Chondrolysis following slipped capital femoral epiphysis in Jamaica

468 of residual contracture in ten patients was thought to be due to inadequate surgery. A more erect posture with decrease in lordosis can be expected and improvement in strength can be seen with concomitant improvement in gait.-A. H. Alter The Colonna Capsular Arthroplasty: A Long Term Follow-up Study of Fifty-Six Patients. S. M. K. Chung, H. W. Scholl, E. L. Ralston, and E. P. Pendergrass. J. Bone Joint Surg. 53A:1511-1527 (December), 1971. Fifty-six patients who had Colonna capsular arthroplasties by Dr. Colonna and his staff were studied with an average followup of 17 yr (range, 6-37 yr). Thirty-one patients had good to excellent results and six had poor results. Best results were in young patients with preoperative traction and unilateral disease, localized to the hip. Poor results were in older patients with bilateral disease. Degenerative changes with symptoms were usually seen by 25 yr postoperative.-A. H. Alter Acute Slipped Capital Femoral Epiphysis: A Report of Nine Cases. H. L. Barash, J. 0. Galante, and R. D. Ray. Clin. Orthop. 79:96-103 (September), 1971. Nine children with acute capital femoral epiphysiolysis are reviewed and followed 2-8 yr. There are prodromal symptoms seen with trauma, usually an inciting cause. The best results are treatment with gentle manipulation, closed reduction, and internal fixation.-A. H. Alter Chondrolysis Following Slipped Capital Femoral Epiphysis in Jamaica. D. A. Tillema and J. S. R. Go/ding. J. Bone Joint Surg. 53A:1528-1540 (December), 1971.

ABSTRACTS

Little improvement in signs and symptoms occurred with time. Biopsy specimens suggest the primary lesion may be a replacement of the articular cartilage by pannus formation.-A. H. Alter Fracture of the Femoral Neck in Children and Its Complication. S. P. Kay and J. E. Ha//. Clin. Orthop. 80~53-71 (October), 1971. Twenty children with fractures of the femoral neck were studied after a literature review of 239 cases. Analysis of the results and consideration of stress vectors involved led the authors to conclude that the treatment should be as follows: (1) emergency arthrocentesis for blood evacuation and decrease in intracapsular pressure: (2) reduction of the fracture gently, with open reduction indicated in epiphyseal fractures; (3) internal fixation on an emergency basis; (4) Lightweight postoperative traction in the flexed, abducted, and externally rotated position to minimize intracapsular and muscular pressures; (5) maintenance of traction until callus is seen; and (6) non-weightbearing crutch walking, including the use of an abduction night frame until healing is complete.-A. H. Alter Cerebral Palsy: Spastic Internal Femoral Torsion. T. C. Majestro and H. M. Frost. Clin. Orthop. 79:44-56 (September), 1971. Sixty-nine

patients

with

spastic

-A. Thirty-six black patients, with a minimum of 1 yr following treated capital femoral epiphysiolysis with a closed proximal femoral epiphysis, were studied. A total of 47 hips studied had 19 secondary chondrolyses develop. Of 26 female hips, 13 developed chondrolysis. Chondrolysis was seen more frequently with more severe displacement with a high percentage occurring within the first year. Clinical excessive loss of hip motion preceded roentgenographic changes.

internal

femoral torsion were treated with muscle and tendon procedures after uniformly unsuccessful response to bracing and shoe wedges. Procedures include adductor tenotomies, anterior obturator neurectomies, and posterior transfer of the hip internal rotators. Osteotomies can be avoided if the transfers are done at an early age.

H. Alter

Tibia1 Lengthening: A Review of Twenty Cases. M. J. Schrodt, J. Galante, S. J. Shafer, J. Gimbel, and R. 0. Ray. Clin. Orthop. 80:139-146 (October), 1971. Twenty patients with tibia1 lengthenings via the Anderson technique were studied with an average followup of 36 mo. An lengthening of 4.4 cm (range average 2.5-6 cm) is accomplished. Complications