Subject(s)
Birth Injuries , Brachial Plexus/injuries , Cervical Vertebrae/injuries , Cervical Vertebrae/surgery , Microsurgery/methods , Paralysis, Obstetric/surgery , Decision Making , Electromyography , Female , Humans , Infant , Male , Paralysis, Obstetric/diagnosis , Plastic Surgery Procedures/methods , Treatment OutcomeABSTRACT
Supracondylar fractures of the humerus in children were studied in Kuopio University Central Hospital during 1974-1984. The total number of the fractures was 86. Fifty-two patients were examined 13 months to 11 years after the accident. Only severe cases (grade 3 and 4 after Holmberg's classification) were included. Twenty patients were treated operatively, 17 with traction and 15 conventionally with reposition and plaster cast. The age of the patients at the time of the accident was from 21 months to 12 years and at follow-up from five to 23 years. The purpose of this study was to evaluate late results of these three methods. There was no statistical difference between the late results of the treatment groups. Regardless of treatment method careful reposition and controlling retention for both varus, flexion and extension and rotation deformities are essential for good end results.
Subject(s)
Humeral Fractures/therapy , Casts, Surgical , Child , Child, Preschool , Elbow Joint/physiology , Female , Follow-Up Studies , Humans , Humeral Fractures/complications , Humeral Fractures/surgery , Infant , Joint Dislocations/complications , Joint Dislocations/therapy , Male , Range of Motion, Articular , TractionABSTRACT
A modification of Livaditis' myotomy to bridge a long gap oesophageal atresia is presented. The wide hypertrophic oral segment is lengthened with several horizontal incisions through the muscle layer. These incisions are made in a network of several rows without perforating the mucosa. The thick, broad oral segment becomes longer and narrower and fits better for anastomosis with the smaller distal segment. Pocket formations and diverticula can thus be avoided.
Subject(s)
Esophageal Atresia/surgery , Esophagus/surgery , Female , Humans , Infant, Newborn , Male , Methods , Suture TechniquesABSTRACT
This report gives an analysis of average types of burns seen in children in Finland. The majority were small infants under two years of age who had sustained the burns indoors from scalding with hot water. Cold water immersion was given in half of the cases as first aid treatment. Most of the cases were of a minor degree, but almost half were excised primarily 48--120 hours after the accident if the burn was considered to be deep. Classification of deep and superficial burns has been considered. Special attention was paid to a radically decreasing hospital stay, which was less than 12 days in 68% of the primarily excised cases. Figures up to 60% have been given in the literature. The reduced length of hospitalization decreases psychological complications, which usually begin to become apparent in children after 14 days' hospital stay. Incidence of bacterial contamination to which a burn wound is very prone is also thus diminished. Later reconstruction procedures were carried out in 35% of the primarily excised cases, which shows that hypertrophy of the scars cannot be influenced by primary excision. However, primary excision is a very encouraging method of treatment in children of all ages.
