Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Sep 2012
Multicenter StudyVarus femoral osteotomy improves sphericity of the femoral head in older children with severe form of Legg-Calvé-Perthes disease.
In the Norwegian prospective study on Legg-Calvé-Perthes disease (LCPD), we found varus femoral osteotomy gave better femoral head sphericity at a mean of 5 years postoperative than physiotherapy in children older than 6.0 years at diagnosis with femoral head necrosis of more than 50%. That study did not include separate analyses for hips with 100% necrosis and those with a percentage of necrosis between 50% and 100%. ⋯ In children aged 6.0 to 10.0 years, in whom the whole femoral head is affected, femoral head sphericity 5 years after femoral osteotomy was better than that after physiotherapy.
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Clin. Orthop. Relat. Res. · Sep 2012
Does carpal tunnel release provide long-term relief in patients with hemodialysis-associated carpal tunnel syndrome?
Carpal tunnel syndrome (CTS) is a common complication in patients receiving long-term hemodialysis. In the short-term however, these patients are less likely to have pain relief and restoration of function after carpal tunnel release. However, it is unclear whether patients who have release for hemodialysis-associated CTS have differing persisting relief of symptoms compared with patients with idiopathic CTS. ⋯ Patients with hemodialysis-associated CTS seem to remain impaired, unlike patients with idiopathic CTS, but the majority of them might have much improved CTS-related symptoms at 2 years after carpal tunnel release.
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Clin. Orthop. Relat. Res. · Sep 2012
High survival of dome pelvic osteotomy in patients with early osteoarthritis from hip dysplasia.
The Chiari osteotomy reportedly has a 60% to 91% survival rate at a minimum 20 years followup. The dome pelvic osteotomy (DPO) has the advantage of allowing a larger weightbearing surface, and congruity in the sagittal plane presumably would reduce the joint contact stress and perhaps increase longevity. ⋯ DPO is a reasonable treatment option for patients with DDH and prearthritis or early osteoarthritis, with high survival at greater than 25 years.
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Clin. Orthop. Relat. Res. · Sep 2012
Biography Historical ArticleBiographical sketch: Georg Clemens Perthes, MD (1869-1927).
This biographical sketch on Georg Perthes corresponds to the historic text, The Classic: On Juvenile Arthritis Deformans (1910), available at DOI 10.1007/s11999-012-2433-1.
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Clin. Orthop. Relat. Res. · Sep 2012
Editorial Historical ArticleLegg-Calvé-Perthes disease: where do we stand after 100 years? Editorial comment.