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Biomedical subjects

R E Lindseth

Publications and source records attributed to R E Lindseth.

23 records · Page 2Linked to original sources

Segmental femur loss in children.

Two children with segmental femoral shaft loss were treated by skeletal traction to maintain soft tissue length, followed by casting to allow the callus to solidify. Initial traction was used to preserve length and allow for the development of bridging callus. Callus formation in 3-6 weeks was a good indicator for sufficient remaining periosteal sleeve to support healing without the need for bone grafting or internal fixation. These cases demonstrate the regenerative ability of the periosteum in healing pediatric fractures.

Adolescent↗

Ambulation after transfer of adductors, external oblique, and tensor fascia lata in myelomeningocele.

Forty-seven patients with myelomeningocele underwent triple (adductor, external oblique, and tensor fascia lata) transfers or double (adductor and external oblique) transfers and were retrospectively reviewed. Six patients lost significant neurologic function during the 4-years 6-month follow-up. Thirty-seven of the remaining 41 patients had improved gait pattern. Seventeen required less bracing after the muscle transfers. The need for assistive devices decreased in 21 patients. Twenty-seven were able to ambulate independently postoperatively as compared with seven preoperatively. The muscle transfers are indicated in midlumbar and lowlumbar spina bifida patients to improve hip stability, control, balance, and gait pattern.

Adolescent↗

The adolescent "swimmer's back".

Three patients with backache, aggravated by swimming the butterfly stroke, were subsequently diagnosed as having Scheuermann's kyphosis. These patients were treated with conventional methods. However, they were allowed additional time out of the brace to participate in swimming and were encouraged to do so, but they withheld from the butterfly. An average of 27% correction of curvature was seen with an average follow-up of 1.6 years. Symptoms subsided in all cases. We feel that the psychological and emotional well-being of the athlete can likewise be enhanced by continual participation without compromising the overall result.

Adolescent↗