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S M Mardjetko

Publications and source records attributed to S M Mardjetko.

5 recordsLinked to original sources

The Luque trolley revisited. Review of nine cases requiring revision.

This study is a retrospective review of nine patients who underwent Luque instrumentation without fusion from 1982-1984. Average age at surgery was 9 years. Average preoperative curve was 51 degrees (30 degrees-70 degrees). All nine patients have had at least one revision. All of the revisions were technically difficult secondary to extensive fibrosis and weakened laminar bone. Spontaneous fusion was documented in all nine patients, limiting further correction. Final follow-up curves averaged 51 degrees (25 degrees-90 degrees). Average gain in spinal height was 5.8 cm (2.3 in) but only a small portion was derived from the instrumented levels. Segmental spinal instrumentation without fusion in immature patients was not effective in control of spinal deformity, nor did it allow anticipated growth under the instrumented regions.

Body Height↗

Technical aspects and nursing considerations of limb lengthening.

Limb lengthening in children is a complex undertaking which involves a technically proficient surgeon, experienced nurses and a multidisciplinary health care team. The decisions surrounding a limb lengthening process in children require a thorough and individual approach. This article provides an overview of the detailed planning and implementation of the limb lengthening process. Included will be discussion of patient selection, surgical planning, nursing interventions and overall involvement of the health care team in the multidisciplinary approach.

Adolescent↗

Pseudoaneurysm after foot surgery.

Pseudoaneurysm (PA) is recognized as a rare complication after pediatric foot surgery. We identified the incidence, pertinent clinical features, and response to surgical intervention in PA as a complication of foot surgery. Four PAs were identified after 2,756 foot operations, an overall incidence of 0.14%. These patients typically had symptoms between 2 and 3 months after index operation with an enlarging, pulsatile, compressible mass in the plantar medial aspect of the foot. Arteriography was helpful in planning surgical intervention. Operative treatment consisted of ligation and excision of PA in all patients. Final outcome of foot deformity surgery was not compromised.

Adolescent↗