Management of idiopathic congenital talipes equino varus [CTEV] at Jinnah post graduate medical center, Karachi

A total of 146 patients with 208 congenital talipes equino-varus [CTEV] deformities were registered for study from August 1978 to July 1986. The patients presenting with idiopathic CTEV were included in this study and those having deformities secondary to other causes such as cerebral palsy, meningomyelocele, arthrogryposis multiplex congenita or poliomyelitis were excluded. There were 94 male and 52 female patients with age range of one day to four years. Hundred four patients with 160 deformed feet completed the five year follow up. The deformities in these patients were classified according to Harrold and Walker grading system. Sixty four patients with 96 CTEV were treated non-operatively with serial gentle manipulation and plaster casts. Forty patients with 64 deformed feet were managed by modified Turco's posteromedial release. 86.4% good and fair results were achieved in non-operative group and 90.6% good and fair in operative group

Pieloplastia com molde ureteral interno fixo / Pyeloplasty with fixed internal ureteral splint

Os autores apresentam uma nova maneira de colocaçäo do molde ureteral, sem utilizar a nefrostomia na pieloplastia desmembrada. Um cateter ureteral, com múltiplas perfuraçöes, é deixado desde o bacinete até a bexiga. Um fio de nylon transfixa o cateter na porçäo intrapiélica, penetra através da parênquima renal e é exteriorizado através da pele, onde é amarrado. Isto permite que se tenha um molde ureteral sem nefrostomia e sem exteriorizaçäo do cateter através da pele e, portanto, com menos risco de infecçäo. Säo apresentados os resultados de seis casos operados