[Roentgenofunctional basis for surgical tactics in children with congenital clubfoot].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to A L Kapitanaki.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Unsatisfactory results of the conservative treatment of club foot deformity in 220 patients (346 feet) were analyzed. Data of roentgenograms in 86 patients enabled the authors to make a conclusion that an early cause of recurrent club foot is the delayed formation of nuclei of ossification of the navicular and I sphenoid bones, the later cause of the recurrent deformity is early synostosis of the epiphysis of the metatarsal bone. The importance of dispensary observation ad prophylactic measures after the treatment of congenital club foot is emphasized.
The authors have studied results of the operative treatment of a typical form of congenital talipes in 220 patients (346 feet) operated by the method of V.A. Shturm Remote results of the surgical treatment were followed in 157 patients (255 feet). Good results were obtained in 120 feet (47,1%), unsatisfactory--in 21 feet (8,2%). Good results were noted in patients operated at the age of 2-3 years.
The authors have examined 19 children with congenital spastic torticollis. Roentgenography of the cervical part of the spine was made in all the patients before operative treatment and at different terms after surgery. The results of the examination suggest that torticollis is responsible for the abnormal function and development of the cervical part of the spine in children. It has been established that in cases with ineffective conservative treatment the early surgical correction must be recommended followed by continuous fixation of the patients' head in the right posture and permanent dispensary control.
The authors describe early signs of the disease: osteoporosis of the femoral head and neck, the enlargement of the articular fissure, loss of the head sphericity. Later, induration of the epiphysis and enlargement of the femoral neck become a manifest.
Explore the source record for details and available documents.
Explore the source record for details and available documents.