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1.
Rev Med Chir Soc Med Nat Iasi ; 110(1): 128-31, 2006.
Article in Romanian | MEDLINE | ID: mdl-19292091

ABSTRACT

The studied group from the Pediatric Surgery and Orthopedics Clinic, Iasi, consisted of 87 cases, which means that a total of 118 hips were treated between September 1998-September 2004. In 116 cases, the extension was performed with trans-femoral Kirschner wire, in a period of 3-7 weeks. After 7-14 days of extension, the authors performed adductor and sometimes psoas tenotomy. The stable orthopedic reduction was obtained in 34 hips, while the 15 cases with inadequate results required open reduction. This method, performed from the beginning after a period of extension, was applied to 69 cases. In 13 patients the iterative open reduction was required. None of the cases associated femoral diaphysis shortening resection.


Subject(s)
Bone Wires , Hip Dislocation, Congenital/therapy , Traction/methods , Child , Child, Preschool , Hip Dislocation, Congenital/surgery , Humans , Infant , Orthopedic Procedures/methods , Psoas Muscles/surgery , Reoperation , Retrospective Studies , Tendons/surgery , Traction/instrumentation , Treatment Outcome
2.
Rev Med Chir Soc Med Nat Iasi ; 107(4): 831-3, 2003.
Article in Romanian | MEDLINE | ID: mdl-14756029

ABSTRACT

The slipped upper femoral epiphysis (SUFE) is a condition also known as 'coxa vara' of the adolescent, in which lesions of the growth plate are responsible for the development of sudden or gradual displacement of the femoral head. The disease is most frequent in the 10-15 years' age group, usually in boys who also have endocrine disorders. Both acute and chronic presentations are described. The clinical symptoms and especially the X-Ray features are diagnostic. Treatment options include orthopedic (conservative) measures or surgery, depending on several conditions, such as: the clinical picture, the degree of the femoral displacement, and the age of the patient. The chronic, long-lasting cases are generally associated with poor results. The paper presents our experience in using the Dunn's procedure in 7 chronic cases of slipped upper femoral epiphysis in children. It appears that surgery by using Dunn's procedure is an effective treatment in patients with SUFE.


Subject(s)
Epiphyses, Slipped/surgery , Femur Head/surgery , Internal Fixators , Adolescent , Epiphyses, Slipped/diagnostic imaging , Female , Humans , Male , Orthopedic Procedures , Radiography , Treatment Outcome
3.
Rev Med Chir Soc Med Nat Iasi ; 101(1-2): 233-5, 1997.
Article in Romanian | MEDLINE | ID: mdl-10756763

ABSTRACT

The hydatid cyst located in the spleen is very rare and the association of the liver location concomitant with the spleen location is exceptional. If the elective surgical intervention for the hydatid cyst of the liver with abdominal evolution is the operation Lagrot, most of the authors preferred a splenectomy in the hydatic cyst of the spleen. It is presented the case of such an association, pointing out the role of the echography for diagnosis and the opportunity of deciding on the preservation of the spleen in treatment.


Subject(s)
Echinococcosis, Hepatic/surgery , Echinococcosis/surgery , Splenic Diseases/surgery , Child , Echinococcosis/diagnosis , Echinococcosis, Hepatic/diagnosis , Humans , Liver/surgery , Male , Spleen/surgery , Splenic Diseases/diagnosis
4.
Rev Med Chir Soc Med Nat Iasi ; 99(3-4): 243-6, 1995.
Article in Romanian | MEDLINE | ID: mdl-9455375

ABSTRACT

It is presented the case of the child with an altered general health situation and with an abdominal suffering; paraclinical investigations were irrelevant and only the surgical exploration had established the diagnosis: a phlegmon with unusual location retroperitoneal, in the left mesenterico-colonic space, next to the mesenteric basis, it is discussed the novel of this location, differential diagnosis with mesenteric adenolimphite, an eventual filiation with a previous thigh phlegmon and it points cut the value of the therapeutical solution.


Subject(s)
Cellulitis/diagnosis , Abdomen, Acute/diagnosis , Cellulitis/pathology , Cellulitis/surgery , Child , Combined Modality Therapy , Diagnosis, Differential , Humans , Laparotomy , Male , Postoperative Care , Retroperitoneal Space
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