ABSTRACT
PURPOSE: The purpose of our study was to present results of different surgical orthopaedic approaches in the treatment of children with developmental hip disorder. MATERIAL AND METHODS: At the University Childrens Hospital in Belgrade, 21 young adults diagnosed with developmental hip disorder were treated with double osteotomy and with a modified Smith-Peterson approach during a period of 10 years, from 1997 to 2007. All patients were clinically and radiographically evaluated. RESULTS: We were successful with 23 hips in 20 patients, since some patients underwent surgery of both hips. The evaluation of improvement was done according to the Merle d'Aubigne and Postel system which indicated very satisfied outcome in five patients, satisfied in 8, fair in 7 and poor in one patient. CONCLUSIONS: In this paper we discuss the advantages and disadvantages of double osteotomy procedures compared with others that are used in the correction of developmental hip disorder. The best solution is adequate and timely diagnosis with proper correction of the deformity.
Subject(s)
Bone Diseases, Developmental/surgery , Hip Dislocation/surgery , Osteotomy/methods , Adolescent , Antibiotic Prophylaxis , Child , Female , Humans , Male , Young AdultABSTRACT
The paper presents three children of various ages with tumors of different histology localized in the retroperitoneum. The children underwent investigation as orthopedic cases at the Orthopedic Department of the Belgrade University Childrens' Hospital. All children had orthopedic symptoms and several similar clinical findings: high or increased red blood cell (RBC) sedimentation, increased lactate dehydrogenase (LDH) and hypochromic anemia. Retroperitoneal tumors were diagnosed by echosonography. Further investigations were targeted towards histological verification and treatment protocol for retroperitoneal tumor. Since the children were presented chronologically to the deparmtent, diagnosis was reached more rapidly. It is our aim to draw attention to the possibility that various retroperitoneal tumors can be presented as orthopedic diseases. If symptomatology of retroperitoneal tumors is suspected and particularly in insufficiently clear cases, one should always perform echsonography of the retroperitoneum as a non-agressive, simple, readily available and reliable diagnostic method. This reduces examination time, direction of patients to further treatment according to pathology and also in reduction of risk both for patient and orthopedic surgeon who normally are presented with such diseases (Fig. 2, Ref. 10). Full Text (Free, PDF) www.bmj.sk.
Subject(s)
Retroperitoneal Neoplasms/diagnosis , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , Leg , Male , Musculoskeletal Diseases/diagnosis , Pain/etiology , Retroperitoneal Neoplasms/complicationsABSTRACT
Atrial natriuretic paptide (ANP) a potent hormone with important role in sodium homeostasis has been widely investigated in experimental and clinical hepatology during last years. High serum levels are found in decompensated liver cirrhosis, condition characterised with extremely low sodium urinary excretion. This paradoxal finding is poorly understood until nowdays. High tone of sympathetic nerve activity independently increase hormone secretion in cirrhosis. Refractory ascites, rare and discouraging complication of advanced cirrhosis, can be succesfully treated, in carefully selected patients, with repeated intravenous bolus or continous infusions of ANR Serum concentrations of ANP may be used as noninvasive marker of disease activity in compensated and decompensated patients. High levels in still compensated patients predict ascites formation in soon course.
