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Biomedical subjects

K Szepesi

Publications and source records attributed to K Szepesi.

68 records · Page 4Linked to original sources
PubMedDate not supplied

Distal transfer of the greater trochanter for the correction of trochanteric overgrowth.

For the correction of trochanteric overgrowth resulting from ischaemic necrosis following conservative therapy in early childhood for congenital dislocation of the hip, 83 trochanteric transfers were carried out whose results were analysed over a mean follow-up period of 4.5 years (3-10 years). During operation the insertion of the gluteal minimus muscle to the trochanter was carefully detached in a way that only the fibres of the gluteus medius remained on the bone. Thus the gluteus medius could maximally be stretched in isolation, by a distal transfer of the greater trochanter and that was the way for obtaining the best results. To prevent subluxation of the head of the femur surgical correction of the acetabulum was carried out (usually Chiari's pelvic osteotomy) if the covering of the head was imperfect. The trochanter was fixed using A0 cancellous bone screw, no plaster fixation was applied and full loading was allowed 4 weeks after surgery. On the basis of changes in Trendelenburg's sign in patients operated before the age of 14 years, good results were found in 92%, whereas in older patients the result was 75%. Subjective opinions were quite similar in both groups. Positive evaluation of the results was given in 70% and 68% by patients in the younger and older group, respectively.

Adolescent↗
PubMedDate not supplied

Reoperation in treatment of clubfoot.

We evaluated 118 operations (including 57 reoperations) on clubfeet. We concluded that relapse is most often the consequence of insufficient primary surgery, and the less sufficient the intervention, the more severe the relapse or residual deformity. The severity of deformity is determined and shown, first of all, by the position of calcaneum. In milder cases, soft tissue operation can prove useful, whereas more severe cases require bony intervention as well. The second, rarer cause of relapse was the fact that the foot was originally stiff and nonreducible. These feet may need multiple reoperations.

Arthroplasty↗
PubMedDate not supplied

[Indication for Chiari's pelvic osteotomy].

The results of 61 Chiari's pelvic osteotomies carried out during a 10 years period are reported. Present role of the operation in the correction of acetabular dysplasia in comparison to Pemberton's acetabuloplasty, to triple pelvic osteotomies and to the prosthetic replacement of the hip joint is discussed. In conclusion the operation is still indicated in special cases. Depending on the age of the patients pain can be observed already after 3-5 years however a great part of the patients is completely free of complaints even 10 years postoperatively.

Adolescent↗