Displaced fractures of the femoral diaphysis in children: Definitive treatment in double spica cast

793

ABSTRACTS

been under

treatment

situ pinning

was used in patients with a lateral

head-shaft formlties atom!.

over a 36 yr period.

angle of up \*erc treatrd

The artlclr

femoral

to

60”.

Greater

with some form

atrrsbcs

Ten

of IZ

slips had “excellent

de-

of

estc-

the capacity of the

neck and head to remodel

rpiphyslolysis.

In

patients

after

with

remodelling.”

Two

the

of

cartilage at the time of their care.

These patients were respectively

15 and 16 yr of

age. The authors conclude that if rrmodelling

is

not adequate a subsequent corrective osteotomy has a lower rick

of osteonecrosis

wedge osteotomy

through

for severe slips.-

than does a

the epiphyseal

-Anthotly

H.

(bow Icg) the staples

moved with

the

plate

Alter

operative scars trnded spicuous.

Children: Cast.

Definitive

6.

L.

Allen,

A.

Trauma. 17:8-19 Thirty-two

P.

children

application. with

Kant,

with

the first

The the

and

F.

Habitual

Toe

myographic

E.

Spica

J.

Emery.

fractures

were

spica cast

Icg positioned

formation

treated with

appro-

splca appliwith

the

castcd

patient

In all cases, the initial

rcduc-

the cast period.

The authors were willing to accept some degrees of varus, valgus, and AP angulation or displaceproblems

were no

rotatory

in the Immediate

malalignment

spica-treated

pa-

tients. The authors did not compare the prompt spica application

to those

as far as deformity

H.

in

traction

spica system is a less

safe technique

dlaphyseal femoral --dnthony

treated

is concerned, but they con-

clude that the immediate expensive.

Surg. 59A:97-101

shaft

with

which

fractures

to treat

in children.

.4lrer

Correction

Stapling.

G.

of

Six

The results

Genu

lower

femoral

Volgum

and

T.

by

Epiphysial

Duckworth.

J.

Bone

(February), 1977.

of correction

valgum In 49 children are reported.

Electro-

W. W.

(Jonucry), 1977.

habitual

mal. The mrnt

This

toe walkers.

studies

EMG

age 5 9 yr of age

examination

included prc-

gait analysis.

was nor-

and posttre..tt-

Treatment

consisted

of corrective casts over h w,k to oh-

study

of the heel cord

documented

from an abnormal

contracturr.

ultimate

convcrston

foot dorsiflexor

EMC;

tern to a normal one as the youngsters’ were corrected. This

jcctive documentation ing of the Achilles’ jcctivc

normal

EMG

analysis.

Wilms’

Tumor

pat-

cqumuh

is further

that conservative

ob-

strrtch-

tendon can achlrvc an ob-

hulking

pattern,

.4rrthorlv

H.

hised

upr,n

,4lter

NEOPLASMS

ney (Cystic

This

Wilms’

Stapling

between II

genu

and 144 yr

of the medial side of the

epiphysis

or

upper

tibia1

epi-

Tumor).

Cyst

tumor of the icft kidney.

physical examination on gross contained

scrous

fluid.

Histologic

tumor

in

tumor).

No

communlcatil>n:,

A Case

of

cyst

followed over a pcrlod

was (cystic

Wilms’

Tumor

Seen

in

Yomoshito, S. Kobayoshi,

K.

renal

U’~lm\’ Wllmz‘

Hol~nfh an

Adult.

1.

H. Motoyomo,

and 1. Inoue. GEKA (Surgery) 39:408-

412 (April), 1977. A case of Wilms’ was

tumor

reported.

The

seen in a 19 yr old tumor

originated

from the upper pole of the left kidney and was well encapsulated. This

was removed easily :and

Methotrexate

25 mg,

Endoxan

Actinomycin

D

1.25

Local

mg

500

were

noted 14 yr after the operation

period was near. A cor-

and the

examination

3 multilocular Grorrr

clrst,

I ~5 cm in dlamctcr and

were noted between the cysts pelvis,

a

It appeared on

as a multilocular

The cysts ranged from

operatively.

rection of the deformity

Kid-

Med.

as an abdominal mass ,Ind

rvamlnation

being dealt with if the deformity the end of the growth

the So.

(December), 1976.

physis or both was carried out, both epiphyses was severe or

of

S. H. Chong.

is a case report of a 2 yr old bok unh

Wilms’

female

of idiopathic

in a Multilocular

J. 69:1623-1625

Yogi,

Pisfevos

Joint Surg. 598:72-76

and

P. P. Gri6n,

were studied. Ncurologic

Y. Sokuma, The

Clinical

Wheelhouse, R. Shiovi, and W. Boss. J. Bone Joint

conventional

and subsrquent

to send the immediate

There

A

Analysis.

techniques to the point

tion was maintained throughout

ment.

and con-

These patients were com-

cost saving was obvious

home promptly.

cpt-

were few but the

to be broad

Walkers: Gait

contracturcs

femur

Injured

pared to I5 patients

ability

Double

6 days with

skeletal or skin traction ofcallus

in

in

cast was applied under seda-

prlately for reduction.

catIon. The

Diaphysir

(January), 1977.

treated within tion

Treatment

were re-

normal

M. G H. Sn7ith

of a scrirs

Femoral

of

physial growjth. Complications

tain correction Displaced Fractures of the

resumption

severe patients

who did not remodel had already had closure the triradiate

of one year or more and on achieving a slight ovsr-correction

recurrence

was.

tumor

and post-

howebrr.

and the patient

expired Z yr 3 mo after the operation. nlnc cases of Wilms’

mg.

given

Twenty-

seen in adults were