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Biomedical subjects

F E Dowling

Publications and source records attributed to F E Dowling.

43 records · Page 3Linked to original sources
PubMed1988

Electro-spinal stimulation in children with adolescent and juvenile scoliosis.

A series of forty-one patients with adolescent or juvenile idiopathic scoliosis who were treated with electro-spinal stimulation is reported. Nineteen children were removed from the program because of curve progression or unacceptable deformity. Sixteen of these (39%) required surgery as a first alternative. Three were given a brace. Thirteen children have reached skeletal maturity without significant deterioration. Those who did well were in a lower risk category. The efficacy of this form of treatment has not been demonstrated in this series, and it is being discontinued.

Adolescent↗
PubMedDate not supplied

Puncture wound related pseudomonas infections of the foot in children.

Eleven children with Pseudomonas aeruginosa infection complicating foot puncture wounds were reviewed. Delay in presentation (mean 2 days) and diagnosis (mean 9 days) due to a paucity of clinical signs of deep infection was characteristic of this condition. Septic arthritis (5 patients) and osteomyelitis (3 patients) were frequent complications. Treatment involved multiple surgical debridements and prolonged intravenous antibiotic therapy. The clinical outcome was good although long-term radiographic changes were common.

Adolescent↗
PubMedDate not supplied

Hip dysplasia in Hurler's syndrome: orthopaedic management after bone marrow transplantation.

Hurler's syndrome is an autosomal recessive metabolic storage disease with distinct skeletal manifestations, which include progressive hip dislocation. Enzyme-replacement therapy by bone marrow transplantation improves life expectancy but does not prevent hip dislocation. We describe the features of hip dysplasia in a series of eight successfully engrafted patients with Hurler's syndrome. The primary pathologic condition appears to be a failure of ossification of the cartilaginous acetabulum. Five patients underwent bilateral hip-containment surgery, and all operated-on hips were reduced at a mean follow-up of 17 months. Innominate osteotomy would appear to be an essential part of the surgical procedure.

Arthrography↗
PubMedDate not supplied

Tibial hemimelia of a different class.

A variant of tibial hemimelia, previously undescribed in the literature and not classifiable by either of the established classification systems, is described. The features of this condition include a short, deformed tibia; proximal subluxation of the fibula at the knee; a normal knee joint and an ankle joint that may look abnormal but falls short of true diastasis of the joint. Treatment of two cases by differential lengthening of the tibia and fibula using the Ilizarov device is described. This form of tibial hemimelia should be recognised as a separate variant as preservation of the foot and ankle with expected excellent function should be possible, unlike the more severe forms of this condition.

Age Factors↗
PubMedDate not supplied

Kyphectomy in children with myelomeningocele: a long-term outcome study.

Twenty-four children with myelomeningocele and a kyphotic deformity treated by surgical correction between 1980 and 1994 were reviewed. Different techniques of instrumentation and spinal fusion were used. The mean age at surgery was 9.5 years. The mean kyphotic angle was 121 degrees preoperatively, 50 degrees postoperatively, and 57 degrees at final follow-up. The postoperative complication rate was high. Delayed wound healing and late skin breakdown with exposure of instrumentation were common problems. Further surgery to remove protruding hardware was necessary in 18 patients. Long posterior instrumentation with fixation to the pelvis had significantly better stability on follow-up than other methods. Despite the prolonged postoperative morbidity in the majority of the study group, the long-term clinical and radiologic outcome at a mean follow-up of 10 years was excellent.

Adolescent↗
PubMedDate not supplied

Pseudowinging of the scapula due to osteochondromata.

We report two patients, each with pseudowinging of the scapula caused by an osteochondroma. Local excision of the tumour cured the deformity. Clinical examination will help differentiate winging from pseudowinging, especially if the patient has scoliosis.

Child↗