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Foot & Ankle International Apr 2003The complex valgus deformity of the right ankle of a 24-year-old Maffucci syndrome man was corrected by three-dimensional osteotomy followed by limb lengthening. Before...
The complex valgus deformity of the right ankle of a 24-year-old Maffucci syndrome man was corrected by three-dimensional osteotomy followed by limb lengthening. Before surgical correction of the deformity, we used computed tomography data to make a life-size three-dimensional plastic model of the deformed ankle for an accurate understanding of the anatomical deformity. We then used this model to perform a simulated osteotomy. The real osteotomy was performed immediately afterwards and valgus and recurvatum deformities were corrected accurately. We recommend simulated surgery using a three-dimensional plastic model which will improve the pre-operative planning technique and the accuracy of the end results.
Topics: Adult; Age of Onset; Ankle Joint; Bone Lengthening; Child, Preschool; Combined Modality Therapy; Congenital Abnormalities; Enchondromatosis; Humans; Male; Models, Anatomic; Osteotomy
PubMed: 12735382
DOI: 10.1177/107110070302400411 -
Rocky Mountain Medical Journal Dec 1964
Topics: Abnormalities, Severe Teratoid; Central Nervous System Diseases; Communicable Diseases; Congenital Abnormalities; Diseases in Twins; Female; Foot Diseases; Hand Deformities; Humans; Infant; Infant, Newborn; Minocycline; Pregnancy; Pregnancy Complications, Infectious; Rubella
PubMed: 14232706
DOI: No ID Found -
The Journal of Family Practice May 1983Torsional problems are common in children but rare in adults. Most resolve spontaneously; however, some require treatment. The primary care physician should be able to...
Torsional problems are common in children but rare in adults. Most resolve spontaneously; however, some require treatment. The primary care physician should be able to determine the cause of the deformity. A general screening examination is performed to rule out hip dysplasia and other skeletal defects, estimate in-toeing or out-toeing, determine hip rotation as a measure of femoral torsion, and observe the shape of the foot. These observations determine the torsional profile. The site and severity of the deformity can be ascertained from the information on the torsional profile. The common problems encountered in clinical practice include metatarsus adductus, out-toeing in early infancy, medial tibial torsion, and medial femoral torsion. The persisting or severe forms of these torsional deformities are probably genetically determined. Shoe modifications are useless; bracing is ineffective. Surgical rotational osteotomies are effective, but risky, and indicated only for severe, persisting deformities.
Topics: Biomechanical Phenomena; Child; Child, Preschool; Congenital Abnormalities; Family Practice; Femur; Foot Deformities, Congenital; Humans; Metatarsus; Tibia; Torsion Abnormality
PubMed: 6842143
DOI: No ID Found -
The Journal of Bone and Joint Surgery.... Jan 2002Lumbosacral agenesis is a rare congenital anomaly. There is no consensus regarding the optimal orthopaedic management of the spinal anomaly and the concomitant...
BACKGROUND
Lumbosacral agenesis is a rare congenital anomaly. There is no consensus regarding the optimal orthopaedic management of the spinal anomaly and the concomitant lower-extremity deformities. We propose a method to predict ambulatory potential and to identify patients who will benefit from early operative treatment of the lower-extremity deformities to facilitate walking.
METHODS
We reviewed the records and radiographs of eighteen patients with total or partial absence of the lumbar spine and total absence of the sacrum. Thirteen patients (Group I) had lumbosacral agenesis alone, and five patients (Group II) had a concomitant myelomeningocele. Three types of spinal deformity were identified. In Type A, there was either a slight gap between the ilia or the ilia were fused in the midline. One or more lumbar vertebrae were absent. The caudad aspect of the spine articulated with the pelvis in the midline, maintaining its vertical alignment. In Type B, the ilia were fused together, some of the lumbar vertebrae were absent, and the most caudad lumbar vertebra articulated with one of the ilia, with the most caudad aspect of the spine shifted away from the midline. In Type C, there was a total agenesis of the lumbar spine, the ilia were fused together, and there was a visible gap between the most caudad intact thoracic vertebra and the pelvis.
RESULTS
In Group I, all seven patients with Type-A deformity were community ambulators and one patient with Type-B was a household ambulator. No other patient in the series was able to walk. Nine patients had cervical spine anomalies, and seven patients had scoliosis. No patient was managed with a spinopelvic fusion.
CONCLUSIONS
We believe that all Group-I, Type-A patients should have correction of lower-extremity deformities as they have a very good potential to walk. The other patients should have operations on the lower extremities only if the deformities preclude sitting or wearing shoes or braces. The cervical spine should be examined radiographically for atlantoaxial instability or congenital anomalies.
Topics: Adolescent; Adult; Child; Child, Preschool; Congenital Abnormalities; Female; Humans; Infant; Lumbar Vertebrae; Male; Meningomyelocele; Sacrum; Walking
PubMed: 11792777
DOI: 10.2106/00004623-200201000-00006 -
Journal of the National Association of... Aug 1956
Topics: Congenital Abnormalities; Foot; Foot Deformities; Foot Deformities, Congenital; Humans
PubMed: 13346336
DOI: No ID Found -
The Veterinary Record Feb 1994
Topics: Abnormalities, Drug-Induced; Animals; Congenital Abnormalities; Seawater; United Kingdom; Water Pollutants
PubMed: 8171789
DOI: 10.1136/vr.134.6.152-b -
Journal of the Iowa Medical Society Jun 1964
Topics: Child; Congenital Abnormalities; Ear Deformities, Acquired; Ear, External; Face; Facial Injuries; Facial Neoplasms; Humans; Plastics; Prostheses and Implants; Surgery, Plastic
PubMed: 14145869
DOI: No ID Found -
A.M.A. Archives of Surgery Aug 1955
Topics: Congenital Abnormalities; Hand Deformities; Hand Deformities, Congenital; Humans; Thumb
PubMed: 14397968
DOI: 10.1001/archsurg.1955.01270140105019 -
Acta Pediatrica Espanola Dec 1952
Topics: Congenital Abnormalities; Fingers; Humans; Limb Deformities, Congenital; Syndactyly; Toes
PubMed: 13030291
DOI: No ID Found -
Major Problems in Clinical Pediatrics 1976
Topics: Abnormalities, Multiple; Bone Diseases, Developmental; Chromosome Aberrations; Chromosome Disorders; Congenital Abnormalities; Face; Female; Growth Disorders; Hamartoma; Humans; Infant, Newborn; Limb Deformities, Congenital; Male; Morphogenesis; Osteochondrodysplasias; Syndrome
PubMed: 940360
DOI: No ID Found