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G Dean MacEwen

Publications and source records attributed to G Dean MacEwen.

9 recordsLinked to original sources
PubMed2005

Operative treatment for type II avascular necrosis in developmental dysplasia of the hip.

Lateral growth disturbance of the proximal femur may occur after treatment of developmental dysplasia of the hip, although usually it is not recognized until the child is older. This resultant dysplasia is also known as Kalamchi and MacEwen Type II avascular necrosis. The valgus configuration of the proximal femur and associated acetabular dysplasia may need operative reconstruction. Our purpose in doing this study was to assess the results of reconstruction in these patients. We reviewed 24 patients (30 hips) with Type II avascular necrosis who had acetabular and/or proximal femoral osteotomy after treatment for developmental dysplasia of the hip. The results were assessed according to the timing and type of operation and were graded using the Severin classification (I and II satisfactory and III and IV unsatisfactory). All patients were followed up past skeletal maturity. At a mean followup of 22 years, 15 of 24 patients (17 of 30 hips) had a satisfactory result. The patients with hips that were reconstructed after the diagnosis of Type II avascular necrosis had more satisfactory results than those operated on before the diagnosis of (70% versus 50%) avascular necrosis. Patients with 10 of the 13 hips that had acetabular and femoral reconstruction had a satisfactory result.

Adolescent↗
PubMedDate not supplied

Fractures of the lateral humeral condyle: role of the cartilage hinge in fracture stability.

This study investigates the hypothesis that the integrity of the cartilage hinge at the distal humeral epiphysis determines the stability of fractures of the lateral humeral condyle. Sixteen patients with lateral humeral condyle fractures were studied with radiographs and magnetic resonance imaging (MRI). The clinical course of each patient was compared using these imaging studies to determine whether initial fracture displacement and the integrity of the cartilage hinge correlated with fracture stability. Radiographically, 4 fractures were considered unstable (with initial fracture displacement >3 mm) and 12 were stable (initial displacement < or =3 mm). On MRI, 6 fractures were complete (with disruption of the lateral cartilage hinge) and 10 were incomplete. All unstable fractures had complete fractures on MRI. Ten of the 12 patients with radiographically stable injuries had incomplete fractures on MRI. None of these displaced during treatment. Two patients had radiographically stable fractures and complete fractures on MRI. One of these fractures displaced, confirming the hypothesis that the stability of lateral humeral condyle fractures is related to the integrity of the cartilage hinge.

Cartilage, Articular↗