Biomedical subjects

C L Stanitski

Publications and source records attributed to C L Stanitski.

60 records · Page 4Linked to original sources

PubMedDate not supplied

Simultaneous ipsilateral fractures of the arm and forearm in children.

The simultaneous occurrence of ipsilateral humeral supracondylar and forearm fractures is unusual, and the incidence of this combination is not known. For the management of six cases of this fracture combination, initial reduction and transcutaneous pin fixation of the supracondylar fracture were recommended and the followed by reduction and stabilization of the forearm fracture. Serious neurovascular complications associated with these severe extremity injuries are manageable only by prompt diagnosis and treatment.

Child↗

PubMedDate not supplied

Results of femoral lengthening using the Ilizarov technique.

We report the results of 36 femoral lengthenings in 30 consecutive patients using the Ilizarov technique. Patient age at surgery in 19 boys and 11 girls averaged 13.4 years (range, 5-18). Minimum follow-up was 2 years. The etiology of femoral shortening was congenital in 21 femora and acquired in 15. Twelve femora underwent concomitant correction of associated angular deformities during treatment. The average lengthening was 8.3 cm (range, 3.5-12 cm) with a treatment time of 6.4 months (range, 2.5-12). The mean number of surgeries per patient was 2.3, including apparatus application and removal. Lengthening index (months of treatment/centimeter lengthening) was 0.74. Complications included premature consolidation in four patients, malunion of > 10 degrees in two patients, and residual limb length inequality (< 2 cm) in two. There were two instances of knee subluxation [corrected]. No osteomyelitis, ring sequestra, neurologic or vascular compromise, compartment syndrome, hypertension, or hip or knee dislocations occurred. Psychological problems necessitated cessation of lengthening in two patients. These results show a significant improvement over previous reports of earlier techniques of femoral lengthening in terms of greater lengthening, simultaneous deformity correction, and fewer major complications.

Adolescent↗

PubMedDate not supplied

Observations on symptomatic medial malleolar ossification centers.

We report 11 cases of symptomatic medial malleolar ossification centers (MMOC). Symptoms in six of the 10 patients responded to diminished athletic activity. Four patients required short-leg walking casts, and two of these patients required repeat casting for symptom recurrence. Two groups of bilateral, three-view ankle roentgenograms of asymptomatic patients were reviewed to determine the incidence of MMOC. Group 1 (age 6 years 1 month to 12 years 11 months) had a 20% incidence, and group 2 (age 13 years 1 month to 17 years 11 months) had a 4% incidence. Symptoms may occur at these roentgenographic variants, and diminished activity, either volition or enforced by walking casts, produced resolution of symptoms in all patients.

Adolescent↗

PubMedDate not supplied

Radiation exposure during skeletal traction treatment of pediatric femoral fractures.

Radiation-exposure data during femoral fracture management has not been previously reported. We report a retrospective analysis of radiation exposure in 45 patients aged 5-12 years (average, 8.3) with isolated femoral shaft fractures treated by 90/90 degrees femoral skeletal traction. Group I had 32 patients aged 5-9 years (average, 7.3), and group II had 13 patients of an average age of 10.7 years. Total average radiation dose before casting was 0.699 rads and was independent of age and gender. In addition to potential complications of tractions and increased hospital stay with attendant fiscal and psychosocial burdens, radiation exposure with this type of management, in this series, was significant.

Age Distribution↗

PubMedDate not supplied

Correction of proximal tibial deformities in adolescents with the T-Garches external fixator.

Frontal-plane deformity of the proximal tibia in children has a variety of etiologies. There are also a number of described surgical techniques for correction of these deformities. The authors reviewed their early experience with the use of the Orthofix T-Garches external fixator for correction of 16 proximal tibial deformities in 14 patients. Mean age at surgery was 14.2 years. The most common diagnosis was adolescent Blount's disease. Average deformity was 12 degrees. Total treatment time averaged 13 weeks for those requiring lengthening and 10.8 weeks for those without. Complications included one ring sequestrum treated by curettage, and two patients with subsequent development of femoral deformity. Tibial anatomic axis averaged 1 degree of varus. This device can achieve excellent correction of deformity isolated to the frontal plane with few complications. It allows functional weight bearing and use of adjacent joints during treatment.

Adolescent↗

PubMedDate not supplied

Prenatal sonographic diagnosis of clubfoot: implications for patient counseling.

This study was undertaken to determine the incidence of prenatally, sonographically diagnosed clubfoot; the incidence of associated anomalies; and the correlation with postnatal findings. Cases of prenatally diagnosed clubfeet were abstracted from a prospectively entered ultrasound database. Scans were reviewed for the presence of associated anomalies. Available neonatal charts were reviewed for correlation with prenatal findings. The incidence of prenatally diagnosed clubfoot was 0.43%. This was isolated in 33% of the cases and associated with other anomalies in 67%. All cases with associated anomalies were identified prenatally. There was a 40% false-positive rate for isolated clubfoot, all diagnosed in the third trimester of pregnancy. Prenatally diagnosed clubfoot was seen in 0.43% of this high-risk population. The correct identification of associated anomalies facilitates prenatal counseling, but limitations of prenatal ultrasound must be remembered. This information should be helpful to orthopaedic surgeons involved in the counseling of these patients.

Abnormalities, Multiple↗