adolescent , Ilizarov Technique , Tibia/surgery , Follow-Up Studies , Leg Length Inequality/etiology , Leg Length Inequality/surgery , Postoperative Complications
13.
Rev. argent. cir ; 64(1/2): 42-4, ene.-feb. 1993.
Article in Spanish | LILACS | ID: lil-124834

ABSTRACT

Es importante definir el concepto de síndrome de Klippel Trenaunay Servelle. Surge de observaciones en neonatología y pediatría durante más de 20 años, quedando claramente establecido sus diferencias anatómicas, su fisiopatología y biocronograma. Se presenta una clasificación de las anomalías venosas intrínsecas o extrínsecas más fercuentes, la asimetría del crecimiento, su evaluación y las posibilidades terapéuticas (el cerclaje venoso, en particular popliteo, el arresto epifisario transitorio, el tratamiento de las deformaciones axiales y la elongación de extremidades). Se hace una mención del tratamiento específico sobre le sistema venolinfático


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Arteriovenous Malformations/classification , Hemangioma/diagnosis , Klippel-Trenaunay-Weber Syndrome/therapy , Leg Length Inequality/etiology , Bone Lengthening/methods , Arteriovenous Malformations/diagnosis , Arteriovenous Malformations/surgery , Extremities/abnormalities , Hemangioma/complications , Hemangioma/surgery , Klippel-Trenaunay-Weber Syndrome/complications , Leg Length Inequality/surgery , Lymphangioma/surgery , Scoliosis/etiology , Scoliosis/prevention & control , Scoliosis/therapy
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