ABSTRACT
To optimize the diagnosis and treatment for the inborn flat-valgus deformity of the foot (IFVDF), the results of treatment of 78 children, ageing from 1 mo to 12 yrs old, were analyzed. Algorithms of diagnosis and treatment were elaborated. Operative treatment on soft tissues for IFVDF was indicated in the cases of inefficacy or insufficient efficacy of conservative therapy in the age after 1 year old, when a child starts to walk by himself. The proposed method of operative treatment permits to achieve good results and it is less traumatic in comparison with the existing methods. Better results are noted while application of the method in children, ageing from 1 to 4 yrs old.
Subject(s)
Flatfoot/surgery , Flatfoot/therapy , Manipulation, Orthopedic/methods , Child , Child, Preschool , Female , Flatfoot/congenital , Foot Orthoses , Humans , Infant , Male , OsteotomyABSTRACT
Rotation subluxations of the atlas (RSA) were encountered in 77 children in a period of 3 years. The authors believe that "fresh" RSA should be managed by non-operative methods. However, some diseases and injuries with the similar clinical manifestations often lead to diagnostic and tactical errors.
Subject(s)
Cervical Atlas/injuries , Joint Dislocations , Adolescent , Age Factors , Child , Child, Preschool , Female , Humans , Joint Dislocations/diagnosis , Joint Dislocations/therapy , Male , RotationABSTRACT
The clinical material includes 117 children with fractures of the proximal part of the radius. A functional method of treatment was used in 44 children with a hinge-rotary device developed by the authors. A complete restitution of movements in the elbow joint was registered in 84% of the children in contrast to 68% of the children treated by traditional methods. An unsatisfactory result was noted in 1 patient while the traditional method resulted in 10% of unsatisfactory outcomes.
Subject(s)
Radius Fractures/rehabilitation , Adolescent , Casts, Surgical , Child , Child, Preschool , Combined Modality Therapy , External Fixators , Follow-Up Studies , Fracture Fixation , Humans , Infant , Joint Dislocations/physiopathology , Joint Dislocations/rehabilitation , Radius Fractures/physiopathology , Time Factors , Elbow InjuriesABSTRACT
Functional treatment of 275 children with epicondylar and transcondylar fracture of shoulder bone with II-IV degree dislocation was done. The conventional method of functional treatment was applied using dissected in articulation ulnaris plaster bandage, the Blaunt bandage and the elaborated method using the external fixation apparatuses--hinge-rotational apparatus (HRA). The highest efficacy of functional treatment using HRA was noted.