[Results of treatment of intertrochanter osteotomy in simple hip dysplasia in childhood].
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Biomedical subjects
Publications and source records attributed to F Cigala.
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The authors report the importance of hip dislocation and pelvic imbalance in patients with cerebral palsy, as the cause of pain, decubitus, and severe secondary deformities of the vertebral column. They report their experience in the surgical treatment of spastic hip, based on 231 cases with a mean follow-up of 5.4 years. The authors emphasize the importance of obtaining a balanced pelvis to allow for walking and sitting in the severest patients, and in order to avoid severe deformity of the vertebral column. The surgical methods used, with particular interest in the importance of stabilizing reduction by intertrochanteric osteotomies of the femur and/or acetabular roof osteotomies, are described. Results obtained, positive in 88% of cases, are also reported.
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Congenital hypothyroidism may present in the differential diagnosis of hypoplastic changes of the femoral heads. Failure to recognize early this entity may result in severe developmental changes. Thus, a team effort among member of different subspecialties (paediatrics, orthopedics and radiology) is necessary for prompt and effective treatment. This paper presents and discusses some cases of the disease as examples of such approach.
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